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Doctor insights on: Get Off Ssri

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Is it possible to get off ssri medication after decades of being on them?

Is it possible to get off ssri medication after decades of being on them?

Possibly: If you've been stable with depressive symptoms for a year or so, discuss this with your psychiatrist. Some people need to be on antidepressants indefinitely because they've had multiple episodes or only partial recovery. For these, it can be preventative of further illness. If your doctor feels it's appropriate with your history and current status, s/he can help you create a tapering schedule. ...Read more

Dr. Carlos Satulovsky
604 Doctors shared insights

Ssri (Definition)

Group of antidepressants that selectively block the reuptake of serotonin, hence increasing its levels. Examples are celexa, zoloft, Lexapro ...Read more


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Why do ssri's make you feel worse before you get better?

Why do ssri's make you feel worse before you get better?

SSRI's: Can be somewhat activating, leading to ^ anxiety/ irritability while the brain is trying to get used to taking them. Most people adjust to this and then with time will find depressive & anxious sx's diminish - but that isn't universal. Take care. ...Read more

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I have been taking get SSRI for 3years so what will its long usage side effects?

I have been taking get SSRI for 3years so what will its long usage side effects?

Should be safe.: The SSRIs are considered safe to take in the long term, certainly safer than other medications which can be quite habit-forming and addictive. But, it is known that within 6 months to 2 years generally, they can stop working, so if you feel it's not working anymore then there's no sense in taking this particular SSRI anymore - seek an alternative if this is the case. ...Read more

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My brother is losing hope after his fiance left him. Should he get on prophylactic ssri's?

Maybe: It depends on his history and he can seek professional advice from psychologists or psychiatrists. ...Read more

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Does ssri-fluvoxamine discontinuation cause pe? I've been on them for about 2 years. I've noticed pe since the day I quit? Will it get fixed naturally

Does ssri-fluvoxamine discontinuation cause pe? I've been on them for about 2 years. I've noticed pe since the day I quit? Will it get fixed naturally

No it does not cause: Pe is pulmonary embolism and it is a life threatening condition and has to be diagnosed with cat scan and treated with anticoagulants (blood thinners)asap. I don't know what you mean by you have noticed pe. Pe causes acute chest pain and shortness of breath, if you have symptoms of pe go to er asap.
Ssri discontinuation does not cause pe. ...Read more

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Is it normal for your depression to get worse when first starting a ssri?

Is it normal for your depression to get worse when first starting a ssri?

See below: If you feel that your depression is getting worse, please contact your treating physician. Starting medications, including ssris, can produce side effects especially at the outset, which are important for the prescribing doc to hear about. ...Read more

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If you take ssri for>8yrs, does some get stored in fat tissue, so fasting/detox, you end up with more drug in the blood like addicts during rehab?

If you take ssri for>8yrs, does some get stored in fat tissue, so fasting/detox, you end up with more drug in the blood like addicts during rehab?

Possible?: Many drugs are stored in fat tissue. If the ssri is stored in your fat and then you burn this same fat that contains the drug, then it seems posible that you could experience drug like effects from this stored psychoactive chemical. ...Read more

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I started an ssri medication a week ago (celexa), and now every time I eat cheese I get severe flushing, is the medication causing this? If so, why?

I started an ssri medication a week ago (celexa), and now every time I eat cheese I get severe flushing, is the medication causing this? If so, why?

Tyramine rxtn?: Usually, drugs in the ssri and ssnri classes do not cause such outcomes, but you do have a beta blocker drug also (propranalol), and this mix may interact with your special susceptibilities. Not a simple straightforward problem, but I would err on the side of caution, and switch to a different anti-depressant drug. ...Read more

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My shrink quit. Should I go off my psych meds (gradually, of course)? I take 2 mg of a benzo and a low dose of an ssri. I have not found a suitable replacement shrink, and wondering if I shouldn't just go off the meds, gradually - I won't be able to get

My shrink quit. Should I go off my psych meds (gradually, of course)? I take 2 mg of a benzo and a low dose of an ssri. I have not found a suitable replacement shrink, and wondering if I shouldn't just go off the meds, gradually - I won't be able to get

Psychiatric meds: Your need for treatment is a separate issue from your psychiatrist's leaving. Most primary care physicians would be willing to cover your prescriptions while you seek a new psychiatrist (or "shrink, " if you prefer that name). You could also work with a psychologist/other therapist in cognitive behavioral therapy -- so that when you really do taper the medications, you really are stable and ready. ...Read more

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A gastro infection along with ssri taking caused my serotonin levels to get extremely high, how can I deplete my plasma serotonin levels?

A gastro infection along with ssri taking caused my serotonin levels to get extremely high, how can I deplete my plasma serotonin levels?

