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Psychotropic medication discussion thread

Started by Robin Myers91 · · 👁 595 views · 10K replies

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Participants Robin Myers91Eric Wood7Maria Gomez6crimsonhound80Tyler Ortiz6dustyscout41Andrew Stewart2George Ramos64Morgan Long49Jason Sanchez3briskgull27Charles Edwards8Brenda Allen2hollowtinker8bluecyclist28electricorca13David Kern14Ashley Morganwanderingscout13Sam Hall15coppergardenerCarl Thompson4Mark Stewartanalognomad762 …
redtiger35 redtiger35 Member
25 messages
joined Feb 2013
#6761 ·
I’ve been dealing with an insane amount of stress over the last couple of weeks because of some personal stuff and work craziness, plus there’s been a full moon for the past few days, so my sleep has been absolutely non-existent. Honestly, taking Rivotril feels like I just swallowed a Tic Tac; it does zero for me. 😕 Normally, I should be switching to it in the evening instead of using Helex, but the timing always messes up—if I take the Rivotril at 8 PM, I’m wide awake until midnight worrying about how I can't sleep, and then I eventually take my usual dose of Helex, which finally lets my body relax and everything just settles into place. I don't know, Helex... I wouldn't call it a nasty addiction, because Helex actually keeps me steady and supports me, and I honestly don't know what I'd do without it. If anything, I’d say my best moments are when I'm on Helex, because I can finally just relax and give myself some freedom. The rest of the time is just pure suffering with frayed nerves, anxiety, insomnia, and mental pain. I know, I know... but what's so terrible about spending the rest of my life on Helex? 😢
Kevin Nguyen3 Kevin Nguyen3 Regular
425 messages
joined May 2013
#6762 ·
redtiger35 said:I’ve been dealing with an insane amount of stress over the last couple of weeks because of some personal stuff and work craziness, plus there’s been a full moon for the past few days, so my sleep has been absolutely non-existent. Honestly, taking Rivotril feels like I just swallowed a Tic Tac; it does zero for me. 😕 Normally, I should be switching to it in the evening instead of using Helex, but the timing always messes up—if I take the Rivotril at 8 PM, I’m wide awake until midnight worrying about how I can't sleep, and then I eventually take my usual dose of Helex, which finally lets my body relax and everything just settles into place. I don't know, Helex... I wouldn't call it a nasty addiction, because Helex actually keeps me steady and supports me, and I honestly don't know what I'd do without it. If anything, I’d say my best moments are when I'm on Helex, because I can finally just relax and give myself some freedom. The rest of the time is just pure suffering with frayed nerves, anxiety, insomnia, and mental pain. I know, I know... but what's so terrible about spending the rest of my life on Helex? 😢

