I purchased this book in 2006 and that started my 2nd chance at life. All in all, I spent 6 years hopelessly addicted to Effexor, which made be both--ironically--emotionally and cognitively numbed yet constantly anxious with sudden outbursts of rage. (SNRI is like taking an upper and a down at the same time.) Prior to Effexor, my life was not perfect but it was sane. I'd been hurt and felt confused and doubted myself, so on the poor advice of family, I convinced myself I was depressed. (But I wasn't. I just needed a friend.) After asking my family's MD for an antidepressant, as if I were the source of the problem, she prescribed me Effexor. That drug is usually a last chance antidepressant--not a first antidepressant-- since it affects 2 brain chemicals. It is usually prescribed to people who are antidepressant resistant. According to Google, SNRI's are prescribed for:
Major depressive disorder (MDD)
Post traumatic stress disorder (PTSD)
Generalized anxiety disorder (GAD)
Social anxiety disorder (SAD)
Panic disorder
Neuropathic pain
Fibromyalgia
Chronic musculoskeletal pain
I HAD NONE OF THE ABOVE. The prescribing MD's specialty is Internal Medicine. GO FIGURE! I down-dosed from Effexor XR at the rate of one ball at a time over 2 years only after spending 6 years hopelessly addicted to it. Depending on your specific drug and body, you may need to follow the conservative 10% Rule, as mentioned in this book. That is, down dose in 10% reductions only. You'll have to buy a digital laboratory scale that measures to the 2nd or 3rd decimal place. And take the XR balls with applesauce.
All in all, this is a GREAT first book because it explains the Why's of antidepressants. However, I highly suggest reading THE ROAD BACK from The Road Back Program (org). It better explains the How's of tapering. You've got to follow that plan to the letter and be patient. Psychotropic drugs affect your hormones, metabolism, and brain chemistry. The Road Back details how you can get your body back in balance through tapering, supplementing with TRB products, and lifestyle (diet and exercise). I highly suggest a The Paleo Diet or The Dukan Diet. And real sunshine. Mild to moderate exercise such as walking. It's hard to taper w/o TRB tapering kits, so I recommend the tapering kits.
DO NOT GO COLD TURKEY. DO NOT TAPER TOO FAST. YOU COULD END UP HALLUCINATING AND HAVING SUICIDAL THOUGHTS, LEADING TO SUICIDE OR A BIPOLAR DIAGNOSIS. YOU WILL HAVE A RELAPSE OF "MAJOR DEPRESSION" IF YOU TAPER TOO FAST. It's a marathon not a sprint.
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The Antidepressant Solution: A Step-by-Step Guide to Safely Overcoming Antidepressant Withdrawal, Dependence, and "Addiction" Hardcover – December 21, 2004
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Joseph Glenmullen
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Joseph Glenmullen
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Print length272 pages
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LanguageEnglish
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PublisherFree Press
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Publication dateDecember 21, 2004
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Dimensions6.34 x 1.06 x 9.08 inches
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ISBN-100743269721
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ISBN-13978-0743269728
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Editorial Reviews
From Publishers Weekly
The author of Prozac Backlash returns with important and sound advice for patients who are taking antidepressant medications, particularly selective serotonin reuptake inhibitors (SSRIs) like Prozac and Paxil. "Stopping antidepressants abruptly can cause severe withdrawal reactions," Glenmullen writes, among them aggression, dizziness, vomiting, headaches and suicidal tendencies. The withdrawal symptoms can even, ironically, mimic the symptoms of depression, and this can confuse both the doctor and the patient, leading the patient to stay on the medication (and suffer its side effects) longer than necessary. So how can people safely decide when and how to stop taking the meds? Glenmullen, a clinical instructor in psychiatry at Harvard Medical School, offers a complete five-step program. He explains and describes possible withdrawal symptoms, identifies the signs that a patient is ready to go off his or her meds and gives guidelines for tapering off to avoid unpleasant and dangerous aftereffects. Offering cases from his own practice and drawing from the medical literature, Glenmulllen clarifies how to manage this necessary and often poorly understood process in an important book for anyone taking, or prescribing, antidepressants today.
Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved.
Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved.
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Product details
- Publisher : Free Press; 1st edition (December 21, 2004)
- Language : English
- Hardcover : 272 pages
- ISBN-10 : 0743269721
- ISBN-13 : 978-0743269728
- Item Weight : 1 pounds
- Dimensions : 6.34 x 1.06 x 9.08 inches
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Best Sellers Rank:
#1,548,735 in Books (See Top 100 in Books)
- #1,250 in Drug Dependency Recovery
- #1,587 in Health, Mind & Body Reference
- #2,266 in Depression (Books)
- Customer Reviews:
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Reviewed in the United States on January 5, 2014
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Reviewed in the United States on December 27, 2016
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The book is clearly written for an educated audience, but not necessarily for a professional audience. It contains advice on how to recognize and measure antidepressant withdrawal symptoms and how to decide whether discontinuing an antidepressant is advisable; it also includes step-by-step instructions how to go about it. The author makes the argument that modern antidepressant treatment is comparable to treatment with a low dose of orally administered cocaine, and he questions the integrity of the evidence presented by pharmaceutical companies about the safety of antidepressants. Discontinuation of SSRIs, other modern antidepressants, as well as tricyclics and MAOIs is mentioned, including a brief chapter on stopping antidepressant treatment in children. The evidence base is not particularly solid, but it is the best that was available at the time of writing of the book - a hand full of relevant studies as well as anecdotes about patients that the author treated. My main concern with the quality of the evidence is that the author overly relies on his patients' judgments and self-report. Nevertheless, I thought that his arguments were clear, logical, carefully weighted, and judicious, in most cases. Some reviewers have critiqued the author for claiming that antidepressant withdrawal symptoms will go away if his procedure is followed, whereas their experience was that it took much longer, but this is not a fair critique, because the author generalizes to the average case (and he also provides examples of people who had much more difficulty than average). The book concerns only immediate-onset withdrawal symptoms. Some people have claimed anecdotally that antidepressant treatment can cause long-term problems following discontinuation, also claiming that these problems started some weeks or months following the drug discontinuation; these are controversial claims that the book does not address. Importantly, the author does not come across as an anti-psychiatry fanatic; rather, he comes across as a thoughtful scholar, and he agrees that antidepressants may be appropriate for patients with moderate or severe depression.
9 people found this helpful
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Reviewed in the United States on July 19, 2017
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I am a 27yr old female that has been on Zoloft for 11 years... way longer than I should have been. I struggled weaning myself off due to the withdrawal symptoms. Followed the authors advice and am currently down to 12.5 mg daily ( extremely low dose that probably isn't doing anything ) but will complete the weaning process. So glad I purchased this book and I even gave it to a doctor of mine so she could wean her child off of Zoloft as well.
13 people found this helpful
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Reviewed in the United States on August 6, 2017
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If you have taken or are taking an SSRI or SNRI, read this book. It gives solid information about the effects of these drugs, and how to get off of them safely if you need to. From my experience of 27 years of Prozac, and the way my psychiatrist had to spend 4 years getting me down to only 10 mg PER WEEK, I think this book is a little conservative in some respects. But it tells the truths that you can't get from most doctors.
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Reviewed in the United States on January 18, 2014
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I am a practicing neuropsychologist and I see the effects of antidepressants, both for better and worse, every day in my hospital and outpatient work. I have often deferred to physicians about decisions regarding these medications, as my patients medical situations are often quite complex. But armed with this knowledge (and the practical checklists he provides) I will be much more sensitive to both antidepressant withdrawal and toxicity reactions. I now understand where the odd tendency of some psychiatrists to call everybody who has a bad reaction to SSRI's "bipolar" comes from. I also see how the deceitful strategy of the pharmaceutical companies to "tell a small half truth (SSRI discontinuation syndrome is real) to hide a bigger lie (it's really uncommon and not generally a problem)" works. Every mental health clinician, MD or not, needs to have this book on their shelf. You may save a patient's life!
