Working Moms

Update & Cyclical Zoloft

So the update is:
Cuba was fantastic. It was needed more than I realized I think, and especially by myself. I’ve never done an all inclusive alone before but considering the circumstances it was very freeing and liberating to be quite honest. I came back with a clearer head and more mellowed out. When I got back, it was in the middle of the night, so I assumed DH would be on the couch until the morning. He was in bed so I didn’t say anything just got in and tried to go to sleep and the next thing I know he grabs me and we are spooning. So I’m like WTF? How does one go from being so cold (as a protective layer I guess) to this, maybe he realized what he had done? I don’t know. But going away I thought for sure I’d have to come back and face the music as potentially a single person.

We had a very long 3-4 hour talk the night evening and communicated better than probably ever, layed out everything on the table. No crying, no yelling, just talking. We decided together we would give it another try see what happens but I made it quite clear that I’m not “backed into a corner” about it and that I don’t want to be with somebody who doesn’t want to be with me. Clearly he does, otherwise he wouldn’t have stayed. He is back home now and we will see where it goes from here.

Second- I talked to my Dr, after visiting my psychologist etc, I should be on some sort of meds . Zoloft was recommended daily about 18 months ago and I never took it. My family Dr was hesitant in giving me meds as she doesn’t really know my mental history but she did give in and gave me Zoloft and Prozac as options but I chose Zoloft as that was what was originally prescribed while I was still BF. She said I would only have to take 1-2 of the 25mg pill daily the WEEK BEFORE MY PERIOD only. As this will help with the Premenstrual Mood Disorder that I’ve been combatting. Is this normal? And has any of you done Cyclic Dosing of a anti depressant? What should I expect.
Baby Birthday Ticker Ticker

Re: Update & Cyclical Zoloft

  • Loading the player...
  • edited July 2014
    @potbellypig

    Isn't there a difference in "as needed" anti anxiety/depression meds and daily meds?  I vaguely remember this from ppa.  I remember discussing the pros and cons of both.  There were two distinct categories, if I recall correctly.
  • potbellypigpotbellypig member
    edited July 2014

    @MarlaSinger&

    I did just quickly do a wiki search and yes it seems it is used cyclically for PDM, and studies show this works just as well as taking it daily.

    My concern would be withdrawal symptoms of using antidepressants cyclically...the same wiki article discusses them if you want to read more. Sorry I'm using wiki as my source, I would look up an actually article if I had the time, although wiki does a good job of referencing their facts.

    I have used antidepressants myself and withdrawal symptoms are no fun for anyone...I would rather take antidepressants daily than cyclically for that reason alone.

    Edit to clarify paragraph above and to add: Again - I don't have experience in women's health pharmacology, so this is probably something that is done I just haven't seen it. I have been practicing pharmacy for four years.

  • I have no answer for you, but I wanted to say thank you for the update! I'm so glad to hear your trip was good. I'm hopeful on your behalf bc you're getting help and it seems you've switched from "oh, a God, I need to be married to this man" to "I deserve to be loved and treated with kindness and respect." That's a hard shift to make. I am so proud of you! Keep it up, as this will help you, your child, and ultimately your marriage.
  • CK2MD said:
    Second- I talked to my Dr, after visiting my psychologist etc, I should be on some sort of meds . Zoloft was recommended daily about 18 months ago and I never took it. My family Dr was hesitant in giving me meds as she doesn’t really know my mental history but she did give in and gave me Zoloft and Prozac as options but I chose Zoloft as that was what was originally prescribed while I was still BF. She said I would only have to take 1-2 of the 25mg pill daily the WEEK BEFORE MY PERIOD only. As this will help with the Premenstrual Mood Disorder that I’ve been combatting. Is this normal? And has any of you done Cyclic Dosing of a anti depressant? What should I expect.
    Psychiatrist here. If your family doc was "hesitant" in prescribing meds due to not really knowing your history, then she shouldn't be prescribing an unusual regimen. Although SSRIs can be used for PMDD, I would go to a psychiatrist for this diagnosis and treatment regimen. If you actually have Major Depressive Disorder or Generalized Anxiety Disorder (or anything other than PMDD), this would not be an appropriate med regimen, and as others have pointed out, it could cause more harm than good. Also, the dosage of an SSRI (the class of med that Zoloft is in), should be a set dosage (either 1 or 2 pills), not "1-2 pills." Get a second opinion.
     
