Increased to 40mg

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I have just been increased to 40mg. I started on 10, then 20 then 30 and finally yesterday after a long consultation with the doctor my dosage was increased to 40. This was due to the advice of my councillor - she believes I have plateaued. Has anyone else experienced this? I actually just started to feel like me for a few days then boom it all went down hill and backwards ūüėě I have to go back in 2 weeks time for further review but he's considering a phychiatrist. Not sure I want to go down that route. Any advice is welcome x

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13 Replies

  • Posted

    How long in between the dose changes?
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    • Posted

      I was on 30mg for 6 weeks and since last Tuesday they didn't seem to be having any affect on me. The doctor questioned whether I was taking them regular and I know I am as I have one of the pill pots with days on as when I first started taking them I worried about taking too much if I'd forgot is taken them. 

      I've been on them since July x

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  • Posted

    Hi

    How long have you been on the medication?

    In my experience as I recovered on this medication, it was always 3 steps forward and 2 steps back.  It's quite normal in the recovery process to feel like yourself, and then wham you're back in the dark hole again.  These blips don't mean the medication isn't working, it actually means it IS working and this is how recovery works.  Personally I wouldn't want my dose increased, as you'll get side effects again and will have to experience the ups and downs once more as you progress through all this.

    These blips always seems to happen, but they get less and less, and also become not so severe and don't last as long each time.  Eventually they'll peter out.

    When you have a blip, you just need to accept it's there, be patient and let it ease.  Might take a few days or a week each time, but it'll go.  This will happen many times.

    I often wonder if doctors know about this process.  Instead of upping a dose, these blips should be explained, and then encourage you through them each time.

    If you need to see a phychiatrist too, I wouldn't worry about it.  You'd see a specialist doctor if you had heart problems etc.  They're there to help you.

    In the meantime, just remember you are recovering, and seem to be on the right path.  Blips are normal in recovery.  Accept them and be patient xxxxx

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    • Posted

      Thank you for your reply, I started taking them in July this year and gradually had them increased. I've also been off work since then too and just wanting myself to feel normal so I can do everything I used to do x
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    • Posted

      I think if your dose had stayed at 20mg you'd be fairly settled by now, but you've gone through a lot of dose increases probably making things eeek out that big longer.  When people get these expected blips along the way, all too often they think their medication isn't working and get an increase in their dose.  You then have to get used to this increase and will still get blips.  

      I think once your medication is stable, everything should settle down for you.  But remember you will be up and down for a while still ........ but the downs will get less until you're feeling back to normal.

      My son has also had this illness this year and has been taking medication since August.  Not working since then either, he's about to return to work next week as he now feels able to cope with it.  

      You will get there xxxxx

       

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  • Posted

    Some really good advice there. I would say I'm in a similar situation. Started on 10mg and quite quickly upped to 20. Then back to 10 but that did not work and since then gradually 'needed' to be Increased. Im not on 40mg and have been for about 4 months. 

    But, I'm at a low point again and have been thinking of going back to the doctor. The last time I went I had a blood test to see if side effects were anything else, excessive tiredness, weakness and no energy. But nothing came up. 

    However the doctor also said when I was upped to 40mg that I may need to try a different medication. Which I'm worried about, I'm having troubles coping at the moment but I'm not sure if changing medications would make it worse at this point so I'm putting it off. 

    After that advice I might try and ride it out for a bit longer. 

    Thanks

    All we have to do is remember we are not alone in this and we certainly do not need to be ashamed about accepting any help we need. 

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    • Posted

      You'll find you'll get low points every now and then, and high points too.  It's how the medication works.  The low points will get less as time goes b.

      It might your high dose that's making you feel excessively tired etc and often changing/lowering the dose helps.

      Im on my 3rd type of SSRI - the first didn't agree with me and the '2nd one was discontinued.

      Ive been taking 20mg for 15 years and feel really well and don't have any excessive tiredness etc.

      Always seems trial and error with either waiting til your body settles on your dose, or a doseage change or even medication change - but once you find what suits you, all will work out well.

      K xx

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    • Posted

      Thanks, my lows have been getting worse not better so it's getting me really down. How did you find it when you changed ssri? I don't want to have more trouble my changing 

      Thanks

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    • Posted

      How long have you been taking the medication for?  It does take a long time for everything to settle.  When you have low points, it best to just accept them and wait for them to pass.  They will.  Some low points might feel worse than others.

      It was a long time ago I changed SSRI's and I was scared in case they didn't work (always think the worst, don't we).  Again I had to wait for the medication to start working ...... and slowly it did.  

      Recovering from this type of illness always takes time ...... such a pain, especially when we want to be well now.

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    • Posted

      I've been taking it since September 2013, been on 40mg for nearly 5 months. I just feel like I'm getting worse. Don't know what a good day feels like anymore. My good days are when I can get through the day (just floating through the day). 

      Although I only started taking them last year I've struggled with it since I was 14, I'm now 25. But never went to the doctors or talked to anyone, used to self harm and could quite easily do it again. 

      Sorry I'm rambling just feel like I have no one to talk to. 

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    • Posted

      Oh bless you ..... I know exactly how you feel xx

      I never talked to anyone about my depression because I thought 'it was weird'.  It took me 6 months to get help.  It was another few years on normal anti depressants which didn't work before I was changed to SSRI's.  4 months later I started to get better, and have been like that since.

      i do wonder if your dose is too high.  It dosent always mean that the higher the dose the quicker they work or that it'll make you better.  I've only ever taken 20mg for years and recovered on this.

      I was also told that there's many SSRI's and people react different to different ones.  Each tailored to suit different people.  It may be that a 

      not her one would suit you more?  

      I'd go talk to your doctor again and either try a reduce dose first, and then maybe change the SSRI to another.  If you do reduce the dose, do it very very gradually and you can get withdrawl effects too.  Sadly you do have to be patient ....... but this type of medication does work so well.

      I never thought I'd get well - thought I was the only one like this.  It took over my life completely and it was only when I started on SSRI's did I recover.  It felt like a miracle.

      I read self harm is just a symptom of anxiety.  Once the anxiety is under control the feeling of self harm should ease too.  It's wretched feeling like this, but you will get better.

      Your doctor should advise you on the next best course to take.

      Dont worry about rambling ...... we all need to talk, especially as this illness dominates lives so much.  Talk as much as you like.

      K xx

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