Tag: fluoxetin

25 June 2022: Last Fluoxetine

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End of a chapter. A long one. After 3 long years. I took my last fluoxetine on 25 June 2022. So happy!

Ok! I know it is not over, I need to monitor my mood, my thoughts, my attitude towards life. Cause the psychologist told me clearly: you will get rid of depression, but your tendency of seeing the glass half empty will still be there, unless you constantly train to change it. He is right. Some days I feel happy because of things going well, and some other days I feel frustrated of what I don’t have, what I am not achieving, or anything else that occurs to my mind that is not positive.

The finishing process started in February. I started taking 1 Fluoxetine every other day, after a month I took it every 3 days, the month after I took 1 Fluoxetine every 4 days, and so on, until last month (June) I took one every 6 or 7 days. I basically took 4 in a month. 20mg, it’s basically zero effect.

At the beginning of this diary I said I was going to fight this monster, and I am fighting it. I am happy about it, and it is the one single most important thing for me to conquer. Without a happy self, I cannot find my balance at work, in love and in society. I am well aware that I am walking on a thin line, like a funambule: everything could change for the worse in no time. I still have a strong attraction for a drastic change of life, I want to escape, leave Switzerland, start traveling, find love, give up my job, be free, disappear. This usually happens when my mind is dissatisfied about something. But then I’d give up all I have worked for in the last 6 years, all for a deep sense of dissatisfaction? Hold on a minute, I must wait; dissatisfaction, you still exist, but it’s how I perceive you that I must chance, I must thame you, every day of my life. Only then I can leave CH.

6 years ago I lost the love of my life; I let him go, I chased him away; I did a terrible thing to our relationship, to his life and to my own life; it is taking me so long to let go of Will, too long; sense of guilt, sense of losing the one true love of my life; alone in this country that is not popular for its social gatherings, a country where I have felt most lonely, so lonely it was unbearable. Sometimes it still feels super lonely, unbearable, and I would like to leave. Maybe I will, but first I have set goals, and I must comply with my goals: end depression, get the Swiss nationality, become a private pilot, move into a new home with my friends. Only then I can think of leaving.

I have met someone through my podcast. We spent some special, short moments together. Unfortunately he is taken, married, with kids, so it’s a no go for me. But it showed me that a new love is possible, and I am grateful for those moments spent with him. I am ready to find a new love, and put the big old love behind me. Step by step.

1 day on, 2 days off Fluoxetine – first week

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I did about one week of major reduction of Fluoxetine intake: 1 day on, 2 days off. Today I felt a bit down. I don’t want to be paranoiac, but it’s a fact: every time I feel down now I relate it to the fluoxetine, or lack thereof.

Like my best friend rightfully reminded me the other day, I need to remember that everyone gets moments up and down. I can feel less motivated because of the circumstances.

Good news: my mood hasn’t worsened during the day. I feel ok tonight. I did the evening flight course, went to the gym after work, kept myself busy. The lesson was interesting. Tonight I sense that I could go another full day without fluoxetine… but I will stick to the rule. For now it is 1 day on and 2 days off. once I feel stable and confident, I will start 1 day on and 3 days off. Right now I am happy if my moods stay stable after 2 days without medicine. It’s a real success. I don’t underestimate it. The body is getting used to receiving less chemicals. It will take the time that it will take. I don’t want to rush this mega step.

Step by step.

Three weeks with half dose of Fluoxetine

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It’s March 2022. I have timed it right: start reducing Fluoxetine in spring, and give it up completely by summer. It is a process that takes as long as it takes, I think it’s quite personal. I started taking one 20mg pill every other day, and see how it feels. Once I feel I am in charge, I reduce to 1 pill every three days.

While my psychiatrist told me I could do this whole process in 3 weeks, my psychologist warned me that I must take my time. The body has been used to receiving a chemical for the last 2 years, and it’s accustomed to whatever Fluoxetine does (it inhibits the presynaptic reuptake of the neurotransmitter serotonin…there you go). Not that I understand completely what it does, but it works by inhibiting something on the serotonin level. In normal cases, I am the one inhibiting this action, but for the last 2 years I have been helped by something external.

Hence, I need to start doing that action again by myself, serotonin and all. But I won’t rush my brain to produce serotonin, while my brain has been told to ease that action for 2 years. I am taking it off little by little.

So: how am I doing?

I am doing fine, working on my psychological well being by seeing my doctor every three weeks (or more often if I need to), and three weeks have gone by where I have done one day with 20mg, one day without. The first week I got spooked, cause about 3 nights after the new dosage, I had a crying crisis, and I felt really bad, thinking that I’ll never get out of this. Then I realised that I was close to my menstrual cycle, where I am moody and sad by default (thank you, hormones!) and got relieved. Also, I think that maybe my system started feeling the lack of the medicament, and had a first reaction, just like it happened when I first started taking Fluoxetine (I felt like shit, worse than with my own depression, for about 2 weeks, before the medicine seeped in).

