Mentor RachelSusan Posted June 12, 2023 Mentor Share Posted June 12, 2023 @CookiePretzel I am not sure from your post if your tremors are internal or external tremors. It sounds like you are describing external. I am not much help in that area then as mine are internal. I do have the utmost compassion for you though. It sounds like a terrible situation. If I can be of any support I am here for you. I am not a health professional in any way. I do not give medical advice. Discuss any decisions about your medical care with a professional medical practitioner. NEW INFORMATION FOR GABAPENTIN TAPER April 29, 2022 900 mg to 800 mg (11%), May 29, 2022 800 to 700 mg (12.5%), June 20, 2022 700 to 650mg (8%), July 20, 2022 650 to 575 (12%), August 20, 575 to 500 (13%), Sept 20, 2020 500 to 475mg (5%) Nov 7, 2022 475 to 425 (11%), Nov 21, 2022 500mg Medications: Gabapentin, Prednisone 1.5mg a day, Cortisol Inhaler daily. HISTORY FOR ZOLOFT TAPER Feb. 2016 to June 2016 - Was on 150mg Zoloft. Put on Gabapentin at 900mg a day in 2016 due to antidepressant withdrawal. Quit Zoloft (Sertraline) June 2016, reinstated 50mg of Zoloft July 2016. From July 2016 to October 2016 went from 50 mg down 2.3 mg. I up-dosed in November 2016 to 12.5 mg. Held there until January 2017 when I started a much slower taper. STARTING SENSIBLE ZOLOFT TAPERING USING GUIDELINES FROM THIS SITE Dec. 10 2016 - switched to Liquid Zoloft (Sertraline) @ 12.5 mg. Jan. 4, 2020 1.875 mg (6.3%). Jan. 25, 2020 1.75 mg. Feb. 29, 2020 1.625mg (7.10%). Apr. 4, 2020 1.5 mg. May 9, 2020 1.375 mg. June 6, 2020 1.25 mg. (9.10%). July 4, 2020 1.125 mg. (10%). August 15, 2020 1.0 mg. Oct 24, 2020 .875 mg. Nov. 28, 2020 .75mg. Jan 16, 2021 .685mg (8.7%). Feb 13, 2021 .62mg. March 12, 2021 .56mg. May 1, 2021 .375mg. May 29, 2021 .25mg. June 26, 2021 .0125mg. July 25, 2021 .065mg. August 22, 2021 .048mg. October 2, 2021 .043mg. October 10, 2021 .038mg. October 23, 2021 .035mg. October 30, 2021 .032mg. Nov. 13, 2021 .030 mg. Dec 4, 2021 .0285 mg. Dec 11, 2021 .0265 mg. Dec 18, 2021 .0246 mg. Dec 25, 2021 .023mg. Jan 1, 2022. 0 mg. OFF COMPLETELY Link to comment Share on other sites More sharing options...
CookiePretzel Posted June 12, 2023 Share Posted June 12, 2023 Thank you @RachelSusan! Yes I do mean external. It drives me crazy because it’s so subtle. Just as I take a step or reach for something, it’s so unnerving. I hope you’re doing well! 1 1/21 Prescribed 3mg Lorazepam/ day. Fell dependent in 10 days. Attempted 2 CTs before getting smart and tapering over 10 months- .0625mg drop every 3-5 weeks. 2/21 Prescribed 20mg Prozac/ day. 11/21 Finally tapered off Lorazepam 1/22 unsuccessful Prozac taper (skipping days) 2/22 Reinstated at 20mg daily 5/22 Switch to liquid Prozac 6/22 Begin Prozac taper of .08mg every couple weeks 10/22 Finally tapered off Prozac. 3 AWFUL days of depression and sickness, then feel fabulous for a couple months. 12/22 Begin windows and waves of depression, panic and hopelessness 6/23 Symptoms stopped worsening but are still present 9/23 Having more good days than bad, symptoms drastically lessening Link to comment Share on other sites More sharing options...