The core issue—the real trouble here—lies with medications like anxiolytics or sedatives. You see, they create this cycle of dependency. It’s a physiological reality, isn't it? The body develops a tolerance to the drug. In other words, you find yourself needing a higher dose just to achieve that same baseline effect. How can one expect stability when the very chemistry of the body keeps shifting its requirements?
Addiction? It’s a phenomenon we all know too well, isn't it? A pervasive, undeniable reality that touches so many lives.
And there it is... that endless, vicious cycle. Isn't it just always like that? You think you've finally broken free, only to find yourself spinning right back into the exact same loop. It’s relentless, really. How does it even happen? One moment you're making progress, and the next, the circle closes again. It’s exhausting, isn't it?
You’re already telling me how much more liberated you feel on Helex—how things are clearer, sharper, better... doesn't that just say everything? It sounds like you can't even function without it anymore. I mean, wouldn't you assume that if you aren't taking it, you just feel terrible? And let's be honest, I bet you're dealing with a mountain of side effects on top of all that, too. Don't you think?
Is Helex actually effective during that initial stretch? I mean, for those first few weeks—maybe even up to two months—it seems quite useful for calming the nerves and just finding some semblance of relaxation while you wait for the AD to properly kick in and start doing its job. Isn't that the main point? To bridge that gap until the antidepressant finally takes hold?
As for everything else... honestly, what is even the point of staying on it long-term? It simply doesn't make sense! Does it actually address the root cause? No. Is that its primary objective? Certainly not. Why would one continue such a regimen when it isn't even designed to fix the underlying issue? It just feels futile, doesn't it?
fadedbear92 fadedbear92 Veteran
1.1K messages
joined Dec 2008
#6763 ·
Kevin Nguyen3 said:The core issue—the real trouble here—lies with medications like anxiolytics or sedatives. You see, they create this cycle of dependency. It’s a physiological reality, isn't it? The body develops a tolerance to the drug. In other words, you find yourself needing a higher dose just to achieve that same baseline effect. How can one expect stability when the very chemistry of the body keeps shifting its requirements?
Addiction? It’s a phenomenon we all know too well, isn't it? A pervasive, undeniable reality that touches so many lives.
And there it is... that endless, vicious cycle. Isn't it just always like that? You think you've finally broken free, only to find yourself spinning right back into the exact same loop. It’s relentless, really. How does it even happen? One moment you're making progress, and the next, the circle closes again. It’s exhausting, isn't it?
You’re already telling me how much more liberated you feel on Helex—how things are clearer, sharper, better... doesn't that just say everything? It sounds like you can't even function without it anymore. I mean, wouldn't you assume that if you aren't taking it, you just feel terrible? And let's be honest, I bet you're dealing with a mountain of side effects on top of all that, too. Don't you think?
Is Helex actually effective during that initial stretch? I mean, for those first few weeks—maybe even up to two months—it seems quite useful for calming the nerves and just finding some semblance of relaxation while you wait for the AD to properly kick in and start doing its job. Isn't that the main point? To bridge that gap until the antidepressant finally takes hold?
As for everything else... honestly, what is even the point of staying on it long-term? It simply doesn't make sense! Does it actually address the root cause? No. Is that its primary objective? Certainly not. Why would one continue such a regimen when it isn't even designed to fix the underlying issue? It just feels futile, doesn't it?

Plus, you aren't even experiencing "real" emotions anymore—they're just masked by the anxiolytic. Once you switch to an antidepressant, that changes; you won't feel like a zombie.
Kevin Nguyen3 Kevin Nguyen3 Regular
425 messages
joined May 2013
#6764 ·
fadedbear92 said:Plus, you aren't even experiencing "real" emotions anymore—they're just masked by the anxiolytic. Once you switch to an antidepressant, that changes; you won't feel like a zombie.

Exactly. Precisely so!😉
Helix just numbs everything out. It’s like... does anyone else feel that? That total loss of sensation? It's unsettling, really. Truly.😢
ironrider11 ironrider11 Regular
391 messages
joined Oct 2020
#6765 ·
So Normabel isn't the go-to anymore? Now they're just swapping it out for Diazepam from Pfizer?
It's a massive market. Would be pretty stupid to let the Canadians run the show here....
Jason Vaughn482 Jason Vaughn482 Regular
488 messages
joined Jul 2012
#6766 ·
Kevin Nguyen3 said:The core issue—the real trouble here—lies with medications like anxiolytics or sedatives. You see, they create this cycle of dependency. It’s a physiological reality, isn't it? The body develops a tolerance to the drug. In other words, you find yourself needing a higher dose just to achieve that same baseline effect. How can one expect stability when the very chemistry of the body keeps shifting its requirements?
Addiction? It’s a phenomenon we all know too well, isn't it? A pervasive, undeniable reality that touches so many lives.
And there it is... that endless, vicious cycle. Isn't it just always like that? You think you've finally broken free, only to find yourself spinning right back into the exact same loop. It’s relentless, really. How does it even happen? One moment you're making progress, and the next, the circle closes again. It’s exhausting, isn't it?
You’re already telling me how much more liberated you feel on Helex—how things are clearer, sharper, better... doesn't that just say everything? It sounds like you can't even function without it anymore. I mean, wouldn't you assume that if you aren't taking it, you just feel terrible? And let's be honest, I bet you're dealing with a mountain of side effects on top of all that, too. Don't you think?
Is Helex actually effective during that initial stretch? I mean, for those first few weeks—maybe even up to two months—it seems quite useful for calming the nerves and just finding some semblance of relaxation while you wait for the AD to properly kick in and start doing its job. Isn't that the main point? To bridge that gap until the antidepressant finally takes hold?
As for everything else... honestly, what is even the point of staying on it long-term? It simply doesn't make sense! Does it actually address the root cause? No. Is that its primary objective? Certainly not. Why would one continue such a regimen when it isn't even designed to fix the underlying issue? It just feels futile, doesn't it?

