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Psychotropic medication discussion thread

Started by Robin Myers91 · · 👁 515 views · 10K replies

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Participants Robin Myers91Eric Wood7Maria Gomez6crimsonhound80Tyler Ortiz6dustyscout41Andrew Stewart2George Ramos64Morgan Long49Jason Sanchez3briskgull27Charles Edwards8Brenda Allen2hollowtinker8bluecyclist28electricorca13David Kern14Ashley Morganwanderingscout13Sam Hall15coppergardenerCarl Thompson4Mark Stewartanalognomad762 …
fadedbear92 fadedbear92 Veteran
1.1K messages
joined Dec 2008
#3081 ·
Kenneth Scott41 said:I was actually reading something today about this kid over in the USA who was primarily on Prozac... he ended up killing a girl and then just calmly went to Mass with a smile on his face.
There always seems to be some connection made between Prozac and those manic types committing murders across America... and I guess this isn't even the first time it's happened. But honestly, what I really need is an antidepressant that won't absolutely wreck my libido.😁

You know as well as I do that these meds hit everyone differently—though I've heard people mention that Wellbutrin can actually help boost libido...🤷
Kenneth Scott41 Kenneth Scott41 Regular
457 messages
joined May 2009
#3082 ·
I suppose I’m heading straight over to Target right now!😁😁
hollowviper40 hollowviper40 Member
29 messages
joined Jan 2012
#3083 ·
Kenneth Scott41 said:I suppose I’m heading straight over to Target right now!😁😁

There’s also Viagra, Cialis, Levitra, and so on—but I’m honestly not sure which ones can be safely mixed with these types of antidepressants...

I have two specific questions here, so I'm hoping someone with more expertise or actual experience than I have can weigh in. First, why is it a confirmed fact that antidepressants like Paxil, Prozac, and Effexor lose their effectiveness after a year or two of regular use? Second, is Tylenol still actually prescribed for treating depression, and what is its mechanism of action—basically, what class of antidepressant does it fall under?
Kenneth Scott41 Kenneth Scott41 Regular
457 messages
joined May 2009
#3084 ·
hollowviper40 said:There’s also Viagra, Cialis, Levitra, and so on—but I’m honestly not sure which ones can be safely mixed with these types of antidepressants...

I have two specific questions here, so I'm hoping someone with more expertise or actual experience than I have can weigh in. First, why is it a confirmed fact that antidepressants like Paxil, Prozac, and Effexor lose their effectiveness after a year or two of regular use? Second, is Tylenol still actually prescribed for treating depression, and what is its mechanism of action—basically, what class of antidepressant does it fall under?


My psychologist told me that Effexor is actually still working for me; otherwise, I guess I wouldn't be in this state, or I'd probably be in a much worse place right now.
I'm just not quite sure how to handle this... I mean, what am I supposed to tell her? If she tries to switch me over to some terrible new medication that doesn't sit right with my system, I think I might just stick to telling her that the Effexor is doing fine.
fadedbear92 fadedbear92 Veteran
1.1K messages
joined Dec 2008
#3085 ·
hollowviper40 said:There’s also Viagra, Cialis, Levitra, and so on—but I’m honestly not sure which ones can be safely mixed with these types of antidepressants...

I have two specific questions here, so I'm hoping someone with more expertise or actual experience than I have can weigh in. First, why is it a confirmed fact that antidepressants like Paxil, Prozac, and Effexor lose their effectiveness after a year or two of regular use? Second, is Tylenol still actually prescribed for treating depression, and what is its mechanism of action—basically, what class of antidepressant does it fall under?


It falls under the "other" category of antidepressants:

http://biopsychiatry.com/trazodone.htm

http://medlineplus.gov/trazodone.html

I saw on an American medical forum that it's marketed under this name over in Europe:

http://www.eipico.com.eg/product.asp?id1=13&id2=4&id4=1
hollowviper40 hollowviper40 Member
29 messages
joined Jan 2012
#3086 ·
Kenneth Scott41 said:My psychologist told me that Effexor is actually still working for me; otherwise, I guess I wouldn't be in this state, or I'd probably be in a much worse place right now.
I'm just not quite sure how to handle this... I mean, what am I supposed to tell her? If she tries to switch me over to some terrible new medication that doesn't sit right with my system, I think I might just stick to telling her that the Effexor is doing fine.

