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Middle aged males on antidepressants?

Posted on 8/23/20 at 8:58 am
Posted by dallastiger55
Jennings, LA
Member since Jan 2010
27723 posts
Posted on 8/23/20 at 8:58 am
I realize this is the OT, but I wanted to ask for feedback on any middle aged males that have used/and or using an antidepressant.

I’ve seen threads in the past and many of the responses are weed or CBD related, both didn’t work for me.

I just turned 40 and have a great life with two kids. I’ve always been the anxious type that can’t sit still but ever sense I was in a bad car wreck 5 years ago, I’ve developed some bad pain in my shoulder that I haven’t been able to get rid of.

I’ve ready many of books on ptsd and pain and I believe my brain thinks danger is near anytime I have pain or feel sore. When that happens my body tenses up and I have a panic attack. I hate this feeling so much and over the past year I just don’t get excited for anything or care about anything.

I talk to a physiatrist and have been doing yoga and meditation. I work out daily and am in very good physical health

I’m now open to taking meds because I feel like I’ve hit a wall with getting better. It scares me to death because of the reviews and side effects.

My doctor said the 3 most tolerated are Prozac, lexapro and Zoloft. My biggest fears are insominia, weight gain and lack of sex drive.

For every 10 reviews of SSRIs saving peoples lives I read another 10 saying whatever you do don’t take them. I just hate the feeling of giving in to meds.

Any help or encouragement is appreciated.
Posted by Rize
Spring Texas
Member since Sep 2011
15793 posts
Posted on 8/23/20 at 9:01 am to
Get a convertible corvette and start banging 22 year old Instagram models.
Posted by Patfic15
Baton Rouge
Member since Sep 2018
3261 posts
Posted on 8/23/20 at 9:01 am to
5mg of Lexapro. No side effects for me. Does just enough for me. Also an anxious type. Tried Wellbutrin and it didn't work for me. Drive still there. Best of luck my friend. I also work out tirelessly. Listen to sermons. Nice mix. 39.
Posted by Commander Data
Baton Rouge, La
Member since Dec 2016
7289 posts
Posted on 8/23/20 at 9:04 am to
I take cymbalta. Before that it was welbutrin. I feel like they did their job. I want to kick them but I am afraid the depression will come back.
Posted by dallastiger55
Jennings, LA
Member since Jan 2010
27723 posts
Posted on 8/23/20 at 9:04 am to
Re: Laxapro

No zombie feeling or weight gain? How long before you noticed a difference?
Posted by td01241
Savannah
Member since Nov 2012
22848 posts
Posted on 8/23/20 at 9:04 am to
I’m a psychiatrist working in private practice here’s my input. First, never accept and take mental health medication from your GP. Many will write them but in my experience they often don’t have a full scope on which medication, dose and titration, and when to expect to see results. Second, SSRIs and SNRIs are very hit or miss medications. We often don’t expect to see results for 4-6 weeks and you’ll likely have to try more than one. You can also expect symptoms to get worse before they get better because with these medications dose has to be raised quickly to reach therapeutic levels for this kind of thing,

If someone has anxiety with depression I often try Mirtazipine first, it’s taken at night and helps with sleep but can cause weight gain.
This post was edited on 8/23/20 at 9:06 am
Posted by kisatchie53
Member since Jul 2011
1964 posts
Posted on 8/23/20 at 9:04 am to
Not really an antidepressant but Buspirone has been a difference maker for me. Takes a week or 2 to fully work and get in your system. I’ve had 0 side effects other than the first week some concentration issues while reading. That has improved though
Posted by dallastiger55
Jennings, LA
Member since Jan 2010
27723 posts
Posted on 8/23/20 at 9:05 am to
Good feedback. As a doctor do you have a preference with one? Someone like me scared to death of insomnia, weight gain and sex drive?

Posted by td01241
Savannah
Member since Nov 2012
22848 posts
Posted on 8/23/20 at 9:06 am to
I edited my post with the one I use most
Posted by Coon
La 56 Southbound
Member since Feb 2005
18492 posts
Posted on 8/23/20 at 9:06 am to
I thought this was going to be about depressed Knights and shite.
Posted by Scooba
Member since Jun 2013
19999 posts
Posted on 8/23/20 at 9:07 am to
Hookers and Blow
Posted by Ed Osteen
Member since Oct 2007
57486 posts
Posted on 8/23/20 at 9:07 am to
It’s basically throwing darts at a dartboard when it comes to seeing which of those work once the issues have been identified. You might have to go through several meds to find the one that works. Just a heads up
This post was edited on 8/23/20 at 9:08 am
Posted by CoachChappy
Member since May 2013
32547 posts
Posted on 8/23/20 at 9:08 am to
Based on watching a friend and a family memeber’s experiences, I wouldn’t take an SSRI until I had exhausted every other option.
Try therapy, diet, exercise, literally anything else first.
Posted by Philzilla2k
Member since Oct 2017
11070 posts
Posted on 8/23/20 at 9:09 am to
Smoke a bowl
Posted by dallastiger55
Jennings, LA
Member since Jan 2010
27723 posts
Posted on 8/23/20 at 9:10 am to
quote:

therapy, diet, exercise, literally anything else first


I have for years
Posted by JudgeHolden
Gila River
Member since Jan 2008
18566 posts
Posted on 8/23/20 at 9:11 am to
They help. It takes the edge off. You still have to do it.

Just. Keep. Moving. That’s the most important thing.
Posted by dallastiger55
Jennings, LA
Member since Jan 2010
27723 posts
Posted on 8/23/20 at 9:12 am to
td01241

What are your thoughts on the 3 drugs my psychiatrist mentioned?

Prozac
Lexapro
Zoloft
Posted by St Augustine
The Pauper of the Surf
Member since Mar 2006
64235 posts
Posted on 8/23/20 at 9:12 am to
What kind of exercise do you do?
Posted by td01241
Savannah
Member since Nov 2012
22848 posts
Posted on 8/23/20 at 9:12 am to
This is also good advice. Lifestyle changes can go a long way. There’s little harm in trying SSRIs or SNRIs though. It’s no addicting in any way an can be stopped. Most psychs, myself included, will give a benzo to help bridge symptom while you acclimate. Those are what you need to make sure you don’t overuse.
Posted by shutterspeed
MS Gulf Coast
Member since May 2007
63329 posts
Posted on 8/23/20 at 9:13 am to
Look into Trintellix. Newer drug that seems to do better with side effects and withdrawal.
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