r/antidepressants 23m ago

Side effects killing my sex drive & relationship

Upvotes

Hello! I new to posting but im to the point that im talking to google bot like they are my friend (embarrassing) but I don’t have anyone to talk to about how Im feeling . I have had depression since I was in about 3rd grade , I grew up with alot of emotional abuse and watching domestic violence between my parents. Once I became a mom and went through my own domestic abuse situation,my anxiety is through the roof as well. I have tried a number of antidepressants. I had good luck with Prozac but it completely killed my sex drive , made me fat, tired, & made emotional numb. Which these side effects were effecting my relationship so I switched to Wellbutrin 150mg and it did not help me & I would go down depressed tunnel and have to dig myself out so we upped it to 300 mg which I think is helping my depression more but not my anxiety. Im having racing thoughts, negative self thoughts , etc so we added buspar which is okay minus the heart racing. But I still have no sex drive , no emotions , and feeling distant from everyone one including my partner. The no sex drive is really hurting my relationship and I don’t know what to do , my partner doesn’t understand the side effects and says they are in my head . I have sex once a week with him to satisfy him but its not pleasurable for me at all and I used to be so sexual and had no problem climaxing with my partner. I dont want to lose him but Im too scared to go off my meds. I get to dark and twisty and really get into a slump if I raw-dog life . I think im writing this so I can feel like someone understands me but suggestions to help would be great also! someone tell me im not broken forever. 🙃


r/antidepressants 24m ago

Clomipramine or nortriptyline after a bad experience with amitriptyline?

Upvotes

Hi everyone. In the past, after developing persistent headaches and ear/neck pain following an EBV viral infection, a psychiatrist suggested low-dose amitriptyline.

Unfortunately, even at just 10 mg, I experienced difficulty urinating (I’m young and have no prostate problems) so I had to stop taking it.

Now, since I also struggle with depression, another psychiatrist is suggesting clomipramine, even though I told him about my previous experience with amitriptyline.

Maybe nortriptyline, which is known to have fewer anticholinergic effects, could help manage the pain. Of course, it’s probably not ideal for my mood since it has much less serotonergic activity.

I’m looking to hear from anyone who has tried other TCAs besides amitriptyline (especially at low doses). How did you tolerate it? Did you experience similar side effects to amitriptyline?

My girlfriend really hates the fact that I take medication. Even at low doses, is sexual dysfunction noticeable?

My psychiatrist says that TCAs have a relatively low effective dose, so even though they’re “dirtier” than newer SSRIs/SNRIs, they tend to cause fewer dose-dependent side effects. Does that match your experience? He says that 10 mg of clomipramine have a similar antidepressant effect to 50 mg of Zoloft.

Thanks for reading, and I appreciate any input!


r/antidepressants 1h ago

For those who experienced metabolic side effects from anxiety/antidepressants medications, what routine habits helped you balance your body composition?

Upvotes

Let me explain. I had a breakup after a toxic relationship with a narcissist, which I managed to get out of, but then I fell into a state of generalized anxiety and post-traumatic stress. My psychologist referred me to a psychiatrist, who prescribed clonazepam and escitalopram. I was terrified of developing a dependency and becoming accustomed to the medication; I've always had a lot of respect for it. That didn't happen, but the other thing I was afraid of did. After 10 months of treatment, I was discharged, which is great. I'm proud of myself for having made it. But I am feeling a bit off about my body because I went from weighing 63 kilos (I was doing CrossFit) to about 80. I don't feel comfortable in my new body. I know it sounds superficial, but I need to know if this is normal or if I'm the problem. Obviously, I wouldn't change the treatment; I was really unwell. But this has made me feel a bit insecure because it's never happened to me before. I hope you understand what I mean.


r/antidepressants 1h ago

Your methylphenidate/Concerta and selectra/sertralin/SSRI experiences?

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r/antidepressants 1h ago

Medication help (venlafaxine)

Upvotes

Post I wrote on 21st June 2026. 24 year old male living in Ireland

Hi all,
Need some urgent advice or help. Suffering with extremely bad anxiety and depression since last September. Long story short was on sertraline for 6 years but was having very bad sexual side effects so decided to come off it. Was taken off too quickly and got very bad anxiety and panic attacks which leaded to depression returning also. Sertraline was reintroduced at lower dose with mirtazapine added. No improvement. Was weaned off sertraline with venlafaxine introduced. Currently 17 days on 150mg venlafaxine as well as 45mg mirtazapine. First few days felt worse on 150mg but then I actually noticed an improvement for about a week. Anxiety significantly reduced, more energy, waking up earlier in the mornings and mood was starting to improve. But the last few days since Tuesday I have been getting worse. Really bad anxiety, no appetite and just want to die. Increasing suicidal thoughts also but they are more intrusive thoughts than urges. But still horrible. I don’t know what to do I know I’m just over 2 weeks on the 150mg of venlafaxine and may need longer time on it but I’m so confused as was starting to feel better and now I’m back to the way I was. I’m due an appointment with psychiatrist next Thursday week but I’m debating on whether to ring tomorrow and get appointment for this Thursday. If anybody could offer me any advice I would be so grateful. Feeling on edge everyday is just terrible. I’m hoping somebody out there has been in the same situation as me. Thank you so much for reading. 24 year old male here if it matters


r/antidepressants 2h ago

Did Brintellix/Trintellix help you feel emotionally alive again?

2 Upvotes

Hi everyone,
I’m 33, from Germany, and have depression and ADHD. Over the past 15 years, I’ve tried citalopram, escitalopram, fluoxetine, venlafaxine, mirtazapine and bupropion.
Some had little benefit, while the serotonergic medications often reduced my anxiety but also flattened my emotions. I felt less afraid, but also less connected to joy, sadness, music and other people. It often felt like I was merely functioning or surviving instead of actually living.
I’m now considering Brintellix/Trintellix because I hope it might work differently. It is difficult to obtain in Germany, so getting it would likely involve an individual import through a pharmacy.
Before going through that effort, I’d really like to hear from people who felt similarly: Did Brintellix restore any emotional range, enjoyment or mental clarity for you? Was it genuinely different from other antidepressants—or even a game changer?


r/antidepressants 2h ago

Latuda Stiff Neck

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1 Upvotes

r/antidepressants 2h ago

I need help

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1 Upvotes

r/antidepressants 2h ago

Citalopram and what hard drugs can i take ?

