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.
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Stefbug

June 2009

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