May 07, 2007

Anti-Depressant Withdrawal Hell

A nice article in the New York Times Magazine yesterday by Bruce Stutz who took Effexor, found his depression leveled out and then went through absolute hell to get off the drug. He also contemplates what many patients have to think through when their condition improves:

"Somehow I couldn’t believe I had to take this pill for the rest of my life. I was feeling fine. At least I thought I was feeling fine. The image that came to mind was of Dumbo the elephant believing that what allowed him to fly was the feather the crows had given him. Only when he drops the feather does he realize that he truly has the gift of flight. Could I let go?"

Stutz goes through most of the major issues around the curses and blessings associated with anti-depressants, especially the serotonin syndrome. I'm glad that particular bit gets attention. I think I experienced for quite a time both on anti-depressants (but those were gentler times so we didn't know about such things) and, later, on atypicals. I am sure I will be called both pro and anti-psychiatry for saying such things or bashed as "typical patient advocate." So be it.

I think such questions--do people have to be on meds forever? can we get some meds that don't make people sick?--have got to be asked, repeatedly, until this game becomes far more humane. I think Stutz agrees.

Posted by Philip Dawdy at May 7, 2007 12:03 AM
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Comments

Once again, being a fellow back pain sufferer, I "feel your pain." :)

I have had serotonin poisoning in the past month. I diagnosed myself, and then had a top psycho-pharmacologist (who doesn't even see patients), go over all the molecules that were given to me. He said I had Bipolar 3, Serotonin POISONING DUE TO ANTI DEPRESSANT USE. Sorry for the empathetic caps, but, I am angry that I was so stupid, as to let this happen to me. I truly wanted to experience relief and I believed the THREE TOP PSYCHIATRISTS who recommended MY combination of medications.

They were wrong in my case. I feel much better without the Cymbalta, as it made me deadly physically and psychiatrically ill. That was no surprise, if you take a deep look into the side effect profile. I believe, that soon, there will be black box warnings on most new SSNRIs, against their use in those with tendencies to excitability , hypomania, and mania.

Have a wonderful day!

Posted by: Dr. Black Kitty at May 7, 2007 07:16 AM

At 5'6" and 125 pounds I was taking 375 mg of Effexor XR + Wellbutrin + Lamictal + Flomax. I think that was just way too much for a body my size to handle. The amount of medication I was on was so strong that it was causing bladder spasms, I can only imagine what it was doing to my brain. I tried going off all that stuff cold turkey - DON'T EVER DO THAT!

Posted by: Lisa at May 7, 2007 09:16 PM

I don't need to be on an antidepressant anymore. But tomorrow marks the end of my 4th week of withdrawal hell. I can't take too much more of this, and am starting to think about going back on. It would be a complete failure, but I'm tapped out. A month of these symptoms will do that to you-giving up no longer seems like the worst option.

Posted by: spotted elephant at May 10, 2007 10:07 PM

Equating med removal here as hell in anti depressant or anti psychotic removal:

For the 1 week of insomnia and racing mind I endured--the 6 months of hell on and most importantly, the months of removal of the Seroquel was far worse than the racing mind /week of insomnia episode.

As far as giving in to the withdrawals, I didn't think I could last either, and it took well over a month to see those nasty symptoms, such as vomiting, diarhea, shaking, sleeping in a curled fetal position, unable to straighten legs out, charley-horse severity cramps in back muscles(!)--that an ER team even observed--this list is far too long to say that the slammed down morning train wreck, and the withdrawals--outweighed episode.
As in, the benefit outweighs the risk, so take this med attitude. This post I wrote discusses what I thought was going on, was a flare up of Chronic Fatigue Syndrome that was in remission for over a decade. What I believe I suffered from was a serotonin type of poisoning, syndrome of sort.
I think it's important to note, and sorry for the long post--that withdrawals of anti-depressants are similar to anti-psychotics, and most psychiatrists do not discuss anti-psychotic withdrawals. They are just beginning to understand the anti-depressant stuff.

Just yesterday, my psychiatrist offered me a low dose of Lexapro, to help me "cope" with my life situation. I said, NO. Then received my free pharma samples of Lamictal in a plastic goodie bag with "Lexapro" on it. Thanks Pharma reps--looks like they made a Lexapro drop off this month, and I was offered it, and never was before.

Posted by: Stephany at May 11, 2007 07:26 AM

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