kayjaydee Posted January 31 Share Posted January 31 I recently had to abruptly discontinue clomipramine after a (minor) heart attack.....thank goodness from only 14.6 mg. I'm nearly 5 weeks in, had a bout of withdrawal symptoms after about 10 days, then it eased, but has come back in the past few days.....lots of anxiety, and an awful shivering/shaking feeling - I imagine that's due to the effect of lowered serotonin on body temperature. Anybody else had any experience of this, or ideas for how to manage it? It's not there all the time, but is worst at night when there are no distractions....I'm having real trouble sleeping at present. 1991 fluoxetine 20mg; Jan 1994 switch to dosulepin 50mg Jul 1994 switch to clomipramine 50mg 1994 - 2006 clomipramine, doses varying from 50mg to 125mg and back, no major problems decreasing by 12.5mg at a time. 2007 clomipramine 75mg to 0 in 3 weeks, then citalopram 20mg Jul 2007 switch to dosulepin 50-75mg. Jan 2008 switch to clomipramine 50mg. 2008 to present, clomipramine; to 100mg 2011 following my mother's death 2013 back to 50mg in steps of 12.5mg. 2018 still 50mg, but thinking of reducing - have been OK at 37.5 in the past. Jan 2019 reduced to 44mg. Feb 2019 to 40mg. Mid-March 2019 to 35mg. July 2019 to 32.5mg. Mid August to 30mg. Late Sept to 27.5mg. Late Oct. to 25mg. Late May 2020 to 22.5mg. Late June to 20.5mg. Early Aug to 18.4mg. Mid Sept to 19.1mg. October to 20mg, Nov 22.5, Dec 25mg. Stayed on that till October 2022, then to 33 mg, Nov 4th to 41, Nov 11 back to 33, Nov 22 to 29mg, 25 Nov back to 33mg. Dec 2022 to 25mg, Jan 2023 to 22mg, Feb 2023 to 20mg, May 2023 to 18mg, Sept 2023 to 16.2mg. Dec 2023 to 14.6mg. Discontinued 29th Dec on orders of cardiologist. Sertraline 25mg for 4 days Feb 2024, stopped but then restarted at 50mg on 15th Feb....to 100mg for one day 23rd Feb, felt awful. Stopped it on 28th Feb. Started mirtazapine 15mg on 5th Mar. Link to comment Share on other sites More sharing options...
kayjaydee Posted February 4 Share Posted February 4 i gave in and started the sertraline the cardiologist prescribed.....strangely, I did feel better by the afternoon of the first day....but since then have been up and down - 2nd day no respite from the anxiety, 3rd I felt better later in the day, today it's really bad, no let-up at all. I know it can take a while for an antidepressant to kick in, and that sertraline can worsen anxiety to begin with......I was anxious before I started it, so dunno if how I feel is still withdrawal from the clomipramine, or side-effect of the sertraline, or a combination of the two. I sincerely hope it gets better soon, I find it hard to bear at present. 1991 fluoxetine 20mg; Jan 1994 switch to dosulepin 50mg Jul 1994 switch to clomipramine 50mg 1994 - 2006 clomipramine, doses varying from 50mg to 125mg and back, no major problems decreasing by 12.5mg at a time. 2007 clomipramine 75mg to 0 in 3 weeks, then citalopram 20mg Jul 2007 switch to dosulepin 50-75mg. Jan 2008 switch to clomipramine 50mg. 2008 to present, clomipramine; to 100mg 2011 following my mother's death 2013 back to 50mg in steps of 12.5mg. 2018 still 50mg, but thinking of reducing - have been OK at 37.5 in the past. Jan 2019 reduced to 44mg. Feb 2019 to 40mg. Mid-March 2019 to 35mg. July 2019 to 32.5mg. Mid August to 30mg. Late Sept to 27.5mg. Late Oct. to 25mg. Late May 2020 to 22.5mg. Late June to 20.5mg. Early Aug to 18.4mg. Mid Sept to 19.1mg. October to 20mg, Nov 22.5, Dec 25mg. Stayed on that till October 2022, then to 33 mg, Nov 4th to 41, Nov 11 back to 33, Nov 22 to 29mg, 25 Nov back to 33mg. Dec 2022 to 25mg, Jan 2023 to 22mg, Feb 2023 to 20mg, May 2023 to 18mg, Sept 2023 to 16.2mg. Dec 2023 to 14.6mg. Discontinued 29th Dec on orders of cardiologist. Sertraline 25mg for 4 days Feb 2024, stopped but then restarted at 50mg on 15th Feb....to 100mg for one day 23rd Feb, felt awful. Stopped it on 28th Feb. Started mirtazapine 15mg on 5th Mar. Link to comment Share on other sites More sharing options...
