SRS I know none of you are doctors (antidepressant and prozac crew I have questions)

Discussion in 'On Topic' started by MudRacer4x4, Apr 18, 2007.

  1. MudRacer4x4

    MudRacer4x4 New Member

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    i'm on prozac now. its a low dose. I find life has gotten slightly better but at the same time i can be decently happy for 3 days or so then i get a day where I'm just so depressed I can't take it. I also have alot of axiety and some ocd going on in my life right now. Can any of you recommend medicines that don't have that many side effects especially sexual side effects? I would like to get rid of the axiety, ocd and especially these days that I get serverly depressed. Also has anyone notice its hard to loose weight/weight gain while being on prozac? Sometimes I wonder if prozac is making me more depressed
     
  2. Midgetized

    Midgetized Don't mess with Douche Cat

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    Wellbutrin is the only one I know of that isn't supposed to have sexual side effects. You need to be having this converstion with your doctor though and not OT. He can recommend a different medication or change the dose. Just be completely honest with him about all the side effects and problems you are having with it so he can help you as best as he can.
     
  3. SixSecrets

    SixSecrets New Member

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    Personally, I think most bug juice (Prozac, Remeron, Effexor, etc) is a roller coaster ride and a last chance Texaco. Necessary but at the same time, I wonder if taking a chemical to "straighten out" what's going on upstairs, is rather the right thing to do. Chem v. Chem

    Some people appear to flourish having their brain chemistry mucked about with, and yet there are others who, after taking, or while taking, bug juice have little change or in fact, take a step backward.

    I suppose it is again up to the individual, how strong one is, and how they have come to terms with themselves.

    I think having a therapist (not just a $150/hr "Rent-A-Friend), but a solid psychotherapist should be part of the picture when one embarks on medication. Docs are too free with pills and usually GPs have little understanding of psych stuff, and so, their best answer is to give you a pill and usher you out the door. It's sad.

    It's not always about Chemistry.
     
  4. HatSee

    HatSee Active Member

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    I took effexor, it had a ton of side effects that I wont even bother saying but after a few months they mostly went away. If you need to be on this medication I'd say take it, and see how it works out. But goto your doctor and tell them your concerns about this if you are unsure.
     
  5. Scootin

    Scootin OT Supporter

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    Well, you've got a fun set of conditions there. Here goes.

    Any SSRI you're going to use will have sexual side effects. Those effects are a direct result of serotonin reuptake inhibition. I won't go into how it works, but that's why it happens. That said, taking a dopamine agonist like wellbutrin (bupropion) can help tremendously with sexual side effects. However, the problem is that because you're feeling both depressed and anxious, I would hesitate to recommend bupropion because it is contraindicated for anxiety. Many SSRI's, however, are used off-label to treat anxiety, so if you can hang in there for a bit you'll be ok.

    If you can stick it out a bit longer with an SSRI, you might see some benefit. Try switching from Prozac to Paxil or Luvox or something. Prozac is a little different from just your typical SSRI, but nobody really tells you that. Nobody really knows why, but not all of the antidepressants work for everyone; everybody's different.

    The OCD you're feeling can be treated with an SSRI, but the most effective treatment for OCD is Cognitive-Behavioral Therapy, or in severe cases, Ritual Prevention Therapy.

    Anyway, what you should probably take from this rambling post of mine is to try out something other than Prozac, your doc will understand. The sexual side effects will be there if you're sticking with an SSRI, but you probably don't have a ton of choices at this point in time. Just stick it out a little longer, get into some cognitive behavioral therapy for your anxiety and OCD, and hopefully you can be off this stuff soon enough.
     
  6. Spiritus

    Spiritus Active Member

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    I am going to say that mucking with my brain chemistry has probally been the best thing I have done in my entire life. I am never sad, I am always having a positive outlook. Of course I can be sad, it is just for "reasons".

    Anxiety and depression are things of the past.

    I just have to cut in here and say how scientists *think* this drug works. Remember they always tell you that they don't 100% know, and that the little diagram might not be completely what is going on there.

    Well they are saying now that SSRI's actually allow new neural growth and repairing of the synapses, and the anti-depressant effects are a SIDE EFFECT.

    This may explain why some people go ape shit on it, and others FLOURISH.

    Back to what I was saying... your sex drive over a long period of time will change. I loved the change. It has switched me from lusting to loving. I love affection now. I love cuddling. I love kissing. I can't get enough, and this is great for relationships because the love chemical oxytocin is produced.

    In fact, I love the affection and such so much, it is part of the reason I engage in chaste sex. Cumming on paxil is a concious effort, meaning you can pretty much go as long as you want then decide when to do it. Pornstar type deal. In the beginning it can be hard, and effect libido. As your body becomes accustomed to it, you should be best kind.

    I have naturally chosen a path of chaste sex, and honestly looking back upon the reflection of my old self, I think cumming is repugnant (for ME). I think it is a waste when you can constantly and consistantly have a large sex drive (which builds up over time, negating any effect on sex drive), the sensuality aspect is wonderful, the sex is always amazing, I am always SO affectionate and loving it's rediculous.

    A double edged sword.

