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  2. bunchesofoats

    bunchesofoats: starting 2nd citalopram taper

    Day 307 - 10% liquid citalopram taper - 11.6mg - 76 days since last drop Whoa! I cannot believe it's been 5 months since I last posted! And also I've barely dropped at all since then! Which is ok, and I'll describe my experience since then. August was a ROUGH drop, as I mentioned before. September and October are also the months in which I am always saddest. I should just plan on that from now on instead of being baffled and trying to fight it. I dropped from 12.6mg to 12.5mg 2019-10-28. It was a less intense yet similar trajectory to other drops, showing that symptom intensity is still somewhat unpredictable and does not seem at all linear. I dropped from 12.5mg to 11.6mg 2019-12-04. This was actually less problematic than the drop before. I only drop my dosage in the first week of my menstrual cycle, which means (with my pretty regular 4 week cycle) I have one opportunity per month to drop my dosage. The next opportunity would've been right at the start of the new year, and I didn't want to begin 2020 like that. The next opportunity would've been the end of January, but we had a major stressful life event going on, and I didn't think it wise to drop during that time. Things are still getting settled, and I will likely wait a couple more months until things are more stable to drop again. So, "progress" has halted for the time being. However, I do notice a steady improvement in my overall well-being and symptom levels. I am getting better. Sex drive is still flaky, but sex is definitely starting to feel more like I remember it! It's so weird how this medication changed all the feelings and sensations associated with sex! I still don't understand how that works. I've heard many say the trade off is worth it for them on SSRIs (giving up sex drive for not being depressed). For me it was never worth it, but I also don't believe this medication ever actually helped me. I'm trying to keep tapering at a pace that minimizes interference with my life. Yes, it will take me a couple more years, but it doesn't have to put my life on hold. Yes, I make sacrifices each day because of it, and it's annoying to have to make sure I measure out carefully every night and never ever slip up, but after this, that's it, no more garbage in my system. I've had some kind of garbage in there my whole life throwing me around, and pretty soon I'll be able to allow myself to just be thrown around by life itself. I'm attaching a graph of my symptoms which I've been tracking diligently for months. I've been able to see the differences and similarities between WD symptoms and life symptoms, and that a drop in dosage equates in intensity to a stressful life event. Yeah, I've got a better handle on it. Doesn't mean it doesn't suck. But the things I have to do to handle this are things that help me in all other aspects of my life.
  3. Thanks for checking on me. I really appreciate it. You do an amazing job here. My best guess is I've been taking very roughly 2.45% of a 50mg capsule that expired 4.5 years ago, and the powder has been sitting on a plate for 2-3 weeks by the time I take it. Water titration would be a huge improvement but I could easily take 2 or 3 times too much or too little and that's terrifying given how bad a 30% cut was. So I'm wondering if I should carry on with the powder even with the limited accuracy. I know there's probably no good answer. Is updosing/reinstating an earlier dose normally traumatic? I cut 30% for 5 days and that was very bad but then going up 10% made it much worse. Thanks.
  4. Never seen a naturopath , not sure it would help for protracted withdrawal....maybe im wrong. Wow 9 years of pssd? How these drugs are even legal will never register in my mind....ever
  5. Altostrata

    Jmizz: Lamictal taper suggestions

    You could do it gradually, move 0.5mg of the morning dose to nighttime, then another 0.5mg in a week or so. Just do everything carefully, self-observe, and keep notes, you've got this.
  6. Altostrata

    Tips for tapering off Lyrica (pregabalin)

    If you cannot measure your powder doses accurately, I would use the liquid instead. You can divide the dose any way you want. If you continue to dose inconsistently, not sure what we can do to help.
  7. Frogie

    Guilietta

    That's great that you have had some stable days though. You were having trouble, so I'm so glad to hear you are doing better. Chin Up. Hopefully you will only see better days from here🙂 Take care, Frogie xx
  8. Yes, the PSSD has been ongoing since 2011/12 I reckon. Not helped by perimenopause either (declining estrogen). ND - Naturopathic Doctor/Practitioner
  9. How long have you had pssd now? I know gp means general practitioner but what does nd mean?
  10. Guilietta

