“Sertraline 50mg” …...
 

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“Sertraline 50mg” … who noticed?

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So I just read Amanda’s article about bikepacking in the latest issue. And yes being one of those peeps who reads every last word in the mag I read through the packing list too. Initially just out of interest but then I was stunned to see Sertraline listed … assuming* that it is the same Sertraline that I’m on, that’s an anti-depressant. Wow. So brave, open and honest to list this without referring to the need for it and without making a big deal out of it - well done Amanda; and for anyone else in the same boat as us you are not alone ❤️

*and if I’ve got this wrong, apologies!


 
Posted : 10/02/2024 8:05 pm
SYZYGY, amandawishart, brakestoomuch and 15 people reacted
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Also used to treat anxiety. **waves**

There's a big old thread about coming off it


 
Posted : 10/02/2024 8:18 pm
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I’m off to the docs on Monday to ask for some, although I don’t know how to ask TBH, talk about my anxiety and lack of enjoyment a lot and hope he jumps to the right conclusion?   Or ask outright which i feel my lead to a refusal….


 
Posted : 10/02/2024 8:22 pm
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talk about my anxiety and lack of enjoyment a lot and hope he jumps to the right conclusion?

Worked for me.


 
Posted : 10/02/2024 8:29 pm
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Kryton57
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I’m off to the docs on Monday to ask for some, although I don’t know how to ask TBH, talk about my anxiety and lack of enjoyment a lot and hope he jumps to the right conclusion? Or ask outright which i feel my lead to a refusal….

I started out with the former, if it hadn't worked I'd have gone to the latter but i didn't have to. Nothing wrong with asking for it but I kind of thought, this dude went to med school, let's give him a chance to diagnose my ridiculously obvious symptoms


 
Posted : 10/02/2024 8:52 pm
scotroutes, fazzini, Kryton57 and 3 people reacted
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My 19 yr old daughter was prescribed it for the first time this week. I don't know whether it will help a young adult recently diagnosed with ASD quite honestly but here we are.


 
Posted : 10/02/2024 8:53 pm
Drac and Drac reacted
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I’ve been on it for coming up to 18 months, I can happily say it’s changed my life around after suffering 4 years of crippling anxiety and panic attacks beforehand (and taking other ADs that obviously didn’t work).


 
Posted : 10/02/2024 9:08 pm
binman, davros, acidchunks and 7 people reacted
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My wife is prescribed it and her anxiety is kept well in check. Work is always the trigger but she’s okay atm.


 
Posted : 10/02/2024 9:26 pm
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although I don’t know how to ask TBH

I broke down in tears. It was a bad time. GP was amazing. Always be grateful to her for just even listening.


 
Posted : 10/02/2024 9:29 pm
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I'm sertraline curious. I've just been putting off having the conversation with the Dr.


 
Posted : 10/02/2024 9:32 pm
 Drac
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Finished my final dose yesterday, 50mg didn’t do anything but a 100mg did. After a few years and now pretty rock bottom I was on 200 with no change. As well as receiving EMDR treatment for a few weeks, I stated a new medication. Just hope it helps as I’m now almost a year in of feeling absolutely flat.

@Kryton57 talk about your issues, meds isn’t always the answer it was years before I resorted to them and really helped me function for a while. Sadly the exposure to my issues couldn’t be removed so in time they’ve stopped being as effect hence the news meds.


 
Posted : 10/02/2024 9:43 pm
Kryton57 and Kryton57 reacted
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@winston I hope it helps your daughter as well as it's helped my son.

I had a short spell with it, I took the direct route, told the doctor I was having a rough patch and needed sertraline. Quick chat and left with a prescription, found it very hard at first but persevered with it and it helped me through.


 
Posted : 10/02/2024 9:48 pm
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8.6 million people in the UK are on some form of antidepressants. It's almost like the last few years have sucked, or something.

Big +1 for finding what works. Sertraline for me was fairly effective but as side effects go "Oh you're anxious and depressed? Well this'll make you feel better but your cock'll stop working" is non optimal. Amitryptilene made me feel better but a bit zombied, citalopram was less effective but easy to live with, but, that's just me- basically SSRIs all work by stirring up the bucket of electrified homemade chemicals in your brain and pretty much by definition they were already pretty bloody stirred up if you needed the pills in the first place. So, naturally results vary. It's a pretty cruel kicker that it takes time to go on and off the drugs so handovers from one to another can be absolutely savage, but, for me it was 100% worth it. Like turning down the difficulty level.

I should have said this before but don't worry about the gp's reaction, partly because of those other 8.6m but mostly because nobody wants to be depressed or anxious or whatever, and medicated. It's not like opiates or something. Individual doctors have various amounts of enthusiasm for medication vs other approaches but nobody's going to be surprised. It's really good to try other stuff, but resources are stretched and that too is about finding what works, you might struggle (I cannot do mindfulness or meditation, it blows my brain up, for other people it's key)

And good luck...