Yesterday I started with phase two: Since beginning of the week I had one Fluoxetine only. I am doing 1 day on, 2 days off. I just started, so I can’t tell how I feel yet. Yesterday (two days in a row without) I felt good. Today (with Fluoxetine) I feel good.

The surroundings and the actions I take to feel good are super important. I am not waiting around monitoring my moods without Fluoxetine. I am doing an hour of sport every day (gym and swim), I am doing physio to heal my knee (ski accident, season is over), I keep working (despite frustrations at work), I keep following the flight course, I keep making one podcast interview per week, I make efforts in going out with people and feeling less lonely in the Swiss environment. All this helps, not only it helps, it makes the difference. Distributing my eggs in different baskets is key: if one basket is not going well, I have another 4 or 5 that my mind can bring its attention to.

My main focus is not to fall into the self pity trap. While there are tons of things I could be unsatisfied about, there are as many things that make me happy, little things and bigger things. I am learning to give more weight to the little achievements. I tend to disregard them as a given, while the non achievements take a much larger space than they should. Lots to work on, but this year the biggest achievement of al will be getting rid of Fluoxetine. One milligram at a time.

15 feb 2022: first day off meds

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Since last year I have been preparing for this day: getting off Fluoxetine. I spoke about it with my psychologist, and on 15 Feb with my psychiatrist, ’cause it’s her who needs to give the go ahead. And so she did. She asked me (to confirm) if I was feeling good, strong and self confident. I sort of am, I have had stronger times last year, when work was going well and I wasn’t doubting my skills. Today I feel good, not “happy” but good enough to give it a go. And I have a concrete reason to do this right now: I want to succeed at my flight school. They won’t let me fly if I am on antidepressants (makes sense). This means that I won’t be able to pass the medical test until months after I quit. The psy said that I will be able to pass the medical exam by July, by then there’s nothing more in my system and I will be stable in my moods. I will do that.

How does it work? I take one tablet every other day on week 1; then one every 3 days on week 2, and by week 3 I stop. Yesterday I didn’t take it. Today I did. Tomorrow I won’t. Spirits are quite high (despite the shitty weather). I am working it out: as soon as some negative thoughts come in (which they do constantly) I acknowledge them but let them go, just like meditation. However, I haven’t been able to sustain meditation sessions over the years, I just find it too numbing in a way, I prefer to have my eyes open and deal with my reality with all my senses. Kudos for those who can meditate, I envy them.

I am definitely scared about letting go of Fluoxetine, no doubt about that; however, I have never gained any benefit from being scared or worried, it just makes things more difficult. So, how about I put aside fear and worry, and let things evolve?

Stay the course, stay the course. Your objective is: by 2024 get Swiss nationality, live in a new home, be a pilot, stay off meds, and keep working at the same company. It’s a big objective for the next 24 months, but feasible, and it gives me reason to be here in Switzerland, and justify the hard times when I say “what the hell am I doing here”.

I am going to better weigh the significance of positive events in my life. Instead of undermining them and taking them for granted, I will pause, observe them and rejoice for every single positive drop in the ocean. It will counterbalance the negative drops that my brain so easily fuels into my body.

Also, 20mg of psychotropes a day, how much can it really be impacting on my whole body? Last night I had dinner with a friend who is taking much more than that. And after 3 years he is still stuck with them, his psychiatrist doesn’t want him to get off meds. Mine does. So that’s in itself a victory. I am ready to let go. My body is. 20mg: goodbye. I will replace it with another 20mg of self induced good mood. Like in the good old days.

Wish me luck!

Anger

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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.

10mg

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I am back in Rome for a week. My mom had an urgent surgery due to a hernia that was pushing against the root of the nerve (L4 level), and caused her tremendous pain plus was preventing electric impulse from flowing in her left leg. Bref, as we say in French, I had to rush down to Italy from Lausanne, which was not easy, since COvid measures are still not totally relaxed between countries, and I had to start a sort of pilgrimage to the holy city, which entailed taking the train from Zurich to Chiasso, walk to the Italian border with a big luggage, the laptop bag and a plant for my mom, catch a bus to Como station, and jump on a train hoping it would lead me to Milano Centrale. Almost, it took me to Porta Garibaldi, a few metro stations from my destination. I slept in Milan at an Airbnb, and at 6am the next morning I took the Frecciarossa train to Rome. It took me almost 24h to get there.

A few days earlier I had asked my psychiatrist to reduce Fluoxetin. As I said in another post, the self isolation time has helped me work on myself, and do mental exercises that have helped me get stronger, and feel that my core happiness that I am regaining is due more and more to me and not to the medicament. He agreed to reduce from 20mg to 10mg. Big step for me. I was worried about the consequences, and the effects or side effects it would have on me. I am still very careful, and am being vigilant to the mood shifts I may have. I started 10mg on 5 June, and today is 15 June. Already ten days.

