A Nurse Speaks out about Prozac, Effexor and Zyban

“I have discovered many, many horrifying things about these drugs.”

 

An online friend recommended Ann Blake-Tracy’s book, which I haven’t gotten or read yet, but definitely will within the next few days. I decided to look for info on Dr. Tracy on the web, and discovered the ICFDA site. I have just read several personal accounts of others’ SSRI nightmares, and now find myself in tears, and in need of sharing my story, which it is very painful to do and probably will be for life.

I and my wife are both registered nurses. In late 1997, I had gone through a bad bout with the flu and decided I should seek help to quit smoking. My doctor at the time prescribed Zyban. I had almost quit (down from 2-3 packs/day to a couple of cigarettes per day) when I developed erosive and infective esophagitis and duodenitis, along with other ulcers. At that time, I stopped taking the Zyban, although I can’t recall for sure why.

A few months later, my wife said that my moods seemed better when I was on the Zyban, so the doc wrote a scrip and put me on Wellbutrin. Unfortunately, he did not suggest, nor did we consider, more conventional treatments, such as therapy or counseling. I regret that he, or we, had considered such, because the esophagitis was the first (physical) problem, and the least of many problems, both physical and psychological, which lay ahead.

After a time, while seeing a new physician, a discussion over the fact that the Wellbutrin did not seem to be helping any more ensued. So, the new physician changed me to Prozac. It wasn’t very long after the Prozac that I woke up one morning, went into the kitchen to fix myself some coffee, and passed out right there in the kitchen for no known reason. Our oldest Daughter, nine years old at the time, came running to the kitchen, where she discovered me trying to climb up the island in the center of our kitchen.. I was totally disoriented for a few moments, had a splitting headache, and had managed to fracture a toe during the fall. Although I managed to get reoriented, I was left with a totally debilitating headache.

Over the next four weeks, during which I was unable to go to work, I was hospitalized twice, underwent some horrendous and totally useless treatments for a diagnosis of “intractable migraines,” and the only thing that relieved the headache at all was Demerol and Phenergan. Of course, this left me just as unable to work as the headache itself. Near the fourth week, my wife noticed a “knot” in my cervical area. She went to the neurologist’s office with me, where I told one of the two doctors treating me for the migraines about the knot. When the doctor seeing me that day told me there was no knot (???), I fired him on the spot and told the nurse I wanted to see his partner. The second physician not only located it, but administered a trigger-point injection that almost totally relieved the now four-week old headache completely within an hour or so.

I returned to work within about a week, feeling relief from the headaches. But a friend suggested I quit the hospital where I had a good paying, although highly stressful job, and I did so, rather impulsively, without realizing the further financial devastation I was about to cause our family. Only part of the four weeks I had been out of work were covered by leave time, which had set into motion a serious financial crisis for our family.

Within months, I was out of a good paying, full-time job, the business proposition my friend had made turned out to be nothing but hollow promises, bill collectors were breathing down our necks, we were in danger of losing the home we had not long before purchased, and I was sinking into a bout of depression that most people could never imagine.

The next serious visit with my regular doctor included a discussion about the fact Prozac was not only not working, but that I was becoming extremely tired in the afternoons. So he suggested switching to Effexor, which he said “gives most patients sort of a boost.” I agreed, again, without any consideration or discussion of therapy or counseling. Looking back, depression was sort of logical. Within the last three years, I had been through a very bitter divorce, remarried, adopted the two stepdaughters that mean the world to me, purchased a house, gone through major health problems, walked away from a good job, had a promise of a great business partnership vanish into thin air, and was approaching total financial ruin. Perhaps I did have one or two reasons in all of that to be just a little depressed? But the story gets worse, much worse.