 
Posted : 11/02/2024 12:02 am
 Drac
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Oh you’re anxious and depressed? Well this’ll make you feel better but your cock’ll stop working”

Given one of the other things it’s prescribed for that’s interesting.


 
Posted : 11/02/2024 12:30 am
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Other common side effects include "being unable to sleep" and "being sleepy" 🙂


 
Posted : 11/02/2024 12:38 am
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Recently gone back on it for the second time after the last few years and recent personal events, 2 months in so far so it's just starting to fully take effect. The first time was in 2018 (came off it 3 months before the pandemic hit, perfect timing...) and I initially started on Citalopram plus CBT sessions, switched to Sertraline and made much better progress after some odd side-effects! Both times have been for anxiety, it allows me to take care of things while it smooths out my emotional response.

I’m off to the docs on Monday to ask for some, although I don’t know how to ask TBH, talk about my anxiety and lack of enjoyment a lot and hope he jumps to the right conclusion?

Just talk to them about how you feel and that you think it may help, they'll do the rest.


 
Posted : 11/02/2024 1:43 am
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I’m on sertraline for anxiety, if you met me you wouldn’t think I suffered with anxiety but i did.
Sertraline has certainly worked for me.
Don’t be afraid to speak to your doctor, or friends.


 
Posted : 11/02/2024 3:55 am
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If someone comes to see me and wants to try Sertraline or similar and it’s suitable, my stock answer is “yeah we can do that”.

It’s not what I recommend as the first line for depression/anxiety, and antidepressants aren’t the answer for everyone and do have their problems, but generally I’ve found that if someone feels that they still want to try it after knowing all the pros and cons then fair enough.


 
Posted : 11/02/2024 7:58 am
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I broke down in tears. It was a bad time. GP was amazing. Always be grateful to her for just even listening.

First time I got put on Citalopram that was how it played out. Second time I just went back and asked.

Higher dose this time and still not "right". May need to consider Sertraline


 
Posted : 11/02/2024 8:05 am
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Loads of people I know are on something like that now and I'm super happy that they are up front about it but not in an over the top way.  It really helps to know that your friends are on the same things that you are


 
Posted : 11/02/2024 8:09 am
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My wife is prescribed it and her anxiety is kept well in check. Work is always the trigger but she’s okay atm.

I've been hopping jobs for three years now hoping I could address the work issue but to no avail ☹️

Now considering a complete career change or just seeking a demotion to lower rung where perhaps I will actually have a glimmering of control over my week and workload.

“Oh you’re anxious and depressed? Well this’ll make you feel better but your cock’ll stop working”

Which is ironic because if I hadn't listened to my cock ten years ago I wouldn't be so dependent on the horrible job and associated salary 🙄


 
Posted : 11/02/2024 9:03 am
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I went to see my GP, told her I have had anxiety for years which is now affecting my sleep. She recommended I read a book called “Why we sleep” which partly talks about the importance of sleeping. As I was already anxious about sleeping I gave that a miss. I’m lucky enough to have private medical insurance through work, so I spoke to a doctor that way. I’m now 5 sessions into CBT which is helping. No drugs, but I do take ashwaganda which also seems to help - might be a placebo, dunno.


 
Posted : 11/02/2024 9:10 am
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Fair play to Amanda

In terms of getting a GP to prescribe anti-depressants; in my experience they seem very open to doing it whether that's what you want or not. So I wouldn't worry on that count.

I finally cracked and went to see the GP after a few months of not sleeping properly. She was quick to suggest that I try Mirtazapine even though I explained that I was pretty resistant to taking drugs and am not depressed.

Can't tell you anything about them as I haven't taken them, although I did get the prescription filled any may give them a go if nothing else works. Thought I'd stick them into the mix as nobody seems to have mentioned them yet.

It is odd that people are quite happy to talk about ailments that affect any other organ of the body (well the non-sexual ones at least 🙂 ) but not the brain for some reason.


 
Posted : 11/02/2024 10:40 am
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@tenfoot

She recommended I read a book called “Why we sleep” which partly talks about the importance of sleeping.

Yeah, that book is terrible.

"Set it and forget it" by Daniel Erichson is much better.


 
Posted : 11/02/2024 12:10 pm
tenfoot, Kryton57, Kryton57 and 1 people reacted
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Cheers. I’ll look it up.


 
Posted : 11/02/2024 1:32 pm
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Well that was easy albeit with a Locum, walked in expressed a weary concern and listed several symptoms, mentioned that I have a “friend” on Sertaline and got prescribed Sertraline 50g in minutes.

Have a 1 month supply and a follow up with my regular GP in 2 weeks.


 
Posted : 12/02/2024 11:18 am
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@Kryton57

Just be aware that there's a good chance you'll feel rubbish for the next two weeks as you get used to the drugs in your system.

I ended up on 150mg sertraline, but it wasn't working for me as it caused me some problems in the bedroom and left my brain feeling a bit numb.

