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Depression medication - side effects?

Question:
Well, I ain't them, and just because these things don't happen to them doesn't encourage me that they aren't going to happen to me, it's all a probability thing. Just cos you've come up heads this time doesn't make it any more unlikely that you'll get tails on the next flip of the coin. And frankly I'd as soon not take the risk. Irresponsible? Probably. "Well, you've only got yourself to blame now, you don't WANT to get cured..." But I can't see that it's good odds, not when some of the side effects are apparently potentially fatal. On the other hand, I know loads of people DO take this one, so maybe I'm just overreacting. I do that, periodically. Any thoughts, anyone?


Answer:
Finally managed to persuade myself to go to the doc's today, and to be fair he was pretty cool about it - I must admit I'd expected more problems than I got. So that was good. He's prescribed me something called 'fluoxetine hydrochloride' (which is basically Prozac without the trademark). Trouble is, it's got a list of side-effects as long as my arm, and some of them are pretty scary - including bleeding, 'blue-black patches over the skin', violent behaviour, strokes (I kid you not), and even suicidal tendencies
(which I thought was *particularly* funny, in an entirely humourless sort of a way). I'm not going to worry about the 'suppression of menses' thing too much, obviously, but ye gods - I'm not so nuts that I'd want to risk the stuff on this list! Rang back and spoke to the practice nurse who did all the reassuring and so on: "oh, don't worry, I know loads of people who take it and they hardly have any problems at all"... Oh, GOOD. Well, I ain't them, and just because these things don't happen to them doesn't encourage me that they aren't going to happen to me, it's all a probability thing. Just cos you've come up heads this time doesn't make it any more unlikely that you'll get tails on the next flip of the coin. And frankly I'd as soon not take the risk. Irresponsible? Probably. "Well, you've only got yourself to blame now, you don't WANT to get cured..." But I can't see that it's good odds, not when some of the side effects are apparently potentially fatal. On the other hand, I know loads of people DO take this one, so maybe I'm just overreacting. I do that, periodically. As IOStorm said, every single drug/medication/herbal supplement is bound to have side affects from minor to major. The only time I would worry much about any possible side affects is if you've had a bad reaction to other meds. Otherwise I wouldn't worry about it. Besides, while some of the ones you mentioned can be pretty serious, a lot of the minor side affects aren't so bad as to stop taking it. I get dry mouth really bad sometimes on Zoloft. But I keep taking it anyways. (I need to drink more water anyways.
:op ) Just make sure you do report any unusual problems to your doc. Don't Panic! The drug companies have to put all that stuff in the leaflet, because otherwise they'd be afraid of being sued if someone got a side-effect they weren't warned about. Most of those effects are pretty rare, and even if they happen they aren't as severe as they sound. The most likely side-effects (according to anecdote and my own experience) are a dry mouth, a bit more sweat than usual, and trouble getting an erection. The side-effects usually appear first, then fade away, before the benefits start to appear - and if they don't, the doctor can usually suggest more pills to treat the side- effects (and so on, ad infinitum). If you find that you get side- effects you cannot tolerate, there are lots of other anti-depressants around, some of which work in entirely different ways - so there's a good chance that you'll find something that works well for you. Fluoxetine has been around for a good while now, and I've never heard of anything worse than 'it doesn't work'. I took it myself for some time (up to 60mg/day) and it did help me; just not quite enough, so now I've moved on to something else - making my sixth anti-depressant so far. Think of the possible side-effects of alcohol or double cream - most people manage to survive the odd beer or rich pudding )



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