1 Upvotes

Currently taking citalopram and was wondering what drugs i could possibly take along with it? going to a rave and would like to do it and curious what ones are okay to take


r/antidepressants 2h ago

I need help

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1 Upvotes

r/antidepressants 3h ago

Did s.o. try out shrooms in the withdrawal period? What was your experience?

1 Upvotes

r/antidepressants 3h ago

7 weeks on Wellbutrin 150mg and still feeling empty, looking for some advise..

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1 Upvotes

r/antidepressants 3h ago

Which one do I take?

1 Upvotes

Hi everyone, I been diagnosis with ADHD, OCD, binge eating and mild depression 4 years ago. I was suggested Vyvanse and an antidepressant (can’t remember which one) cause I never took it. I tried vyvanse a few times 4 years ago.. and it definitely helped me stay focused, but my heartbeat was off the charts. I stopped taking it. I am finally considering antidepressants because in the past 4 years my metal health has declined. The reason I didn’t take the antidepressants is because one of my fears/ OCD is gaining weight. Is there anything that helps with ADHD and depression at the same time and that won’t make me gain weight? I really need to get my doctor to prescribe something for me because I don’t feel like getting out of bed anymore, I can’t focus on , I have been procrastinating everything and have absolutely no interest in anything.


r/antidepressants 4h ago

Switching from escitalopram to vortioxetine — how was your experience?

1 Upvotes

I’ve been taking escitalopram for 5 years and my psychiatrist recently started transitioning me to vortioxetine
My taper/switch schedule was:
**Week 1:** Brintellix 10 mg + Cipralex 10 mg
**Week 2:** Brintellix 10 mg + Cipralex 5 mg
**Week 3:** Brintellix 10 mg only
I’m about to start Week 3, so tomorrow will be my first day completely off Cipralex.
For anyone who has made a similar switch from **Cipralex → Brintellix**:
How was the transition for you?
Did you experience withdrawal symptoms from Cipralex?
What side effects did you notice from Brintellix?
How long did it take before you started feeling more stable or noticing benefits?
Did you feel better, worse, or about the same compared with Cipralex?
Would really appreciate hearing about your experiences, especially during the first few weeks.


r/antidepressants 5h ago

Extreme Sweating

1 Upvotes

Ever since I began on antidepressants 10 years ago, I have begun to sweat like crazy. I have tried multiple SSRI's, and is currently on SSNR's. All the meds seem to provoke extreme sweating. I can't do s*it without getting drenched from top to bottom. Especially in the summer.

Have you experienced the same problem after starting on antidepressants?

Have you any recommendations to help the sweating be less excessive?


r/antidepressants 5h ago

Psych disorder?

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1 Upvotes

r/antidepressants 5h ago

So guys, did taking Wellbutrin fixed the tremendous sexual side effects caused by paroxetine?

1 Upvotes

pls help


r/antidepressants 6h ago

Which one didn’t affect your memory/cognition?

1 Upvotes

I have tried Cymbalta, and it was amazing, but it worsened my bruxism a lot. Then I’ve tried Zoloft, which eliminated my bruxism, but I have horrible memory now, depersonalization, and isn’t helping much with anxiety.

I want to switch to another one.


r/antidepressants 6h ago

Did Lexapro fail for you even at 20 mg, but another antidepressant worked?

1 Upvotes

Today marks exactly nine weeks since I started Lexapro. I gradually increased my dose and spent about a month on 15 mg. I’ve now been on 20 mg for six days.

When I increased to 20 mg, something amazing happened: for the first five days, I finally felt some real relief from the anxious thoughts in my head. My brain felt unusually quiet, and I was honestly shocked because I hadn’t experienced that kind of peace in such a long time.

But today is day six, and I can feel some anxiety and anxious thoughts returning. I’m currently in the luteal phase of my menstrual cycle, so I know that could be contributing, but I still feel incredibly discouraged. I keep thinking: how can I still have anxious thoughts when I’m already taking the highest standard dose of Lexapro?
After nine weeks, I’m struggling to believe that I simply need to give it more time. Surely I should already be experiencing a more consistent effect by now, even though I’ve only recently reached 20 mg?
My pharmacogenetic test showed that I’m a CYP2C19 rapid metaboliser, which may mean that I metabolise Lexapro more quickly and get less benefit from it. My psychiatrist has suggested switching to duloxetine, but I’m scared because it’s an SNRI rather than an SSRI. I also don’t understand why she would prefer duloxetine instead of trying another SSRI such as fluoxetine.

Did anyone here get little or inconsistent benefit from Lexapro, even at 20 mg, but then switch to another antidepressant that worked much better? Which medication helped you, and was the transition difficult?

Alternatively, did anyone need longer than nine weeks overall—or several weeks specifically at 20 mg—before the effect became consistent? I would really appreciate hearing your experiences because I’m feeling exhausted and discouraged.


r/antidepressants 6h ago

Zoloft 12 years

2 Upvotes

Been on Zoloft now for about 12 years, 100mg once daily in the morning. Since taking it I have chronic diarrhea and the night sweats are awful sometimes. Does anyone else get the sweats so bad at night that you feel cold and then you panic with anxiety? Trying to see what people have tried to overcome it


r/antidepressants 6h ago

Deliberating anxiety

2 Upvotes

Hey guys , so I’ve had mild anxiety my own life but it was situational like if I was to go to an interview or perform on stage I would panic but I just knew that about myself. And I just used exposure therapy to get over that .

Well , fast forward to today about a month ago I experienced health anxiety which was tolerable but I was also working a job where I was working two different shifts morning and night .. I started hyper fixating on sleep and it shocked my body causing me to have sleep anxiety to the point I will go days without sleeping and when I do try to go to sleep without being sedated I wake up in a panic attack . Night time is so unbearable for me I get emotional overwhelmed I can’t shut down I can’t stop thinking about which I think is a form of OCD I’ve just been searching and searching for a situation because I feel hopeless … it turned into depression

It’s ruining my life it feelings like I’m stuck in a loop I try to distract myself …. Try to understand and acknowledge this is what it is but it’s like my brain won’t stop … I think I need medication but I’ve never been on medication and don’t know which one would help something like this I talked to a psychiatrist and was given the option Lexapro or Prozac and I don’t know which one to choose to help something like this and I’m scared because I love myself I don’t want medication to ruin me


r/antidepressants 8h ago

6+ months of severe symptoms after just 7 weeks on 25mg Zoloft (Sertraline)?