Under doctors guidance I withdrew (which sucked balls) and I'm now on 50mg mirtazipine.  I feel like I'm 'normal' now is the best way I can describe it. If I'm on this dose the rest of my life I'll be fine with that

I hope the sertraline works for you, if it doesn't make sure you speak to your doctors about it and they have the other options to try


 
Posted : 12/02/2024 11:32 am
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Cheers.  I’m feeling slightly dizzy already 2hrs after ingestion which apparently is a common thing when you start.

ill see how it goes…..


 
Posted : 12/02/2024 11:46 am
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8.6 million people in the UK are on some form of antidepressants

If true, then that's very shocking. I find it very disturbing just how readily many GPs will prescribe medication to those with mental health issues, and how talking therapy services have become almost non-existent. Even if there are, waiting lists are now so long that many people don't ever get the help they need. Much easier to simply prescribe drugs, and without getting all 'conspiracy theorist', I'm sure the various pharmaceutical companies and their shareholders are quite pleased. I totally understand that certain forms of medication are essential for many people, but dosing people up isn't the answer in the long term. I would urge anyone seeking help to ask about options to medication (I suspect for many the answer will sadly be 'there isn't any') but if there's a possibility that you can avoid having to rely on medication, then this can create a much better outcome in the long term. And I speak as someone who has had a long history of mental health care, including using drugs and/or talking therapies. For me, it was the latter that really worked, and didn't leave me reliant on drugs. I never felt as good on meds as I do now following the therapies I actually needed.


 
Posted : 12/02/2024 11:58 am
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Just speaking for myself ^^^ I’ve a well documented history on STW of trying a fair few things before I got this far.


 
Posted : 12/02/2024 12:11 pm
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Just speaking for myself ^^^ I’ve a well documented history on STW of trying a fair few things before I got this far.

No that's absolutely fine and I wasn't commenting or passing judgment on any individual cases. What works best for you, is the best solution. But I think that prescribing drugs isn't the best solution for a large number of people. It's just that there are no longer effective alternatives. Which of course is a wider, societal issue.


 
Posted : 12/02/2024 12:14 pm
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" I totally understand that certain forms of medication are essential for many people, but dosing people up isn’t the answer in the long term."

Horses for courses. A close relative of mine has been on medication for bi-polar disorder for decades. This allowed her to lead a normal life. Working, hobbies etc. When, against medical advice,  she convinced herself they weren't needed it ended up with a wrecked house, and an  overdose which very nearly killed her.

The analogy I have heard is that for some people, depending on their condition,  going drug free is like a diabetic trying to live without insulin.

Other than short term family issues which we all have now and then the biggest source of stress in my life was work related.  I chose to reduce/manage stress by not looking for promotion on the basis that at the coalface I could manage my workload to a great extent and didn't need to worry about everyone else's problems as well as my own. In addition as I wasn't needing to make myself look good to anyone to get promoted I could (within reason) do what I thought was right  not what I was told to do by management. This did on one occasion result in an instant punishment transfer to a different work location after I was blunt at my annual appraisal but no big deal.  In general my immediate bosses seemed happy to have someone they knew had the knowledge and experience  to just get in with the job without needing much supervision.

But obviously everyone has different jobs so what worked for me in one place at one time is not a universal answer.


 
Posted : 12/02/2024 12:18 pm
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For anyone reading this thread and thinking they could do with some help, here's a reminder that you can self refer to talking therapies on the NHS:

https://www.nhs.uk/service-search/mental-health/find-an-NHS-talking-therapies-service/

My experience has been that they're pretty quick to triage you, but there can be quite a wait to begin actual treatment - shorter if you opt for on the phone therapy rather than in person. I'd also note that sometimes you need the medication full stop, and sometimes you need the medication to get you into a space where you can do the therapy. And therapy can often make you feel worse before you feel better - it's a rather unravelling experience.

Also, not all doctors are the same, so if you leave feeling dismissed or not heard, make an appointment with a different GP. You shouldn't feel like you're being told to 'just get on with it'.


 
Posted : 12/02/2024 12:23 pm
sboardman, acidchunks, spawnofyorkshire and 13 people reacted
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” I totally understand that certain forms of medication are essential for many people, but dosing people up isn’t the answer in the long term.”

I'm on 20mg Citalopram for life now.

Initially it was to manage a nervous breakdown 15 years ago and it probably saved my life at that point in time. Then over time I realised that I'm just a much nicer person on it than off and every time I try and wean off it (last time was over an entire year), I just become a grouchy person and my wife normally calls time on the experiment and insists I go back on it, whereupon I just become a much nicer (and content) person.

Wonderful drug IMO.


 
Posted : 12/02/2024 1:09 pm
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@brownperson - I've been struggling a bit with depression and a lack of motivation after a head injury and have been keen to avoid medication. I have been through counselling and even they were pretty keen to suggest medication as a short term solution.

