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Iam on an SSRI (Sertraline 100mg) and am going to take LSD:how long do I have to be off Sertraline for safety? I am going to ingest LSD (Acid) and I've been taking Sertraline 100MG, an SSRI anti-depressant. I've heard and read from numerous sources that SSRI's aren't necessarily dangerous to combine with LSD, however they do reduce the effects of the drug (somewhat dramatically). I want to know how to curb this by being informed how long I have to be off the SSRI(Sertraline) before ingesting LSD. So what I wish to know is when, approximately, is a sensible time to stop taking my anti-depressants to achieve maximum effects of the LSD. (Say for example, 1 week, 2 weeks, 3 weeks?). I'm happy to listen to approximations as well as informed guidance. Also, please don't answer with "Just don't do it", because I've already made up my mind :). Anyways, thanks a lot for any input you may give!

Pharmacy student replied: ""when is a sensible time" Never! Your on an antidepressant to stop taking it will be devistating to your mental health and could cause you to go back to your previous ideations (suicide etc) LSD was used as a drug years ago but was quickly stopped because of the dependance it caused. To take it would be devestating because it causes long term depression aggitation etc Taking it will increase your depression in the long term. Coupled with your stopping of Sertraline could be devistating and irreversable. But I'm not your mother so this information is for you to think of before doing anything. Food for thought"

MadlyInLove replied: "maybe 1 or 2 weeks... coz, shifting from MOIs to SSRIs need 2 weeks, and SSRIs to MOIs is approx 1 week... but i don't know about LSD. Seek advise from your doctor, to be sure... hope this helps"

AJ replied: "You need at least 4-6 weeks before you do this. In majority of cases, SSRIs reduce the effects of Serotonergic psychedelics like LSD. However in some people, SSRIs can enhance the activity of hallucinogens like LSA. There are a few studies done on this. If you are still going to do it, I'd recommend that you give yourself a minimum of 6 weeks. There have been a lot of misconceptions that taking LSD with an SSRI can cause severe psychiatric disturbances. Not true. LSD can cause that all by itself. But the combination of SSRIs+LSD does not enhance depression or cause agitation, suicidal ideation or brain damage or rubbish like that. Now this varies from individual to individual but in general: SSRIs: decrease the effects of LSD Tricyclic anti-deps: increase the effects of LSD MAOIs: very dangerous to combine with LSD With Sertraline in particular, 50mg/day doses have had no effect on LSD but 100mg/day there will be a decrease in the effects of LSD. One last thing. Taking LSD after you have been on SSRIs can increase the occurence of "flashbacks". Hope this is helpful. EDIT: To the last poster, listen, my role here is NOT to act as a nanny. People are going to do drugs regardless of what you say. So the least you can do is to give them enough information so they won't KILL themselves. That is my goal. In NO WAY have I ever advocated recreational drug use. So don't tell me what a Pharmacologist should do. I have been in this field for many years and I'm an Addiction specialist. People will do what they want. Rather that giving them unhelpful comments which they are not going to listen, at least provide them with info so that they can make up their own minds and take responsibility for their own actions. It is not our role or right to play Nanny! Again, don't tell me how a pharmacologist should act. Do you even know the tiniest bit about the research we do? We are NOT the moral police. And this is Yahoo Answers, not Yahoo Opinions. I really don't care how many times you thumbs-down me because it's meaningless to me as are points. I only care about providing accurate info, not giving moral lectures! As for Serotonin Syndrome, do you even know the first thing about it? Because if you did, you would not be coming up with RUBBISH like that. It does NOT happen this way. If you presented logical arguments, I could accept it. But everything you have given is YOUR opinion and NOT backed up by science. If you want to post something like this, DO YOUR RESEARCH FIRST! Do you really think I would post an answer that did not check for drug-drug interactions? How irresponsible do you think I am? Every single one of my answers pertaining to drugs, has been about providing information. And that is exactly what I have done. So the next time you want to argue drug interactions with me, DO YOUR RESEARCH FIRST! We (my colleagues and me) have specialized in this field for the past decades! All this talk about agitation and depression because of SSRIs+LSD, is utter RUBBISH. As I said, if you suffer from pre-existing conditions, then you should obviously not take LSD. But combining it with SSRIs do NOT induce this sorta thing! Again, you claim to be a pharmacologist as well,,,,,,so do your resaerch properly. It absolutely riles me to see inaccurate gibberish posted! You may have met people who have had bad reactions to LSD. This is in most cases due to: 1) Overuse/abuse of LSD 2) Not everyone can take psychedelics due to pre-existing psychiatric conditions/illness Go to PubMed and read the many studies there on this topic. Then come back and tell me about interactions and tell me if ANYTHING I said was scientifically innaccurate. I never mentioned about Serotonin Syndrome because it DOES NOT HAPPEN! You are talking about combining Re-uptake inhibitors and 5HT-2a and -2c Agonists, not 2 SSRIs. LSD does not bind to the reuptake sites. Please, for God's sake do your research before spewing drivel like this. And if you claim you have done research and it does indeed cause Serotonin Syndrome, me and my colleagues would just love to read your research and comment on/peer review it we will you can be sure of it."

