Psychotropic medication discussion thread
in Psychology & Therapy ·
shadowbear9 said:From now on, I will—and I intend to—but I completely forgot to ask how long I am supposed to stay on Mirzaten to keep my condition stable. I’m starting to realize I could end up eating like a whale if I'm not careful.🤣 I honestly have no idea what the minimum duration is that I need to take this before my symptoms potentially resurface.
I don't think anyone can give you a 100% certain answer on how long it'll take for the meds to get you back to baseline. Usually, with antidepressants, doctors suggest sticking with them for anywhere from 6 to 12 months after the depression or anxiety episodes actually clear up, just to make sure they don't sneak back in.
I know the weight gain is stressing you out, but honestly, try to focus on your mental health first. 🙂
If you're constantly hungry, maybe grab some healthy snacks and try eating smaller meals throughout the day. If you stick to cleaner eating, you probably won't pack on as much weight. Plus, (from my own experience), once you finally stop the antidepressants, the weight usually just falls off because that weird, unnatural hunger disappears.
EDIT
I went down a Google rabbit hole just now to check the instructions for Xanax (since you mentioned it earlier, and it's essentially the same thing) versus birth control, since I was taking both and nobody ever warned me about anything. On this site, it says this (I bolded the important parts):
When alprazolam is used alongside medications that interfere with its metabolism, pharmacokinetic interactions can occur. Agents that inhibit specific liver enzymes (specifically cytochrome P450 3A4) can increase the concentration of alprazolam and intensify its effects. Data from clinical trials involving alprazolam, in-vitro studies, and trials with drugs metabolized similarly to alprazolam provide evidence of varying degrees of interaction and potential interactions between alprazolam and numerous other medications.
Based on the level of interaction and the type of available data, the following recommendations have been made:
- Simultaneous use of alprazolam with ketoconazole, itraconazole, or other azole antifungals is not recommended.
- Caution and consideration for dose reduction are recommended when alprazolam is used concurrently with nefazodone, fluvoxamine, or cimetidine.
- Caution is advised when alprazolam is administered alongside fluoxetine, propoxyphene, oral contraceptives, sertraline, diltiazem, or macrolide antibiotics such as erythromycin and troleandomycin.
- Interactions involving HIV protease inhibitors (e.g., ritonavir) and alprazolam are complex and time-dependent. Low doses of ritonavir have led to significant impairment of alprazolam clearance, extending its elimination half-life and amplifying clinical effects. However, following prolonged exposure to ritonavir, induction of CYP3A acts as an offset to this inhibition. Due to this interaction, it will be necessary to adjust the dosage or discontinue the use of alprazolam.