If anyone has any tips on whether or not this would be worthwhile or not I'd be interested to hear it. I'm not really struggling with depression as much now but I'm definitely not as happy-go-lucky as I was six months ago and getting myself motivated to do anything is hard.


 
Posted : 12/02/2024 1:14 pm
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Just be aware you will feel crap for a few weeks, so stick with it. Been on a fair few meds for mainly pain, and of course mood related symptoms. Long term I've not got on with the side effects, but some certainly worked better for background pain (broke my spine 8 years ago). MrsF is on sertraline and has been fine on them, although some recent work issues has meant she's increased dose.


 
Posted : 12/02/2024 1:28 pm
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have been keen to avoid medication.

Best case it works and makes you feel better, worst case it makes you feel a bit odd and you stop taking it. Fair chance it does nothing or you have to try a few different ones (everyone reacts slightly differently).


 
Posted : 12/02/2024 1:33 pm
 Kuco
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Does that 8.6 million people take into account the people on them but not taking them for depression? Not that it would probably make a huge difference to that number.

I was on anti-depressants for years as a nerve blocker for an undiagnosed foot issue. I chose to come off them in the end as they weren't doing my health much good.


 
Posted : 12/02/2024 1:43 pm
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I’d also note that sometimes you need the medication full stop, and sometimes you need the medication to get you into a space where you can do the therapy.

Very important point. In my experience, therapy is **** all use if you are still looking at every tall building or train track and thinking "What if...?"


 
Posted : 12/02/2024 3:23 pm
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Very important point. In my experience, therapy is **** all use if you are still looking at every tall building or train track and thinking “What if…?”

This is me.  3 rounds of CBT, endless head space sessions and self help books hasn’t changed much.   I need something to put the brakes on so I have “space” to organise.   Also I wonder if I need that space just to realise what life is like minus the what’s ifs and overthinking so I have a tangible experience to aim for, after all I’ve been worrying for 50yrs, being more balanced is probably quite alien to me.


 
Posted : 12/02/2024 3:38 pm
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or train track and thinking “What if…?”

Reminds me of this...


 
Posted : 12/02/2024 3:44 pm
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Good job Hannah, my name is Joe and I take Citalopram.

Make sure you stick it out through the period as your body adjusts to it, and don't stop taking it because you're feeling better in a few months, I've been on and off AD meds a few times and really should have stuck it out the first time.


 
Posted : 12/02/2024 3:53 pm
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and without getting all ‘conspiracy theorist’

Nope, you crossed that line at commenting on GPs prescribing while you clearly know nothing about how these drugs are monitored by both GP practices themselves and the wider local Health bodies on who's responsibility that falls.

By all means be shocked that depression hits so many, like obesity and other 'lifestyle' diseases, but if you're angling to blame GPs about prescribing drugs that work widely, have few side-effects (and more importantly; ill effects if overdosed)  for most, please do (with respect) **** off.


 
Posted : 12/02/2024 3:54 pm
crossed, scotroutes, rogermoore and 9 people reacted
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I think it's really important to talk about these things openly, if you're comfortable doing so. I have friends who chat away on a bike ride about their perimenopause symptoms and without them, I'd have no idea what to look out for. Making something seem like less of a big deal makes it easier to talk about.
I probably should have gone on Sertraline or equivalent much sooner, but I gave therapy a really good go and just needed something to pull me out of the other side really. I take it for a severe anxiety disorder, which I've had for years but it became unmanageable after a particularly stressful situation at home.
I didn't go to the doctor and say 'hey, I'm really anxious!' ... I walked in, sat down, realised I needed to find some words and just burst into tears. It took months for me to settle into using it though - grinding my teeth, not sleeping, actually feeling more anxious than I previously did, but then one day I had this realisation that I was experiencing life as it's supposed to be. I could read situations better, I could manage my time better, look after myself, stop stressing about minor issues, and just generally felt a balance I had never (and I really mean NEVER) had in my life.
I'm on a reduction cycle at the moment, so my next Kit List may have 'Sertraline 25mg' listed 🙂
Thanks for picking up on it, and more importantly all having a conversation about it. Anti depressants are not a big deal!


 
Posted : 12/02/2024 4:21 pm
hightensionline, droplinked, blokeuptheroad and 53 people reacted
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Lottery Winners

Not sure you can say the word Sertraline without singing the song now.


 
Posted : 12/02/2024 4:26 pm
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Nope, you crossed that line at commenting on GPs prescribing while you clearly know nothing about how these drugs are monitored by both GP practices themselves and the wider local Health bodies on who’s responsibility that falls.

Assuming things is very stupid and dangerous. I've worked with young people around drug use, both recreational and prescribed. There has been a massive increase in the prescription of certain anti-depressant/SSRI type drugs over the last couple of decades.

https://www.bmj.com/content/364/bmj.l1508

https://www.gponline.com/gps-forced-prescribe-antidepressants-young-people-denied-mental-health-support/article/1794921#:~:text=Stem4%20said%20that%20GPs%20are,long%20NHS%20CAMHS%20waiting%20lists.

