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Psychotropic medication discussion thread

Started by Robin Myers91 · · 👁 522 views · 10K replies

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Participants Robin Myers91Eric Wood7Maria Gomez6crimsonhound80Tyler Ortiz6dustyscout41Andrew Stewart2George Ramos64Morgan Long49Jason Sanchez3briskgull27Charles Edwards8Brenda Allen2hollowtinker8bluecyclist28electricorca13David Kern14Ashley Morganwanderingscout13Sam Hall15coppergardenerCarl Thompson4Mark Stewartanalognomad762 …
driftinggull21 driftinggull21 Active Member
247 messages
joined Mar 2010
#3101 ·
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)?

You have only been on Lexapro for seven days and you are already feeling improvements; therefore, the medication is performing its intended function. When introducing any new medication, a minimum of 14 days of adaptation is required. It is logical that your follow-up appointment is scheduled for 21 days after starting. You must endure this period, as your sleep may regulate itself; if it does not, your dosage will be adjusted or a nighttime supplement will be added. There is no reason to panic.😉
rustymoose13 rustymoose13 Newcomer
5 messages
joined Feb 2012
#3102 ·
Thanks to everyone for all the comments. I’m feeling better and better with each passing day, so I’m hopeful that by the time my follow-up appointment rolls around, things will have significantly improved.
urbanskipper4 urbanskipper4 Active Member
144 messages
joined Apr 2011
#3103 ·
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.


I was on Prozac for just over two months and man, it was way too much...
If I had stayed on it, I would've demolished my house from the roof down to the basement. Maybe I would've gone underground too. The only question is if you could even call it a house anymore.
I was walking along the road at a hundred miles an hour just trying to vent, but even that didn't help.
I felt cold constantly, and my skin was itching so unbearable I wanted to lose my mind.
Total damn hypomania. I'm usually quiet, but I was being way too loud. I was laughing out loud so much that half the theater was staring at me wondering what was wrong.

Some people have committed suicide while on Prozac. And some have killed others.

I was both aggressive and self-destructive; I was mutilating myself, picking at scabs and tearing my skin until it bled... which left craters and scars all over.
Anyway, my psychiatrist switched my meds.

Whew, then I finally got some relief from the Seroquel.
I became normal.
Well, as normal as I can be with my annoying OCD.

And look, we all know that one size doesn't fit all when it comes to meds. Something works for you, something doesn't.
hollowviper40 hollowviper40 Member
29 messages
joined Jan 2012
#3104 ·
urbanskipper4 said:I was on Prozac for just over two months and man, it was way too much...
If I had stayed on it, I would've demolished my house from the roof down to the basement. Maybe I would've gone underground too. The only question is if you could even call it a house anymore.
I was walking along the road at a hundred miles an hour just trying to vent, but even that didn't help.
I felt cold constantly, and my skin was itching so unbearable I wanted to lose my mind.
Total damn hypomania. I'm usually quiet, but I was being way too loud. I was laughing out loud so much that half the theater was staring at me wondering what was wrong.

Some people have committed suicide while on Prozac. And some have killed others.

I was both aggressive and self-destructive; I was mutilating myself, picking at scabs and tearing my skin until it bled... which left craters and scars all over.
Anyway, my psychiatrist switched my meds.

Whew, then I finally got some relief from the Seroquel.
I became normal.
Well, as normal as I can be with my annoying OCD.

And look, we all know that one size doesn't fit all when it comes to meds. Something works for you, something doesn't.

