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Psychotropic medication discussion thread

Started by Robin Myers91 · · 👁 76 views · 10K replies

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Participants Robin Myers91Eric Wood7Maria Gomez6crimsonhound80Tyler Ortiz6dustyscout41Andrew Stewart2George Ramos64Morgan Long49Jason Sanchez3briskgull27Charles Edwards8Brenda Allen2hollowtinker8bluecyclist28electricorca13David Kern14Ashley Morganwanderingscout13Sam Hall15coppergardenerCarl Thompson4Mark Stewartanalognomad762 …
Keith Jones76 Keith Jones76 Active Member
174 messages
joined Mar 2009
#741 ·
It all comes down to the cost-benefit analysis...
granitefalcon26 granitefalcon26 Active Member
193 messages
joined Jan 2015
#742 ·
boldowl88 said:So, based on what you know, should Fever and Risset even be taken together? Do you happen to know why, or what kind of side effects might occur with that combination? I'm also wondering if anyone else has been prescribed this specific combo by their psychiatrist and what your experiences have been, assuming this isn't just an isolated case. Thanks.

Tylenol is an SSRI (selective serotonin reuptake inhibitor), while Risperdal (risperidone) is an antipsychotic that has a high affinity for those serotonergic 5HT2 receptors. Because of that overlap, taking both can potentially lead to serotonin syndrome.
Serotonin syndrome usually shows up as sweating, muscle stiffness, spasms, instability, confusion, irritability, or even extreme agitation.
Kenneth Scott41 Kenneth Scott41 Regular
457 messages
joined May 2009
#743 ·
I’ve spent some time pouring over the instruction manuals for both of these medications, but I have to admit, I’m a bit out of my depth when it comes to deciphering all that dense pharmaceutical jargon. So, I figured I’d reach out here and ask: is it actually safe to take Fevarin alongside Tramadol? I suppose I’m mostly concerned about what kind of side effects or consequences might follow if they're mixed.
Noah Fox Noah Fox Newcomer
1 message
joined Aug 2009
#744 ·
Kenneth Scott41 said:I’ve spent some time pouring over the instruction manuals for both of these medications, but I have to admit, I’m a bit out of my depth when it comes to deciphering all that dense pharmaceutical jargon. So, I figured I’d reach out here and ask: is it actually safe to take Fevarin alongside Tramadol? I suppose I’m mostly concerned about what kind of side effects or consequences might follow if they're mixed.

It’s probably best if you don't take either of them together.
I mean, why even risk it?
fadedbear92 fadedbear92 Veteran
1.1K messages
joined Dec 2008
#745 ·
Noah Fox said:It’s probably best if you don't take either of them together.
I mean, why even risk it?

I honestly don't get why you aren't just asking the psychiatrist who prescribed this stuff to you in the first place?!http://imagesforum.doctissimo.fr/ima...pascale124.gif
wiredharbor18 wiredharbor18 Member
31 messages
joined Jul 2009
#746 ·
Kenneth Scott41 said:I’ve spent some time pouring over the instruction manuals for both of these medications, but I have to admit, I’m a bit out of my depth when it comes to deciphering all that dense pharmaceutical jargon. So, I figured I’d reach out here and ask: is it actually safe to take Fevarin alongside Tramadol? I suppose I’m mostly concerned about what kind of side effects or consequences might follow if they're mixed.

Fevarin is an antidepressant, whereas Oxycodone is used for pain management and calming things down. The Oxycodone will help settle you, and you'll likely stop taking it after a while (assuming your psychiatrist prescribes it that way).
Combining an antidepressant with an analgesic is actually pretty common, so you can take them together—provided your doctor gave you the green light.
Keith Jones76 Keith Jones76 Active Member
174 messages
joined Mar 2009
#747 ·
Tramadol, or sometimes called Ultram, is an opioid analgesic used for various types of pain, mostly chronic issues like cancer pain, recovery from surgery or trauma, and neuralgia. It isn't meant for sedation, and it definitely doesn't belong in the antipsychotic category.

