{"id":2739,"date":"2018-05-14T13:19:07","date_gmt":"2018-05-14T12:19:07","guid":{"rendered":"http:\/\/ocduk.net\/?page_id=2739"},"modified":"2018-07-04T22:28:48","modified_gmt":"2018-07-04T21:28:48","slug":"medication-side-effects","status":"publish","type":"page","link":"https:\/\/www.ocduk.org\/overcoming-ocd\/medication\/medication-side-effects\/","title":{"rendered":"Medication Side Effects"},"content":{"rendered":"<p><a href=\"\/wp-content\/uploads\/2018\/06\/meds-side-effect-ocduk.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-4256 aligncenter\" src=\"\/wp-content\/uploads\/2018\/06\/meds-side-effect-ocduk.jpg\" alt=\"\" width=\"1250\" height=\"758\" srcset=\"https:\/\/www.ocduk.org\/wp-content\/uploads\/2018\/06\/meds-side-effect-ocduk.jpg 1250w, https:\/\/www.ocduk.org\/wp-content\/uploads\/2018\/06\/meds-side-effect-ocduk-300x182.jpg 300w, https:\/\/www.ocduk.org\/wp-content\/uploads\/2018\/06\/meds-side-effect-ocduk-768x466.jpg 768w, https:\/\/www.ocduk.org\/wp-content\/uploads\/2018\/06\/meds-side-effect-ocduk-1024x621.jpg 1024w, https:\/\/www.ocduk.org\/wp-content\/uploads\/2018\/06\/meds-side-effect-ocduk-100x61.jpg 100w, https:\/\/www.ocduk.org\/wp-content\/uploads\/2018\/06\/meds-side-effect-ocduk-943x572.jpg 943w, https:\/\/www.ocduk.org\/wp-content\/uploads\/2018\/06\/meds-side-effect-ocduk-600x364.jpg 600w\" sizes=\"auto, (max-width: 1250px) 100vw, 1250px\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<p>Despite media misconceptions, SSRI medications are generally considered safe and not addictive. However, that\u2019s not to say problems can\u2019t occur, so it is important you\u2019re aware of these and your prescribing doctor takes time to explain any potential side effects.<\/p>\n<p>All medications have the potential for side effects, but that does not mean every person will suffer from them.\u00a0 Most people will only experience a few mild side effects, if any at all, which can be troublesome at first,\u00a0but generally improve with time, and usually subside after a week or two.<\/p>\n<p>We\u2019re often asked which is the best medication for OCD or a certain type of OCD or the one with the least side effects. Unfortunately that\u2019s a question nobody in the world can answer because we all have different bodies and therefore all tolerate medications differently.\u00a0 \u00a0We could give\u00a010 similar sized people the exact same type, brand and dosage of medication and results will vary from the negative, making them feel worse, through a range of side effects, to a positive response to the medication.<\/p>\n<p>But being informed is being prepared, so it\u2019s important you ask your prescribing doctor to discuss the potential side effects with you, of course the reality is until you start taking medications you won\u2019t know if you will have any side effects at all, hopefully like most people you won\u2019t.<\/p>\n<p>Some people with OCD respond well to the first medication they are prescribed; others need to adjust dosages or try more than one type of SSRI, under medical supervision of course, to find the one that is most effective for them. Most of these medications do not produce immediate symptom relief; some may begin to work after a few weeks, but often it may take 12 weeks or more to notice the benefits.<\/p>\n<p>Some people will notice they feel better and less tense or anxious, whilst others notice no difference at all. Interestingly, we\u2019ve had occasions where family members on hearing that, say that to them, \u00a0their loved one seems less anxious. So sometimes medication benefits could be subtle and whilst not improving symptoms are keeping you afloat so you don&#8217;t sink further into the depths of OCD.<\/p>\n<h5>When are SSRI&#8217;s not for you?