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Psychotropic medication discussion thread

Started by Robin Myers91 · · 👁 253 views · 10K replies

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Participants Robin Myers91Eric Wood7Maria Gomez6crimsonhound80Tyler Ortiz6dustyscout41Andrew Stewart2George Ramos64Morgan Long49Jason Sanchez3briskgull27Charles Edwards8Brenda Allen2hollowtinker8bluecyclist28electricorca13David Kern14Ashley Morganwanderingscout13Sam Hall15coppergardenerCarl Thompson4Mark Stewartanalognomad762 …
Roger Rodriguez Roger Rodriguez Active Member
220 messages
joined Jul 2009
#1641 ·
wanderinggull7 said:Could someone please explain what Fluval is actually like and if it works for anxiety? I know it falls under the antidepressant category, but I’m looking for some real-world experiences rather than just the clinical stuff.

Fluval is an SSRI AD-im (similar to Prozac) and is commonly prescribed for anxiety. While I don't have any personal experience with it myself, all antidepressants in this class are used to treat anxiety, panic attacks, phobias, and more—so it should be effective.
Michael Reed45 Michael Reed45 Member
45 messages
joined Feb 2010
#1642 ·
So, private prescriptions are only valid for six months now instead of a full year?

The woman at the pharmacy just told me mine had expired 🙄 and turned me away 🙄
fadedbear92 fadedbear92 Veteran
1.1K messages
joined Dec 2008
#1643 ·
Michael Reed45 said:So, private prescriptions are only valid for six months now instead of a full year?

The woman at the pharmacy just told me mine had expired 🙄 and turned me away 🙄

Yeah
Kenneth Scott41 Kenneth Scott41 Regular
457 messages
joined May 2009
#1644 ·
It’s been quite a while since I’ve checked in here, so I’m not entirely sure if someone else has already posted something similar lately. To give you some context, Dr. Sakoman suggested I switch over to taking Elice instead of Lexapro. When I asked him why, his reasoning was pretty straightforward: they are essentially the same thing, but with Lexapro, you're just paying a massive premium for the brand name. Anyway... I’ve been on this Elice for about two months now, and honestly, I can't tell if I'm actually feeling any better or not🤷. All I know for certain is that things haven't gotten worse. It makes me wonder, though—what specific symptoms are supposed to indicate whether an antidepressant is actually working? It feels like such a vague, difficult question to answer, I know, but🙄

I had already mentioned to Sakoman beforehand that I had previously tried Zoloft and Effexor (which was easily the worst experience of my life). He immediately recommended Zoloft because, as a top-tier neuropsychiatrist, he considers Zoloft to be the gold standard, followed closely by either Lexapro or Elice. Since I view him as a premier expert in the field, I tend to trust his judgment, though I suppose we all know that what works perfectly for one person might not work at all for someone else.

So, in case anyone else is curious,I'll provide a Quote from Dr. Sakoman: "The number one antidepressant in the world has proven to be Zoloft, followed by Lexapro."
Basically: 1. Zoloft 2. Lexapro. Just something to keep in mind before you head off to see your primary care physician.
Robert Collins2 Robert Collins2 Active Member
174 messages
joined Dec 2009
#1645 ·
Kenneth Scott41 said:It’s been quite a while since I’ve checked in here, so I’m not entirely sure if someone else has already posted something similar lately. To give you some context, Dr. Sakoman suggested I switch over to taking Elice instead of Lexapro. When I asked him why, his reasoning was pretty straightforward: they are essentially the same thing, but with Lexapro, you're just paying a massive premium for the brand name. Anyway... I’ve been on this Elice for about two months now, and honestly, I can't tell if I'm actually feeling any better or not🤷. All I know for certain is that things haven't gotten worse. It makes me wonder, though—what specific symptoms are supposed to indicate whether an antidepressant is actually working? It feels like such a vague, difficult question to answer, I know, but🙄

I had already mentioned to Sakoman beforehand that I had previously tried Zoloft and Effexor (which was easily the worst experience of my life). He immediately recommended Zoloft because, as a top-tier neuropsychiatrist, he considers Zoloft to be the gold standard, followed closely by either Lexapro or Elice. Since I view him as a premier expert in the field, I tend to trust his judgment, though I suppose we all know that what works perfectly for one person might not work at all for someone else.

