Here are are the bullet point-sek tips and tricks you may not know, and your doctor wouldn’t have time to tell you.
Firstly, you want a long half life. In your meds. You want a long full life, but the same applies to medication half life. Remember it like that.
In the SS/NRI’s and few atypical antiD’s available, this is less important. But still important.
It is less important because most of this “new generation” classes can be switched to flouroxitine (the original Prozac, with the longest half life) if you have trouble reducing dose.
But if it were me; I wouldn’t rely on this. If you need to change meds for any reason unforeseen (or get off them); it is most ideal to choose a longest possible efficacious/tolerable half life from the outset.
Avoid TCA’s and MAOI’s unless multiple GENUINE attempts to work with the others have failed to assist you, including combanations. Then go to a TCA.
This won’t come up often, but there are clear suggestions: Imipramine or doxipin. If you have gotten that far.
If you do not know these abbreviations, don’t look them up. You do not need them.
Avoid electro-convulsive therapy.
There was a resurgence for a brief time with some patients swearing by it; this did not last. It is no longer considered effective. Some schools still teach that it is. This is not born out by the more rigorous data as of 2013.
Avoid hypericin and hyperforin (St John’s Wort). It works, but nature did not make it for you. It interferes with just about every other drug by activating enzymatic pathways, the doses are irregular, they are held to no standard, and at the workable dose – they make you so photosensitive that we can keep cancer patients in a dark room and kill tumours with a flash light. More or less.
Have B vitamin shots. I have only ever heard good things. I don’t know the research. But I know the body flushes them pretty effectively, so it probably can’t hurt.
Even though, as a rule, natural is not better. Ever.
Unless it evolved with us for that exact purpose- nature is the enemy.
I’m sorry if your dreadlocks don’t like that, but it is just the way it is. You can’t eat a chair because it comes from a tree; you can’t breathe water because it falls from the sky (or even drink it now); and as for marijuana – no comment. But you’ll see once it is legalised, if you haven’t seen it in your friends already.
But all drugs are a trade off, to be sure.
In truth, the fact that nature is always the enemy, or at least indifferent, is probably the selective pressure that helps to explain how labs evolved in the first place.
In the benzodiazepines, diazepam is the choice. Oxazepam or timazepam
(metabolites of DZ) are also adequate. But nothing beats DZ.
Alprozilam, lorazepame, clonazepam et al are dangerous, to much so for daily use for neurotic conditions; and not more effective (yes, even for panic – see me after class).
BZ withdrawal is not good. Stay with diazepam wafers. Bizarre things are reported with some of the short half lifers, including the Z drugs for that matter. Especially amnesic. Long term: who knows what they do. Those things are difficult to prove.
Take Doxylamine to sleep (OTC in Au, and stronger than most of the scripts).
Do not believe your pharmacist (or rather undergraduate pharmacy assistants) telling you generics are the same.
They are not.
What they mean to say is that they think is the active ingredient is the same, and at the same dose level.
Though this is almost always true, there are also legal loop-holes for “similar” compounds be accepted as “close enough”, there are constituency and thus metabolism issues, and “inactive” (sometimes untested) altered ingredients are not necessarily “inactive” for everyone.
If you go to a generic and find it doesn’t work as well, or as fast, or at all,
or it makes you tired, or angry: it does.
It is not in your head, don’t listen to these people. They question nothing.
Note takers. Exam takers; and that is the ones that studied at all before giving you this generic “generic” advice.
And they get upset if you show them it is so. That is why they also sell shampoo. Ask them about the ingredients in that? They don’t know what they are talking about.
If you have the option, stay with one you know works for you. For an extra $10 or so; well, you are eating this compound every single day.
If the difference in price is large, well, the generic will do the basic job. But you may need to re-acclimatise to the drug in this form. Which you will.
Or else change meds.
Luckily, meds themselves are only a part of the picture, if you are serious. Again, there are tricks that are worth knowing. After that it does get specific.
But there are things, I would venture, everyone does benefit in knowing.
JJR. (2013). Psycho-Crazy Pills – How Do I Know What Psychiatric Medication I Should Take?-Top 5, J Chron. Lett. & Sci (1), Sept, Jaded Medicine Collection, Ed 5.
Follows from: “Why ‘You’ Personally Can’t Have the Drunk Pill”
Follows to: “The Drugs. The Strategies.“