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Psychotropic medication discussion thread

Started by Robin Myers91 · · 👁 783 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
#4901 ·
Morgan Chase5 said:I was just reviewing the fine print on my antidepressant today and realized that weight gain is actually listed as a side effect. To be honest, I’ve put on about twenty pounds over the last year, though I’ve been largely chalking that up to menopause. I don't think twenty pounds is the end of the world—I suppose I’ve just transitioned into a more "statuesque" silhouette—but it is a bit comical to look in the mirror when I spent most of my life being quite athletic and lean.

That said, I have no desire to see those numbers continue to climb.
I am certainly not a fan of strict dieting... lately, I've found myself gravitating toward fruit or making my own fresh juices at home.

What would you all recommend? Is simple movement, perhaps some brisk walking, enough?
I really can't bring myself to go swimming; the pools are always so chilly and loud. It’s much better in the summer when I can head out to the lake.
Should I try cutting back on carbs?

Last year, I was absolutely addicted to Hostess snack cakes... this year, I just don't have much of an interest in sweets.
And as for exercising—should it be in the morning or the evening? Who is going to provide the necessary motivation?
How do you all manage it?

Try a calorie-reduction approach: eat more frequent, smaller meals to lower your total daily intake. Start your mornings with grains and end your days with protein. Use fruit as a snack, but limit it to one piece at a time. Even fruit can be problematic due to high sugar content. Avoid sweets entirely.
If your budget allows, sign up for group classes like aerobics; otherwise, stick to running or cycling—whatever you prefer.
Kenneth Scott41 Kenneth Scott41 Regular
457 messages
joined May 2009
#4902 ·
Dormicum works wonders, though its only real flaw is how effectively it knocks me out.
It’s been exactly a week since I started taking Zoloft, and I’ve noticed it kind of kills my motivation to get anything done—which is pretty much the polar opposite of how I felt on Effexor, so I suppose I’m somewhere in the middle right now.🙂
shadowbear9 shadowbear9 Active Member
200 messages
joined Dec 2012
#4903 ·
I took my first dose of CNN about an hour ago, and I guess I just don't feel any different at all... 🙂
Jason Vaughn482 Jason Vaughn482 Regular
488 messages
joined Jul 2012
#4904 ·
Brandon Lopez6 said:So I got prescribed Lexapro. Plan is half a pill in the morning for the first week, then moving up to a full dose...
I’m supposed to start this Tuesday, but my internal clock is a total wreck. Some days I'm rolling out of bed at noon, other days it's 3 PM 🤦
and yeah, for me, noon is basically sunrise 😁
I didn't really get a chance to ask her what the move is—like, should I set an alarm, take the pill and crash back out, or just stay up? She didn't even tell me what she was actually prescribing or when to take it, let alone mention side effects or anything.
She did suggest I go get a bunch of tests done, including a brain CT (which takes forever to schedule), and said I shouldn't come back until all that's wrapped up. That could be months, so I won't be seeing her anytime soon, plus she didn't give me her number...
So, how am I supposed to handle these antidepressants? Does it make sense to pop one and just go right back to sleep, or do I actually have to stay awake? Waking up early is honestly the worst part of my day...

Why on earth would they order a brain CT?
Brandon Lopez6 Brandon Lopez6 Regular
656 messages
joined Feb 2010
#4905 ·
Jason Vaughn482 said:Why on earth would they order a brain CT?

she didn't say 🤷
shadowbear9 shadowbear9 Active Member
200 messages
joined Dec 2012
#4906 ·
Does anyone else in this group take Elicea? I’m trying to figure out if it's okay to take it in the late afternoon or evening. I guess I've been so exhausted lately that I completely forgot my dose over the last few days, and now I'm worried that if I take it around 8 PM, it might mess with my sleep.
And honestly, I am still wide awake 😢 5 hours later. I have to give credit to whoever suggested that one pill is enough—they were clearly wrong. Does anyone have any actual advice? This is clearly some pretty intense insomnia 😢
Jason Vaughn482 Jason Vaughn482 Regular
488 messages
joined Jul 2012
#4907 ·
shadowbear9 said:Does anyone else in this group take Elicea? I’m trying to figure out if it's okay to take it in the late afternoon or evening. I guess I've been so exhausted lately that I completely forgot my dose over the last few days, and now I'm worried that if I take it around 8 PM, it might mess with my sleep.
And honestly, I am still wide awake 😢 5 hours later. I have to give credit to whoever suggested that one pill is enough—they were clearly wrong. Does anyone have any actual advice? This is clearly some pretty intense insomnia 😢

