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Psychotropic medication discussion thread

Started by Robin Myers91 · · 👁 835 views · 10K replies

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Participants Robin Myers91Eric Wood7Maria Gomez6crimsonhound80Tyler Ortiz6dustyscout41Andrew Stewart2George Ramos64Morgan Long49Jason Sanchez3briskgull27Charles Edwards8Brenda Allen2hollowtinker8bluecyclist28electricorca13David Kern14Ashley Morganwanderingscout13Sam Hall15coppergardenerCarl Thompson4Mark Stewartanalognomad762 …
David Bishop4 David Bishop4 Active Member
95 messages
joined Aug 2008
#5001 ·
Melissa Sanchez59 said:I'm not sure why they can't be broken, but I assume there's a solid reason since they're made that way—it's actually kind of hard to snap them compared to those "normal" ones with the little score line down the middle... and honestly, my doctor was super explicit about it, like, she said I can always take two 0.5mg doses if needed, but I definitely shouldn't split a stronger one...

I'm 25, and I've been dealing with stuff this intense for maybe 5 years now, but I finally decided to actually do something about it about six months ago. I'm not counting the time a few years back when I was just taking Ambien because my doctor didn't even think to look for the actual cause of my long-term insomnia. 🙄

This is my second antidepressant. With the first one, I think I fell into the worst depression of my life during those first couple of weeks, but I kept steadying myself with Misar, so I didn't really deal with anxiety then. Now it's kind of the opposite—I'm not in total crisis, but my nerves are constantly on edge like they were before medication. I'm not sure how much of that is from switching meds or just drastically cutting back on the Misar... plus, I've had constant dizziness for 5 days now. And the depersonalization/derealization is just terrifying. Just waiting for 😢

Oh man... I've been fighting this same battle for six years now, heading into my seventh. I had a long stretch where I felt fine, but when things started spiraling again, I waited far too long to see a psychiatrist. All that stress eventually gave me chronic gastritis, which just adds another layer of irritability to everything. Today feels just like yesterday—that nervous tension and a lingering sense of nausea hitting at the exact same time. It makes me think our bodies might just be trying to adjust to these antidepressants. I'm really hoping we can all get back to functioning normally soon. 😍
Melissa Sanchez59 Melissa Sanchez59 Member
33 messages
joined Feb 2013
#5002 ·
David Bishop4 said:Oh man... I've been fighting this same battle for six years now, heading into my seventh. I had a long stretch where I felt fine, but when things started spiraling again, I waited far too long to see a psychiatrist. All that stress eventually gave me chronic gastritis, which just adds another layer of irritability to everything. Today feels just like yesterday—that nervous tension and a lingering sense of nausea hitting at the exact same time. It makes me think our bodies might just be trying to adjust to these antidepressants. I'm really hoping we can all get back to functioning normally soon. 😍

It’s like reading my own diary. Just constantly putting off seeing the doctor and wasting months upon months of my life waiting for an episode to "just pass"... until everything finally hits the breaking point.

I'm crossing my fingers that things get better for you really soon! (My hands are shaking a little, but I'm hanging in there 😬)
David Bishop4 David Bishop4 Active Member
95 messages
joined Aug 2008
#5003 ·
Melissa Sanchez59 said:It’s like reading my own diary. Just constantly putting off seeing the doctor and wasting months upon months of my life waiting for an episode to "just pass"... until everything finally hits the breaking point.

I'm crossing my fingers that things get better for you really soon! (My hands are shaking a little, but I'm hanging in there 😬)

I really mean it, we are practically twins here! 😉 Thank you so much; I truly wish the same for you—that things stabilize, the side effects settle down, and your medication starts working effectively so your quality of life can finally improve. Please make sure to check back in and let me know how you're doing! Hang in there. 🙂
Scott Alvarez22 Scott Alvarez22 Member
30 messages
joined Feb 2013
#5004 ·
David Bishop4 said:I definitely plan to, but I won't be able to get to it until next Saturday, which feels like nearly two weeks away. Otherwise, I might try checking in with my primary care physician.