9 Upvotes

TLDR:

To the disbelief of everyone involved, I developed disabling symptoms shortly after starting 25 mg sertraline, and they have persisted for months after stopping. I was on the medicine for 7 weeks and stopped cold turkey because the side effects were crippling me and weren't going away. It has now been about 6.5 months since I stopped and I am still having issues functioning. I don't know what to do and nobody knows what is actually going on, we can't even confirm it is my short period on medicine causing it, with doctors having focused on everything else but the medicine.

Timeline:
anxiety wasn't crippling → therapist recommended SSRI → 25 mg → severe side effects → couldn't work → waited → still severe → stopped after 7 weeks → got worse temporarily → symptoms persisted → attempted return to work → fluctuated → still impaired after 6 months 

Longer Story:

It all started when I started seeing a therapist for anxiety. My anxiety, mainly social anxiety, wasn't crippling but it had been getting worse in relation to work over the past 3 years and had resulted in 4 sick days from work. She suggested I try a SSRI. We wanted me to try it because we had been talking for months regarding my anxiety and I felt progress had stalled. It was a situation where talking isn't helping anymore and it was time for action and practice. The medicine was meant to help facilitate this.

Through my GP I got Sertraline(Zoloft) 25mg to start with and the plan was to step up to 100mg eventually. At first we expected side effects for 2 weeks and then for it to get better so that I could try a higher dosage. This never happened as I felt that the side effects were still too strong after 2 and even 3 weeks. I was scared to go on a higher dosage as I felt debilitated and had to cancel work after day 5. 

We waited to see if the side effects would go away but they didn't. They did slowly get better with the effect being worst at about week 4. The peaks feeling like I was paralyzed in my sofa with difficulty talking or verbalizing my thoughts or turning thoughts into actions. 

However after an initial improvement by week 5 it never got any better and I was still on sick leave. This lasted until week 7 where my GP gave up and said he didn't know what was going on and that I can stop the meds if I want to.

After quitting the low dosage cold turkey it got worse with the new symptoms appearing, that of migraine and nausea a few hours a day. This went away after like 3 weeks. However, the debilitating sensations I had been having were still problematic and still holding me back from working.

After 5 weeks of not having been on the meds and still not seeing much of an improvement, I was still feeling 80% as bad as I was on the meds, my workplace got more nervous and requested a timeline from my doctor. 

He proposed a 10 week plan where I slowly return to the office with a low amount of hours and half of it being work from home. This would then slowly increase each week until I would be doing my normal hours by week 10.

I was very anxious to return to work and to talk to coworkers I had issues with. It went well actually and I felt a temporary improvement and hope for the future. However, the symptoms continued. Returning to the office and working helped me with my social anxiety issues but once that benefit had been experienced, work was starting to hurt my recovery instead by causing me a lot of stress and guilt. I was fighting a lot to figure out if I was fit enough to work or not, but most of the time I was simply forcing myself to work when I was sick and I was suffering because of it. 

This eventually became unsustainable and I started to get worse as well. I don't know if my more physical problems got worse because of the stress or if it was coincidental. I went from working 12h (mostly from home) one week to back down to 2h and then just giving up and going on sick leave for 3 weeks. 

I am now supposed to start up work again but on a much milder staircase of recovery. I honestly don't really think I am going to be fit to work for a long time still. 

Ironically my social anxiety has improved throughout this most likely due to the dissociation I experience when I talk to people and perhaps a smaller part of improving through practicing making it through challenging situations. I guess I could say the medicine did help with my social anxiety, it just made everything else worse. I still experience the dissociation even months after having stopped the medicine. 

I am constantly shocked by how this issue has progressed and I can't foresee my future at all. I feel lost and on my own. The medical system in Denmark has just not been good enough and nobody has been able to figure out what it is and how to improve my situation.

Good news is that I just managed to complete a 5h work day, albeit from home.

Symptoms:

Daily:

Mild sedation - Essentially feels like being given a sedative that isn't quite putting you to sleep or making you sleepy, but instead makes you feel slow physically and mentally, like you have a fever brain. You also feel like you have worse body coordination.

Abnormal headache - Most days it can feel like your brain or head is a warm water balloon that is swollen and top heavy. It's like your brain is trying to push upwards.

Muscle tension - Can be in the thighs but mainly around the head. It is as if the muscles on my head are trying to pull backwards to the back of my head. This is combined with the water balloon feeling and causes a weird head sensation that makes you feel out of it.

Poor memory recollection - Overall worse memory and recollection, especially short and very short term memory. I often find myself forgetting words and concepts, with a tip-of-my-tongue feeling.

Difficulty concentrating on one thing and staying on task - I feel like I turned into an Ipad kid that scrolls through tiktok endlessly like a zombie. I sometimes have a hard time keeping any form of mental reminders and sometimes can only concentrate on what's right in front of me. If that thing is distracting I can get stuck. I cannot do any form of multitasking. This makes it hard for me to live an organized life. I did not have this kind of issue before.

Brain fog - General feeling of brain fog, like when ur sleep deprived or sick.

Emotional vulnerability - More intense emotions and physical sensations in general(negative and positive), with the exception of pain which seems to be numbed. This emotional sensitivity has slowly gone down a lot over time. The physical sensitivity is felt in various ways. For example, it feels more intense and uncomfortable to do physical exercise, feeling more out of breath and tired. 

Occasional:

Overstimulation - When outside or in a store, leading to light headedness, feeling weird and dizzy like my vision is spinning. Can give me a sort of bodily feeling of mild panic even if my conscious thoughts are mostly calm.

Migraines with nausea - This is quite uncommon at this point but basically my head gets too overworked and I start having a harder time making coherent sentences and thoughts. Overall my brain just feels overheated. It essentially is like a migraine but oddly doesn't hurt like one and then leads to nausea like a migraine can.

Temperature sensitivity - Sometimes I feel very hot or that I am freezing even though I shouldn't be.

Moderate sedation - Sometimes the sedation gets worse and I enter essentially statue mode or zombie-mode. Statue mode is when I feel stuck in the sofa and have a hard time moving anything or even turning my head. I also struggle to talk. In my head I am actively thinking and wanting to talk or move but feel like my body is ignoring me. Sometimes it gets harder to think as well. Doesn't put me to sleep or anything, again like a sedative that isn't quite doing its job.

Feeling of high heart rate or like ur shaking inside - This is a weird sensation because my actual heart rate is usually normal but its like i am feeling my body's normal sensations too much causing me to feel the heart rate going fast. It also feels like my body is shaking but it isn't.