<\/h5>\n<p>Of course SSRIs aren\u2019t suitable for everyone. They\u2019re not usually recommended if you\u2019re pregnant or breastfeeding because there\u2019s a risk of side effects that may pass through breast milk to the baby.\u00a0 SSRIs also need to be used with caution if you have certain underlying health problems, including bruising easily, heart problems, diabetes, epilepsy, an eye problem called glaucoma or kidney disease.\u00a0 Equally if you\u2019re having\u00a0electroconvulsive treatment, SSRIs may not be suitable.\u00a0\u00a0SSRIs may react unpredictably with medicines for other health conditions, including natural herbal remedies, such as St John\u2019s wort.<\/p>\n<p>So in all of these cases it\u2019s important to discuss with your prescribing doctor,\u00a0exceptions can be made if the benefits of SSRI treatment are thought to outweigh the risks.<\/p>\n<h5>Side effects<\/h5>\n<p>The good news is most people will only experience a few mild side effects when taking SSRIs. These can be troublesome at first,\u00a0but they\u2019ll generally improve with time, usually within one or two weeks.\u00a0Common side effects of SSRIs include:<\/p>\n<ul  class=\"x-nav x-nav-tabs two-up top\"  data-x-element=\"tab_nav\" data-x-params=\"{&quot;orientation&quot;:&quot;horizontal&quot;}\" role=\"tablist\"><li  class=\"x-nav-tabs-item active\"  role=\"presentation\"><a id=\"x-legacy-tab-1\" aria-selected=\"true\" aria-controls=\"x-legacy-panel-1\" role=\"tab\" data-x-toggle=\"tab\" data-x-toggleable=\"x-legacy-tab-1\" data-x-toggle-group=\"6940eaa411e7d\">Common Side Effects<\/a><\/li>\n<li  class=\"x-nav-tabs-item\"  role=\"presentation\"><a id=\"x-legacy-tab-2\" aria-selected=\"false\" aria-controls=\"x-legacy-panel-2\" role=\"tab\" data-x-toggle=\"tab\" data-x-toggleable=\"x-legacy-tab-2\" data-x-toggle-group=\"6940eaa411e7d\">Severe Side Effects<\/a><\/li>\n<\/ul>\n<div  class=\"x-tab-content\" >\n<div id=\"x-legacy-panel-1\" class=\"x-tab-pane active\"  aria-hidden=\"false\" aria-labelledby=\"x-legacy-tab-1\" role=\"tabpanel\" data-x-toggleable=\"x-legacy-tab-1\">\n<ul>\n<li>feeling agitated, shaky or anxious<\/li>\n<li>feeling or being sick<\/li>\n<li>mild dizziness and\/or headaches<\/li>\n<li>tired, weak and\/or sleepy<\/li>\n<li>unable to sleep<\/li>\n<li>diarrhoea or constipation<\/li>\n<li>dry mouth<\/li>\n<li>unusual dreams<\/li>\n<li>lack of concentration<\/li>\n<li>Constant yawning<\/li>\n<li>increase in mouth saliva<\/li>\n<li>sweating<\/li>\n<li>blurred vision<\/li>\n<li>low sex drive<\/li>\n<li>difficulty achieving orgasm during sex or masturbation<\/li>\n<li>in men, difficulty obtaining or maintaining an erection (erectile dysfunction)<\/li>\n<\/ul>\n<\/div>\n<div id=\"x-legacy-panel-2\" class=\"x-tab-pane\"  aria-hidden=\"true\" aria-labelledby=\"x-legacy-tab-2\" role=\"tabpanel\" data-x-toggleable=\"x-legacy-tab-2\"> Thankfully severe side effects rarely happen, but for some people they occasionally do.\u00a0You must contact a\u00a0doctor straight away if you get any of the following:<\/p>\n<ul>\n<li>trouble focusing, memory problems, not thinking clearly, weakness, seizures, or losing your balance &#8211; these can be signs of low sodium levels<\/li>\n<li>thoughts about harming yourself or ending your life<\/li>\n<li>chest pain or pressure, or shortness of breath<\/li>\n<li>severe dizziness or passing out<\/li>\n<li>yellow skin or eyes &#8211; this can be a sign of liver problems<\/li>\n<li>fits, feelings of euphoria, excessive enthusiasm or excitement, or a feeling of restlessness that means you can&#8217;t sit or stand still<\/li>\n<li>putting on or losing weight without trying to<\/li>\n<li>hair loss<\/li>\n<li>changes in your periods such as heavy bleeding, spotting, or bleeding between periods<\/li>\n<li>painful erections that last longer than 4 hours &#8211;\u00a0this may