Perhaps all that logic holds water, but when I start an antidepressant—take Lexapro, for instance—everything just falls apart; I can't sleep, and my anxiety spikes even worse than before. Or if I try something like Paxil, it knocks me out so completely that I feel like a total zombie the next day, which then makes me reach for Xanax just to function. So, what have I actually achieved? Maybe these specific meds just don't sit right with my chemistry, but with Xanax, things always seem manageable. It seems like everyone is on something; one person takes Xanax, another takes Klonopin, but almost nobody survives on antidepressants alone... at least from what I've gathered in my research. If I could just stumble upon an antidepressant that didn't leave me needing Xanax or battling insomnia, I would be the happiest person on earth.
Paul Newman5 Paul Newman5 Regular
251 messages
joined Oct 2012
#6767 ·
Jason Vaughn482 said:Perhaps all that logic holds water, but when I start an antidepressant—take Lexapro, for instance—everything just falls apart; I can't sleep, and my anxiety spikes even worse than before. Or if I try something like Paxil, it knocks me out so completely that I feel like a total zombie the next day, which then makes me reach for Xanax just to function. So, what have I actually achieved? Maybe these specific meds just don't sit right with my chemistry, but with Xanax, things always seem manageable. It seems like everyone is on something; one person takes Xanax, another takes Klonopin, but almost nobody survives on antidepressants alone... at least from what I've gathered in my research. If I could just stumble upon an antidepressant that didn't leave me needing Xanax or battling insomnia, I would be the happiest person on earth.

Basically, I agree with both sides, including veggas point. Helex is poison, and I've been addicted to it for 10 months now. I've been increasing my dose, but what am I supposed to do? My anxiety is so intense I feel like I'm crawling out of my skin, and I still haven't found the right ad. I'd be lucky if that Lexapro I got last year had actually worked, so I could have dropped the Prozac I was on for those ten days before seeing my psychiatrist. But here I am, a year later with nothing working, and I still have to work, cook, clean, and try to live a semi-normal life. Helex is my lifeline. If I don't take it before heading to work, I'll probably have a nervous breakdown or a panic attack there. Sure, Helex makes me nauseous, slow, or sedated half the day, but it's something. Meanwhile, I'm on week five of Wellbutrin and nothing. It feels even worse, like it's cranking up my anxiety. No positive effect at all. And besides Helex, neither my GP nor my psychiatrist will prescribe anything else. Ideally, the first ad you get works, and then you slowly taper off the Helex over a month. But what can I do when I can't find the right ad?
Kevin Nguyen3 Kevin Nguyen3 Regular
425 messages
joined May 2013
#6768 ·
Jason Vaughn482 said:Perhaps all that logic holds water, but when I start an antidepressant—take Lexapro, for instance—everything just falls apart; I can't sleep, and my anxiety spikes even worse than before. Or if I try something like Paxil, it knocks me out so completely that I feel like a total zombie the next day, which then makes me reach for Xanax just to function. So, what have I actually achieved? Maybe these specific meds just don't sit right with my chemistry, but with Xanax, things always seem manageable. It seems like everyone is on something; one person takes Xanax, another takes Klonopin, but almost nobody survives on antidepressants alone... at least from what I've gathered in my research. If I could just stumble upon an antidepressant that didn't leave me needing Xanax or battling insomnia, I would be the happiest person on earth.

I'm currently on two different antidepressants and one antipsychotic.
Not a single anxiolytic or anything like that.
And I sleep just fine.
We've touched on this a few times already, haven't we? For chronic, long-term insomnia, nothing really works unless you introduce an antipsychotic.
Paul Newman5 Paul Newman5 Regular
251 messages
joined Oct 2012
#6769 ·
Kevin Nguyen3 said:I'm currently on two different antidepressants and one antipsychotic.
Not a single anxiolytic or anything like that.
And I sleep just fine.
We've touched on this a few times already, haven't we? For chronic, long-term insomnia, nothing really works unless you introduce an antipsychotic.