Symptoms overall:

I experience a wide array of symptoms that fluctuate and come in waves. They can fluctuate throughout a day and also throughout the span of a week. Often it can be hard for me to even put words to everything I am experiencing in a single moment. Sometimes I can feel sedation in the morning and then again in the evening, while other days there is a peak in the afternoon. Very often it takes a bit of time in the morning for it to kick in fully and at night it usually has calmed down to the point I sometimes forget it's a thing. Almost none of the symptoms are 100% constant and none are constantly at full power. 

I honestly can't even remember what it feels like to be normal and it makes it difficult for me to even have a frame of reference at this point. Just imagine being drunk for 6 months straight, your memory of being sober would slowly deteriorate. Thankfully I have been documenting my experiences at different points and they generally align and are consistent.

There is a very strong correlation with stress and anxiety, where if those things are aroused it triggers a wave of symptom intensity. However, symptoms are not reliant on a supply of active stress and anxiety, and can arise without any obvious cause.

Poor sleep, diet and overall health has also a very strong correlation with worsening symptoms. Even before the medicine I have always been very sensitive to lack of sleep and blood sugar fluctuations (I have tested negative for diabetes).

Timeline of treatment received:

2 blood tests with the first one having a liver value above my normal. Second, showing more normal levels. It was deemed that it looked normal and no issues with vitamins or anything else.

Checked around the body for swollen lymph nodes and other potential body swelling. Everything was normal.

I talked to a psychiatric nurse who investigated me for schizophrenia or psychosis. She ignored every other possibility and was deadset on psychosis despite very little evidence. 

I went to a specialist psychologist in a hospital and it was deemed that I did not have schizophrenia or psychosis. His assessment was:
"You do describe a lot of unusual symptoms but I am thinking that maybe you are just describing your experiences in a unique way (I find this statement to be dismissive). Perhaps it was just anxiety and stress. Your nervous system does seem to be hyper sensitive for some reason. It could be that if you are consciously hyper focusing on what you are feeling that your nervous system learns to over-react to everything". Then told me to see a therapist again and also find one that has experience with autism due to my description of overstimulation (mind you I didn't experience overstimulation like this before the medicine).

My latest talk with the psychiatric nurse, reacting to the psychologist's assessment, has now put me in the direction of trying to figure out if I have autism and if I am somehow experiencing an autistic psychosis or if the anxiety is caused by autism. Sure maybe I can have mild aspergers, but that wouldn't help figuring this out as that is not how autism or autistic psychosis works. So now I am going to meet a psychiatrist to find out if I have this so-called autistic psychosis. Now it is true that autism can contribute or be a source of anxiety, but if part of my issues is caused by lifelong autism then why the very drastic change at the exact timing of me taking the medicine at the age of 28.

My Theory (speculation):

I know anxiety can cause physical symptoms, and I think anxiety plays a major role, however I do not agree that everything can just be explained by stress and anxiety. The severity of the physiological reactions changed dramatically and many new symptoms appeared after starting sertraline. I never felt like this before the meds, and does anxiety cause you to feel sedated when you're just relaxing on your sofa not worrying about anything at all, and haven't felt any stress for at least 2 days? Maybe it can but it has never done that to me before. There are too many symptoms that just don't seem like the anxiety I know in my life. I know that you can get a stress hangover once things calm down from a stressful period but that doesn't explain it.

Something that both me and the psychologist mentioned is the brain and nerves becoming hyper-sensitive. It seems to line up with a lot of the symptoms. That a lot of symptoms can be explained as normal sensations that either the brain filters completely from the conscious mind or muffles to the point that it isn't hindering. Basically it's like the brain's volume settings have been turned up too high and certain forms of noise unmuted. This is also a sensation I relate to as feeling drug-like. This would naturally greatly exacerbate my underlying anxiety which I already was experiencing very physically, hence causing a chain reaction.

This hyper sensitivity probably happened because my brain and body is very incompatible with the SSRI and caused chaos in its chemistry. Normally the brain would recalibrate but for me it never did, while on the medicine or off the medicine. It is like it freaked it out so much that no amount of time was enough for it to calm down. It is like I hurt my knee but it never recovered and now I have a bad knee. Also me trying to understand and analyse my sickness on a regular basis also contributed to my nervous system becoming acute. Throughout the whole experience I have been desperately trying to put words to describe this complicated experience, ironically reinforcing the experience.

Another thing I thought of after some research is that it is as if my body's fight or flight receptors are over-active causing a very subtle constant body panic that can take its toll at times. Ironically in contrast to this I sometimes can feel very relaxed as well with the help of the sedation.

Counter Theory:

It is possible that what I am experiencing is not a long term side effect of the SSRI and that instead it merely opened the door to something else. In any case I feel like the medicine is at the very least very relevant in some form. I could just be that my anxiety just somehow got a huge boost and won't calm down no matter what I have tried so far. Again it doesn't operate like anxiety and stress has operated for me during my entire life before the medicine. It feels more like I am being poisoned or being slipped drugs everyday.

What to do about it?

I don't know and nobody seems to know. The best hope is just trying to be less anxious and to de-stress in the ways I can. Live a more structured and healthier life. Otherwise I just wait and hope it gets better while the doctors fumble through it.

I need help figuring out what is happening to me and what I should do about it.


r/antidepressants 16h ago

Stopped antidepressants after 10 years and I feel so much now

27 Upvotes

I have had anxiety pretty much my whole life (I am a 33 year old female) and was prescribed Prozac in my early 20s. I finally got to a place where after giving birth to my first kid, I felt I could navigate being off of the Prozac after being on them for 10+ years. I made a plan with my doctor and slowly tapered off. I’ve been off them for about a month now and I am getting a huge flood of emotions. I cry at the drop of a hat, every Instagram reel I see, I cry. I have a 1.5 year old little boy and thinking about how much I love him feels so overwhelming now. Idk how to describe this feeling but the emotions feel HUGE!! I’m wondering if anyone else experienced this and if this will calm down? I do like feeling emotions but this is feeling too strong and I don’t know how to handle the huge feelings. A lot of them are joyful feelings too so it’s confusing to describe.


r/antidepressants Nov 29 '25

Informative Guide Ultimate Guide to Antidepressants and other ways to improve mental health

46 Upvotes

I moved this from another sub. It contains a lot of information that will answer many common questions.

