“if you take medication for that, you’ll be taking medication all your life!!” yeah, and?? bud, i already put on my glasses every morning. it’s like. a condition of mine, not a side hobby i’m pursuing irresponsibly.
tonight’s informational post (why do i always think of posting when i’m in the shower) is about a medication side effect called akathisia
akathisia refers to an intense need to move your body, and severe discomfort when sitting still. the best way i can describe it is that it’s like the time i took 800 mg of caffeine back in college but multiplied by a thousand. a person experiencing akathisia might bounce their leg, pace, wave their arms, rock back and forth, punch drywall, etc.
the other defining piece of akathisia is severe distress. you do not want to be moving around. it’s not like stimming, where moving makes you feel better. instead, it feels like if you stop, you will explode. it feels like your body is completely outside of your control. there’ve been reports of prisons using akathisia-causing drugs as a form of torture for inmates. it definitely feels like torture.
with akathisia, the restlessness takes priority over sleeping, eating, showering, or doing any other basic task. no matter how tired or hungry you are, you can’t stop to go to sleep or to prepare food, so you just keep pacing and bouncing around, as your brain function deteriorates from exhaustion and hunger. this can lead to hallucinations, mood episodes, or serious physical illness.
the most common cause of akathisia is antipsychotic medication. not just the old first gen ones, but also a lot of the newer ones too. the problem with this is that the kind of person who gets prescribed antipsychotics is also the kind of person who has little sway with doctors. often, psychiatrists (and sometimes sufferers) will mistake akathisia for mania or psychotic agitation, and will then increase the dosage of the medication that caused the akathisia in the first place.
however, if you come in saying “i think i have akathisia” they might actually listen and can give you a plan to switch or decrease medications. there are also medications that can be taken in conjunction with antipsychotics that block the side effects. just saying the name “akathisia” is what worked for me: i spent weeks trying to explain my bizarre restlessness and insomnia->psychosis, got interpreted as manic, and prescribed more antipsychotics that had more side effects. but once i said “i read about something called akathisia and i think that’s what’s happening to me” i was put on medications that mitigate antipsychotic side effects, and now i’m (mostly) stable again.
so yeah, if you can’t stop moving and it’s ruining your life, try looking up akathisia and calling up your psych armed with pubmed articles on it.
i’ve had akasthisia before and it’s exactly as op says! i took my medication at night and then would restlessly toss and turn for hours; i tried taking it during the day and ended up pacing around our porch like an agitated wildcat for The Entire Afternoon
i was blessed by a psychiatrist who knew what he was doing so when i called the office, the convo went:
me: this medication is making me…. uh….. i can’t stop moving, i’m agitated
the receptionist: agitated??
me: NOT violently, just – i can’t sit DOWN
the receptionist, kindly: does it feel like you’re crawling out of your skin?
me: YES!! YES THAT’S IT
but again, as op says – a lot of psychiatrists do Not know how to recognize it. it’s a relatively rare side effect and if your psych doesn’t specialize in psychosis, they might not have seen it before. which can lead to dosages being upped instead of lowered, which becomes straight-up malpractice when the doctor decides to ignore your own testimony due to your psychosis
being on (different) stable medication has saved my life but the akasthisia was so awful that i DID almost quit treatment altogether. so be aware of it and self-advocate as much as you can
Ah the free market at work.
(Similar to when I went to CVS to pickup a 90$ prescription and they had their own generic version for 7.99).This is important!
Tell your Friends.I can’t believe some insurances quit covering them 😐
From Slate:
The generic Adrenaclick will cost $109.99 for two doses, compared with $649.99 for the same amount of drug in an EpiPen. That’s good news, both for financial and safety reasons: STAT reported last year that some parents and institutions had begun filling up syringes with epinephrine as a cost-cutting measure, a DIY solution that could pose great risk to the children who may have eventually needed injections. A more affordable alternative will help ensure safer epinephrine injections.
That’s assuming, though, that the people who need these devices know exactly what to ask for when they’re sitting in their doctors’ offices. Otherwise, they’ll still be stuck with the overpriced product. Here’s why: The mechanism by which Adrenaclick injects the drug is slightly different from EpiPen’s mechanism, so the Food and Drug Administration has ruled that the two are not therapeutically equivalent. That distinction is important because it means a prescription for an EpiPen cannot be filled with Adrenaclick. If you want the cheaper option, you have to have an Adrenaclick prescription.
