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Psychotropic medication discussion thread

Started by Robin Myers91 · · 👁 722 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
#4461 ·
Brian Young5 said:Hey there.

Per my psychiatrist's orders, I've been taking Ativan regularly for three years now (alongside two other meds). Back then, they switched my regimen from Zoloft and Xanax over to Depakote and Seroquel (both at very moderate doses), plus 5 mg of Ativan three times a day to manage anxiety. To be fair, I never needed to pop three green pills a day; I managed to grit my teeth through three years on just one, so I’m honestly surprised I haven't built up a tolerance yet. But apparently, luck isn't on my side. Since November, I can feel my body adjusting—even though my head feels clearer and more peaceful than ever—and for the first time, I'm feeling nervous and tense. I'm even getting dizzy and lightheaded after just one dose. I've started adding an extra one once a week, being extremely cautious about it, but I have this intense mental resistance to increasing the dosage of this anxiolytic. I’m terrified that I’ll end up needing more and more, eventually becoming a pill addict—just a bottomless pit. The thought of dependency makes my skin crawl. To make matters worse, my psychiatrist flatly denies that you can get hooked on Ativan, but I'm hearing otherwise from everywhere: it's on the label, the pharmacists tell me, and even my GP is suggesting either stopping it altogether or switching to a different sedative. Regardless of what the "rules" say, my own mind is telling me something else. Maybe I'm wrong, but everyone's body reacts differently; biology doesn't always follow the textbook.

What should I do? Should I try to taper myself off Ativan using those detailed online programs and eventually transition to taking it only as needed, or should I just listen to the doctor? I’ve lost trust in him, and without that trust, making progress feels impossible.
The worst part is that Ativan is one of the milder benzos with a long half-life and stays in your system for a while. I really don't want to find myself in a position where I have to swap it out for some heavy-duty pharmaceutical companion from the same family 🙂.

Has anyone here had a positive experience staying on the same minimal dose for years without having to increase it due to resistance or tolerance? Is that even a realistic possibility?

Has anyone here actually had success staying on the same tiny dose for years without needing to increase it due to tolerance or resistance or whatever else? Is that even a realistic goal?


Just find a new psychiatrist—if you don't trust them, you aren't going to get anywhere.
Brian Young5 Brian Young5 Member
28 messages
joined Oct 2015
#4462 ·
Matthew White4 said:I was taking Normabrel three times a day during my pregnancy, and honestly, once I stopped, it felt like nothing had even happened. Now, I’m just popping Ativan whenever I need to, and I’ll admit, I’ve started overdoing it because my life is basically a nightmare right now... constant anxiety, this heavy cloud of depression dragging me down everywhere I go.
I actually had a neurologist prescribe those little green pills once because I was dealing with some neck issues. Look, the doses you're on aren't even that high; I was on much heavier stuff. You should totally be upfront with him about what you told us—tell him straight out that you're worried about getting hooked and that you don't want him messing with your meds. If Seroquel isn't doing the trick, there's a whole mountain of milder antidepressants out there that could help you taper off the Normabrel for good. Make him explain himself, too—ask him clearly why he keeps pushing those specific ones. They aren't always a necessity; most people can manage just fine with a standard antidepressant.
Just don't be intimidated. He's literally there to support you and listen to what's going on in your head. There's really no reason to feel like you're walking on eggshells around him.

I try to be tactical about how I approach things, mostly because my initial diagnosis was Borderline Personality Disorder, paired with anxiety and depression. Luckily, I’ve managed to work through most of those BPD symptoms thanks to some incredible sessions with my private therapist. Still, I can’t help but remember the heavy-handed labels people slap on anyone with BPD, so I make sure to build real boundaries around myself to stay protected. Looking back at my darker chapters—back when I was seeing a different shrink (this is actually my fifth one; my previous doctor treated me like a total pushover, so I had to get out of there fast)—things were a mess. Between therapy, antidepressants, and Xanax, I was also self-medicating with alcohol to numb the restlessness and anger. That "brilliant" strategy eventually turned into a daily habit, which ended up masking what were actually bipolar symptoms. Because of that, I have to avoid certain antidepressants like the plague, specifically anything that doesn't have a sedative effect. Once, after a mild nervous breakdown about three years ago (nothing where I lost touch with reality), I decided to take a little Zoloft on my own just to lift my mood, since Tegretol had left me feeling completely knocked out and depressed. Within half a day, it was like my brain was being eaten alive by obsessive thoughts. My head was racing so fast it felt like storm waves crashing against a cliffside. I had to stop taking the antidepressant immediately. Even though my doctor calls it a "mild" version of bipolar disorder, Zoloft and similar meds trigger hypomania for me, and let me tell you, it isn't pleasant. So now, I stick strictly to the downers.

