Side-effects

Alley outside Blu Jazz

I’ve been running regularly and lost about 3kg (yes!) ; I’ve also been taking anti-depressants somewhat regularly ever since that birthday episode knowing how deep in the pits I’ve been.

I’ve described the fluoxetine in an older post. Taking it nowadays leads to a variety of side effects and nonsense.

The brain is horrible at self diagnosis. The medicine begins by suppressing something. I think it suppresses the chemicals that make me overthink, because I find myself doing that much, much less after taking it. I don’t feel perceptibly more spright or anything, it just is the absence of too many thoughts.

The void of overthinking is then filled up with restlessness. I can’t concentrate well, if at all. Recess week was a blur, but I don’t know if it was because I was wasting my life away or because I was literally forced into a shit attention span. But it’s fine, because I no longer overthink as much. My attention lasts laughably short and I get bored easily.

Perhaps it’s because I used to use 100% of my brain like Lucy and now with much less thinking to do, my brain’s still on restless overdrive.

The bad thoughts still come, but managbly slowly. But so does everything else. I take longer to decide and comprehend. Sometimes I talk to myself to rally myself together, and also because the weirdness of talking to myself gets cast away as a bad thought.

Sometimes I nap even if there’s loads to do; I’m just bored.

If I were to stop taking the meds immediately, all the suppressed chemicals burst forth into anxiety-central and any little problem launches me into a deluge of discomfort and adrenaline. Perhaps that’s why I thought I had anxiety as well.

Upon taking alcohol whilst under the effects of the medicine, the next day is almost always guaranteed to be sombre.

No medicine casts a dull haze in my vision and I tend to act more rationally, with the painful effect of being sensitive as all hell and sighing a lot.

Sleeping is never a problem.

Starfucker couldn’t come to Singapore because they support marijuana. Sue’s present for my birthday is hereby refunded.

Comments

2 responses to “Side-effects”

  1. Marie Avatar

    Fluoxetine is a selective serotonin receptor antagonist. Rather than suppressing it, it actually works by increasing serotonergic activity between the neuronal synapses (you prevent it’s reuptake into the presynaptic neuron so more hits the postsynaptic neuron). You have to take it regularly for it to work consistently, and at the start you’d experience some of your described side effects, while your body adjusts to the new chemical balance. It rights itself mostly after about 1-2 weeks, but if you take it irregularly then you’d always be experiencing the initial side effects.

    If you’ve taken it regularly for a good 1-2 months but don’t find an appreciable difference or improvement in your mood / feel like the effects could be better / side effects are not really abating, then reflect it to the doctor so they can adjust the medication. Sometimes the etiology may be some other neurotransmitter besides serotonin, then you can possibly try another agent to see if it helps better instead of contributing to side effects (especially with regards to the mental fog issue).

    Please don’t take alcohol with it, it may decrease the efficacy of the medicine +/- make you drowsy. When I dispense this drug I usually tell patients to avoid alcohol. If they really want they can space it 4h apart (shouldn’t be a problem if your dose is in the morning) but it’s still not recommended.

    It’s great that you sleep well because many people find fluoxetine a medication that is more alerting! Good rest is imperative so that’s awesome!

    Take care of yourself fluffy cloud ๐Ÿ™‚

    1. turnstiles Avatar

      I love how your comment waa professional analysis in the first 4 paragraphs and a cute note at the end ๐Ÿ™‚

      Looks like education did you hella well!

      Thanks for the advice! I’m just that much more empowered (and better informed) to take care of myself after your comment, knowing that you’re around ๐Ÿ™‚

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