You must ask your doctor for an Adrenaclick prescription!
I also found a coupon from Impax on 0.15mg and 0.3mg epinephrine injection, USP auto-injectors, which appear to be the generic version of Adrenaclick; these coupons cover up to $100 per pack for 3 packs of these injectors (6 total injectors).
Some customers may be automatically eligible for $100 off the retail price thus only paying $10 for a pack, but this may be good backup for those who for whatever reason do not meet those requirements.
Pass this information on, potentially save a life.
it is literal violence against disabled people to make necessary medications so expensive that only the rich can afford them. it is insurance companies supporting eugenics. It is in fact a death sentence. It’s not just “good business” It is literally “good euthanasia”
After receiving FDA approval my steroid; Deflazacort, just went from 800$ a year to 89,000$ a year.
I’m told my insurance will now cover all of it but to say the least I am skeptical… especially if(when) the ACA gets repealed.It’s not life saving but it probably adds some years.
Yeah, repealing the ACA [obamacare] will kill millions of people, they’re getting rid of us as fast as they can. These prices are not possible for the average disabled person to pay, because most of us can’t work.
need I remind everyone, disabled people at most make around $8000 a year, the poverty line starts at around $11000 for a single person. and disabled people can’t even save over $2000 or they are removed from their disability benefits, which means we cannot even save up to the poverty line.
some of these medications that keep us alive are so absurdly out of our reach without it being covered we would die, either faster than normal, or as soon as we run out. There is absolutely no way around this.
People are dying because of these prices, and make no mistake, this is intentional. They’re not just “stupid” and “don’t understand what their actions entail.” They want us dead. These people do not want disabled people to live, that’s all it boils down to.
thought i’d specify disabled people who arent on disability benefits, I know for a fact not enough people get the disability benefits that they deserve, and that was a mistake on my part not to include. These people who haven’t been granted disability money make either nothing, or far less than non-disabled people, some places it’s legal to pay disabled people 22 cents an hour.
This too is violence, and further proof that no matter what we do we cannot afford such outrageous prices of life-saving medications on our own.
And you know what, there are disabled children who cannot work, and if they only have one or two parents …. minimum wage isn’t even going to cut paying for these medications, and even the national average income would not cover some of these life saving medications, surgeries, and treatments. Commodifying medicine is genocide.
I honestly hate how art and media have kind of romanticized the idea of like “going off your meds and being your true self again” because like I started taking antidepressants and like immediately got a new job, found a place to live, improved my relationships with people in my life and completely reconciled with my sort of estranged ex-girlfriend?? Medication can be rad and while I realize that it’s not for everybody I don’t think anything should be trying to convince anyone that being on medication inherently makes you less of who you are
(Most) Medication is for helping you to be you again. The real me isn’t tired by just walking to the train station. The real me is not my anxiety or depression. They don’t define me.
The real me is who I am when I’m not anxious and feeling worthless 24/7.
Medication is supposed to be the chemical equivalent of glasses or a wheelchair, depending on the severity of impairment. It tries to help you compensate for what has been taken, been broken, or is missing.
In particular, i always hear the myth that anti-depressants give you “artificial happiness”… no, no, no. They give your brain the ability to be happy. You won’t always be happy, and sometimes you’ll be sad. But the happiness you’re able to feel when you’re on meds is your own, real, happiness.
SAY IT LOUDER FOR THE NEUROTYPICALS IN THE BACK!!!
I mean this is important for neurotypicals but it’s honestly more important for people who struggle with mental illness and hate being on meds for a variety of reasons (aka me).
Take away med stigma! Don’t deny yourself something that can help you live a more fulfilling life and don’t shame people for their choices!
A message to all my friends with mental illness who are on medication of any sort:
If you’re feeling better, that’s good!!! If you’re no longer feeling chained to your mental illness, even better!
But please please please please pLEASE do not stop taking your medication because you feel better.
You feel better because your meds are working.
If you stop taking them they’ll stop working.
And that means relapse.
So if you’re on meds and you’re feeling better, keep taking them!!!!!!!
