Have done med changes which were no fun but i'm finally feeling less sedated in the day time. However i'm pretty annoyed with the psychaitrist that i had been seeing. She has not returned any calls or replied to any e-mails from my GP or the mental health nurse that i see locally. They have had to source advice from the visiting psychiatrist - not really good enough as far as i can see. Working as a health professional and being a patient for an extended period is eye opening to say the least. Not sure how you justify prescribing a medication that reduces the effectiveness of tamoxifen - especially when i asked that question prior to the medication change and then not being contactable for follow up medication advice. Crossing her off my team!