Alan replied: "A pharmacologist ought to be thinking about drug interactions - in this case, serotonin syndrome, a serious danger of combining serotonergic drugs that will put you in the ER. Sorry to ignore the asker's request and to write, "just don't do it", but I feel no one can responsibly support the idea that someone who's depressed should get off antidepressants until they're out of his system and he or she is potentially suicidal, and then that they ought to take LSD, in case they don't already have enough problems. This is an exceptionally bad idea, perhaps induced in part by depression. As an aside, I would be curious to see those studies showing how the different classes of antidepressants interact with LSD in humans, how this varies from individual to individual, etc. - I haven't done a search, but don't understand how such studies could have been funded or performed under ethical guidelines in place since long before the development of SSRIs."

dylkan replied: "Well there is no possible answer that i or anyone can give u based on the info provided. I don't know what drug u are asking about because i would bet anything that you don't have LSD (there has been no LSD available for the past few decades). Almost any drug that would make u trip is called acid and as long as u trip who cares what it is. IMPORTANT!!! Do NOT take a drug if you do not know what it is or how it will effect you"

I am on an SSRI (Sertraline 100mg) and am going to take LSD:how long do I have to be off Sertraline for safety I am going to ingest LSD (Acid) and I've been taking Sertraline 100MG, an SSRI anti-depressant. I've heard and read from numerous sources that SSRI's aren't necessarily dangerous to combine with LSD, however they do reduce the effects of the drug (somewhat dramatically). I want to know how to curb this by being informed how long I have to be off the SSRI(Sertraline) before ingesting LSD. So what I wish to know is when, approximately, is a sensible time to stop taking my anti-depressants to achieve maximum effects of the LSD. (Say for example, 1 week, 2 weeks, 3 weeks?). I'm happy to listen to approximations as well as informed guidance. Also, please don't answer with "Just don't do it", because I've already made up my mind :). Anyways, thanks a lot for any input you may give!

Chris replied: "Even though you did say 'please don't answer with "Just don't do it" ', I'm still gonna say that it's a dumb thing to do . Find some other way to entertain yourself. Addiction is hard to break."

