How to cope with anti-depressant start up issues
Posted , 7 users are following.
Hello
I have posted a similar item a little while ago but am inviting more feedback as I am so worried and anxious. I have yet to start a new anti-depressant escitalopram. I am very sensitive to medication and had some very bad side effects with a low dose or another ssir. What I want to know is how can i manage start up issue, particularly an increase in anxeity and depresion. I feel I am already at my limit of what I can cope with so anymore and I don.t know how I would function. I know there is the benzodiazapine route but is that the only thing? I am really scaring myself silly but know that my depression / anxiety is very bad.
Another thing that I worry about is the fact that there is quite a low success rate with the first anti depressant tried. Again I don't know how i would cope with tapering and all that involves as I have no resiliance at the moment and feel terrible anyway. By the way I live alone.
0 likes, 18 replies
smc89344 caroline50055
Posted
I started back on cipralex almost 5 weeks ago now. I too was hesitant for the same reasons you are. However my anxiety and panic was out of control and had no choice. I am extremely sensitive to meds too but I started on 5mg and I was ok. Minimal side effects. Not sure if u are aware that cipralex has the least side effects compared to other antidepressants and can see results within 2-4 weeks. I noticed a change within 1. It's worth a try especially for us anxiety sufferers. I am supposed to increase my dose and will do it gradually. I hope this helps and keep me posted.
Sandi
Phoebe604 smc89344
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smc89344 Phoebe604
Posted
caroline50055 smc89344
Posted
This is reassuring but I am at such a low point at the moment. I have been off work a long time and also have bad depression. The anxiety is terrible. I have read too much about side effects to forget and as said I had a horrible experience on a small dose of another SSRI.
With the cirpalex tablets being so small it is very difficult to increase gradually, how are you planning to do it?
C
smc89344 caroline50055
Posted
Don't read anymore bc it will drive ur mind mad. Remember this...all side effects noted doesn't mean they will occur or happen to everyone. They have to note every single possible one even if it happened to one person out of a billion.
5mg is very low and I started feeling better within a week. I didn't want to start on it again as I was afraid...but I'm glad I did.
caroline50055 smc89344
Posted
thanks
C
smc89344 caroline50055
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Mistedmind caroline50055
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I started taking Sertraline 3 years ago, it's the first ever anti d I have been on. I like you felt that I couldn't take anymore and was told that I would get worse before I get better. Sadly that is true but it DOES get better. You have to find your therapeutic dose before you begin to see the benefits. I started at 50mg and only started to feel more like myself at 150mg.
I was given the beta blocker propranolol to help take the edge off the increased anxiety as I didn't fancy diazepam. The propranolol helped alot.
Sadly I have found the my sertraline becoming less effective (might be due to external factors, I have ALOT going on atm) but I have been prescribed Citalopram 20mg which I start tomorrow (had to have sertraline 3 days at 100mg to prepare).
Guess what I'm trying to say is be positive about your new medication. Sertraline did and has worked for me for a long time. If you're not comfortable taking benzo's ask about beta blockers. Be strong and give them ago...if after 6-8 weeks there's absolutely no change or you feel worse don't be disheartened you can always try other meds and therapies.
Mist
caroline50055 Mistedmind
Posted
Thank you for your encouragement. As I told Sandi I am at such a low point - i have been off work for ages and am isolating etc. I feel terrible as I have bad depression as well. I truly don't know how I would be able to cope with an increase in things getting worse as I feel at the limit of my coping with my anxiety and depression. I am normally strong minded so for me to say that means it is very bad. I should not have left it this long but I am so scared of medication. I have some beta blockers but find they upset my stomach and intestines - I do try and tolerate a small dose however (I have also found that benzodiazepines affect my stomach to which makes me feel really stuck).
What scares me is that i tried some small doses of another ssri a month or so ago and the side effects of the small dose were terrible and I had to stop. It makes me feel so feeble but because I have been ill for so long I am more frail and sensitive than usual. My courage seems to have deserted me which frightens me a lot as I need to get better,
C
Mistedmind caroline50055
Posted
How you are now is not going to be forever. This is not the brains natural state, we are not born this way thank goodness.
You need to sit down with yourself and write yourself a pros and cons list for both with and without the meds. I am just afraid you've got yourself in a fugue state of mind. So time to ladder your way out. It's going to be damn hard but we are all here on the forums and if you ever need more than that I'll happily talk to you over the phone if you're in the UK.
There are options other than meds so may have a research into those.
I can't make the decision for you but I would try the meds again and give it a few weeks.
Love Mist
caroline50055 Mistedmind
Posted
I think it might be good to talk on the phone but I'm not sure how to private message with phone details etc. I am in the UK. I am feeling so poorly and scared.
regards
C
Mistedmind caroline50055
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diane524 caroline50055
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I am only on 10mg of Citalopram and my ativan was 5mg and I would cut them in half and take a half in the morning then afternoon and evening. Since I do have a heart condition I am on a beta blocker which I think also helps.
All the best!
dubai27765 caroline50055
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diane524 dubai27765
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dubai27765 diane524
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caroline50055 dubai27765
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How did you manage to convince yourself it would get better? At the moment sleep is my refuge I know ssri's are known to cause insomnia - i couldn't cope with being awake all night feeling doubly anxious and maybe even having a panic attack. That sounds defeatist but I feel so anxious/fearful at the moment it is truly terrible.Â
C