Anyone diagnosed with a mental illness is at some point going to be faced with the question of whether or not they should go on meds or not. I’ve been on meds now for over 10 years now, in fact I can’t really remember what my brain was like without meds, except that before I went on them I was completely miserable all the time and spontaneously bursting into tears at lunch. Eventually my friends got tired of all the waterworks and not so gently suggested I could benefit from seeing a psychologist. I got a referal to a psychologist from a friend of mine who was also seeing her, and in a case of blind luck I found someone who was a good fit and very good. I’ve been seeing her ever since.
Eventually however she said she couldn’t help me any further and that if I was going to continue working with her, I really needed to see a psychiatrist and go on meds. I was pretty anti-meds at the time, but felt like I was out of options so I took the referal and met with my first psychiatrist. After sobbing out my story, not particularly coherently for an hour and a half, the psychiatrist suggested I try an anti-depressant. I expressed hesitation, and she remarked “Look there are some people for whom meds are optional, and other people need medication. You need medication. You can either take the script now, or go home and think about it for 24 hours and come back and pick up the script tomorrow.” Well when you put it like that…. So I dutifully went off and filled my first prescription for Effexor. I was supremely lucky, I got a med that worked on the first try, when I know people who try dozens of meds before they find one that works. Anyway after about 2 weeks I started noticing little things, like colours and how cute dogs looked on the streets – my world was slowly reawakenning, from the gray it had been in since I couldn’t remember when, but it felt like forever. Since then I’ve been pro-meds.
Since that first tentative foray with 37.5 mg of Effexor I have, in consultation with various psychiatrists and as my moods have dipped increased the dose, added an SSRI, added an antipsychotic, and a tranquilizer. I also take a couple of recovery meds to keep me from drinking and abusing codeine. In total I’m on 6 meds, which seems like a lot when I think about it, except most of the time I don’t even know I’m on meds, unless I forget to take them for a couple of days, and then things get nasty.
I do have some side effects, nausea and dizziness, and a slight hand tremor foremost among them along with the almost inevitable destruction of my sex drive, but for the most part the side effects are tolerable. I’ve also been lucky as none of my meds have ever made me gain massive amounts of weight.
So all in all, I’ve been pretty happy until now.
I recently went with for a physical and since I’m getting older my Dr. ordered a pretty full workup. Some of the results weren’t pretty and she thinks it’s the meds.
First off I’m Tachycardic, which really isn’t good, although I’m completely oblivious to it. She thinks it’s any of my Effexor, Celexa, Naltrexone, or the combo thereof. Personally I think it’s the Naltrexone since it’s a med I’ve been on and off, and I never had a problem with my heartrate when I wasn’t taking it. But according to the prescribing Dr. that’s not supposed to be a side effect. I think she thinks I’m looking for an excuse to go off it so I can go back to using codeine.
Second my hormones are really wonky – I have really high levels of prolactin and testosterone (not desireable since I’m female). This explains the lack of periods and sudden spurt of facial hair that has me attacking my face with tweezers every day, and has me wishing that I didn’t have to have really dark hair. We’re both pretty sure that this is a side effect of my risperidone. The kicker is risperidone is one of the better meds for me, and I don’t like the side effect profile of any of the other A-typical antipsychotics, although I have to admit that lactating and facial hair do have their downsides.
So at any rate I’ve been dispatched with my latest bloodwork results to talk to my psychiatrist, to see if the meds are the likely culprits of my heartrate and hormonal woes. We need to find out if they are, and if my levels are within the “normal” range for side effects otherwise it’s off to the endocrinologist with me. A referral has already been made to a cardiologist.
The thing is I now feel like I’m caught a bit between a rock and a hard place. I really like the meds combination that I’m on. Despite my life being in absolute turmoil, I’m not suicidal, and I’m occassionally even happy despite a continued prospensity to burst spontaneously into tears at the slightest provocation. My psychiatrist thinks the latter may simply part of my brains ongoing attempt to normalize itself to a life without alcohol. At any rate I really don’t want to rock the meds boat. But at the same time, I’m not crazy about the idea of my heart / hormones being affected. So I’m conflicted.
I really hope that I don’t have to change my meds and once I know more about the risks I may simply decide that the biological side effects are within the realm of acceptab