There are multiple purposes for this blog. First, I'd like to share with you how mental illness can interfere with or enhance the writer's life. Second, I want to explore a more disciplined approach to the writing life. This blog will hold me accountable as I navigate story throughout my battle with mental illness.

Tuesday, June 7, 2011

The Medication Shuffle

It's time for a medication change. My doctor and I were going to do it on my next visit because I had just began another med change (dosage only). However, that's almost two months away, and that is two months I can't be like the way I am now. I've been taking Anafranil, of the older TCA class of antidepressants. It is also prescribed for OCD and is supposedly the "gold standard" for the treatment of OCD. My personal experience with this med is that when I try to increase the dosage to help control the depression, my obsessions become more difficult to manage. However, I need the increase to control the depression, which of the two, is more threatening for clear reasons.

Even though Effexor is a bear to get off of because of the incapacitating withdrawal symptoms, it had worked very well for me for over 7 years. It is an SNRI, a newer class of antidepressants (with significantly fewer side effects).  Since being off of it, my life seems to have kept going in a continual downward spiral. I just started about 4 days ago and will be titrating the dose up to a therapeutic level and titrating down the Anafranil. The effects of antidepressants can sometimes take a couple of weeks to a couple of months to be noticed.  I'm not certain whether or not is in my mind, but I am beginning to feel slightly more calm (Effexor is also prescribed for Anxiety disorders) and thus the OCD is less severe already. I hope this is a positive indication of things to come.

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