You cannot: You cannot deplete serotonin level in your blood. What is your problem? You might want to decrease the dose of ssri or use different antidepressant if you have a chronic diarrhea because diarrhea is a common side effect of ssris. ...Read more

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Severely depressed and low-functioning... Is there any hope to get my energy, appetite, and self back? Already on SSRIs, how do I never give up

Severely depressed and low-functioning... Is there any hope to get my energy, appetite, and self back? Already on SSRIs, how do I never give up

Depression Treatment: Once a diagnosis of depression has been made effective management involves three specific strategies: 1) patient education, 2) nonpharmacological management, and 3) pharmacological (medical) management. See a psychiatrist for evaluation, tests and treatment. ...Read more

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If I switch meds from luvox (fluvoxamine) to other ssri should I taper? And will I still get all the usual starting s/e of ssri? I have panic disorder thanks....

Yes: Cross tapering medication is recommended. Meaning the old medicine is tapered down while the new med is tapered up. Has to be done by professional as the rate of cross tapering varies. Also meds being cross
tapered may in part or totally, share similar effects. In our center we rarely encounter problems while x tapering. Good luck and feel better. ...Read more

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Looking to get on an antidepressant. Out of the ssri family which one has been known to not cause weight gain?

Looking to get on an antidepressant. Out of the ssri family which one has been known to not cause weight gain?

All might: Especially in long (>6mths) term use all have been known to, but Wellbutrin, Effexor (venlafaxine) and Serzone are less so and Zoloft is a bit less than the most reported - Paxil is the worst by reports. CBT therapy has no side effects and can help you minimize or avoid drugs - consider it as an adjunct so you can avoid long term use. Best! ...Read more

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I got diagnosed with bpd. I'm sensitive to ssris. I get uncontrollable movements. My depression is unbearable. I know I need meds.

I got diagnosed with bpd. I'm sensitive to ssris. I get uncontrollable movements. My depression is unbearable. I know I need meds.

More options: SSRIs are not the only antidepressant meds. A psychiatric consult can help you to understand the medication possibilities. Medications alone are only part of a treatment program to address how you feel. Therapy is equally important given your diagnosis. DBT therapy is a good option which helps you to develop skills to manage unbearable feelings. It can be group or individual. Don't give up ...Read more

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Is an SSRI like escitalopram going to benefit me? I am suffering from insomnia and anxiety. Whenever I lie down I get stressed that I won't sleep.

Is an SSRI like escitalopram going to benefit me? I am suffering from insomnia and anxiety. Whenever I lie down I get stressed that I won't sleep.

Escitalopram effects: Escitalopram is for treatment of depression and Anxiety, it
can increase insomnia and anxiety.
Your Anxiety and insomnia are likely due to stresses of relationship, separations, work and finances,
See a Psychiatrist for Therapy.
Use Breathing and Music Relaxation, Visual Imagery, Yoga and Meditation.
If you still feel need for medication, discuss Lorazepam or Alprazolam with Psychiatrist ...Read more

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Can get horny, aroused and wet on luvox (fluvoxamine) but can't orgasm. It sucks. Miss masturbating. Don't get why ssri do this. I just want to masturbate so badly.

Talk with your Dr.: SSRI medications affect nicotine synthetase - which affects blood circulation of genitalia. Your doctor can prescribe medications that can assist with this side effect or considering changing your antidepressant. ...Read more

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Take 40mg Fluoxetine and 15mg of Diazepam a day. Still having very depressive moments I can't get out of. Tried every ssri. Any possible add on meds?

Take 40mg Fluoxetine and 15mg of Diazepam a day. Still having very depressive moments I can't get out of. Tried every ssri. Any possible add on meds?

Discuss with doctor: There are many possibilities-- you may have bipolar disorder, low thyroid, taking antacids which reduce absorption of fluoxetine, may need bupropion added, may be drinking alcohol, may have other medical illnesses complicating the picture, may need a higher dose of fluoxetine.
Please meet with your prescribing Psychiatrist and discuss in detail. ...Read more

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Hello, I just wanted to see why is it I feel BETTER and HAPPIER on a lower dosage of my antidepressant? I feel hyper and jittery, in a real good way. My doctor lowered my dosage of TCA and kept same dose of SSRI. Thought I would get more sad?

Hello, I just wanted to see why is it I feel BETTER and HAPPIER on a lower dosage of my antidepressant? I feel hyper and jittery, in a real good way. My doctor lowered my dosage of TCA and kept same dose of SSRI. Thought I would get more sad?

Med side effect?: Interestingly, some of the older antidepressant medications, especially the tricyclics, can have sedation and somnolence as a side effect. There’s a qualities of somebody who has depression as well. So by lessening the dose, you might feel less sedated and sound mind i.e. more energetic. Just a thought. ...Read more

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Stopping ssri n I keep getting panic attacks! Every time I get one I think I'm having a stroke or heart attack. How do I convince myself I'm ok?

Stopping ssri n I keep getting panic attacks! Every time I get one I think I'm having a stroke or heart attack. How do I convince myself I'm ok?

SSRI: This is serious. You cannot manage yourself without the help of your psychiatrist in order to avoid important side effects or insorgence of new symptoms. ...Read more

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Major depressive disorder: exhausted ssris, currently on maoi. 35 sessions ect not helpful. Nothing helps me get out of bed. Withdrawn. Been 3 years.

