[medical log] Hrrr

[kaberett]

Content note: discussion of food, reference to eating disorders.

So I'm now at two weeks on the lowest dose of sertraline - 50mg, one week overlapping with 10mg citalopram - and I'm getting the "appetite changes" side effect, specifically I'm needing to eat four substantial meals a day in order to avoid getting light-headed and painfully, function-impairingly hungry. This is going to get very rapidly very expensive and very tedious, my symptoms aren't adequately controlled so I'd need to increase the dose and have More Of This, and sooner or later I will guaranteed hit a patch of eating disorder and be unable to make myself ingest anything more than water (and it'll be a struggle at that) for 24-48 hours, which will just be utterly miserable.

Next seeing my GP on Monday 29th; gonna ask him if we can swap me to Yet Something Else. I am contemplating the merits of asking for an SNRI for add-on pain-control purposes.

Comments

[hilarita]

Ah yes. I know that side effect. It sucks.

[403]

Sertraline made me unbearably nauseous no matter what I did - and worse after I ate. Funny how that works.

ETA: How consistent are you about taking meds at the same time from day to day? You may get more leeway than I do, but the withdrawal effects are unpleasant. (Then again, it can be a sideways kind of benefit. Sometimes that first brain zap is what it needs for me to remember that I put the day's meds in my backpack but didn't actually take them.)

[kaberett]

Antidepressants are bedmeds; I take them typically within a ~2-hour timeframe, and haven't noticed obvious SSRI withdrawal resulting.

[403]

Ah'kay. That's better than I manage, most of the time. I thought I'd mention since SNRIs tend to have shorter half-lives, and therefore be more twitchy about timing.