Antidepressiva behov och nertrappning

Källa:     http://www.benzo.org.uk/healy.htm


Nedtrappning är inte helt problemfritt men det är definitivt värt att bli sig själv igen istället för att hamna i gruppen som är långvarit beroende.

Om du har problem med engelskan så använd google translate - översättningen är hyftsat bra.

FEATURES OF WITHDRAWAL/WITHDRAWAL SYMPTOMS

The common symptoms on withdrawal from SSRIs break down into two groups(2). The first group may be unlike anything you have had before and include:

Dizziness
Headache
Muscle Spasms
Tremor
Electric Shock-like Sensations
Other Strange Tingling or Painful Sensations
Nausea, Diarrhoea, Flatulence
Dreams, including Vivid Dreams
Agitation

The second group overlaps with general nervousness and may lead to you or your physician to think that all you have are features of your original problem. These symptoms include:

Depression
Lability of Mood
Irritability
Agitation
Confusion
Fatigue/Malaise
Flu-like Feelings
Insomnia or Drowsiness
Mood Swings
Sweating
Feelings of Unreality
Feelings of being Hot or Cold

These symptoms appear in anything between 20% to 50% of patients taking SSRIs, sometimes within hours of the last dose. Paroxetine and Venlafaxine appear the most problematic agents at the moment but similar symptoms are liable to occur with all SSRIs and to a lesser extent with tricyclic antidepressants. In milder cases problems may clear up after a week or two, but in others symptoms may continue weeks or months after the last dose and for some patients it may not be possible to stop treatment. Specialist help may benefit some patients in this latter group, if only to provide suggestions on antidotes to continuing drug induced problems such as loss of libido.

PROTOCOL FOR THE WITHDRAWAL
OF SSRI ANTIDEPRESSANTS

by Dr David Healy MD, FRCPsych
North Wales Department of Psychological Medicine,
Bangor, Gwynedd LL57 2PW, Wales, UK