Honestly, you could just head down to the pharmacy where you picked up the 1mg SR and ask them if they can substitute it with two 0.5mg SR doses instead.
David Bishop4 David Bishop4 Active Member
95 messages
joined Aug 2008
#5005 ·
Scott Alvarez22 said:Honestly, you could just head down to the pharmacy where you picked up the 1mg SR and ask them if they can substitute it with two 0.5mg SR doses instead.

The trouble is, I’ve already opened the bottle and taken one tablet. And since this was all handled through my doctor's prescription, I'm feeling a bit stuck.
Scott Alvarez22 Scott Alvarez22 Member
30 messages
joined Feb 2013
#5006 ·
David Bishop4 said:The trouble is, I’ve already opened the bottle and taken one tablet. And since this was all handled through my doctor's prescription, I'm feeling a bit stuck.

Honestly, just try to make it work anyway. Take that opened box back to them and explain the situation; maybe they'll let you return it, then you can just use your own cash to pick up a smaller pack at that same pharmacy where they have your prescription on file.
David Bishop4 David Bishop4 Active Member
95 messages
joined Aug 2008
#5007 ·
Scott Alvarez22 said:Honestly, just try to make it work anyway. Take that opened box back to them and explain the situation; maybe they'll let you return it, then you can just use your own cash to pick up a smaller pack at that same pharmacy where they have your prescription on file.

I suppose I could give that a try. 🙂 Thanks for the advice! 😉
Scott Alvarez22 Scott Alvarez22 Member
30 messages
joined Feb 2013
#5008 ·
Weather patterns, barometric pressure, and my Xanax habit.

In my experience, I’ve noticed a strange correlation between the barometer and my medication needs. When the air pressure drops—you know, those heavy, rainy days or when a big storm front rolls in—I find that I need to scale back on my Xanax and other meds. It seems like the low pressure itself makes me feel sluggish and drowsy, and taking a full dose of Xanax on top of that just hits me way harder than usual. Honestly, whenever the pressure dips down toward 985 hPa or lower, I always feel better if I just take a slightly smaller dose than what I’m used to.

On the flip side, when we have those clear, high-pressure days where the reading stays at 1005 hPa or higher, I can stick to my standard dosage without any issues.

It turns out that between the weather and the Xanax, we basically turn into human barometers.
Eric Jackson11 Eric Jackson11 Active Member
55 messages
joined Jul 2012
#5009 ·
Scott Alvarez22;43586244 said:
Having gone through something very similar myself, I can tell you they offered me a combination too, though they presented it as a single pill—either Mirzaten or Velofax—claiming it was just a different manufacturer's version of the same thing. Apparently, this Mirzaten or Velofax is meant to be used as a direct transition from Zoloft, supposedly containing Zoloft plus something else (though I couldn't quite wrap my head around what that part was)

Where exactly is the confusion here?
Scott Alvarez22;43586244 said:

The issue might be that Venlafaxine and Mirtazapine are actually two completely distinct medications in terms of their chemical makeup, even if they both fall under the antidepressant umbrella
So, how could these two totally different drugs somehow contain Zoloft along with something else?
Do you happen to have a study or some data on this? I'm honestly really curious about how that mix-up works...
Eric Jackson11 Eric Jackson11 Active Member
55 messages
joined Jul 2012
#5010 ·
fadedbear92 said:Honestly, this is complete nonsense—prescribing two different anxiolytics at once?! I mean, seriously... and apparently, this doctor is some kind of "expert" according to the MP3 recording.🙄