    My results are atypical about choosing chasity. In fact, I put a lot of scientific thought and religious belief into choosing that path, but is was easy to choose considering how it's not so hard to spill the holy chalice... ;)

    From a user to you.

    My main point here is your libido can change, but it might just make cumming more of a concious effort rather then instinctual. Poor guys who can't hold it in conciously, I do not understand it anymore.
     
  7. MudRacer4x4

    MudRacer4x4 New Member

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    i've been on many meds and all have the bad side effects. Any anti axiety meds without the side effects? i've had this problem all of my life
     
  8. iwishyouwerebeer

    iwishyouwerebeer you shut your cunt Moderator

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    I took Zoloft for social anxiety and it helped loads, had side effects for only the first week :dunno:
     
  9. Scootin

    Scootin OT Supporter

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    Not really. All medicines have side effects. The only difference is to what extent they affect the user.
     
  10. Spiritus

    Spiritus Active Member

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    herbal shit. just be careful about taking too much, you will fuck up your liver.

    Valerian
    uhm...
    Passion Flower

    other shit.

    makes your drowsy, thats about it.
     
  11. Genghis.Tron

    Genghis.Tron New Member

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    MAOI can also be useful for those who have comorbid issues with anxiety I guess. Some TCA could be effective too but there will probably many side effects. Correct me if I'm wrong :o
     
  12. Spiritus

    Spiritus Active Member

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    watch out for combos.

    they could = death
     
  13. Scootin

    Scootin OT Supporter

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    MAOIs and TCAs are useable, but I would hate to see them prescribed first. MAOIs especially have nasty side effects, especially involving the amino acid tyramine...you have to have a really restricted diet that you HAVE to follow, or you could die. TCAs are a little better, but still carry some heavy side effects. Sometimes they're the only choice, but I would like to see the SSRIs be confirmed to not work or to have too severe of side effects first.
     
  14. BradUF

    BradUF Guest

    What?!?!?!?
     
  15. Spiritus

    Spiritus Active Member

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    whats the big deal?
     
  16. Genghis.Tron

    Genghis.Tron New Member

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    Now that I study for my neuroscience exam tomorrow I agree with you ! But I saw that there are some MAOI that only inhibit the MAO-B enzyme which means that there shouldn't be a problem with tyramine and diet.
     
  17. Scootin

    Scootin OT Supporter

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    Right, but the MAO-B inhibitors don't inhibit MAO-A, which is the part of the MAO enzyme group that deaminates serotonin (and epinephrine/norepinephrine), one of the most influential NT's on anxiety and depression. MAO-B primarily deaminates dopamine, if I remember correctly, which has little effect on anxiety. You would see a use for these in dealing with Parkinson's patients and such.

    MAO-A inhibitors, which are fairly new relative to the typical MAOIs, are used to treat depression and anxiety, though, so you're on the right track.

    Regardless, any MAOI, whether it be A-preferential or B-preferential, will still inhibit both MAO subtypes, but one to a much greater extent than the other. However, the effect of an MAO-B inhibitor on MAO-A is mild enough to where only a slight change would be evident. edit: If any change in depression/anxiety status at all.
     
  18. BradUF

    BradUF Guest

    I didn't say it was a big deal.
     
  19. Genghis.Tron

    Genghis.Tron New Member

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    I like you. This is slightly getting off-topic though, maybe we should make an EDU :p
     
  20. Scootin

    Scootin OT Supporter

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    :rofl: Go for it. :cool:
     
  21. Scootin

    Scootin OT Supporter

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    I don't know why I never thought of it before, but you could always try a tetracyclic like mirtazipine (Remeron) :dunno: Haven't looked into them too much yet but they theoretically, because it doesn't directly agonize serotonin, shouldn't have many sexual side effects, if any at all.

    edit: read up on mirtazipine, apparently it blocks 5-HT2 and 5-HT3 receptors while agonizing serotonin indirectly...that's a pretty neat trick there :cool:
     
    Last edited: Apr 20, 2007
  22. brokengold

    brokengold New Member

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    SSRI are experimental medicine
     
  23. Scootin

    Scootin OT Supporter

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    I think you've already made it abundantly clear you do not understand what you're talking about, so please discontinue. Thank you.
     
  24. Genghis.Tron

    Genghis.Tron New Member

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    That's what I was going to talk about :rofl: Saw that on wiki but they classify it as a noradrenergic and specific serotonergic antidepressant (NaSSA). Seems nice.
    It blocks the noradrenergic alpha2 receptors which would help control anxiety symptoms too.
     
  25. Spiritus

    Spiritus Active Member

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    It has turnt me from a shy, depressed boy into a confident, joyous man.

    It has changed me from not getting any chicks or dates, to getting beautiful woman with genetics from around the world.

    It has changed me far for the better. Not only does everyone like me more, I like myself more. My girlfriend is head over heals for me, and me for her. We don't fight because the combination of the SSRI and an NRI + Gnosticism or Buddist idenification of the egos allows me to see the problems occuring internally in both individuals before it becomes a problem.

    It was a blessing for me.

    That's all I can say.

    :)
     

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