A few times in my early twenties and early thirties, I saw
therapists primarily because I was having a hard time handling my own obsessive
compulsive streaks, panic, and anxiety. I was never looking for a pill to fix
myself or tone myself down. I didn't feel that my issues were severe enough to
automatically dive in to a pill. I thought pills were too often over prescribed
for the wrong reasons (such as pharmaceutical industry reasons). I didn't want to tone down my own personality,
my emotions, or other parts of the real me, especially since I thought that my
strong emotions were a large intrinsic element to my natural creative process,
passion, genuine communication, poetry, and art. Despite sharing those feelings
with therapists, pills were recommended anyway, but I always declined that
recommendation, deciding for myself that I'd only take them if I really needed
them in order to live a semi-normal life.
I am grateful that I was always able to handle my own mental glitches without
having to resort to a pill. I know quite a few people with more severe mental
issues who have less of a choice in the
matter.
Seven or eight years ago, when I unexpectedly started having seizures, I had
less of a choice in the matter too, because it was either take a pill or have
more seizures. I was initially very unhappy (borderline depressed) about it,
because I had been an anti-pill person for years (again, primarily because of
the pharmaceutical industry and pills being quickly and easily and casually over
prescribed without much personal analysis of the brains they would be
impacting), but the first few seizures I'd had involved suddenly passing out in
a public place and peeing my pants and suddenly waking up in my own bed at
home, feeling out-of-it, confused, and finding out that I had knocked down a
bunch of stuff in my house with no recollection of how or when or why and I had
banged the back of my head against something with enough severity that I had a
welt and needed to go to the ER and get checked for a possible concussion. That's
when I ended up being unexpectedly admitted to the hospital, undergoing various
tests, and finding out that my brain was now prone to seizures. That's when I
ended up having a seizure pill prescribed to me and feeling angry and out of
control, because my choices seemed so limited and I don't remember them ever even
being discussed with me. A certain pill
was just automatically prescribed to me.
Despite serious initial unhappiness about the situation, I
did what I needed to do, and started taking my suddenly prescribed seizure
pills. The generic pill I was prescribed
had significant side effects for a month or two, the worst ones being that it
toned down my energy, toned down my passion, drained my emotions, and made me
care less about things that were usually important to me. But thankfully, I acclimated myself to that
pill within a few months and after that, for the most part, I had no major side
effects for years.
Unfortunately, near the end of last year, the manufacturer's version of the
generic seizure pill I'd been taking for years stopped being available at my
pharmacy or any other pharmacy near me.
My mom made a substantial effort to help me by researching other manufactured
versions of my generic pill and we chose the one that appeared to have the
least complaints from people who were using it. I began taking it shortly
before the New Year.
I had one seizure within the first week of the New Year (which might be fairly common when someone
switches from a pill with one set of fillers to a pill with another set of
fillers). In addition to that, after years of being free from pill side
effects, I'm experiencing side effects again and they're not very comfortable.
I'll think I'm getting used to the pill and have a day or two of feeling close
to normal, but then I'll have multiple days in a row that involve anxiety and/or
panic and/or an entire day where I feel semi-randomly annoyed and angry.
It strikes me as uncomfortably ironic that some of the side effects I'm
experiencing with this new manufactured version of my seizure pill are like
more extreme variations on the mental quirks I chose NOT to take pills for in
the past. My anxiety has increased. My illogical
panic has increased (various times I've semi-randomly woken up in the middle of
the night, sweating, heart racing, brimming with terribly uncomfortable
illogical thoughts, related to health and death - and then I have to stay up
for an hour or so, so I'm not lying in bed with a pounding heart and weirdly
throbbing bodily organs - and then when I do lie back down, I feel the need to
keep a light on, in case the panic escalates again). I've also been feeling semi-randomly
annoyed and somewhat angry more than usual. Things that usually bother me a
little have been bothering me on a more irrational larger scale. So far, it hasn't reached the point where I
feel like I can't handle this, but there's been several occasions where it's
gotten close. I mean, I feel like I can handle this TEMPORARILY, but
I sure don't want to feel like this for
the rest of my life - alternating between feeling like I'm on some sort of irregular
speed pill then anxiety then panic then not feeling like getting out of bed
(probably because my sleep keeps getting interrupted by panic), then random annoyance
about life.
On the definite plus side, I'm glad my strong emotions still exist, even though
they're a little too extreme - and I'm glad I still care enough to express
myself, even though sometimes I don't feel like it.
I've been on this new version of the pill now for almost (but not quite) a
month and even though I really wish these side effects would have stopped by
now, unless they get significantly
worse, I'm planning to stick with the pill for close to another month, before I
try another approach.
