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Anxity-Depression-how to stop the Anxiety/depression medicine

My son is now 27 years old. Five years back during his fourth year one day when he went to Gym he got little injury to his testicle which lead to varicocele subsequently. On seeing that injury he was getting depressed and was very much worried. He was taken to urologist. The doctor give him some medicine for the treatment of varicocele and told that if varicocle does not vanish with this medicine then operation has to be done. After taking that medicine my son started talking in strange manners and he was behaving in depressed manner. When taken to the same urologist he suggested to take him to psychiatrist. One senior Psychiatrist told that he do not require any medicine for depression. But he was continuing to talk in a depressed manner then I took him to another psychiatrist. The other Psychiatrist gave him Mirtzapine 5 mg. After taking that medicine for around 2 months his mode started become normal. The dose was increased after few days. He took it for around one year but his condition was not becoming total normal so he was shown to another psychiatrist who gave aripiprazole:5 mg. That medicine was continued for long time but in between my son was leaving medicine saying that he donot require it and it is having lot of side affects and after persuasion he used to start medicine again. Whenever he is leaving medicine he is again behaving in different manner like sleeplessness, fear, blaming others and having lot of anger, irritation etc. When the dose was increased he was alright. When ever he is stopping medicine he is becoming different. At present he started to take half tab of 5 mg (2.5mg) alternate day from last week onwards since recently he was taking daily half tab of 5 mg tab. Now my questions are whether I did a mistake by starting depression medicine which was actually not required. What is the process of checking that a person is really require the depression medicine. How to stop the medicine after taking it a long time. While stopping whether paitient require to take any other medicines alongwith the reduced dose of the depression medicine., Whether apriprazole 2.5 mg can be taken regularly without break. Now my son is taking decision to take the 2.5 mg medicine alternate day instead of daily. He behaved little irritated in the beginning but now he says he is feeling good, shall he continue the dose alternate day. After how many months/days he should totally leave the medicine. Is it advisable to stop the medicine totally or one has to take the medicine for life long. How to avoid side effects of stopping the medicine totally. What are the alternative of this medicine in case my son want to shift to any natural remedy. Whether the mind of a person who gets depressed severely is week by birth or there would be some defect in his mind by birth. Is the depression is on account of any generic problem which may have come from his father in cases where father never got severely depressed. Whether the depression caused on account of any deficiency during pregnancy of the mother of the depressed person while giving birth to this depressed person. In case if a person really do not require this medicine but he was given it then will he become addict to it and if the medicine is stopped he will be in trouble. In case if a normal person takes this medicine then the medicine will affect him in any way. What is the right procedure of stopping this medicine.. In case if my son is determined to stop the medicine then how can he avoid any side affects like sleeplessness, irritation, anger on others, arguing, blaming others etc.My sons weight is going on increasing now he is 105 kgs with a hight of 176 cms. How can he keep his weight under control if he requires to continue the medicine.I request for an early reply.
8 Responses
Avatar universal
You have many questions because there are lots of issues with this situation. Some questions are technical so answers should be easy for a professional to give you and some will have no answers because it depends on the person and how they react to meds.

I am puzzled by some of the results when he stops taking the meds, ( fear, blaming others and having lot of anger) and wonder if he is diagnosed with more than just depression. If he lets you get access to his psychiatrist then that might be the best place to get your answers because they are familiar with him.
Avatar universal
You seem to indicate this all started with the medication he took for his health problem, so I'm confused as to why he was sent to a psychiatrist in the first place if the problem was a reaction to a medication.  I might have that wrong, but that's what your post indicates, that it all started as a reaction to a medication.  This happens, but usually the doctor would deal with this, not send someone to a psychiatrist.  So perhaps there's more involved that I don't understand.  But once you're on an antidepressant, they can be very hard to stop taking -- there's often a withdrawal effect, so usually when you want to stop you taper off the drug slowly.  And skipping doses, as your son is doing, will also send many people into repeated withdrawals every time the dose is skipped, so skipping doses is not a great idea and doing this for a long time can condition a person to an emotional problem they might not have gotten otherwise.  You don't play around with drugs, and especially not those that affect brain neurotransmitters.  If his depression is tied to the original drug reaction, that is what should be addressed, but to stop taking what he's taking needs to be done correctly with the monitoring of his psychiatrist, and a definite diagnosis of why he's depressed is important to treating it.  If you know why you're anxious or depressed you usually try first to deal with this if it becomes conditioned thinking in therapy, whereas drugs because of the problems they present are usually only prescribed by responsible physicians when other things haven't worked.  Now, I know nothing about what's really going on, but I hope this helps you think out what happened and how to go about finding help fixing it, which I'm certainly not qualified to do.
Avatar universal
Thanks for replying.
But can we assume the bad effects of mirtaz tab when it was given in a low quantity of 5 mg in the starting . The doctor might have thought that after taking it for a period of few months of days the patient will have to stop it. However I like to meet the doctor who first wrote this medicine and will take his feed back.However after taking for around two months he was little ok. But the medicine was to extend for further period on account of frequent depression or anxiety. Where it went wrong I am not able to understand. Being a lay man about medicines we cannot understand the bad effects of the medicines. Only the doctors should have suggested in proper manner. I was never told by the psychiatrist that the medicine of such type will cause such bad effects otherwise I would not have choosed the medicine. Doctor must give clear indications relating to medicines. When first time the patient goes to him he should tell whether med shall be taken or not if so for how much period or whether it can be stopped or not and when to increase the dose.
480448 tn?1426952138
I'm confused, in your initial post, you talk about this all being regarding your son, but in this latest post, it sounds as though you're talking about yourself.

