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Article: Mental health experts weigh in on NYT analysis of SSRI withdrawal concerns


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Posted

https://onlinelibrary.wiley.com/doi/full/10.1002/mhw.31413

 

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It may take anywhere from four to 12 months for a person to feel completely well following the discontinuation of the medication, added Dubovsky.

 

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Steven Dubovsky, M.D., professor and chair of psychiatry at the Jacobs School of Medicine and Biomedical Sciences at the University of Buffalo, told MHW that the NYT article was somewhat misleading in terms of its use of the “discontinuation syndrome” terminology. “They consider all discontinuation syndrome as withdrawal and that is not correct,” he said. “They're using the terms interchangeably.” 

 

Collectively, discontinuation syndrome embodies withdrawal, relapse and rebound, said Dubovsky. “Withdrawal is a type of discontinuation syndrome, but it is not the same thing,” Dubovsky said. When medications are stopped too quickly, withdrawal refers to the appearance of new symptoms, not symptoms of the original illness, which can be dizziness, an electrical sensation or buzzing, and nausea, he said.

 

A relapse, he noted, is when the original depression returns; it is the most common discontinuation syndrome. Rebound refers to when the original depression or anxiety becomes worse than it was before, and is usually transient, he said.

 

 

2005 St John's Wort / 2006-2012 Lexapro 20mg, 2 failed attempts to stop, tapered over 4.5 months in early 2012

January 2013 started Sertraline, over time worked up to 100mg

July 2014 Sertraline dropped from 100mg to 75mg, held for six months, slower tapering until 2019 22 Dec 3.2mg

2020 Sertraline 19 Jan 3.1mg, 26 Jan 3.0mg; 1 Mar 2.9, 7 Mar 2.8, May (some drops here) 24 May 2.5, May 29 2.4, June 21 2.3, June 28 2.2mg,  July 4 2.1mg, July 24 (or maybe a bit before) 2mg, early Nov switched to home made suspension; 29 Nov 1.8mg; approx 25 Dec 1.6mg)

2021 Some time in about Jan/Feb realised probably on more like 1.8mg and poss mixing error in making suspension; doses after 10 Feb accurate; 10 Feb 1.6mg; 7 Mar 1.4, continued monthly

10% drops until 1mg, then dropped 0.1mg monthly.

May 2022,0.1mg, now dropping 0.01mg per week

29 August 2022 - first day of zero!

My thread here at SA: https://www.survivingantidepressants.org/topic/1775-bubbles/page/21/

Current: Armour Thyroid

 

 

  • Administrator
Posted

Don''t get me started. These establishment psychiatrists have tunnel vision.

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

Posted

Yeah, I know. I started, then deleted it...

2005 St John's Wort / 2006-2012 Lexapro 20mg, 2 failed attempts to stop, tapered over 4.5 months in early 2012

January 2013 started Sertraline, over time worked up to 100mg

July 2014 Sertraline dropped from 100mg to 75mg, held for six months, slower tapering until 2019 22 Dec 3.2mg

2020 Sertraline 19 Jan 3.1mg, 26 Jan 3.0mg; 1 Mar 2.9, 7 Mar 2.8, May (some drops here) 24 May 2.5, May 29 2.4, June 21 2.3, June 28 2.2mg,  July 4 2.1mg, July 24 (or maybe a bit before) 2mg, early Nov switched to home made suspension; 29 Nov 1.8mg; approx 25 Dec 1.6mg)

2021 Some time in about Jan/Feb realised probably on more like 1.8mg and poss mixing error in making suspension; doses after 10 Feb accurate; 10 Feb 1.6mg; 7 Mar 1.4, continued monthly

10% drops until 1mg, then dropped 0.1mg monthly.

May 2022,0.1mg, now dropping 0.01mg per week

29 August 2022 - first day of zero!

My thread here at SA: https://www.survivingantidepressants.org/topic/1775-bubbles/page/21/

Current: Armour Thyroid

 

 

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