stefbug: (Bitch)
[personal profile] stefbug
Dear doctors...

An SSRI is not the same as an NaSSA.

No, it isn't. Honest. Really. An NaSSA is something totally different. It does different things to the brain, it works differently, and more importantly you cannot go straight from an SSRI to an NaSSA because 'they are the same thing'.

I know it's a relatively new thing. I understand that. I understand that you might not have been entirely educated on them yet, but please, try to pay attention:

Citalopram/Celexa is an SSRI. It's the antidepressant I've been on for going on 8 months now. It's the one that I've been taking the 40mg tablets for 4 months now. The one you stopped me cold turkey on and I quote "because it is an SSRI, like the one you're on now".

Let's take a look at the antidepressant I'm on now then, shall we.

Mirtazapine/Remeron:

"Mirtazapine has a tetracyclic chemical structure and is classified as a noradrenergic and specific serotonergic antidepressant (NaSSA)."

Where, exactly does it say that it's an SSRI? And believe me, I've checked several places. In fact, here's what it says on the leaflet from the medications themselves:

"Depression is linked to a shortage of substances which carry messages in the brain (including serotonin and noradrenaline). Mirtazapine helps to relieve the shortage of these 'brain messages'."

vs

"The active ingredient citalopram hydrobromide belongs to a group of medicines called selective seratonin re-uptake inhibitors (SSRIs) which are a type of antidepressant used to treat major episodes of depression."


Do these say the same thing? Members of the class?

No, they do not.

So why tell me they are? Why tell me that it's ok to go onto Remeron and stop Celexa cold turkey? Is it because you're fuckwits? Well, I think that question has answered itself really.

I guess I should be glad you didn't prescribe me a MOAI and tell me to stop Celexa cold. Since you're suppose to wait at least 2 weeks before taking a MOAI after stopping an SSRI or it could be fatal. Yeah. You read that right.

Stopping Celexa dead gave me the worst migraine I've ever experienced and I've had a few now. We're talking rolling around on the floor screaming because it feels like my head is about to explode like a melon being squeezed in a vice. A migraine bad enough that we had the paramedics come out, had to go out to the out of hours doctor, and I ended up on Co-dydramol - taking 2 x 10/500mg of those, plus 2 x 200mg ibuprofen and my Remeron, all to knock me out so I didn't feel the pain.

On that note. Migraine =/= a bad headache. Do not try to tell me that I just had a bad headache when I come in to see you after having the paramedic/out of hours doctor both pretty damn worried. Hell, the out of hours doctor didn't want me to go home. She wanted to admit me, but to do that I would've had to go to the ER and been admitted there, and I just wanted to go home.

Fuck you.

As it is, I'm going to wean myself off of the Celexa with the rest of my 40mg tablets and the last few 10mg tablets that Kaz has. I'm not going to suffer these fucking headaches (which I'm still getting, but no where near as bad) for the next 8-however the many weeks it takes for me to come off them properly. No fucking way.

(no subject)

Date: 2008-12-16 05:03 pm (UTC)
From: [identity profile] dreadpiratekurt.livejournal.com
*huuuuuuug* I couldn't believe it when Kaz told me that your doc had you go cold turkey off Celexa. That insane. I swear sometimes I think *we* are more educated on the drugs than the quacks who fling them at us.

http://www.crazymeds.us/ -- fantastic (and funny) site
http://www.crazyboards.org/forums/index.php? -- a really good forum to get info from other people's experiences on the crazy meds.

(no subject)

Date: 2008-12-16 05:09 pm (UTC)
From: [identity profile] stefflebug.livejournal.com
I luff you.

The thing with my docs is that they are General Practitioners, emphasis on the general. They spend more time looking at things like how to diagnose meningitis or flu or chickenpox than they do on all the mental health stuff combined. It means that people like me get the raw end of the deal, but what can you do.

I'll definitely check those links out.

(no subject)

Date: 2008-12-16 05:21 pm (UTC)
From: [identity profile] dreadpiratekurt.livejournal.com
*smooshes*

Once you you've been on as many loony pills are me, you get so you can pretty much tell your doc what you need next

Like getting a script for Prozac to help you get off the stronger SSRIs.

Oh and for Remeron? The lower the dose, the more side effects - sleepier, hungrier.But coming off Celexa would prob kill your appetite dead. It's an antihistamine as lower doses, which will also dry you out, so drink as much water/caffeine free beverage as you can. I recommend Gatorade or the equivalent. Benedryl and Nyquil have gotten many a Crazy Med junkie through withdrawal.

And on a lighter note, kicking some SSRIs is almost exactly like kicking Heroin. And for some, (Effexor, Paxil)...it's worse. Many a former smack addict has said they'd rather kick heroin than some of the SSRI's.

I can't believe they thought Remeron was a SSRI, it's a tricylic, I think.

(no subject)

Date: 2008-12-16 05:38 pm (UTC)
From: [identity profile] stefflebug.livejournal.com
It's a tetracyclic as far as everything I've read says, which makes me smile, because all good things come in 4s. :) I also can't believe they thought it was the same thing. Stupid bloody doctors.

Those links are really good, and I'm very much glad for your experience/input. It helps to know what to expect.

Also, I've been noticing the hunger. I baked muffins the other night, which was a big, BIG mistake, since I sat and chomped my way through 8 of them and 2 bowls of pasta last night. I've got it more under control now thankfully, but I've been noticing the cravings. If it's carbs, sugar or both I want it NOW!

Thanks for the recommendation about drying out/drinking lots. I've actually been noticing that too, and I thought it was just a symptom of the damn cold/flu bug thing I've got. I'm now making sure I've got a bottle of water/squash stuff by me at all times.

The heroin thing... oh boy. So glad I've still got some left so I can come down off it slower than cold turkey. I actually thought my head was going to explode on Friday, and a part of me was wishing it would, just so the pain would stop.

Never again.

(no subject)

Date: 2008-12-16 06:06 pm (UTC)
From: [identity profile] dreadpiratekurt.livejournal.com
Now you have Life Experience if you ever need to write a junkie going through withdrawal

I told myself that when I was kicking a Benzo. Ugh.

(no subject)

Date: 2008-12-16 06:23 pm (UTC)
From: [identity profile] stefflebug.livejournal.com
Yay Life Experience.

I'm so warning my Mum about coming off these.

Gah.

I'm making a formal complaint though. This is fun :D

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