They’re still working, just with less intensity—if you ask me. And look, I get why you're hesitant to switch entirely—for crying out loud, finding that perfect antidepressant is like searching for a needle in a haystack. Every time you start something new, it's a long, drawn-out process with zero guarantee of a positive outcome. Just to give you some perspective—and I'm not trying to rain on your parade here—Velasquez was an absolute disaster for my libido. It would drive me to the brink of finishing, only to kill my drive right at the moment I needed that final push. If I were some kind of superhero in every other aspect of my life while on Velasquez, maybe I could stomach it, but I'm nowhere near that. That alone would be enough to make me loathe the stuff. People can talk all they want, acting all scientific, charming, and incredibly persuasive, but if you're a man who's been turned into a coward, you'll realize the truth pretty damn fast...
Kenneth Scott41 Kenneth Scott41 Regular
457 messages
joined May 2009
#3087 ·
hollowviper40 said:They’re still working, just with less intensity—if you ask me. And look, I get why you're hesitant to switch entirely—for crying out loud, finding that perfect antidepressant is like searching for a needle in a haystack. Every time you start something new, it's a long, drawn-out process with zero guarantee of a positive outcome. Just to give you some perspective—and I'm not trying to rain on your parade here—Velasquez was an absolute disaster for my libido. It would drive me to the brink of finishing, only to kill my drive right at the moment I needed that final push. If I were some kind of superhero in every other aspect of my life while on Velasquez, maybe I could stomach it, but I'm nowhere near that. That alone would be enough to make me loathe the stuff. People can talk all they want, acting all scientific, charming, and incredibly persuasive, but if you're a man who's been turned into a coward, you'll realize the truth pretty damn fast...


You’ve hit the nail right on the head. I’ve cycled through several different medications that just didn't work for me, eventually landing on Velafaks which is probably my best option, yet even then, like you mentioned, things often struggle to stay up long enough to actually get the job done. Personally, I really don't have the energy to go through the trial-and-error phase again trying to find a perfect match—no way. But then again, I can't just keep living like this when it comes to my sex life either... I think I'm going to have to be very blunt about this situation when I talk to my therapist.
urbanskipper4 urbanskipper4 Active Member
144 messages
joined Apr 2011
#3088 ·
Kenneth Scott41 said:I was actually reading something today about this kid over in the USA who was primarily on Prozac... he ended up killing a girl and then just calmly went to Mass with a smile on his face.
There always seems to be some connection made between Prozac and those manic types committing murders across America... and I guess this isn't even the first time it's happened. But honestly, what I really need is an antidepressant that won't absolutely wreck my libido.😁

There’s something seriously off about Prozac. I swear, I felt the absolute worst side effects imaginable.
If I’d stayed on it, I probably would’ve picked fights with everyone until nobody wanted to be seen with me—hell, I might have even hit someone.
I would’ve snapped at people just because they had a different opinion than mine, or just because they were getting on my nerves for no reason at all that day.
I really think Prozac can turn some people into straight-up savages.
Larry Lewis Larry Lewis Regular
819 messages
joined Dec 2010
#3089 ·
I just couldn't reach an orgasm while I was on Prozac—not to mention that whole feeling of being completely emotionally numb, like I was watching my own life through a thick pane of glass.
hollowviper40 hollowviper40 Member
29 messages
joined Jan 2012
#3090 ·
urbanskipper4 said:There’s something seriously off about Prozac. I swear, I felt the absolute worst side effects imaginable.
If I’d stayed on it, I probably would’ve picked fights with everyone until nobody wanted to be seen with me—hell, I might have even hit someone.
I would’ve snapped at people just because they had a different opinion than mine, or just because they were getting on my nerves for no reason at all that day.
I really think Prozac can turn some people into straight-up savages.

