btw

I should’ve mentioned this a couple weeks ago when it actually happened, but then I got snowed under at work and kept on forgetting. (The fact I kept on forgetting is telling in and of itself.) On February 5, some 16 months following our previous appointment, I saw Ze Good Doctor. The tl;dr version: the intake lasted longer the appointment itself, I remarked upon the view from his new office, we talked about the fact I’ve got a ticket to one of the EURO 2020 semi-finals at Wembley, and somewhere in there we agreed there was absolutely no need for me to go back on antidepressants and said goodbye once and for all. I’m not sure this qualifies as another termination, seeing as the ink was barely dry on my new intake before we parted ways – but it does qualify as an official end to our relationship.

I’m free. I’m officially free. And freedom tastes of reality.

The Longest Break

I quit taking antidepressants 259 days ago, which makes this the¬†longest I’ve been medication-free since…well, from when I was born until I started on antidepressants in 2007. I remain optimistic that this is permanent.

With luck, this’ll be the last time I blog about OCD-related medication. I’ll make note of the one-year anniversary of my withdrawal on June 12, but that’s it. I’m done with them, and for the foreseeable future I’m done writing about them too.

Three Months

I’ve been off antidepressants exactly three months, and so far, so good. So really good, for the most part.

At the risk of belabouring this point: I am not against¬†antidepressants. They helped me get better; I’d start taking them again tomorrow if it were necessary. For now, though, it isn’t, and I’m hopefully done with them for a good, long while.

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A Bit More Math

Let’s do a bit more basic math, along with some even more basic doctoring.

Today is Tuesday, June 26th. I stopped taking Trintellix, my antidepressant, on Tuesday, June 12. Trintellix has a half-life of anywhere between 57 and 66 hours depending on (among other things) a person’s age, metabolism and overall health. It takes five times as long for the drug to fully exit a person’s system. 5 x 57 = 285, 5 x 66 = 330; 285/24 = 11.875, 330/24 = 13.75. In other words, 11-4/5 and 13-3/4 days.

Which means at some point between the early hours of Sunday and Tuesday mornings my body secreted the last lingering vestiges of Trintellix.

I am officially antidepressant-free.

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Withdrawal

Today, Sunday, is my fifth day antidepressant-free, and so far withdrawal’s been relatively smooth. Sure, I’ve been tired and lightheaded and irritable and had a mild surge of intrusive thoughts, but these are all perfectly normal withdrawal symptoms. Besides, the last time I did this I had a much different experience:

Day one was fine. Day two was okay. Day three was bad; day four was hellish. Day four was when the withdrawal symptoms really kicked in. Strangely enough I hadn’t really anticipated the possibility of negative side effects, yet they were myriad and surprisingly aggressive. I figured insomnia would be one of them, since one of my antidepressants was a sleeping aid, and it was. But what I didn’t reckon for was the nausea, dizziness, obsessive thoughts, or general sense of dread (not to mention some of the weirder side effects, like the inability to eat dairy or an itchy scalp).

Almost none of that’s happened this time, the dizziness and the obsessive thoughts aside – and even then the obsessions, while sometimes persistent and usually unpleasant, are mostly white noise (I could never have said that the last time, when obsessions still had the capacity to paralyze me). I suppose I should qualify that by mentioning I was going off both an antidepressant and an off-label antipsychotic the last time – but still, so far the difference between the two experiences has been night and day.

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Ativan

It’s Ride to Conquer Cancer weekend, and because I remember these sorts of things that means it’s exactly a year to the day since I last took Ativan. I’d been using it regularly following Chris Cornell’s death. Once we got to Hamilton on Saturday I was so exhausted from the biking, the heat and Ambassador Gordo’s godmother pumping us full of lasagna and roast beef and charcuterie that I passed out before taking my dose – and then realizing I had an opportunity to kick it completely, fought through a bit of discomfort on Sunday while the the last lingering vestiges exited my body.

I haven’t touched Ativan since. But I still had a bottle of it lying around, and in March (after disposing of the pills at Rexall) Sam and I went for a walk so I could get rid of it.

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