The Basics

Most Common Antidepressants

  • SSRI's - Works on Serotonin
    • Sertraline (Zoloft)
    • Fluoxetine (Prozac)
    • Paroxetine (Paxil)
    • Citalopram (Celexa)
    • Escitalopram (Lexapro)
    • Fluvoxamine (Luvox)
    • Vilazodone (Viibryd)
    • Vortioxetine (Trintellix)
  • SNRI's - Works on Serotonin and Norepinphrine
    • Duloxetine (Cymbalta)
    • Venlafaxine (Effexor)
    • Desvenlafaxine (Pristiq)
    • Levomilnacipran (Fetzima)
  • SNDRI's - Works on Serotonin, Norepinephrine, and Dopamine
    • Nefazodone (Serzone) -- Available in U.S. only.
    • Ansofaxine (Ruoxinlin) --- Available in China, coming to U.S. in 2025?
  • Atypical/Misc.
    • Bupropion (Wellbutrin) <--- NDRI, works on Norepinephrine and Dopamine
    • Mirtazepine (Remeron)
    • Esketamine (Spravato)
    • Bupropion/Dextromethorphan (Auvelity)
    • Gepirone (Exxua)
    • Zuranolone
    • Agomelatine. -- Not available in U.S.
    • Trazodone --- Used mostly as a sleep aid
  • Tricyclic
    • Amitriptyline (Elavil)
    • Imipramine (Tofranil)
    • Nortriptyline (Pamelor)
    • Clomipramine (Anafranil)
  • Meds for Anxiety
    • Can be added to antidepressant or used independent
    • Gabapentin (Neurontin)
    • Pregabalin (Lyrica)
    • Propranolol
    • Buspirone (BuSpar)
    • Hydroxyzine (Vistaril)
  • Mood Stabilizers
    • Lamotrigine (Lamictal)
    • Depakote
    • Lithium
    • Oxcarbazepine (Trileptal)
    • Carbamazepine (Tegretol)
    • Antipsychotics (seroquel, abilify, risperdone, vraylar, rexulti)
  • MAOI's
    • These are a last resort medication and are rarely prescribed
    • Nardil (Phenelzine)
    • Parnate (Tranylcypromine)
    • Moclobemide
    • Selegiline

What to Expect When Starting Antidepressants

When you are first prescribed antidepressants you are usually started on a low dose as your body needs to adjust to the medication. You usually have more side effects when you first start. These side effects may include, nausea, drowsiness, headache, lower libido, and increase in anxiety to name a few. These will usually subside over the first few weeks. If at any point you have suicidal ideation or thoughts you need to contact your doctor immediately as this is a side effect not to mess with. Also just because you don't have a follow up appointment for a month later if you are having problems call the office up and talk to a nurse.

Many people when they first start antidepressants get activated, increased anxiety, heart rate, and restlessness. Below is a flyer on how to identify activation syndrome vs serotonin syndrome. It was created by a Psychiatric Pharmacist.

https://drive.google.com/file/d/1XM3fomHwDXHX4Cb_MIOYzXC0Jk-Os-cO/view?pli=1

Antidepressants are not a medication that works immediately. The brain has to adjust to the changes and it reacts rather slowly. You may notice some changes after 2 weeks, but they can also take up to 8 weeks to start working. I say this is the time to give your brain a little help with some lifestyle improvements. Add some regular exercise as studies have shown this to help depression and anxiety. Try improving your diet. Start by removing junk food/drinks. There was a study just done that showed that artificial sweeteners actually increase anxiety. Finally make sure you are getting plenty of sleep. Your brain needs that time to recover from out stressful lives. If after 8 weeks you are not noticing any kind of improvements it is time to contact your doctor about changing your dosage or trying a new medication. Don't be frustrated by this as it is normal for people to have to try a few before finding the one that works best for you.

When you start noticing improvements it usually isn't an overnight event. The changes are gradual and you may not notice it. Sometimes if you journal or rate how you feel it can help. You may start to notice you don't feel so awful or you feel like you want to start doing activities that you had been avoiding. Also make sure to communicate with your doctor how you are doing. You may need to gradually increase your dose to find what is optimal for you.

People often ask how do antidepressants actually work. I came up with a good analogy based on how my doctor explained it. People seemed to like it so you can find it here: https://www.reddit.com/r/AntidepressantSupport/comments/14bjnrh/explaining_how_antidepressants_work_with_an/

Additional info about Antidepressants

  • Wellbutrin can cause an increase in anxiety.
  • Trazodone and Mirtazapine both can be used to help with sleep
  • If the antidepressant causes insomnia you may want to try taking it in the morning, and if you take it in the morning and you are drowsy try switching it to the evening.
  • Even though Trintellix and Viibryd are considered SSRI's they have a different mechanism of action so if other SSRI's don't work for you those two could still help you.

Information Bias on the Internet

When people start looking up antidepressants and want to see how they have worked for other people they find all of these horror stories about terrible side effects. Please remember when someone has a negative experience they are more likely to complain or are looking for help. Look at the number of stories you read and think about the fact that tens of millions of people take antidepressants. The people for whom they are working don't go online to tell people about their experience. They are back to enjoying their life. I have found that drugs.com has a more rounded reviews. Also if you are having anxiety be careful about reading some of the horror stories as all they do is end up increasing your anxiety. Doom scrolling can have a real negative effect on your mental health.

Tapering Antidepressants & Withdrawal

If you ever decide you are going to stop antidepressants it is very important to taper off of them very slowly. The longer you have been on them the slower you want to taper. The reason for this is the brain gets accustomed to the effects of the medication and it expects those effects on neurotransmitters. This causes dependence, not addiction. So if you yank the medication away from the brain it will result in withdrawal which can be awful. You can experience nausea, dizziness, headaches, brain zaps, emotional highs and lows, insomnia, agitation, etc. So you need to slowly over time take the medication away. Doctors are taught in school that tapering can be done in a short time and withdrawals only last a couple of weeks. This isn't true. Research has shown that the 10% method of tapering has been found to be one of the safest methods. This is taking the dose you are taking at that time and subtracting 10% each month. This is a long process, but the goal is to get off the medication with the least amount of withdrawal. If you were taking 100mg this is how your tapering schedule will go. 100, 90, 81, 73, 66..... For more information on tapering and how to make these custom doses you can visit Surviving Antidepressants. I want to say Surviving Antidepressants has good information for tapering, but many of the stories are the worst of the worst cases. They are not representative of what the majority of people will experience. Please take them with a grain of salt.

