i posted this on the addiction board. but may be it is better to post it here. as i told you i am on 20 mg of seroxat (same as paxil)
and i want to quit it, because it is giving me restlessness,
sleeplessness, anger, headaches and nightmares.
my first psychiatrist did not want me to stop and my gp did not want
me to stop too. i went to see another psychiatrist today.
he said that he wanted me to quit taking seroxat and to reduce it by 5
mg every week. after that he wants me to start taking setralin
neuraxpharm (this is also called zoloft).
i know that this is an ssri and in refused first. i wanted to start
taking mirtazapin but he said mirtazapin was no good in my case (being
a recovering heroin addict). he said that mirtazapin in case of
addicts was contraindicated, because it makes that feeling of
emptiness grew stronger. he said paxil/seroxat and setralin/zoloft
actually are the drugs of choice in addicts.
i said i was afraid of more sleeplessness and nightmares and he said
that would happen only in the first few months and prescribed prazosin
(i think it is called minipress in the usa) against the nightmares and
i wanted to refuse to take it... but when i first tried to explain my
situation to him today i told him that i feared i will never be
he told me "what an attitude... you fear never to be healthy again but
yet you refuse to take the medication which is going to help you".
i do not know what to do. i do not want to be on all of this horrible
medication, but yet i only want to be happy and healthy again.
when i got home i did some research about the medications and i
learned that setralin has the worst side effects and the prazosin is
not even a antidepressant but it is a medication for high blood
pressure. i do not suffer from high blood pressure. i phoned my
psychiatrist because of that asked him if he knew that prazosin was a
medication for high blood pressure. he said: ""yes, i know" and told
me that he cannot give me benzodiazepines because i am an addict. he
told me that he has prescribes prazosin to many an addict and most of
those have been helped.
he told me that he has really prescribed me what are the drugs of
choice in addicts and that i will soon be feeling better.
Except for the first couple of weeks I had no side effects from Zoloft. I had no withdrawal symptoms either.
I'd suggest combining meds with other methods for better results. I think depression is too complicated to treat with meds alone because the environment plays a role. Individual and group therapy can give valuable feedback. I would look into diets geared towards helping depression. Sugar and skipping meals would be a couple of things to avoid. Exercising every day is far better than skipping days in my experience. The benefits build over time as conditioning improves. Maintaining a healthy weight could make depression less complicated. I think fish oil is worth trying. Isolation could severely limit progress.
maybe think about choosing a different Dr. one who is smart enough to know that right now THE most important thing is to treat your depression- whatever it takes for you to feel better. Because you were once addicted to drugs- doesnt mean you need to be treated like you will abuse every other drug you come across. You DESERVE just like everyone else -to feel better. Sometimes when starting antidepressnats it helps alot to have other meds that help you get stablized and once you feel better than taper of the other. Doesnt mean that you dont deserve all the other protocols given to everyone else who has depression. Its not right. Hope you find a Dr. who "looks at the big picture" and doesnt worry about the whats NOT important right now. I think if you can get on a antidep. and STAY on one for awhile- give it a chance to work... might take you 6 to 8 weeks, youll find its very worth the trouble. You can alot feel better- I wish you the best of luck.