The itching, the itching... It’s unbearable!
p.s.
Not on Paxil anymore. Between that and having scabies, it was a nightmare.
btw., I believe Prozac can wreck someone just like it did me—much like how Effexor, which everyone raves about, turned me into a total wax figure. I’d even go so far as to say it tanked my libido... But I have one quick question since you went through such drama with Prozac: what was your dosage, and what were you taking it with?
Chris Cruz8 Chris Cruz8 Member
21 messages
joined Feb 2012
#3105 ·
Honestly, I’m feeling zero effects from Prozac. I can't tell if it's actually doing nothing or if I'm just imagining things, but compared to how Effexor kicked in for me? It's a total zero.
I mean, it probably does *something*; I was on 60 mg for months and now I've dropped to 40 mg once a day at night, mostly because I have to take my thyroid meds in the morning.
I remember everyone telling me when I switched to Prozac that I just had to be patient—that it takes weeks or even months to kick in and that it's a great drug. And yeah, it felt like it took an eternity before I noticed even minor improvements, but let me reiterate: you cannot compare this to Effexor in your wildest dreams!
I see some of you mentioned having nasty side effects from Prozac; personally, I haven't dealt with any of that. My sleep is fine (knock on wood 🤣), my sex life is normal, my appetite is steady—I actually lost some weight thanks to some natural supplements 😍—and I don't get massive panic attacks, fear, or depression. Just a little bit... though I guess I was kind of like this even before the pills. Sometimes I feel depressed, but I know how to live with it.
Still, I know if I quit antidepressants—and I've tried that once before—I'll end up losing my mind. Until someone comes up with a miracle drug, I guess I'm stuck dutifully popping this stupid Prozac. 😢
hollowviper40 hollowviper40 Member
29 messages
joined Jan 2012
#3106 ·
Chris Cruz8 said:Honestly, I’m feeling zero effects from Prozac. I can't tell if it's actually doing nothing or if I'm just imagining things, but compared to how Effexor kicked in for me? It's a total zero.
I mean, it probably does *something*; I was on 60 mg for months and now I've dropped to 40 mg once a day at night, mostly because I have to take my thyroid meds in the morning.
I remember everyone telling me when I switched to Prozac that I just had to be patient—that it takes weeks or even months to kick in and that it's a great drug. And yeah, it felt like it took an eternity before I noticed even minor improvements, but let me reiterate: you cannot compare this to Effexor in your wildest dreams!
I see some of you mentioned having nasty side effects from Prozac; personally, I haven't dealt with any of that. My sleep is fine (knock on wood 🤣), my sex life is normal, my appetite is steady—I actually lost some weight thanks to some natural supplements 😍—and I don't get massive panic attacks, fear, or depression. Just a little bit... though I guess I was kind of like this even before the pills. Sometimes I feel depressed, but I know how to live with it.
Still, I know if I quit antidepressants—and I've tried that once before—I'll end up losing my mind. Until someone comes up with a miracle drug, I guess I'm stuck dutifully popping this stupid Prozac. 😢

What specific Prozac are you taking? I’m using the 20mg dispersible ones, and I didn't see anything in the manual about higher dosage tablets existing above 20mg. Are you just taking two 20mg tablets a day? Or were you actually taking three of them back when your daily dose was 60mg?
Donna Torres5 Donna Torres5 Member
36 messages
joined Oct 2011
#3107 ·
Hi everyone! I see a lot of discussions here about how psychotropic medications affect you, so I thought I’d share my own struggle.
I’ve been on Faverin since last July, and it has completely wiped out my sex drive. There can be entire months where I feel absolutely zero desire. I’m married, so naturally, my husband isn't exactly thrilled about this situation.
The thing is, I have to stay on the Faverin; stopping the medication isn't an option for me right now. But what am I supposed to do about my libido? How do you all manage these kinds of side effects?
Kenneth Scott41 Kenneth Scott41 Regular
457 messages
joined May 2009
#3108 ·
hollowviper40 said:The itching, the itching... It’s unbearable!
p.s.
Not on Paxil anymore. Between that and having scabies, it was a nightmare.
btw., I believe Prozac can wreck someone just like it did me—much like how Effexor, which everyone raves about, turned me into a total wax figure. I’d even go so far as to say it tanked my libido... But I have one quick question since you went through such drama with Prozac: what was your dosage, and what were you taking it with?