I don’t know, I’ll just ask my doctor about other options and keep pushing back. I’m stuck in this loop with my shrinks: either I’m acting like some stubborn anti-psychiatry zealot who spends all day bashing meds for "frying the brain" and killing creativity and life force—which was more of a thing for me back then, before I realized that black-and-white thinking is just a dead end and a sign of immaturity—or I have to act like I’m absolutely nothing. I feel like if I show any teeth, they’ll jump on every single word I say, blow my symptoms way out of proportion, and use it as an excuse to ramp up the medication.

My new shrink is actually alright. He’s charming enough, but he doesn't flirt and he isn't about to let me flirt with him either. He keeps things strictly professional—not cold, just disciplined. Word on the street is he’s one of the best psychiatrists in the city, but still... whenever I bring up Normabelle, he gives me this subtle eye roll, like I'm some kid screaming for a lollipop. Like I'm turning down a literal sugar high. He just sighs, rubs his hand over his face like he's trying to wipe away the weight of every patient's confession, and tells me, "Don't get hooked," before shutting the conversation down. Apparently, I'll have to take fadedbear9's advice. Or just start getting aggressive about convincing him.

Oh, and by the way, he had the nerve to claim that with thirty years under his belt, benzodiazepines like Xanax or Ativan are basically the only non-addictive options left. Honestly, who would even dare challenge a titan of medical expertise like that? How am I supposed to argue? What weapon do I even use to convince him that I’m actually listening to my own body? Despite all his massive medical erudition, there's this little internal voice telling me when something just feels off—when things aren't right, or when I'm actually hurting. Even with the best psychiatrists in the country, I constantly run into this immovable, authoritative wall where their "experience" always trumps my intuition. In that fight, I never stand a chance. It's hard to find a middle ground between being defiant and just giving up in total resignation. I know, I know—it sounds pathetic. But it really is.
Brandon Lopez6 Brandon Lopez6 Regular
656 messages
joined Feb 2010
#4463 ·
I get the feeling your psychiatrist's ego is way bigger than his actual expertise—though I guess if he’s got 30 years under his belt, he probably knows his stuff. Still, if you can swing it, go find a sixth opinion. Just because someone is the top doctor in town doesn't mean they're the right fit for you.

From the way you're describing this, it sounds like he’s trying to force a treatment plan on you that you aren't feeling. Look, if you had a schizophrenia diagnosis and were refusing antipsychotics, I might get it, but in this case? It just doesn't make sense.

Try to stand your ground. You aren't there to cater to him; he’s there for you. He should be tailoring a treatment plan that actually works for your life, not just playing dictator and pushing pills you don't want to take.

I actually had the exact opposite situation happen. When I first saw my psychiatrist—right after my life had basically fallen apart—he wanted to taper me off Xanax. But I was dealing with like four massive panic attacks a day back then, and without Xanax, I couldn't even function. In the end, we met somewhere in the middle; he didn't cut it out entirely, and through our later talks, he realized I wasn't just making excuses about needing it.

The point is, fight for yourself and what you feel is best for you right now. Antipsychotics and antidepressants are different stories—the doctor definitely knows more about those—but you're the one who knows if you need something for anxiety or not. Besides, you mentioned yourself that you'd take them as needed, so you already know there are times you might need that help. Just explain that to him. And if he won't budge, go find a sixth option. Maybe that person will actually be the right match for you.🙂

Good luck!
Benjamin Martin65 Benjamin Martin65 Active Member
72 messages
joined Jul 2009
#4464 ·
I just got my prescription for Faverin and Xanax, but I am a bit stuck on the instructions for the Faverin; it says 100mg 1/2,00 for the first 5 days and then 1,00..
I am honestly a little confused by those notations—does that mean I should take half a tablet for the first five days and then move up to a full one?