happen even when you are not having sex<\/li>\n<li>high temperature with agitation, confusion, trembling and twitching<\/li>\n<\/ul>\n<p><strong>Or,<\/strong> if you get any signs of <strong>abnormal bleeding<\/strong> including:<\/p>\n<ul>\n<li>vomiting blood or dark vomit, coughing up blood, blood in your pee, black or red poo &#8211; these can be signs of bleeding from the gut<\/li>\n<li>bleeding from the gums or bruises that appear without a reason or that get bigger<\/li>\n<li>any bleeding that is very bad or that you cannot stop<\/li>\n<\/ul>\n<p><strong>Or, allergic reactions <\/strong>including:<\/p>\n<ul>\n<li>getting a skin rash that may include itchy, red, swollen, blistered or peeling skin<\/li>\n<li>wheezing<\/li>\n<li>tightness in the chest or throat<\/li>\n<li>having trouble breathing or talking<\/li>\n<li>swelling of the mouth, face, lips, tongue, or throat<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<p>This is not a conclusive list, so should you experience any of these side effects, or others which become troublesome, it is important that you speak to your prescribing doctor or call <a title=\"More about NHS 111 (External Website)\" href=\"https:\/\/www.england.nhs.uk\/urgent-emergency-care\/nhs-111\/\" target=\"_blank\" rel=\"noopener\">NHS 111<\/a> if you&#8217;re in England, <a title=\"More about NHS Direct (External Website)\" href=\"https:\/\/www.nhsdirect.wales.nhs.uk\/\" target=\"_blank\" rel=\"noopener\">NHS Direct<\/a> on 0845 46 47 if you&#8217;re in Wales or <a title=\"More about NHS 24 (External Website)\" href=\"https:\/\/www.nhs24.scot\/\" target=\"_blank\" rel=\"noopener\">NHS24<\/a>\u00a0which is the Scottish service, they can be called on 111.<\/p>\n<p>As mentioned above, despite this seemingly comprehensive list it does not mean you will have any of those problems at all, and if you do have side effects, they may well be short lived.<\/p>\n<p>It may be worth staying in touch with your prescribing doctor when you first start taking medication to discuss how well the medication is working for you. You should also make an urgent appointment to consult a doctor at any point if you experience any significant troublesome or persistent side effects listed above that last more than a few of days.<\/p>\n<p><strong>Serious side effects<\/strong><br \/>\nThe NICE Guidelines advise close and regular monitoring after starting an SSRI, and more frequently and closely in certain groups such as younger people.\u00a0 Family members should be asked to keep a close eye on young people taking medication, particularly for signs of depression, thoughts about suicide or self-harm, irritability, aggressiveness, mood changes or other unusual changes in behaviour following the medication.<\/p>\n<h5>Dealing with Side Effects<\/h5>\n<p>If you experience any of the above side effects you must consult a doctor. You might be able to reduce\u00a0the chance of having some of these side effects if you take SSRIs in the evening, if your doctor says you can, this means you\u2019re asleep when the level of medicine in your body is highest.\u00a0 There are also a few other tips which might help:<\/p>\n<ul>\n<li><strong>feeling sick<\/strong>\u00a0&#8211; try taking\u00a0the SSRI with or after food (perhaps nothing too rich or spicy!)<\/li>\n<li><strong>being unable to sleep<\/strong>\u00a0&#8211; take the SSRI first thing in the morning if the doctor says you can<\/li>\n<li><strong>diarrhoea<\/strong>\u00a0&#8211; drink plenty of water or other fluids in\u00a0small, frequent sips. Don&#8217;t take any other medicines to treat diarrhoea or vomiting without speaking to a pharmacist or doctor first<\/li>\n<li><strong>dry mouth<\/strong>\u00a0&#8211; try chewing sugar-free gum or sugar-free sweets<\/li>\n<li><strong>headaches<\/strong>\u00a0&#8211;\u00a0make sure you rest and drink plenty of fluids. Don\u2019t drink too much alcohol<\/li>\n<li><strong>constipation<\/strong>\u00a0&#8211;\u00a0eat more high-fibre foods such as fresh fruit, vegetables and cereals, and drink plenty of water.