The Duloxetine Process – Weaning off strong antidepressants

Depression, Help for sufferers, Insomnia, Medication advice, Posts, Withdrawal Syndrome

I know its been a while since I last posted. We were moving house and getting our lives together, and then things just went even more south than they already were. This was back in November. Fast-forward past Christmas and here we are, five days after an appointment with my new GP, and 17 days until my birthday. I’e got a trip booked for my birthday; a 3- day visit to Edinburgh with my partner and my mum. I’m really excited, but if I am anything like I have been for the past few months, then it really isn’t going to be a fun experience.

The Problem:

For a while now (a good 6 months or so), I haven’t been sleeping. And I mean, not just ‘oh no it took an hour to go to sleep last night,’ but more like ‘ oh no its 7am and my partner is getting up for work, and I still haven’t been to sleep yet’. It literally took the ENTIRE night for me to calm down enough to sleep, and then, as if by magic, I would sleep all day.

I’m still none the wiser as to what caused it. I’ve been through every possible scenario and cut things out of my life one by one, but still, nothing has worked. Until now.

What I changed :

Heres a handy little list of all the things I’ve done this year to try and help…

  • Reduced caffeine, only drank it before 12 noon except for the odd cheat day.
  • Reduced sugar consumption.
  • Tried to see the morning sun where possible (this reduces melatonin levels during the day, which makes you more awake, and in turn, increases levels at night when it is dark, making you sleepier).
  • Get more exercise during the day (where possible).
  • Increased veggie consumption as much as possible and reduced everything I have an intolerance to (mainly meat and dairy).
  • Completely cut alcohol (I wasn’t much of a drinker anyway, due to my meds).
  • Aimed to be in bed by a decent time every night.
  • Opted for a bath or shower before bed instead of during the daytime.
  • Eat earlier in the evening and give a lengthy time to digest before bed.
  • Reduced screen time before bed and avoid picking up a book (I would literally read the whole thing in one night and then wonder why I was still awake).
  • Changed GP practices.
  • Got new pillows.
  • Stopped drinking Pepsi Max (our family has a bit of an addiction to it, and it was only recently that I realised it contained quite a lot of caffeine – definitely more than I expected.)
  • Went completely vegetarian.
  • Switched to a Chicory and Barley drink instead of coffee, and rooibos tea instead of normal tea (these taste the same but are completely caffeine free, as opposed to decaffeinated products, which still contain trace amounts).
  • Tried bedtime meditation.

Despite making me a healthier person, none of this solved my sleeping. Fun times. Several days ago, I realised it might be a side effect of my antidepressants, but only after I’d noticed a change during my withdrawal process.

The turning point:

I ended up in A&E just before Christmas, and was given a crisis team number to call if I felt suicidal. Hint: I felt suicidal pretty much every day, so this was pointless. However, in the first week of January, I had an accidental shortage of antidepressants. I ended up waiting 3 days before I could get hold of any, and at this point, I was severely suicidal. I rang 111, but they transferred me to the crisis team rather than getting me an emergency prescription. Although I was suicidal, I wasn’t a danger at that point, as my partner was there to look after me. What I needed was a dose of my meds. In the end, I sorted it out, but calling my crisis team actually triggered my GP to get in touch and discuss changing my medication altogether .

A week later and I was booked in for an appointment (she did try to get me in sooner, but I was a mess and it took me a while to call her back- oops!).

We decided together that being on two different high doses of antidepressants per day and no pain relief was a stupid mistake; and that I should really try pregabalin, as at this point, the benefit of taking it would outweigh the cost of the side effects. However, this meant that I also had to wean off of one of my antidepressants. She sent me away with a new dose of pregablin and a half dose of duloxetine.

The plan:

Weaning off duloxetine is notoriously difficult. The side effects of taking it are awful, but the withdrawal syndrome is a hundred times worse. It is one of the hardest antidepressants to get off.

I have been on it for 3 years.

My doctor had told me to cut it down by half immediately, and stay at this level for a while, however I knew that the side effects would be too harsh for me (I’ve had a few times in the past where I ran out and only took half a dose, and within the day I was feeling awful).

Instead, I decided to reduce it in quarters.

The process:

So far, I have reduced once; from my original 80mg to 60mg. This has meant, however, that I’ve had to open up the capsules and separate out the teensy tiny little duloxetine balls inside. If you have ever looked inside one of these capsules, you will know just how difficult this is.