Sure, but what if none of the antidepressants work after a year of trying, and nobody will prescribe the antipsychotic? For example, I had to get mine from Dr. Sanval; I didn't just go out and buy it myself.
This is my second doctor in a year. I don't live in New York City where I can just switch private practitioners every week, and the waiting lists at public hospitals are months long. If I wanted to change doctors now, I might be waiting five months just to see someone else.
Look, you're right about the anxiolytics—I'd take two antidepressants and an antipsychotic if it meant feeling better—but I can't find the right fit on my own. Nothing has worked for a year. How am I supposed to calm the nerves and anxiety? Where am I supposed to go to finally get the right meds? What happens to those of us who can't find a working antidepressant?
Jason Vaughn482 Jason Vaughn482 Regular
488 messages
joined Jul 2012
#6770 ·
Kevin Nguyen3 said:I'm currently on two different antidepressants and one antipsychotic.
Not a single anxiolytic or anything like that.
And I sleep just fine.
We've touched on this a few times already, haven't we? For chronic, long-term insomnia, nothing really works unless you introduce an antipsychotic.

I know you’re taking Lexapro, but which other antidepressant are you pairing with it? I'm curious about the specific combination... and what do you mean by "it doesn't help"? Personally, even a half-dose of my 15 mg Lexapro knocks me out cold. I still rely on Ambien to get through the night, but the side effects—that restless urge to get up in the middle of the night and the midnight munchies—are becoming a real nuisance.
Kevin Nguyen3 Kevin Nguyen3 Regular
425 messages
joined May 2013
#6771 ·
Paul Newman5 said:Sure, but what if none of the antidepressants work after a year of trying, and nobody will prescribe the antipsychotic? For example, I had to get mine from Dr. Sanval; I didn't just go out and buy it myself.
This is my second doctor in a year. I don't live in New York City where I can just switch private practitioners every week, and the waiting lists at public hospitals are months long. If I wanted to change doctors now, I might be waiting five months just to see someone else.
Look, you're right about the anxiolytics—I'd take two antidepressants and an antipsychotic if it meant feeling better—but I can't find the right fit on my own. Nothing has worked for a year. How am I supposed to calm the nerves and anxiety? Where am I supposed to go to finally get the right meds? What happens to those of us who can't find a working antidepressant?

You really have to sit down and have a serious talk with your psychiatrist about the fundamental issues, like your insomnia. Because how can you hope to resolve any other disorders if you aren't sleeping? You have to get enough rest; you have to let your body recover.
And suggest an AP. Why not propose to the doctor that you try one of the APs? I personally take Q-pin and it works for me. Whether it will work for you, well, I don't know.
It is best to have a very serious conversation with your psychiatrist.
The Sanval-psychiatrist might have been able to help you right at the start of your treatment, but at this stage, it might not do much good.
There is Halcion, which is perhaps one of the strongest hypnotics, but it also acts as a sedative and an anticonvulsant (for spasms).
There is always an option, and nobody can force you into anything; that is precisely why we have these discussions with our doctors.
Kevin Nguyen3 Kevin Nguyen3 Regular
425 messages
joined May 2013
#6772 ·
Jason Vaughn482 said:I know you’re taking Lexapro, but which other antidepressant are you pairing with it? I'm curious about the specific combination... and what do you mean by "it doesn't help"? Personally, even a half-dose of my 15 mg Lexapro knocks me out cold. I still rely on Ambien to get through the night, but the side effects—that restless urge to get up in the middle of the night and the midnight munchies—are becoming a real nuisance.