As for the Xanax, the label just says "as needed" (p.r.n.)?
Thank you so much! 😉
Brandon Lopez6 Brandon Lopez6 Regular
656 messages
joined Feb 2010
#4465 ·
Benjamin Martin65 said:I just got my prescription for Faverin and Xanax, but I am a bit stuck on the instructions for the Faverin; it says 100mg 1/2,00 for the first 5 days and then 1,00..
I am honestly a little confused by those notations—does that mean I should take half a tablet for the first five days and then move up to a full one?

As for the Xanax, the label just says "as needed" (p.r.n.)?
Thank you so much! 😉

your therapist probably forgot a few commas😬

yeah, you take half a Faverin in the morning (then go full dose after 5 days). Basically, those zeros represent the time of day—so 1,0,0 means morning, 0,1,0 is afternoon, and 0,0,1 is night. It’s just showing how many pills per dose at which time. You could also have combos like 1,0,1 or 2,1,0 and so on. 🙂

PRN—yeah, just as needed 🙂
Benjamin Martin65 Benjamin Martin65 Active Member
72 messages
joined Jul 2009
#4466 ·
Oh goodness, my brain is just completely fried today; I was typing in such a rush that I ended up messing up all my punctuation..😬

Thank you so much for clearing that up for me 😉
but now I’m even more confused than I was before. During our actual conversation, he specifically told me to take the Faverin right before bed, suggesting it would help me drift off easier and all that. But then, seeing how he wrote it down in the official report... I honestly have no idea what I should do now..😕
Brandon Lopez6 Brandon Lopez6 Regular
656 messages
joined Feb 2010
#4467 ·
Maybe he just fat-fingered the entry, or maybe my app is acting up, but on my end, Seroxat was listed as 1,0,0, which meant one dose at 1:00 AM, while my Akineton showed up as 0,1,0 for one dose in the afternoon.

Honestly, I’d stick to what he actually told you rather than what’s written down. It’s way easier to make a typo when typing things out than it is to mess up a verbal instruction. 🙂
He might have just noted the dosage that way to keep things clear, then gave you the timing out loud and figured he didn't need to bother writing it all down. 🤷
Benjamin Martin65 Benjamin Martin65 Active Member
72 messages
joined Jul 2009
#4468 ·
It’s possible; I suppose I’ll just have to recount exactly how he laid it all out for me during our conversation, thanks 😉
driftinggull21 driftinggull21 Active Member
247 messages
joined Mar 2010
#4469 ·
Benjamin Martin65 said:It’s possible; I suppose I’ll just have to recount exactly how he laid it all out for me during our conversation, thanks 😉

Alternatively, just call him if you have his number and verify it yourself.
Brian Young5 Brian Young5 Member
28 messages
joined Oct 2015
#4470 ·
@Brandon Lopez6, thanks a million! 🙂
Emily Rodriguez9 Emily Rodriguez9 Newcomer
5 messages
joined Apr 2013
#4471 ·
Here goes me too,
after starting Zoloft—not even at half doses, but just quarters for three days before moving up to halves—plus taking 3 Xanax at 0.25mg each, the side effects absolutely wrecked me. Even two Xanax wouldn't touch it; I couldn't breathe, felt like I was choking, my blood pressure spiked, and I actually ended up in the ER getting an injection of Ativan... I struggled through about ten days before I just gave up. Now, I’ve been on one Portal a day for about 20 days. I'm tapering off the Xanax, but the symptoms won't quit—I feel weak, exhausted, or like someone is sitting on my chest making it hard to breathe. Then comes that sensation where I can't swallow, the panic starts climbing... and then the frustration hits because I don't get why I'm not feeling better yet. Is anyone else on Portal? I really need to hear some experiences. Help!
Benjamin Martin65 Benjamin Martin65 Active Member
72 messages
joined Jul 2009
#4472 ·
driftinggull21 said:Alternatively, just call him if you have his number and verify it yourself.

That information is on the hospital's internal network, and I don't have his direct contact info anywhere else; my only real option would be to call the main reception desk at the medical center and see if they can point me in the right direction.🤷
Brandon Lopez6 Brandon Lopez6 Regular
656 messages
joined Feb 2010
#4473 ·
driftinggull21 said:Alternatively, just call him if you have his number and verify it yourself.