This is really great but if you’re on the bp spectrum it’s good to keep in contact with your doctor, because while sometimes anti depressants are good for snapping you out of a depressive or dysthymic cycle it can trigger you into a hypo/manic cycle so they’re not good long term. I don’t see it talked about much on tumblr and this is really great but it’s just a PSA! After you’re not feeling depressed it’s good to see if a mood stabilizer would be better for maintenance.
this is why its depressing to work in a pharmacy.
I was definitely a profit killer when I worked in a pharmacy (which honestly was my favorite job in the entire world, but it was short-lived and nowadays you can’t work at a pharmacy like that, it’s all tied in with corporate retail and no one should ever trust me with a cash register ever). It was not, however, actually a profit killer for the pharmacy, just for the drug companies, so no one cared. These days I do medical billing, which means I actually bill OUT from hospitals so I’m mostly spending my professional time taking money away from insurance companies.
I will now impart all of my profit killing resources onto you, in case you don’t know them. I think most of you know them, now. But just in case you don’t.
THIS IS US-CENTRIC. I’M SORRY.
1. GoodRx - this thing has an app now, so you can look up the best places to get your expensive medicines at the lowest possible prices without insurance on the go, and you no longer have to print coupons because you can just hand over your phone or tablet. Times have changed for the better with GoodRx. Definitely use it before trying to fill your scrip, because it will tell you the best place to go. (You can do that on the website, too.)
2. NeedyMeds - Needymeds is basically the clearinghouse of drug payment assistance. They have their own discount cards, but also connections to many patient assistance programs run by drug companies themselves. They are good assistance programs, too.
3. Ask your county - This is not a link. This is a pro tip. Most county social services will have pharmacy discount programs for people with no and/or shitty pharmaceutical coverage. You can often just find them hanging around at social services offices; you can just pick one up and walk off with it.
4. Ordering online - There are a few safe online pharmacies. I keep a little database in a text file on my computer. Most of them are courtesy of CFS forums, my mother or voidbat, so a lot of that is a hat tip to other people, but if you’re in need of a place to get a drug without a prescription … first I’ll make sure you 100% know what you’re doing for safety reasons and then I’m happy to turn over a link.
5. Healthfinder - A government resource that helps find patient assistance programs in your area. This might also point out the convenient county card thing. RxHope is something a lot of people get pointed to via Healthfinder that’s a good program.
6. Mental Health America - Keeps a list of their best PAPs for psychiatric medications, which can be some of the most expensive and a lot of pharmacy plans don’t cover them at all.
This is so important ppl.
Signal boost the shit out of it!
Booooooooooooooooooost
Good Rx Saved my family a hundred dollars a month while I was getting signed up for CHIP
seriously it’s a life savor especially for ridiculously expensive drugs like abilifyUseful info, friends! ;)
Here’s a Funny Story
In 2008, I went to a campaign rally for Barack Obama. I saw him talk, it was great. I came home and the next day I got very sick. Then I made a video in which I sang a brief song that went:
Barack Obama gave me a disease
He shook my hand right after he sneezed
and now I’ve got a fever of a hundred and three
Barack ObamaNow, I didn’t actually shake his hand, and he didn’t actually sneeze, but I figured I did get the illness at the rally because there were thousands of people breathing on me and that was bound to happen.
But, in fact, that is not what had happened.
I got much sicker the day after I made that video. I had a full body rash and my blood pressure had dropped to 80/30 and I couldn’t stand up without passing out. I had to go to the emergency room and get an IV of fluids and steroids because I was having a systemic allergic reaction to a new medication I was taking.
The medication, sulfasalazine, is not usually prescribed for ulcerative colitis because of the frequency of these dangerous allergic reactions. But because my medication was so expensive, and sulfasalazine is so much cheaper, my doctor had elected for me to try it out and see if it worked for me.
Obviously, it did not, so I had to go back on the $400 per month stuff, which I am still on. But I would not have had to take that other medication, nor would I have ended up in the hospital with a potentially life-threatening allergic reaction if we had had the Affordable Care Act, because I wouldn’t have had to choose a potentially dangerous medication just because it was cheaper. The $400 stuff is now actually cheaper for me than the sulfasalazine was.
So, basically, I owe the president an apology.
