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How to Cope when Switching or Adjusting Meds

How to Cope when Switching or Adjusting Meds

For many people who live with mental illness, one component of the treatment and recovery journey can include medication (sometimes more than one). However, over the course of the lifespan, sometimes people’s circumstances, symptoms and/or diagnoses can change. At one time or another, people may find themselves making adjustments to or switching their medication/s. As I’m sure many of you have already experienced, changes in medication can sometimes be an arduous, frustrating and confusing process.

For this reason, I thought it might be worthwhile opening up a new thread to explore the different ways in which to cope when switching between or adjusting medication. Here are few quick ideas that came to mind, just to get the ball rolling…

  • Work as a team. Changes in medication and/or dosage are ideally managed in partnership with your treating medical doctor and/or psychiatrist.
  • Be patient. Switching or adjusting medications can be a delicate process, sometimes involving a bit of trial and error. It can be hard to know at first whether the medication is working adequately, or if it is the right one for you.
  • Ask lots of questions, and stay informed. Some examples of questions you can ask your doctor or psychiatrist might be;

- What exactly is the medication supposed to do?

- How am I supposed to take it (e.g., once daily with meals)?

- When it should begin to take effect?

- What are the side effects, if any, and what should I do if they occur?

As we begin our conversation, I just wanted to quickly mention the Forum’s Community Guidelines around discussing medications, which you can read more about here. We ask that members please refrain from giving specific details about their specific medications (e.g., discussing specific medication names and/or dosages).

With that in mind, I’d like to open the floor for your tips, tricks and ideas! I know several community members have already raised some really interesting insights about their journey with medication. One such interesting discussion that comes to mind was started by @kenny66 - you can check it out here.

A quick shout out to some of our existing members that might have experience in this area - @kenny66, @Akash75, @hiddenite, @Loopy, @Pixie, @Neb, @tabby, @Rick and @kato – we’d love to hear from you! Have you ever experienced a change in medication? If so, how did it go? What worked for you? What didn’t work for you? What wisdom or insights can you offer to others who may be currently walking through, or getting ready to walk through, a similar journey? Do you have any nuggets of wisdom to share on this particular topic?

Stay cool,

- Mosaic

18 replies

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In response to: How to Cope when Switching or Adjusting Meds

Re: How to Cope when Switching or Adjusting Meds

Hi @BamBam,

Welcome to the forum. I'm diagnosed bipolar but depression has been the major feature of it throughout my life (I'm in my 50s). I'm currently off my anti-depressant medication and will most likely be starting a new one after I see my psychiatrist tomorrow. I came off the med after being on it for a few years and wanting to see what I was like without it at this point. It's been a difficult couple of months emotionally without the medication but not completely unmanageable.

In fact I've even been able to take some other steps to help myself during this time: joining this forum, starting a free online program of Cognitive Behavioural Therapy (MoodGym), getting out of the flat more than I was doing, walking almost every day, getting into a more regular sleep pattern. On the other hand my inner life is really too difficult to proceed without the anti-depressant so I will welcome the return of some extra support in that direction.

My understanding is that it's usually not necessary to be hospitalised when changing anti-depressant medications. But this may depend on the severity of your symptoms and your personal thoughts and feelings about it. I'd probably be guided by the advice of my health professional. I hope this helps or is of interest. Best wishes.

In response to: Re: How to Cope when Switching or Adjusting Meds

Re: How to Cope when Switching or Adjusting Meds

Sorry, I know this is an old thread, but it's relevant to me right now, and I wasn't keen on starting a new thread...

I am on two different medications. One mood stabiliser, one antidepressant.

I little over two weeks ago my PDoc said I needed to drop my antidepressant to half a tablet, as she felt the dosage was a bit high (given the mood stabiliser helps the depression).

Cut to now. I've been feeling a bit edgy the last few days. Yesterday at the farm I was feeling miserable and really irritable. I was in tears. I nearly went home. I have *never* been that bad.

Today I went home from work 2 hours in. I couldn't stop crying. I had seriously been crying for an hour. because a little mouse bit me.

Sorry for babbling. I have been crying on and off all day, forgot how exhausting crying can be...

Is this a side-effect of cutting back the antidepressant?? Should I stick it out??

Help me.

In response to: Re: How to Cope when Switching or Adjusting Meds

Re: How to Cope when Switching or Adjusting Meds

Hi @Crazy_Bug_Lady, coming down in dose of an anti-depressant can indeed be a rocky road for a little while. Hopefully you are doing it very gradually. When do you see your PDoc again? If I was in your shoes, and the appointment was not very soon, I would consider contacting them or making an earlier appointment to discuss the reactions to the drop in dosage you are having. Sending hugs your way.

In response to: Re: How to Cope when Switching or Adjusting Meds

Re: How to Cope when Switching or Adjusting Meds

Hi Everyone,

I've switched recently back to a MAOI that has diet requirement of low tyramine foods. I can't find anywhere (including my doctor) that will tell me whether or not I can eat homemade banana bread (since it's made with overly ripe bananas) or hoisin sauce. Does anyone out there know?

Thanks!

In response to: Re: How to Cope when Switching or Adjusting Meds

Re: How to Cope when Switching or Adjusting Meds

Hi @believeinme,

I wish I could give you an answer to your question, though I thought I should let you know that in the SANE Forum Guidelines we ask members to not share information that might be perceived as medical advice. This is because everyone has a unique set of factors that are associated with medication (diagnosis, interaction with other meds, general health and so on), so it's important that you speak with a health professional about it.

One service that might be helpful is NPS Medicinewise, you can call them on 1300 MEDICINE.

Hope you find an answer!

CB

In response to: How to Cope when Switching or Adjusting Meds

Re: How to Cope when Switching or Adjusting Meds

@Haether the Guidelines need to be followed. While I understand where you're coming from, I also understand why we are not supposed to give advice.
If we (contributors or mods) discuss diet/medication etc and another person gets sick (has an adverse reaction etc) then Sane may be liable.

In response to: How to Cope when Switching or Adjusting Meds

Re: How to Cope when Switching or Adjusting Meds

@Mazarita I am so sorry!! I didn't see your reply to my panicky message.
Thank you so much for replying. I'm pretty sure we talked on the 'Night Shift' thread.

Either way, PDoc put me back on my old dose and upped my mood stabilizer. I'm feeling a fair bit better now.
😀😀

In response to: Re: How to Cope when Switching or Adjusting Meds

Re: How to Cope when Switching or Adjusting Meds

That's awesome to hear that you are feeling quite a bit better now. Yes, we did also talk on the Night Shift that night. Thanks for getting back to me here though too. 🙂

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