Posts Tagged ‘fluoxetine’
August/September: New GP, New Meds…
Late August: New GP & Citalopram
After weeks of frustration with my previous GP, Dr L, I finally plucked up the courage to see a new doctor at the practice. Thankfully, Dr L went on holiday so I had a perfect excuse to try someone else. I booked an appointment with one of the two new doctors, Dr N. He was fantastic and it was so good to see someone who actually listened, didn’t patronise me in any way and didn’t try to rush me out of his room the second I arrived. More importantly, he agreed that the Fluoxetine had been doing me no favours. He took me off the Fluoxetine and then started me on Citalopram 20mg. The Citalopram eased the nausea situation and didn’t seem to have any awkward side effects, although it didn’t appear to be doing much, if anything to ease my mood.
Late August/Early September:
Things pretty much continued as before with me spending time at home, feeling terrible. I was becoming increasingly suicidal, struggling with self harm and unable to see any hope for change. The Citalopram did not seem to be helping to lift my mood at all. My partner tried to get me to keep busy, setting me lists of chores and I also spent a lot of time baking and swimming to try and distract myself, but it wasn’t helping. I was doing all the right things: exercising, trying to think positive, seeing Dr N regularly, taking the pills etc.,etc., but my mood continued to plunge, which made me feel more and more frustrated and upset.
more of the same…
My life seems to be an endless stream of pointless days, filled with nausea, headaches and boredom. I sit at my laptop, trying to stave off the nausea that threatens almost constantly, refreshing three pages continuously, waiting for information to appear.
As always, I’m trying to write, but struggling to get my thoughts down. I seem to be collecting draft posts with one or two lines in them.
I am fed up of waiting to feel better. Three and a half weeks of mind-control pills and nothing seems to have changed much. I have just added side effects to the constant up and down and endless negative thoughts.
Last night, I’d returned to my state as a crumpled-up ball of agitated energy, fidgeting constantly and unable to slow down my thoughts. I had to retire to the spare room, where I could drum my fingers to my hearts content and stare out the window at the stars and clouds, waiting for daylight. I got some sleep, but I don’t think there was much. I wanted so desperately to sleep so I could get some respite from the endless nausea.
Today, the agitation has settled down a bit, although I can still feel the tension and energy bubbling away in the background. My thoughts are still far from clear, but are not the constant barrage that they were in the night. I am tired of this continual cycle. I am tired of everything.
Side Effects…?
I feel pretty awful right now. I’ve lost what good was mixed in with my mood and am just left with the terrible concentration, frustration and gloominess.
Physically, I’m feeling pretty terrible too. I have a splitting headache, am hot and bothered and feel sick. Last night my gums bled after I brushed my teeth and I woke up this morning with shaking hands, although that seems to have calmed down now. I have no idea if I’m actually ill or if they are all just stupid side effects or if it’s a combination, but I’m fed up. I wonder if I’m just been paranoid and it’s some evil placebo effect or if the medication can really be making me feel like this. I don’t know what to think or do about it.
Has anyone else had similar experiences with Fluoxetine?
We’re visiting my family this weekend. They don’t know about any of this, which means it could be a difficult weekend if I’m struggling with side-effects and having to put up my happy-front. I’m not sure I can face it.
Meh. I think I’m just going to go back to bed. I have stuff to do today, but I just feel awful.
p.s. is it just me or is the blogosphere quiet at the moment? I hope everyone is okay. I find myself refreshing the blog surfer page and wishing there was more to read.
All over the place…
…is how I feel today.
Last night I got very little sleep. I was fidgety, so much so, my other half sent me to the spare room. I couldn’t sleep, so sat up and tried to read. I managed to settle into my book eventually and I read for a few hours, but when I stopped I still couldn’t settle down and sleep. It was getting light before I was even asleep, but I was awake again before my other half got up for work.
My mood is still mixed. Both up and bouncy, irritable and agitated, sad and low. I’m not sure how you can feel all those things at once, or at least within quick succession of each other, but it seems you can.