I recommend using a plate, tray, or bowl to catch the balls should they escape (trust me, they have a life of their own).

You can either count them out individually (a difficult task) or, if you are lazy and can’t be bothered to waste half an hour every morning, visually estimate approx. half the balls. Note: if you are very sensitive, this might not work for you. Micro scales, which you can order online, may help you get a more approximate dose, without wasting time every day. Once you have removed what you need to, put the remaining balls back into the capsule, seal it, and get rid of the rest. Make sure the leftovers are put in a medical waste bin, as they are toxic and can hurt wildlife (or your own pooch if they lick them up from your kitchen counter). 

Now, how much should you be reducing by? Here is my quick (ish) guide…

Step 1: figure out a plan with your doctor. Do not, under any circumstances, withdraw from duloxetine without first talking to your doctor. They can give you a plan which will suit you, but don’t be afraid to extend it if it sounds too quick for you. Please also consider that, like my GP, your doctor will probably prescribe you something to help ease your symptoms. In my case, this was pregabalin, and it has been working surprisingly well.

Step 2: Set yourself a personal schedule, as to when and by how much you will be reducing. This is important to prevent you from relapsing to your original dose and also making sure you don’t make your body even more ill by stopping too fast. If, like me, you are a creative type, you might choose to make a pretty looking planner or poster to remind you, but don’t worry if not. A simple post- it note outline will suffice.

Example:

My plan:

full dose= 80mg, cut by 1/4 each time (20mg).

>Friday 10th Jan, 1st change= cut by 20mg to 60mg 

>Maintain dose for a week or until comfortable

>Friday 17th Jan,  2nd change= cut by 20mg to 40mg (half dose)

>Maintain dose for a week or until comfortable

>Friday 24th Jan, 3rd change= cut by 20mg to 20mg

>Maintain dose for a week or until comfortable

>Friday 31st Jan, 4th change= stop completely

Step 3: Start the process as soon as possible. Follow your plan as closely as possible, but try and be flexible too- if you feel like you are going too quickly, i.e; you have withdrawal symptoms that are uncomfortable, reduce by a smaller amount and extend your waiting time.

Remember, this is a very intense process that you may find difficult at some points. It isn’t your fault by any means, so don’t beat yourself up about it. Keep the communication with your doctor open and tell them immediately if your symptoms worsen. The chances are your body just needs a little bit longer to adjust.

Step 4: at the end of the process, celebrate! For me, I have my Edinburgh trip booked. This coincides nicely with my end date, but I have to remember that my body may need a bit longer to accept the changes, therefore I am planning an alternative reward to keep me going if I am not done by then. This can be as simple as buying yourself that cute top you’ve been wanting, or whatever you may feel motivates you the most. After all this hard work, you definitely deserve it.  For me, it will be a much- needed new pair of jeans, and a complimentary bar of chocolate!

Where I am at now:

My sleep still isn’t perfect. I am still sleeping in late and it still takes me about an hour to go to sleep, plus last night I didnt sleep until after 4am. The pregabalin makes me drowsy, which helps a lot, but until I have completely weaned off, I do not expect to be completely better. I have always struggled to sleep, so I reckon I always will.

However, I have successfully slept three nights in a row, and even though I still suffer from ‘some’ insomnia, I already feel significantly better. The best bit? It’s only been five days since I did my first reduction.

I hope to start up blogging properly again soon, if not straight away; but this time I won’t make any promises. If it happens, it happens. If not, I can’t blame myself. I would like to write some more about pregabalin, duloxetine, citalopram, naproxen, codeine, and all the other meds I’ve tried, plus some more info into support animals, so keep an eye out if you’re interested in those.

Let me know what you think- are you planning to do this, or have you had your own withdrawal experiences before? I’d love to hear your experience, and you might even be able to give me some advice for mine. I will eventually be coming back to this post to tell you all how it went, so I will publish any good ideas you have and give credit to you guys.

Lost of love as always,

Ellie x

The Role of Service Animals

Coping Strategies, Help for friends, family, and significant others, Help for sufferers, Posts

As you probably already know, service animals are truly an asset to our society. Search and rescue, airport security, plus the ever faithful guide dogs for the blind, in fact, there’s even a canine department for the police- but you know that, right?

