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Re: When AD's work, can it be up and down initially?

Posted by Christ_empowered on July 11, 2019, at 15:13:01

In reply to Re: When AD's work, can it be up and down initially? Lamdage22, posted by mtom on July 10, 2019, at 22:32:02

hi. my current 'treatment provider,' a most excellent psych nurse practitioner, explained it to me this way...

when an antidepressant starts taking effect, your feelings/emotions don't improve as rapidly as, say, agitation and sleep disturbances. and so...

sometimes, even in the absence of akathisia, exacerbated depression, etc., there's a not so awesome phase in which the worst of the depressive symptoms have improved/are improving...

but other aspects are still troublesome. this is why, back when the tricyclics were popular, it was common for patients to be provided with 1- or 2-week prescriptions for a time...

there was a 'danger zone,' a period in which drug treatment was taking effect, but the suicide risk was increased a bit, because of activation, etc. tca drugs, of course, are lethal in OD. :-(

i don't know if this applies to you. i just thought it was kind of fascinating, when the nurse practitioner talked to me about it.

i hope you feel better, soon. :-)


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