Depression.

hmmm cilift and cipralex are SSRIs like prozac, used to treat mild depression. Proper bipolar people (not those that think they bipolar) require the stronger stuff :p

Yip! Cilift and cipralex were my doc's prescriptions. Seroquel and Lamictin were my psychiatrist's prescriptions...

EDIT: as my psychiatrist says, these meds are a hit and miss, and more of an art-form when it comes to efficacy than science. What works for some doesn't work for others...
 
I've been on both and they were equally useless. Found a great combination with seroquel and lamictin. I am bipolar...

In my experience, bipolar people should not drink alcohol, which will also dramatically lower the effectiveness of the Cilift/Cipralex. Not lecturing, as I'm sure you know what you are doing, just relating my own observations.
 
In my experience, bipolar people should not drink alcohol, which will also dramatically lower the effectiveness of the Cilift/Cipralex. Not lecturing, as I'm sure you know what you are doing, just relating my own observations.

Discussed it with my head-doc and he says it's okay for the meds I'm on at the moment...
 
My doc said if you enjoy it then don't cut it out - just try moderation. I now only get moderately schit-faced...:D
 
Who diagnosed you Cilift btw, copa? Was it a psychiatrist or did you get a referral prescription from a psychologist?
 
I have never been to a psychiatrist, but I've had various psychologists and GP's urging me to try antidepressants for many years now. I always resisted, for the same vain reasons most people frown upon medications of this variety. Eventually, about two years ago, I realized my life was just a whirlpool of anxiety and doom, so I just grabbed a prescription on a whim from my GP at the time.

Used the stuff for a year or so, with (relatively) outstanding results, and then due to a certain circumstance, stopped them cold turkey (which was a pretty fascinating albeit uncomfortable experience) - This led to the worst depressive episode I've ever gone through, and a couple months ago I started the Cilift again, with slightly more limited efficacy than the first time around (probably because my lifestyle is not as healthy as the first time I tried the stuff; exercise and a focus on healthy stuff in general).
 
My suggestion as someone who has been in exactly your situation (we all appear to go through the same process) is to see a psychiatrist. It is covered my medical aid if necessary and it is the best decision I ever made. I saw psychologists for a year or so beforehand and I can assure you that Cilift was not the right medication for me - it is the bog-standard go-to drug for psychologists and GPs these days.

While you say it is working, it is possible that it isn't the optimum drug for you, and that is also very dangerous.

Another thing to realise is that you CANNOT go cold turkey on these drugs. I'm sure you know this now, but it is essential that you build them up in your system slowly and if you have to come off them for any reason, you wean yourself off of them. I cannot stress enough how important it is that depression be diagnosed by a medical professional and the associated prescriptions be controlled and monitored by one too. Psychologists are great if you're feeling a bit down, but they're glorified trauma counsellors imo (and I have a few psychologist friends). If you want to deal with it seriously, then see a psychiatrist instead...
 
My suggestion as someone who has been in exactly your situation (we all appear to go through the same process) is to see a psychiatrist. It is covered my medical aid if necessary and it is the best decision I ever made. I saw psychologists for a year or so beforehand and I can assure you that Cilift was not the right medication for me - it is the bog-standard go-to drug for psychologists and GPs these days.

Bog-standard is right, the GP's hand that stuff out like candy. Which is why I was very careful to research the stuff before I started taking it. I hear you about seeing a psychiatrist, but unfortunately my puny medical aid laughs at the notion of psychiatric conditions being something they should pay for. :/

While you say it is working, it is possible that it isn't the optimum drug for you, and that is also very dangerous.

Possibly, if the only way to ascertain this is to see a psychiatrist, it will simply have to wait, as circumstances dictate.

Another thing to realise is that you CANNOT go cold turkey on these drugs. I'm sure you know this now, but it is essential that you build them up in your system slowly and if you have to come off them for any reason, you wean yourself off of them.

I knew it then, and I know it now. It's not something I would recommend anyone do, obviously, but the circumstances at the time didn't leave me with much choice in the matter, and I hadn't been taking the drugs for long enough to do me any serious damage by stopping them abruptly. I've always wanted to know what 'brain zaps' are... :D

I cannot stress enough how important it is that depression be diagnosed by a medical professional and the associated prescriptions be controlled and monitored by one too. Psychologists are great if you're feeling a bit down, but they're glorified trauma counsellors imo (and I have a few psychologist friends). If you want to deal with it seriously, then see a psychiatrist instead...

I'm happy to accept the diagnoses as per the psychologists I've seen, and I've seen enough people literally destroyed by the recommendations of psychiatrists... not that I have anything against or for either profession. Look, if I had the means, I'd happily see a pro, unfortunately, this is simply not feasible at the moment - I have to get along with generic Citalopram, and whatever info I can glean from the internet. Not ideal, but it is what it is for now.
 
Nothing wrong with generics. Also unless its major depression or getting worse then go see a psych. If you really need a psych your GP will refer you.
 
Some generics have a different release into the body. The generic for seroquel for example doesn't have a slow release, so can affect people differently...
 
Some generics have a different release into the body. The generic for seroquel for example doesn't have a slow release, so can affect people differently...


