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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To ask if you gained weight on SSRIs

53 replies

Mayorhumdinger19 · 25/02/2024 11:43

Amongst other things;

I have been going backwards and forwards to my GP for over a year with several physical and emotional issues that have been slowly getting worse for over 2.5 years;

Extreme lethargy and dizziness
apathy
Brain fog..... I feel like im living life in treacle and cotton wool
Muscle aches and joint pain
None restoritive sleep when I do get 7/8 hrs
Regularly unable to sleep past 4/5am end up taking nytol
Anxiety on a night but okay during day
Random things like dry eyes, hair thinning and bouts of noticeable hair loss - gaps in eyebrows
skin changes.....2022 had roascea out of nowhere
Seem to have a lot downey hair on face now
Reccurent cystitis - altho many of the time urine culture comes back neagtive and I also often do not get a fever, i do suspect it may actually be Vulvodynia because;
For the last 5 cylces I have had escallating symptons of this in the 10 days before my period - started justt with itchy vagina but no other symptoms of thrush, escalating to sore (?) can only describe it as throbbing vagina and the last the throbbing was so bad it was radiating into buttocks and v painful, also realised this is actaully when the faux cystitis symptoms are hitting
Bad night sweats around time of ovulation

Doctors have so far been dismissive to rude;

I have been tested for and as far as i know all fine;

Thyroid
Kidney and liver function
Vitamin B
Vitamin D
Iron
FSH

Had a ovary and womb scan

All fine, one doctor said its basially just life but could be fibromyalgia and whilst standing up said but we don't treat that now and then opened the door to signify the appointment was over.....I just walked out in tears.

At the last appoinment in Oct I mentioned the perimenopause and a different GP said yes could be but it is too early to start treating as longer you are on HRT the more risky it is. She did then say an anti depressent could help anxiety, sleep and sweats though. Offered no other thoughts and when I brought up the none restorative sleep and joint pain she kind of ignored it and started taking about the sweats - yes alone rank but least of worries tbf!

I am 40 have a 6 yo, and normally exercise regularly - flat 5k x2 times a week (am unable to do any hills/trails now due to joints, vinyasa flow yoga once a week odd bit of sea swimming, zumba class and a good hr on cross trainer at home x1 once a week (used to do hiit crossfit type stuff but again hurts my joints now), also do quite a bit of walking, am a healthy weight for height (size 8/10) which I feel happy with and have a good considered diet (lots of fish, egss and veggies and pulses not much meat or dairy - take iron supplement, low amount of UHPFs, organic veg box etc.

Periods a bit all over the place for past 18 months but for 3 yrs I have taken spirolactocone for adult acne so they said that could have caused altho odd given for a long time no issues and I am on a lower does now than I was orginally.

This past week my symptoms have got much worse;

The lethargy is awful I am constanly dizzy and whereas before daily activites were often a struggle some stuff is imposssible/not safe - no way can I drive, i sort of feel like i'm seeing stars and have to reallly concentrate to type this and its taken me ages, its like i blink to try clear it and nothing happens.

Also the the joint and muscle pain is intense I have totally dosed myself up on codeine this last few days to get on with chores as during the week i couldn't get out of bed I was just so sore everywhere and all my joints kept clicking/burning and I had a throbbing headache and just could stand looking at a screen. It has eased I would say by 50% but still worse than before, and i am, my husband says, limping and walking hunched over....I did consider a virus which might have made exsiting problems worse however I have had no other symptoms, no temp, or respitory issues, negative covid test. Thought maybe on way out howver on fri I woke up and swore my hands and feet were swollen, today this is without a doubt the case they look awful, cannot get my rings on or any shoes apart from a well stretched pair of wide fit trainers I wore at the end of pregancy.

I also think my hair has shedded again as where it had grown back over past yr it suddenly feels thin again (this was actually first noticeable thing about 3 wks ago).

I am going to go to the doctors obviously but I think I need to be prepared to jump through the hoops and take the antidepressents and see if they help I am just resistant as I've heard they can make you gain weight - I do not want to add to my issues with that!! And that they can make you a little bumbly/disconnected , this is one of my main issues and why I can't go back to work i am just able to to care for DC although struggling with current presentation but if that got worse not sure I manage long term.

OP posts:
Itscatsallthewaydown · 25/02/2024 11:46

Olanzapine yes, SSRIs no.
Not in my experience.

GoodOldEmmaNess · 25/02/2024 11:51

They haven't affected my weight, I think. But people have differing responses.

You seem to have a wide range of physical concerns in addition to any mental health issues, and you don't really sound like you believe that ADs will help. Are you thinking that the doc just suggested them because they didn't really know what else to say? Or is it becauae they think of you as having health anxiety?

Either way, they won't help if you don't actually have the serotonin deficit they work against.

LeavingRightNow · 25/02/2024 11:52

Sorry but your GP’s attitude to the menopause is wrong. You need a blood test for this eg FSH levels. Before 40, it’s essential to diagnose and treat premature menopause. It’s more dangerous not to manage this.

Please tell them that you want testing for premature ovarian failure (even if it may well not be this) and if they refuse, ask them to explain their reasons why.

LeavingRightNow · 25/02/2024 11:53

And ask for a referral to rheumatology for your ?fibro/joint pain. This is all unacceptable.