The thing is, we know that animals, and dogs in particular, can be very useful in helping us humans out when we need it most. Well, today I will be talking about a few specially trained animals who can help out chronic illness sufferers, including a few, uh.. more unusual species that can help.

The ‘Standard’ Service Dog– If you suffer from debilitating symptoms which make your day to day life difficult to do alone, you may find it helpful to get a service dog. Nowadays, most service dogs are trained to carry out simple household tasks that you would otherwise find difficult. For example, if you struggle to bend over without pain and stiffness, your service dog can help you by retrieving things from low surfaces, doing basic sorting and tidying tasks, and even loading and unloading your washing machine. Dogs such as these can be trained to use special grips in order to open doors and cupboards, as well as being able to identify the objects you require. One of my favourite clips from the internet shows a guy who has trained his dog to fetch him beer from the fridge- although very lazy, this is a brilliant example of how service dogs work.

Emotional Support Animals- Sometimes your illness might be less physical, and more mental. Or maybe the symptoms of your illness, whether physical or otherwise, are difficult to cope with emotionally. In these cases, an emotional support animal may help. Any animal can be a service animal, but usually, dogs take the lead.

Take Drew Lynch, for example. He is a brilliant comedian who suffers from a neurogenic stutter following an accident in his 20’s. You might know him from his 2015 appearance on America’s got talent, or, like me, through his Youtube channel. He has an absolutely beautiful support dog called Stella, who often appears in his sketches and videos. Stella helps Drew simply by being there (and occasionally telling him how stupid he is). As an emotional support dog, it is stella’s job to identify Drew’s triggers as they take effect, and to make sure her human partner doesn’t get too stressed out over it (as well as helping him out if he does).

Often, anxiety can make your symptoms more prominent, which can be uncomfortable and in turn potentially make your anxiety worse. It is an unending cycle which can eventually cause major problems to your health and wellbeing. Having a support animal, however, can help you to identify your problem early on and manage it before it becomes too extreme.

Therapy Animals- There is a third category of support animals which offer support without any training being required. For someone with no access to a professional service animal, this may be the way forward. Potentially any animal can work as a therapy animal, but the majority are usually of the small and fluffy variety.

There are actually services available in which you can sign your pet up to be a therapy animal, meaning that they can visit hospitals and care centres and provide comfort for those in need. Often, care homes for the elderly arrange for various different animals to come in, in order to provide a sensory experience for the residents. I’ve even heard of shetland ponies doing rounds in children’s hospitals.

There have been endless studies into the role of animals as therapy, and it is widely accepted that petting a purring cat or cuddling a dog greatly increases endorphins such as the happy hormone serotonin and the love hormone oxytocin. Furthermore, it has been proven that not only do you feel this, but the same process happens to your pet, too. It’s a win win situation.

For me, my animals have always helped, especially Carmen, my 10 year old Albino Corn- Snake, who is surprisingly relaxing to hold. She likes to sleep in my jumper too, which is, admittedly, a love it or hate it experience. She’s a bit like marmite, apparently.

Anyway, what I really want to tell you about, and what I have probably mentioned a few times before, are my very first self-owned furbabies, Cleo and Layla. My partner and I decided a year ago that we would get a kitten, and after my mother in law mentioned her friend’s new litter, we got very excited. Cleo and Layla’s mum is a farm cat who keeps getting pregnant before her owner can spay her, thus, the kittens needed a home asap. After plenty of deliberation, we decided that two was better than one, and haven’t looked back since.

Our kittens are pretty much inseparable, and spend the majority of their time trying to swindle their way onto my lap (I don’t complain). Needless to say, I checked off the therapy cat idea. However, they have surpassed my intentions, and now actively try to support me. It is as though they have accepted me into their pride to the point where they can identify my mood before I do, and, the best bit, they try their best to help when they see that I am upset. Both cats, but Cleo in particular, will force their way into the room if they hear me crying, and know a few verbal commands, which they obey.

Fitness for fibromyalgia sufferers

Fitness, Help for sufferers, Posts

24/08/2018

I’m really unfit, no joke. I can’t even walk upstairs without getting breathless. It’s not because I am overweight, though, I just don’t have the muscle strength.

At 5.2″, I’m only tiny, but once upon a time I used to be pretty strong for my size. That all changed when I was diagnosed, because muscle weakness took over. Now, I’m back at square 1 and determined to get on track again. If there’s one thing I’ve learnt, your health gets even worse when you spend 18 months in bed.