\u00a0Try to\u00a0exercise more regularly, for example, by going for a daily walk<\/li>\n<\/ul>\n<h5>Coming off SSRIs<\/h5>\n<p>Although someone on medication may stop taking SSRIs whenever they wish, we always recommend they\u2019re reduced gradually under supervision from their prescribing doctor.<\/p>\n<p>People taking SSRIs with short <a  class=\"x-extra\" data-x-element=\"extra\" data-x-params=\"{&quot;type&quot;:&quot;popover&quot;,&quot;trigger&quot;:&quot;hover&quot;,&quot;placement&quot;:&quot;top&quot;,&quot;title&quot;:&quot;title=\\&quot;What is Half-Life?\\&quot;&quot;,&quot;content&quot;:&quot;Every medication has a certain amount of time that it remains active before the body begins to metabolise or excrete the medication. More simply put, the half-life of a drug is how long it takes for half of it to be eliminated from the bloodstream. This depends on how the body processes and gets rid of the drug, and can vary from a few hours to a few days for some medications. A drug&#039;s half-life matters because a short half-life will usually mean more withdrawal problems over a long half-life which may mean fewer withdrawal problems. So all SSRIs should be withdrawn slowly and under supervision of your prescribing doctor.&quot;}\"  href=\"#\" title=\"What is Half-Life?\" ><strong>Half-Life<\/strong><\/a> are much more likely to experience SSRI discontinuation problems.<\/p>\n<p>It\u2019s also worth pointing out what NICE recommended, that if the medication has helped a person, they should continue taking the medication for at least 12 months to ensure their symptoms continue to improve and prevent relapses.<\/p>\n<div id=\"x-content-band-1\" class=\"x-content-band border-top border-left border-right border-bottom\" style=\"background-color: rgba(255,102,0,0.5);\"><div class=\"x-container\"> <div  class=\"x-container max width\" > <h6  class=\"h-custom-headline center-text\" style=\"margin: 10px;\"><span>What is a medication <b>Half Life<\/b>?!<\/span><\/h6>\n<p>Every medication has a certain amount of time that it remains active before the body begins to metabolise or excrete it. More simply put, the half-life of a drug is how long it takes for half of it to be eliminated from the bloodstream. This depends on how the body processes and gets rid of the drug, and can vary from a few hours to a few days for some medications. A drug\u2019s half-life matters because a short half-life usually means more withdrawal problems compared to \u00a0a long half-life. So all SSRIs should be withdrawn slowly and under the supervision of your prescribing doctor.<\/div> <\/div><\/div>\n<p>&nbsp;<\/p>\n<p class=\"titleh5\">What to read next:<\/p>\n<div class=\"x-column x-sm x-1-2\"><span class=\"alignleft\"> <a style=\"outline: none;\" title=\"Back to How SSRI's work\" href=\"..\/how-ssri-work\/\"><i class=\"x-icon x-icon-arrow-left\" data-x-icon=\"\uf060\" aria-hidden=\"true\"><\/i> How SSRI&#8217;s work<\/a><\/span><\/div>\n<div class=\"x-column x-sm x-1-2 last\"><span class=\"alignright\"><a title=\"Next: Neurosurgery\" href=\"\/overcoming-ocd\/neurosurgery\">Neurosurgery <i class=\"x-icon x-icon-arrow-right\" data-x-icon=\"\uf061\" aria-hidden=\"true\"><\/i><\/a><\/span><\/div>\n<hr class=\"x-clear\" \/>\n<hr  class=\"x-gap\" style=\"margin: 20px 0 0 0;\">\n<div id=\"pi-accordion\" class=\"x-accordion\" > <div  class=\"x-accordion-group\" ><div class=\"x-accordion-heading\"><a id=\"tab-6940eaa4120e6\" class=\"x-accordion-toggle