GoodOldEmmaNess · 25/02/2024 11:53

Oh, and btw, anti-depressants give me horrendous night sweats, so it seems strange to prescibe them as a cure for that (unless some specific ADs are very different from others in that respect

CCSS15 · 25/02/2024 11:54

Can you afford to go private and speak to a menopause specialist? I think the bupa one is aprox £400, I would do this before starting on SSRIs

DaBlackCatsAreDaBestCats · 25/02/2024 11:56

Ovestin cream for the vaginal problems which are likely to be caused by a drop in estrogen x

Hoglet70 · 25/02/2024 11:56

Have been taking them for years and when I am fat it's down to my disgusting eating habits and when I'm slimmer it's because I'm watching what I eat. They have had no effect on my weight despite whenever I read reviews people are always moaning about gaining weight on them.

Mayorhumdinger19 · 25/02/2024 12:02

Thank you all and what about any brain fog fuzzy feeling??

OP posts:
Mayorhumdinger19 · 25/02/2024 12:03

@GoodOldEmmaNess they said they would help with the sleep night anxiety and night sweats.

OP posts:
bluejelly · 25/02/2024 12:04

Prozac doesn't affect my weight at all, but does make me feel much better about everything. Hope you get to the bottom of what's wrong OP

Mayorhumdinger19 · 25/02/2024 12:04

I know @LeavingRightNow i feel like my useful life is over at 40 and without being dramatic if this current manifestation doesn’t get better I am basically disabled…seen three different GP’s and they just don’t seem to care.

OP posts:
Mayorhumdinger19 · 25/02/2024 12:07

@CCSS15 yes I could but I don’t know whether it is that and the only reliable test appears to be FSH which they’ve done and is apparently normal. It has spooked me as well them saying that I would obviously have to be on them indefinitely (HRT) and obviously whilst this is awful cancer would be worse - whilst they wouldn’t say I am assuming this is what they were getting at when they said the risks increase.

OP posts:
LeavingRightNow · 25/02/2024 12:20

Mayorhumdinger19 · 25/02/2024 12:04

I know @LeavingRightNow i feel like my useful life is over at 40 and without being dramatic if this current manifestation doesn’t get better I am basically disabled…seen three different GP’s and they just don’t seem to care.

SSRIs will not help night sweats and may make them worse.

Go to your GP with a friend or family
member and explain again. Do not be fobbed off.

Mayorhumdinger19 · 25/02/2024 12:46

@LeavingRightNow why on earth would they suggest it?!? Not getting at you, I’ve just had a Google and it does appear you are right, just baffled at how they’re treating me. I mean do they not believe me??

thd fight I had to get my adult acne treated finally with something off license and now they can’t to give me things they will alter how my brain works for something unrelated to what they are meant for and want to ignore all my other issues???

Do they help with sleep/anxiety??

OP posts:
LeavingRightNow · 25/02/2024 13:03

Mayorhumdinger19 · 25/02/2024 12:46

@LeavingRightNow why on earth would they suggest it?!? Not getting at you, I’ve just had a Google and it does appear you are right, just baffled at how they’re treating me. I mean do they not believe me??

thd fight I had to get my adult acne treated finally with something off license and now they can’t to give me things they will alter how my brain works for something unrelated to what they are meant for and want to ignore all my other issues???

Do they help with sleep/anxiety??

Yes they can do. Though less so if the cause is something else eg hormonal. They are certainly a good choice for anxiety.

CeriB82 · 25/02/2024 13:07

I struggled with MH during menopause. Im 7 weeks in and im eating well. Im in a happier place and my appetite is back

now i need to eat healthily and move more!!

SomeCatFromJapan · 25/02/2024 13:08

I put on a huge amount of weight on sertraline years ago. I was constantly hungry and the weight piled on unbelievably quickly. However the sertraline put me in denial about it so I wasn't that bothered at the time.

mynameiscalypso · 25/02/2024 13:11

Nope, I also lose weight on them

StickNMove · 25/02/2024 13:12

I’ve taken Prozac for years with no effect on my weight.

I’m not a doctor, but your symptoms are a lot like my perimenopause symptoms, although I was 45 when they started. HRT helped a lot, but it took about 3 months to kick in. I stopped feeling that horrific anxiety, started sleeping better and the exhaustion and brain fog lifted.

It took me three NHS doctors appointments and a bit of a tantrum to get the HRT, mind you.

Thelnebriati · 25/02/2024 13:14

SSRI's are not likely to cause weight gain if you use them for 6 months or less; if you use them for more than 18 months - especially on higher doses - then they can cause weight gain, and some are worse than others.
So you could safely try them for 6 months. But its also worth googling the side effects before you do. If you are prone to anxiety I wouldn't take Paroxetine.

SomeCatFromJapan · 25/02/2024 13:14

OP I would suggest getting private thyroid tests though. They don't test T3 generally as standard on the NHS, also they'll often tell you your results are in range when they do in fact indicate a clinical issue.

LindaHamilton · 25/02/2024 13:15

SSRIS cause long term sexual dysfunction even after use, avoid them

Chickenfeed67 · 25/02/2024 13:16

Is there any chance you could have been bitten by a tick OP? Your symptoms sound similar to a friend of mine who has been diagnosed with Lyme disease.

mynameiscalypso · 25/02/2024 13:16

LindaHamilton · 25/02/2024 13:15

SSRIS cause long term sexual dysfunction even after use, avoid them

You're missing the caveat 'can potentially in a very small number of cases' there