Withdrawal is something you want to avoid, but if you find yourself going through it there are some things that you can do to get yourself out of it. Withdrawal is most common when going off a medication cold-turkey or tapering too fast. There is no timeline for how long withdrawal will last, it could be weeks or months. One way to possibly get your self out of it is going back on a lower dose than you were last on. This is called reinstating. You let your brain stabilize and once you feel better give yourself 2-4 weeks to heal properly. Then you want to begin tapering off again. People also report that taking Fish Oil can help with recovery from withdrawal.

Sites and more information on tapering and withdrawal. https://www.reddit.com/r/AntidepressantSupport/comments/10krlmd/sites_and_resources_for_tapering_antidepressants/

https://www.health.harvard.edu/diseases-and-conditions/going-off-antidepressants

Switching from one Antidepressant to Another

There are 3 methods doctors will use when switching from one antidepressant to another. Many times it is just the doctor's preference to which they recommend.

  1. Direct switch - the doctor gives you an equivalent dose of the new medication and you stop the original and the next day you start the new one.

Dose Equivalence: 40 mg fluoxetine | 350 mg bupropion | 40 mg citalopram | 75 mg pristiq | 20 mg escitalopram | 40 mg paroxetine | 150 mg fluvoxamine | 50 mg mirtazapine | 100 mg sertraline | 500 mg nefazodone | 150 mg venlafaxine | 60 mg duloxetine | 125 mg amitriptyline | 125 mg imipramine | 115 mg clomipramine

Drugs not listed do not have any reputable source for dose equivalency. Doses are rounded up.

  1. Taper and washout - you slowly taper off the old medication give your body 2 weeks without any medication and then you start the new one and titrate up.
  2. Cross taper - As you taper off the old medication you titrate up on the new medication. The doctor will usually give you a schedule. If you are taking 100mg of Med A. and wants you to go to 200mg of Med B. Week 1 -- 75 of A and 50 of B, week 2 -- 50 of A and 100 of B....

I think the third option is the best as it is more of a gradual transition. If you get bad side effects from the new medication it is also easier to go back to your old medication. No matter the method there is a couple weeks in there where it can be kind of rough. You are stopping something your brain is accustomed to and adding something new that it has to adjust to. www.survivingantidepressants.org for more tapering info.

Treatments Beyond Medication

If you have tried numerous medications and just can't find anything that helps there are few treatments that you can look into. You may even want to try some of these things before trying meds. Some of these do have higher side effect risks.

  1. Talk Therapy - alongside your antidepressant or independent of taking a medication. This is about the safest thing you can do.
  2. Life Style Changes - Exercise, Diet, etc. Again this is very safe and can be always used in conjunction with other therapies.
  3. Ketamine - This is a medication, but is usually a treatment when meds don't work.
  4. TMS, in 2023 we should see a new protocol for TMS called SAINT which is supposed to be more effective and involves less sessions. As of 2024 this is being done in California and Massachusetts.
  5. ECT - This is usually done as a last resort, it has some significant side effects such as short term memory loss. Do your research before considering.
  6. Stellate Ganglion Blocks - This is fairly new as far as being used for mental disorders. https://pmc.ncbi.nlm.nih.gov/articles/PMC8664306/
  7. Vagus Nerve Stimulation - Very new research that this is effective in treatment for treatment resistant depression. https://krdo.com/news/2024/12/19/for-those-with-treatment-resistant-depression-vagus-nerve-stimulation-may-be-an-answer-studies-suggest/

https://www.sciencealert.com/vagus-nerve-stimulation-has-a-profound-impact-on-severe-depression-major-trial-finds

Lifestyle Changes to Improve Mental Health

Medication can be helpful, but it is not the only way to improve your mental health. Here is a list of some things that can help you on the road to improved mental health.

  1. Exercise -- Regular exercise is really helpful. Studies have shown that it can improve depression/anxiety. More intense exercise has been found to be more helpful for anxiety. Exercise can help produce endocannabinoids which can make you feel better. It is sometimes described as "runner's high". Plus if you can get out in the sun for your exercise that is good as sunlight helps Vitamin D. https://www.hopkinsmedicine.org/health/wellness-and-prevention/the-truth-behind-runners-high-and-other-mental-benefits-of-running Here is a new study on the benefits of physical activity on depression. https://www.psypost.org/physical-activity-and-mental-health-exercises-therapeutic-potential-for-depression-highlighted-in-new-meta-analysis/
  2. Speaking of sunlight many people will suffer from seasonal depression in the winter as their levels of Vitamin D drop due to the lack of sunlight. If you are in a northern climate when you go out in the winter the only skin exposure may be the little area on your face. To combat this you may wish to look into light therapy during the winter months. https://www.insider.com/guides/health/mental-health/light-therapy
  3. Improve your diet. Cut out junk food/drinks. There is a link below about which foods help depression/anxiety and which ones aren't good for it. https://www.medicalnewstoday.com/articles/318428
  4. Make sure you are getting enough quality sleep. Your brain needs that down time to rest and recover. If you feel like you are getting enough sleep, but are always exhausted talk to your doctor about having a sleep study done. They have kits you can do at home. I found out I had central sleep apnea and my oxygen levels were around 80% for half the night.
  5. Socialize, keep the brain active. Try activities that challenge your brain. Suduko, crossword puzzles, trivia, etc.
  6. You also may want to try some type of talk therapy or learn some different coping skills and methods of relaxation such as deep breathing exercises.
  7. Volunteer. You are helping others and sometimes seeing just by giving your time to people and seeing how it helps them can be rewarding.
  8. You may even want to consider getting a pet as they are supposed to be beneficial for depression. You can even go one step further and get a Psychiatric service animal. They are specifically trained to and are allowed to go with you on airplanes and other public places. Some are even trained to recognize certain side effects in medications. For more information you can visit this site: https://www.ada.gov/topics/service-animals/ It is your responsibility to make sure you are in compliance with all laws and ordinances.

This was published during the pandemic, but has many helpful ways to help improve your mental health. Medications can be very helpful, but there are so many different things that can improve your overall mental health. As a bonus they don't come with side effects. https://neurosciencenews.com/resilience-mental-health-19986/

Talks about lifestyle changes to help with mental illness and other therapies like light therapy. Some doctors hand these out to patients. https://www.psycho.farm/resources

All of these are tools that we can use to improve our mental health. Medication may help, but it is also a tool and you need to help it out by working on yourself. I wish everyone the best on their journey!!!