shaneris2 replied: "You are already using an antidepressant: if you reduces its useage, you are likely to be somewhat depressed, which will increase your chances of a "bummer" (bad trip), which, I can tell you from bitter experience, is one of the worst things you can experience in your life, and makes depression seem like a party on the beach, at Christmas. Previous Y!A post. From: Aquarius: I have severe panic attacks can you help? I'm Tiffany. I have had severe panic attacks since I was about 17. I did LSD* and had a "bad trip" I went into convulsions it felt like my spinal cord was ripping out of my body. Every since then I have severe panic attacks no matter where I go or what I do. I was fired from two jobs because I ran out the door and fell to the ground (I felt like if I didn't my heart was going to explode.) One time I had to go to the hospital cause everything turned white I couldn't see, breathe, or walk. The dr's said I was having a real bad panic attack and nothing is wrong with my spine. I no longer have health insurance so I'm going to have to withdraw from my Zoloft(Which makes me angry all the time and deppressed but eases off the panic attacks for the most part.) How do I get cured? This is ruining my life. I'll be 21 next month and can't even go out like normal people. How did you over come your panic attacks? I have lost most of my friends because I never want to go out. I can't do this anymore. (ALSO FROM YAHOO! ANSWERS): Hey you should come for a ride along in the back of the ambulance I work on, I saw a guy run through a window completely naked, the guy had over 60 lacerations all over his body. It was totally awesome, you know, until he cored (his heart stopped) and we couldn't bring him back. But aside from that it was pretty funny. Oh and he took one hit of LSD, just by the way...Source(s):Emergency Medical Technician. ~~~ Don't say nobody warned you!!! (Chris is ignorant, but no doubt well intentioned: acid isn't addictive, which is not to say that it is risk free, because it isn't)."

Kirra W replied: "Its not healthy to stop AntiDepressants wihout consulting your doctor. are you really going to go "Hey doc, I really want ingest LSD tell me how to do it safely"? It can take up to a month to get an anti-depressant out of ur system. NOT THAT I"M ENCOURAGING THIS I really really don't see how this is healthy for you. You're on your meds to try and help you mentally. LSD is guna make you worse mentally. So please really consider what you're doing to yourself hard before doing this."

anyone know if theres anything you can take to help fight withdawl symptoms of ssri antidepressant sertraline? i have been suffering from breathing problems while on them. to be honest regret ever starting antidepressants. going to give st johns wort a go but you have to of been off ssri for a few months but the withdrawl symptoms are very bad. dizziness.fatigue. tired etc. driving me crazy. doctors appointment friday but thats to far away any suggestions greatly appreciated

purpledents replied: "sleep and exercise"

banzai replied: "SSRI's shouldn't be causing breathing problems. Something else might be going on, or it could be a product of anxiety and depression itself. You're also not supposed to just stop taking an SSRI cold. You need to work with your doctor about weaning yourself off of it slowly. If it's truly 'withdrawl,' which I'm not sure about, then the only thing you do is wait for it to go away. Keep your doctor's appointment, but something doesn't sound quite right."

Caroline H replied: "If you have any Valium, that will help - seriously, not being a smarty, but it is used to help withdrawal symptoms. Perhaps the Doctor's office could call you in a prescription? I wish you the best with this, I know it is very difficult."

ZhollaMychalis replied: "Call your doctor after you read this....today...now...side effects of medication are nothing to joke about...or joke with...if you are having breathing problems...call an ambulance...go to the emergency room...and call your doctor from there... Zoloft side effects are well known..and ignorance of them can cause you the quality ofyour life...or your life itself..... Did I mention calling your doctor this moment?"

klonopinchick42002 replied: "Zoloft right, you can call him and get directions and how to taper off, cuase the rare side effect is like flu systoms."

Out of all SSRI's Fluoxetine , Fluoxine , Sertraline , Paroxetine , Citalopram and Ecitalpram which is most? effective against OCD ? and which is best for Genaralised Anxiety Disorder ? Which has least side effects ?

JH replied: "They ALL have HORRIBLE and debilitating side effects! Drugs are not the answer!"