I seem to be experiencing a strange side effect of the medication, or at least that’s what I assume it is. Since yesterday, I’ve felt like there is a ball of cotton wool wedged at the back of my throat, making it sore and dry. There isn’t, my tonsils seem fine and I don’t have any other signs of a cold so I don’t think I’m imagining it. I looked at the fluoxetine leaflet and dry mouth and sore throat are both listed, so I’m going to blame it on that for now, unless it does turn into a cold or tonsillitis during the next few days. It’s frustrating though. Not particularly painful, just there and annoying. When you’re irritable anyway, you don’t need something niggling away. Swallowing isn’t exactly comfortable either.
Aside from that I’m struggling to do anything much, yet getting annoyed that I’m so bored. I don’t really know what to do with myself. I want to do things, but then I don’t because I can’t concentrate and get frustrated too easily. I find myself flitting from thing to thing but settling on nothing.
A classic example of this, seems to be the fact that I can’t seem to bring myself to write any more right now. I don’t know what to say and am bored of myself already. I’ll try again soon.
EDIT: There is actually more I want to write about! That’s another problem. My Short term memory and attention span is terrible at the moment. What I have to write about is too long and complex for me to work out right now. It involves HR, liability, suicide and other things, but it isn’t clear in my head. Maybe later.
Going Backwards…
So I’m back to where I was 7 weeks ago. I’ve just returned to my GP and have been signed off again. The appointment didn’t go as I’d hoped. The second I walked in the door, I was reminded of how frustrated she makes me. I had written a lot of stuff down, but failed to share it with her. I just couldn’t bring myself to show her and the paper remained screwed up in my handbag, unread. I go in there and feel flustered and rushed and unable to explain things. I lose all semblance of coherence and talk utter rubbish. She makes me feel patronised and pathetic.
I did manage to talk a little about my agitated mood. She suggested the agitation could be a side effect of the medication, but wanted to persevere with them, telling me they can take a month or so to settle down. I am unconvinced. I feel the same way that I did a couple of months back, long before I was medicated. I am not sure I convinced her how frustrated this makes me feel. I am not sure she realises the extent of this mood. I know I failed to mention the s-word again.
We talked about work and HR’s worries. I suggested part-time work and she seemed reluctant. She seems to have this theory that if you’re fit to work, then you work, if you’re not fit, you don’t. She doesn’t seem to like the idea of a phased return or working a bit. I tried to explain that I think it would help. Doing nothing drives me mad, but she just told me I wasn’t up to it. I’m not sure I’ll listen though – need to talk to HR and see what they say instead.
In the end, I was shuttled off with my prescription for the next month’s worth of pills, a sick note for the next 2 weeks and an instruction to see her again. I tried to book the next appointment, but she’s on holiday. I’m glad. I think the receptionist was taken aback by my keenness to see someone else instead! A new doctor has started at the practice so I will see him in 2 weeks time. I just hope I can be more honest with him than I can with her. I just hope I can get through the next 2 weeks to actually see him. I’m not 100% sure I can. I know I have to take things a bit at a time.
One thing I’d been worried about, was the fact I still haven’t been completely honest with my partner over the past few days, or even weeks. Although he knows I’ve been off and knows I’m still not better, I know that I’ve maintained the front I have always had. I know that I’ve hidden the worst from him and made out that everything was okay, even if it wasn’t. He doesn’t know that I have a secret stash of pills, there for if I need them, let alone how close I find myself getting to needing them.
After the doctors I talked to him briefly. I let him know I’d been signed off again and I think he was surprised. I tried to explain things weren’t as better as I’d made out, telling him I’ve been struggling to concentrate with work and feeling agitated again. He doesn’t think a lack of concentration is cause for concern, pointing out that everyone has trouble concentrating at work and he joked that he’d like to be signed off for it! I don’t think he understood what I meant, although I did say that things are like how they were before I was signed off and I think he might get it now. I’m not convinced though. At least I can try and shake off the guilt a little. I’ve tried.
I don’t know what my next steps are. For now, I’ve told my manager and I’m waiting on HR. What is next though, I really don’t know.
shiny happy pills…
So I took shiny-happy-pill number 1 this morning. Obviously it is going to have absolutely no effect on me at all for a few days (or weeks?!) but I still feel a little weird having done it. I know everyone is right and I have absolutely nothing to lose – at least the rational part of me does. The rest of me doesn’t see the point in doing anything, but nevermind.
