Category: self-esteem

Side Effects of Fluoxetine (Prozac)

diariolottatore1 Comment

If I dig into my older diary pages, I will find my notes about side effects. I will check later. I thought this morning I would check again on the Internet, because I have two clear changes that I feel to attribute to taking Fluoxetine. I am sort of doing a self diagnosis, based on the fact that I have taken two long repetitions of Fluoxetin, and I notice the same pattern. Nothing major, but to be monitored.

The first time I took Fluoxetin was December 2019 until June 2020, the second time was December 2020 until now (April 2021). in 2019 I starting reducing from June to September, taking 10mg instead of 20mg, then I stopped in September and October, but by November I was feeling depressed again, and I started again December until now. I still take the same dosage, 20mg. In both cases I had no Fluoxetin in the gloomier months of the year for me: October-December, and I had to wait until end of Jan in order to start feeling better. I confirm that it takes 4 to 6 weeks for Fluoxetin (Prozac) to kick in. So, in both cases, I have the same pattern developing: 1. once my mood stabilises and I feel happier, I start dreaming very vividly; 2. I become more cocky, blunt, sometime verbally aggressive in my reactions. As if the social mask that inhibits our very being from expressing itself was taken off.

These are not amongst the common side effects of Fluoxetine. If I look at the NHS in the UK, the side effects that happen in more than 1 in 100 people are:

  • nausea, headaches, being unable to sleep, diarrhoea, feeling tired or weak.

    • I am far from that, I actually sleep like a baby. And I have these vivid dreams, they feel so real that I wake un in the morning remembering them as they really happened. Last night I dreamt something that has been recurring to me: I was missing the plane, and I felt this anxiety and breathlessness because I was stressed, I had to take that plane, and nobody around (my family) was helping me getting there in time. My father, who usually likes to get to airports 2 hours in advance, was telling me to not go until an hour from the flight time, but this was not going to help, as we were on the other side of London (why London I dont know…). I had this dreams in different sauces several times. It is not a happy dream, but it is not a depressive one either. It kind of gives me adrenaline.

    The other thing is feeling cocky. The only common point I can interpret from the NHS list of serious side effects (happens less than 1 in 100 people) is this

    1. headaches, trouble focusing, memory problems, not thinking clearly, weakness, seizures, or losing your balance – these can be signs of low sodium levels

    2. thoughts about harming yourself or ending your life

    3. fits, feelings of euphoria, excessive enthusiasm or excitement, or a feeling of restlessness that means you can’t sit or stand still

    4. vomiting blood or dark vomit, coughing up blood, blood in your pee, black or red poo – these can be signs of bleeding from the gut

    5. bleeding from the gums or bruises that appear without a reason or that get bigger

    NHS article on Fluoxetine

    I feel number 3 is close to what I feel. During the day, when working or doing my own personal projects, I feel I am regaining confidence, and strength, and I tend to cast away everything that threatens that confidence. I don’t feel inhibitors in telling people what I think, and I feel good in what I am doing. Work is going better, I started (yes, finally!) my podcast, it feels good.

    But I need to be careful not to exaggerate. I live in Switzerland, not in Italy, and the direct way of confronting people is not appreciated. I even thought of telling my CEO that he was wrong in doing what he did to one of my clients. But he is the boss, I have no right to tell him what I think, right? And he is not the kind of person who will easily accept a critic. So I need to be careful to not ruin my own happiness by saying too outloud, or being too enthusiastic (euphoric sometimes yes).

    All in all, I am doing well, I feel that the medicine is helping me. Unlike I read in another article, I don’t think it is like a placebo. But I need to prepare my own internal medicine, my own mental weapons to fight depression if it comes back after I am out of Fluoxetine. When will I stop Fluoxetine? I don’t know yet. I am scared of the gloomy depressive winter. I will check with my Congolese psychiatrist.

    Anger

    diariolottatore1 Comment

    This week has been hard at work, plus it’s been two months since reducing Fluoxetin to 10mg a day, plus we had full moon on Monday and I started my period, with the mood swings that evince. Whichever element has had an impact on my mood this week, I don’t know. All I know is that this week I have been very, very angry. I am angry for the injustice that I am experiencing at work, and this anger makes me fuel more anger towards all the injustices I received during my life, big disappointments such as my sister in law. As if work and family weren’t enough, I think of other reasons why to be angry, and I am really angry. It’s as if I were searching for reasons to be angry. In my mind I go over ways to revenge each and every injustice, I make a film in my head where I have a conversation with my colleague, or with my sister in law L., and I go over and over and over through it in my head until I am satisfied of the outcome. Although the outcome is never satisfying, cause it’s just a preparation of what I want to tell these people in person. Then I could be really satisfied. Explode in front of them, tell them what I think of their miserable life, where they are so weak they have to find in someone else the reason of their deep rooted dissatisfaction. L. was left by my brother because of another woman (and many other reasons), and now she stopped talking to me and my parents, while she still speaks to her husband. Why are we to blame?