Michelle replied: "40mg of Fluoxetine is the usual dose for OCD. they will take about 2-3 week to get in to your system and you start feeling the benefit. You may suffer some side effects and you may not get any, it all depends on the individual. but they are worth a try. sometimes medication is the best thing to help you, and if you can get some counselling with it, all the better. give it a go it's better than going through OCD every day, and if there is something out there that can help, go for it."

summer replied: "i've been on all and there's really not an answer for that cause they effect everyone different. like my mom is on celexa and swears by it but it didn't work for me. you have to try them out one at a time, i had to too when i first got on meds"

Naga replied: "Escitalporam is best medicine for GAD .but you can get get best results after 1 month only"

deathbybunnies replied: "Paraxetine and sertraline both work very well on some. Everybody reacts differently. Sertraline made me very nervous and I had a high heart rate on it, paraxetine worked better for me. It may take a few tries to figure out which one works best. Venlafaxine (Effexor) also works on some and has been approved for GAD. Problem is they take 3-4 wks, although only few days needed to see if they cause nervousness. "

Sertraline (Zoloft) caused me Post SSRI Sexual Dysfunction... Can I sue? I am extremely upset. I haven't had a good ejaculation in God knows how long and I can't keep it up long enough to even do it. Even if I do keep it up long enough, I am not able to have an orgasm or ejaculate. Some days, if I get lucky, I'm able to successfully achieve orgasm and ejaculate, but I have a lot of difficulties, even after discontinuing the medication. I am ashamed and embarrassed because I had to explain to the person I lost my virginity to why I couldn't finish. Even when I masturbate I don't get any results. I am hurt and downright ANGRY that a company would market a drug that has this kind of potential. NO ONE told me that Post SSRI Sexual Dysfunction was a possibility, not even my DOCTOR! I feel I deserve some compensation for my ruined sex life, though it will never be fixed... Can I sue and who do I sue, the company or the doctor? Edit: I've already tried the "viagra class" of drugs and the only thing it does is make me dizzy. Edit: But the side effects don't say PERMANENT sexual dysfunction. So, the assumption is that the symptoms of sexual dysfunction will go away when stopping the medication. Edit: Btw I DID read the side effects and I did not see permanent sexual dysfunction.

lisa_swarn replied: "No you cannot sue as the medicine has a list of side effect and one of them is SSRI decreased sex drive, impotence, or difficulty having an orgasm. trust me drug companies cover themselves quite nicely, sorry"

macdreezy replied: "god i hate pharmeceutical companies, they are allowed to sell dangerous meds that can ruin ur life or even kill u and its totally legal, yet marijuana is illegal, a drug never shown to ever cause cancer or negative permanant side effects that can cause death or other related illnesses"

Maya replied: "If its written in the side effects manual that came with the pills, then you cant. If not than you may have a shot"

Duke replied: "Dude, you won't win any lawsuit. It is your obligation to read that little pamphlet that's folded 7 times, printed in 4 point font, and lists every side effect and every interaction possible with a medication."

Pico replied: "It's listed as one of the known possible side effects of the drug. It's in the literature. I don't think you can sue because it's ignorance on your part for not reading about the side effects. I'm not trying to insult you, I just think that's what the lawyer may say. I had a similar problem with birth control. I was not warned that women with a history of depression should NOT get the birth control shot I had. I have severe depression and had a psychotic breakdown on the birth control that landed me in a psych ward. At best, a lawyer said I may be able to sue the doctor for some sort of malpractice because she KNEW I had severe depression and she did NOT warn me about the side effects. I did not go through with a lawsuit. So, if you really want an answer to this question, speak to a lawyer."

20 Year Nurse replied: "That is why when you pick up meds at your pharmacy, they come with all that printed information. People should at least look this information over, as they give it to you for a reason. Drug companies have themselves covered by providing this. Besides, you are not permanently damaged. Explain to your doctor that you would like to try a different anti-depressant that does not have this potential side effect."

Brittany replied: "Probably not. The reality is that chemical substances have a ridiculous range of after effects, side effects, placebo effects, health risks, what have you. If the company knew about this particular side effect i can guarantee that you wont be getting any compensation. Doctors cannot relay every single side effect when they prescribe a drug, it's just impractical, and more over, its sad that it should be impractical to state side effects, it would just take too long. Knowing that, I'm sure both companies and doctors are protected by some law where they do not have to specify every single possible outcome of taking a drug. but i would suggest talking to a lawyer first and seeing if theres anyway you can even settle out of court"

happee1 replied: "nope... but if you are taking an antidepressent you probably are having some trouble now because your mind is not working to full capacity... the sexual part ..if from the drug ..will come back but know that all antidepressents can cause a loss of organism to some degree you have to weigh which is more important a happy 30 seconds or 23 hours and 59 & 1/2 minutes of happiness."