     
    Thank yoU!

    It’s funny actually.  Yes I do believe I have PMDD, and my psychologist also suggested she thinks this as well.  It’s hard to talk about this with your family doctor because although they are a professional they might not be in the mental health field.  My family doctor did say she is hesitant in prescribing meds for her own personal reasons- not that she doesn’t like them but that personally she’s had some kind of issue. 

    Now when I originally saw the post natal psychiatrist at the hospital I gave birth at she rec Zoloft when I was about 10 months PP.  I was at the denial stage and was very much against it. I do still have the prescription but it’s about 18 months old and I likely cannot fill it.   I guess I’m just unsure which one I need, the 1-2 weeks before period or the ongoing one.   Could the ongoing one be too much? More than I need?    Also what happens if I one day do get pregnant again and I’m on the 2 weeks before period cycle I will likely need to have it full time anyway, right? 

    Here is the prescription from the post natal doctor, would this make more sense that what my family doctor gave?  They are both below, I’m a bit unsure at the terminology:<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" />

     

    Post Natal Doctor:

    Zoloft – 25mg PO OD 

    X1 week then increase to 50mg PO OD, then increase to 75 PO OD x1 month

     

    Familiy Doctor:

    Zoloft 25MG  1-2 PO OD as directed

     
    Baby Birthday Ticker Ticker
  • The post natal doctor was a psychiatrist. I'm confused on your part about my family doctor. Should I just initially start with her dosing and see what happens?
    Baby Birthday Ticker Ticker
  • Thanks everyone. I'm confused now I'm not sure what I should do. My psychologist (who knows my history but cannot prescribe meds) said there are people that need them on a cyclical basis. But you're right, the psychiatrist said I should need them on an ongoing basis.

    I guess deep down I feel like I should go with the original psychiatrist dose, since she gave it to me in the height of my post partum depression. I still have the prescription but since it was 18 months ago I guess I will have to call her to have her send another one to a pharmacy. Is it wise to just ignore the family doctors advise? I do feel like I was pushing her to give me the meds on behalf of what my psychologist and the original psychiatrist said.

    Secondly, if it does help and I do plan to take them on an ongoing basis then taking them on a cyclical basis now will just prevent the inevitable if I get pregnant again, I don't want to go trough another bout of PPD and is rather be prepared now with meds then panic having to take or start them while pregnant. Does that make sense?
    Baby Birthday Ticker Ticker
  • ClaryPax said:
    I'm sorry that posting here confused you. Many people don't have experience with PMDD and don't know that certain medications can be prescribed cyclically. For a list of those that can be prescribed that way I would ask your doctor not a message board, for example I have no idea which ones can and cannot and at what dosage. If you don't trust your doctor then seek out a psychiatrist for a second opinion. Hope that helps. A psychiatrist is the person with the most experience with these medications. Eta- you can always get a psychiatrist now and create a plan with them that can either start now or after birth to combat PPD. I wouldn't create the plan on your own. I would ask your doctor to help you in making one.

    You're absolutely right. I guess I was just looking for a little more insight into the whole thing as I am still a little nervous about it all. I would in no way take direction for meds from a message board and will likely go with the Docs opinion whether that be the psychiatrist or family doctor. 

