I saw a lady this week who came in complaining of jitteriness, fuzzy head, shaking hands, and insomnia. Turns out she’d missed three days of her SSRI antidepressant Citalopram and was in withdrawal. What most people don’t realize is that to quit an SSRI you need to taper off slowly. Or you might experience some pretty nuisance side effects as your brain finds itself suddenly low in serotonin and starts to scream for it.
But she asked me an interesting question – this happened because she hadn’t been able to make it in to her own family doctor in time for a refill – so she asked me if there was anything over the counter she could use in future as a bridge. The answer is yes. Saint Johns wort is a herbal supplement available without a prescription shown to increase serotonin levels much like SSRI’s; but of course it’s not as potent, but it could theoretically still get you through a serotonin crash if you’re in a jam without your antidepressant. This should help if you’re taking any of: Paxil, Celexa, Prozac, Zoloft e.t.c. It’s not a full substitute but can help you get by until you’re back in to see your doc for a refill on the real stuff

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