This would be awesome if we can pull it off. 👍

It didn't even cross my mind to try and reschedule because my doctor was super clear about not having a direct line. Plus, back then, nobody had a cell phone—everything went through the main hospital switchboard, so trying to change an appointment was a total nightmare. You call the front desk and tell them you can't make it at 11:00 and need to push to noon. Then the operator calls the doctor, who calls you back to say noon is out, but they can do 1:00. But wait, now you can't do 1:00, you can only do 2:00... and then the operator just starts spinning in circles. Honestly, I only rescheduled once because some emergency popped up that day, and after that headache, I told myself I'm never doing it again. 😬

Brian Young5 said:@Brandon Lopez6, thanks a million! 🙂

Nothing much. I'm crossing my fingers for you—hope you get exactly what you're looking for. 🙂

Benjamin Martin65 said:That information is on the hospital's internal network, and I don't have his direct contact info anywhere else; my only real option would be to call the main reception desk at the medical center and see if they can point me in the right direction.🤷

Check out how I used to handle things when I needed to get hold of my doctor. Back then, everything was handled via mail, but then they moved the entire psychiatry department over to the Mayo Clinic, and suddenly I didn't even have a direct number for him. The drill was basically this: you call the main switchboard, they go try to track down the doctor, and then you have to call right back just to hear what he actually said. It’s honestly kind of sketchy, though—you never know if they'll actually be willing to give you that info over the phone since it's private medical stuff. They really should be more careful with that.
Chris Cruz8 Chris Cruz8 Member
21 messages
joined Feb 2012
#4474 ·
Mark Nelson said:What I really want to know is how Zoloft has affected your weight, especially for those of you who have been on it for a while.

So, what's the deal with patients slowly putting on pounds over time? What has been your experience with that? 😁

For me, it was honestly pretty terrible.😢
During the few weeks I was on it—my doctor put me on 50 mg the first week and then immediately jumped me up to 100 mg—I didn't feel any improvement at all. I was still constantly pissed off, hating half the world, everyone was getting on my nerves, my heart was racing, and I was just exhausted... all I wanted to do was sleep.🙂The depressive thoughts just kept coming one after another... plus, I gained so much weight I almost had to go out and buy a whole new wardrobe.😱
My doctor tapered me off Zoloft pretty abruptly, and now I'm on Effexor. I started at 150 mg and I've been at 300 mg for a few weeks now, and I actually feel good.🙂
Chris Cruz8 Chris Cruz8 Member
21 messages
joined Feb 2012
#4475 ·
Just to add to that, mixing alcohol and Effexor is a bad move.
Even if I just have an espresso with a splash of Baileys after lunch, my mood tanks and I end up feeling miserable for the rest of the day.😢
That’s honestly the only "downside" I get from Effexor; everything else is working perfectly for me.👍
Matthew White4 Matthew White4 Active Member
93 messages
joined Dec 2008
#4476 ·
😁

hehe, just another classic side effect of Effexor...

honestly, my liver feels about the same way whenever I knock back five beers, haha
Eric Mitchell55 Eric Mitchell55 Active Member
236 messages
joined Jan 2013
#4477 ·
Is it actually a smart move to drink given everything else we're taking?
I’ll be the first to admit I’m not exactly an expert on this, but since I'm already on Adderall and Aprazolam, I can't help feeling a little uneasy about it... Besides just feeling sleepy, what else should I be looking out for?
And look, I’m definitely not talking about going overboard or anything crazy, but is even a single glass okay??
Donna Torres5 Donna Torres5 Member
36 messages
joined Oct 2011
#4478 ·
Personally, I’m fine with having a glass or two of wine every now and then without any issues at all. It’s really just about moderation—as long as you don't go overboard, everything stays perfectly fine.
Matthew White4 Matthew White4 Active Member
93 messages
joined Dec 2008
#4479 ·
I’ve personally come to realize that having a little drink here and there isn't going to hurt anyone

I mean, I can actually sip my cocktails like a total class act, finish them down, and just be perfectly chill...

A moderate, controlled amount of alcohol shouldn't be the end of the world for anyone, nor should it leave any major lasting damage

Just speaking from my own experience
Eric Mitchell55 Eric Mitchell55 Active Member
236 messages
joined Jan 2013
#4480 ·
I don't know, honestly. I’ve definitely had my fair share of nights where I woke up feeling pretty hungover, but I never really felt like it was a major issue, you know? Yet, seeing all this massive commotion and panic surrounding it makes me wonder if there's actually some valid reason behind the fuss. :\

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