To start off Birth Control Appreciation Day, I decided to make an informative masterpost on contraceptives! I hope this helps anyone who may want more information on their birth control or someone trying to decide what kind of birth control is best for themselves! Happy (birth control) hunting! - Paige
DIFFERENT TYPES OF BIRTH CONTROL:
- Birth Control Pills - [x] [x]
- Mini Pill (Progesterone-only Pill) - [x]
- The Patch (Ortho Evra) - [x] [x]
- The Shot (Depo-Provera) - [x] [x]
- Birth Control Sponge - [x] [x]
- Vaginal Ring (Nuva Ring) - [x] [x]
- Spermicide - [x] [x]
- Implant (Implanon and Nexplanon) - [x] [x]
- IUDs (Mirena, Skyla, and ParaGard) - [x] [x]
- Condoms (Male and Female) - [x]
- Withdrawal (Pullout Method) - [x] [x]
- Diaphragm - [x] [x]
- Breastfeeding - [x]
- Cervical Cap - [x] [x]
- Sterilization (Male and Female) - [x]
- Abstinence - [x] [x]
- Fertility Awareness-Based Methods (FAMs) - [x] [x]
COMMON QUESTIONS ABOUT BIRTH CONTROL:
- Do certain medications make my birth control less effective?
- Can I delay or eliminate my period with my birth control?
- Will my pregnancy tests come out with an accurate result while I’m on birth control?
- Can I use several birth control pills at once in replace of an emergency contraceptive?
- Does birth control cause weight gain?
- What should I do if I miss a pill?
- What should I do if the condom breaks or slips off inside of me?
- If I’m on the ring or the patch and I forget to replace it on the right day, do I need to use backup?
- I’ve heard that the birth control ring can pop out. What should I do if this happens?
- Can birth control increase my risk of getting cancer?
- Can you change your mind after having a tubal ligation or vasectomy?
- Is it normal to spot or bleed in between periods while on birth control?
- Does certain hormonal birth controls affect my blood pressure?
- Can being overweight affect my birth control’s effectiveness?
- Can certain birth controls lower my libido?
EMERGENCY CONTRACEPTIVES:
- Types of EC: Plan B / Ella / ParaGard IUD - [x] [x]
- What are emergency contraceptives?
- How do they work?
- How well does it work?
- What are the side effects?
- When should I take an emergency contraceptive?
- Are emergency contraceptives less effective the heavier you are?
- If I am under the age of 18 in the US, can I buy emergency contraceptives without my parent’s knowledge or consent?
- If I take an emergency contraceptive today, am I covered if I have unprotected sex tomorrow?
- Will taking emergency contraceptives too many times affect my fertility?
- To find more questions and answers about emergency contraceptives, you can go here.
- Información anticonceptivos de emergencia es disponible en Español, aquí.
OPTIONS FOR PEOPLE WITH ALLERGIES AND/OR CERTAIN
PREFERENCES:
- Condoms for people with latex allergies.
- Condoms for vegans. [x] [x] [x]
- Other vegan contraceptive options.
- Different types of birth control without estrogen.
- Contraceptives without any hormones.
- Birth control methods that are useful to people with religious concerns. [x] [x]
OTHER BENEFITS OF TAKING BIRTH CONTROL:
- Taking oral contraceptives can help lower the risk of endometrial and ovarian cancer.
- Using birth control helps treat acne.
- Birth control can help treat the pain caused by Endomitriosis.
- Contraceptives offer relief to people with Polycystic Ovarian Syndrome (PCOS).
- Anemia can be avoided/treated by using birth control.
- Irregular periods can become more regulated by using birth control.
- The pill can lead to fewer ectopic pregnancies.
MYTHS ABOUT BIRTH CONTROL (All the myths below are dispelled
through the links given):
- Emergency contraceptives and birth control pills cause abortions.
- Free contraceptives and/or condoms makes people participate in risky sexual behavior.
- The pill makes you gain a lot of weight.
- Douching after sex prevents pregnancy.
- You have to start your birth control on a Sunday.
- Taking the pill for a long time can make you infertile.
- Hormonal contraceptives protect you from contracting STIs.
- You don’t need to be on birth control while breastfeeding.
- I won’t get pregnant my first time having sex.
- The Pill is effective immediately after you take it.
- I won’t get pregnant if I shower or pee after sex.
- My body needs a rest from birth control at least once a year.
- Emergency contraceptives are affected by alcohol.