Today is a stressful day. Unfortunately, stressful days = suicidal days. I can’t face the enormous task list ahead of me. The expectation of me to just get on with things. The expectation that I will complete all these tasks, despite the fact that getting up feels like enough of a challenge. The expectation that I will stop using “this excuse”. I hate expectation.
Lying in the bath half an hour ago, I’d have done anything to just slip under the water and stay there. It feels like the only thing keeping me here today, is the fact we have a friend here and his presence makes all of my possible plans useless.
Tonight, we travel down south for a weekend in a field, followed by a trip across the sea on Sunday night, for a week in France. I won’t be around for a while. The prospect of the holiday fills me with dread. I was looking forward to it, but now the day is here I can’t face it. I don’t feel up to a week pretending I’m fine and everything is normal. I don’t feel up to a week of putting on a happy face, getting up every day and going places. I don’t feel up to today. The packing, the cleaning, the endless list of tasks I have to battle through. I just can’t face anything.
I have no choice though. I guess this lack of choice, makes the ultimate exercise of choice even more appealling.
I must stop now. Writing here today is almost self-harm. It means I have even less time to complete the tasks of the day and it means I will be under even more pressure. I can’t help myself though. I almost want to put myself under this pressure. I almost want to tip myself over the edge, because then I won’t have to care anymore. Then I’d be able to just give up. I wouldn’t have this little portion of my conscience eating away at me, hating myself for thinking like this, being like this. I hate it.
return to the GP… and a return to work…?
So I’ve been back to my doctor this morning.
She’s changed her tune and now wants me to go back to work. Last time I saw her she didn’t want me to go back if I hadn’t picked up. This time she wants me to, even though I told her things hadn’t picked up. I wonder if the fact I’ve hit the month mark is making her itchy. I also wonder now if she’s given up on the hope that a break would help.
We talked a little bit about it, but I didn’t know what to say to her. She makes me terrible uncomfortable, just “hmm-ing” at me and being patronising. I realised today how much I hate her. I am not sure I can go back to her even. There are some new GPs starting at the practice soon, so I might try and get transferred. I know there’s little point me going to a GP I can’t trust.
I couldn’t be honest with her. I wonder what her response would have been if I told her what was going on in here. I can’t tell her how I feel. I can’t be honest with people face-to-face, not in the way that I can when I write. I told her that things hadn’t picked up, but I couldn’t bring myself to say the s-word, so I think she just thinks I’m feeling a little low. I suspect she doesn’t realise how low. In fact I’m fairly sure she doesn’t. I am still suicidal. More so today than yesterday. More so yesterday than Tuesday. So will I be more so tomorrow than today? I don’t know. I’m not sure I can get much more suicidal without actually doing the deed. I’m still fighting the thoughts, but it’s becoming more and more tempting to just give in.
I didn’t tell her any of that though. I just ended up agreeing with her to look at a return to work. In as much as I want to do anything (which is not much at all), I do want to go back to work, but I am scared. I have planned holiday for the next week, so she’s signed me off until 30th July. She said a short week to start off with might be a good idea and that gives me long enough to adjust to the idea of a return. I have no idea if I’ll be ready by then. I don’t feel ready, yet I wonder if it’s time to just try ignoring the problem again. Tackling it doesn’t seem to be helping much anyway, but I know where ignoring it got me. One thing I do know though is that I can’t stay off work forever.
The question of meds came up too and I think she was surprised when I agreed to her at least writing me a prescription. I have given up the fight I think. I just decided to do whatever she told me, as I didn’t know what else to say to her. I did tell her I might not go collect it, but I think I probably will. I hate giving in. I can be so stubborn sometimes. I don’t want to, but I read so often that you have to “keep taking the meds” that I should probably listen. I’m just not sure I want to. I’m just not sure I want to do anything. It seems Fluoxetine 20mg is going to be the drug of choice for the next 6 months though. So we shall see.
I am unsure about everything. The only thing I do feel sure about is that I can’t carry on like this. It’s just when I feel like this, the mind inevitably turns to the easy option. *bangs head on desk*