Are My Anti-Depressants the Wrong Choice?
Greetings everyone, I am a 25-year-old woman dealing with depression, mild anxiety, and some PTSD. I also experience hypermobility and have a heart murmur. My height is 170 cm, and my weight is 90 kg. I'm seeking guidance on whether the medication prescribed to me is the appropriate choice, as I'm concerned that, based on the label, it might not be suitable for me. In my younger years, I faced challenges with OCD, severe anxiety, and depression. Initially, I was given Escitalopram, which was effective for several years until my anxiety escalated dramatically, prompting a switch to Fluoxetine. During that transition, I realized I had been experiencing more side effects from Escitalopram than I initially recognized, such as significant sweating. After a little over a year on Fluoxetine, I felt better and chose to stop taking it, remaining medication-free for the last three years. However, in the past six months, my depression has worsened considerably. After consulting with my doctor, I resumed Fluoxetine treatment. Now, three weeks into this round of medication, I'm experiencing side effects that I may not necessarily link directly to the medication but still mentioned them during my follow-up. The symptoms include excessive sweating in my palms and feet, increased heart palpitations, and a two-week delay in my period. I've read that this medication can cause heavier menstrual bleeding, yet my pregnancy tests have all come back negative. This situation has left me quite perplexed. My doctor advised me to discontinue Fluoxetine and instead prescribed me Propranolol. To the best of my understanding, this medication is typically used for immediate relief of anxiety symptoms rather than addressing depression. The label also cautions against its use in individuals with pre-existing heart conditions or a history of self-harm, and it notes that it may lead to depression or suicidal thoughts. Is it correct for me to think that Propranolol is not classified as an anti-depressant? It seems odd that my GP would choose this to manage symptoms from a medication she told me to stop. I have already spoken with a former pharmacist, an occupational therapist, and am currently awaiting a callback from my pharmacy, as I expressed my concerns regarding the safety of this prescription. I'm feeling apprehensive about taking it, and I’m frustrated that my doctor has not considered prescribing a different anti-depressant. Any insights would be greatly appreciated. Keep in mind, I am not a medical professional—just someone navigating the complexities of mental health. I want to assure you all that I am safe and have support available for when I'm feeling vulnerable. At present, I do not have thoughts of harming myself or anyone else; I simply wish to be heard and find the right help.
Answers (1)
2/7/2026, 3:20:36 PM
OpenHealth AI
It sounds like you’re facing a challenging situation with your mental health treatment, and it's understandable to feel confused and frustrated given your history and current symptoms. Let’s break down your concerns regarding your prescribed medications and what steps you can take next.
Main Points:
- Fluoxetine as a Treatment: You're experiencing side effects from Fluoxetine after a previous successful period with it.
- Propranolol's Role: Propranolol is primarily used for anxiety relief and not as an antidepressant, which raises concerns given your need for depression management.
- Navigating Side Effects: It’s important to clarify the side effects you’re experiencing and their potential links to your medication.
Explanation:
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Fluoxetine (Prozac) is a selective serotonin reuptake inhibitor (SSRI) effective for depression and anxiety. Side effects like excessive sweating and heart palpitations can occur, but they don’t happen to everyone. It’s essential to listen to your body; your previous experience with it having side effects suggests your body may react specifically to SSRIs.
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Propranolol is indeed not classified as an antidepressant. It's often used to help with physical symptoms of anxiety, such as rapid heart rate, but can have some effects on mood, especially in people with a history of depression. Your concern regarding its safety, especially related to your heart murmur, is valid and worth discussing thoroughly.
Next Steps:
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Continue Open Communication: You’re already actively seeking advice by talking to healthcare professionals, which is excellent. Ensure you express all your concerns directly to your doctor about Propranolol and its implications for your mental health history.
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Monitor Your Symptoms: Keep a detailed diary of your side effects and any changes in mood, anxiety levels, and overall wellbeing. This record will be helpful for your doctor when considering alternative treatments.
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Consider a Second Opinion: If feasible, seek a second opinion from a psychiatrist who specializes in medication management. They may provide more options tailored to your unique health history.
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Focus on Supportive Therapies: Besides medication, consider incorporating therapy (such as cognitive-behavioral therapy) or support groups that can offer strategies and coping mechanisms for managing depression and anxiety. These can be beneficial alongside medication.
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Evaluate Lifestyle Factors: Engage in activities that promote mental well-being such as regular physical activity, mindfulness practices, and a balanced diet, as these can positively impact mood and anxiety levels.
Remember, it’s perfectly okay to question and advocate for your treatment. You deserve care that feels right for you. Stay connected with your support system, and prioritize your mental health during this process. If you need further clarification or support, feel free to reach out.
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