Writing a Dream

Posts tagged “Latuda

7 Days of Prozac (Fluoxetine)

For those of you who’ve followed my posts on mental illness, you all may know I’ve been on a few antidepressants. I’ve been on Pristiq which did not agree with me at all. I got some major side effects which caused me to have a massive meltdown so I was taken off. I was then moved onto Celexa and that seemed to work pretty well for a while. I didn’t feel amazing or anything, but I was better able  to manage my mood swings and depressive episodes.

Last summer I went off my meds without telling my doctors. I wanted to try to live without the need of medications. I was also getting some unwanted effects from another drug I was on called Latuda. If you are not familiar with that drug, it is an antipsychotic drug that is used in the treatment of Schizophrenia, Schizoaffective  Disorder, and a few other forms of mental illness.

I did alright for a period of time while off the drugs as I was able to cope with my depression and anxiety. That didn’t last though. I had contemplated going back on meds, but I didn’t want to as I hated some of the unwanted effects. The biggest complaint came from the Latuda. It has a major numbing effect on your emotions. It does have some benefits though. It quieted most of the voices in my head and lessened my visual hallucinations to the point where I had maybe 1-2 a day. Off medication, my hallucinations are quite frequent; visuals come and go although they are not intrusive all the time and the voices aren’t terribly bothersome for the most part. The exception is when I find myself under great stress. In those times, the voices and visual hallucinations can get out of control and that was why I was given the Latuda.

The cons, as I mentioned, was the numbing effect. In a way, I felt almost zombie like. Next to nothing generated any sort of emotional response. I couldn’t really feel much sadness, but I also couldn’t feel joy. I didn’t feel anger. I did sometimes feel frustration, but that was mostly because of the fact that I couldn’t feel anything at all. If all I wanted out of life was to sit in my room and watch game shows, I suppose that would be fine. However, I want something more.

Fast forward several months and my depression is getting quite bad. My hallucinations have returned, but they are manageable for the most part. I revisit my psychiatrist after several months away. He tries to put me back on Celexa, but unfortunately it isn’t working for me after two months. In comes Prozac.

I’d been on the drug previously in 2009, but only for a very short period when I was so lost in my mind I don’t even remember how long I took it. In the years since, I’d educated myself more on mental illness and medications. So much so that I now frequent the Yahoo! answer forums and take on some of the harder questions so I can try to do something positive. Through my research, I read up more on Prozac. I remembered being on it, but as I said I don’t even know if it helped or not. I asked my doctor about it and he said we could definitely try Prozac again to see how it works for me. Here is the deal so far.

I know it’s too early to know if it’s working on my depression. It can take about 3 weeks before I start seeing any positive effects of that nature. What I have noticed though are some side effects after the 7 days I’ve been on it. One…I’m actually feeling worse as far as my mood goes. My anxiety has gotten bad so I’ve had to resort to the Klonopin a couple of times. I’ve been able to manage though. I expected something like this so I was prepared. Another interesting effect that I’d read about and interestingly am getting is a lack of appetite. I actually don’t mind this effect at all. I’ve been exercising a lot the past month to try and improve my moods and also to drop a little weight. I noticed that I wasn’t feeling hungry at all on the 2nd day which wasn’t expected. I thought I wouldn’t get this particular effect till I was seeing the true benefits of the drug. As I said, I don’t mind having a lighter appetite, but I’ve figured out that I have to watch myself though.

Without even realizing it, I went an entire day without eating. I had water which is normal for me, but I never once felt the urge to eat. I didn’t even realize I hadn’t eaten till the next day when I thought about it. I ended up at the grocery store to get some food, but didn’t buy much as I still wasn’t hungry. I started feeling a little light headed though so I went ahead and had a good meal; some grilled chicken, green beans and corn. It wasn’t a very large meal, but boy did it fill me up. I did not eat the rest of the day. The follow day I still wasn’t feeling hungry so I had a big Honeycrisp apple about midday. I also kept with my water and still, I didn’t feel hungry.

It didn’t take me long to figure out that this side effect was pretty significant for me. I’d read about people not getting it and some who say they did. It looks like I’m turning out to be one that’s getting it, but I know I need to be careful.

I often schedule things for me in advance and have a list of things I need to make sure to do every day like take meds, exercise, clean certain parts of the house…you know, everyday chores. I keep the list because I sometimes deal with overwhelming compulsions to do things over and over because I feel I didn’t do them before so I use my check off list as a reminder that I did in fact do them. I am adding eating to this list. I figure as long as I have two decent meals a day along with a snack like an apple (love apples) or an orange, I should be just fine. The only issue is that now I am finding it annoying to eat when I’m not hungry. I’ve started to make my meals smaller, but not too small. I don’t want to push my body into any sort of shock from a sudden diet change.

