To be honest, I just use the phrase out of habit when talking about drug things on forums.
I've been clean since approximately January 28th, though I am still dealing with a lot of after effects, including disorganized thinking.
I smoked (pot) daily for ~6 months. For three of those months, I was put on Paxil. My doctor knew I smoked, though not that I smoked daily. As the time went on, my social group and I noticed my tolerance dropping rather than falling. Didn't think much of it at the time, I just attributed it to good luck, a high body fat percentage, or something like that.
Winter break came, so I flew home. No pot at home, of course. Life seemed dull and flat as you'd expect on a heavy dose of a powerful SSRI, and most of my thinking was about the next time I'd smoke. I came back in early January and shared an ounce of a new stash from a new source... and that's when things got really, really bad. (I later learned that at least part of the stash was synthetic) Smoking was very strange. I enjoyed it, a lot, and I smoked, a lot, but I started getting strange and varying physical symptoms. The strange and powerful hybrid effects of these two drugs were quite overwhelming, and as I smoked more, more anxiety and paranoia would build up in my brain, never to leave.
I don't remember much of January. I do remember taking several different over the counter pills to combat headache, stomachache, etc... and that my food, water, sleep, other basic needs just kinda fell by the wayside. Several details forgotten and some intentionally left out of this part (sorry, still a little paranoid)
One of my old friends pulled me out with some of the best advice of my life. Every medical professional I've talked to since has said that I did exactly the right thing, and it was basically because of a lucky guess over the Internet. I stopped taking any substances, sipped water, completely isolated myself from anyone but my girlfriend, and meditated until I was taken back to my home state and seen by many doctors.
Paxil alone makes a minority of patients go psychotic. It's notably linked to bipolar disorder (I don't have it, thank god). The other stuff I took (pot + synthetic pot + *redacted*) all together let to
serotonin syndrome as well as acute psychosis and delirium. This is also common with DXM, for what it's worth... go figure. I am glad I did not die.
So, over the course of the month following, I've been off any kind of drug whatsoever (including alcohol and caffeine), attempting a back-to-baseline routine. My mood ranges from "neutral" to "GO FUCK YOURSELF" to extreme depression, depending on the amount of stimuli I have to deal with and whatnot. I'm off from school while I rebuild. I have no plans to return to recreational drug use.
The takeaway lesson: If you are being put on a prescription regimen, either tell the doctor about your recreational habit or quit right then and there. If you are unsure, ask your doctor if they are a mandatory reporter before informing them, in confidence, about your drug use. Generally, if your doctor isn't employed by someone who isn't you (say, your workplace), you can and should tell them everything about what you do to your body.
The takeaway lesson for me in particular: don't do drugs you dumbass
So... yeah. I thought I should contribute some interesting content to this thread. I hope this was worth it.