As for this statement...

". Being a lay man about medicines we cannot understand the bad effects of the medicines. Only the doctors should have suggested in proper manner. I was never told by the psychiatrist that the medicine of such type will cause such bad effects otherwise I would not have choosed the medicine. Doctor must give clear indications relating to medicines. When first time the patient goes to him he should tell whether med shall be taken or not if so for how much period or whether it can be stopped or not and when to increase the dose."

I agree with you that doctors should spend more time educating their patients about medications, but at the end of the day, the responsibility to educate oneself falls onto the patient.  A doctor can only make suggestions and help the patient weigh the pros and cons when making a decision to try a medication.  They cannot give guarantees as to how a medication will work for each individual person, and they certainly cannot predict the people who will have side effects and difficulties, again, which is why it's important for people to educate themselves, and always always ask questions they're unsure of.
Avatar universal
With these kinds of things going on with him - fear, blaming others and having lot of anger - I am wondering if crusador is sort of trying to take care of him because he is unwilling.
Can you elaborate crusador?
Avatar universal
Thanks for replying.
I might have used the grammar in such a way that you thought that it is for me but it is a fact that it was for my son only. You cannot understand my situation. My lone son has become a psychiatric patient. When we at first visited one of the psychiatrist senior doctor he after speaking to my son opined that medicine is not required. However his condition was not becoming normal so we consulted another doctor who gave medicine. When I discussed with my son about that situation he replied that what has happened is past now we should concentrate on the present treatment. He is now taking homeo medicine also alongwith the aelopathic  medicine. Homeo doctor told that the aelopathic medicine should be stopped in a phased manner. Now the big question is how to eliminate the bad effects of the medicine he already taken. Are there any chances of any other ailment other than psychiatry. How to diagnose the mental sickness other than psycho problem. I asked my son shall we go for brain scan. He opined it may not be required. Shall I consult neurologist once. As you said the problem was the reaction of medicine. the doctor at that time gave medicine to heal the varicocele it was a medicine for strength of vains but it effected in bad manner on brain. I should have taken my son to neurologist instead of psychiatrist i believe. Even now also shall my son consult neurologist or any other related doctor who may suggest related cure.
Avatar universal
Helo dear,
the situation which I narrated relating to my sons fear, blaming others and having lot of anger was experienced when he stopped medicine. It appears he became addict to the medicine aripazole. He starts talking  differently when under anxiety or depression. We experienced that when medicine is given he becomes normal. He used to be very adamant some times in the state when he was telling that medicine is not required for him and he will not take it. Whether actually psychiatric medicne was required to be given to him.
Avatar universal
I am reproducing one question which I asked in the varicocele section for information and further understanding of the case.,
My son during his 22 years of age complained that he has got injury on testis during exercise in gym. It was shown to doctors. Some of the doctors suggested operation but most suggested that no operation required. One of the surgeon gave him medicine which was most probably for strength of his veins. The surgeon told that in case after taking the medicine course if the varicocele subsides then operation is not required otherwise operation required. But after taking one or two capsules of that medicine my son started talking in a depressed manner. I took him to that surgeon again who advised to go to psychiatrist. Psychiatrist gave medicine to change mood. Now my son is 27 years of age but he is not able to get rid of this medicine. Whenever he tries to stop it he gets depressed ant talks differently. His condition become very severe. He sleeps less eat less becomes angry on people get irritated and blames others. He talks about destiny and such other talks. I am asking  questions in depression forum that may also be referred. you can browse the questions asked by me with the name of crusador1987 in respect of my son then I hope you will know other related issues. One of the psychiatrist suggested that he was not required to be given mental medicine. Is it correct in this situation. If so what medicine he should have been given for reaction to the medicine which was given for treating varicocele. Now he is having bilatoral varicocele for which one doctor said no operation yet required. My son is not able to concentrate properly on studies or job. Shall i consult neurologist or any other doctor now for my son. What is the course of treatment should be at present.
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Arlington, WA
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