    Guilietta

    Hello Frogie, It is nice of you to comment! I am happy to have had 3 better days and that this is 3 days closer to being off this miserable compound. 😉 I think I need to to be stable (and stable for a while) before getting off. Hugs, G.
  11. Gut wise? Still not good. I think my ND is on vacation. I wanted to see her before seeing my GP. No change in PSSD unfortunately.
  12. Tom2020

    Tips for tapering off Lyrica (pregabalin)

    Thanks Altostrata. I was thinking about uneven doses too - how bad is it to take say 40% in the morning and 60% at night? 50/50 would be better but I can only divide my powder dose so small, and if I cut *both* morning and evening by the smallest amount I can measure it's a bigger cut than only reducing morning *or* evening.
  13. How have you been lately? I read you struggled with pssd, i had this for many years, have you made progress?
  14. Yesterday
  15. Altostrata

    Eileenm: Bad withdrawl symptoms

    Eileen, did you get withdrawal symptoms after you went off Effexor and before you went off Lamictal? How did the withdrawal symptoms come on? Do you have any Effexor or Lamictal left? What was the last dosage you took of either of them?
  16. What's your estimate of how much of a capsule you've been taking? If I were you, I would convert that estimate into a liquid dose, and take that consistently for at least a week to see how if it's enough. It's quite easy to make a liquid from Lyrica. Please let us know how you're doing.
  17. Altostrata

    Tips for tapering off Lyrica (pregabalin)

    Lyrica has a very short half-life. It's important to take your doses at the same time each day.
  18. Hello, stronger. How is your girlfriend feeling now? Whether she gets strange symptoms from going off the drugs so fast, and how bad those symptoms are, should guide her next steps. If she gets mild withdrawal symptoms that seem to get better each day, she may be able to ride them out. If her symptoms are severe or get worse over a week, she may want to reinstate a small amount of each drug and taper more slowly one at a time, probably the topiramate first. As the dosage gets lower, there is lower risk to the baby.
  19. Rhiannon

    Eileenm: Bad withdrawl symptoms

    Hi Eileen-- Given your history I highly recommend a small reinstatement, then taking some time to stabilize, then doing a slow taper. People with as long a history on meds as you have generally need to taper in terms of years, not months, and don't do well with quick reductions or quitting fast. You quit very, very fast for someone with so many years on the drugs. It's early enough in the process that you can probably safely reinstate to a small dose of both Effexor and Lamictal and stave off the worst of the withdrawal which is just beginning for you now. I wouldn't worry too much about all those alternative therapies and gene variants and that sort of thing. We have found over the past decade of working with people withdrawing from psych meds that those things end up not being much of a help. The problem is that your brain has shaped itself around these drugs and the drugs have been yanked out of the system. There are no magical therapies that can take the place of the time and care that is needed to slowly reduce these drugs and allow your nervous system time to reshape itself at the pace that it can do safely. The great news is that it's still early enough for you to reinstate. So many people don't find this place until they have been suffering for a long time and reinstatement is no longer as reliable of a treatment. Again, you would be reinstating at a much smaller dose than you were taking, just enough to give your CNS some support and stability so you can recover and then taper slowly when you're stable and ready. Good luck to you! --Rhiannon
  20. Hi betterway, glad you found us! Gridley will give you advice about reinstatement much better than I can. I did want to reassure you that yes, this is withdrawal, and in fact it's a pretty typical course. It seems that people coming off ADs often get through the acute period okay, settle down and feel like they're doing pretty well, then get hit with delayed withdrawal symptoms later, often around three months out. Dr. Shipko says he often sees that this happens when a stressor occurs, which moving back to Toronto in winter might have been for you. Regardless, the okay-for-a-while-then-hit-hard-later pattern is very common and that's what's happening to you. We don't know what causes it, since nobody is doing research on this. People usually get diagnosed with "relapse" and then put back on drugs. It's not relapse, though. It's a withdrawal syndrome. Hang in there, you're in the right place, you'll get good information and support here.
  21. @Snorky Vit D is ok then. Great plan to try Mag & Omega 3. May I suggest you include also Lion's Mane mushroom. I'm ordering it today myself. Lion's Mane's is powerful for brains. Host Defense has good quality mushrooms. Lion's Mane reduce inflammation in the brain and repair neurons. Venlafaxine is also called Effexor. Amitriptyline is marketed under dozens of names. It is confusing. I'll update on how I like Lion's Mane. Allow up to 2-3 weeks until it is delivered to me and I try it. I wish you a good evening.
  22. Rhiannon

