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Fluoxetine or not?

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Psychie
joined 17 Oct 2007
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Posted by Psychie, 20:25 18 November 2007

Hi everyone, I have had a terrible two weeks since I last posted. It feels like the change in the clocks has just knocked me sideways and I am worse already than I have been for two winters.

I am at the point where I think I need more help and in the past have had relief by taking fluoxetine. I am really annoyed at myself because I got through last winter just with my light box and thought I had beated SAD. Now I am back where I was before.

I hate the way fluoxetine makes me feel - just monotone but it is better than how I feel now. However I know I will have four weeks of side effects - it makes me anxious and gives me the shakes.

Anyone have any pearls of wisdom do I go for the meds or do I sit it out and hope I don't get worse?
sandyb
sandyb
joined 31 Oct 2007
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Posted by sandyb, 21:10 18 November 2007

Hey Psychie

I've having the worst winter for years too so you're not alone. I've been on fluoxetine for the last 4 weeks and the side effects aren't nice, which I knew already as I was on them last year, but I decided that it was the only thing I could do that would help me survive the winter. Only you can decide whether meds are the right way for you, though. Do you normally get worse as the winter goes on or are you like some SAD sufferers that have the worst times in autumn and spring and could therefore hope that it will actually get better if you sit it out and use your lightbox?

Take care of yourself whatever you decide. Sending you hugs cos I know how bad it gets.

Sandy x

ps don't get annoyed with yourself that you're worse this year. I think a lot of us have been because of the rubbish summer.
PurpleIvy
PurpleIvy
joined 16 Mar 2005
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Posted by PurpleIvy, 21:23 18 November 2007

Fluoxetine didn't suit me either. I stuck it for so long, but returned to my GP and was prescribed something else. I still have side effects, but this med suits me better and I don't manage well on my own.
paulst
joined 5 Oct 2005
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Posted by paulst, 22:29 18 November 2007

HI psychie,im sorry you feel so bad,have you spoken to your doctor about medication. If you dont want to take Fluoxetine, there are other options such as citalopram.How many mins a day do you use your light? Perhaps you could use it for a little longer each day.Dont forget,as sandy said, a lot of us feel worse this year. Whatever you decide to do please keep posting and tell us how you are coping.


paul
Faerie9
Faerie9
joined 13 Nov 2007
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Posted by Faerie9, 13:21 19 November 2007

Hi Psychie

"I am really annoyed at myself because I got through last winter just with my light box and thought I had beated SAD. Now I am back where I was before. "

Don't beat yourself up over this. I felt similar to this for ages until I realised I'd done great without drugs, and that now it was time to try a different form of help in taking medication.

If you don't like fluoxetine, ask your GP for something different. My GP offered it to me, and I immediately refused - I have 'issues' with Prozac because of the bad press it got a while ago. So while I'm open to ADs in general, I wasn't to Prozac and my GP said there was no point in prescribing it if I wasn't open to the idea of it.

As Purpleivy and Paulst said, there are other options. Ask your GP and if s/he is not sympathetic, go see a different one.

Best of luck
xxx
Me
joined 29 Oct 2007
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Posted by Me, 14:00 19 November 2007

You know, last year I wasnt overly bad till Christmas. This year its October again.

Remember that SAD is with you all year round.

You have a sensitive solar panelled (not faulty) rechargable battery in that brain. If youve not had much light in a particular year, you will slow sooner.

Its nothing to kick yourself about. This is the way we are.

Its my way of understanding SAD and the way I come to terms with the bad times and the better times - I hope it helps you.

As long as youve got support,
you'll know what to do when the time is right - but never be frightened to ask!

I mean to send this info with lots of love, hope it doesnt sound to starchy - it just comes from my heart.
Me x
paulst
joined 5 Oct 2005
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Posted by paulst, 16:11 19 November 2007

Dont feel you have failed if you need medication, quite the opposite, it means you are looking after your health, thats very important during these darker months.
PurpleIvy
PurpleIvy
joined 16 Mar 2005
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Posted by PurpleIvy, 17:25 19 November 2007

Taking medication is one way of actively helping yourself cope. It's not for everyone.

I feel quite differently towards it these days. I always used to feel as if I was giving in and weak, but this year, starting before I needed to has made me feel strong and as if I have taken control. It will be interesting to see how long this state lasts, but I do feel quite well at the moment. I know that it's really important to keep up with all the good things that I do to help myself... good routines etc, so that I don't go downhill.
MOZY
joined 18 Nov 2007
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Posted by MOZY, 08:46 20 November 2007

Hi everyone. I am responding on behalf of my daughter Crystal. She has been really bad over the last two weeks and very down. She started fluoxetine on 5th nov and the feeling is that she should start feeling the benefits soon. We do hope so. She has a light box which she has been using regularly. It is interesting to see that she has such similar symptons and experiences as so many other sufferers. Can any of you tell me that fluoxetine has worked for them? I hope that she will be able to contribute herself to the discussion when she feels better. In the mean time can you wish her happy birthday and thanks for all your helpful comments. Ps we have certainly found walks help.
Psychie
joined 17 Oct 2007
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Posted by Psychie, 18:30 20 November 2007

Thanks to all.

I have just got back from the docs and am on fluoxetine. Saw a different GP who was so great and even asked me whether I get a bit manic in April and September - which I do - which I thought showed some insight. She has also referred me on to a Psychiatrist to see whether they have any other suggestions for meds or treatment.

