I've been on AD meds for many years and I'm now also taking Saphris in addition to Paxil. How exactly does this mood stabilizer work? I understand how AD meds inhibit the re-uptake of serotonin, norepinephrine, and dopamine, but how does Saphris work? I'm curious because the packaging says it's intended for bi-polar or schitzophrenia symptoms, but it works great on my depression. Don't worry about getting too technical because I'm well informed on the chemical and biological points of depression. Thanks!View Thread
150mg of Sertraline is not too high. It can be dosed as high as 200 mg. The question is whether if helps you manage your depression. Missing one dose shouldn't make you violently ill, but you should never just quit taking an anti-depressant, you should taper down to lower dosages first. Some people have symptoms when they start to taper off a medication. I never did. But I am always starting up on a new medication at the same time.
There are many studies that show that going on and off medication can make depressive episodes much worse to get over. Unfortunately, once a person has has one depressive episode, they are very likely to have more. It is rare that a person just has one episode, is treated with meds, goes off the meds,, and never has another depressive episode. If you are clinically depressed, you will do much better finding a medication and dose that works for you, and staying on it even after you feel better. For some people, like me, I can usually stay on a med for about 1-2 years and then my body becomes tolerant of the drug and I then need to find a new medication. Over the last 20 years I've been on almost every medication there is for depression and now I'm starting over with Paxil.
You ask how can you get off the drugs and no longer be depressed? I can think of only one way. You make sure you eat a great diet, get all the vitamins and minerals you need, always get the right amount of sleep, exercise regularly, and avoid stress. All of those things can help keep you from getting depressed, but they are no guarantee. Some people will get depressed no matter how well they take care of their body. I'm one of them, you may be too. Good Luck!View Thread
I know this is hard to hear, but it often takes a trial of 2 or 3 medications to find the one that works for you. I've been on anti-depressants for about 15 years. When I find something that works, I stick with it and it will usually work for about 1-2 years. Then my body develops a tolerance and I need to try something new. I know it's hard to hear, but i takes about 4-6 weeks of taking a medication before really knowing if it works for you. You may also need a mood stabilizer in addition to an anti-depressant. Medications like Abilify or Lamictal are given with anti-depressants. For the very best possible outcome, it is good to see a psychiatrist for medication, and also a therapist to work out lingering issues. Both together will should help you manage your depression and OCD.View Thread