    When to end the taper and jump to zero?

    Windsor, I find that I need intermittent longer holds. I think healing isn't necessarily linear; some adjustments happen faster and some take longer. Taking the occasional longer hold I think might give our systems time to catch up with some of the slower processes that can't get completed in a month. The fact that so many people get hit with WD three months and nine months out from a CT or fast taper indicates, to me, that there may be some processes involved that play out over longer periods of time. Unfortunately nobody is really doing the research on this, so we can't point to anything and say "there it is." But people spend years recovering after withdrawal, so there are clearly some things that need to happen during the process that can't be finished in a month. What seems to work for me is taking a three-month or four-month hold from time to time. I usually find myself feeling much better after that time frame. You might want to just try giving your system a break for a while, you've been dropping doses steadily for a while now. Your CNS may be wanting or trying to do some repairs that it can't quite get done in the time frame it's been getting between drops. Just a thought. If you're not in a rush, it's worth trying, IMO.
  23. Junglechicken

    Acid reflux

    Things are very different this year. My weight loss is extremely slow for 2 reasons: 1) I had the mirena coil fitted - early Aug 2019. Gut functioning slowed right down over time. 2) Protracted WD - gut issues/reflux. I have only lost 5Ibs since early Jan.
  24. Gridley

    Rozon1: Effexor withdrawls

    Rozon, Brassmonkey has addressed this previously. Above is his advice.
  25. Brassmonkey: when you say visually dividing doses, were you thinking of water titration or something else? Bad news about my dose: I realise the earlier discussion of active ingredients was wrong because I've been calculating based on AI not actual weight. My current dose is nominally: 1/64 + 1/128 (morning) + 1/64 + 1/128 (night) of a capsule = 0.046875 in decimal (or 4.6875% of a capsule). Multiplying the 50mg of Active Ingredient per capsule by that fraction gives 2.34375mgAI. So sadly I'm not as far into the endgame as I'd hoped. However, I think roughly 50% of my powder is actually left as residue on the plate. So I might be taking 1.1718mgAI, which is better but still more than 1mg.
  26. Frogie

    Guilietta

    That is awesome Guilietta! I’m so happy you are able to see so much improvement. You are almost done with the Duloxetine. You made it😊 Take care, Frogie xx
  27. Gridley

    Sertraline tapering strips

    Welcome to SA, GigiG. Here is one of our threads on tapering strips. For more, Google SurvivingAntidepressants.org tapering strips Tapering strips for psychiatric drugs being produced in ... As you probably know, we recommend tapering by no more than 10% of your current dose every 4 weeks. Why taper by 10% of my dosage? Regarding switching to a different generic, we recommend a gradual crossover. Symptoms may bump up a bit when switching but generally resolve fairly quickly. The only trick is to be sure you have enough of the old brand to make the crossover. 3/4 old brand, 1/4 new brand for 3 to 7 days 1/2 old, 1/2 new for 3 to 7 days 1/4 old, 3/4 new for 3 to 7 days all new thereafter We don't recommend a lot of supplements on SA, as many members report being sensitive to them due to our over-reactive nervous systems, but two supplements that we do recommend are magnesium (glycinate is a good form) and omega 3 (fish oil). Many people find these to be calming to the nervous system. Magnesium, nature's calcium channel blocker Omega-3 fatty acids (fish oil) Add in one at a time and at a low dose in case you do experience problems. This is your Introduction topic, where you can ask questions and connect with other members. We're glad you found your way here.
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