I went to see the deputy head at school (I am a teacher) and told her that I may be a mess for the next few weeks due to side effects etc. She was quite supportive and agreed to move my break duty location away from the dining room which would induce anxiety in anyone! and protect me from covering classes for absent colleagues until Christmas.

I think I feel better about doing it - I am exhausted though and very tear stained. I began teaching psychological abnormality today to my sixth formers! I felt like a walking case study! Obviously they are unaware and I want it to stay that way but think this topic will be difficult again this year.

Thanks so much for everyones support it really helped.

xx
paulst
joined 5 Oct 2005
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Posted by paulst, 20:13 20 November 2007

Im glad things are starting to work out for you. I hope you can keep posting.

take care


paul
PurpleIvy
PurpleIvy
joined 16 Mar 2005
775 posts

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Posted by PurpleIvy, 22:53 21 November 2007

Hey Psychie, I work in a 6th form college and in the winter I find even moderate noise levels difficult to cope with.
JeanneinCanada
joined 8 Feb 2007
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Posted by JeanneinCanada, 15:20 22 November 2007

Hi psychie,

The change in clocks has thrown me big time this year. It always does, but this year I didn't get on meds until I was too depressed already.

I hope you get some relief soon that will get you through the season. I'd suggest you treat early next year, before it gets bad. The meds definitely seem to work better that way. ANd if you want to try a different med for better results you have time to weather side effects and switch if it doesn't work out.

Purple Ivy has posted alot about the benefits of starting her meds early and I'll definitely be doing that next year too.

Good luck for this year. God bless teachers, you definitely deserve a break today.


Jeanne
PurpleIvy
PurpleIvy
joined 16 Mar 2005
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Posted by PurpleIvy, 15:40 22 November 2007

True Jeanne. I really would rather not have to take medication. I thought my GP was daft when he suggested taking early, but he has been a great GP in all other respects so I trusted his judgement.

I do feel so much better this year.
paulst
joined 5 Oct 2005
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Posted by paulst, 15:55 22 November 2007

Some people think taking the tablets is the easy way out, that is just nonsense, its never easy to admit you need help and then sit in front of the doctor and pour out your troubles. I would rather not take any medication, but the truth is I would feel terrible without them. In the last couple of days ive felt almost normal.
JeanneinCanada
joined 8 Feb 2007
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Posted by JeanneinCanada, 19:00 22 November 2007


Quote:
"Some people think taking the tablets is the easy way out,"

Sad, but true. There is nothing easy about dealing w/ depression, absolutely nothing. Medication can just as literally save your life when dealing w/ severe depression as it can w/ heart disease. And even after meds, you still have to deal w/ all the symptoms that still leak through no matter what.

I have fibromyalgia and severe chemical sensitivity, a disabling combo already. But by far, dealing w/ a yearly dose of major depressive SAD is the hardest thing I ever go through. I compare it to getting thrown in the dungeon ever year for almost half of it. That's how it feels when I'm in the thick of it.


Jeanne
Linda
Linda
joined 15 Dec 2004
997 posts

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Posted by Linda, 19:55 22 November 2007

Fibromyalgia, chemical sensitivity and seasonal or clinical depression are a cluster of symptoms that can be related to poisoning from a medication or from a heavy metal, particularly mercury. I don't know what you've looked into as far as treating these conditions, and maybe advice from me isn't welcome, I don't know. But I couldn't read this without adding my two cents'. I think there are answers out there for you if you know where to look. Don't lose hope.
paulst
joined 5 Oct 2005
809 posts

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Posted by paulst, 21:03 22 November 2007

HI jeanne, goodness you certainly have a lot to deal with, I hope im not being too nosey,but how do you treat the combination of conditions you have? I think im quite ill sometimes, but guess my problems are not so bad after all.
Hadrian
Hadrian
joined 11 Sep 2007
139 posts

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Posted by Hadrian, 18:04 25 November 2007

Fluoxetine has worked great for me,but it took a good 2-3 months before I noticed any difference.It works best(for me)when used with light therapy.
sandyb
sandyb
joined 31 Oct 2007
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Posted by sandyb, 23:52 25 November 2007

Jeanne, I agree, I'm definitely going to start meds earlier next year like Purple Ivy. Started fluoxetine way too late this year. Really didn't expect to get bad SAD as I didn't have any thing to stress about (or so I thought - somehow my anxiety managed to find something random to cluster around) so didn't do anything to prepare and ended up with my worst year for ages. Been persevering for the last 6 weeks with light therapy and 20mg of fluoxetine which normally gets me through but I've just had to increase my dosage as I just don't seem to be getting out of this dark hole.
PurpleIvy
PurpleIvy
joined 16 Mar 2005
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Posted by PurpleIvy, 23:56 25 November 2007

I used to take fluoxetine. I found that I had a little benefit after about 5-6 days. Didn't get full benefit for about 3 weeks.

Last year I felt really cr@p on it, doc increased dose and no better, so changed med. I found it strange that a med that I had used quite a few times before suddenly seemed to not suit me.

JeanneinCanada
joined 8 Feb 2007
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Posted by JeanneinCanada, 16:08 26 November 2007

Hi Paulst,

There isn't really any treatment for what I have, though I'm sure certain people would be happy to tell me different (please don't). There is only damage control, lots of supplements, mild exercise and pain killers. I"ve tried many interventions, both medical and natural and some made me worse. I've learned to take it in stride when its not depression season.

Depression is brutal for anyone, no matter what else you have or don't.


Jeanne
paulst
joined 5 Oct 2005
809 posts

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Posted by paulst, 16:16 26 November 2007

Well I think you are brilliant, thanks for posting back to me.

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