I believe Prozac can act that way for certain patients—though let's face it, we're all essentially patients, even when we aren't taking Prozac and complaining to our doctors. As that Irish genius George Bernard Shaw once put it, "the whole world is one big hospital," and if one of the "hospitalized" thinks they might feel better somewhere else—say, the French Riviera, the Caribbean, or New Zealand—it's really no different than asking for a hospital bed closer to or further from a window; nothing actually changes—the sickness is inside them, eating away at the system regardless. When I switched from Paxil to Prozac back in the day, I was incredibly irritable and combative for nearly two weeks. Someone with less self-control, especially if they're still young and immature, could potentially commit a decent little massacre in their immediate surroundings during that window—though I didn't go anywhere near that extreme. After about fifteen days, Prozac became my favorite antidepressant to date, and I still hold a soft spot for it even though its effectiveness has significantly waned (and reading others, it seems many have similar experiences with various antidepressants after prolonged use, though none of us truly know why...). So, in a layman's attempt at speculation, I'm drawing a parallel between psychotropic drugs and psychoactive drugs—not that the scale of drama is comparable:
when someone starts experimenting with heroin, after that first sniff of an almost negligible amount of powder sends them to seventh heaven, later on, once they're properly hooked, just that hit becomes like half a shot of bitters for a gourmet grandson, which he takes just to stave off the bloating after overindulging on beans.
Kenneth Scott41 Kenneth Scott41 Regular
457 messages
joined May 2009
#3091 ·
hollowviper40 said:I believe Prozac can act that way for certain patients—though let's face it, we're all essentially patients, even when we aren't taking Prozac and complaining to our doctors. As that Irish genius George Bernard Shaw once put it, "the whole world is one big hospital," and if one of the "hospitalized" thinks they might feel better somewhere else—say, the French Riviera, the Caribbean, or New Zealand—it's really no different than asking for a hospital bed closer to or further from a window; nothing actually changes—the sickness is inside them, eating away at the system regardless. When I switched from Paxil to Prozac back in the day, I was incredibly irritable and combative for nearly two weeks. Someone with less self-control, especially if they're still young and immature, could potentially commit a decent little massacre in their immediate surroundings during that window—though I didn't go anywhere near that extreme. After about fifteen days, Prozac became my favorite antidepressant to date, and I still hold a soft spot for it even though its effectiveness has significantly waned (and reading others, it seems many have similar experiences with various antidepressants after prolonged use, though none of us truly know why...). So, in a layman's attempt at speculation, I'm drawing a parallel between psychotropic drugs and psychoactive drugs—not that the scale of drama is comparable:
when someone starts experimenting with heroin, after that first sniff of an almost negligible amount of powder sends them to seventh heaven, later on, once they're properly hooked, just that hit becomes like half a shot of bitters for a gourmet grandson, which he takes just to stave off the bloating after overindulging on beans.


That last part is a good example, that idea of it being "just one"...

I've been there. Holla!😉
rustymoose13 rustymoose13 Newcomer
5 messages
joined Feb 2012
#3092 ·
I could really use some advice here.
I’m currently on day seven of taking Lexapro. After dealing with those initial side effects—mostly nausea, dizziness, and anxiety—I’ve actually started to feel some mental improvements. My anxiety and depression, which were the whole reason I was prescribed an antidepressant in the first place, seem to be lifting. However, it feels like the Lexapro is giving me a bit too much energy; normally, I’d be asleep by 11:00 PM, but now, even after getting up at 6:30 AM, I find myself taking Misar 0.5 around midnight just to try to wind down. Even then, I don't feel tired until about 2:00 AM. Has anyone else dealt with this? Is this just a temporary side effect that will eventually settle down once my sleep routine returns to normal (which for me is usually about 6 to 7 hours a night)?
fadedbear92 fadedbear92 Veteran
1.1K messages
joined Dec 2008
#3093 ·
rustymoose13 said:I could really use some advice here.
I’m currently on day seven of taking Lexapro. After dealing with those initial side effects—mostly nausea, dizziness, and anxiety—I’ve actually started to feel some mental improvements. My anxiety and depression, which were the whole reason I was prescribed an antidepressant in the first place, seem to be lifting. However, it feels like the Lexapro is giving me a bit too much energy; normally, I’d be asleep by 11:00 PM, but now, even after getting up at 6:30 AM, I find myself taking Misar 0.5 around midnight just to try to wind down. Even then, I don't feel tired until about 2:00 AM. Has anyone else dealt with this? Is this just a temporary side effect that will eventually settle down once my sleep routine returns to normal (which for me is usually about 6 to 7 hours a night)?