my heart has been pounding after eating since I have been on SSRI...whts wrong with me? any idea what the hell is going on? and can anybody tell me if pounding heart is very dangerous or not? taking SSRI for anxiety for 2 months now (SERTRALINE) mostly happens after eating food... resting heart rate after eating 75BPM resting heart rate before SSRI 68BPM so the heart rate is slightly allevated but it goes really high if doing things just like taking a shower

buttercup replied: "heart rate can increase after eating. It depends how fast your heart is going. Have you taken your pulse to see how fast it actually is? Edited to say that a resting heart rate of 75 is nothing to worry about. Heart rate varies between people and the average is around 70 for male adults but bewteen 50 and 100 is still considered normal."

gangadharan_nair replied: "Sertraline is used to treat depression, obsessive-compulsive disorder (bothersome thoughts that won't go away and the need to perform certain actions over and over), panic attacks (sudden, unexpected attacks of extreme fear and worry about these attacks), posttraumatic stress disorder (disturbing psychological symptoms that develop after a frightening experience), and social anxiety disorder (extreme fear of interacting with others or performing in front of others that interferes with normal life). It is also used to relieve the symptoms of premenstrual dysphoric disorder, including mood swings, irritability, bloating, and breast tenderness. Sertraline is in a class of antidepressants called selective serotonin reuptake inhibitors (SSRIs). It works by increasing the amounts of serotonin, a natural substance in the brain that helps maintain mental balance. Some side effects can be serious. If you experience any of the following symptoms or those listed in the IMPORTANT WARNING section, call your doctor immediately: * blurred vision * seizures * fever, sweating, confusion, fast or irregular heartbeat, and severe muscle stiffness * abnormal bleeding or bruising * hallucinating (seeing things or hearing voices that do not exist)"

Phil replied: "Nothing is wrong with you. That's one of the potential side effects of SSRIs. If it bothers you that much give the prescriber a call and they may be able to switch you to another med or just discontinue therapy."

The sexual side effects by SSRI's are caused by a restriction of blood vessels in the brain, what about this? SSRIs help relieve the symptoms of anxiety and depression by increasing the available supply of serotonin in the brain. Seratonin is a brain chemical that helps to regulate your mood. There is more. Serotonin is also a potent constrictor of the blood vessels and is thought to be involved in the mechanism of migraine and stroke. And sexual problems? Is this the whole reason behind why SSRI's cause sexual side effects, because they restrict blood flow and blood vessels in the brain? Those people out there saying it has caused them permanent sexual dysfuction have suddenly caused me to give them merit, as those blood vessels in the brain that have been restricted for so long, especially for those who took the SSRI's while growing up, will definitely effect the time, if any, that it will completely reverse. It does also appear to indeed increase the chance of stroke and one person claimed it caused them an impairment of vision, which also makes sense. SSRI's are constricting the blood vessels in the brain, I can't believe it. I wish this had to be explained to people, as I wouldn't have taken an SSRI pill this morning, which I now plan to quit. Would taking an appropriate dose of a brain blood vessel relaxing medication (?), stop the side effects of SSRI's, while reaping the benefits of the added serotonin? Perhaps, but that is beginning to sound like chemistry to me. Incidentally, is there anything else that can help my OCD? And how long will that 50mg dosage of sertraline hydrochloride that I took this morning take to completely leave my body? Thankfully, it is unlikely that it could have caused any permanent damage with one pill, I mean, thats liking thinking of it has a poison pill. Anyway, I have taken a few Effexors precribed to me when I was 17 and I stopped after a few times when I noticed my sexual ability stopped. What the hell is wrong with those eggheads, can't they see something wrong with this?

