Is it a side effect of antidepressant medication?
Hello, doctor.
I started taking some psychiatric medications for depression two months ago, and I didn't experience any significant side effects until last week when my medication was adjusted.
I switched from taking 1.5 tablets of Venlafaxine and 2 tablets of Duloxetine to 2 tablets of Venlafaxine, 2 tablets of Zolpidem, and 1 tablet of Aripiprazole.
The next day, I experienced excessive sleepiness, headaches, nausea, vomiting, diarrhea, and body aches.
I feel nauseous every time I eat, and these symptoms have persisted for more than three days.
Since my COVID-19 rapid tests have all come back negative, I suspect these might be side effects from the medication adjustment, but I'm also unsure if it could be a reaction similar to food poisoning, which would warrant seeing a gastroenterologist.
Should I wait until my follow-up appointment with the psychiatrist to discuss this, or should I see a gastroenterologist first?
Shenqi Hailuo, 10~19 year old female. Ask Date: 2022/06/27
Dr. Qiu Junda reply Psychiatry
Hello.
Since the occurrence happened after your medication adjustment, it is indeed possible that it could be a side effect of the medication.
The addition of Anli Fu (Anxiolytic) should be considered.
You may try to stop taking Anli Fu (or reduce the dosage by half) and then report back to your physician during your next appointment.
Thank you.
Reply Date: 2022/06/27
More Info
It sounds like you are experiencing a range of symptoms after a recent adjustment to your depression medication regimen. The symptoms you describe—drowsiness, headaches, nausea, vomiting, diarrhea, and generalized body aches—can indeed be side effects of the medications you are taking. However, they could also be indicative of other issues, such as a gastrointestinal infection or food poisoning, especially since you mentioned that these symptoms have persisted for over three days.
When it comes to managing medication for depression, it’s important to understand that side effects can vary significantly from person to person. The medications you mentioned, such as "煩多閃" (likely referring to venlafaxine, known as Effexor) and "悠樂丁" (possibly referring to a sedative or sleep aid), can have side effects that include drowsiness, nausea, and gastrointestinal disturbances. The adjustment in dosage or the combination of different medications can sometimes lead to an increase in side effects, particularly when starting a new medication or increasing the dose of an existing one.
Given your symptoms, here are a few steps you might consider:
1. Monitor Your Symptoms: Keep a detailed log of your symptoms, including when they occur, their severity, and any potential triggers (such as specific foods or activities). This information can be very helpful for your healthcare provider.
2. Consult Your Psychiatrist: Since you have a follow-up appointment with your psychiatrist, it is crucial to discuss these symptoms with them. They can help determine whether these symptoms are likely related to the medication or if they warrant further investigation.
3. Consider Immediate Care: If your symptoms worsen or if you experience severe symptoms such as persistent vomiting, dehydration, or significant abdominal pain, it would be wise to seek immediate medical attention, possibly from a gastroenterologist. They can rule out any gastrointestinal issues that may require treatment.
4. Medication Review: Your psychiatrist may need to review your current medication regimen. Sometimes, adjusting the dosage or switching to a different medication can alleviate side effects. It’s essential to communicate openly about how you’re feeling and any concerns you have regarding the medications.
5. Lifestyle Adjustments: In addition to medication, consider incorporating lifestyle changes that can support your mental health. Regular exercise, a balanced diet, and adequate sleep can all contribute to improved mood and overall well-being. Mindfulness practices, such as meditation or yoga, may also help manage stress and anxiety.
6. Support System: Engage with a support system, whether it be friends, family, or support groups. Sharing your experiences can provide emotional relief and practical advice from others who have faced similar challenges.
In summary, while it is possible that your symptoms are side effects of your medication, they could also be due to other factors. It’s essential to communicate with your healthcare providers about your symptoms and concerns. They can help you navigate this challenging situation and ensure that you receive the appropriate care and adjustments to your treatment plan. Remember, managing depression often requires a multifaceted approach, and finding the right balance of medication, therapy, and lifestyle changes can take time.
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