Kenneth Scott41 said:I’ve spent some time pouring over the instruction manuals for both of these medications, but I have to admit, I’m a bit out of my depth when it comes to deciphering all that dense pharmaceutical jargon. So, I figured I’d reach out here and ask: is it actually safe to take Fevarin alongside Tramadol? I suppose I’m mostly concerned about what kind of side effects or consequences might follow if they're mixed.

You can take them together (Keflex and Tramadol), but the sedation might hit you harder. You shouldn't operate heavy machinery or drive, and generally, you need to be careful—your coordination and reaction times will likely take a hit.
Gerald Evans3 Gerald Evans3 Newcomer
1 message
joined Aug 2009
#748 ·
onli;6827057 said:I had the exact same thing happen with Zoloft—the side effects were brutal..

What kind of side effects are we talking about? Because I've been through it a few times myself... just curious.
wiredharbor18 wiredharbor18 Member
31 messages
joined Jul 2009
#749 ·
Keith Jones76 said:Tramadol, or sometimes called Ultram, is an opioid analgesic used for various types of pain, mostly chronic issues like cancer pain, recovery from surgery or trauma, and neuralgia. It isn't meant for sedation, and it definitely doesn't belong in the antipsychotic category.

You can take them together (Keflex and Tramadol), but the sedation might hit you harder. You shouldn't operate heavy machinery or drive, and generally, you need to be careful—your coordination and reaction times will likely take a hit.

My apologies, I thought I was responding to a question about Fevarin and Riset (for seizures, right?).
That was my mistake.

Tramadol is a moderately potent analgesic with about 10–20% of the efficacy of morphine. Because of that, its primary use is indeed pain management, though it does have a mild sedative effect.
When you combine these two medications, there is a risk of amplifying the serotonergic effects of Fevarin (since Tramadol also acts on serotonin levels). While it's quite rare, this combination can potentially lead to serotonin syndrome.

Your psychiatrist likely prescribed this specific combination for a reason, but if you have any lingering doubts, I would definitely suggest checking in with them before you start taking it.
Sandra Nguyen3 Sandra Nguyen3 Newcomer
8 messages
joined Aug 2009
#750 ·
So my neighbor—she’s a doctor—had some guy prescribe her Tramadol, but then another MD caught on because she was acting so sluggish. When she spilled what she was taking, he basically lost it—like, "Who even gave you this? Why?" Apparently, Tramadol is such a heavy hitter it's practically a narcotic, and the addiction potential is massive. They hand it out to patients who are already fading away just so they don't suffer quite as much while they're dying. Sort of like morphine, I guess.

Here's a little breakdown of the side effects:

Among the antidepressants, note that Trazodone (Desyrel) causes severe drowsiness that Paxil (Deroxat, Paxil) and mirtazapine (Remeron) are known to promote the kilos that venlafaxine (Effexor) causes nausea and sertraline (Zoloft) frequently causes diarrhea.

http://desyrel.instablogs.com/entry/md-talks/

Trazodone (Desyrel) hits you with intense drowsiness, while Paxil (Deroxat, Paxil) and mirtazapine (Remeron) make you pack on the weight; venlafaxine (Effexor) triggers nausea, and sertraline (Zoloft) is famous for causing diarrhea. Hm... SERTRALIN... honestly, the name fits perfectly. You almost don't even need to be sick if you're taking stuff like this—the meds alone make you feel unwell. So what kind of misery must you be dealing with for these things to seem like the "lesser evil"??!

And then there's the impact on your sex life. I saw someone posting on Lumber Liquidators saying Desyrel and Paxil don't affect anything, which is total nonsense. Generally, SSRIs—selective serotonin reuptake inhibitors—tank your libido. But for some women, Trazodone (Desyrel) does the exact opposite—it can trigger PSAS - persistent sexual arousal syndrome, which people joke about, but it means even a tiny vibration—say, from a subway train or a vacuum cleaner—can trigger an orgasm. Some women report having 200 orgasms a day. Trust me, that's not exactly a dream scenario.😍 For guys, Desyrel can cause priapism—which sounds great, like a permanent version of Viagra, but the issue is the body isn't built to stay like that indefinitely; it starts hurting after a few hours and you end up needing surgery.