And it's no secret that mental health services have been cut to the bone, with huge increasing waiting lists. So it's not hard to draw a correlation between the two factors, is it?

20+ years ago, I found it very hard to have anything prescribed by any GP, as they preferred then to refer people to talking therapy services. Drugs were prescribed mainly as a last resort. Now, as people have event stated on this very thread, you can literally walk in and be prescribed drugs to treat mental health issues within minutes. I find this an extremely worrying trend, and am very concerned about the long-term effects of such policies.

By all means be shocked that depression hits so many, like obesity and other ‘lifestyle’ diseases, but if you’re angling to blame GPs about prescribing drugs that work widely, have few side-effects (and more importantly; ill effects if overdosed)  for most, please do (with respect) **** off.

You really need to work on your bedside manner. I'm not 'blaming' anyone. The system is shit and falling apart, and GPs are doing all they can. So please take a step back and have a think about how your angry response is counter-productive to such a discussion. As I've said; drugs have their place in the treatment of mental health issues, and can be extremely effective. But we desperately need more talking therapy services, not simply more drugs.


 
Posted : 12/02/2024 7:42 pm
tomparkin, cinnamon_girl, cinnamon_girl and 1 people reacted
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There has been a massive increase in the prescription of certain anti-depressant/SSRI type drugs over the last couple of decades.

Because they work

So please take a step back and have a think about how your angry response is counter-productive to such a discussion.

Because instead of raising the discussion of prescribing anti depressants in a constructive way related to your experience, you decided instead to have a sly dig at GPs. If you want nuanced and constructive discussion I'm happy to engage,  otherwise you'll get the appropriate response.


 
Posted : 13/02/2024 8:49 am
 IHN
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Enough now you two, all you're going to do is put people off reading the thread, and that's not helping anyone


 
Posted : 13/02/2024 10:03 am
amandawishart, tomparkin, davros and 15 people reacted
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Because they work

Of course. They are very effective for many people. But so are talking (and occupational) therapies, but those have been cut back so much they are almost non-existent in some areas. Which is extremely worrying. Increasingly, people are being told to seek private counselling rather than being referred to anything on the NHS. Many cannot afford private services. Simply talking to someone can be such an effective means of coping with crises or long term anxieties. Very often, issues can be reduced or even eliminated through such therapies, without the need to resort to prescribing drugs. This should always be an option, but sadly increasingly isn't.

Because instead of raising the discussion of prescribing anti depressants in a constructive way related to your experience, you decided instead to have a sly dig at GPs.

Not at all. I absolutely have not had a 'dig' at GPs at all. So your anger is based on a totally false premise. In my experience, many GPs are not trained adequately in dealing with mental health issues, as this is not focussed on nearly enough imo. This isn't blaming GPs, this is blaming the system, which I think we can all agree is not fit for purpose. We desperately need more resources and support for GPs, and far more mental health services than we have currently. In Tower Hamlets, there was once an entire hospital dedicated towards mental illness, and numerous services around the borough. I accessed some of these myself as a patient. They were far more effective in helping me cope with life than any drugs ever were (I got to a point with Citalopram where the drug was affecting me so much in a negative manner, that it was causing me even more anxiety and depression). I was extremely fortunate in having a GP who had an extensive background in mental health care, and she referred me to a number of excellent services, including the Portman Clinic. This was literally life changing. I haven't had to resort to medication since. But many of those services are now gone, leaving GPs with no option but to prescribe drugs in the hope that they can help patients in the short term. This is applying a sticking plaster to an open wound, and is simply not the overall solution. Many younger people I know have been prescribed drugs after just one short visit to a GP, with no other analysis or assessment. Many are not being told of any alternatives, and if they are, they're being told that talking therapy services can be a year or more to even see someone . So I don't blame GPs at all; they are simply doing whatever they can to help people now, and trying to avoid people going through even more suffering. I commend them for doing what they can, but the resources they have available are appalling and totally inadequate.

If you want nuanced and constructive discussion I’m happy to engage,  otherwise you’ll get the appropriate response.

I really don't need to engage with someone whose idea of an 'appropriate response' to something they've misunderstood, is to tell them to '**** off'.


 
Posted : 13/02/2024 10:26 am
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Doctors are indeed prescribing more, but isn't that realising 'man up'/'pull your socks up' doesn't work as suicide rates (especially young men) are at a high level.

We've got some big wars on the go, massive cost of living crisis, record numbers using food banks.

The medication works and it it stops a few people contemplating jumping off a bridge, then all well and good. If it also stops people being hospitalised - all good. It's prevention of things getting worse.