Today, for the first time in 2 years, I used a gym. I didn’t do much, only 25 minutes, but I feel so much better. I’m happier than I was an hour ago, and my body feels fresh and energised. I don’t want to hide under the covers any more. Best of all, I have a good excuse to have an hour to myself for a relaxing bath.

My plan is this:

After today, I’ve got another week or so with the same schedule, so let’s see if I can work out every day, and push myself to do more. I’ll use my usual pacing routine to stay within my fibro limits, but aim to add an extra set of reps to each exercise per day, so that I can gradually progress. I’ll update you in two weeks time. Let’s see if I can beat my best.

*********************************************************************************

1/11/2019 (14 *ish* months later)

Okay so that didn’t work. I felt great about myself for the rest of the day, and then I slipped back into my old ways. In fact, I ended up feeling so crap within the next week or so that I stopped blogging and forgot all about this post… until today.

If you read my post from yesterday, you will know that I put a load of weight on, and then started to lose it again. So what does this mean? Well, for starters, exercise does really work. If you burn those calories, you will lose weight. However, you need to do it sustainably. This means doing exercise that you can keep up with on a regular basis, that will last you forever (or at least for a long time). My plan had no sustainability at all. For a healthy person wanting to exercise, it would be great, but I didn’t take into account that I have to work around my health.

I realised this year that the large amount of walking that I did at school and then at university was what kept me slim. It was super sustainable since I had to do it anyway, and it was a simple walking route that I did repetitively with little variation, making it easy to manage. Then, moving to live on top of a hill (uh oh) plus losing my usual routine, meant that I suddenly didn’t walk everywhere like I used to. It took a while to get myself back to normal, and when I did, it was by using my pre-existing daily activities as exercise.

I decided to focus on increasing my activity levels mostly when I was doing something useful. For example, I found it difficult to wash the dishes because it hurt to stand there, and I got a lot of brain fog and would end up dropping my favourite ceramics. The sink had started to pile up, and I felt nauseous when I thought about washing dishes. Instead, I put some music on, and did what I could whilst singing along (plus occasional dancing). It kept my legs and back moving so they didn’t seize up, and the singing prevented the brain fog from kicking in. I ended up doing a full set of dishes, no problem, and the clean sink actually made me feel good for once. I now do this every other day in small doses, and haven’t smashed a glass in a couple of months.

More often than not, it turned out that I was procrastinating the easiest stuff, and actually, my life was a lot easier when I just did it. The little extra  bits of activity built up throughout the day to burn more energy, too, so I started to feel and look a lot healthier. In the end, I nearly doubled my steps, just by doing what I wanted, rather than putting it off out of laziness or fear. The best bit is, the more you do, the more normal it feels, so over time, you can gradually build yourself up to having a more active lifestyle, whilst getting something enjoyable (and useful) out of it too.

I’m not super slim anymore, and I’d still call myself overweight, but I am much more active than I was a few months back. I can sometimes run up the stairs, I can carry more than one bag of shopping again, and I don’t find it quite as difficult to have a shower anymore. I’d say that’s an improvement, right? I can’t call it a miracle cure or anything, but simply doing that extra little thing that I had been putting off every day or so has gradually led to a better version of me. I still don’t do exercise, and haven’t stepped foot in a gym since I last mentioned, but I find my exercise though my daily tasks instead, and it’s just enough for me.

Share with us below; what is your favourite routine? Do you get much exercise or will you be starting something new? I’d love to hear about your progress, or if there was anything you learned to avoid after your diagnosis.

Travelling with illnesses: dealing with hot weather

Help for sufferers, Posts, Travel, Travelling with illnesses series

A big issue with travelling abroad is that, often, you are visiting an environment which is different to your own. The problem with this? Drastic temperature changes can seriously impact your health, and moving from your usual climate to somewhere super hot is pretty much a recipe for disaster. These are a few things I do to minimise its effect on my fibro:

1. Drink plenty of water.

Hydration is key to dealing with heat, so make sure you top up constantly throughout the day. Rehydration sachets also come in handy if you start to fall behind, and consider carrying a water bottle when you are out and about to avoid sweating out too much H2O when you don’t have access to drinks.

