- Nov 9, 2013
Thanks alot Ms Diz i appreciate the replies they have helped me somewhat in regards to what i want to do to get off smoking and regarding addressing my anxiety with my GP/ Psychiatrist.
I have not tried SSR'Is but i think i will definitely give them a go. I guess through trial and error you can find out what works for you. appreciate all the information you provided so thank you !
Bare Head - while my recent post in the EADD Benzo thread is typical of my ludicrous ramblings it does provide the context to and my anecdotal experience of trying an SSRI for a few months when my head first started seriously going off the rails. I was treated with fluoxetine but having had plenty of experience treating a range of depressive illnesses with a range of anti - depressants it is my be;lief that the effect of SSRI's is somewhat standard with various drugs having largely subtle differences, in a loosely comparable fashion to benzodiazepines or opioids, both of which have a central effect around which the different drugs provide variations in intensity, duration etc. My response (which was my attempt to explain my beliefs around UK GP benzodiazepine and SSRI prescribing) does have my thoughts and personal opinions about my treatment with fluoxetine by my GP for 5 months back in 2006/7 for generalised anxiety and reactive (neurotic) depression...
Its a UK thing. The amount of money those fuckers made flogging benzo's back in the 70's and 80's was obscene - following a prescribing culture that relied on the dangers of barbs benzo's were considered harmless in comparison, their similar dependence profile being less of an issue than fatal overdoses, something that was not only played down but lied about by Roche of all people to the UK market specifically, a sad and unnecessary exercise in excess greed, all to make money they did not need. After cornering the market for the first decade bzds were available with Librium and Valium, the latter selling a record amount of pills as to the worried well they were the cure for everything requiring real therapy, although to be fair, being thrown a diazepam Rx was fairly progressive mental health treatment for a post war UK in which real folk just pulled themselves together.
By the 80's, Roche was well into their double dip doing what many peddlers of psychotropic medicines do - reselling the same drug again after slight alternations. Mogadon, despite being identical to diazepam in weight and 90% similar in effect was specifically licensed as a sleeping aid, the only other UK bzd to do so besides temazepam but its long acting effect resulted in most patients waking up as stoned as they were when they fell asleep, perfect for idiots like me but a nightmare for people trying to live their lives while zombied in all the most benzowed way imaginable - blunted affect, sedation, disinhibition, memory loss etc. And the fucking morons at Roche had omitted these very obvious side effects from the patient information leaflet in Mogadon products. The same side effects that they included in the Scandanvian translations of the leaflet provided with Danish and Norwegian Rx's of Mogadon, the most idiot and blatent proof that they not only knew but had decided to lie to UK patients.
So blah blah -class action lawsuit later and now many GP's will not Rx them - despite the fact that they are of little harm as long as they are used properly - either in short courses not exceed 2 weeks or as a PRN medication, the usage of which would require proactive monitoring and follow up appts. as opposed to blindly issuing repeats. However, because some dumb ass decided SSRI's could treat anxeity it provided a perfect excuse to fob patients off. I gave it a fair go, after securing 3*28 5mg diazepam boxes from my GP to get me over the initial hump, I agreed to give fluoxetine a shot, having worked in MH since I left school I always considered Prozac the OG and possibly least savage SSRI. They did start to have a real effect after about 3 weeks but while I understand the rationale behind their use as an anti-depressant and VERY mild anxiolytic, the sensation was really artificial, pleasant at times but almost speedy/pill at times, especially after a pipe of crack, but it was no substitute for a GABAergic for acute panic attacks and I could not take MDMA or Ees while on them. I fucked them off after 5 months as despite having an effect they too did not address the underlying psychological issues, being just another psychoactive drug effect IMO.