How long should I be on antidepressants? Most people are advised to keep taking their antidepressant for at least 6 to 12 months after they start to feel better, to reduce the risk of symptoms returning. It's important to discuss with your doctor about the best time to stop an antidepressant.
It's usually recommended that a course of antidepressants continues for at least 6 months after you feel better, to prevent your condition recurring when you stop. Some people with recurrent illness are advised to carry on taking medicine indefinitely.
Guidance from the National Institute of Health and Care Excellence recommends that antidepressants are used as 'maintenance' treatment for up to 2 years to prevent their depression returning (relapse).
You may be tempted to stop taking antidepressants as soon as your symptoms ease, but depression can return if you quit too soon. Clinicians generally recommend staying on the medication for six to nine months before considering going off antidepressants.
If You Do Have to Take Antidepressants Forever, You Will Be OK. Some recent studies suggest long-term antidepressant use may come with side effects previously unknown to scientists. “These risks include an increased risk of gastrointestinal bleeding, especially for SSRI users,” Dr. Hong explained.
This is one of the more common myths associated with the condition. You do not need to take antidepressants forever nor do you need to get a prescription from a counselor or therapist. During your first few sessions, you'll have the chance to talk about your needs and find out whether antidepressants can help.
Two recent reviews of research in this area concluded that discontinuation effects, sexual dysfunction, weight gain, and sleep disturbance (multiple long-wake periods) are adverse effects of long-term SSRI use.
Antidepressants can also relieve long-term symptoms of chronic depressive disorder (dysthymia) and chronic depression, and help make them go away completely. An antidepressant can already have an effect within one or two weeks.
Those who took antidepressants in higher doses for a longer time have more intense symptoms. Withdrawal symptoms typically persist for up to three weeks. The symptoms gradually fade during this time. Most people who quit taking their antidepressants stop having symptoms after three weeks.
If you feel like your antidepressant has stopped working, you're not alone. It's common for a medication that once worked wonders to become ineffective, especially if you've been taking it for a long time. Symptoms return for up to 33% of people using antidepressants — it's called breakthrough depression.
Benefits of natural remedies
When experiencing withdrawal symptoms or antidepressant discontinuation syndrome, increasing physical exercise or changing the diet to include more fresh food may help ease symptoms by making a person feel reinvigorated and less lethargic.
You will just need to taper more slowly, with smaller reductions in dose, over a longer period of time. Only occasionally, where an antidepressant causes serious side-effects, should it be stopped suddenly, without tapering. If this does happen, see your doctor urgently.
There is new reason to be cautious about using popular antidepressants in people who are not really depressed. For the first time, research has shown that a widely used antidepressant may cause subtle changes in brain structure and function when taken by those who are not depressed.
Antidepressants Are Effective
Any benefits of medication have to surpass that of the “placebo effect” to be declared effective. Antidepressants are proven to be more effective than a placebo with respect to relieving depressive symptoms and shortening the length of a depressive episode.
In time, the brain readjusts and people should experience a return to their normal state. If depressive symptoms do arise and gradually worsen, it's best to consult a psychiatrist or doctor, if they don't improve within a few weeks or if they become severe.
Hardest-to-Stop Antidepressants
Other short-acting medications that affect mainly serotonin include: citalopram) (Celexa) escitalopram (Lexapro) paroxetine (Paxil)
Antidepressants interfere with serotonin, the neurotransmitter that regulates anxiety and mood while also controlling appetite. In particular, these changes may increase cravings for carbohydrate-rich foods, such as bread, pasta, and desserts.”
For most people, antidepressants are the main cause of emotional blunting. In most cases, feelings of numbness go away when you stop taking the antidepressant that is causing you to feel this way. If you feel emotionally numb, it's important to tell your doctor.
The best reason to stop taking your antidepressant is because you feel better and you and your doctor believe that you will stay well after you stop taking it. An antidepressant needs time to work. You may need to take it for 1 to 3 weeks before you start to feel better and for 6 to 8 weeks before you feel much better.
Perhaps the fundamental reason why antidepressants are so widely prescribed and used is that they fit with the 'medical model' of mental illness, which has become the standard view in western culture. This model sees depression as a medical condition which can be “fixed” in the same way as a physical injury or illness.