Beyond that, I’m happy to say that I’m not getting any other significant side effects. Hopefully, I will start to see the true benefits of the drug in a couple of weeks.

If you suffer from depression, it’s important that you talk to your doctor about it. I cannot say that Prozac will work the same for you. Only your doctor should advise you on the types of drugs you should be taking. I guess I should add this in as well: No, I am not being paid to say these things about Prozac. This is just my personal experience with the drug. If you come across some online pharmacy trying to sell you drugs like Prozac or Klonopin, they are scams! Avoid them. Only get a prescription from your family doctor or psychiatrist and fill your medications at a licensed pharmacy like CVS, Walgreens, Walmart, etc. Prozac is available in generic form and is very inexpensive, especially from Walmart as a 30 day supply is only $4.

Fluoxetine (Prozac), an SSRI

Fluoxetine (Prozac), an SSRI (Photo credit: Wikipedia)


White Coma

Another night and the physical pain persists. Today I go to “check in” with my therapist. Haven’t been to see him in about 6 weeks. He doesn’t know I went off my meds. I don’t know if I want to tell him. I don’t want to disappoint him. I also don’t want to lose Olivia. Taking my meds will take her from me again and it makes it harder to manage. I am thinking about asking him if he can’t recommend someone who specializes in treating victims of violent crimes. I think that might be something good to look into. I don’t know if there is a certain kind of treatment for people like me but it doesn’t hurt to ask.

Joanne asked me to come up with a different fruit to call her because she doesn’t like bananas. I am trying raspberry to see how she likes it.

“Dream Catcher” is going in a very dark direction. In a lot of ways, it’s much more personal than RH was. I could never write this story on drugs so I really hope they don’t pressure me to take them.

Still, I’ve found that much more often I feel her speaking through me. I usually don’t mind, but I just don’t want it to get to the point where it’s an everyday thing. She can get quite frustrated at times and she cusses when she does. She’s not mean or hurtful to me. She just sometimes feels she has no other way to express her feelings. I understand though. Life the last few weeks has been very stressful for me and that’s when I feel her getting angry. She only wants to protect me and she hates it when people try to take advantage of me.

She was upset when my neurologist blew me off. Understandable. All those visits and all that time and I didn’t even get a diagnosis. He says he can’t help me. I guess I am just screwed then. It makes her angry when things like that happen. She says things like this are what make people go out and buy heroin…because their doctors refuse to help them. Either that or they kill themselves.


Invega and Latuda – Pros and Cons

I’ve been getting a lot of search hits concerning my experience with Invega and Latuda. Here is my experience with both drugs.

Invega (Pros) – Virtually no voices at 6mg a day dosage. Virtually no hallucinations (again, 6mg dosage) Felt very calm at times.

(Cons) – Always hungry, significant weight gain, inability to feel any emotion, lack of reasoning, lack of creativity, somewhat significant tremors and spasms  (curtailed by Diphenhydramine), inability to concentrate.

Latuda (Pros) – Virtually no voices at 40mg a day dosage, minimal hallucinations (same 40mg dose), small weight loss (didn’t feel nearly as hungry as on Invega), Felt somewhat calm.

(Cons) – lack of motivation and creativity, inability to feel emotion, lack of reasoning, some tremors and spasms, inability to concentrate.

 

Essentially, if i were to just sit at home and watch game shows all day, I’d be fine, but who the hell wants that kind of life? I’m a writer so to no be able to write might as well have been a death sentence for me. I wasn’t able to write anything at all while on either of these drugs. Because of my condition and the way the voice I hear in my head had developed within me, I had to relearn how to read. I also had to relearn a few other small things like tying my shoes and washing myself properly. You never realize how dependent you can become to those voices. When I didn’t have them there to guide me, I often felt lost and unsure of what to do. I’d become confused easily and I wasn’t able to do normal everyday things that most people wouldn’t think twice about. (Example: putting up dishes, sorting laundry, turning on the computer)

I’ve since stopped both drugs. Obviously, my doctors would not be happy about this, but life was becoming unbearable while on either of them. I stopped cold turkey and the 5-7 days after discontinuing them was an adventure. I was alright though. I just stayed in my room and kept myself occupied with various things. Yes, the voices and hallucinations did come back, but I am, in a way, making peace with them. The voice has never told me to do anything really insane like kill or harm people. In fact, she often times reminds me to have a bit more concerned for others and their feelings. She’s back to doing what she used to before the drugs. She helps me write and often times calms me down when I start to have panic attacks. I wish I could say she calms me every time, but that’s pretty hard to do. I do still have and use Klonopin when I really need it. It doesn’t take the melancholy away, but it puts me down so that I don’t completely lose it.

