it does say that theres only 20 in the label, but im more pissed about the waste. everything couldve been put on 3 trays
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The only time I've seen something like this is when my doctor really wanted me to try an anti-depressant, so he gave me a perpetual supply of free samples.
Don't antidepressants take weeks to start working?
A doctor said this and it was such a good metaphor: imagine that you have a 3000 year old machine (which no one understands anymore) with a bunch of cogs and gears, and you're looking down at it from above. You're trying to fix a gear that is slightly out of alignment further down in the machine, you can't really tell which one it is but you know roughly which area, and to fix it you drop a rock into the machine and watch it fall down.
That's what we're doing with SSRIs. We're dropping a rock that manipulates our serotonin, which gives a bunch of effects but not the one we're after. The one we're after is somewhere down the line. It's affected by processes that are affected by the serotonin somehow. We're not exactly sure which one it is, but we know that if we drop the rock in there it will make the gears align sooner or later.
Which is why it takes time, and why it has some odd effects on people sometimes.
edit: added a detail I missed, to make it clearer.
"the rock may or may not cause the inability to cum and sleep"
Friendly reminder that sexual side effects of SSRIs are incredibly common, some medications effect more than one in four, but it is something that’s typically wildly underreported unless the practitioner brings it up, specifically, first. Not just “any side effects”.
There are multiple treatment options for people who encounter those side effects. They can range from poor libido/drive, to inability to obtain an erection or adequate vaginal moisture, to delayed or absent orgasm. All are common and all are frustrating. All can occur alone or with one or more partners.
If it’s impacting treatment or quality of life or your ability to stay compliant with meds, it’s absolutely worth discussing with your provider. There are other medications or alternative schedules to taking SSRIs. There are other meds that can be prescribed alongside SSRIs to accommodate for the side effects.
Relevant article from Journal of Clinical Medicine: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6832699/
There's other antidepressants that don't do that. Mirtazapine for instance helps sleep, and has no real impact on sex. It'll make you hungry, though. Buproprion will mess with your sleep but not sex, but you'll have no appetite. They all have their own unique collection of side effects, well worth looking into other options if SSRI's aren't well tolerated
Thanks. I'm just making jokes. Fortunately most of my side effects went away, although I still have wild dreams.