You mentioned that Effexor turned you into a wax figure? What exactly do you mean by that? How long have you been on it? And regarding the thing about the shrinkage... I can honestly say the same for myself, so I completely get where you're coming from. It's a total disaster. I wonder, though, is there an alternative to Effexor that doesn't come with those kinds of side effects?
Jerry Foster3 Jerry Foster3 Newcomer
1 message
joined Feb 2012
#3109 ·
Chris Cruz8 said:Honestly, I’m feeling zero effects from Prozac. I can't tell if it's actually doing nothing or if I'm just imagining things, but compared to how Effexor kicked in for me? It's a total zero.
I mean, it probably does *something*; I was on 60 mg for months and now I've dropped to 40 mg once a day at night, mostly because I have to take my thyroid meds in the morning.
I remember everyone telling me when I switched to Prozac that I just had to be patient—that it takes weeks or even months to kick in and that it's a great drug. And yeah, it felt like it took an eternity before I noticed even minor improvements, but let me reiterate: you cannot compare this to Effexor in your wildest dreams!
I see some of you mentioned having nasty side effects from Prozac; personally, I haven't dealt with any of that. My sleep is fine (knock on wood 🤣), my sex life is normal, my appetite is steady—I actually lost some weight thanks to some natural supplements 😍—and I don't get massive panic attacks, fear, or depression. Just a little bit... though I guess I was kind of like this even before the pills. Sometimes I feel depressed, but I know how to live with it.
Still, I know if I quit antidepressants—and I've tried that once before—I'll end up losing my mind. Until someone comes up with a miracle drug, I guess I'm stuck dutifully popping this stupid Prozac. 😢

You were taking 60 mg of Prozac for months?!??!?!!!???
Please—for the love of everything holy—don't go posting nonsense like that online. You might actually convince some poor soul to start popping that much medication just because they read it somewhere on a random thread.
Chris Cruz8 Chris Cruz8 Member
21 messages
joined Feb 2012
#3110 ·
Jerry Foster3 said:You were taking 60 mg of Prozac for months?!??!?!!!???
Please—for the love of everything holy—don't go posting nonsense like that online. You might actually convince some poor soul to start popping that much medication just because they read it somewhere on a random thread.

What do you mean "nonsense"? I don't get it; if you're confused, just ask nicely, okay? What am I supposed to know about what I did or how much I took?
Thank God I'm not actually crazy.
Chris Cruz8 Chris Cruz8 Member
21 messages
joined Feb 2012
#3111 ·
hollowviper40 said:What specific Prozac are you taking? I’m using the 20mg dispersible ones, and I didn't see anything in the manual about higher dosage tablets existing above 20mg. Are you just taking two 20mg tablets a day? Or were you actually taking three of them back when your daily dose was 60mg?

Give me a break... Since they don't make a higher dose than 20mg, I just followed the instructions at first and took one tablet for a few weeks. Then after a while, I moved up to 40mg—two tablets—then three...
Honestly, I think I’ll just stick to one tablet for a while; two or three doesn't really do much for me.
On the flip side, those three little tablets (60mg of Prozac) literally saved an acquaintance of mine. If only we all knew... we definitely don't all react to these drugs the same way.
hollowviper40 hollowviper40 Member
29 messages
joined Jan 2012
#3112 ·
Chris Cruz8 said:Give me a break... Since they don't make a higher dose than 20mg, I just followed the instructions at first and took one tablet for a few weeks. Then after a while, I moved up to 40mg—two tablets—then three...
Honestly, I think I’ll just stick to one tablet for a while; two or three doesn't really do much for me.
On the flip side, those three little tablets (60mg of Prozac) literally saved an acquaintance of mine. If only we all knew... we definitely don't all react to these drugs the same way.

The reason I'm asking is because I'll be in a bind if I actually need more than one 20 mg tablet per day. Not to mention they're pricey—even with insurance, you're looking at nearly $10 a pop, and since the bottle only holds 14 pills, you'll run out in less than two weeks. It means constantly running back to the pharmacy counter and begging for refills. The system here is a total mess—and nothing from Mooreov's documentary "Sick" offers any comfort; it tries to suggest things are even worse in the developed West. They aren't! In places like Romania, Albania, Russia, or maybe Mexico, things are actually much worse—we just don't have a Moore to package it all up nicely and make it look cinematic. If we did, then we might finally see what's truly more sick...
urbanskipper4 urbanskipper4 Active Member
144 messages
joined Apr 2011
#3113 ·
hollowviper40 said:The itching, the itching... It’s unbearable!
p.s.
Not on Paxil anymore. Between that and having scabies, it was a nightmare.
btw., I believe Prozac can wreck someone just like it did me—much like how Effexor, which everyone raves about, turned me into a total wax figure. I’d even go so far as to say it tanked my libido... But I have one quick question since you went through such drama with Prozac: what was your dosage, and what were you taking it with?