In my experience, a 10 mg dose of Ambien usually does the trick, though occasionally I’ll supplement it with half of a 15 mg Lunesta tablet. Even then, I tend to wake up around 5 in the morning, so I'll take a 0.25 mg Xanax to bridge the gap until about 9 or 10 o'clock.
shadowbear9 shadowbear9 Active Member
200 messages
joined Dec 2012
#4908 ·
Jason Vaughn482 said:In my experience, a 10 mg dose of Ambien usually does the trick, though occasionally I’ll supplement it with half of a 15 mg Lunesta tablet. Even then, I tend to wake up around 5 in the morning, so I'll take a 0.25 mg Xanax to bridge the gap until about 9 or 10 o'clock.

Well, I completely cut Xanax out of my regimen today. Yesterday, I had such a pounding headache that it felt like my brain was boiling, yet it still took me four hours just to drift off—and when I finally woke up, I hadn't slept a wink. I actually ended up calling my doctor's office to report the side effects; I told them I was ready to throw the pills right out the window (especially since I paid for them myself!), so they sent me some more Ambien. Honestly, the Xanax was making me start seeing things... hallucinations and all sorts of weirdness.
Brandon Lopez6 Brandon Lopez6 Regular
656 messages
joined Feb 2010
#4909 ·
Giving up after just one pill? 😕
Sometimes you have to stick with it longer than a single dose for it to actually kick in properly and for those side effects to settle down (😕)
shadowbear9 shadowbear9 Active Member
200 messages
joined Dec 2012
#4910 ·
Brandon Lopez6 said:Giving up after just one pill? 😕
Sometimes you have to stick with it longer than a single dose for it to actually kick in properly and for those side effects to settle down (😕)

It wasn't just one pill. I took some yesterday around 7:00 PM, thinking I’d head to bed by 8:00 to get some rest, but absolutely nothing happened—no fatigue, no headache relief whatsoever. My head was pounding so intensely it felt unbearable. When I finally managed to drift off around 2:00 AM, I was wide awake again by 4:00 after a trip to the bathroom, and that was the end of my sleep. Now, my head is killing me all day and I’m having these hallucinations, almost like I'm stuck inside some weird cartoon where everything is moving too fast. I tried taking another dose this afternoon hoping to catch some sleep so I can actually study for my exam tomorrow evening, but again, nothing... 🤷 It just doesn't seem worth the struggle with these things... I have insomnia, and I don't doubt that part for a second...
shadowbear9 shadowbear9 Active Member
200 messages
joined Dec 2012
#4911 ·
It wasn't just some random decision I made on a whim, either. My therapist actually gave me a serious warning about this medication, noting how rarely it’s even prescribed and insisting that if I experience any side effects at all, I need to head straight back to San Francisco. I’m honestly not a fan of Eli Lilly's stuff, but I suppose I'll keep taking it for now. 😁
Eric Jackson11 Eric Jackson11 Active Member
55 messages
joined Jul 2012
#4912 ·
shadowbear9@
I’m having a hard time following you—you say you’re just exhausted, but you aren't actually sleeping.🤷

You took five ZzzQuil pills and still can't sleep?
Did you take the first one around 7:00 PM just to catch a quick nap before hopping online?
And then you followed it up with four more because you couldn't drift off.
That’s a big mistake right there. Chasing one pill with another... I get it, I really do, because I’ve tried that myself and it never helped me either.

Try taking a sleep aid like Melatonin or Unisom right when you’re actually ready to hit the sack. For example, aim for midnight, lie down, relax, and just wait. If you don't fall asleep immediately, please don't just keep popping them one after another.
Try sticking to that exact routine for at least five days straight. If you still find yourself staring at the ceiling even with a disciplined schedule, then maybe we can dig deeper into what's causing this insomnia...