My sexual activity with my wife had begun to fall off considerably, and the activity we did engage in was plagued with strange problems I had never encountered before. I was having trouble functioning sexually. Ejaculation was becoming more difficult to achieve and I was experiencing painful sensations when aroused. My temper was getting more and more out of control — I developed a very short fuse, to say the least, resulting in all sorts of angry behavior that was totally new to me. Even worse, I began abusing my children. Even though I felt terrible after mistreating them, it was as though there was a second, horrible person inside of me, which I could not control, yet at the same time I kept thinking I could, or would at least be able to when the medications gained control over my depression once and for all. The medications never did. And it almost put an end to my life.

I was already having more frequent bouts of self-destructive behavior following episodes of losing my temper and in other ways losing control with the people I loved, most notably wife and our two daughters. I was oscillating between days of wanting to hide out from the world and days of mania, thinking I could do or achieve anything. Simple, everyday bumps in the road of life became mountains I felt unable to scale. This past December, our oldest daughter revealed to my wife the horrors of what I had become while my wife was away working at night as a nurse. In order to do what any loving mother would probably do, my wife told me the relationship was over and that I was never to return to our home again. Even worse, she told me that I would not see our daughters again until they were both grown and could decide on their own whether or not they wanted to see me again.. This was almost the fatal blow.

I started walking in the rain, with the temperature not much above freezing outside. It was then that I most seriously considered putting an end to my life physically — I was already dead emotionally. All that was left was an empty shell. The real me seemed lost forever, although I really had no idea where I had gone or why. I was walking along a major highway and saw an 18-wheeler coming downhill toward me. “Here is the perfect way to end it all and do it quickly,” I thought to myself. I stepped onto the pavement, into the path of the oncoming rig. He blew his horn and moved into the opposite lane of the highway where there was, fortunately for him, no oncoming traffic. Almost in disgust, I began to step forward a few more steps to once again place myself in the path of the truck. But something else suddenly crossed my mind: I actually had a mental image of our two daughters, screaming “I’m sorry, Daddy,” at my funeral. I knew this was not the way to end it. I began walking along the side of the road again, still hearing the air horn of the 18-wheeler blasting in my ears. I then thought of simply walking into the woods, sitting down by a tree, and actually allowing myself to die of hypothermia, which I was already beginning to experience in the almost freezing rain. My hands and feet had gone almost totally numb, with what had been intense pain now beginning to give way to oncoming frostbite.

A passing logger saw me on the side of the road and pulled over to offer me a ride. Two other vehicles had already done so, but I had waved them on saying “I’m fine, just leave me alone.” But something had changed. Perhaps the cold rain and intense pain I was feeling was jolting me back to reality. Unfortunately, the reality I was experiencing was neither hopeful nor acceptable to me at the time. I climbed into the truck and the driver took me to the nearest store, where I gave the attendant a dollar bill in exchange for dialing the long distance number where I could reach my wife. She agreed to my request to come and meet me. She took me to the home of my parents. Knowing that I did not want to live, yet not totally ready to just curl up and die, I asked them to take me to the hospital, where I had myself admitted for suicidal depression.

The next morning, I met with the psychiatrist and told her everything. I left nothing out. I wound up being transferred to an intensive treatment program for further help once the suicidal crisis was behind me. I was to the point I had nothing to hide any longer. I told her everything, as I did my therapists. This triggered notification of the authorities who immediately ordered me out of the home for good and set into motion an intense legal struggle that is still ongoing.

After being discharged from inpatient treatment, I told my psychiatrist that I did not think the Effexor was working right and might be causing me more problems. She seemed to think that dosage was just too low, so she increased the dosage from 75 mg per day to 150. I had to take it in the mornings because I had long before discovered that if I took Effexor in the evening hours, there was no possibility of getting any sleep. Within a few weeks, I was having daily, afternoon depression and anxiety attacks that were very intense and seemed not to be triggered by any particular thoughts or circumstances. One Friday afternoon, it hit me that my Effexor dose had been doubled. I was also now having panic attacks in public places and was becoming terrified of going anywhere. I called her office immediately and insisted on discontinuing the Effexor and on seeing her. I was told I could see her the following Tuesday afternoon. I agreed to that, and immediately began to taper myself off the Effexor. Since all I had was 150 mg capsules, my only choice, without getting a new prescription, was to space the doses out. I did so by skipping the next morning dose, and taking the following morning’s dose 12 hours late — around 8:30 p.m. An interesting but revealing thing occurred. Instead of severe afternoon panic attacks, the next really bad episode occurred during the early morning hours following that next dose, which I had taken in the evening instead of morning. I needed no further evidence to convince me that Effexor was in fact causing my depression and anxiety attacks.

