I think it's also a practice of only interference when the patient is suffering. And consistently when you need them (such as people like me, full-time student and part-time job). Usually you wanna take them consistently though in the beginning so you can adjust. Stimulants you don't usually need to take long term and they can be taken irregularly. Also, do your own research on this but my understanding is that SSRIs have more adverse side effects that can also be stronger than stimulants. The latter being pretty common for us folk. Suddenly stopping them or taking them irregularly can be dangerous. Yeah usually they give stimulants but I've also heard they give SSRIs. Just refuse to fill one if a reaction can occur. But they don't have authority to perscribe meds or change the med as far as i am aware. Pharmacists are great, and many do a wonderful job keeping informed. Because if not, there is a lot that can go wrong. And are the doctors keeping up on these reactions before prescribing them. If they aren't the best option for the patient, why are they the first. While I get the idea of one med then done. Did not realize it could have been caused by the med until later. So much so that I stopped taking it and panic blurted to my doctor two weeks later that I wanted a med switch. I had wierd levels of anxiety at med time.
It apparently has a side effect of massive anxiety levels. It took a new doctor and multiple trips to realize it was the med causing it. He was having life changing anxiety levels and panic attacks. My husband was on wellbutrin for well over a year (and 3 other meds as well at that time). I still have no idea if the antidepressants are even doing anything for me but I'm afraid to stop them and I feel like I definitely still need them in the winter when I get fairly depressed even on the right dose of concerta. With concerta, I can choose not to take it for a day or 2 without any withdrawl symptoms, I'm just super tired and feel more low emotionally than when I take the concerta. Basically you can't miss any doses without going into withdrawals after 24 hours (probably because I've been on it for multiple years). Another time I missed 1 dose but was going to be home so I was able to take it later but I still started to go into withdrawals again. Involuntary twitching, brain zaps, nausea, shaking and weak. I made that mistake once where I missed 2 doses and went into drug withdrawals. The one thing I hate about venlafaxine is missing doses can really mess you up. Last year I got prescribed concerta and it fixed everything for me in terms of emotional disregulation and has almost fixed my depression/anxiety. It never made me feel any different than the Prozac, I mean for the entire time I was on just antidepressants I was either deeply depressed/anxious or just flat emotionally kinda like a zombie (those were "good" days). I think I started venlafaxine when I was 18, I'm still on it now at 22. I was on Prozac for about 3 years I think? Maybe 4 then got switched to venlafaxine since Prozac wasn't doing anything. Talk to a doctor or counselor promptly if you feel depressed or suicidal.I wasn't diagnosed with adhd until last year, before that I was diagnosed with depression and anxiety at 14. It's important to note that antidepressant medications are associated with a slightly increased risk of suicidal thoughts or actions. Fluoxetine can cause certain side effects, such as insomnia and dizziness. SSRIs generally don't work as well as tricyclic antidepressants for pain, but they often produce fewer side effects. If you have any concerns, talk with your doctor. If your doctor prescribes both medications, they should be used with caution. SSRIs may boost the painkilling effects of some tricyclic antidepressants by increasing the levels of tricyclic antidepressants in your blood. SSRIs, which include drugs such as paroxetine (Paxil) and fluoxetine (Sarafem, Prozac), may help relieve certain types of pain, but there's a lack of evidence that they help alleviate nerve pain. Selective serotonin reuptake inhibitors (SSRIs). However, it has shown only limited effectiveness in relieving other types of pain. Milnacipran is used to relieve fibromyalgia pain and can cause side effects such as nausea and drowsiness. Duloxetine can cause side effects, such as drowsiness, insomnia, nausea, dry mouth, dizziness, constipation or excessive sweating. Venlafaxine can cause drowsiness, insomnia or elevated blood pressure, and may worsen heart problems.
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