I was prescribed Sertraline (Zoloft) in 1998 when I had postnatal depression. I was told to take it for a year to 18 months. I went from deep depression/anxiety to euphoria in the space of about two weeks, I felt pretty damned fantastic, there was nothing I couldn’t handle. As time went on I continued to feel well but my emotions were dampened down, so I was functioning well, no depression, but no “joy” either. After a few months of feeling well I decided I didn’t want to be on Sertraline anymore, didn’t read the patient information leaflet or talk to a doctor, not that that would have helped anyway. I just stopped taking them. My head felt terrible, it began to feel water logged, if I turned my head there was a time lag between my eye balls catching up with the fact that my head had turned, so dizzy, gradually intense sadness would kick in, really really intense sadness and anxiety, oh the anxiety, pumping adrenaline and nerves shot to bits. I went back on the Sertraline.
The doctor told me to do the alternate day thing, alternate days for a fortnight,then every third day for a fortnight, then one tablet a week, I did this various times over the next few years to no avail. I tried a pill cutter and halving the tablet, it wouldn’t break down easily without crumbling so that was unsuccessful. Every time I tried something, I ended up in worse shape than the time before, it was all getting steadily worse. I tried meditation, healing, exercise, cognitive behavioural therapy, counselling, fish oil capsules, NOTHING touched it. I pressured my surgery to refer me to a psychiatrist for advice,but the psychiatrist had no clue and could only recommend switching to another drug. I did switch to Citalopram for a while, and Mirtzapine, I felt constant fatigue on Mirtzapine, and then back to Sertraline. Yet another psychiatrist recommended halving my dose of Sertraline and taking diazepam to mitigate the withdrawals, so replace one powerful drug with an even more powerful addictive drug.
This is my description of how withdrawal felt from my blog, I only recently found out that what was happening had a name,akathisia:

“5am and for about the 3rd night in a row I’ve barely slept, I can’t stop the adrenaline pumping round my body, my stomach is tightly knotted, I’ve barely been able to eat properly it makes me feel sick. I’m clammy, sweating and crying and P is trying to reassure me, but he has to go to work. I get up and drag myself through all the motions of the day and making sure boys get to school, I feel like the living dead, I make sure they get fed and make sure they and no one else is aware of what’s going on, I don’t hang around at the school gates. Oh I do kind of tell a few people I’m not really feeling right but I play it down.
The constant adrenaline is tormenting me on the inside and I can’t stop it.It’s been building up over a period of months and I’ve been fighting and fighting the feelings but it seems to have reached a peak of exquisite torture.It’s like being at the top of a roller coaster that never stops. Someone else mentioned birdsong, and it was a funny thing, the torture was worse in the mornings and over the summer months while it was slowly building, birdsong in the morning outside the window had become a kind of torture as well. I had to go to work part time and God only knows how I managed it. I had taken my last Sertraline tablet months ago, and come off it as per the doctors instructions, and now my depression/anxiety was back tenfold to punish me for daring to presume I could stop taking it. I must be wired up wrong, no one else feels like this do they? What is wrong with me? Maybe I really am insane, maybe I just can’t cope with life without my tablets, how come everyone else can cope with life, and I can’t? There must be something fundamentally wrong with me. By now the Orwell Bridge was beginning to look a bit attractive and I just wanted to escape the adrenaline surges torturing me, my nerves were in shreds”.
This was 2003,at the end of 2003 I gave in and went back on the sertraline.

In 2006 I attempted another withdrawal, but at the same time we found ourselves going through a stressful life event, I tried to tough it out but ended up back on the Sertraline again.
So here I was, several years later and no further forward, and not for wont of trying! Everytime I went in a book shop or library I would try and find anything I could about antidepressants and depression, but nothing really enlightened me. I rummaged around on the internet but couldn’t find the answers. Until one day, I was browsing around Waterstones, and “Coming off Antidepressants” by Joseph Glenmullen jumped out at me, (this book is now called "The Antidepressant Solution"). I read it avidly, and discovered TAPERING!!! But, all the examples in the book referred to liquid Seroxat or Prozac, I was really upset to find Sertraline was not available in liquid form. Armed with my new information about the simple concept of tapering, further digging led me to Dr Healy’s protocol of switching to the equivalent dose of liquid Prozac. These two pieces of information became my secret hope, I latched onto them. I decided to take a leap of faith and switch to liquid Prozac. At the beginning of 2007 I marked up my calendar with a schedule, I was going to go down from 5ml to 4.90ml the first week, 4.80ml the next week and so on, as my sons would say “epic fail”. By about mid February the nightmare was unfolding again and I had to give in and go back to the top of my Prozac dose, I was devastated.
Still I hadn’t given up hope, P was sympathetic but he couldn’t understand why I didn’t just give it up and accept I “needed” the drugs like a diabetic needs insulin. After lots more research, and P having interesting and enlightening conversations with a client who was a pharmacist about my problem, I started my taper again in May 2008, this time much much slower and here I am four years later down to 1ml liquid Prozac and still sucessfully tapering. It has needed a lot of self-discipline. I kept this blog/diary of my progress; I’ve been amazed to meet a few others who have been tapering longer than me. Nowadays my withdrawals are fairly benign, but I still feel a bit scarred from the experience,the akathisia has left me still feeling like my nerves are quite raw and very close to the surface but I can live with that now.
There is a huge assumption that these drugs are benign and harmless, they are not; they can cause extreme agitation and internal torture. They are dished out like smarties and people left to deal with the results. Starting them is like playing a game of Russian Roulette, you might be a lucky one who can take them and come off them with ease, or you might not. My understanding was that they were meant to be taken for only a year or so after you feel “well” but many many people are stuck on them for years or forever, I know many people who’ve given up hope of coming off SSRI’s and I hear many people say “oh I’ll be on these the rest of my life”. There is NO support or advice in place through doctors or psychiatrists on how to taper safely off the drugs.....if anyone does find any help in the UK, please let me know, although it’s a bit too late for me now as I’ve almost done it myself, but I know a lot of other people who might like to know!