Well, why not just run all of this by the doctor who prescribed it? They might need to tweak your dosage or maybe suggest something more effective to help you sleep...
rustymoose13 rustymoose13 Newcomer
5 messages
joined Feb 2012
#3094 ·
I don't have an appointment for another two weeks, and getting a slot around here is a total nightmare. Besides, you can't just settle stuff like this over the phone—not in this country. That's why I wanted to reach out and see if anyone else has dealt with something similar.
hollowviper40 hollowviper40 Member
29 messages
joined Jan 2012
#3095 ·
rustymoose13 said:I could really use some advice here.
I’m currently on day seven of taking Lexapro. After dealing with those initial side effects—mostly nausea, dizziness, and anxiety—I’ve actually started to feel some mental improvements. My anxiety and depression, which were the whole reason I was prescribed an antidepressant in the first place, seem to be lifting. However, it feels like the Lexapro is giving me a bit too much energy; normally, I’d be asleep by 11:00 PM, but now, even after getting up at 6:30 AM, I find myself taking Misar 0.5 around midnight just to try to wind down. Even then, I don't feel tired until about 2:00 AM. Has anyone else dealt with this? Is this just a temporary side effect that will eventually settle down once my sleep routine returns to normal (which for me is usually about 6 to 7 hours a night)?

I’ve heard from two different people that Lexapro is a total miracle drug—and, as ridiculous as it sounds, I actually regret never having tried it myself. I know a high-level executive who swears he wouldn't even be able to drag himself out of bed for his daily obligations without it. The sheer amount of work he manages to crush during the day is honestly unimaginable for the average person. That said, seven days of adjusting to an AT&T is far too short a window to draw any real conclusions. For instance, when I was first starting Effexor, I barely slept at all for those first seven days. Fast forward to a week later, and I was sleeping like a log both day and night. Honestly, I’d recommend Effexor to any aspiring extras in a future zombie movie—those things are always being filmed in the States eventually, given how "in" they are lately. With that kind of help (which, obviously, stays between us), a lowly extra could eventually catch the eye of someone like Angelina Jolie and find dizzying success in Hollywood. Furthermore, Effexor might serve a purpose you didn't initially plan for: drastic weight loss. If you're looking to drop some pounds, it makes everything taste the same or kills your appetite entirely, so instead of hitting those high-calorie meals you usually can't resist, you can just munch on celery from dawn to dusk until you hit your ideal physique.
I love antidepressants! Every single one of them, regardless of type—even Effexor, despite the fact that I’m not morbidly obese and have zero acting ambitions. It’s simply because any one of them will truly surprise you in countless ways. And isn't that why we're so enamored with life in the first place? Because Life itself is wonderfully unpredictable—a quality perfectly captured by our good old antidepressants.
fadedbear92 fadedbear92 Veteran
1.1K messages
joined Dec 2008
#3096 ·
rustymoose13 said:I don't have an appointment for another two weeks, and getting a slot around here is a total nightmare. Besides, you can't just settle stuff like this over the phone—not in this country. That's why I wanted to reach out and see if anyone else has dealt with something similar.

It’s honestly terrifying that you can't even get a hold of your psychiatrist—the one person who should be monitoring how you're reacting to your meds—in the first place. It really highlights that massive gap between private practice doctors and those working in the public county hospital systems... I don't even know how to fix this mess, whether it's hiring more psychiatrists to actually provide decent care or something else, because right now it feels like pure chaos—borderline malpractice, really... just leaving a patient stuck with heavy medication and hoping they survive until their scheduled appointment date...
I'm hoping someone might chime in with their experiences using Cipralex, though you have to remember that Adderall or any similar med hits everyone differently... but maybe you'll find someone who matches your experience... good luck!!!
hollowviper40 hollowviper40 Member
29 messages
joined Jan 2012
#3097 ·
fadedbear92 said:It’s honestly terrifying that you can't even get a hold of your psychiatrist—the one person who should be monitoring how you're reacting to your meds—in the first place. It really highlights that massive gap between private practice doctors and those working in the public county hospital systems... I don't even know how to fix this mess, whether it's hiring more psychiatrists to actually provide decent care or something else, because right now it feels like pure chaos—borderline malpractice, really... just leaving a patient stuck with heavy medication and hoping they survive until their scheduled appointment date...
I'm hoping someone might chime in with their experiences using Cipralex, though you have to remember that Adderall or any similar med hits everyone differently... but maybe you'll find someone who matches your experience... good luck!!!