Taking a pill early in the evening around 7:00 PM just to try and rest is honestly not a great idea.
It might be a case of chronic insomnia, but I suspect you might just be struggling a bit with staying disciplined regarding your medication schedule...
Timothy Wood38 Timothy Wood38 Active Member
197 messages
joined Feb 2011
#4913 ·
shadowbear9 said:I took it at 7 PM, while waiting for that famous hour-long window to kick in, just trying to get myself ready for bed—you know, showering and all that. By about 9 PM, when I finally crawled under the covers intending to sleep, nothing happened... I didn't sleep. So, really, your claim that I take hypnotics earlier just to "rest" doesn't hold any water... it's based on a total misunderstanding. What I was actually trying to say was how Zan affected me. I wasn't following the instructions to the letter regarding food, so things settled down in the evening and I took it, but I didn't even feel sleepy. I just lay there drifting in and out, but didn't actually fall asleep until late into the night... there's no point arguing about it now; this pill just isn't for me, plain and simple. 🤷

I’m signing my name to everything Eric Jackson11 wrote here. It seems pretty obvious you aren't reading the medication guide carefully enough. You're supposed to take Zan right before hitting the sack—take it and go straight to bed to try and drift off. No showering, no getting ready, nothing. And Zan kicks in within 15 to 30 minutes, which doesn't mean you can spend those 15 minutes browsing the web or hopping in the shower. Basically, finish all your bedtime prep first, then take the pill and head straight to bed to sleep. Zan, much like Valium, isn't one of those pills you take during the day because you're feeling tired and expect a nap. If that's the case, you're better off sticking to something like Nermobel or Bromazepam. And one more thing regarding these Z-drugs—Zan, Valium—they don't necessarily make you feel "sleepy" in the traditional sense; they just induce sleep. They don't create that heavy, drowsy sensation where you feel like you're fading out. They act quickly and selectively, and their sole purpose is the hypnotic effect.
shadowbear9 shadowbear9 Active Member
200 messages
joined Dec 2012
#4914 ·
Timothy Wood38 said:I’m signing my name to everything Eric Jackson11 wrote here. It seems pretty obvious you aren't reading the medication guide carefully enough. You're supposed to take Zan right before hitting the sack—take it and go straight to bed to try and drift off. No showering, no getting ready, nothing. And Zan kicks in within 15 to 30 minutes, which doesn't mean you can spend those 15 minutes browsing the web or hopping in the shower. Basically, finish all your bedtime prep first, then take the pill and head straight to bed to sleep. Zan, much like Valium, isn't one of those pills you take during the day because you're feeling tired and expect a nap. If that's the case, you're better off sticking to something like Nermobel or Bromazepam. And one more thing regarding these Z-drugs—Zan, Valium—they don't necessarily make you feel "sleepy" in the traditional sense; they just induce sleep. They don't create that heavy, drowsy sensation where you feel like you're fading out. They act quickly and selectively, and their sole purpose is the hypnotic effect.

Okay, well, I guess that's settled then.🥳
Eric Jackson11 Eric Jackson11 Active Member
55 messages
joined Jul 2012
#4915 ·
Of course things would settle down eventually.
To be honest, I don't really get much done either until everything is totally quiet. No TVs on, no monitors glowing, just everything tucked in and still...
Let me know how your sleep starts looking 🙂
shadowbear9 shadowbear9 Active Member
200 messages
joined Dec 2012
#4916 ·
Eric Jackson11 said:Of course things would settle down eventually.
To be honest, I don't really get much done either until everything is totally quiet. No TVs on, no monitors glowing, just everything tucked in and still...
Let me know how your sleep starts looking 🙂

