DISCLAIMER: THIS IS NOT MEDICAL ADVICE! We do not employ doctors or licensed medical professionals, so we do not provide medical advice. Nothing presented here is a substitute for the advice of a DOCTOR or other licensed health care provider. Never stop, start or add medications or supplements to your health or mental health care regime without first checking for interactions or other problems, and thoroughly researching the substance. Before you employ any information here, consult your health care professional. No information here is the result of valid clinical trials.
Thinking of Starting an Antidepressant?
Informed Consent and Questions for Your Doctor
Dr. Shipko's Informed Consent for SSRI Antidepressants
"Dr. Shipko's Informed Consent for SSRI Antidepressants" is written by MIA Blogger and psychiatrist Stuart Shipko, MD. He says, "I am writing this eBook to share the key information that I discuss with patients in consultation before starting or stopping a serotonin reuptake inhibitor (SSRI) antidepressant. 'Informed Consent' is not intended to be a comprehensive book about these drugs, rather, it duplicates the information that I typically provide to my patients when I see them in consultation. If you are contemplating starting or stopping an SSRI antidepressant, then you will find this information helpful."
When doctors say this... ask this.
Compiled by Bobby Fiddaman, Author, blogger, researcher. http://fiddaman.blogspot.com.
The doctor will either stutter, stare into space or tell you to stop reading the Internet conspiracies.
- "Antidepressants help many people." - How many? How do they help them? Describe, in detail, how they act on the brain and, furthermore, how that action helps 'lift' depression, anxiety etc.
- "After overcoming depression some find coming off antidepressants quite difficult." - Some? How many exactly, what are the figures? In any event, how does one know one has overcome 'depression' if the antidepressants are designed to make consumers feel like they aren't depressed?
- "When trying to stop you may find your depression returns." - How do they know this, how do they know whether it's a return of the depression or whether it's a side effect of withdrawal?
- "If you've had one episode of depression it's best to stay on your antidepressants for six months to a year after you feel better." - Antidepressants are supposed to treat depression not prevent it. Should I take paracetamol even though I don't have a headache?
- "Most people don't have troublesome side effects when coming off antidepressants, but some do."- Figures, what are the figures? Is this statement based on 8-12 week clinical trials or is it based on the post-marketing surveillance of these drugs?
- "Most people said that their symptoms lasted up to six weeks." - Define most. What are the figures?
- "Ask your friends and family for support and maybe take some time off work." - Those same friends and family will not know anything about drug withdrawal - yes, they may spot signs of suicidality but won't make the connection that it could be the drug causing the suicidal feelings - they will assume, just as many doctors do, that it's the 'underlying illness'.
- "Reduce your dose slowly, this helps to reduce symptoms." - Symptoms of what? How slowly. Where's the guidance here?
- "Keep a diary of your symptoms and doses." - Have you ever tried writing when going through severe withdrawal? I could barely lift a pen, let alone write.
- "Be prepared to stop the reduction or increase the dose as necessary." - Why? Is this due to the drug causing the symptoms or a return of the illness?
Turn the tables folks. Your Dr has a duty to inform you.
CHW Tapering Guide
We are here to support you in tapering slowly, steadily and consistently off Cymbalta/Duloxetine. You will find several warnings here about staying safe. This information is all about HOW to do that careful taper off the drug. Please, please follow our recommendations.Read More
CHW Tapering Spreadsheets
Downloads and online calculator to help you figure out your tapering. Before you use these resources, you need to understand what you are doing, so you should read CHW Tapering Guide first.Read More
CHW Recovery from Antidepressant Use
This file contains links to the most important files on RECOVERY. We highly recommend printing
out files for quick reference, and then highlighting the areas that are important to your needs.
CHW How To Be Happy
How to deal with depression – without using drugs. These suggestions are from various sources and my belief is that doing something different or extra will help. Thank you, all those who wittingly or unwittingly helped me compile this list.Read More
CHW Reinstatement Guidelines
There is only a 2 (possibly 3) week reinstatement window where it is (somewhat) safe to go back onto the drug to try to reverse the withdrawal, but only if other drugs have not been added and the person did not alternate days more than 2 (possibly 3) weeks. After that window passes, the person is left to deal with whatever comes their way. There is no known “cure” for protracted withdrawal once it settles in. It just takes time to resolve on its own.Read More
CHW For Friends and Family
What you might see if your friend or family member is having an adverse reaction or withdrawal when abruptly or rapidly stopping an SSRI/SNRI antidepressant or other psychotropic drug.Read More
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Please take the time to report your adverse symptoms from Cymbalta and Cymbalta withdrawal to the FDA. Call 1-800-332-1088
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