Az R replied: "You're in a very very iffy realm. The relationship between SSRIs and blood pressure is pretty weak. The effect they have seems to be very, very mild, and in fact they seem to constrict the larger arteries to the brain and dilate the smaller capillaries in the brain tissue. The idea that vasoconstriction is responsible for sexual side effects really has no merit for several reasons. The sort of blood deprivation that you're describing would result in tissue death, which would be clearly visible on the imaging studies done on the twelve odd cases of PSSD - there was none present. Second is that sexual arousal is clearly monitored by the serotonin system itself. PSSD has been getting a lot of unwarranted attention on Answers lately. This is very rare, there have been twelve confirmed cases in a few billion patient-years, and none of the people claiming to 'have' it on the internet have had the few hundred other causes of sexual dysfunction, most of which are comorbid with depression, ruled out. If you read those studies, they clearly went through every possible cause known to medical science before assigning blame. This is by all accounts, astronomically. Imaging of the blood flow in the brains of people taking SSRIs shows no significant alteration in blood flow or pressure. This is probably due to the fact that the Serotonin Transport Protein targeted by SSRIs is not shared by the serotonin system involved in blood pressure regulation (I'm not good with cardiovascular drugs, so I don't know the specifics of how this system works.) OCD lives in the anxiety domain. And if anyone wants to know why anxiety disorders are difficult to treat, just read the question again. You may also consider the drug Amitriptyline. As for the specific questions Sexual side effects due to vasoconstriction? No. Sexual side effects are due to an increase in serotonin activity in the areas responsible for regulating sexual drive and arousal. More serotonin slows down this system. Would a vasodilator help? No, because the effects on blood pressure and blood vessel tone are negligible. Near none existant as far as we can tell. So you've got a choice here. You can have a little faith in your doctor's experience and education and work with the process, or you can wait until you can't tolerate the psychiatric symptoms you're having anymore."

Crouching Doggie replied: "Exactly as the above author proffered, it seems like there a bit of confusion about the MOA of SSRIs versus the MOA of serotonergic agonists used in the treatment of Migraine headache. If we accept the theory that Migraine is the product of intracranial vasodilitation, then a serotonergic agonist would only be sensible in it's treatment (and they do appear to work rather well for many). SSRIs function in a very different manner (at the level of the synapse), so it's really rather complex pharmacology that we're talking about and rather than complicate the matter, your best bet is to adhere to your physician's recommendations. Generally, the advice physicians offer is highly well-thought out, so you'd be well advised to trust your Psychiatrist's judgement, but again, like most things in life, it's entirely up to you."

can you take haldol and an ssri in conbination? can you safley take haloperidol and an SSRI together like for egg haloperidol and sertraline together with it been safe an ssri is a group of drugs such as citalopram prozac sertraline fluvoxamine paroxatine

Lila replied: "Yes you can the Haldol is for anxiety and a completely different medication that an antidepressant. But always check with your pharmacist about drug combinations as they are the experts."

Have you heard of Post-SSRI Sexual Dysfunction? Post-SSRI sexual dysfunction is the SSRI-induced drastic and permanent loss of capacity for physical sexual sensation, without any substantial loss in mechanical sexual functioning. Post-SSRI sexual dysfunction can be abbreviated as PSSD. The symptoms of PSSD strongly contrast with those of depression-induced sexual dysfunction. For anyone that doesn't know, SSRIs are selective serotonin reuptake inhibitors. They include drugs such as fluoxetine (prozac), paroxetine (paxil), and sertraline (zoloft). PSSD only afflicts a relatively small fraction of people that take SSRIs. In particular, it afflicts people that have innately low serotonin, because SSRIs damage and kill sexual neurons by chronic depletion of serotonin from said neurons. People with innately low serotonin have neurons that can not sustain that depletion. People with innately low serotonin largely include introverts and serious people. So, have you heard of post-ssri sexual dysfunction before now? If so, how much have you known about it before now? Do you have PSSD, or know anyone that has PSSD? Apparently answerer #4 is having visual hallucinations.

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