 
Posted : 13/02/2024 10:35 am
davros, scotroutes, MoreCashThanDash and 3 people reacted
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On a more immediately practical level; my belief is that many mental health issues stem from a lack of effective and appropriate socialisation. This, I feel, is a symptom of our modern society where many people live in increasingly smaller bubbles, and simply do not get to socialise with many others enough. Socialisation can really help with dealing with issues; finding others to talk to, to share problems, can be a massive support for so many. How many of us actually do that in our daily lives, or even on a regular basis? How many people on here work at a desk in front of a screen, with little contact with actual human beings? How many get time for a chat with others, outside of their work environment? How many choose activities that enable socialisation? The more people we speak to, the more likely we are to find others with whom we share similar issues and concerns etc. And talking about things can help enormously; myself and a couple of other friends have recently suffered parental bereavement, and we've been meeting up and chatting a lot more regularly, and sharing our thoughts. This I think has been very beneficial to all of us, as we know we're not alone with our problems, and we have someone to share with. Ok so this is very basic and many need a far more intensive form of therapy, but it's a start. Knowing that a mate is also feeling really shit, angry, resentful and frustrated, 'normalises' such feelings and helps to not feel quite so alone.

Do we talk to each other enough as a society? I come from a culture where people talk to each other a lot, but perhaps not in the right manner at all times but there is at least perhaps more scope for showing emotion.  But when do people just stop for a natter? Do we even have time to? Maybe we all need to just think about making time for that. If we start with the little things, perhaps we can go further towards dealing with the bigger things.


 
Posted : 13/02/2024 10:40 am
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not sure how relevant this post is to the OP tbh and maybe (definitely) sidetracking a little, but as there are some well-informed people on it i'll ask anyway rather than start a new thread.

some of you may remember my posts from years ago, our lads doing legal highs (and worse), us trying to get help for us all, social services being stretched, continued police and ambulance visits etc.

moving on 10 years, we now have one lad who came out the other side and is doing great, and one who didnt do so well mentally and has known nothing other than residential homes since.

back in the day i posted about the amount of meds he was on and got some pretty shocked replies as it was a proper shedload, and we thought they were just doping him up to keep him quiet (he would regularly harm himself and/or smash his room up).  we got an apology from whoever it was at the time, told theyd review his meds, but they slowly crept up again and hes back on a shedload (in our opinion).

good news is, he finally seems to be coming round to the fact that hes wasting his life, is now 'anti-drugs', is frustrated at the people around him causing trouble and bothering him (altho theyre just like he was) but now feels he's 'outgrown' this place, and wants to work towards getting something out of life.  he's just started exercising too, bought himself a weight bench and a few weights, and has applied to be in a 'less severe' residential place.  hes a pleasure to talk to now rather than the 'dopey' conversations we used to have which were just upsetting.

all pretty positive, but...... he wants to drop some of his meds too.  and yes, the wheels of social services run slowly, "we'll review your meds next month' type replies, but he just wants to get cracking.

now i know and you know, that you shouldnt drop meds just like that, but hes in the mindset that he just doesnt need these any more, theyre giving him the raging munchies at night after taking them, and hes hit 22 stone, so also thinks thats a heart attack risk.  i agree with that, and the concoction of meds that he takes is also heart attack territory we've been told.

so, hes decided to drop his quetiapine.  hes on 400mg a day, a 300 and a 100 tab.  hes dropped the 300 just like that and is into his third day and says he feels more focussed, has more clarity and wants to drop the other 100. (hes also on some other anti-psychotic meds too but feels the quetiapine is the problem at the moment).

i recommended if he was going to go down this route to drop the 100 first (altho i realise this goes against any medical advice but if hes going to do it anyway....) but hes so determined to 'get better and fitter' that hes gone for the 300mg.

yes thats a lot, and i guess the specialist advice would be 'try 50mg at a time' but so far he says he feels better now.

just for our peace of mind, and maybe to give him signs to watch out for, is it possible for this to continue?  could he actually drop these meds with no side-effects, or are they going to hit him in a few days/weeks time?

thanks


 
Posted : 13/02/2024 10:44 am
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just for our peace of mind, and maybe to give him signs to watch out for, is it possible for this to continue?  could he actually drop these meds with no side-effects, or are they going to hit him in a few days/weeks time?

In my experience, it can be an extremely bad idea to suddenly cut meds. I would strongly urge you to encourage him to talk to the professionals he's in contact with, and to express his desire to reduce the dosage. If they feel he's going to do whatever he wants regardless, then maybe they'll work with him with reduction, as this will be the lesser of evils as far as they're concerned.

Just want to say that for your friend to be taking such a cocktail, he must have some pretty severe issues, and I really do wish him all the best and that he can come out of all this and find the health and happiness he deserves and needs.


