Navigating the side effects of mental health medication

Maybe this scenario is already familiar: you’re taking a chalky white pill every night, or perhaps it’s a pastel green, like the inside of a cucumber. Perhaps you’re taking two, or three, or more. The medication might work well, but something isn’t right. Your hands might shake; your stomach roils and heaves; or you are lethargic, with your battery running on low the entire day.

Some side effects are mild and can be easily brushed aside, but others can be debilitating. While psychiatric medication may be the saving grace for many mental health conditions, the potential side effects may pose a barrier for people who have been prescribed them. The severity of side effects is also dependent on the patient: some might be okay with a reduced appetite, for example, but others might find it to be particularly worrying.

Here are some tips on navigating side effects when taking mental health medications:

1. Be informed

Before starting on any course of medication, learn about the possible side effects –– both minor and serious ones –– and discuss with your doctor the benefits and risks of taking it. Ask questions when in doubt: sometimes it’s also worth knowing why your doctor chose a specific medication, how it works, and how long you should wait to see an improvement.

2. Constantly communicate with your doctor

Let your doctor know how you’re feeling when taking the medication. Is it working, and if it is, how well? What are the side effects you feel? If it feels too much, perhaps consider asking them to switch to something else –– and let them know right away if something doesn’t feel right. It’s also important that both parties are fully transparent, and as the patient, that includes letting the doctor know if you’re already on other prescription medication, or if there is anything else they should know about your health: for example, if you have pre-existing health conditions, allergies,  or if you are, or wish to become pregnant.

3. Don’t stop without your doctor’s OK

Certain medications cannot be stopped suddenly as they can cause withdrawal symptoms. Before starting on a course of medication, ask your doctor if there are any severe side effects or allergic reactions you should be aware of, and what you should do if you encounter them. This also means that if you’re feeling better, you should still continue taking your medication, as relapses can sometimes occur when you quit taking them. If you feel like stopping your medication, consult with your doctor on the best way to do so: this might mean gradually lowering the dose over a few weeks or months. For some people, the side effects might also go away after some time.

4. Follow any instructions given

Some medications have instructions that should be followed. An example is Latuda, which needs to be taken with at least 350 calories for it to be properly absorbed. Such medications may have other side effects if they’re not taken properly.

5. Stay mindful

Keep a tracker of sorts to see if your medication is working for you and if there are any side effects. Some medications also require lifestyle changes to provide for what your body needs: for example, more rest might be needed if you’re often feeling drowsy. At the same time, consider if it may affect your work or studies.

6. Change up the dose or the medication 

Some people may have to try out different medications before settling on the one that works for them. At times, dosages may have to be adjusted to find the sweet spot: with minimal side effects, but maximum efficacy. Work with your doctor to find the right dosage for you.

Curious about the lived experience of someone who has taken psychiatric medication? Read our blog What is it like to take medication for your mental health here

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