My partner’s betta has been really lethargic so we put on Boobahs to give enrichment and she just…loves it. She’ll just swim right to the screen and sit and watch, not flaring or anything.
Not just sertraline, any SSRI or SNRI. Serotonin syndrome can kill you. When I was younger and on a lot of medication, a dose of cough medicine landed me in the ER. Always check potential interactions here before taking anything with antidepressants, even if it’s over-the-counter.
hm so psa bc i didn’t know this, it’s not common knowledge, and flu season is around:
apparently you aren’t supposed to take dextromethorphan (a common cough suppressant. it’s in stuff like cough syrup, mucinex dm, tylenol severe cold) with sertraline (aka zoloft, the antidepressant) bc it has the risk of causing Serotonin Syndrome, which is not as fun as the name suggests. i’m not a doctor but like, avoid drug interactions bc they can be serious.
remember to read labels guys aaa
I just learned recently that this also includes tramadol, with its additional SNRI action. Which a disturbing proportion of doctors surveyed in one study were previously unaware of.
Note: Tramadol also should not be prescribed alongside other SNRIs/SSRIs, for the same reason. As commonly as this does happen, as noted in the same study. I’ve certainly had them prescribed together before, besides never knowing to watch out for other possible medication interactions there.
As a general rule, it’s always a good idea to check any medications you take for potential interactions with anything else you may be putting into your system! Definitely including food and supplements.
Guys, I’m a pharmacist. I love how everyone on this post is so engaged with their drugs. And while I might educate people about the signs of serotonin syndrome, I would not advise them against taking a little short term course of it for a cold based on an interaction with sertraline alone. I’d have to look at the rest of the medication list and talk with the person before I’d keep them from using a cold medication like this. Serotonin syndrome is serious but rare.
I agree with the concepts of this post! Do check interactions—I always do! Experience and education can help, though.
Consider calling your pharmacist, if you can. Find a good one who you really like and trust. They’re usually better than an automatic interaction checker, and we’re also free!
Along the same lines, veterinarians, don’t shy away from using trazodone for a situation because the pet is on an antidepressant! Serotonin syndrome is serious but rare, and even more so at normal doses. And if you’re not sure, emailing or calling one of your friendly vet behaviorists is as free as calling a pharmacist!
It costs you literally nothing to leave service dogs the fuck alone.
yall. this isn’t a joke. if i can tell a 5 yr old “my dog is working, please let her be” and they understand then you can too. those dogs ARE working. they have a job to do. and when we say ‘leave them alone’ that includes making faces at them and baby talking them. literally act like they are just someone’s bag or something. if you distract them they could fail to alert their owner to a seizure or blood sugar issue or allergen. you are literally jeopardizing someone’s life bc you can’t have basic decency, respect, and self control.
SAY IT LOUDER
am I allowed to tell the person I’m proud of the dog? Or should I just not bring up the dog?
Ignore the dog. Do not mention the dog.
Would you walk up to a stranger and be like “Oh damn your wheelchair is doing such a hecking good job being a wheelchair you go lil buddy!” no? then don’t do it to service animals that are clearly wearing their vest/collar/harness whatever it is that marks them as service animals
Y’all literally do not care how many disabled people you kill and how many disabled lives you ruin - you want to coo at and pet the cute dog.
Go fuck yourself asshole.
Here, if you want a comparison that isn’t an object: I worked as a caregiver for people with developmental (usually accompanied by physical) disabilities. My job was to accompany them into the community for various activities including shopping, dining, and leisure activities. And everywhere we went people would come up to ME and tell me what a good person I was, what a great service I was providing, god bless me, etc. Not only was it embarrassing for both me and my consumers, it was distracting! I was supposed to be paying attention to my consumers and their needs, which could often change rapidly depending on their conditions, and instead I was having to deal with some prick who felt the need to voice what a martyr I was for doing my job. And they’d usually get angry if I ignored them or informed them they were distracting me from my job, which sounds familiar.
So yeah. Leave. The Dog. Alone. All you’re doing is making yourself feel good while distracting the dog from its job and endangering the person it’s supposed to be helping.
Question: I know service dogs are for a variety of maladies (I hope that’s not offensive, if so plz correct me) so is it wrong to even go up to the person and calmly tell them their dog is cute and ask them to give them a pet for me later when they’re off the clock? Without actually giving the dog attention?