 
Posted : 13/02/2024 10:50 am
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In my experience, it can be an extremely bad idea to suddenly cut meds. I would strongly urge you to encourage him to talk to the professionals he’s in contact with, and to express his desire to reduce the dosage. If they feel he’s going to do whatever he wants regardless, then maybe they’ll work with him with reduction, as this will be the lesser of evils as far as they’re concerned.

thats what we originally told him.  i do agree with him tho they seem to be stalling, and keep pushing back meds reviews, but i told him whatever he does to keep talking to us and them, and not hide anything.  and yes, telling them what hes doing will hopefully push them to get a bit of a wiggle on.

ironically as i typed that post he just whatsapped to say he feels a bit cold turkey today.   see how it pans out.....

thanks


 
Posted : 13/02/2024 10:55 am
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Stay in contact with him, as much as you can. Knowing you are there for him will be of immense importance, and help him keep focus. If he has 'allies', he'll feel far less alone.


 
Posted : 13/02/2024 10:58 am
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Goes without saying mate, never given up on him over all these years, not about to now.  He knows he can be honest with me, altho he doesn't always stick to that as he thinks he's let us down.


 
Posted : 13/02/2024 11:10 am
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Goes without saying mate, never given up on him over all these years, not about to now.  He knows he can be honest with me, altho he doesn’t always stick to that as he thinks he’s let us down.

Ultimately, he's let himself down. Forget anyone else. It's HIM that really matters. In such situations, it's really helpful I find, to tell people how wonderful and amazing they are as an individual, to try to help them find some vestige of self-worth to hold onto and value. So focus on someone's individual talents and strengths (everyone has something, no matter how small and mundane it might seem). Help him focus on a 'target' to get better, and to achieve his own potential. Give him a reason for being.


 
Posted : 13/02/2024 11:18 am
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Good advice mate, and echoes exactly what we do constantly.

Cheers


 
Posted : 13/02/2024 11:23 am
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👍🏻


 
Posted : 13/02/2024 11:24 am
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I'm on it - have been for nearly 2 years - my GP (who is one of my closest friends) is quite relaxed about it and continuing on it. I can't talk to Mrs XPS about it - she's hugely hostile / sceptical to the whole idea, which doesn't help matters.

I've no idea whether it is still making a difference - I'm more on the anxiety side of things - but am in the "why not continue - don't want to possibly make things worse" camp at the moment.

I'm on 200mg at the moment.


 
Posted : 13/02/2024 11:27 am
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Not sure GP's are supposed to prescribe controlled drugs to friends/relatives. However your GP is probably doing a good job and giving you the help you need.


 
Posted : 13/02/2024 11:35 am
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Do I need to speak with someone about this?
Sad all the time
Spontaneous crying for no reason
Suicidal thoughts
History of self harm
Avoidance personality disorder
Find it hard to relax
Not sleeping
Not eating well
Struggling to get outside and enjoy myself


 
Posted : 13/02/2024 5:15 pm
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Yes ASAP


 
Posted : 13/02/2024 5:17 pm
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Do I need to speak with someone about this?

Yes, yes you should.

Having been on that miserable spiral, talk to your GP and see what help - medication and therapy - they can offer.


 
Posted : 13/02/2024 5:18 pm
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Do I need to speak with someone about this?

Please do! I found that talking to anyone was really difficult so didn't. Bottled it up for years (in truth from childhood), ultimately leading to breaking point and a breakdown. My GP was amazing. Please talk to someone.


 
Posted : 13/02/2024 5:33 pm
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Do I need to speak with someone about this?

I think you just did. Now take the conversation to your GP and it'll feel better just having started 'pushing back' against it, I would think.


 
Posted : 13/02/2024 6:28 pm
leffeboy and leffeboy reacted
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Phone consultation with a GP. Was a difficult chat for obvious reasons. Going to try sertraline and some mild sleeping tablets and reducing alcohol intake.
Thanks for the gentle nudge guys


 
Posted : 14/02/2024 12:50 pm
stwhannah, davros, fazzini and 11 people reacted
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Houns, no side effects? It’s making me tired and interfering with my bowels!


 
Posted : 14/02/2024 2:31 pm
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singletrackmind
Do I need to speak with someone about this?
Sad all the time

yes talk to someone as soon as poss.


 
Posted : 14/02/2024 2:33 pm
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Re side affects (so far):

Day 1: mild dizziness/nausea within 2hrs of popping the pill.  This lasted for 2hrs

Day 2: The most awake I’ve ever been from 4am, screaming shits all day.  Massive anxiety for no reason from 3pm-bedtime.  Performed the most consistent vo2max power training session for 2 years (may be unrelated).

Day 3: Good nights sleep, feel overly anxious and slightly jittery.


 
Posted : 14/02/2024 2:52 pm
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Kryton57. I was prescribed 50mg

Apparently it can take up to 2 weeks to kick in. Personally, I felt the benefit from day 1.
Maybe psychological. I was pretty desperate.