collapsed\" role=\"tab\" data-x-toggle=\"collapse-b\" data-x-toggleable=\"6940eaa4120e6\" data-x-toggle-group=\"pi-accordion\" aria-selected=\"false\" aria-expanded=\"false\" aria-controls=\"panel-6940eaa4120e6\"><i class='x-framework-icon x-shortcode-accordion-icon' data-x-icon-s='&#x2b;' aria-hidden=true><\/i><span>Page information and additional reading<\/span><\/a><\/div><div id=\"panel-6940eaa4120e6\" class=\"x-accordion-body x-collapsed\" role=\"tabpanel\" data-x-toggle-collapse=\"1\" data-x-toggleable=\"6940eaa4120e6\" aria-hidden=\"true\" aria-labelledby=\"tab-6940eaa4120e6\"><div class=\"x-accordion-inner\">\n<div  class=\"x-container max width\" >\n<div  class=\"x-column x-sm x-1-2\" style=\"\" >[lastreviewed]<\/div>\n<div  class=\"x-column x-sm x-1-2 last\" style=\"\" > [nextreviewed] <\/div>\n<\/div>\n<hr  class=\"x-gap\" style=\"margin: 20px 0 0 0;\">\n<p class=\"p-medium\"><b>Additional Reading:<\/b><\/p>\n<ul>\n<li>\n<p class=\"p-medium\"><a href=\"https:\/\/www.nhs.uk\/conditions\/ssri-antidepressants\/\" target=\"_blank\" rel=\"noopener\">NHS Choices &#8211; SSRI Medications <\/a><span class=\"p-small\">(External Website)<\/span><\/p>\n<\/li>\n<li>\n<p class=\"p-medium\"><a href=\"https:\/\/bnf.nice.org.uk\/drug\/\" target=\"_blank\" rel=\"noopener\">NICE &#8211; Information about drugs <\/a><span class=\"p-small\">(External Website)<\/span><\/p>\n<\/li>\n<li>\n<p class=\"p-medium\"><a href=\"https:\/\/www.england.nhs.uk\/urgent-emergency-care\/nhs-111\/\" target=\"_blank\" rel=\"noopener\">NHS 111 &#8211; England <\/a><span class=\"p-small\">(External Website)<\/span><\/p>\n<\/li>\n<li>\n<p class=\"p-medium\"><a href=\"https:\/\/www.nhsdirect.wales.nhs.uk\/\/\" target=\"_blank\" rel=\"noopener\">NHS Direct &#8211; Wales <\/a><span class=\"p-small\">(External Website)<\/span><\/p>\n<\/li>\n<li>\n<p class=\"p-medium\"><a href=\"https:\/\/www.nhs24.scot\/\" target=\"_blank\" rel=\"noopener\">NHS24 &#8211; Scotland <\/a><span class=\"p-small\">(External Website)<\/span><\/p>\n<\/li>\n<\/ul>\n<hr  class=\"x-gap\" style=\"margin: 20px 0 0 0;\">\n<p class=\"p-small\"><b>Disclaimer:<\/b> This article is for information only and should not be used for the diagnosis or treatment of Obsessive-Compulsive Disorder or any other medical condition. OCD-UK have taken all reasonable care in compiling this information, but always recommend consulting a doctor or other suitably qualified health professional for diagnosis and treatment of Obsessive-Compulsive Disorder or any other medical condition.\n<\/div><\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; Despite media misconceptions, SSRI medications are generally considered safe and not addictive. However, that\u2019s not to say problems can\u2019t occur, so it is important you\u2019re aware of these and your prescribing doctor takes time to explain any potential side &#8230; <\/p>\n<div><a href=\"https:\/\/www.ocduk.org\/overcoming-ocd\/medication\/medication-side-effects\/\" class=\"more-link\">Read More<\/a><\/div>\n","protected":false},"author":1,"featured_media":0,"parent":2679,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-2739","page","type-page","status-publish","hentry","no-post-thumbnail"],"_links":{"self":[{"href":"https:\/\/www.ocduk.org\/wp-json\/wp\/v2\/pages\/2739","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ocduk.org\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ocduk.org\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ocduk.org\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ocduk.org\/wp-json\/wp\/v2\/comments?post=2739"}],"version-history":[{"count":0,"href":"https:\/\/www.ocduk.org\/wp-json\/wp\/v2\/pages\/2739\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/www.ocduk.org\/wp-json\/wp\/v2\/pages\/2679"}],"wp:attachment":[{"href":"https:\/\/www.ocduk.org\/wp-json\/wp\/v2\/media?parent=2739"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}