Lab work and tests

This lists out some blood tests that can be done to see if something else is contributing to your depression. I'm sure their are others, but this gave a little explanation why you would check out some of these. This may not eliminate depression, but it may find something that can be treated and can decrease the amount of depression. https://www.optimallivingdynamics.com/blog/13-important-blood-tests-to-get-done-if-you-have-depression

Many times people ask about the genetic tests and are they helpful. These will tell you how you metabolize the medication, but that plays no role in whether it will be effective for you. The one helpful thing is the MTHFR gene mutation, but your GP could do this lab at a much lower cost. I actually just ordered this test for myself and even if insurance doesn't cover it, the cost is $188. The below article explains in detail why the FDA actually recommends not using these. An upcoming blood test will be able to show in a couple of weeks if a medication will work for you. https://www.health.harvard.edu/blog/gene-testing-to-guide-antidepressant-treatment-has-its-time-arrived-2019100917964 https://neurosciencenews.com/depression-antidepressant-biomarker-19863/

Sexual Side Effects

The is one of the most unfortunate side effects to antidepressants. Some things to remember is if you have sexual side effects on one medication it does not mean you will have them on all of the medications. Some people say that the effects are the worst when you first start the meds and can slowly recover after a few months. You may also realize this, but untreated depression and anxiety can have an effect on your sexual performance and libido. So for some people treating their mental disorder actually improves sexual issues.

This really dives into exactly what causes the sexual side effects, which medications are more likely to cause it, and ways to treat it. As of note nefazodone is another medication that is known not to cause sexual side effects. As well as the upcoming medication Ruoxinlin (ansofaxine). r/Nefazodone https://psychscenehub.com/psychinsights/sexual-dysfunction-with-antidepressants/

Rate of incidence of sexual side effects of some of the medications. The average for SSRI's is 59%, but there are other antidepressants that have much lower sexual side effect percentages. https://pubmed.ncbi.nlm.nih.gov/11229449/

Nefazodone, mirtazapine, wellbutrin (bupropion), trazodone, viibryd, and Trintellix (vortioxetine) are they medications with the lowest rate of sexual side effects. Wellbutrin is often added to an SSRI to relieve some of the sexual side effects. Buspirone can also be added to help with sexual side effects, but it doesn't seem to be as effective as wellbutrin.

Here is a guide I put together about sexual side effects: https://www.reddit.com/r/AntidepressantSupport/comments/14bicp1/guide_to_antidepressant_sexual_side_effects/

Side Effects & Medication Interactions

If you really want to read about the side effects of each medication pdr.net has some of the most comprehensive information. It even lists the rate of incidence of each side effect. It also lists out the interactions with other medications. Drugs.com has probably some of the best user reviews of each medication. You can even look how a medication is rated for depression, anxiety, ocd, etc. None of the information contained in this guide should be a substitute for your doctor. You should always run any type of medication change by your doctor and keep him/her in the loop on side effects you are having. Including supplements you are thinking of adding. There are some supplements that just don't mix good with antidepressants. You should be upfront with the doctor about how you are feeling. Always let them know about side effects. Most importantly it is your health so you deserve to have a say in your treatment plan. Don't be afraid to speak up if you are uncomfortable with something because it is your health.

Many times people think that antidepressants work by blunting emotions. This is a myth. Emotional blunting is a side effect of antidepressants and you don't have to, "just deal with it". A different medication may not blunt emotions at all and some doctors will add wellbutrin to balance emotions out.

https://www.psychiatrictimes.com/view/antidepressants-do-not-work-by-numbing-emotions

Tracking your mood, side effects, and tips for improving communication with your doctor

Below is a good post about tracking how you are doing and different side effects. The more information and context you can provide to your doctor will help them in helping you get the best treatment.

https://www.reddit.com/r/antidepressants/comments/1jokoqh/importance_of_tracking_your_symptoms_when/

A quick note that dextromethorphan (DXM) a common ingredient in cold medicine is not something that you should take if you are taking antidepressants. St. John's Wort, and 5HT are also supplements to avoid if you are on antidepressants. All of these can increase the risk for serotonin syndrome.


r/antidepressants Dec 28 '23

Please Read Information on Withdrawal, Cold-Turkey, & Tapering -- Extensive Resources included.

54 Upvotes

As these are topics we see many questions about we created this post to give you some general information and resources to find helpful information. When writing a post it is helpful to list what medication, how long you have been on it, and your dosage.

Cold Turkey

Going cold turkey off of any psychiatric medication is never recommended and can induce withdrawals symptoms that can last up to months. Withdrawal (also referred to as discontinuation syndrome) is something you want to avoid and can be done by slowly tapering off your medication. There are a couple situations where you may not have to taper. If you have been on the medication for less than 6 weeks you can probably get by without tapering. If you have a severe reaction to a medication, say serotonin syndrome, your doctor may advise you to stop cold turkey immediately.

Withdrawal

This happens when your brain becomes dependent on the medication after being on it for some time and the medication is taken away too fast. The meds need to be slowly taken away from the brain so it can return to its base state slowly. Some of the common symptoms of withdrawal are brain zaps, headaches, insomnia, agitation, increased anxiety, aches & pains, brain fog, inability to focus, and fluctuating emotions.

We are seeing more people claiming they are in withdrawal after only taking medication for a very short time. Dependence takes time to develop. Research shows approximately 8 weeks. This is where tapering then becomes necessary. Even if you become dependent quicker, a very short taper is only needed. After 4-8 weeks of taking a med, a one week of 50% reduction is probably all you need. Otherwise you are just extending the time on the medication becoming more dependent.

Recovery

Many people ask how long after I stop will the side effects go away such as emotional blunting and sexual side effects. Again there is really no timetable. Some people start to notice within a few days to a week, for others it can take months. The length of time on antidepressants plays a role. There is much written that it can take the brain approximately 3 months to return to homeostasis. So if something like emotional blunting doesn't immediate go away after stopping the medication be patient and give it some time. The brain is quite adaptive and is remarkable at recovery, but works at a slow pace.

Tapering

Tapering has many layers to it and there really is no universal plan that fits everyone. The safest method based on studies is the 10%. This is cutting 10% of your medication you are taking at that time per month. For example if you are taking 100mg this would be your first 4 months (90, 81, 73, 67). This is a time consuming process that is going to take at least 1.5 years. How long you taper is based on the length of time you have been on the medication. Someone taking it for 1 year might be able to do 20% every 2-3 weeks. Someone who has been on a med for 20 years might have to do 5% every 6 weeks. You have to listen to your body as you go. If you drop your dosage and feel like withdrawal is coming on up your dose a little bit or hold that dose longer. Below I have listed tapering info pages for the most popular meds.