Well, look, my nightly routine consists of one 45 mg Clarissa, one 75 mg Velax, one Quetiapine at 200 mg, and one Lamictal at 25 mg (an anti-epileptic).
And honestly? This specific cocktail is what actually works for me.
By the way, just so we're clear, combining Clarissa and Velax isn't usually recommended because they don't play well together. I am fully aware of that risk, believe me, but I don't really have much of a choice here; this combination is what keeps me stable in the long run.
Listen... generally speaking, benzodiazepines are incredibly complicated medications. There are three main types, and there are actually more than 20 different kinds currently available on the market.
Some studies have even shown that after taking any kind of diazepam for just four weeks, about 35% of patients developed a dependency.
They can sometimes trigger the exact opposite effect too! Instead of calming you down, they might spike your anxiety or lead to depression, or even cause aggression or euphoria.
So, really, can anyone truly say for certain? Can we ever be absolutely sure about how these drugs will act on a person? No, we can't.
Paul Newman5 Paul Newman5 Regular
251 messages
joined Oct 2012
#6773 ·
Blue said:
You really need to sit down with your psychiatrist and tackle the basics, like the insomnia. You can't fix the other issues if you aren't getting actual rest and letting your body recover.
Maybe suggest checking out some options from the Associated Press. Ask your doctor about trying one of those. I take Quincy and it works for me. Who knows if it'll work for you.
The best move is just having a serious talk with your psychiatrist.
Ambien might have helped when you first started therapy, but it won't do much now.
There's Ambien, which is probably the strongest hypnotic out there, acting as a sedative and anticonvulsant too.
You always have choices. No one can force anything on you, which is why we talk things through with doctors.

When I asked her, she just gave me this look. I don't take Sanval; I was just given it. I manage to sleep using Lexapro.
Obviously, nobody can force me to take anything, but did I ask for that? I'm asking what to take when none of these antidepressants actually hit the mark. What about people like us who spend months cycling through different ADs? We’re still anxious and on edge, but we still have to show up to work. My doctor isn't refusing to prescribe, it's just that nothing works except the anxiolytics.
Kevin Nguyen3 Kevin Nguyen3 Regular
425 messages
joined May 2013
#6774 ·
Paul Newman5 said:When I asked her, she just gave me this look. I don't take Sanval; I was just given it. I manage to sleep using Lexapro.
Obviously, nobody can force me to take anything, but did I ask for that? I'm asking what to take when none of these antidepressants actually hit the mark. What about people like us who spend months cycling through different ADs? We’re still anxious and on edge, but we still have to show up to work. My doctor isn't refusing to prescribe, it's just that nothing works except the anxiolytics.

I have literally spent years experimenting with all sorts of medications—some of which aren't even available anymore—plus I had a full evaluation and a brief course of treatment while I was over in the USA. Even that didn't really do the trick.
I think I mentioned this somewhere before, but Dr. Kramarić at Mayo Clinic advised me on this specific therapy I'm on now, and finally, someone actually hit the mark. If it hadn't been him, maybe someone else would have stepped up, or maybe I'd still be stuck in this endless cycle of trial and error even today.
Paul Newman5 Paul Newman5 Regular
251 messages
joined Oct 2012
#6775 ·
Kevin Nguyen3 said:I have literally spent years experimenting with all sorts of medications—some of which aren't even available anymore—plus I had a full evaluation and a brief course of treatment while I was over in the USA. Even that didn't really do the trick.
I think I mentioned this somewhere before, but Dr. Kramarić at Mayo Clinic advised me on this specific therapy I'm on now, and finally, someone actually hit the mark. If it hadn't been him, maybe someone else would have stepped up, or maybe I'd still be stuck in this endless cycle of trial and error even today.

How did you handle all that experimenting? Personally, I'm so anxious that I'd have a panic attack—which I totally did at first—without anxiolytics. Were you working? Did you have other responsibilities you couldn't just walk away from? Don't take this the wrong way, I'm just asking so I can understand my own search better. This year has been a nightmare for me. You've got family stuff (cooking, cleaning, tidying up... they help, but only as much as they know how), and then there's work, which feels like walking into a firing squad. I can't do it; I'll crumble, snap, end up in a psych ward, lose my job, and then what am I supposed to live on? So, I started Xanax. Suddenly, anxiolytics became my daily life. That's why I'm digging so deep. I don't think like you do, and more than anything, I just want to wake up one morning with my antidepressants and Xanax being nothing but a memory.
rowdycobra10 rowdycobra10 Newcomer
7 messages
joined Oct 2013
#6776 ·
I was wondering if anyone could explain the actual difference between Sanval and Cerson? I used to be prescribed Sanval—the first pill I took basically floored me, and the second one did the same, though it felt more like I was just eating candy rather than taking an actual sedative. Once I switched over to Cerson, things actually got worse; it feels like it does absolutely nothing at all. To top it off, my dosage of Xanax has been increased, but the effect only lasts about 15-20 minutes before everything just goes right back to how it was :S
Jason Vaughn482 Jason Vaughn482 Regular
488 messages
joined Jul 2012
#6777 ·
rowdycobra10 said:I was wondering if anyone could explain the actual difference between Sanval and Cerson? I used to be prescribed Sanval—the first pill I took basically floored me, and the second one did the same, though it felt more like I was just eating candy rather than taking an actual sedative. Once I switched over to Cerson, things actually got worse; it feels like it does absolutely nothing at all. To top it off, my dosage of Xanax has been increased, but the effect only lasts about 15-20 minutes before everything just goes right back to how it was :S