Really difficult to sleep (but the anxiety was causing that anyway) - given sleeping pills but only for a few days. (Addictive they said)

herbal sleep remedies help me.
Shits yes, it messes with the microbiome     very unmotivated (no adrenaline I guess)     can sleep A LOT in the day

titrating and off - now 25mg daily last 14 days  plan to do that another 2 weeks then 25mg every 2 days

it helped me a hell of a lot in my time of need


 
Posted : 20/02/2024 5:09 pm
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Yeah thanks - 50mg also, my symptoms seem to mirror yours.    I’m having a tough day today but of the last 7 days I’ve had 2 where I’m not awake between 2am and 5am but have felt quite chipper otherwise.  I can tell already I’m not as snappy as I used to be, but until today I had a hefty background anxiety feeling all day for no reason.

it did occur to me yesterday you aren’t suppose to drink, which I forgot about 😳


 
Posted : 20/02/2024 5:42 pm
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Oh yeah I have literally never observed the "don't drink", bollocks to that. Clearly I am not a doctor.

Aside but sleep was mentioned, that can be a linked thing or a separate thing but good sleep is like god mode when you're used to not having good sleep, and there's options worth investigating there too. I got prescribed bio-melatonin, and I'm confident it helps. Honestly there's been times when I was on a mild antidepressant where I think the melatonin would have been more impactful. Again of course ymmv but basically we treated sleep like a symptom for me for a long time and then eventually treated it like its own thing and I'm glad we switched.


 
Posted : 20/02/2024 6:15 pm
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@Singletrackmind, please ignore that last post from Brownperson, don't let it discourage you or undermine your progress and decision or your doctor's medical advice.

@Brownperson. STM says

Do I need to speak with someone about this?
Sad all the time
Spontaneous crying for no reason
Suicidal thoughts
History of self harm

And you go oooh, going directly to meds is disturbing, maybe get yourself on the waiting list for a bit of talking therapy instead? Maybe you meant well but you are choosing to make yourself into a problem for someone that's having a hard enough time. Stop. That's the civil version, if I responded to you like I want to I'd get banned.


 
Posted : 20/02/2024 7:05 pm
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please ignore that last post from Brownperson, don’t let it discourage you or undermine your progress and decision or your doctor’s medical advice.

Please.  People need to be properly informed as to the choices they should have regarding their own treatment. There should be a wide range of opinion and discussion should be as open as possible. You are in no position to tell anyone to ignore any opinion simply because it doesn't agree with your own. This is exactly the kind of negative narrow mindedness which causes damage.

And you go oooh, going directly to meds is disturbing, maybe get yourself on the waiting list for a bit of talking therapy instead?

Not at all. As I've said; in some cases drugs can be immensely helpful. Life saving even. I am not 'anti-drugs'. I am just concerned they are the first solution many GPs turn to.

Clearly I am not a doctor.

Clearly.

Stop. That’s the civil version, if I responded to you like I want to I’d get banned.

Wow.


 
Posted : 20/02/2024 7:23 pm
 Drac
Posts: 50352
 

The only narrow negative mindless is from you, speaking to a GP is a good idea. It can be started initially from a phonecall which can lead to a face to face if necessary, then offer various others aspects including counselling and social prescribing.


 
Posted : 20/02/2024 7:27 pm
 Drac
Posts: 50352
 

@singletrackmind please speak to someone while trying to get GP contact.

Samaritans can provide an initial route, there also may be local mental health support groups for you.


 
Posted : 20/02/2024 7:30 pm
Kryton57, scruff9252, scruff9252 and 1 people reacted
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The only narrow negative mindless is from you, speaking to a GP is a good idea

Where did I say it wasn't?

I'm merely expressing concern that a GP may have prescribed drugs after just one telephone conversation. I'm not blaming the GP, I'm disturbed that there may well be no viable alternatives.

I think people need to take a step back, be more objective and consider that others may have different experiences to their own. And that those others may have experiences, insight and knowledge they may not want to divulge on an internet forum.  If someone has an opinion different to your own, consider why, don't just rush to judge and condemn, because that helps no-one.


 
Posted : 20/02/2024 7:32 pm
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@singletrackmind please speak to someone while trying to get GP contact.

Samaritans can provide an initial route, there also may be local mental health support groups for you.

Yes. Mind offer lots of local services, depending on where you live. Depending on your income, they may even offer free/low cost talking therapy services. There are also group therapy services which can be very helpful to many people; the idea you are not the only one problems can be very reassuring. Such therapy can be quite expensive, but also extremely effective. So consider any cost to be an essential part of life.


 
Posted : 20/02/2024 7:37 pm
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It's ok .
Got prescribed 50mg tablets. Stated straight away and am now on day 6 . Had some massive headaches and overnight sweats leading to more loss of sleep. Slight giddyness and fuzzy brain but no upset stomach. Found it much easier to split the dose , taking half a tablet 12 hrs apart. Sleeping much better doing it this way.
I have also found a local therapist and had a phone chat. Just got to sort out time off work that fits with her.
I am no state to go to group therapy. Not a chance. I do feel better actually, less anxious and relaxed and able to form cohesive sentences.

Doc was great actually, not judgemental at all.

Follow up phone consultation booked as well.


 
Posted : 20/02/2024 9:14 pm
stwhannah, lucasshmucas, jacobff and 11 people reacted
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