Yeah, totally.😍
wiredmason56 wiredmason56 Active Member
73 messages
joined Feb 2013
#4917 ·
Thought I’d jump in here for a second. For a little while there, I actually felt pretty decent, so I figured I wouldn't freak out, but... well. I was on Effexor and it felt alright. Sure, I had the usual stuff like losing my appetite, trouble sleeping, dilated pupils, and some initial nausea, but honestly, those didn't bother me too much because my mood finally lifted. I even felt a bit euphoric at times, so the antidepressant really seemed to be doing its job. Then, I went and made a total rookie mistake and agreed to let my doctor switch me over to Wellbutrin because he insisted it was a better option. I took it for a while—and yeah, I'll admit I missed a dose here and there—but mostly I was being consistent. Long story short, it did absolutely nothing for my depression compared to Effexor, and it actually made my anxiety way worse. I spent a few weeks without an antidepressant entirely, just relying on anxiolytics like Lorazepam and Clonazepam to help with the nerves and the insomnia. What’s really messing with my head right now, though, is that during that gap, my intrusive thoughts started ramping up. I've been dealing with slight paranoia, sudden mood swings, flashes of aggression, and these night terrors. My GP is putting me back on Effexor, which is helping my depression stabilize a bit, but all those other issues are still hanging around—especially the insomnia, the repetitive thoughts, and these recurring dreams. Thank God I finally have a follow-up with my psychiatrist this Monday. I plan on being totally honest about everything, but I'm low-key terrified they're just going to throw an antipsychotic at me, and I really don't want to go down that road. I've heard people say Trittico is okay since it works as an antidepressant and helps with sleep at the same time. If anyone has experience with it, please let me know... It feels like I'm never going to catch my stride, and things are just starting to feel weirder and weirder.🤷
redranger2 redranger2 Active Member
248 messages
joined Aug 2008
#4918 ·
wiredmason56 said:Thought I’d jump in here for a second. For a little while there, I actually felt pretty decent, so I figured I wouldn't freak out, but... well. I was on Effexor and it felt alright. Sure, I had the usual stuff like losing my appetite, trouble sleeping, dilated pupils, and some initial nausea, but honestly, those didn't bother me too much because my mood finally lifted. I even felt a bit euphoric at times, so the antidepressant really seemed to be doing its job. Then, I went and made a total rookie mistake and agreed to let my doctor switch me over to Wellbutrin because he insisted it was a better option. I took it for a while—and yeah, I'll admit I missed a dose here and there—but mostly I was being consistent. Long story short, it did absolutely nothing for my depression compared to Effexor, and it actually made my anxiety way worse. I spent a few weeks without an antidepressant entirely, just relying on anxiolytics like Lorazepam and Clonazepam to help with the nerves and the insomnia. What’s really messing with my head right now, though, is that during that gap, my intrusive thoughts started ramping up. I've been dealing with slight paranoia, sudden mood swings, flashes of aggression, and these night terrors. My GP is putting me back on Effexor, which is helping my depression stabilize a bit, but all those other issues are still hanging around—especially the insomnia, the repetitive thoughts, and these recurring dreams. Thank God I finally have a follow-up with my psychiatrist this Monday. I plan on being totally honest about everything, but I'm low-key terrified they're just going to throw an antipsychotic at me, and I really don't want to go down that road. I've heard people say Trittico is okay since it works as an antidepressant and helps with sleep at the same time. If anyone has experience with it, please let me know... It feels like I'm never going to catch my stride, and things are just starting to feel weirder and weirder.🤷

It seems you're experiencing exactly what happened to me. I went through the same cycle—switching from one antidepressant to another, then to a third—only to find that everything spiraled downward because my brain chemistry became a complete mess. It took me a month and a half to get back to that first medication, and the symptoms in the interim were brutal. I am doing fine now, though.
Essentially, your return to Effexor is going to be a process that takes several weeks until your neurochemistry stabilizes. You simply have to be patient. There is no guarantee your psychiatrist will prescribe an antipsychotic, even if they can be effective for insomnia.

There is some information here regarding Trittico.
http://www.depression.org/forum/index.php?showtopic=7521

You didn't mention how long you've been back on Effexor?
restlesstrucker15 restlesstrucker15 Regular
374 messages
joined Sep 2011
#4919 ·
redranger2 said:It seems you're experiencing exactly what happened to me. I went through the same cycle—switching from one antidepressant to another, then to a third—only to find that everything spiraled downward because my brain chemistry became a complete mess. It took me a month and a half to get back to that first medication, and the symptoms in the interim were brutal. I am doing fine now, though.
Essentially, your return to Effexor is going to be a process that takes several weeks until your neurochemistry stabilizes. You simply have to be patient. There is no guarantee your psychiatrist will prescribe an antipsychotic, even if they can be effective for insomnia.

There is some information here regarding Trittico.
http://www.depression.org/forum/index.php?showtopic=7521

You didn't mention how long you've been back on Effexor?

I am seeing my doctor this coming Monday, so I will ask her about that medication and the insomnia; apparently, it helps, but one can never be too sure. Generally speaking, I did a little research and found that it used to be manufactured locally by Pfizer (Devon) before they discontinued it, but I hear people order it from abroad. I suspect it might be available in Mexico, though from what I can see, those versions are extended-release, whereas the Devon ones were not.
Angela Morgan4 Angela Morgan4 Member
13 messages
joined Aug 2011
#4920 ·
Has anyone here had any actual experience using Agomelatine?

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