What exactly is it about “Ignore the dog. Do not mention the dog.” that y’all aren’t grasping.
Oh right. It’s not what you want to do so you’re just going to keep trying to weasel your way around it. Because fuck disabled people, it’s a cute dog.
What’s really getting me is that all of these “but what if I” examples blatantly involve inserting yourself into a disabled person’s life just to get to their dog. Like
[ID: A white stick figure on a black background. Orange text says “that’s a human person”]
people love talking to my dog or asking questions while we’re in line and therefore can’t just leave. if we’re in line chances are I feel terrible, he’s doing his job and I’m trying not to fall on the floor I do not have the time or energy to answer questions. he knows he’s a good boy and that he’s very smart. I know he’s doing a good job. I should not have to worry about people petting him when I’m having tachycardia and actively need him to do his job. just leave us and our dofs alone
disabled people: leave me and my assistive devices including service animals and caregivers and aides alone
ableds: but what if-
disabled people: leave me and my assistive devices alone
ableds: but what if-
disabled people: what part of “leave me and my assistive devices alone” are you not understanding here
So, many of us (possibly not all, because other vaccines in the pipeline) are going to be getting either the Pfizer or Moderna vaccine.
What vaccine you end up getting is likely to depend on your age, health, and where you live. Pfizer’s vaccine is harder to store and transport, so if you live in a big city you’re more likely to get that one.
For what I’m going to say, though, it doesn’t make a difference.
You’re going to be getting two shots, a few weeks apart. For Moderna, it’s 28 days (4 weeks). For Pfizer, it’s 21 days (3 weeks). Yes, this sucks. No, this is not ideal for mass vaccination. You’ll get a card that will remind you to come back for the second dose. The person administering the shot, most likely a pharmacist, will also ask for your cell phone number so they can text you. Because if you don’t come back that first shot is a waste of time.
We don’t know for sure if the single shot gives any protection at all, but the reasonable assumption is that it doesn’t.
This means you need to get your ass back in there for that second shot. And while you are waiting for that shot, you are not protected.
This means you should continue to wear a mask, etc. In fact, if possible, you should be even more careful, because if you get sick and can’t come in for that second shot? They’ll most likely have to start over. The trial included longer periods between the two, so you might be fine, but there is a risk here.
And once you have had that second shot?
It’s going to take two to four weeks to build antibodies, during which time you will have lower, but increasing, protection. They’ll tell you what it is…that data hasn’t been released yet, but will be.
So you should still continue to be careful for those weeks.
Finally!
We don’t know if these vaccines provide what is called sterilizing immunity, meaning you can’t be infected and can’t pass it on.
They may only provide functional immunity, meaning you get infected but don’t get sick. You could still transmit COVID-19 to others, although the risk is lower.
Which means?
Yeah, the masks have to stay on until the case numbers and other metrics are looking good.
Please don’t be those people who get that first shot and go throw a wild party. Have a bit of patience.
It might be the most important thing you do - it will save lives
Also everyone on the whole damn planet has better be nice to all pharmacy staff during this vaccine thing because OP is right—almost everybody is going to get the shots from a pharmacist. Nobody is hiring more pharmacists for that. We’ll have to do the exact same amount of dispensing through all of this and if we’re giving someone a shot while someone else shows up with a new prescription? They’re gonna have to wait.
Yeah it sucks to wait for an hour for a very simple refill but that’s what is going to be like. Outpatient pharmacy is, by definition, not an emergency so nobody’s gonna die by waiting for an hour.
Call your refills in a day or two ahead and still plan to wait a while at the pharmacy.
Don’t yell at anybody in the pharmacy just because you have to wait while we’re immunizing everybody and essentially getting us out of the COVID pandemic. If you see someone else yelling at some poor technician at the pharmacy, see if you can diffuse the situation. Stick up for outpatient pharmacy staff during the vaccine rollout, is all I’m asking here.
it’s always “this doll is haunted and is ominously shattering the china” and never “how can I provide adequate enrichment for my haunted doll so she doesn’t destroy stuff out of boredom”
responsible haunted doll ownership means aknowledging your doll’s need for interaction and play time! make sure to give her plenty of stuff to look at with her rolling eyes and shatter-proof things to knock over.
remember that knocking picture frames off walls, inverting crosses, and leaving long and disturbing claw marks in your wallpaper is natural haunted doll behaviour and should be managed in a way which is healthy for both you and your doll!