I was just looking through some MP3 files earlier and couldn't help but wonder why anyone would settle for such low quality... it's a bit disappointing when you're trying to enjoy the music properly...🙄
I actually stick to that same combination myself...
I take 1mg of extended-release Xanax first thing in the morning to keep things steady. Then, I usually follow that up with two or three 0.5mg regular tablets. The idea is that the extended-release handles the baseline, while the immediate-release ones are there for when things start to dip and I need a bit of quick relief...
Eric Jackson11 Eric Jackson11 Active Member
55 messages
joined Jul 2012
#5011 ·
fadedbear92 said:Look, those are extended-release tablets—they're designed to work for 12 to 24 hours depending on how you take them.
There’s obviously a reason a doctor would prescribe those specifically instead of just some "standard, quick-acting" pill, right?
They’re typically used for things like Generalized Anxiety Disorder, where your body is basically stuck in a state of anxiety 24/7.

I honestly don't get why the instructions say you have to swallow the tablets whole, either.🤷
I rarely ever split mine in half...
But if one pill has 1mg of benzos, why wouldn't half of it just be 0.5mg?😁
Eric Jackson11 Eric Jackson11 Active Member
55 messages
joined Jul 2012
#5012 ·
Angela Morgan4 said:Has anyone here had any actual experience using Agomelatine?

Zero stars from me. It didn't help me one bit, honestly. I didn't feel any effect at all, and I didn't even deal with side effects 😁.....my doctor had been telling me for months that this specific medication might be exactly what I needed. In the end, it was nothing. Just a total placebo.

But then again, everyone reacts differently, so maybe it'll work wonders for you...
restlesstrucker15 restlesstrucker15 Regular
374 messages
joined Sep 2011
#5013 ·
Eric Jackson11 said:I honestly don't get why the instructions say you have to swallow the tablets whole, either.🤷
I rarely ever split mine in half...
But if one pill has 1mg of benzos, why wouldn't half of it just be 0.5mg?😁

The general rule is to avoid breaking them, and that doesn't just apply to psychotropic medications—it includes things like extended-release painkillers too. I can't say for certain why, but it likely has to do with the binding agents used to hold the active ingredient together.
fadedbear92 fadedbear92 Veteran
1.1K messages
joined Dec 2008
#5014 ·
restlesstrucker15 said:The general rule is to avoid breaking them, and that doesn't just apply to psychotropic medications—it includes things like extended-release painkillers too. I can't say for certain why, but it likely has to do with the binding agents used to hold the active ingredient together.