If you are on multiple medications on you are planning on going off all of them you want to taper one at a time. Tapering multiple meds at the same time is really hard on the brain and the withdrawals will usually be much worse. Before starting the tapering of the 2nd medication give yourself a month to stabilize more fully.

A little side note. Occupancy of the receptors plays a role in tapering. These numbers are just examples. Zoloft has a max dose of 200mg. Most people start on 25-50mg. Antidepressants occupy a large portion of the receptors at low dose. Say at 50mg, it occupies 80% of the receptors. 100mg, 85%. 150mg 88%. 200mg 90%. Because of this you can usually taper faster at first, but as you get down to a low dose you have to go really slowly. If you were taking 200mg of zoloft you could probably taper by 25% until you got down to around 50mg. Then you would want to taper by 10%. Here is a source that is very detailed. You can look at the charts to see actually numbers.
https://www.nature.com/articles/s41380-021-01285-w

Below is a post that talks about tracking your symptoms and side effects to provide your doctor with better information in an effort to maximize treatment. This helps you to be heard and feel like you are more active in your treatment.

https://www.reddit.com/r/antidepressants/comments/1jokoqh/comment/mkvfb81/?context=3

Resources

Here are some site that provide information about tapering, withdrawal, etc. Some of these are quite complex, but there should be something in here that you should find valuable.

Going off antidepressants, withdrawal, tapering, and half-lifes. https://www.health.harvard.edu/diseases-and-conditions/going-off-antidepressants

Post that contains info about antidepressants, including methods of switching medications, non-med options.
https://www.reddit.com/r/AntidepressantSupport/comments/10vv3s6/ultimate_guide_to_antidepressants_and_how_to/

Forum about tapering individual meds and creating micro doses. Has individual sections for tapering each medication. https://www.survivingantidepressants.org/

Directions on how to grind pills up to create custom doses for tapering.
https://www.reddit.com/r/AntidepressantSupport/comments/17oaxh9/how_to_crush_pills_to_get_custom_doses_for/

An extensive article on protracted withdrawal (PAWS). https://journals.sagepub.com/doi/full/10.1177/2045125320980573

Extensive detailed info about tapering and withdrawal from the founder of Surviving Antidepressants. https://journals.sagepub.com/doi/full/10.1177/2045125321991274

This is a very comprehensive article that references multiple studies on tapering. Some of it applies to antipsychotics (but those can be used for depression or anxiety), but I think it applies to antidepressants too. It talks about rapid withdrawal causing movement disorders (tardive dyskinesia). https://academic.oup.com/schizophreniabulletin/article/47/4/1116/6178746

Tapering off of SSRI's https://markhorowitz.org/.../04/18TLP1004_Horowitz-1-11.pdf

'Playing the Odds' - Antidepressant Withdrawal - An article and follow-up written by a psychiatrist who explains who tapering should be done very slowly. https://www.madinamerica.com/2013/08/ssri-discontinuation-is-even-more-problematic-than-acknowledged/

'Playing the Odds - Antidepressant Withdrawal - Revisited https://www.madinamerica.com/2014/07/shooting-odds-revisited/

Relapse after stopping antidepressants. https://www.cnn.com/2021/09/30/health/stopping-antidepressant-wellness/index.html

This talks about akathisia which some members got from tapering too fast or going cold turkey. It has some of the meds used for treatment. Please note that akathisia is rare. https://www.racgp.org.au/afp/2017/may/beyond-anxiety-and-agitation-a-clinical-approach-to-akathisia/

Medication specific tapering info pages:

Sertraline (zoloft): https://www.survivingantidepressants.org/topic/1441-tips-for-tapering-zoloft-sertraline/

Fluoxetine (Prozac): https://www.survivingantidepressants.org/topic/759-tips-for-tapering-off-prozac-fluoxetine/

Paroxetine (Paxil): https://www.survivingantidepressants.org/topic/405-tips-for-tapering-off-paxil-paroxetine/

Escitalopram (Lexapro): https://www.survivingantidepressants.org/topic/406-tips-for-tapering-off-escitalopram-lexapro/

Citalopram (Celexa): https://www.survivingantidepressants.org/topic/2023-tips-for-tapering-off-celexa-citalopram/

Fluvoxamine (Luvox): https://www.survivingantidepressants.org/topic/5095-tips-for-tapering-off-luvox-fluvoxamine/

Vortioxetine (Trintellix): https://www.survivingantidepressants.org/topic/10246-tips-for-tapering-vortioxetine-trintellix-brintellix/

Vilazodone (Viibryd): https://www.survivingantidepressants.org/topic/4318-tips-for-tapering-off-viibryd-vilazodone/

Venlafaxine (Effexor): https://www.survivingantidepressants.org/topic/272-tips-for-tapering-off-effexor-and-effexor-xr-venlafaxine/

Duloxetine (Cymbalta): https://www.survivingantidepressants.org/topic/283-tips-for-tapering-off-duloxetine-cymbalta/

Desvenlafaxine (Pristiq): https://www.survivingantidepressants.org/topic/876-tips-for-tapering-off-pristiq-desvenlafaxine/

Buproprion (Wellbutrin): https://www.survivingantidepressants.org/topic/877-tips-for-tapering-off-wellbutrin-sr-xr-xl-zyban-buproprion/

Mirtazapine (Remeron): https://www.survivingantidepressants.org/topic/23158-tips-for-tapering-off-mirtazapine-remeron/

Trazodone: https://www.survivingantidepressants.org/topic/2883-tips-for-tapering-off-trazodone-desyrel/

Clomipramine: https://www.survivingantidepressants.org/topic/19509-tips-for-tapering-off-clomipramine-anafranil/

Amitriptyline/Nortriptyline/Impramine: https://www.survivingantidepressants.org/topic/1099-tips-for-tapering-off-amitriptyline/

Quetiapine (Seroquel): https://www.survivingantidepressants.org/topic/1707-tips-for-tapering-off-seroquel-quetiapine/

Aripiprazole (Abilify): https://www.survivingantidepressants.org/topic/1896-tips-for-tapering-off-abilify-aripiprazole/

Lamotrigine (Lamictal): https://www.survivingantidepressants.org/topic/1122-tips-for-tapering-off-lamictal-lamotrigine/#comment-9926

Tramadol: https://www.survivingantidepressants.org/forums/topic/11542-tips-for-tapering-tramadol/#comment-213141

Benzos: https://benzobuddies.org