When I saw the psychiatrist on Tuesday, I told her that the Effexor was worse than the Wellbutrin and Prozac had been. She looked at me and said “Wellbutrin and Prozac? I didn’t know you had ever taken those.” After discussing my history with those drugs, she agreed that I wasn’t tolerating antidepressants at all, and told me to taper myself off the Effexor as I saw fit and was comfortable with. I have not taken another dose of Effexor since that 8:30 PM dose two days prior to seeing her. Just as interesting is the fact that I have also had no need or desire to take Ativan, which she had wound up giving me in order for me to sleep and combat the increasing anxiety.

Despite the legal battle my wife and I are now facing, not only for the possibility of putting our family back together again, but very possibly for my own freedom from being cast into prison and out of society, my love for my wife, children, and life has returned. Once I got my head cleared enough to do so, I decided I wanted to learn more about the three drugs — Wellbutrin, Prozac, and Effexor, to try and figure out why they weren’t working right for me. Instead of just finding out how they were NOT working, I have discovered many, many horrifying things about these drugs. Not only are they all in the same class (SSRI’s), but there is more than significant information that leads me to believe that all of the psychological problems that emerged — none of which I had experienced prior to being started on all these drugs — were very likely triggered by the drugs.

So, in order to stop smoking, which I still have not done, my doctor put me on Zyban… the next 3-1/2 years or so of my life became a living hell for me and my family. What they have been through hurts as bad as thinking about my own plight. I would gladly spend the rest of my days in prison, or in hell, if that were necessary for them to be safe. But I am not a monster. In fact, life has become simpler and clearer to me than it has been in years. Not because of the tragedy, but because I am free of the serious and devastating effects of these drugs.

As I have said to others, with complete honesty, I would not wish what has happened to us on my worst enemy. Mentally, I have a totally new lease on life. But it was not until I took control of it and stopped the SSRI’s that I was able to obtain it. Sadly, there is a chance that the legal system is going to prevent me from ever being with my family again, which I am not totally sure I will survive. They mean everything in world to me. And in a society where marriages and families are routinely thrown out like household garbage, I feel no remorse whatsoever about my family taking precedence over my own individual needs, career needs, or anything else. I would rather die fighting for the chance to be with me family, to simply love them, support them, and share everyday life with them, including the tough parts, than to give up on them. They ARE my life, who, and what I am.

If only one of those doctors had ever said “Before we prescribe this (new) drug, why don’t you talk with a counselor or therapist?” it is very likely none of these tragic events would have ever occurred. Now I am stuck in a legal system that will probably never show any leniency or compassion, not understanding that these drugs can do these sorts of horrible things to ordinary people. Unable to afford a high-profile attorney (having to go with a public defender) who most likely has little real interest in fighting for me or my family, I am likely to lose my freedom, my family, and in turn my life. The latter is more truthful than I can convey, because if I lose my wife and daughters, the most meaningful part of me will be gone. I would never commit suicide — I promised my wife that for her and the girls — but I would die a slow, horrible death, withering away into a dark eternity, having no will live to live. Suicidal ideations and having no will to live are two very different things, yet they both lead to the same thing.

I pray that I will not be cast out of society like a disgusting, horrible, uncontrollable demon. I am not a threat to anyone. But the drugs that caused all of this are a very serious threat.

3/11/2001

This is Survivor Story number 5.
Total number of stories in current database is 34

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