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Christin Nichols übernimmt diese Woche den Popfilter. Es geht um ihr Herzensthema: Songs mit Haltung. Vor allem in Großbritannien tauchen in den vergangenen Jahren immer mehr Bands auf, die den Post-Punk wiederbeleben, auf ihre eigene, feministische Weise.

#ChristinNichols #Citalopram #DryCleaning #Fatoni #Musiktipp #NewFemaleBritishPostPunk #Popfilter #PostPunk #RetteSich #SongDesTages #Sprints #TodayIChooseViolence #WerKann #WetLeg #PopfilterDerSongDesTages

https://detektor.fm/musik/popfilter-takeover-woche-christin-nichols-ueber-new-female-british-post-punk?utm_campaign=share_on_mastodon&utm_medium=mastodon&utm_source=mastodon

20 Lieder, die bleiben. Ein Lied pro Tag. Keine Erklärungen. Keine Bewertungen.

2/20: #ChristinNichols #Citalopram

#20songs #20Lieder

https://youtu.be/3HpnIAvpuFk?si=sJhzAWYwJfvEHR2G

I stopped taking #mirtazipine during our last holiday (not the most recent one) and I was on a very low dose which the GP wondered was even effective.

I felt a bit queasy when I was stopping it and definitely had a period of strange dreams.

I think I can now reflect on the effect that #mirtazapine was having:
It was smoothing out both the highs & lows of life. There was little joy, but no deep depression - the waves had been damped down considerably.

I'm experiencing a bit more colour in life now, but equally I rarely have the depressive episodes I was having 2 years ago - so it has worked for me.

My experiences with #citalopram some years ago were very different with severe withdrawal issues.

Don't be afraid of psychoactive medication - it can help with #MentalHealth issues

• SNRI - serotonin-noradrenaline reuptake inhibitor
• SSRI - selective serotonin reuptake inhibitor
• NDRI - noradrenaline-dopamine reuptake inhibitor

Hey folks

As many of you will know, we've been struggling a lot rather too frequently recently.

After a lot of research and reading up, we asked our GP to switch us over from venlafaxine (SNRI) to setraline (SSRI).

In order to do this, we first need to slowly titrate down from 375 to 150 mg daily of venlafaxine. It needs to be done slowly, as coming off venlafaxine too quickly (or even missing a dose) can cause super nasty withdrawal symptoms.

Fortunately for us, the venlafaxine capsules we get (Vencarm XL) each contain an appropriate number of 12.5 mg tablets. This makes it very easy to titrate down slowly, by removing a set number of tablets from each capsule.

We'll be gradually reducing our dose by 12.5 mg every other day. This should hopefully allow our brain to gradually adapt to the lessened serotonin and noradrenaline levels, rather than going down in single big steps of 37.5 or 75 mg weekly.

Our GP will then prescribe us 50 mg sertraline daily to take alongside as we continue to titrate down our daily venlafaxine dose.

Assuming no negative side effects (or at least no more than on venlafaxine), our GP can then increase the setraline dose as required, likely to 100 mg.

If there are negative side effects with sertraline, we have backup plans of fluoxetine and, if necessary, citalopram (which we've had before).

Once we're off venlafaxine and on a stable dose of an SSRI, we will then start taking bupropion (NDRI) extended release at the starting dose of 150 mg daily. This should help boost our noradrenaline and dopamine levels somewhat, which should, alongside the setraline, should help more than venlafaxine ever did.

We sadly can't get bupropion through the NHS, so we'll have to acquire it via means outside of the NHS prescription system. Yes: NHS England and NICE are quite a bit behind the times on many things.

In case anyone is wondering why we would even consider an initial switch from an SNRI to an SSRI in the first place, it's because we discovered that it really doesn't boost noradrenaline levels by much: as little as 1/30th to 1/10th as much as it boosts serotonin, depending on dose.

Additionally, venlafaxine just isn't working for us, and our only realistic remaining option medically is to switch to an SSRI first, then bring in a well-reviewed NDRI to give us a decent boost in noradrenaline and dopamine.

#SNRI #SSRI #NDRI #venlafaxine #sertraline #fluoxetine #citalopram #bupropion #depression #TreatmentResistantDepression #MentalHealth