Major depressive disorder: exhausted ssris, currently on maoi. 35 sessions ect not helpful. Nothing helps me get out of bed. Withdrawn. Been 3 years.

Neuro stimulation: Ask your doctor if you are eligible for any research studies in brain stimulation such as vagus nerve or deep brain stimulation. Or magnetic stimulation of the brain on the scalp. ...Read more

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Have OCD, depression, and anxiety but I fear SSRI's because of its extensive possible side effects. Is there a way to get over that fear?

Have OCD, depression, and anxiety but I fear SSRI's because of its extensive possible side effects. Is there a way to get over that fear?

Every person is: Different. If you have a bad reaction to the medication, your psychiatrist will change or adjust them. If OCD, depression & anxiety are interfering with your life, it is worth trying meds. ...Read more

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Recent diagnosis add-mildimprov on concerta. Doc add lamotrigine & now signic improv. Why lamictal? I don't have bipolar. Can I substitute w/ssri &get sameeffect

Recent diagnosis add-mildimprov on concerta. Doc add lamotrigine & now signic improv. Why lamictal? I don't have bipolar. Can I substitute w/ssri &get sameeffect

Mood stabilizing: Lottlrigine acts as a Mood Stabilizer. The ADHD mediication can cause moodiness problems. Lamotrigine can help one's mood be nore stable. What reason did the doctor have for putting you on it? I don't have enough information, but please, don't ferl VAD if it tirns out you may have a slight touch of the condition. I avoid stimulants in my patitence with Bipolar Disorder. Good luck ...Read more

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24 months psychology therapy, occupational therapy, meditation, SSRI, yoga, group therapy, benzos, Not working! Can't get rid of anxiety! What do?

24 months psychology therapy, occupational therapy, meditation, SSRI, yoga, group therapy, benzos, Not working! Can't get rid of anxiety! What do?

Psychiatrist: I would suggest that you need to be referred to a Psychiatrist. Standard Psychotherapy sound like the right direction now...simple "fixes" and particularly BENZOs are NOT THE ANSWER!
Get help now!

Good Luck

Dr Z ...Read more

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I'm on Zoloft (sertraline) for panic attacks& agoraphobia, I take 25 mg for 3 weeks, it's gotten better but I still get anxiety when I go out, should I increase dose or add another Ssri, tried CBT it didn't help.

I'm on Zoloft (sertraline) for panic attacks& agoraphobia, I take 25 mg for 3 weeks, it's gotten better but I still get anxiety when I go out, should I increase dose or add another Ssri, tried CBT it didn't help.

The best TX for: This is a combo of psychotherapy and medication. Consult with your prescribing physician and ask him/her if s/he provides psychotherapy, too. Staying with one provider is better, but if therapy is not offered, try a psychologist, preferably one who can work with your MD, as needed. Here's a primer on anxiety:

http://www. Psychologyproductsandservices. Com/page2.html ...Read more

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Do and Can primary care physicians prescribe antidepressents (SSRI's) or do you have to go to psychiatric doctor in order to get it prescribed?

Do and Can primary care physicians prescribe antidepressents (SSRI's) or do you have to go to psychiatric doctor in order to get it prescribed?

Yes: Primary care providers do prescribe multiple classes of antidepressant medications. Referrals to a psychiatrist are often made based on the patient's preference or if acuity of mental health needs and followup requirements are beyond the ability of the the primary care provIder. ...Read more

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Can IBS get progressively worse despite better diet + SSRI anxiety mgmt? Few years ago had diarrhea <1x/week. Now? Daily for 21 days, often 10-15x/daily. Often dark blood but IBD, celiac etc ruled out

Can IBS get progressively worse despite better diet + SSRI anxiety mgmt? Few years ago had diarrhea <1x/week. Now? Daily for 21 days, often 10-15x/daily. Often dark blood but IBD, celiac etc ruled out

IBS: I'm finding more and more people with sensitivity to sugar alcohols. Sorbitol, Xylitol, maltodextrin and malitol. Check labels. Sugar free gum and diet desserts, especially ice cream. Check your labels. I hope this works! ...Read more

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Normal EEG CT & mri. Still get spasms on left side of head. Hand tremors & elevated serotion blood lvls since sep 2012. Been off ssris for 7 months.?

Normal EEG CT & mri. Still get spasms on left side of head. Hand tremors & elevated serotion blood lvls since sep 2012. Been off ssris for 7 months.?

Consider: A functional brainscan would be helpful. There are 3: spect, fmri, and pet. These scans provide diagnostic assistance as they provide iformation on brain function as others are anatomic. There are 2 critical factors: find a site that does spect studies[my bias} and be sure the nuclear or neuroradiologist has experienc!
jjrodos do, dsc. ...Read more

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Ssri add ons?

QUESTION IS UNCLEAR: Sorry I am not sure what the questions. SSRI as an add on for what exactly.? ...Read more