If I remember right, it was 20 mg, three times a day. And I was definitely on Xanax too, 0.25 mg three times a day.😛
hollowviper40 hollowviper40 Member
29 messages
joined Jan 2012
#3114 ·
urbanskipper4 said:If I remember right, it was 20 mg, three times a day. And I was definitely on Xanax too, 0.25 mg three times a day.😛

That looks like a hell of a lot of pills.
On a side note, moving away from the Prozac talk and everything we’ve been discussing—whenever I spend too much time scrolling through this thread, I can't help but picture my friend's living room. He had this grandmother of his, well over 90 years old, basically a living mummy who just sat in the corner of the couch staring at the TV all day. If he tried to nudge her or even just acted out because he was being an idiot, she wouldn't even blink. She’d just stare him down with this cold, totally uninterested look and hit him with a single word: "Damn."
fadedbear92 fadedbear92 Veteran
1.1K messages
joined Dec 2008
#3115 ·
hollowviper40 said:That looks like a hell of a lot of pills.
On a side note, moving away from the Prozac talk and everything we’ve been discussing—whenever I spend too much time scrolling through this thread, I can't help but picture my friend's living room. He had this grandmother of his, well over 90 years old, basically a living mummy who just sat in the corner of the couch staring at the TV all day. If he tried to nudge her or even just acted out because he was being an idiot, she wouldn't even blink. She’d just stare him down with this cold, totally uninterested look and hit him with a single word: "Damn."

one very perceptive old lady, I must say...😂
Timothy Wood38 Timothy Wood38 Active Member
197 messages
joined Feb 2011
#3116 ·
hollowviper40 said:The reason I'm asking is because I'll be in a bind if I actually need more than one 20 mg tablet per day. Not to mention they're pricey—even with insurance, you're looking at nearly $10 a pop, and since the bottle only holds 14 pills, you'll run out in less than two weeks. It means constantly running back to the pharmacy counter and begging for refills. The system here is a total mess—and nothing from Mooreov's documentary "Sick" offers any comfort; it tries to suggest things are even worse in the developed West. They aren't! In places like Romania, Albania, Russia, or maybe Mexico, things are actually much worse—we just don't have a Moore to package it all up nicely and make it look cinematic. If we did, then we might finally see what's truly more sick...

So, why on earth are you sticking with the brand-name stuff? I mean, look, I get it—brand loyalty is a thing—but there are plenty of generics out there now. You could grab something like Zoloft that’s already covered by your insurance provider, which means you aren't stuck paying that massive copay like you would if you were buying Prozac. It just seems... I don't know, inefficient? Why pay the premium when the generic is right there on the formulary?

So, for about six months straight, I was on a regimen of 80 mg of Prozac daily, paired with 60 mg of Seroxat. That puts me at a total of 140 mg of SSRIs every single day. Now, if you look at standard starting doses—where 20 mg of either Prozac or Seroxat is considered an effective baseline—well, I was essentially taking seven times the usual amount. And honestly? It worked for me. So, please, spare me the judgment regarding dosage levels; everyone’s biology is different, and I trust my doctors to know exactly where the safety ceiling sits. Regarding Prozac specifically... I’ll say it again: in my experience, it has the best side-effect profile of any SSRI out there. But again, that’s just me. Medication response is intensely individual, especially when we're talking about psychotropic drugs. It's a tricky business. It's nearly impossible to engineer a truly "good" medication unless we actually pin down the underlying pathology of the condition being treated. If our theories on psychopathology are going to hold water, they need to be backed by hard, clinical facts. Until we can bridge that gap between theory and biological reality, the path toward developing truly high-quality psychiatric drugs will remain uphill.
hollowviper40 hollowviper40 Member
29 messages
joined Jan 2012
#3117 ·
Timothy Wood38 said:So, why on earth are you sticking with the brand-name stuff? I mean, look, I get it—brand loyalty is a thing—but there are plenty of generics out there now. You could grab something like Zoloft that’s already covered by your insurance provider, which means you aren't stuck paying that massive copay like you would if you were buying Prozac. It just seems... I don't know, inefficient? Why pay the premium when the generic is right there on the formulary?

