What happens when you stop taking antidepressants?

Anti-depressants are prescribed to relieve symptoms of depression like low mood, exhaustion, feeling suicidal, and more. They help you become emotionally stable & carry on with your daily routine. But there will be a time when you don’t need them anymore and want to discontinue.

When to stop antidepressants?

This decision should be made by you and your physician (psychiatrist) together. Never stop them prematurely without the support of your physician. You could risk a recurrence of depression.

How do antidepressants work?

The function of antidepressants is to increase certain chemicals called neurotransmitters (dopamine, serotonin and norepinephrine) in your brain. Changes in levels of neurotransmitters are linked to your mood and emotion.

What is antidepressant withdrawal?

After using antidepressants, your brain gets used to a certain level of neurotransmitters. Stopping them will make you feel uncomfortable. These symptoms may range from mild to distressing and depend on the medications.

Symptoms of antidepressant withdrawal are sometimes called “antidepressant discontinuation syndrome” and typically last for a few weeks -

Anxiety

Insomnia or vivid dreams

Headaches

Dizziness

Tiredness

Irritability

Flu-like symptoms - chills, body pain

Nausea, vomiting, diarrhea.

Your physician’s role: Your physician may gradually reduce the dose or prescribe another antidepressant on a short-term basis till your body adjusts. They will also decide when to start and stop them. Keeping them informed about your dosage and symptoms is very important.

As your body readjusts to the new level of neurotransmitters, your withdrawal symptoms resolve. If symptoms last more than a month and are worsening, you should consider whether you're having a relapse of depression.

It is difficult to understand whether relapses are due to antidepressant withdrawal or just the return of depression. Track your signs and symptoms and tell your physician. He/she will help you and either prescribe antidepressants or another treatment.

How to handle this phase?

You have been through a lot. Stay active, seek support, make a plan, and take your time to get off antidepressants. Consider psychotherapy and complete the dose while you taper off your medication.

Final Note: Going off antidepressants can be scary. But with the right support and medical help, you will be fine. Check with your physician after a month or two. Make sure there are no withdrawal symptoms, and no returning depression.