I can't say for certain what the pharmacological distinction is, but for me, Cerson has never been able to put me under, or if it does, it's an uphill battle. Sanval worked similarly for you; those 5 mg tablets used to knock me out beautifully, and for a while, it was incredibly reliable. I eventually moved up to 10 mg, which held steady for a time, and while it's getting harder to drift off lately, it still manages to pull me through. I've been navigating this for four years now, and unfortunately, I've been on Xanax for that same stretch too. It remains my lifeline, though. I don't go looking for higher doses; in fact, I occasionally cut my dose in half. Generally, I stay within the 0.75 to 1.5 range... I've never felt the need to push past that, and it holds me steady enough, except when life throws those truly extreme, overwhelming situations my way..
rowdycobra10 rowdycobra10 Newcomer
7 messages
joined Oct 2013
#6778 ·
I honestly don't even know what else to try at this point—I’ve been feeling like a total zombie from the insomnia for quite a while now. On top of those two therapies I'm doing, I've also started taking Valerian root, though I guess I know it takes a good amount of time before you actually feel any kind of difference.
Kevin Nguyen3 Kevin Nguyen3 Regular
425 messages
joined May 2013
#6779 ·
Paul Newman5 said:How did you handle all that experimenting? Personally, I'm so anxious that I'd have a panic attack—which I totally did at first—without anxiolytics. Were you working? Did you have other responsibilities you couldn't just walk away from? Don't take this the wrong way, I'm just asking so I can understand my own search better. This year has been a nightmare for me. You've got family stuff (cooking, cleaning, tidying up... they help, but only as much as they know how), and then there's work, which feels like walking into a firing squad. I can't do it; I'll crumble, snap, end up in a psych ward, lose my job, and then what am I supposed to live on? So, I started Xanax. Suddenly, anxiolytics became my daily life. That's why I'm digging so deep. I don't think like you do, and more than anything, I just want to wake up one morning with my antidepressants and Xanax being nothing but a memory.

It was brutal.
I kept working as long as I could; my employers were as patient as they could be, but times are what they are—eventually, it's just a severance package and a "thanks for everything" goodbye. Then came the divorce. And friends? They had already drifted away a long time ago.
Then, I found myself completely alone.
The crisis hit its peak. Suicide attempts, self-harm, and all those other senseless things.
And endless stretches of lying in various hospital beds.
But now? It’s all behind me. Life can be a total bitch, but it is still worth the struggle.😉
redtiger35 redtiger35 Member
25 messages
joined Feb 2013
#6780 ·
helex:

Yeah, my psychiatrist told me the exact same thing: apparently I’m gonna need more over time, and what’s next? In a few years, I’ll be popping half a bottle a day :P total joke.
It isn't like the meds dull my emotions or turn me into some kind of zombie, though; honestly, when I take the Xanax and finally chill out, that's actually when I hit my creative stride, where I can handle my usual existential dread about eternity without spiraling and still function like a normal human being. I've been on Adderall for a year and a half too, but nothing touches the way the Xanax hits... it's addicting versus addicting. I'm not listening to my doctor and I've been bumping up my doses. I keep telling myself that once this stress dies down—and right now work is absolute chaos—I'll find a way to detox, but the real issue is that I don't actually want to quit... I just have a personality that's super prone to addiction... I don't know how to fix it, I really don't. Maybe if I spent a few months somewhere peaceful, away from all this massive professional and mental pressure I'm dealing with, like going to some rehab retreat out in the Rockies... 🙂

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