Saturday, 15 December 2012

1ml (4mg) - Who Needs Red Bull!

So after nearly a month at 1.05ml I honestly wasn’t feeling any improvement, in fact I think I was beginning to feel worse again, the main problem was feeling “wired” or like I’d drunk a jug of Red Bull and unable to sleep, this in turn was making me feel really depressed. 
I would really like to thank Alto Strata at http://survivingantidepressants.org/ who asked a knowledgeable doctor about what was happening to me and the conclusion was that by going to 1.05ml I may have overshot my bolt, and the Prozac was becoming too activating, it is a stimulating drug and I seem to be very sensitive. When we studied it I was beginning to feel better shortly after I went to 1.05ml but since Prozac takes a lot of days to reach “high tide” it was probably the effect of going up to 1ml beginning to take effect and then I ramped it up by going up further to 1.05ml and got worse again. So I’m going to see how back to 1ml goes.

In my real life I seem to be surrounded by people who just “stopped” their drug or had no problems, I am so thankful for the internet and finding that I’m so NOT alone with this and I'm not mad.
In the meantime I have begun to practise mindfulness, and can thoroughly recommend a book called “The Mindful Way Through Depression”, it has a CD with it and I’ve begun to do about half an hour practise a day, and if I can find the right dose to get my nervous system back on the right track I’ll stick there because I’ve had enough of this crap for now.
My Prozac Reduction Timeline


Paul said...

Hi Sheila

I have that book by Jon Kabat Zinn (and a couple of others by him). I also have dozens of other half read/not even started books on depression, meditation, CBT etc etc. Just too many books looking for the magic answer :-)

I had a bad couple of weeks about a month ago where I felt I would never get out of the hell. I would burst out crying every day - at work, in the woods with the dog, walking home from work.

I have been off the Prozac since April and don't ever want to go back on it as it made me feel so numb.

So I got some St Johns's Wort. Had it before on and off but this time did more research and decided to try 2 different brands at once - one with Hypericin and one with Hyperifon (spelling?)

I'd read that new research suggests that Hyperifon (found in Perika brand) is the active ingredient that works rather than the more common Hypericin (found in most brands)

I was really that desperate that I started both types and have been taking them for about 3-4 weeks now.

My mood has improved dramatically with zero side effects. I know that I will always be susceptible to low moods but I am hoping all the hard work I have put in over the past 10-12 years in trying to conquer depression and low self esteem will pay off .

Out of the many books I have the ones that stick out are:

The Mindful Way Through Depression and Wherever You Go There You Are by Jon Kabat Zinn. The meditation/mindfulness route seems to help me. Getting used to nipping the negative thoughts in the bud really helps and then appreciating the good things in life, even simple things like a blue sky or a silvery moon.

10 Days to Great Self Esteem by Dr David Burns. This helped me so much in questioning my negative, unrealistic thoughts and replacing them with realistic, positive thoughts.

Climbing out of Depression by Sue Atkinson. This is such a gentle book full of parts where you think "That's exactly how I feel". It's really easy to read and dip into.

I have been in counselling for a few years now (started with marriage problems caused by.........you guessed, depression).

For the past 3 years or so I have had private counselling (i.e. not couples) which has helped so much in understanding how my life experiences have contributed to depression.

One thing that came out of it was that sometimes I need to just accept myself and stop trying so hard to fight the bad feelings. Letting the upsetting feelings just 'be' seems to take their power away.

Keep up with the meditation and mindfulness. And during meditation if your mind tells you you're doing it wrong or it's not working then stick with it because that happens to all meditators :-)



Unknown said...

Hi Paul
Thanks for your comments, I don't think my other half will mind me saying that a few years ago, when he was going through a very very rough time, he found SJW really helpful, I also have a friend who has found it really helpful. I can't use it though as you can't mix SJW with SSRI's.
I've now finished reading the Mindful Way Through Depression book and I'm just trying to work out if I can fit the 8 week programme at the end into my life or whether to just do my own thing, a little each day...I already have "Where ever you go.." as well and am half way through it. Thanks for the other suggestions. Hope you have a good Christmas.