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how long to take ADs

6 replies

ChiefPotterer · 16/04/2012 12:23

I suffered an awful bout of depression recently starting around August last year and ending in November when my CPN changed my meds and I quickly returned to good health (thank god!). I am on Mirtazapine 30mg and am feeling great and my repeat prescription runs out in May-should I start to try half a tablet until then and come off or is this too soon (it would be 6 months)-I have had no blips or down days and feel better than I have in years however I NEVER want to feel even remotely like I did a few months ago!. Can anyone advise? are relapses common?.

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ChiefPotterer · 16/04/2012 12:25

Also should add before my depressive episode my son did not sleep at all at night he is now 2 abduction sleeping well so that May have contributed to the depression somewhat.

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madmouse · 16/04/2012 13:01

The golden rule is that you should have felt well for 4-5 months before you start coming off an that any underlying issues that need addressing have been addressed.

Also it appears that those who come off really slowly have the best chance of doing so successfully, so you could even start by taking 3/4 of a tablet for a month or so.

orangeflutie · 16/04/2012 13:04

If you are thinking of coming off your ADs I recommend going slowly and cautiously. I started the process of coming off mine nearly two years ago and looking back I believe I tried to come off too soon. However I'm light sensitive and started to reduce in August going in to winter and winter is when I feel my worst. Is your depression worse in winter do you think? This time I'm trying to reduce again but hopefully I'm ready and it's the right time of year this time.

I would have a chat with your CPN or doctor and work out what you want to do. You may be ready but be careful. Relapses are common and unfortunately withdrawal symptoms can mimic symptoms of depression for a while.

Good luck with it and hope your son continues to sleep well:)

NanaNina · 16/04/2012 19:52

I think you need to be ultra cautious. If you read my post (very recently) on a thread called "Just urgh" you will see what happened to me. Also I don't think many GPs know much about coming off meds and it tends to be "think of a number" - if you read my post you will see that I came off meds after 14 years very slowly and under the supervision of a clinical psychologist. I was on 100mg a day of imipramine and reduced 10mg per month and took 10 months to come off them. I had twice tried to come off them following the GPs advice, and suffered withdrawal symptoms (which the GPs told me was a return of the depression, as orangeflutie says withdrawal symptoms can mimic depression. Each time I had withdrawal symptoms (which I thought was a return of the depression with exactly the same symptoms) I went back to the GP and they said it as a return of the depression and put me back on the full dose. The psychologist helped me to understand that I was experiencing withdrawal symptoms, not a return of the depression. I have to say though that the fact that the GPs didn't know this left me with little trust in GP's knowledge of mental illness.

However with 4 months of coming off the meds (and 14 years on them feeling fine) and a few stressful things happened I was back with another major depression (and 3 months on a psych ward) needless to say I am on ADs for life now.

I am not of course saying this will happen to you or anyone else, but I think you need to take care with the advice given to reduce by the GP - it needs to be very very slow reduction and no taking a tablet every other day as one GP had suggested I did. Another GP told me to reduce 10mg a week and within a few months I was having withdrawal symptoms, as the reduction was too quick. The psychologist was horrified and I have to say she was the only one who gave me proper advice about coming off them, even if it did result in another major episode of depression.

The psychologist said that most GPs wanted to stick to some kind of schedule of reduction and this is entirey wrong. She said I needed to be in control of the reduction, as only I would know how I was feeling, following the reduction, (which made perfect sense to me) and if I was ok after a reduction I could go ahead and make another 10mg reduction the following month. If however there was something stressful going on in my life and I was anxious about another reduction, I should not reduce, but wait another month if necessary and so on.........she said the only thing she would stop me doing was to come off them too quickly. Her method worked and I did manage to reduce 10mg per month and had teeny weeny withdrawal symptoms but nothing to worry me and of course I could link it with my slight reduction.

I was on imipramine and the reduction worked for me, but I don't know if it works the same way with SSRIs.

strawberry17 · 16/04/2012 20:17

Everything NanaNina says is spot on. It's taken me 4/5 years to wean myself off Prozac having been on Sertraline and/or Prozac for the past 12 years. Doctors are pretty rubbish at knowing how to taper off properly and slowly. You have to listen to how you are feeling and forget calendars/schedules for coming off.

ChiefPotterer · 16/04/2012 21:29

Thanks everyone-will try going to 3/4 tablet for couple months then 1/2 I most certainly don't want to relapse. NanaNina sorry to hear you haven't been feeling great I hope it passes quickly for you.
What a truly debilitating illness depression is-wishing all on the MH board a speedy recovery and no relapses!.

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