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re: Going off anti-depressants

Posted on 2/15/17 at 12:18 pm to
Posted by dnm3305
Member since Feb 2009
13555 posts
Posted on 2/15/17 at 12:18 pm to
quote:

just go cold turkey


OP, don't do that. Not a good idea to quit SNRI cold turkey.
Posted by BulldogXero
Member since Oct 2011
9762 posts
Posted on 2/15/17 at 12:21 pm to
Weening off of paxil gives me frequent 1-2 second dizzy spells throughout the the day. I was on it more for anxiety than depression though and only took 10mg.

Side effects may vary based on person, dosage, and how long they were taking it
Posted by Mr. Hangover
New Orleans
Member since Sep 2003
34507 posts
Posted on 2/15/17 at 12:27 pm to
Thanks... I only saw two different GPs when I was 'diagnosed' so I'm not sure if their official diagnosis was correct so maybe it wasn't anxiety or panic attacks that i was experiencing, but I can tell you this, WHATEVER I was going through was brutal

I could be doing anything, driving, walking through the mall or grocery, at work, etc, and I would just get a panicky feeling in my head.. my heart would start racing, I would get real dizzy, palms would start sweating, I would feel like I wasn't even in my own body and I convinced I was on the verge of dying.. literally the only thing I could think of was that I needed to get home asap.. I was at a saints game one time, walking through champions square (suck it ATL), and it hit me like a sack of oysters.. I was convinced I was dying.. I was with a large group of friends but only one of them knew about my 'condition' because I was very self conscious about it and thought people would think I was crazy.. and it was all very weird to me, I've always been outgoing, a social butterfly if you will, who never minded being in large public places but when I started dealing with this shite, I was terrified to leave the house at times (these emotions started after the episodes)

This shite indirectly cost me two jobs - I'm still a little apprehensive to call it anxiety or panic attacks because I know that condition has a pretty loose definition and gets overdiagnosed at times, but I don't know what else to call it.. I do know that I'm glad I'm off my meds and have been feeling great lately



Sorry I got a little long winded, I just like to open up about this shite because it's hard to find people who can relate IRL
This post was edited on 2/15/17 at 12:29 pm
Posted by Fatty Magoo
USA
Member since Nov 2015
1025 posts
Posted on 2/15/17 at 12:29 pm to
Please talk to your doctor, or at least a doctor, before making this decision.
Posted by HappyTownTiger
Member since Jan 2012
1577 posts
Posted on 2/15/17 at 12:35 pm to
Ecitalophram 10 mg.
Cut into 1/2 for a few weeks, the 1/4. If you don't need it, you will know. Do not go cold turkey.
Like my grandma said, "if the pill works, TAKE IT!".
Trust me, your family and friends will like you more.
Posted by cwil177
Baton Rouge
Member since Jun 2011
28423 posts
Posted on 2/15/17 at 12:37 pm to
quote:

Good luck man, you're lucky to have found a good Dr. I have not been happy with mine at all and is the main reason I'm gonna try to do it at first without her help. If it doesn't work I'll get back on the Cymbalta and find a new one.

My mental health history, or lack thereof, would indicate the "slight reboot" is what I needed as well. At least that's what I'm hoping.


From everything I know about you from what you've posted, I think you should stay on meds and find a new doctor, plus someone you can do CBT or some form of talk therapy with on a regular basis.
Posted by Mr. Hangover
New Orleans
Member since Sep 2003
34507 posts
Posted on 2/15/17 at 12:39 pm to
I was lucky.. generally speaking, changing anything in your prescription regiment without doctor's consent is a bad idea - just my opinion though
Posted by Fatty Magoo
USA
Member since Nov 2015
1025 posts
Posted on 2/15/17 at 12:57 pm to
quote:

just my opinion though


No way, that is absolute fact.

If your mechanic tells you to only use premium gas, would you just use regular?

If your accountant tells you to spend less money, would you just spend more?

If your lawyer tells you to shut the frick up, would you continue to speak?

Same goes for a doctor.

You pay these professionals so that they will give you good advice on how to not frick your shite up. To go contrary to their advice, simply because you feel like it, is lunacy.

Obviously, I'm not discounting getting a second opinion on any of these things, or that these professionals are right all the time, or that people don't make mistakes. If you don't like what one individual is telling you, seek the advice of another professions. We seek the advice these professionals because they are experts in their field.

If you really know better than they do, why pay them for their services at all?
This post was edited on 2/15/17 at 12:59 pm
Posted by TheFonz
Somewhere in Louisiana
Member since Jul 2016
20357 posts
Posted on 2/15/17 at 1:02 pm to
Don't try to ween yourself off of it by yourself; get instructions from a doctor. Mine slowly reduced my Effexor dosage over a six month period. That allowed my system to adjust slowly and not suffer the side effects as much. There were still some, but not as bad as it could have been. Don't stop cold turkey unless you want to feel really, really shitty and have leprechauns telling you to burn down shite.
This post was edited on 2/15/17 at 1:09 pm
Posted by Mr. Hangover
New Orleans
Member since Sep 2003
34507 posts
Posted on 2/15/17 at 1:08 pm to
quote:

Mechanic


Can't be trusted IMO



I see what you're saying though
This post was edited on 2/15/17 at 1:09 pm
Posted by Jordanreid2000
Tigerland, USA
Member since Aug 2008
1665 posts
Posted on 2/15/17 at 1:15 pm to
Just tried the same thing. Couldn't do it and back on.
Posted by RandySavage
Member since May 2012
30825 posts
Posted on 2/15/17 at 1:16 pm to
quote:

Why was it prescribed to you?


