Psycho-Babble Medication Thread 3285

Shown: posts 1 to 7 of 7. This is the beginning of the thread.

 

Managing the side effects of antidepressants

Posted by Nick Kosky on February 27, 1999, at 14:19:42

Dear All

Help! I have recently been asked to prepare a presentation for fellow psychiatrists on 'Managing the Side Effects of the Newer Antidepressants' (i.e. not older MAOIs or TCAs). Unfortunately there is no single source of information available. I am putting out a plea to all, professionals and patients, to let me know practical tips they know/have used to manage the side effects of venlafaxine, mirtazapine, the SSRIs, moclobemide and reboxetine.

Cheers, Nick.

 

Re: Managing the side effects of antidepressants

Posted by dave on February 28, 1999, at 7:02:48

In reply to Managing the side effects of antidepressants, posted by Nick Kosky on February 27, 1999, at 14:19:42

> Dear All
>
> Help! I have recently been asked to prepare a presentation for fellow psychiatrists on 'Managing the Side Effects of the Newer Antidepressants' (i.e. not older MAOIs or TCAs). Unfortunately there is no single source of information available. I am putting out a plea to all, professionals and patients, to let me know practical tips they know/have used to manage the side effects of venlafaxine, mirtazapine, the SSRIs, moclobemide and reboxetine.
>
> Cheers, Nick.

It seems you came to the right place Nick, Most
of these posts are from patients and the side effects
they suffer. Some of us tell what we have done to cope.
ie, put up with it, changed meds, added meds, etc.
It's alot to read, but I would say that this is a
great place to gather info from, your job will be
a big one though. read, sort and gather from many
of these posts. Good luck.
Sincerely,
dave

 

Re: Managing the side effects of antidepressants

Posted by MA on February 28, 1999, at 23:35:20

In reply to Managing the side effects of antidepressants, posted by Nick Kosky on February 27, 1999, at 14:19:42

> Dear All
>
> Help! I have recently been asked to prepare a presentation for fellow psychiatrists on 'Managing the Side Effects of the Newer Antidepressants' (i.e. not older MAOIs or TCAs). Unfortunately there is no single source of information available. I am putting out a plea to all, professionals and patients, to let me know practical tips they know/have used to manage the side effects of venlafaxine, mirtazapine, the SSRIs, moclobemide and reboxetine.
>
> Cheers, Nick.

The biggest tip I can offer is to recommend starting at a low dose, i.e. 10mg for Prozac and increasing slowly if not improvement is noted at that dose. Increase to the next level only when no response has occurred after a suitable period of time. This will vary according to half life of the drug and the size of the patient.

If any significant side effects occur, drop the dosage slightly and wait to see if the side effects subside. Only increase the dsage again if there is no response to the drug and no substantial side effcts.

Most of my drug failures, in retrospect, I believe were the result of a too large a starting dose and too rapid an advancement in dosing.

hope this helps.

 

Re: Managing the side effects of antidepressants

Posted by mand on March 21, 2001, at 9:47:18

In reply to Re: Managing the side effects of antidepressants, posted by MA on February 28, 1999, at 23:35:20

> > Dear All
> >
> > Help! I have recently been asked to prepare a presentation for fellow psychiatrists on 'Managing the Side Effects of the Newer Antidepressants' (i.e. not older MAOIs or TCAs). Unfortunately there is no single source of information available. I am putting out a plea to all, professionals and patients, to let me know practical tips they know/have used to manage the side effects of venlafaxine, mirtazapine, the SSRIs, moclobemide and reboxetine.
> >
> > Cheers, Nick.
>
> The biggest tip I can offer is to recommend starting at a low dose, i.e. 10mg for Prozac and increasing slowly if not improvement is noted at that dose. Increase to the next level only when no response has occurred after a suitable period of time. This will vary according to half life of the drug and the size of the patient.
>
> If any significant side effects occur, drop the dosage slightly and wait to see if the side effects subside. Only increase the dsage again if there is no response to the drug and no substantial side effcts.
>
> Most of my drug failures, in retrospect, I believe were the result of a too large a starting dose and too rapid an advancement in dosing.
>
> hope this helps.

I've been looking stuff up myself having had
problems coming off paxil and started venlafaxine.
There's not much solid help around but general
advice I picked up includes - drink lots of water
to avoid dehydration, cut back on caffeine, take
the dose at a regular time as much as possible and
try not to skip it, and most surprisingly vitamin
B complex is supposed to help boost the nervous
system. I couldn't figure out exactly why this
should work but it did. suddenly no nausea,
headaches,diziness etc. Life got back to normal,
which was good because the meds worked even if
the side effects were bad. Still,m If I forget
to take it until late or miss the vit B it plays
havoc and I end up sick and dizzy etc all over
again with the shakes really badly. I know loads
of people would love to know how to overcome
this so if you find out please let us know!!!!!!!

 

Re: Managing the side effects of antidepressants

Posted by Lorraine on March 21, 2001, at 22:26:06

In reply to Re: Managing the side effects of antidepressants, posted by mand on March 21, 2001, at 9:47:18

Dear All

{ Help! I have recently been asked to prepare a presentation for fellow psychiatrists on 'Managing the Side Effects of the Newer Antidepressants' (i.e. not older MAOIs or TCAs). Unfortunately there is no single source of information available}

There is a single source for The Journal of Clinical Psychiatry (www.psychiatrist.com) has a number of one point articles summarizing this stuff (I think they do one annually?) Anyway, I don't have the cite handy and you do need a subscription to access their articles, but I wanted to let you know that you don't need to reinvent the wheel on this. Good luck.

 

Re: Managing the side effects of antidepressants

Posted by michael on March 22, 2001, at 12:04:22

In reply to Re: Managing the side effects of antidepressants, posted by Lorraine on March 21, 2001, at 22:26:06

I'd spend some time going through Dr. Bob's tips section here.

Otherwise, you might want to search the archives here... although you'd have a lot of stuff to sift through, you can surely find a lot of discussion on sexual side effects and possible remedies, if nothing else. Good luck.

> Dear All
>
> { Help! I have recently been asked to prepare a presentation for fellow psychiatrists on 'Managing the Side Effects of the Newer Antidepressants' (i.e. not older MAOIs or TCAs). Unfortunately there is no single source of information available}
>
> There is a single source for The Journal of Clinical Psychiatry (www.psychiatrist.com) has a number of one point articles summarizing this stuff (I think they do one annually?) Anyway, I don't have the cite handy and you do need a subscription to access their articles, but I wanted to let you know that you don't need to reinvent the wheel on this. Good luck.

 

Re: Managing the side effects of antidepressants

Posted by mand on March 22, 2001, at 13:03:45

In reply to Re: Managing the side effects of antidepressants, posted by michael on March 22, 2001, at 12:04:22

Alternatively ask around in the internet
yahoo clubs, i'm a memeber of a few
and I know lots of peoplewho are on these
and/or have tried various ones and could tell
you about their problems. Just join as a member
and post a message asking for responses. Also
look at the bulletin boards on
http://www.depressionclinic.com
I know this isn't offical stuff but it will give
you a more personal view of what people come across
and how they cope. good luck



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