Oh, absolutely—it's all just pharmacokinetics at work.
wiredskipper45 wiredskipper45 Active Member
60 messages
joined Dec 2012
#5015 ·
I’m really curious if anyone actually managed to get off their meds and ended up feeling better overall?!
Or is everyone else (like me) just in a much worse state after stopping therapy than when they first started?
Not that they even worked perfectly while I was still on them... 😢
I’m currently on some combo involving Lexapro and Depakote, and the insomnia from it is brutal. It feels like my Xanax isn't even doing anything anymore; I just feel drugged out and groggy, but everything is still terrible... I've never felt this kind of total lack of willpower in my life. On top of that, my nerves are just fried—I can feel it throughout my whole body. I’m functioning, I’m working, I’m raising my kid by myself. But it’s all just pure autopilot. There’s zero joy left in anything. :/ Now I’m sitting here wondering if I should go back on the CIA, but I honestly don't even know what I want anymore... and my doctor keeps asking me what I expect these pills to do for me?! wtf??? All I know is that Mirtazapine let me sleep like a log and made the depression feel slightly more manageable, but it did absolutely nothing for the anxiety—that constant nervousness. And Effexor and Prozac caused such bad side effects that I didn't even bother trying them for more than a single day. Citalopram was basically like Bonkers to me—nothing. Wellbutrin felt amazing for the very first day, like a massive adrenaline rush, but then ugh—you can't sleep at all on it. I’m losing it, I’m exhausted, and I’m running on empty. I’m terrified I’m going to snap and end up in a psych ward being pumped full of antipsychotics, which is exactly what I’m trying to avoid at any cost. I’m scared of APs.
Please, if anyone has dealt with similar issues or medications, share your experiences.
thanks.
Gerald Torres2 Gerald Torres2 Active Member
192 messages
joined Feb 2013
#5016 ·
wiredskipper45 said:I’m really curious if anyone actually managed to get off their meds and ended up feeling better overall?!
Or is everyone else (like me) just in a much worse state after stopping therapy than when they first started?
Not that they even worked perfectly while I was still on them... 😢
I’m currently on some combo involving Lexapro and Depakote, and the insomnia from it is brutal. It feels like my Xanax isn't even doing anything anymore; I just feel drugged out and groggy, but everything is still terrible... I've never felt this kind of total lack of willpower in my life. On top of that, my nerves are just fried—I can feel it throughout my whole body. I’m functioning, I’m working, I’m raising my kid by myself. But it’s all just pure autopilot. There’s zero joy left in anything. :/ Now I’m sitting here wondering if I should go back on the CIA, but I honestly don't even know what I want anymore... and my doctor keeps asking me what I expect these pills to do for me?! wtf??? All I know is that Mirtazapine let me sleep like a log and made the depression feel slightly more manageable, but it did absolutely nothing for the anxiety—that constant nervousness. And Effexor and Prozac caused such bad side effects that I didn't even bother trying them for more than a single day. Citalopram was basically like Bonkers to me—nothing. Wellbutrin felt amazing for the very first day, like a massive adrenaline rush, but then ugh—you can't sleep at all on it. I’m losing it, I’m exhausted, and I’m running on empty. I’m terrified I’m going to snap and end up in a psych ward being pumped full of antipsychotics, which is exactly what I’m trying to avoid at any cost. I’m scared of APs.
Please, if anyone has dealt with similar issues or medications, share your experiences.
thanks.

I'm interested in this too. From what I can see, everyone is on something; certain ones work for some people and others for different folks... but no one ever comes along and says: "HEY GUYS, I'M CURED AND I DON'T NEED MEDS ANYMORE!!!" I stopped taking my CIA and anxiolytics about a year and a half ago, and here I am again. A little bit of stress at work and the anxiety came rushing back right alongside the depression, making it impossible to function... so I'm back on the CIA. I've been taking them, and I was doing okay until a major stressor hit last week, and now I'm back at rock bottom despite the CIA and anxiolytics—honestly, I might even be overdoing it a bit with them right now...
Scott Alvarez22 Scott Alvarez22 Member
30 messages
joined Feb 2013
#5017 ·
wiredskipper45 said:I’m really curious if anyone actually managed to get off their meds and ended up feeling better overall?!
Or is everyone else (like me) just in a much worse state after stopping therapy than when they first started?
Not that they even worked perfectly while I was still on them... 😢
I’m currently on some combo involving Lexapro and Depakote, and the insomnia from it is brutal. It feels like my Xanax isn't even doing anything anymore; I just feel drugged out and groggy, but everything is still terrible... I've never felt this kind of total lack of willpower in my life. On top of that, my nerves are just fried—I can feel it throughout my whole body. I’m functioning, I’m working, I’m raising my kid by myself. But it’s all just pure autopilot. There’s zero joy left in anything. :/ Now I’m sitting here wondering if I should go back on the CIA, but I honestly don't even know what I want anymore... and my doctor keeps asking me what I expect these pills to do for me?! wtf??? All I know is that Mirtazapine let me sleep like a log and made the depression feel slightly more manageable, but it did absolutely nothing for the anxiety—that constant nervousness. And Effexor and Prozac caused such bad side effects that I didn't even bother trying them for more than a single day. Citalopram was basically like Bonkers to me—nothing. Wellbutrin felt amazing for the very first day, like a massive adrenaline rush, but then ugh—you can't sleep at all on it. I’m losing it, I’m exhausted, and I’m running on empty. I’m terrified I’m going to snap and end up in a psych ward being pumped full of antipsychotics, which is exactly what I’m trying to avoid at any cost. I’m scared of APs.
Please, if anyone has dealt with similar issues or medications, share your experiences.
thanks.