So, in case anyone else is curious,I'll provide a Quote from Dr. Sakoman: "The number one antidepressant in the world has proven to be Zoloft, followed by Lexapro."
Basically: 1. Zoloft 2. Lexapro. Just something to keep in mind before you head off to see your primary care physician.

Heh, please. It’s like listening to Gruden all over again—that guy practically forced Zoloft down my throat and ended up giving me a serotonin shock so bad I almost ended it all. Honestly, I just don't trust these so-called "experts" who are still stuck on SSRI AD-ims that were launched thirty years ago, back when pharmacotherapy was miles ahead of where they're living now... ☕

Effexor is what actually saved my life, especially when I paired it with Luvox and Helix, so... yeah, Sakoman is overgeneralizing big time and honestly just misleading people. There's no way I'd ever fall for that kind of rhetoric again, seriously! 🙄
Kenneth Scott41 Kenneth Scott41 Regular
457 messages
joined May 2009
#1646 ·
Robert Collins2 said:Heh, please. It’s like listening to Gruden all over again—that guy practically forced Zoloft down my throat and ended up giving me a serotonin shock so bad I almost ended it all. Honestly, I just don't trust these so-called "experts" who are still stuck on SSRI AD-ims that were launched thirty years ago, back when pharmacotherapy was miles ahead of where they're living now... ☕

Effexor is what actually saved my life, especially when I paired it with Luvox and Helix, so... yeah, Sakoman is overgeneralizing big time and honestly just misleading people. There's no way I'd ever fall for that kind of rhetoric again, seriously! 🙄

Honestly, I wouldn't touch Effexor ever again! And if you ask me, it's your own fault for not realizing sooner that Zoloft just isn't right for you; it's not the doctor's fault. You should have just told him, and he would have switched you to a different AD. As for how I handle Effexor? Well, it made me start vomiting immediately! From the very first pill!
Robert Collins2 Robert Collins2 Active Member
174 messages
joined Dec 2009
#1647 ·
Kenneth Scott41 said:Honestly, I wouldn't touch Effexor ever again! And if you ask me, it's your own fault for not realizing sooner that Zoloft just isn't right for you; it's not the doctor's fault. You should have just told him, and he would have switched you to a different AD. As for how I handle Effexor? Well, it made me start vomiting immediately! From the very first pill!

Oh, please, stop talking nonsense. I showed up feeling completely suicidal, and then he just shoved Zoloft down my throat without any warning or extra support, and I ended up hitting a serotonin overload from just TWO pills, so don't try to lecture me. ☕

I wouldn't go back to that "doctor" for anything, thanks but no thanks; he's clearly only interested in high-profile celebrity patients like Doris Vrečko.

I actually know more about psych meds than you do, so let's not go down that road, okay? ☕
Roger Rodriguez Roger Rodriguez Active Member
220 messages
joined Jul 2009
#1648 ·
Kenneth Scott41 says:
I haven't been around here in a while, so I'm not sure if someone else has already posted something similar. Basically, Dr. Sakoman told me to take Elice (Pfizer) instead of Lexapro. When I asked why, he just said they're the exact same thing, but you're paying extra for the Lexapro brand name because it's expensive. Anyway... I've been on this Elice for two months now, and I honestly can't tell if I feel better or not🤷. All I know is that I don't feel worse. But I have to ask—what specific symptoms actually show that an antidepressant is working? A silly question, I know...🙄

I had already mentioned to Sakoman beforehand that I’d tried Zoloft and Effexor (which was the absolute worst experience of my life). Since he's such a top-tier neuropsychiatrist, he immediately suggested Zoloft, telling me it's the gold standard, followed closely by Lexapro or Elice. Naturally, I trust his expertise, but I suppose everyone reacts differently; what works for one person might not work for another.

So, for anyone interested, quoting Dr. Sakoman: "The number one antidepressant in the world has proven to be Zoloft, followed by Lexapro."
That means: 1. Zoloft 2. Lexapro so there you go—decide for yourselves before you head to your primary care physician.