I don't expect anything dramatic to happen before his scheduled check-up, and there's a solid chance the Lexapro will start working for the better. In the beginning—and a week of usage is basically the absolute starting line—you just have to be patient with the chemistry that causes a sort of mental fog. This is how I visualize it: inside him (his brain, specifically), under the influence of these new external chemical compounds, a certain murk forms—something very similar to the silt stirred up in the shallow waters off the coast of Florida during a sudden hurricane surge, where the sediment from the bottom rises to the surface trying to find air in water saturated with sand, and then skilled fishermen have to pull it out tons at a time. It takes some time (usually about fifteen days) for that murk to settle, for the water to clear (the brain digests what it had to deal with), and for those sediments that weren't "caught" to finally catch a breath of fresh air (at which point the brain functions clearly—often more clearly than before, having been illuminated from the darkness of depression). As we can see, for every phenomenon related to antidepressants, we can find an appropriate illustration and equivalent in the everyday world of flora and fauna—which, for us chemistry enthusiasts, makes everything logically and naturally explainable through biology. So, no need to panic. As a long-term, experienced patient who has been subjected to countless chemical strikes to the brain—where the sediment has risen to the surface dozens of times—I can tell my dear colleague that this famous murk is an inevitable and entirely passing phenomenon...
fadedbear92 fadedbear92 Veteran
1.1K messages
joined Dec 2008
#3098 ·
I didn't actually expect anything dramatic to happen—it just got me thinking about the general state of mental health in our workforce... I honestly don't know when (maybe in another 100 years?) society will finally realize how vital a healthy psyche is, or even just a treated one. It always seems to get pushed to the sidelines. We live in this "instant, fast-paced, faster-than-ever" kind of society where if you aren't mentally sound, you're basically discarded because you aren't "useful" or efficient enough. Only the human machines seem to survive here... though, okay, maybe I’m getting a bit too deep into this... and I suppose that's the tone of the novel, too.
"...Writing about the heatwave in the summer of 2003, when 10,000 elderly people died in France, Michel Houellebecq suggests that this mass death—leaving seniors to perish without family support or medical care—was actually an indicator of how highly developed French society had become. He argues that youth is a fetish, while the elderly are viewed merely as economic and aesthetic burdens. The plot revolves around a religious sect promising eternal life by collecting DNA from its members to be stored for future cloning..." *The Possibility of an Island* / Michel Houellebecq... anyway, I'm totally going off-topic...😁
Kenneth Scott41 Kenneth Scott41 Regular
457 messages
joined May 2009
#3099 ·
It’s honestly absurd, but I’m looking at a month-long wait just to get an appointment here.
Last week, I finally made it in, and the nurse actually had the nerve to ask if I wanted to squeeze into a slot on March 12th... as if that's soon enough??
I was so stunned I couldn't even argue; I just gave a weary little smile and told her, "This isn't right," but she just stared back at me with this incredibly strange expression. 🙂
Jeffrey Ramos4 Jeffrey Ramos4 Active Member
188 messages
joined Nov 2008
#3100 ·
Kenneth Scott41 said:It’s honestly absurd, but I’m looking at a month-long wait just to get an appointment here.
Last week, I finally made it in, and the nurse actually had the nerve to ask if I wanted to squeeze into a slot on March 12th... as if that's soon enough??
I was so stunned I couldn't even argue; I just gave a weary little smile and told her, "This isn't right," but she just stared back at me with this incredibly strange expression. 🙂

If we’re talking about major, serious side effects, she doesn't have the right to turn you away. I really have no idea what kind of psychiatrist she is. My doctor is constantly booked up with appointments and consultations too... but if someone has an actual emergency, there shouldn't be any waiting.

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