4 ms·
My understanding is that with SSRIs it's not the drug itself that helps but rather the repercussions of developing a "tolerance" to the drug. Trying to remembe
by Jarwain 2y ago
My understanding is that with SSRIs it's not the drug itself that helps but rather the repercussions of developing a "tolerance" to the drug.
Trying to remember what a neuroscience friend of mine said; your brain, like your body, tries to reach some sort of homeostasis. Inhibiting the reuptake of serotonin results in there being more serotonin in the brain, resulting in your brain changing somehow to handle this serotonin.
These changes take time to develop, thus the delay on the impact of ssris.
Generally, consistent use of any drug will cause these longer term changes in the brain. Since your body is trying to find homeostasis, these changes reduce the impact of the acute effect of the drug, thus the experience of tolerance. The experience of withdrawal is a side effect of having these changes without the acute effect of the drug.
- alan-hn 2y agoIs the overload of presynaptic serotonin receptors that ends up causes endocytosis of those very receptors. The purpose of these receptors is to help regulate vesicular release of serotonin into the synapse by shutting down release when too much is detected. Less of those receptors means more serotonin in the synapse after long periods of treatment. The current overall theory (iirc) is that this helps to drive BDNF upregulation which is a neuronal growth factor that helps to drive more dendrite and bouton formation leading to new and more robust network connections