Did this "top-tier" neuropsychiatrist actually explain *why* Zoloft is supposedly the best? You can't really make that claim without providing any evidence, especially on a thread where so many people have already shared how much they struggled with Zoloft.
If it truly is the best, then why is it the best, and which specific conditions is it best for? Surely a specialist would know that every antidepressant has its strengths and weaknesses depending on the specific disorder being treated.
David Jackson22 David Jackson22 Active Member
51 messages
joined Aug 2010
#1649 ·
Kenneth Scott41 said:Honestly, I wouldn't touch Effexor ever again! And if you ask me, it's your own fault for not realizing sooner that Zoloft just isn't right for you; it's not the doctor's fault. You should have just told him, and he would have switched you to a different AD. As for how I handle Effexor? Well, it made me start vomiting immediately! From the very first pill!

So you started puking right away, but for me, Effexor was a total lifesaver! It’s just how it goes—one person gets hit with side effects from an AD while someone else feels nothing, and that doesn't mean the med is garbage, it just means it isn't the right fit for that specific person.
Zoloft was a complete disaster for me; the side effects were so brutal I had to quit cold turkey.
Zoloft isn't the holy grail of meds, and honestly, there's no such thing as a "best" one. What works wonders for one person might be useless for another. Just because your "top-tier" neuropsychiatrist claims Zoloft is the gold standard doesn't mean he's actually an expert in pharmacology—if anything, it just shows he's a bit out of his depth.
Robert Collins2 Robert Collins2 Active Member
174 messages
joined Dec 2009
#1650 ·
David Jackson22 said:So you started puking right away, but for me, Effexor was a total lifesaver! It’s just how it goes—one person gets hit with side effects from an AD while someone else feels nothing, and that doesn't mean the med is garbage, it just means it isn't the right fit for that specific person.
Zoloft was a complete disaster for me; the side effects were so brutal I had to quit cold turkey.
Zoloft isn't the holy grail of meds, and honestly, there's no such thing as a "best" one. What works wonders for one person might be useless for another. Just because your "top-tier" neuropsychiatrist claims Zoloft is the gold standard doesn't mean he's actually an expert in pharmacology—if anything, it just shows he's a bit out of his depth.

These guys just market themselves as high-end experts to sell a bunch of nothing to patients who don't know any better, falling for those massive, fake hype cycles surrounding "celebrity" doctors who aren't worth their weight in gold. 😉
Douglas Long10 Douglas Long10 Member
15 messages
joined Nov 2010
#1651 ·
Tapering off Paxil, attempt #2. The first time, less than a month ago, I told my psychiatrist about the side effects—dizziness, this incredibly bizarre sensation, hard to even describe, like my brain was stuck in a jar of water—and she just told me to take the full dose again (since I had been tapering by cutting pills in half). When I finally sat down with her, she claimed it might not even be the Paxil, but low blood pressure (which is total bull...). So, I went back to taking half a pill a day, and naturally, I’ve been dealing with these dizzy spells and that "brain in a jar" feeling for a week now. I could probably handle that part, but my mood is a disaster. Today I spent a solid two hours crying; if someone even looks at me wrong, I start sobbing. By the afternoon, I was actually praying for something to hit me and just end it all. Then I felt okay for a bit (after I overdid it on some Lexapro), then an hour later I was bawling again. Now I’m mostly fine. I have an appointment with my psychiatrist next week, but I think I've lost all trust in her. So, my question for those of you who have tapered off Paxil: how long does this terror last? My biggest issue is keeping it together at work. God forbid I fall asleep on the job.
fadedbear92 fadedbear92 Veteran
1.1K messages
joined Dec 2008
#1652 ·
Douglas Long10 said:Tapering off Paxil, attempt #2. The first time, less than a month ago, I told my psychiatrist about the side effects—dizziness, this incredibly bizarre sensation, hard to even describe, like my brain was stuck in a jar of water—and she just told me to take the full dose again (since I had been tapering by cutting pills in half). When I finally sat down with her, she claimed it might not even be the Paxil, but low blood pressure (which is total bull...). So, I went back to taking half a pill a day, and naturally, I’ve been dealing with these dizzy spells and that "brain in a jar" feeling for a week now. I could probably handle that part, but my mood is a disaster. Today I spent a solid two hours crying; if someone even looks at me wrong, I start sobbing. By the afternoon, I was actually praying for something to hit me and just end it all. Then I felt okay for a bit (after I overdid it on some Lexapro), then an hour later I was bawling again. Now I’m mostly fine. I have an appointment with my psychiatrist next week, but I think I've lost all trust in her. So, my question for those of you who have tapered off Paxil: how long does this terror last? My biggest issue is keeping it together at work. God forbid I fall asleep on the job.

