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Stopping medication for depression without authorization may be more harmful than you think

Time:2022-11-27 23:56:12 source:psychiatricethics.com author:Leisure vacation Read:717次
Stopping medication for depression without authorization may be more harmful than you think

"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 can I stop? Withdrawal 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. Symptoms that may occur when the drug is discontinued without authorization: 1. Dizziness, feeling that you may faint at any time 2. Feeling abnormal, such as feeling an electric shock. 3. Headache 4. Gastrointestinal symptoms such as nausea, vomiting. 5. Tremors 6. Insomnia 7. Become manic and stop taking medicine, although it is not fatal, but if you don't take medicine and don't see a doctor, letting depression develop will seriously affect one's own psychology and physiology, and even lead to suicide, affecting one's own health. life safety. Why can't I stop the drug? There is also a very simple reason: drug withdrawal = relapse-related surveys show that the recurrence rate of depression after the first onset is 50% to 60%, and the third recurrence rate after the recurrence is 70% to 80%. Three onsets, after the recurrence rate of more than 90%. And each recurrence of depressive symptoms may worsen, the difficulty of treatment will also increase, and the time of maintenance treatment will also be prolonged. Depression patients who stop their medication too early are also more likely to relapse. Which antidepressants are more prone to withdrawal reactions? Withdrawal reactions can occur with sudden discontinuation of all antidepressants. Antidepressants that stay in the body for a short period of time when treating depression and act on both the 5-HT and NE systems are most prone to withdrawal syndrome due to abrupt discontinuation. These include sertraline, escitalopram, venlafaxine, paroxetine, and more. Depression is a disease that is easy to relapse. According to statistics, after the depression is cured, the relapse rate is as high as 98% in three years. Of course, don't always worry about whether your depression will relapse. The more you live with such a heavy mentality, the easier it will be to relapse. 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.

(责任编辑:Anxiety disorder)

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