Time：2023-03-26 00:07:59 source：psychiatricethics.com author：Public activities Read：328次

Why does depression recur after stopping the drug, what is the safest way to stop the drug, and how to deal with the withdrawal reaction?

Why does depression recur after stopping the drug, what is the safest way to stop the drug, and how to deal with the withdrawal reaction? "Doctor, I was diagnosed with depression in March this year, and now I feel that the symptoms have disappeared. I accidentally stopped the drug for a day in the middle, and there was no abnormality. Can I stop the drug?" For patients who are taking medicine, When to stop the drug is the core issue of everyone's concern. However, there are many patients who feel that they are in good condition and then relapse soon after they stop taking the drug on their own. So, under what circumstances can the drug be stopped, and how to stop the drug correctly? The premise of drug withdrawal is a standardized and effective full-course treatment of mental illness. Drug treatment is different from headaches and colds. The drug should be stopped immediately after symptoms cannot be improved, because depression, anxiety, bipolar disorder, schizophrenia, etc. There is a high recurrence rate, more than 50% of patients will have a second attack, and 75%-80% of patients will have multiple attacks. In order to minimize the risk of relapse, psychiatrists generally advocate adequate treatment throughout the course of treatment, namely acute treatment, recovery period and maintenance treatment. Acute treatment: about 8-12 weeks, the main goal of this stage is to basically eliminate symptoms through drugs, promote the recovery of damaged functions, and achieve a state of clinical cure. Psychotropic drugs are more effective, and you should pay attention to sticking to the medication. If you stop taking the medication at this stage, it is easy to aggravate the condition. Recovery period treatment: about 4-9 months, the treatment plan in this stage is basically the same as that in the acute stage, but it is necessary to pay attention to whether there are "residual symptoms", including physical discomfort, sleep disturbance, cognitive dysfunction, etc., without obvious residual symptoms It shows that the recovery is good, and if there are obvious residual symptoms, long-term treatment should be accepted. Maintenance treatment: patients with the first attack need maintenance treatment for 6-12 months, and the second recurrence needs 3-5 years. Long-term medication should be taken for more than three recurrences. Therefore, in order to recover faster and better, it is very important to adhere to standardized treatment. How to deal with withdrawal reactions? Drug withdrawal is a common problem encountered during drug withdrawal. The withdrawal reactions of psychotropic drugs are complex and diverse. Common ones include dizziness, nausea, insomnia, numbness, balance disorders, and gastrointestinal symptoms. Most patients have withdrawal reactions. It is mild and will gradually disappear after 1-2 weeks, but there are also a small number of patients who suffer from long-term withdrawal reactions. In order to prevent the withdrawal reaction, everyone should be careful not to stop the drug suddenly, and reduce the drug slowly under the guidance of the doctor. Some studies have suggested that reducing the dose by 1/4 every week is a more secure way, that is, it takes a total of four weeks. Complete withdrawal, and some researchers advocate a 6-8 week withdrawal time. The timing of stopping the drug should also be well grasped, and try not to stop the drug in the face of major or stressful events. For patients who have had severe drug withdrawal reactions before or have many adverse reactions during the treatment period, they should be more cautious when stopping the drug, and communicate with their doctors more. All in all, the medication and withdrawal of mental illness is a very serious matter. You must listen to the opinions of professionals. Do not stop the medication at will because you feel that you have no symptoms or feel that the medication is not working. If you forget it, don't eat it. Irregular medication may cause the disease to recur and increase the difficulty of treatment.

(责任编辑：Depression)

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