Maybe you aren't quite ready to taper yet—did she even mention that as an option when you talked to her?!😲
David Jackson22 David Jackson22 Active Member
51 messages
joined Aug 2010
#1653 ·
Douglas Long10 said:Tapering off Paxil, attempt #2. The first time, less than a month ago, I told my psychiatrist about the side effects—dizziness, this incredibly bizarre sensation, hard to even describe, like my brain was stuck in a jar of water—and she just told me to take the full dose again (since I had been tapering by cutting pills in half). When I finally sat down with her, she claimed it might not even be the Paxil, but low blood pressure (which is total bull...). So, I went back to taking half a pill a day, and naturally, I’ve been dealing with these dizzy spells and that "brain in a jar" feeling for a week now. I could probably handle that part, but my mood is a disaster. Today I spent a solid two hours crying; if someone even looks at me wrong, I start sobbing. By the afternoon, I was actually praying for something to hit me and just end it all. Then I felt okay for a bit (after I overdid it on some Lexapro), then an hour later I was bawling again. Now I’m mostly fine. I have an appointment with my psychiatrist next week, but I think I've lost all trust in her. So, my question for those of you who have tapered off Paxil: how long does this terror last? My biggest issue is keeping it together at work. God forbid I fall asleep on the job.

Paxil can be a total nightmare to get off of, but you can definitely do it. Maybe try a much slower taper, like just shaving off a tiny sliver of the pill every 15 days, then another tiny bit the next 15, until you're finally at zero.
I was on Effexor, which people say is just as brutal to quit, but I switched over to Prozac, so it smoothed out any potential withdrawal issues for me.
One time though, I stopped Prozac cold turkey, and I got hit with those exact same symptoms you're describing, plus some horrific nausea and diarrhea. It lasted maybe 15 days, maybe longer, but it eventually passed and things went back to normal.
Douglas Long10 Douglas Long10 Member
15 messages
joined Nov 2010
#1654 ·
I thought I was ready, but work has been a complete nightmare lately. My contract renewal is hanging in the balance because some guy is trying to muscle in on my position, and honestly, if I lose this job, I have no idea what we’ll do—it’s just me and my kid. To make matters worse, I just started tapering off my medication. This morning, I woke up in tears, feeling exactly how I felt before I even started therapy: that overwhelming urge to just pull the covers over my head and shut out the entire world. So, yeah, I ended up taking the full dose today. Clearly, I'm not done with the meds yet; just popping Lexapro isn't going to cut it. I have an appointment with my psychiatrist next week, so I'll be going over all of this in detail with her.
Thanks for the replies, they really mean a lot.
Douglas Long10 Douglas Long10 Member
15 messages
joined Nov 2010
#1655 ·
I guess I should probably mention that I've been thinking about Rejulyte lately. Maybe it's worth looking into, though I can't say for sure. kaže:
Maybe you aren't quite ready to taper off yet. I guess she didn't even bring up tapering as an option, did she?😲