Got it in my head last summer I was dying and even when I knew I wasn't my head was still all messed up and I was having a lot of anxiety which seemed to morph into some depression.

I had never had any issues whatsoever before (I'm 34) so I'm hoping it was just a weird thing and now that I've broken the cycle of feeling like crap and can think straight again I can start to slowly come off meds and just go back to how I had always been before.
Posted by LSU Patrick
Member since Jan 2009
73472 posts
Posted on 2/15/17 at 1:22 pm to
quote:

I take klonopin, it works on complete different gaba receptors in the brain compared to alcohol.


Not really. I mean, they are different but not that different. Unfortunately, people think they are.

Oh, and please don't listen to this guy.
This post was edited on 2/15/17 at 1:25 pm
Posted by Mr. Hangover
New Orleans
Member since Sep 2003
34507 posts
Posted on 2/15/17 at 1:23 pm to
Damn son, you seem like you've been through this before, so I wrote you a book, crying on your shoulder and you've left me with nothing but emptiness



I'm going to refill my script today
Posted by LSU Patrick
Member since Jan 2009
73472 posts
Posted on 2/15/17 at 1:39 pm to
Sounds more like generalized anxiety to be honest with you. I'm guessing you have always had some trouble with sleep and mild stress management, but you were experiencing a lot of life stressors around the time that you had that more severe episode. If you were prescribed the Cymbalta by a general practitioner, I suggest you consult with a psychiatrist before discontinuing it. A psychiatrist is generally going to be a lot better at considering your history, listening to your concerns and goals, and prescribing something that more accurately targets your symptoms.
Posted by BulldogXero
Member since Oct 2011
9762 posts
Posted on 2/15/17 at 1:50 pm to
quote:

Same goes for a doctor. You pay these professionals so that they will give you good advice on how to not frick your shite up. To go contrary to their advice, simply because you feel like it, is lunacy.


If all doctors were knowledgeable and really held their patients' best interest at heart, I would agree with this. More often that not, a doctor is just going to push a pill on you and kick you out the door until your six month follow up.

If I had a doctor that I trusted and who I felt knew me well, I would listen to what they say. If I had a doctor who is like most doctors that will see you for 5 minutes before halfway diagnosing you with the simplest possible issue and writing a prescription, I would weigh my options. Never hurts to get a second opinion. I don't think our bodies were meant to live off pills though.
Posted by LSU Patrick
Member since Jan 2009
73472 posts
Posted on 2/15/17 at 1:59 pm to
Great description, Mr. Hangover. Those were definitely panic attacks. Although panic disorder is categorized as an anxiety disorder, it really is a whole different beast. About 50% of people with a diagnosis of panic disorder also end up with a diagnosis of agoraphobia. They begin to avoid public places for fear of having a panic attack. The more they avoid them, the more they fear them.

While benzos are good at alleviating the intense discomfort of a panic attack or acute anxiety, they are terrible for treating the disorder long term. When they wear off, they lead to a rebound of anxiety that is more intense than it was before taking the medication.

Antidepressants are effective for 70-80% of people suffering from the issues you are describing. In combination with cognitive behavioral therapy, the success rate is as good as it gets in the psychiatry world. A therapist trained in techniques for treating panic disorder can be extremely helpful.

Panic attacks are the result of being too aware of normal physiological responses to physical stress (i.e. racing heart, rapid breathing, claminess, dizziness, etc.) which leads to increased anxiety, then increase physiological responses, etc. It's a cycle. In a controlled environment, a therapist can evoke the physiological responses that trigger an attack and help you break the cycle.

The bad news is that it will only get worse without treatment. The good news is that it is very treatable now days. The key is seeking out the right professionals. In this case a psychiatrist for the meds and a clinical therapist trained in CBT, particularly in techniques specific to panic disorder, are the people that can help you.
Posted by adp
Member since Jul 2015
2735 posts
Posted on 2/15/17 at 2:05 pm to
I take Klonopin almost every day, mostly for a swallowing problem. It's nothing dangerous like you might see anywhere online.
Posted by Fatty Magoo
USA
Member since Nov 2015
1025 posts
Posted on 2/15/17 at 2:06 pm to
quote:

I don't think our bodies were meant to live off pills though.


Of course they weren't.

But they're also not meant to filter out excess amounts of caffeine, alcohol, and Popeyes chicken skins. But they do. And my life is better because of it.

If you don't like pills, then tell that to your doctor, and sometimes there are other things you can. But if your doctor says "you need to take this pill" then damn it, take the pill. That's the magic of modern medicine.

Why go to a doctor if you aren't going to listen to what they say?

And I hear you about the rushed doctor visits. But if you really don't trust your doctor, you need to find a better doctor. Period.
Posted by LSU Patrick
Member since Jan 2009
73472 posts
Posted on 2/15/17 at 2:16 pm to
quote:

I take Klonopin almost every day, mostly for a swallowing problem. It's nothing dangerous like you might see anywhere online.


How dangerous depends on a lot of factors. Relatively speaking, it is more dangerous than other medications for anxiety but less dangerous than other benzos that have shorter half lives(i.e. Ativan and Xanax).

If it is prescribed to a person who has few complicating factors for a seizure disorder or related neurological disorder, that is a completely different situation than when it prescribed for a someone suffering from a chronic mental illness, especially if he/she is or has a history of chemical dependency and/or suicidal ideation.
This post was edited on 2/15/17 at 2:23 pm
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