From what I've gathered, only Zoloft and Effexor seem to have the right profile for treating anxious depression.

The state you find yourself in after coming off medication is usually much worse if you do it abruptly. By "abruptly," I mean failing to go through a tapering process that lasts at least 8 months.
If you decide to switch back to Zoloft, expect about 3 or 4 days of nausea, tremors, drowsiness, insomnia, digestive issues, and brain fog, though it might finally knock down the anxiety.

Finding joy and taking CIA rarely go hand in hand; that's just the reality. So, don't blame yourself—blame the chemistry.
wiredskipper45 wiredskipper45 Active Member
60 messages
joined Dec 2012
#5018 ·
Scott Alvarez22 said:From what I've gathered, only Zoloft and Effexor seem to have the right profile for treating anxious depression.

The state you find yourself in after coming off medication is usually much worse if you do it abruptly. By "abruptly," I mean failing to go through a tapering process that lasts at least 8 months.
If you decide to switch back to Zoloft, expect about 3 or 4 days of nausea, tremors, drowsiness, insomnia, digestive issues, and brain fog, though it might finally knock down the anxiety.

Finding joy and taking CIA rarely go hand in hand; that's just the reality. So, don't blame yourself—blame the chemistry.

Hold on... are you actually saying I'll never be happy again, regardless of whether I take the CIA or not? 🙂
Scott Alvarez22 Scott Alvarez22 Member
30 messages
joined Feb 2013
#5019 ·
wiredskipper45 said:Hold on... are you actually saying I'll never be happy again, regardless of whether I take the CIA or not? 🙂

Wait, are you saying I'll never be happy again, regardless of whether I take the CIA or not?🙂

Not at all! Not in the slightest.
The goal is to take the medication first so you can actually find some stability and start the recovery process.
Once that constant anxiety and restlessness finally subside thanks to the meds, that’s when the real work begins—gradually tapering off slowly and steadily. That’s the path out.

I'm speaking from my own lived experience here, so look at it this way:

After spending six years on Zoloft, I realized about two months ago that I had reached a plateau, even though I hadn't quite conquered my social phobia yet.
I started the taper, and within two months, I was off it entirely. I had already finished weaning myself off Xanax about six months prior, so I figured, "Hey, this should be a breeze," especially since getting off Xanax took me an entire year of very gentle adjustments.
For the first fifteen to twenty days, I felt like a brand-new person—full of life, warmth, and genuine enjoyment. But then, once the withdrawal symptoms really started hitting, everything sank like a lead weight in the middle of the ocean right before... well, you know how it goes.

The bottom line is you have to calm down first and accept that these drugs come with daily side effects. Once things stabilize, you begin a very slow, deliberate taper, and eventually, everything settles back into place.

Could you maybe go into more detail about what your experience was like with Mirtazapine and Effexor? I’m seriously considering making the switch.
wiredskipper45 wiredskipper45 Active Member
60 messages
joined Dec 2012
#5020 ·
Scott Alvarez22 said:Wait, are you saying I'll never be happy again, regardless of whether I take the CIA or not?🙂


Not at all! Not in the slightest.
The goal is to take the medication first so you can actually find some stability and start the recovery process.
Once that constant anxiety and restlessness finally subside thanks to the meds, that’s when the real work begins—gradually tapering off slowly and steadily. That’s the path out.

I'm speaking from my own lived experience here, so look at it this way:

After spending six years on Zoloft, I realized about two months ago that I had reached a plateau, even though I hadn't quite conquered my social phobia yet.
I started the taper, and within two months, I was off it entirely. I had already finished weaning myself off Xanax about six months prior, so I figured, "Hey, this should be a breeze," especially since getting off Xanax took me an entire year of very gentle adjustments.
For the first fifteen to twenty days, I felt like a brand-new person—full of life, warmth, and genuine enjoyment. But then, once the withdrawal symptoms really started hitting, everything sank like a lead weight in the middle of the ocean right before... well, you know how it goes.