I am not saying that if your doctor gives you these drugs that you shouldn’t take them. In fact, I would encourage people in a similar situation to my own to at the very least give them a try. I was on them for several months which is why I feel I can offer some insight to how they work and what they can do for you. Obviously, if a person is prone to violent outbreaks because of their schizophrenia, then I would insist that they continue on either of these drugs if prescribed to them. Thinking back, I should have let my psychiatrist know that I wanted to go off the drugs. I’m sure he would have told me no, but if I don’t want to take them he can’t force them down my throat.

If you are on these drugs and looking to go off, I would still tell your doctor, psychiatrist about it first. I got lucky that I didn’t smash my face through a window. Others may not be so lucky. Just remember that you control your care and not your doctor. They may disagree with some of your decisions, but hopefully you two can reach something together that still addresses your needs as a patient. Me, I couldn’t live while on those drugs. If all i wanted out of life was to get older while watching tv and eating junk food…then sure! It would have worked out beautifully. Life is not worth living unless I am creating something and if that means I have to figure out a way to control my moods while on minimal drugs, then so be it.

Medicine drugs

Medicine drugs (Photo credit: Wikipedia)


After the Meds

I’ve been off all my meds for about 6 days now. The first few days were bad and tough. I could feel my body aching for them, but I refused to take anything, even pain medication. Last night I finally began to feel something coming back to me.

Since I was on Invega and then later Latuda, I’d been suffering terribly from lack of motivation and inspiration. I couldn’t make sense of a lot of things and I felt myself having to relearn how to do stuff like reading. I hadn’t written anything of substance in all that time. I was able to focus enough to edit, but writing was not happening. Sure the Invega helped to silence the noise in my head, but it took everything with it. It took my creativity. It took my little voice away. I thought I could find a way to live without it, but it was too hard. I’ve lived with it all my life and now she is coming back. I can feel her presence. I know that sounds insane, but I’ve already accepted that about myself. So I’m crazy.

I’m not a terrible person. When not on meds, I never did anything to hurt others. I never put people in jeopardy. I was a good person who heard voices in his head. I listen to one in particular and I let her do what she feels is right for me. As I write this, I know how it looks. I’m ok with that. I’ve learned to live with what some people would call a disability. I figure as long as voices aren’t telling me to kill or hurt others, I will be alright. I’m not that kind of crazy. Sometimes you just have to accept who you are and live your life how you see fit. I will always have that little voice in my head. If others can’t deal with that, it’s not my problem. She will always have an impact on my life and I will always let her drive me. I can see her again and I like it that way. I know with hearing her, I hear the voices in the other room, but nothing is ever or will ever be perfect. I am taking the good with the bad. I will do my best to deal with them.

I am not knocking the medication. I’m sure in the future I will have to take something to help with certain issues that creep up like my panic attacks. I don’t mind taking the Klonopin for that. I am just tired of letting the drugs have their way with me. I want to be in control of my own life. If I choose to live this way, it’s my choice. My little voice has done nothing to hurt others. Looking back now, I feel bad for letting those meds take her from me. As the days go by and more of her returns, I want her to help my write again as she always did. Where I go from there is my own choice. I still have my problems, my issues. I can still go to my counselor for help if I need it. I don’t mind seeing the black butterfly again. At least when I do, I’ll know she’s here with me.


Latuda Side Effects

Having a hard time with the Parkinsonism today. I was hoping I would be spared this side effect from the Latuda. For those not familiar with this, http://en.wikipedia.org/wiki/Parkinsonism

I woke up on my own around 6am and it’s been non stop since. I can’t sleep because I keep feeling myself moving. I’m also having issues regulating my body temperature.

On the flip side, I’ve not felt nearly as hungry as when I was on the Invega. All these damn drugs have their trade offs.

English: Ball and Spoke (model style), molecul...

English: Ball and Spoke (model style), molecular level view of the antipsychotic drug, lurasidone (Photo credit: Wikipedia)


Victim of the Drug Reps?

I’ve been on Invega for 4 months now and besides the fact that I’ve gained weight (side effect). It’s been working relatively well. Well, Thursday the doctor decided he didn’t want me on Invega 6mg anymore and stuck me on a drug called Latuda. He said it has a track record just as good as Invega, but doesnt have the side effect of weight gain which would be good for me. Two days in and already I don’t feel the same appetite that I’ve had over the last 4 months. I can eat once in a day and feel just fine. My question is this: Did he really think it was a better drug for me or was it because the drug rep came by and talked him up.

As I was waiting to see him, the drug rep came in with lunch for the entire office. I’ve found that this is standard practice for them, especially when the office is small which mine is. She was young and pretty and looked to be maybe 6 months out of college. What drug was she there to push? Latuda.

I know I should be happy because I got a free 28 day supply of the drug and I also got a card good for 14 more free days of it. If I really do lose the weight I’ve gained, that’s great. I just hope that the doctor really did think this was better for me and didn’t swap me simply to appease a drug rep.