Not to even get started on antipsychotics that wreck your liver so you drop dead before 60, or the ones that make you gain so much weight you're basically waddling around like a 330-pound human keg. That's a classic. Anyway, it's all great for you—definitely better than being in a psychotic break and bothering everyone around you. Just remember lobotomies and electroshock therapy—this is way more "humane," right?😁😁😁😉
Sandra Nguyen3 Sandra Nguyen3 Newcomer
8 messages
joined Aug 2009
#751 ·
So, let's talk about Zyprexa—or Olanzapine, if you want to be formal. It’s an antipsychotic that's usually pricey, but you can snag it through Medicare for free—provided your psychiatrist slaps an F20 diagnosis or something similar on your file. There's always a catch, right? It's also used for bipolar disorder. Honestly, it causes this terrifying dependency and withdrawal, though most people won't admit it unless they've actually been through the wringer. After a month on it, people would probably accept a diagnosis of "pink unicorn syndrome" just to get another dose. Plus, it causes massive weight gain that can lead to diabetes—which is why Eli Lilly had to cough up $2 billion in settlements. But hey, what's a couple billion when you've got 20 million users worldwide and $4.2 billion in revenue? They even shelled out $1.42 billion just for off-label marketing.

http://en.wikipedia.org/wiki/Olanzapine

Interestingly enough, Miro Jakovljević over at Mayo Clinic has been looking into this drug, even publishing this paper:

Jakovljević M, Sagud M, Mihaljević-Peles A. (2006). "Olanzapine in the treatment-resistant, combat-related PTSD—a series of case reports.". Psychiatric Clinics 26 (1): 45–9.

It seems they think this is a great option for veterans dealing with PTSD—and man, there are plenty of them. Talk about a target market. Especially since Eli Lilly's patent expires in 2011, leaving the door wide open for generic manufacturers like Teva. Both companies have deep ties to Israel—considering Teva is originally from there. And let's face it, there'll always be a market there too, given how much conflict they deal with. Not to mention the US market once our soldiers come home from Iraq, Afghanistan, Iran, and so on... Wars and crises are always a goldmine for Big Pharma—especially when you have scientific papers "proving" your drug treats PTSD.
Nicole Barrett76 Nicole Barrett76 Regular
515 messages
joined Sep 2009
#752 ·
Sandra Nguyen3 said:So, let's talk about Zyprexa—or Olanzapine, if you want to be formal. It’s an antipsychotic that's usually pricey, but you can snag it through Medicare for free—provided your psychiatrist slaps an F20 diagnosis or something similar on your file. There's always a catch, right? It's also used for bipolar disorder. Honestly, it causes this terrifying dependency and withdrawal, though most people won't admit it unless they've actually been through the wringer. After a month on it, people would probably accept a diagnosis of "pink unicorn syndrome" just to get another dose. Plus, it causes massive weight gain that can lead to diabetes—which is why Eli Lilly had to cough up $2 billion in settlements. But hey, what's a couple billion when you've got 20 million users worldwide and $4.2 billion in revenue? They even shelled out $1.42 billion just for off-label marketing.

http://en.wikipedia.org/wiki/Olanzapine

Interestingly enough, Miro Jakovljević over at Mayo Clinic has been looking into this drug, even publishing this paper:

Jakovljević M, Sagud M, Mihaljević-Peles A. (2006). "Olanzapine in the treatment-resistant, combat-related PTSD—a series of case reports.". Psychiatric Clinics 26 (1): 45–9.

It seems they think this is a great option for veterans dealing with PTSD—and man, there are plenty of them. Talk about a target market. Especially since Eli Lilly's patent expires in 2011, leaving the door wide open for generic manufacturers like Teva. Both companies have deep ties to Israel—considering Teva is originally from there. And let's face it, there'll always be a market there too, given how much conflict they deal with. Not to mention the US market once our soldiers come home from Iraq, Afghanistan, Iran, and so on... Wars and crises are always a goldmine for Big Pharma—especially when you have scientific papers "proving" your drug treats PTSD.