Because frankly, the only other approaches are to stop taking a seizure pill
and be prone to having more seizures and damaging my body or snapping my neck -
OR to try ANOTHER different manufacturers version of the pill and experiment
with the side effects of THAT for a month or two. And what if the next one is
even worse? What if it drains my energy? What if it tones down my real emotions
and genuine passion? What if it causes me to feel like I don't really care about
anything anymore? What if it makes me suicidal? At least this current batch, despite
its unlikable side effects, isn't
draining me into an unemotional zombie. I still feel like the real me, slightly extremified. I still have
strong feelings; they're just exaggerated. My flaws and weaknesses are
exaggerated. My neck feels weirder than usual. My boobs feel contorted and
misshapen like they're blobbing themselves further to the side. I feel like
nobody really cares. I feel like this is just the way it has to be, for no
apparent reason.
And I'll bet the pharmaceutical industry doesn't really give
a fuck about any of this. I'll bet the main reason I can no longer acquire the
generic manufacturer's version of the pill my brain had gotten used to and that
was working reasonably well for me for years is because that generic version
was overtaken by cheaper generic versions. And as for the original name brand
version, I'll bet the average person can't afford it, even with their work
related health insurance, because sometimes health insurance just helps with the
generic pills.
The medical industry seems to just sort of automatically expect us to take the
pills we're prescribed, the pharmaceutical industry seems to sell the cheapest
pills they can acquire/get away with, and both industries seem to be lacking in
the department of bothering to realize or care very much about how many people
don't have many affordable options. For financial reasons, some people have to skip pills or cut their prescribed dosage
of pills in half. Luckily for me, my health insurance covers the bulk of my
pill costs and I can afford the part it doesn't cover - but that's only if I
take the generics, so my options are somewhat limited - but my options aren't
anywhere near as challenging or limited as some people's. I have it better off
than some people I know whose pills are so expensive that even if there health
insurance covers parts of it, there out of pocket expenses are still more than
a hundred bucks a month. I have it better off than people who can't
afford ANY pills.
I'm on one fairly low dose pill that I take twice a day. What about people who are on multiple pills
that they have to take multiple times a day? How are they able to handle the multiple
costs/multiple pills, monetarily and mentally? How are they able to handle the way the pills
interact with their brain combined with the way the pills interact with each
other? Especially if they're sometimes given different manufacturer's versions
of their pills with no advance notice. How is anyone just randomly expected to handle
the side effects of generics that switch to different generics that switch to
different generics?
In my experience, even generic pills with the same name that are made from different
manufacturers, seem to have significantly different side effects. Heck, that's
what most of this piece of writing is about. What I haven't mentioned yet is
that one of the worst seizures I ever experienced happened less than a year
after I had started taking my pill. I had gone to my pharmacy to pick up a
refill, the bottle of pills they gave me had the same pill name as usual, but
the pills looked different. Since they had the same pill name and since the pharmacy gave them to me without
expressing anything different than usual, I just figured the color and shape of
the pill had changed. But a few days
into taking that pill, I was watching something on TV and suddenly started to
see red flashing lights. My TV is near my screen door, near the back of my
house, so at first I thought there was a cop car outside and I was seeing its red flashing lights from the screen door. Then I turned around and looked in
the other direction and the red flashing lights were there too. It didn't matter where I looked, it didn't
matter whether I looked up or down, it didn't matter whether my eyes were
opened or closed, the red strobe lights were everywhere, flashing all over the
place, and I couldn't see the details of anything. I thought I was dying. I
thought I was having another stroke. I could see my cell phone, but I couldn't
see any of the letters or numbers on it. I started to panic and I started to
scream. I thought I was going to die. I couldn't see the fine
print on my own cell phone because everything was infiltrated with red strobes.
Then I just tried to press things on my phone, even though I couldn't see what I was
pressing, and somehow I managed to connect with one of my sisters whose first
name starts with an A.
It turned out I wasn't dying; I was just having a weird visual, pre-seizure
side effect from a different manufacturer's version of my generic seizure pill
that had just been automatically handed
to me without the pharmacist saying a word about anything possibly being
different.
I don't want to take this too much further, because even
though I think I've expressed valid points, I also realize they're nothing new,
at least not to most other people on pills - and also, I don't know what to do
about it. But instead of just silently sucking shit up, I at least wanted to share
some of my thoughts and feelings and attempt to excavate some frustration out
of my system (versus THE system), so it doesn't stay stuck in some panic alert
in my brain.
For those of us who have a personal experience or semi-personal experience with
prescribed pills that we're supposed to take on an ongoing basis for health
reasons, whether mental health or otherwise (or for those of you who don't have
such an experience at this point in your lives), one fact of the matter is that
many of us who have been prescribed pills can only afford the randomly changing
generics - and many members of the
pharmaceutical industry and medical industry don't seem to think that's any big
deal (because it's a deal that's overridden by monetary deals and it's just
part of the system). This seems to indicate that in the larger scale of things,
poor people deserve to suffer and die before rich people - and poor people with
health conditions and/or mental disorders beyond their own control deserve to
deal with more generic side effects galore.