    Yesterday I was so angry that I cried during the entire meditation session. I tried to stick to the breathing mantra, but yesterday my thoughts were overwhelming. This morning I didn’t even try to meditate; I woke up angry making films in my head again. Darn. What is it? Why am I so angry? Is it the effect of Fluoxetin? Is it the menstrual mood swings? Is it the real injustice I face at work, where this woman is jealous of me and my achievements? Is it what Dr. G., my psychologist says, that I have a fascination for dissatisfaction? Is it maybe also the frustration during my whole life of wanting to be good to people and doing efforts and sacrifices towards them that are misunderstood and not gratified as I deserve?

    I don’t know. I just know that I want to write it down, so I can read this when I am less angry and make a “cold blood” analysis (a sangue freddo) of all of this.

    I realise I care too much about what people think of me, I want everyone to love me, like I love everyone. I see life in pink, others don’t, but how can I act so that instead of them dragging me down to their dark world, I lift them up to my rose world? That again goes back to how we see the glass, it’s either half full or half empty. And why should they succeed in making me see the glass empty instead of full? How can I make them see the full side?

    So my anger, I think, comes from the many years’ frustration of subsiding to others’ bad tempers and moods, just because I am able to adapt myself to others, I am flexible, understanding and ….. well THE HELL with all that! Today I am me, I regain my own dignity and right to be me, and others have to model their own behaviour to fit mine, and not the other way round, FOR ONCE. The hell with L., who has been jealous for years of my great relationship to my brother, and now that they are separated, she blames me and my family for being the source of her bad luck, well, I have a lot to say about that and about her. To hell with Trump, to hell with my colleague who feels threatened because I work well, to hell with everybody who is not strong enough to face me. I will no longer lower my intelligence for the sake of others. This has hurt me over the years, and I think more and more that this has been one major element leading to my depression.

    Like Claire Underwood said at the end of season five: My turn now.

    Perfection and Depression

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    While meditating yesterday morning, the strive for perfection came to mind. In November 2019, at the peak of my existential crisis, I went to see a behavioural psychologist, recommended by a friend who had seen a friend being consulted successfully by this woman. And during one of the 4 sessions I did, she told me about perfectionism. I had never thought of it as of a “condition”. I just googled it and the first site that comes up is Good Therapy (never heard of that before), where perfectionism is considered a positive trait in one’s personality, but it can cause destructiveness because we never think we are doing well enough. Wikipedia writes: “Perfectionism, in psychology, is a personality trait characterized by a person’s striving for flawlessness and setting high performance standards, accompanied by critical self-evaluations and concerns regarding others’ evaluations. […] In its maladaptive form, perfectionism drives people to attempt to achieve unattainable ideals or unrealistic goals, often leading to depression and low self-esteem.” Then the Google search was suggesting searching for the word “procrastination”, that other people have also searched when looking up “perfectionism”.

    Wow, I never thought of looking online for a definition of perfectionism. All of the above is spot on me. And so I was thinking, while meditating, that striving for perfection has been a constant motive for my growing depression over the years. Too bad I didn’t consult a specialist back 10 years ago, or 15. I could have maybe spared myself lots of grieving in the past 4 years. Or was the grieving a necessary step? This I will never know. It all happened and I am dealing with it now. No chance to go back in the past, that is for sure, it’s the only certainty we have, beside for the certainty that one day we will die. So between the day we are born and the day we die, a lot of things happen, and we deal with them, one way or another. Life is beautiful, exciting, dramatic, sentimental, rational, evil, compassionate, selfish and selfless. All is in me, and I feel it now, as I am trying hard to not put labels of morality judgment to what I have experienced.

    Back to perfectionism, it is one of the elements of my life that I am now observing from distance, using exactly the same method I use while meditating: breathe in, breathe out, observe the thought coming through, don’t clench to it, let it go again, and keep breathing. It is such a rejuvenating experience, this meditation. Had you asked me to meditate in November (which I tried by the way), I would have said ” no chance”. I was simply too distressed, too anxious, too sad, too depressed and desperate to even remotely accept to sit for 30 minutes, or even 5 minutes, doing nothing else but breathe. When I tried in November and December several times, my thoughts were so pèowerful over me that I was overwhelmed by them and the only way to not feel worse than I already felt, was to stop meditating. Meditating meant being too much with myself, and I hated to be with myself.

    M., the behavioural psychologist, noticed that I was too deep down in my chasm to help me get up by working purely on a shift in my behaviour. I was simply not ready. She recommended I go to a Psychiatrist and get medical help. My mother is the one who insisted, when she came to visit me in November. I was crying every day, despite her company and love, nothing was useful to make me feel better. I was so miserable, so miserable I can’t even think about it without feeling sad again. So, please forgive me if I won’t recollect those thoughts yet. I feel much better now, really good actually, and want to enjoy this process. I will gather my courage and when I am ready to speak about the darkest moments of my life, you will be the first to know.

    Stay safe, take care.

    Note to self: I need to speak about Procrastination.