What kind of psychological impact might a mentally healthy individual face if they were to take—or be forced to take—an antipsychotic medication?
Keith Jones76 Keith Jones76 Active Member
174 messages
joined Mar 2009
#753 ·
It would be the exact same thing as with a healthy person—they’d basically be pre-emptively sedated, except they wouldn't have any actual symptoms to clear up. Plus, you'd still have to deal with the usual side effects.
lonerider35 lonerider35 Newcomer
1 message
joined Aug 2009
#754 ·
I’ve been on Coaxil for four weeks now and I don't feel any better. Honestly, I feel like I’m actually doing worse. Does that mean it hasn't kicked in yet, or is this specific antidepressant just not for me?
silverranger10 silverranger10 Newcomer
5 messages
joined Jul 2009
#755 ·
Hey everyone! I’m checking back in because this is pretty much the only place (aside from one friend who actually went to grad school for psychology) where I can find any decent, firsthand info. I really need to figure out how to handle my dad, who has "recently" started struggling with depression and anxiety.
I mentioned before that his private doctor put him on Zoloft + Prozac, but after a full month, we aren't seeing much of an improvement. Honestly, at first, I thought things were looking up—we had these brief windows of better days—but then it just spiraled back into total apathy, followed by deep depression and all the usual symptoms...
Over the last ten days or so, things have actually taken a turn for the worse. He's dealing with major stomach issues, vomiting nothing but bile, dark thoughts, and just zero motivation...
Because of that, he went to see a psychiatrist today at the local clinic—he's one of those specialists who travels into our town from San Francisco every couple of weeks—and the doctor decided to switch things up. Now he’s been prescribed brand name + brand name. I haven't been able to find much online about the second one, but the doctor keeps pointing me toward Effexor.
So, what’s the actual difference between the first regimen and this new one? And is it even a good idea to switch doctors and medications after just a month of bad results? I mean, does it usually take way longer for these drugs to actually kick in?
Thanks in advance for the help!
wiredharbor18 wiredharbor18 Member
31 messages
joined Jul 2009
#756 ·
silverranger10 said:Hey everyone! I’m checking back in because this is pretty much the only place (aside from one friend who actually went to grad school for psychology) where I can find any decent, firsthand info. I really need to figure out how to handle my dad, who has "recently" started struggling with depression and anxiety.
I mentioned before that his private doctor put him on Zoloft + Prozac, but after a full month, we aren't seeing much of an improvement. Honestly, at first, I thought things were looking up—we had these brief windows of better days—but then it just spiraled back into total apathy, followed by deep depression and all the usual symptoms...
Over the last ten days or so, things have actually taken a turn for the worse. He's dealing with major stomach issues, vomiting nothing but bile, dark thoughts, and just zero motivation...
Because of that, he went to see a psychiatrist today at the local clinic—he's one of those specialists who travels into our town from San Francisco every couple of weeks—and the doctor decided to switch things up. Now he’s been prescribed brand name + brand name. I haven't been able to find much online about the second one, but the doctor keeps pointing me toward Effexor.
So, what’s the actual difference between the first regimen and this new one? And is it even a good idea to switch doctors and medications after just a month of bad results? I mean, does it usually take way longer for these drugs to actually kick in?
Thanks in advance for the help!

The reason you're being directed to Effexor is because that’s the generic name for this medication. It belongs to the class of selective serotonin reuptake inhibitors (ICD), just like Zoloft.
It's actually quite common to "trial" different antidepressants until you find the right fit. As for when you'll feel the full effects, it really varies from person to person—in my own case, I didn't start feeling better until about two months in.

As for the psychiatrist, it's hard to judge if they're the right fit immediately.
My advice would be to stick with the current doctor for a little while longer, at least until you can see whether the treatment starts working.
Brandon Newman95 Brandon Newman95 Active Member
245 messages
joined Jun 2024
#757 ·
granitefalcon26 said:Look, you know as well as I do that big pharma companies run studies to suit their own interests.
There was a time when the New England Journal of Medicine published a study claiming that unknown (a diabetes med) was risky for people with cardiovascular issues.
Honestly, that sounds like total nonsense to me. Most diabetic patients already have damaged blood vessels, so a huge chunk of them are heart patients anyway. Even the FDA, which is incredibly strict, didn't ban the drug.
In my actual experience, I've never seen a single death caused by using that medication.
Studies are one thing, but real-world practice is something else entirely.
Medicine isn't math. Just because citalon works just as well as cipralex for you doesn't mean it'll be the same for me.