So, for about six months straight, I was on a regimen of 80 mg of Prozac daily, paired with 60 mg of Seroxat. That puts me at a total of 140 mg of SSRIs every single day. Now, if you look at standard starting doses—where 20 mg of either Prozac or Seroxat is considered an effective baseline—well, I was essentially taking seven times the usual amount. And honestly? It worked for me. So, please, spare me the judgment regarding dosage levels; everyone’s biology is different, and I trust my doctors to know exactly where the safety ceiling sits. Regarding Prozac specifically... I’ll say it again: in my experience, it has the best side-effect profile of any SSRI out there. But again, that’s just me. Medication response is intensely individual, especially when we're talking about psychotropic drugs. It's a tricky business. It's nearly impossible to engineer a truly "good" medication unless we actually pin down the underlying pathology of the condition being treated. If our theories on psychopathology are going to hold water, they need to be backed by hard, clinical facts. Until we can bridge that gap between theory and biological reality, the path toward developing truly high-quality psychiatric drugs will remain uphill.

Exactly. About twenty years ago, when I was a green kid first getting acquainted with antidepressants—falling in love with them at first sight (there was some weird Miansan involved back then with an alligator-like face, which explains why I was so affectionate toward them)—I couldn't have imagined in my wildest dreams that we'd eventually be walking alongside these "fairytale beauties" known as SSRIs. What can we even hope for tomorrow? Maybe a magic pill that lets Bradley Cooper achieve everything he imagines in his latest movie—like learning to speak fluent Italian in just a month... Look, sooner or later, we’re going to end up screwed regardless of these pills. But wouldn't we hit that dead end anyway, even without them? Since the party is already happening, why not let it be a masquerade ball?
hollowviper40 hollowviper40 Member
29 messages
joined Jan 2012
#3118 ·
hollowviper40 said:Exactly. About twenty years ago, when I was a green kid first getting acquainted with antidepressants—falling in love with them at first sight (there was some weird Miansan involved back then with an alligator-like face, which explains why I was so affectionate toward them)—I couldn't have imagined in my wildest dreams that we'd eventually be walking alongside these "fairytale beauties" known as SSRIs. What can we even hope for tomorrow? Maybe a magic pill that lets Bradley Cooper achieve everything he imagines in his latest movie—like learning to speak fluent Italian in just a month... Look, sooner or later, we’re going to end up screwed regardless of these pills. But wouldn't we hit that dead end anyway, even without them? Since the party is already happening, why not let it be a masquerade ball?

Btw, regarding the question of why I take dispersible tablets instead of some generic version—it's either pure childishness or a bit of a fetishistic relationship with the original brands. I have my doubts about generics (especially considering the halo effect and how little difference there actually is between a "generic" and someone like Silvio). Besides, I have this fixed idea that dispersibles dissolve incredibly smoothly and absorb fast, which makes me feel better about it. Though, I think the real expert Scarlett should probably step in here for a moment to break down these terms and explain what the actual differences are...
Chris Cruz8 Chris Cruz8 Member
21 messages
joined Feb 2012
#3119 ·
Honestly, nothing beats how good I felt when I first started taking Effexor🙂 😍
besides that Abilify... I was taking it alongside the Effexor, just one pill at a time—I can't even remember the exact dosage, but it wasn't much. The only real headache was that you couldn't even find it here in the States (at least not a few years back)🙂so I had to order it through some private pharmacy service. A single box ended up costing me nearly $667!😲
I didn't really deal with any major side effects; I actually felt totally chill and level-headed, which was honestly great...🙂
But since it was getting way too expensive, my doctor suggested I switch over to Prozac, saying it might work for me... and yeah, it kind of does, but not really🤷
Still, seeing the kind of side effects some of you guys are dealing with from Prozac, I probably should just keep my mouth shut. Luckily for me, I haven't hit any of those issues at all.....😛
Kenneth Scott41 Kenneth Scott41 Regular
457 messages
joined May 2009
#3120 ·
Reading through all these posts, I get the impression that most people seem to be gravitating toward Wellbutrin or Prozac, treating them as if they’re somehow the gold standard or just the best fit for everyone. I’ve been on Wellbutrin myself, but lately, I can't help but feel like it’s stopped working... or maybe its effectiveness has just started to wane. It seems perfectly logical that you might develop a tolerance to a medication if you've been taking it for six months or so, but I suppose that leaves one wondering what the next move should actually be.
Do you just bump up the dosage of the current one, or is it better to switch over to a different antidepressant entirely?

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