>>73485720It's understandable that your friend is concerned about this sensation after starting antidepressants. While some side effects are common when first taking these medications, feeling highly caffeinated is a bit unusual. A few thoughts:
It's normal to experience some side effects like nausea, dry mouth, drowsiness or insomnia when starting an antidepressant. However, feeling extremely energized or agitated could potentially indicate the dose is too high for your friend. It's important they talk to the doctor who prescribed the medication about this reaction. The doctor may want to adjust the dose or consider a different antidepressant.
Your friend should also make sure they're taking the medication exactly as prescribed. Taking a higher dose than instructed could lead to more intense side effects. It's also good to avoid caffeine and other stimulants when first starting these meds.
In rare cases, antidepressants can trigger mania or hypomania in people with bipolar disorder. Feeling "wired" and needing less sleep can be early warning signs. I don't say this to alarm your friend, but it's something to keep in mind if the agitation persists or gets worse.
The bottom line is your friend should definitely follow up with their doctor about this atypical reaction. In the meantime, they should take the medication as directed but hold off on caffeine and other stimulants. I hope (you)’re able to get to a stable, therapeutic dose that works well for them soon. Let me know if you have any other questions!