Are you actually a psychologist or a psychiatrist or something?
Michelle Moore Michelle Moore Newcomer
1 message
joined Aug 2009
#758 ·
crimsonhound80 said:There’s also that other route—just don't take the meds at all 🙂

Look, these drugs aren't nearly as terrifying as you've made them out to be in your head. There really isn't any reason to be scared.

I mean, honestly, I know plenty of people who have been on multiple psychotropic medications their entire lives and still live to be ninety.

I personally know quite a few of them.

Maybe you should look into psychoanalysis or some actual psychotherapy, though—but here in the US, you won't find much of that through the public system unless you're actually hospitalized; otherwise, you're looking at private practice.

As for the medication, you just keep taking it for as long as your psychiatrist tells you to. You stop when they say you're ready to stop.

...since the doctor apparently "knows everything," I guess that means forever too...

P.S. Shoutout to all the REAL and RESPONSIBLE doctors who actually put their patients first. 🙏🙏🙏
Amanda Stewart7 Amanda Stewart7 Active Member
70 messages
joined Sep 2008
#759 ·
Sandra Nguyen3 said:So my neighbor—she’s a doctor—had some guy prescribe her Tramadol, but then another MD caught on because she was acting so sluggish. When she spilled what she was taking, he basically lost it—like, "Who even gave you this? Why?" Apparently, Tramadol is such a heavy hitter it's practically a narcotic, and the addiction potential is massive. They hand it out to patients who are already fading away just so they don't suffer quite as much while they're dying. Sort of like morphine, I guess.

Here's a little breakdown of the side effects:

Among the antidepressants, note that Trazodone (Desyrel) causes severe drowsiness that Paxil (Deroxat, Paxil) and mirtazapine (Remeron) are known to promote the kilos that venlafaxine (Effexor) causes nausea and sertraline (Zoloft) frequently causes diarrhea.

http://desyrel.instablogs.com/entry/md-talks/

Trazodone (Desyrel) hits you with intense drowsiness, while Paxil (Deroxat, Paxil) and mirtazapine (Remeron) make you pack on the weight; venlafaxine (Effexor) triggers nausea, and sertraline (Zoloft) is famous for causing diarrhea. Hm... SERTRALIN... honestly, the name fits perfectly. You almost don't even need to be sick if you're taking stuff like this—the meds alone make you feel unwell. So what kind of misery must you be dealing with for these things to seem like the "lesser evil"??!

And then there's the impact on your sex life. I saw someone posting on Lumber Liquidators saying Desyrel and Paxil don't affect anything, which is total nonsense. Generally, SSRIs—selective serotonin reuptake inhibitors—tank your libido. But for some women, Trazodone (Desyrel) does the exact opposite—it can trigger PSAS - persistent sexual arousal syndrome, which people joke about, but it means even a tiny vibration—say, from a subway train or a vacuum cleaner—can trigger an orgasm. Some women report having 200 orgasms a day. Trust me, that's not exactly a dream scenario.😍 For guys, Desyrel can cause priapism—which sounds great, like a permanent version of Viagra, but the issue is the body isn't built to stay like that indefinitely; it starts hurting after a few hours and you end up needing surgery.

Not to even get started on antipsychotics that wreck your liver so you drop dead before 60, or the ones that make you gain so much weight you're basically waddling around like a 330-pound human keg. That's a classic. Anyway, it's all great for you—definitely better than being in a psychotic break and bothering everyone around you. Just remember lobotomies and electroshock therapy—this is way more "humane," right?😁😁😁😉

Tramal is about as strong as any painkiller you can get your hands on here.
It doesn't matter if someone claims it's milder or meant for chronic stuff; it’s mostly used for acute pain, like helping people through physical withdrawal.
One woman had it prescribed after she broke a rib. The surgeon treating her actually made a huge scene over it.
And honestly? He was right. A standard ibuprofen or even Advil would have been more than enough.
Plus, it’s true that Tramal—or tramadol—can hook you really fast. It shouldn't be treated as a first-line option.
wiredharbor18 wiredharbor18 Member
31 messages
joined Jul 2009
#760 ·
Here is the link regarding opioids and Tramal
The material comes from the National Institutes of Health

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