    Could you give me a little bit of insight into your experience with taking your meds for PMDD?  how it helped change you etc.  I would appreciate it. :)

    Baby Birthday Ticker Ticker
  • I've taken meds for depression, so not quite the same condition, although my depression is definitely hormonal in nature...bur my antidepressants have made me not be a raging b!tch all the time, and I'm generally in a better mood and less anxious, and I don't get upset/mad as easily (I'm less sensitive).

    Downsides, when I was one one type (Effexor) the side effects at first were really unpleasant. Now I'm on Cipralex, and the side effects are way better but for a while I couldn't orgasm, and I attribute it to that med because I've since decreased the dose and I can orgasm again.

    Hope that helps.

  • I've taken meds for depression, so not quite the same condition, although my depression is definitely hormonal in nature...bur my antidepressants have made me not be a raging b!tch all the time, and I'm generally in a better mood and less anxious, and I don't get upset/mad as easily (I'm less sensitive).

    Downsides, when I was one one type (Effexor) the side effects at first were really unpleasant. Now I'm on Cipralex, and the side effects are way better but for a while I couldn't orgasm, and I attribute it to that med because I've since decreased the dose and I can orgasm again.

    Hope that helps.

     

     

    Even on your own?

    Baby Birthday Ticker Ticker
  • I've taken meds for depression, so not quite the same condition, although my depression is definitely hormonal in nature...bur my antidepressants have made me not be a raging b!tch all the time, and I'm generally in a better mood and less anxious, and I don't get upset/mad as easily (I'm less sensitive).

    Downsides, when I was one one type (Effexor) the side effects at first were really unpleasant. Now I'm on Cipralex, and the side effects are way better but for a while I couldn't orgasm, and I attribute it to that med because I've since decreased the dose and I can orgasm again.

    Hope that helps.

     

     

    Even on your own?


    ?? Do you mean orgasms on my own? lol... Because...no. Even on my own with the help of my "tools" it didn't happen. It really sucked and was hard for both DH and I...

  • I've taken meds for depression, so not quite the same condition, although my depression is definitely hormonal in nature...bur my antidepressants have made me not be a raging b!tch all the time, and I'm generally in a better mood and less anxious, and I don't get upset/mad as easily (I'm less sensitive).

    Downsides, when I was one one type (Effexor) the side effects at first were really unpleasant. Now I'm on Cipralex, and the side effects are way better but for a while I couldn't orgasm, and I attribute it to that med because I've since decreased the dose and I can orgasm again.

    Hope that helps.

     

     

    Even on your own?


    ?? Do you mean orgasms on my own? lol... Because...no. Even on my own with the help of my "tools" it didn't happen. It really sucked and was hard for both DH and I...

     

     

    loll.    Wow.. that is horrible.. I couldn't imagine what that would feel like.  When in doubt you always have yourself, and when that doesn't work that leaves for a very tense woman! ;)

    Baby Birthday Ticker Ticker
  • I've taken meds for depression, so not quite the same condition, although my depression is definitely hormonal in nature...bur my antidepressants have made me not be a raging b!tch all the time, and I'm generally in a better mood and less anxious, and I don't get upset/mad as easily (I'm less sensitive).

    Downsides, when I was one one type (Effexor) the side effects at first were really unpleasant. Now I'm on Cipralex, and the side effects are way better but for a while I couldn't orgasm, and I attribute it to that med because I've since decreased the dose and I can orgasm again.

    Hope that helps.

     

     

    Even on your own?


    ?? Do you mean orgasms on my own? lol... Because...no. Even on my own with the help of my "tools" it didn't happen. It really sucked and was hard for both DH and I...

     

     

    loll.    Wow.. that is horrible.. I couldn't imagine what that would feel like.  When in doubt you always have yourself, and when that doesn't work that leaves for a very tense woman! ;)

    YES very tense!! That certainly does NOT help with mood at all. SO GLAD IT'S BACK.

    Sorry I hijacked your post to talk about my lack of orgasm... :P

This discussion has been closed.
Choose Another Board
Search Boards
"
"