When I first started tapering off, all she ever talked about was that constant shifting sensation and that weird, unsettling feeling. Even though she kept telling me it was just due to low blood pressure, I went ahead and finished the whole pill anyway. 😕
It’s pretty depressing. This is the second time I've tried tapering down—specifically when I halved my dose—and about ten days ago, this wave of constant crying and hopelessness hit me. I couldn't even make it through a workday without taking some Lexapro. Based on how everything is going, I guess I'm just not ready to do this yet. I have an appointment scheduled for Monday, so I'll go over all of this in more detail with my doctor then.
Roger Rodriguez Roger Rodriguez Active Member
220 messages
joined Jul 2009
#1656 ·
Douglas Long10 said:Tapering off Paxil, attempt #2. The first time, less than a month ago, I told my psychiatrist about the side effects—dizziness, this incredibly bizarre sensation, hard to even describe, like my brain was stuck in a jar of water—and she just told me to take the full dose again (since I had been tapering by cutting pills in half). When I finally sat down with her, she claimed it might not even be the Paxil, but low blood pressure (which is total bull...). So, I went back to taking half a pill a day, and naturally, I’ve been dealing with these dizzy spells and that "brain in a jar" feeling for a week now. I could probably handle that part, but my mood is a disaster. Today I spent a solid two hours crying; if someone even looks at me wrong, I start sobbing. By the afternoon, I was actually praying for something to hit me and just end it all. Then I felt okay for a bit (after I overdid it on some Lexapro), then an hour later I was bawling again. Now I’m mostly fine. I have an appointment with my psychiatrist next week, but I think I've lost all trust in her. So, my question for those of you who have tapered off Paxil: how long does this terror last? My biggest issue is keeping it together at work. God forbid I fall asleep on the job.

A few months ago, I was right here on this forum, crying and venting about tapering off Paxil. 🤣 I made the same move from a full pill to a half, and after a week of feeling like a zombie, I realized I hadn't felt this bad even during my worst panic attacks.
I thought I just had the flu, so I kept taking the half dose without calling my doctor. Then the chills, diarrhea, and vomiting started hitting me. Basically, I went back to the full dose, and I felt better by the second day. 🙂
My psychiatrist actually suggested I just stay on the full dose indefinitely, since so many people take them for life without issue. At first, I started imagining all sorts of ways to confront him, but I calmed down and just told him he'd better find a way to help me get off this Paxil if he wants to keep his job. 😂
All summer, I was on 15mg, though I was basically DIY-ing my doses by measuring with a ruler and cutting them up. I only recently realized I could just buy the 30mg version. ☕

Two months ago, I started on a half dose and I feel great—no side effects at all.
I'm planning to cut that half in half early next year... it’s slow going, but it’s working, and I'm not complaining.
From what I've seen, that "terror" lasts as long as it takes for your body to adjust to the lower dose, or until you simply finish the course. I won't say whether you started too early, but it certainly sounds like you dropped your dosage much too fast.
Douglas Long10 Douglas Long10 Member
15 messages
joined Nov 2010
#1657 ·
Ugh. At first, I looked at Zoloft like it was my absolute lifeline because it actually kept me from spiraling, but now? Honestly, I’d rather just toss the whole damn bottle in the trash. Still, I guess I’ll just have to wait and see how things play out. At least I got all the crying out of my system. 😁
Andrew Watson59 Andrew Watson59 Member
33 messages
joined Nov 2010
#1658 ·
I have a question about antidepressants. If someone has been on them for years, can you actually tell by looking at their face? Does long-term use make a person look older than they really are—like, more wrinkles, hyperpigmentation, or just an overall exhausted look?
Robert Collins2 Robert Collins2 Active Member
174 messages
joined Dec 2009
#1659 ·
Andrew Watson59 said:I have a question about antidepressants. If someone has been on them for years, can you actually tell by looking at their face? Does long-term use make a person look older than they really are—like, more wrinkles, hyperpigmentation, or just an overall exhausted look?

I find that hard to swallow, honestly, but if you’re talking about people who get hooked on anti-anxiety meds and start abusing them, yeah, you can definitely see it—it shows up in their face and even in the way they move.
Roger Rodriguez Roger Rodriguez Active Member
220 messages
joined Jul 2009
#1660 ·
Douglas Long10 said:Ugh. At first, I looked at Zoloft like it was my absolute lifeline because it actually kept me from spiraling, but now? Honestly, I’d rather just toss the whole damn bottle in the trash. Still, I guess I’ll just have to wait and see how things play out. At least I got all the crying out of my system. 😁

Oh, that reminds me—I was also being driven to tears during those days. I remember breaking down over a random commercial once or twice, but it wasn't just sadness; it was this intense, suffocating weeping that actually felt physically painful. Very strange, indeed. But as you can see, those moments slip away so easily, don't they? 😬

Maybe mention to your psychiatrist that you'd like to try tapering down to 15mg? My doctor used to have me split my pills in half, and honestly, it was killing me. Just don't rush it; it's clear that getting off Paxil requires a much more gradual approach to avoid those nasty side effects.

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