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Top reviews from other countries
timakey
5.0 out of 5 stars
Important book about coming off anti-depressants
Reviewed in the United Kingdom on October 4, 2015Verified Purchase
Bought the book for a friend and they said they really appreciated it and in time it helped them come off Prozac. I checked out the book before passing it on, and the writer says that Anti-depressants can help some people in certain situations but are given out far too readily, considering the potential problems and risks involved. He also states that the potential difficulties with getting off these pills are often not made clear before the 'patient' starts taking them. People trying to stop using antidepressants (and it does list and explain the different types inside) often have a hard time in the process, and feel that they are not ready / unable to cope without taking them, whereas the author suggests very convincingly that the person cutting down is suffering from withdrawal symptoms from the drug itself and not the depression returning.
The book recommends a gradual, controlled reduction of the drug (tapering), and explains a lot of important things to be aware of, both before and during reducing 'treatment', with hopefully getting to the point where they are not needed. The author states that many doctors are not aware of some problems and risks of SSRI drugs, but this was written back in 2006, so hopefully this has improved. Recommended for people taking antidepressants and wanting to get off them, people thinking about taking these sort of drugs, and also family / friends concerned about someone else in these situations. Like i said - these types of drugs may well help some people (depending on the situation), but have perhaps been subscribed to many people who will be worse off taking them, or find it hard to stop using them.
The book recommends a gradual, controlled reduction of the drug (tapering), and explains a lot of important things to be aware of, both before and during reducing 'treatment', with hopefully getting to the point where they are not needed. The author states that many doctors are not aware of some problems and risks of SSRI drugs, but this was written back in 2006, so hopefully this has improved. Recommended for people taking antidepressants and wanting to get off them, people thinking about taking these sort of drugs, and also family / friends concerned about someone else in these situations. Like i said - these types of drugs may well help some people (depending on the situation), but have perhaps been subscribed to many people who will be worse off taking them, or find it hard to stop using them.
7 people found this helpful
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Blodwen
5.0 out of 5 stars
Brilliant book
Reviewed in the United Kingdom on August 30, 2013Verified Purchase
This is a really good book. If you want to come off your pills, this provides a great deal of help and good advice. It might be useful as a present for your doctor who probably knows nothing about the pills he prescribes or their withdrawal symptoms! It also explains why the medical profession is so ignorant about these things - it's basically due to the dastardly actions of the drugs companies who profit by your doctors ignorance
I don't agree with another reviewer who thought it was mainly about Paxil - the same rules apply to the other drugs and the book does tell you about the different half lives
Highly recommended
I don't agree with another reviewer who thought it was mainly about Paxil - the same rules apply to the other drugs and the book does tell you about the different half lives
Highly recommended
5 people found this helpful
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Bloozfan
5.0 out of 5 stars
Getting through Seroxat withdrawal
Reviewed in the United Kingdom on January 4, 2011Verified Purchase
I found this book the most helpful of all in understanding and helping me with the daily difficulty of Seroxat withdrawal. He explains lucidly the whole situation - the origin of the drug, the developing history of awareness of the problems with it, and into the withdrawal symptoms and how to live with them. I found the chart of symptoms in the book so helpful I gave copies to friends and family to inform them what I was going through, and also a copy to my doctor for possible use with other patients. It is a handy reference guide all the time.
For anyone coming off this particular drug, and other modern antidepressants which can behave similarly in withdrawal, I recommend this book.
For anyone coming off this particular drug, and other modern antidepressants which can behave similarly in withdrawal, I recommend this book.
12 people found this helpful
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Mrs. C. Moore
5.0 out of 5 stars
Lots of useful info, however I would go slower with taper ...
Reviewed in the United Kingdom on June 27, 2016Verified Purchase
This book helped enormously to put my fears to rest re tapering from my AD. Lots of useful info, however I would go slower with taper than 25% drops, 10% every 3-4 weeks is best, just saying ...
5 people found this helpful
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Martina
5.0 out of 5 stars
Useful for people who are on them
Reviewed in the United Kingdom on March 1, 2020Verified Purchase
It has all the information about antidepressants, in it
One person found this helpful
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