The bottom line is you have to calm down first and accept that these drugs come with daily side effects. Once things stabilize, you begin a very slow, deliberate taper, and eventually, everything settles back into place.

Could you maybe go into more detail about what your experience was like with Mirtazapine and Effexor? I’m seriously considering making the switch.

Not at all! Not in the slightest.
The goal is to take the medication first so you can actually find some stability and start the recovery process.
Once that constant anxiety and restlessness finally subside thanks to the meds, that’s when the real work begins—gradually tapering off slowly and steadily. That’s the path out.

I'm speaking from my own lived experience here, so look at it this way:

After spending six years on Zoloft, I realized about two months ago that I had reached a plateau, even though I hadn't quite conquered my social phobia yet.
I started the taper, and within two months, I was off it entirely. I had already finished weaning myself off Xanax about six months prior, so I figured, "Hey, this should be a breeze," especially since getting off Xanax took me an entire year of very gentle adjustments.
For the first fifteen to twenty days, I felt like a brand-new person—full of life, warmth, and genuine enjoyment. But then, once the withdrawal symptoms really started hitting, everything sank like a lead weight in the middle of the ocean right before... well, you know how it goes.

The bottom line is you have to calm down first and accept that these drugs come with daily side effects. Once things stabilize, you begin a very slow, deliberate taper, and eventually, everything settles back into place.

Could you maybe go into more detail about what your experience was like with Mirtazapine and Effexor? I’m seriously considering making the switch.

Not at all! Not in the slightest.
The goal is to take the medication first so you can actually find some stability and start the recovery process.
Once that constant anxiety and restlessness finally subside thanks to the meds, that’s when the real work begins—gradually tapering off slowly and steadily. That’s the path out.

I'm speaking from my own lived experience here, so look at it this way:

After spending six years on Zoloft, I realized about two months ago that I had reached a plateau, even though I hadn't quite conquered my social phobia yet.
I started the taper, and within two months, I was off it entirely. I had already finished weaning myself off Xanax about six months prior, so I figured, "Hey, this should be a breeze," especially since getting off Xanax took me an entire year of very gentle adjustments.
For the first fifteen to twenty days, I felt like a brand-new person—full of life, warmth, and genuine enjoyment. But then, once the withdrawal symptoms really started hitting, everything sank like a lead weight in the middle of the ocean right before... well, you know how it goes.

The bottom line is you have to calm down first and accept that these drugs come with daily side effects. Once things stabilize, you begin a very slow, deliberate taper, and eventually, everything settles back into place.

Could you maybe go into more detail about what your experience was like with Mirtazapine and Effexor? I’m seriously considering making the switch.
I only took Effexor for exactly one day; nausea, tremors, jitters, insomnia... I honestly thought I was going crazy (which, let's face it, is a frequent thought of mine 😁). I told myself; screw this, if the side effects are this bad immediately, it's just not for me. :/

I was on Mirtazapine for three years. In the beginning, it basically brought me back from the dead because I finally started sleeping after nearly a year and a half of insomnia! 🙂
And then I started recovering. Everything felt a little brighter, a little easier, though I never quite reached that feeling of being "fully alive," if you know what I mean... 😉
But about a year ago, I was under a hellish amount of stress and started getting anxious again—just terribly tense and worried most of the time. Mirtazapine didn't do anything for that part; it just kept me sleeping, and it wasn't like everything was hopeless, like it at least kept the depression under control. Then I turned toward alternative stuff and quit Mirtazapine pretty abruptly... now I feel like I should probably start taking it again because of the insomnia, but somehow that feels like a defeat. :/ So I just push through and suffer. And believe me, I am suffering.

So, aren't you on anything right now? How are you holding up?

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