Not dying, eating, drinking, procreation.
This is what we are built to do. Our entire purpose is to procreate (with survival just being a means to do this). Everything our bodies and brains do are there because they help us survive, and thus help us breed. How can losing this drive because of a medication not be a serious issue?
Whether you don't mind or not personally is completely irrelevant. Losing interest in sex isn't the problem (there are enough people already). The problem is the mechanism by which this happens is likely something significant, and almost certainly not good.
In my experience it isn't just sex drive SSRI's affect, its all drive, motivation.
Re SSRI's making you gain weight, it honestly doesn't matter if they disrupt your metabolism, or make you hungrier. Making you hungrier is likely due to a change in hormones (leptin, ghrelin etc). You won't resist increased hunger long term. The bonus is, if you take a medication that causes weight gain (for whatever reason), weight gain itself causes hormonal changes (decreased leptin sensitivity, increased estrogen -> lower testosterone) which makes it very hard to lose weight for some people even after stopping. In short, being fat makes you fat.
OP I feel your pain re the docs (have experienced it myself). If you don't want to take an SSRI, but feel you need to for them to prescribe other things, pretend you took it. Sure its better you didn't have to do this, but when the doctors are lying / misinformed / inept you have to do what you can to help yourself.
Thanks for your posts. I strongly agree, and they have been helpful.
As for lying, though, it is tough for me. Especially looking at someone who I know is trying to help me and telling them a lie. I kinda feel like "well, they have good intentions in giving me the SSRI. How am I going to let them help me if I don't follow along with their rules?" and I kinda feel bad in a strange way. Still, what must be done must be done. I just feel like they ARE the one who went to medical school, but then it disturbs me when they tell me that anxiety or depression is just a "serotonin deficiency" or when I read about a doctor saying that loss of sex drive is okay because you won't care about it.
I think I am going to try my luck again pretty far in the future, in a larger, more liberal town. Maybe find a specialist.
so, how are you doing with the bupropion?
I stopped the bupropion sunday (didn't take it sunday).
It wasn't great. There were a few positives, but I have been going back and forth on the negatives, and I think they do more damage than the positives help with.
I have to compare it to ritalin because that is the closest thing I have to compare it to.
It gave a very mild, but mostly insignificant effect on concentration. Of course, I wasn't expecting real a stimulant, but this was weak. In fact, it could have very well been placebo. The bottom line was that it wasn't very helpful, even if it was on its own.
I guess its purpose was for anxiety and mood though. It didn't do anything at all to or for anxiety. Anxiety was EXACTLY the same. Mood was a bit brightened, maybe. Truth be told, it was kinda like a bizzare, weak version of ritalin's mood effects and aftereffects, kinda that glowing effect of everything being a little better. It wasn't very strong, but it was certainly there. I will admit that it was kinda nice. I would imagine it would be a great subtle antidepressant. However, it can be replicated to the same effect but greater strength with Ritalin, and ephedrine or pseudoephdrine + piracetam can give a good enough effect to substitute it. Annoyingly, it also had a persistant dulling effect similar to ritalin's, the feeling of being "soulless", but a lot weaker. Maybe dulling is a bad description, it is kinda complacent or something. Just like a "nothing better to do" feeling, but without an increased ability to actually do anything.
I didn't notice any problems with memory, short term or long term. My short term is always bad, but I couldn't tell it actually getting any worse. Was going to test my Digit Span on cambridge, but I have trouble being persistant (normal). The few days I took it, there was no change, though. No change to appetite, either.
There was a negative effect on sleep. I was sleeping horribly. The first few days, I was sleeping for less than 6 hours per night, waking up multiple times, and being tired about 12 hours after waking up. Then I got to where I was sleeping 6 hours, waking up, AND I couldn't go to sleep nor would I get tired. I can sleep perfectly fine with ephedrine and ritalin, so I don't know what the deal was here. I guess nACh antagonism caused it, but you would think they would upregulate after a while, not get worse.
There was also a general negative effect on cognition. I felt like I couldn't think as deeply about things. It is a difficult feeling to describe, but in a certain way, I felt even less focused than normal. Not brain fog in the way I would normally use it (like it is thick or hazy in your brain) but I think I could describe it as brain fog as in if you turn on high-lights in the fog while you are driving. Piracetam + choline actually helped this quite a bit. However, I kept having to up the dosage of piracetam and then added oxiracetam, and it was getting silly and would have been expensive.
Maybe I should have just been patient and gave it another week, but screw it. It didn't seem to be getting any better. I'll just have to tough it out and compensate (CILTEP, racetams) for this upcoming semester. Next semester, I am moving out and to a city and I can try to find another doc.
I will admit, though, the social anxiety does need to be solved, and amphetamine or ritalin probably aren't the best solutions. I will be looking into self-CBT/exposure and fear extinction meds. Reducing anxiety to be able to talk to the doctor properly is a big thing. Once the anxiety is solved, I can deal with the avoidant features and concentration issues independently and without having to lie.
I did get to buy some stablon thanks to a member here. I will be trying that out soon.
You have to believe me, this thread wasn't originally supposed to be a personal blog, lol :D
To Saladface and those of you who have had bad and permanent experiences with SSRIs, I would be interested in your response to Stablon which does the opposite of an SSRI (but through an unknown mechanism).
My most unbearable side effect with escitalopram (lexapro in the US) is that I've lost my creativity or at least I don't feel as creative as usual more particularly for music.
AFAIC my libido is not affected that much but I'm on a low dose (5mg). I suspect myself that my major problem is related to dopamine as I feel TERRIBLE when I take selegiline or even when I smoke a cigarette. It could be a skyzophrenia form.
So ISRS is for now not that bad, but not a panacea.
Sorry to hear about that. Hopefully pharmocology will progress beyond SSRIs soon. Its strange, though, people with schizophrenia normally are helped by nicotine. If the loss in creativity is harmful, maybe you could talk to your doctor about swiching and trying a new med. Maybe you could try inositol (without SSRIs)?
I think that nupi is probably right in a sense, though. For some people SSRIs are sadly the best choice right now.