2. Battle the chub rub.

Those of us who suffer from chafing; whether it be in the thigh area, under the arms, or somewhere else altogether; know just how much of a nightmare hot weather can be. There are a few tried and tested methods out there that can help prevent the dreaded chub rub, and it’s worth investing before you go, so as to tackle the problem before it starts. I like to put a layer of roller deodorant on my affected areas, and then top this with a good coat of talc. Sometimes, though, it’s easier to play it safe by making sure there’s a layer of fabric between the two points of contact (I like long, floaty trousers for this).

3. Fatigue.

Fatigue is pretty much a constant when it comes to fibromyalgia, but this can spiral out of control when the temperature comes into play. Make sure you have plenty of rest, seek shade as much as possible, and consider a decent fan as back up. Don’t forget to make use of your usual fatigue coping techniques, as these will help to keep your day to day problems at a minimum.

4. Fainting.

I don’t know about you, but I have a bad habit of fainting when I get too hot or too cold. Try not to over do things, and pace yourself as much as possible. It is best to have someone to accompany you if you feel like this may be a problem, and if you do start feel faint, alert someone nearby before lowering yourself to the ground. The aim is to get blood flow to your brain, so laying on a level surface, putting your head between your knees, or even putting your legs up against a wall, are all techniques which help with this. Stay low to the ground to avoid heavy falls (if you do happen to lose consciousness, you don’t want to hit your head as this may cause concussion, so preventing falls is very important). When you feel a little better, make sure you have some water and something sweet to boost your blood sugar. (N.B: a good excuse to eat chocolate!)

5. Clothing.

It is important for any vacation that you pack the right clothing for your destination, but it is especially so when you have an illness to think about. Personally, my fibro makes me very sensitive to temperature change, so I find it vital to pack the right clothes for my holiday. Try comfortable, loose fitting clothes in light colours in order to aid ventilation and reflect sunlight. However, remember that all climates are prone to temperature variation, and you may find an unsuspected cold period knocks you off course. Thus, always pack a few warmer layers that you can play about with depending on the forecast. Furthermore, hot weather often results in other problems, think: sweating, chafing, heat rashes. Make sure you choose breathable fabrics which are itch- free and easy to wear, and avoid piling up on accessories. For all of my ‘feminine’ followers, I avoid jewellery in case of theft or loss, but also because hot metal and skin is NOT a good combo. A sunhat and glasses will suffice during the day, and one multipurpose necklace and a set of earrings add glamour for a night out. Finally, don’t forget to bring comfortable shoes, especially if you plan to do lots of walking, so as to avoid blisters and athlete’s foot. A simple pair of worn in pumps or sandals will do perfectly.

Explaining your chronic illness to children

fibro fog, Help for friends, family, and significant others, Help for sufferers, Lifestyle, Pain, Posts

I don’t know about you, but I’ve found that one of the hardest parts about having fibromyalgia (aside from the obvious) is being able to communicate what it means. Usually, people get the gist if you compare it to something more ‘normal‘, like being hit by a bus, for example. When it comes to kids, however, it gets a bit more complicated.

I find that, being the “cool” and “fun” auntie that I am *winks*, it gets difficult to tell children why I can’t play or pick them up or run around all day. It’s particularly heart breaking when you notice that they stop liking you as much. In general, though, I find that kids are very accepting of me being ill, it’s just a case of explaining why I don’t get better.

Here’s what I have found out:

1. Children struggle to understand long term illness.

If I tell my niece I am poorly, she gets it, but she expects me to ‘get well soon’ (as she wrote on the adorable card she had drawn me one time). It is difficult to explain that this won’t happen, so I try to make it easier by explaining from the start that I always feel like this. Don’t forget, it can be quite distressing from a child’s point of view, to be told that your grown up friend is always unwell- I’ve occasionally been asked by kids if I am dying, or if I am sad. Obviously this is not the case, but it might look like it to them. To help with this, I make it clear that when I am tired, I might look grumpy, but it doesn’t always mean I am, and that otherwise, I am perfectly healthy. Don’t be afraid to repeat this, as children often forget these things, and may not remember that you are okay.

2. A magic kiss or rub doesn’t make it better, but it’s cute that they try.

When my niece gives me a hug to make me feel better, it is important that I say thank you, and let her know that it cheered me up. It might not make my pain go away, but the fact that she tried is nice, and she deserves a thank you for going to the effort to make me feel better. Seeing a positive outcome will also teach her that she is doing the right thing, and being nice to someone really can help a little bit, even in the worst scenarios. This is a lesson that will keep her going throughout life.