Thats different products be careful. The generic for quietiapine is the same, there is no generic for seroquel XR (which is the slow release single night dosing). Seroquel XR is extremely expensive I used to pay over R1000 per box and that was on state tender (in private the profit is R24 :( ). A generic has to be bioeqivalent and independant studies are carried out to ensure this. This is carried out by the MCC, personally I only buy generics for myself. A lol example is myprodol and genpayne, they are made by the EXACT people so the formula is the exactly the same, quite clever release the generic yourself at a cheap price so the other companies cant take your market.

Generics will do the job but they wont do it as well as the original. Companies are not allowed to use the exact formula as the innovating company, so there are minor differences but they very minor that one wont even notice the difference. The only drugs that I've come across personally through experience that matter is lasix (furosemide), some antibiotics, benzodiazepines, and paracetamol.

Ive noticed some patients claim panado doesnt work but they claim prolief works like a charm, yet they both 500mg paracetamol tablets (dosage forms make a huge difference). I think it has to do with the bioavailability (BA) of the preparation, paracetamol fluctuations in BA from brand to brand quite irrattically, becomes very problematic to be honest. Also you cant rule out placebo effect, some patients believe that the generic doesnt work and that affects the efficacy of the drug. Simply amazing to see how strong the placebo effect is in practice, when I learnt about it in lectures I didnt believe that it could be so strong, now I've seen how strong it is and I never underestimate it now.
 
I am quite depressed and I am not sure whether I should ride it out or return to the psychiatrist.

By ride it out, I mean simply let time pass so that I can mourn my personal losses and regain a lust for life or take the recommended option and continue with Risperdal.

I don't know how long it will take me to get used to my decreased abilities and my slight loss of independence. I have also developed an increased fear of being a passenger in a vehicle.

I am anxious often, every little ache or pinprick of unknown sensation scares me a little.

I am looking at my depression from a very circumstantial point of view, hoping that when this miserable cold wet winter lifts, everything will feel better :whistle:
 
I was also diagnosed with bipolar, I first started on anti depressents, also cililift, and I am sorry but I am totally against any anti depressent, I felt they made you so hollow inside, and sometimes I felt I was probably worse off on them, I had more thoughts of suicide on it, than off it, so i stopped it immedietly, which is obviously very bad, but I just couldn't handle it anymore, so I was willing to go through that withdrawl for the week, which is pretty awful by the way, not like throwing up etc. but more mentally, then I was also on lamictal, which I felt didn't do **** even though it took a few weeks till it kicked in, and then lastly I was on Zyprexa (mood stabiliser), this did help me I can't deny it, but it I felt it changed me, one of the biggest things was I lost my artistic side of things, and unfortunately that was my number 1 thing I needed for my job, so as my job was my life I decided to give up on all the medication and just learn to cope with it, i'd rather be depressed and still be able to be creative, than be happy and be useless at what I do for a living. So eventually I just learnt to cope with it, I ended up convincing myself it was just all inside of my head, this is probably the biggest obstacle to overcome, I always just saw it as a "mind of a matter", and once i got passed that I was able to push those suicide thoughts aside, and just kept telling myself "it's not what you really want", my suicide tendencies weren't because of the feeling I just couldn't cope anymore, it was more that the thought of death sounded "nice",and which is caused by me over thinking things, which I still do all the time, but the best is to keep yourself busy the whole time, no matter what you do, it's best to make sure you exhausted by the end of the day. Now I am not saying that this is all in your head or that meds are bad, meds were just bad for me, I think being stubborn and not wanting help doesn't help you at all, I think I was just lucky to be able to see my situation from a different perspective and able to control it, where as some people just don't have the ability to do that,and meds just helps them with this, but I am against anti-depressents not mood stabilisers, I dunno why doctor perscribe this to people with no hassle, to me it is very dangerous.
 
Not dangerous per say, anti-depressants wont help you with out therapy. They can lift your thoughts/mood usually to a higher point, some patients do experience the opposite effect but its rare. You can clinically help a patient manage with depression if they are overwhelmed by it, but at the end of the day its the patient that has to climb out of the hole.

I used to tell my patients, endurance is a key. Keep believing in the future, the more heavy their depression is the easier it is for them to relate to "It can only get better" , a simple philosophy but effective. Treatment for depression fails a lot because patients dont work out their issues, depression is not a headache where you can pop 2 panado and it will go away, you have to work at the core to get rid of it.

@ warathex ... why on earth are you depressed ?!?! you survived cancer you should be anything BUT depressed lol. I posted in your thread "do not forget your new perspective on life"

Anyways why did you stop risperidal ? if your mental state requires risperidal and was initiated by a psych, then I belive only that psych can give you an answer to your question (and thats the only person you should listen to, your medical situation is too complex to take blind advice from a forum, even from me so I wont comment). Im not sure about the carcinogenic properties of risperidal (one of those drugs I really hate and keep forgetting everything about it :mad:) but send your oncologist an email. Your case is special you have to be vigilant on everything that enters your body. Beating cancer and being in full remission doesnt mean it cant come back, something to keep in mind.
 
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