I can’t tell what exactly is the effect of the reduction, but I can certainly tell that my stomach is adjusting to the new intake. I was taking another brand of Fluoxetin, which was in gel capsules (with powder inside), and I had to change it to another brand (solid tablets) because I need to cut the tablet in two (there is no 10mg pill, at least in CH). I can tell that my stomach has been burning during the day, and I am sure it is because of this change. So, that is clear.

What is less clear is whether the reduction is making me more angry, or whether it is my hormonal state. It so happens that I started the reduction just as I was about to have my period. I take Estrogens and Progesterone regularly because in the past years I had started having less and less menstruation (at about 42), as if I were in pre-menopause. I know now that this pre or peri-menopause is due to the stress my mind and soul found themselves in, a slow process towards depression that has blocked my body functions. Just like a high level sportswoman who has no more menstruation because of the strain the training has on her body.

In the past 4-5 days I have found myself angrier, and more “delicate”. I love this word, delicate, Roy from “The IT Crowd” very cutely says it at the episode called “Aunt Irma”. You have to watch this : Series 1 Episode 6 . Hilarious. So, yes, I think I am sensitive because of my period, but my period started and didn’t continue at this round, so that’s another story. I am guessing that I have been hormonally challenged, and on top of that work has been exciting yet stressful, a lot to think about and to follow up on; couple that with the long journey to Rome and the worry that the surgeon might injure my mom even more, I was ready to kill somebody 3 days ago! I didn’t literally kill, but I was very vocal with my words, and found myself being angry at every little thing that was happening to me, all the more when the little thing was against my self. Example: a colleague who didn’t want to help me at work, or the train manager who didn’t want me to get on the train; the lady at the Airbnb who was not talkative and was rather dry (she did her job though, handed me the keys to the room and showed me the kitchen), but I wanted her to be more lovely, just like I am with my guests at home.

Bref…. (long story short), here I am in Rome, I finally made it. My mom had her surgery, she is fine and now I will work from Rome remotely, nursing my mother and giving my father a break. They are getting old. I still don’t know whether my mood swing towards anger had to do with the 10mg, or with my period. Maybe a bit of both? I will monitor the situation and will revert asap.

More soon.

Fluoxetin

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This is what is looks like, Fluoxetin:

Very unsexy name, I got it prescribed last week for the first time. My mood was too low and I couldn’t see any joy in anything I was doing. I have fought so many times to avoid getting to this stage, and here I am, taking antidepressants. Another unsexy word – antidepressants. We could have come up with a more compassionate word, one that includes the hope of healing. In Africa they use so many refreshing words (like Ubuntu – brotherhood, sounds so nice), we could have gone to an African tribe and asked “what healing name would you give to an epidemic disease that’s spreading in the first world?”. They would probably look at us in disbelief. Depression: what’s that? We haven’t got that far up into Maslow’s pyramid!

True, ‘cause depression is a disease of people like you and me whose basic needs have been already fulfilled. We are not fighting to drink, eat or find shelter. All of that is already taken care of. We are among the few lucky in this world. I have time to think of how to fulfill myself in this lifetime; I have money to take a holiday, buy furniture and new clothes; I never felt really hungry in my life; my grandmother used to describe to me what hunger was, during World War One and Two – I could try to imagine, but that was it.

I got sidetracked, but there is a reason for it: the very first psychiatrist I ever visited, who gave me the Fluoxetin you see in the picture, is a Congolese doctor. Man, he must be thinking “what a first world problem to have” …. I am not sure I trust him yet (I don’t trust doctors in general) but his jolly, bubbly, slightly over-weighted self is comforting.

It takes two to three weeks for the medicament to have an effect; I am down to week 1. First two days I cried, was anxious and panicking, I wanted to scream at the doctor that he should have warned me. Be warned: the first effect of an antidepressant can make you more depressed. Great! Had I known, I could have been prepared. Next few days have been better. I took three days off work, which helped.

It’s been now one week, and since a couple of days my afternoons are feeling normal, serene, like I haven’t been feeling in a long time. Since July 2019 (five months ago) I have been falling into a sad sad mood, not one day of joy and nothing to look forward to. So, this white and green pill I am taking is making me feel better, and hallelujah for modern medicine! Bring it on, inject chemicals in me that have been missing: serotonin, dopamine, endorphins, whatever works. It feels good.

Side effects: stomach burns (you need to eat well before taking it), one or two morning spasms when waking up (you know the feeling of when you wake up before you fall?), not a big deal, I guess, and anxiety in the morning – which diminished the last 2-3 days because I took 3 days off work.

A good friend (who has been through this) told me I should take time for myself, get a sick leave, and spend one or two weeks resting. I took 3 days only (I feel too responsible towards the company). Tomorrow I have to go to Lugano for work. I will be testing my moods, it should be ok. I have to work to earn money, but I may have to tell my Director to slow down on my tasks. Maybe work 80% (In Switzerland this is possible).

Another good day. I posted this note. Tomorrow is work day, we’ll see how anxiety goes. Thank you for reading. Eventually.

Podcast progress: maybe some today, after this post is up.