3. Being responsible for a child is just as mentally draining as it is physically.

I know that my brain will struggle to keep up with a child’s fast pace, and I have to remember to take a break every now and then, so that I don’t wear myself out. A good way around this is to tell your child that you need a nap, they will leave you for a good half an hour to get some ‘me’ time, as far as I’ve learnt. Kids are very understanding about being tired, since they also need plenty of sleep, and I tend to find that they have no issue with letting you (pretend) sleep. You must also consider that the responsibility you hold for that child is important, so if you do feel like you can’t handle the situation, get another adult to step in whilst you take a break.

4. I’m not as strong as most people my age/size/gender, so I can’t pick them up.

Depending on the ‘format’ of your child, they might be a little on the large size, but still want picking up (i.e; a 5 year old who wants you to play). Since I am a petite 5.2″ female, I struggle with anyone over the age of 4, since they can get rather heavy. I let my niece know this, and she understands that although she is allowed to sit on my knee, I am not strong enough to pick her up all the time. She then runs to her uncle and asks him instead (teehee). Occasionally, she forgets this, but a brief “sorry, I’m not strong enough, why don’t you ask …….. instead?” does the trick.

5. I’ll be sacrificing my whole week if you ask me to baby sit for the day.

I don’t like confrontation, and sometimes, I just can’t say no. However, I know it is important to remember that you do have the right to say no whenever you like, and especially if it will effect your health. As a rule of thumb, I won’t babysit for anyone for more than a few hours, since I know that it will leave me drained. If I have to, I make sure I have the help of another adult, who can take over when I can’t. If a child asks me to spend time with them, I generally give them about an hour or so before telling them I have important adult stuff to do. Remember, it is important to spend time with the children in your life, but don’t over do it if it will make you ill. Likewise, don’t be mean to them, a simple explanation will work just fine.

I hope this helps you to explain your situation to the children in your life, whether they be your own or someone else’s, and for any parents out there, don’t forget to think twice before asking a friend to babysit. It might not be as easy for them as it is for you.

Don’t forget to comment if you have any tips for childcare with chronic illness, and let me know if this post was helpful at all- I love to hear your feedback.

See you soon, guys.

Travelling with illnesses: be a pro jetsetter

Help for sufferers, Posts, Travel, Travelling with illnesses series

So obviously travelling is a nightmare, but it gets so much worse when you’re ill. Here are a few bits of advice for next time you hop on a plane.

1. Be organised.

Before you go, gather up all your documents and get them in order, and then write out an itinerary for your travel. Give yourself plenty of time and plan out any rest breaks or emergency stops in advance.

2. Get comfortable.

Pack a snuggly jumper, fluffy socks, and whatever else you need to get cosy. I like to bring a soft, lightweight scarf, so that I can use it as a blanket when it gets chilly. Wear comfy clothes and consider taking an extra pair of shoes that slip on and off. If you’re spending a good few hours on the plane, you need to do it in comfort, otherwise you’ll regret it later.

3. Pack your pills properly.

Make sure you have everything you need in your hand luggage (just in case), and bring all of your appropriate prescriptions as proof. Remember to pack extra in case you run out or lose some. All of this means that can you can guarantee that you won’t lose them in the hold, and you have them in case of an emergency.

4. Stay hydrated.

One of the worst things about flying is that you get reeeaaallly dehydrated. Not only does this give you a headache, but it can severely effect your body, and make chronic illnesses feel ten times worse. Make sure you pick up a bottle of water in duty free, and make the most of any free drinks you’re offered in-flight. If you’re prone to dry skin or eczema, it’s also a good idea to pack a small, travel-sized moisturiser or emollient. Furthermore, rehydration sachets are brill as a pick-me-up if you feel worse for wear, and come in handy for hot weather as well.

5. Upgrade your seat.

It’s worth thinking about paying extra for more leg room, but as a last resort, you can always ask to upgrade to an empty seat once everyone has boarded. This is usually free, as no one is going to be using the seat anyway. This is especially useful if you have joint problems, chronic pain, a weak bladder, or any physical disability, because it means you get more room for movement and easier access to the aisle and toilets.

Hopefully, this will help the next time you travel. I’d love to hear if you have any suggestions, so don’t forget to like and comment. I’ll write a few more travel posts soon, so remember to stay updated! Thanks guys x