Mentor RachelSusan Posted February 4 Mentor Share Posted February 4 @kayjaydee While I was discontinuing my anti-depressant I had the feeling of internal shaking or trembling. I am not sure what to call it. You are in a different situation than I was as you are starting sertraline and I was going off and I was doing it too fast. The problem for all of us here is knowing what drug or lack of drug is causing a problem. In order for someone to try and help you figure out what is causing this shaking feeling they would have to ask you a lot of questions and get very specific as to when each symptom started and when the drug changes were made. Even then I am not sure if they could figure it out. The mods are very good with this stuff but sometimes it is still impossible to know. I know it is really awful. I have lived though it. I wish you the best of luck. If I can be of any help or support please come over to my page and talk. Best wishes. Rachel I am not a health professional in any way. I do not give medical advice. Discuss any decisions about your medical care with a professional medical practitioner. NEW INFORMATION FOR GABAPENTIN TAPER April 29, 2022 900 mg to 800 mg (11%), May 29, 2022 800 to 700 mg (12.5%), June 20, 2022 700 to 650mg (8%), July 20, 2022 650 to 575 (12%), August 20, 575 to 500 (13%), Sept 20, 2020 500 to 475mg (5%) Nov 7, 2022 475 to 425 (11%), Nov 21, 2022 500mg Medications: Gabapentin, Prednisone 1.5mg a day, Cortisol Inhaler daily. HISTORY FOR ZOLOFT TAPER Feb. 2016 to June 2016 - Was on 150mg Zoloft. Put on Gabapentin at 900mg a day in 2016 due to antidepressant withdrawal. Quit Zoloft (Sertraline) June 2016, reinstated 50mg of Zoloft July 2016. From July 2016 to October 2016 went from 50 mg down 2.3 mg. I up-dosed in November 2016 to 12.5 mg. Held there until January 2017 when I started a much slower taper. STARTING SENSIBLE ZOLOFT TAPERING USING GUIDELINES FROM THIS SITE Dec. 10 2016 - switched to Liquid Zoloft (Sertraline) @ 12.5 mg. Jan. 4, 2020 1.875 mg (6.3%). Jan. 25, 2020 1.75 mg. Feb. 29, 2020 1.625mg (7.10%). Apr. 4, 2020 1.5 mg. May 9, 2020 1.375 mg. June 6, 2020 1.25 mg. (9.10%). July 4, 2020 1.125 mg. (10%). August 15, 2020 1.0 mg. Oct 24, 2020 .875 mg. Nov. 28, 2020 .75mg. Jan 16, 2021 .685mg (8.7%). Feb 13, 2021 .62mg. March 12, 2021 .56mg. May 1, 2021 .375mg. May 29, 2021 .25mg. June 26, 2021 .0125mg. July 25, 2021 .065mg. August 22, 2021 .048mg. October 2, 2021 .043mg. October 10, 2021 .038mg. October 23, 2021 .035mg. October 30, 2021 .032mg. Nov. 13, 2021 .030 mg. Dec 4, 2021 .0285 mg. Dec 11, 2021 .0265 mg. Dec 18, 2021 .0246 mg. Dec 25, 2021 .023mg. Jan 1, 2022. 0 mg. OFF COMPLETELY Link to comment Share on other sites More sharing options...
kayjaydee Posted February 4 Share Posted February 4 The shaking defintely started before starting the sertraline. 1991 fluoxetine 20mg; Jan 1994 switch to dosulepin 50mg Jul 1994 switch to clomipramine 50mg 1994 - 2006 clomipramine, doses varying from 50mg to 125mg and back, no major problems decreasing by 12.5mg at a time. 2007 clomipramine 75mg to 0 in 3 weeks, then citalopram 20mg Jul 2007 switch to dosulepin 50-75mg. Jan 2008 switch to clomipramine 50mg. 2008 to present, clomipramine; to 100mg 2011 following my mother's death 2013 back to 50mg in steps of 12.5mg. 2018 still 50mg, but thinking of reducing - have been OK at 37.5 in the past. Jan 2019 reduced to 44mg. Feb 2019 to 40mg. Mid-March 2019 to 35mg. July 2019 to 32.5mg. Mid August to 30mg. Late Sept to 27.5mg. Late Oct. to 25mg. Late May 2020 to 22.5mg. Late June to 20.5mg. Early Aug to 18.4mg. Mid Sept to 19.1mg. October to 20mg, Nov 22.5, Dec 25mg. Stayed on that till October 2022, then to 33 mg, Nov 4th to 41, Nov 11 back to 33, Nov 22 to 29mg, 25 Nov back to 33mg. Dec 2022 to 25mg, Jan 2023 to 22mg, Feb 2023 to 20mg, May 2023 to 18mg, Sept 2023 to 16.2mg. Dec 2023 to 14.6mg. Discontinued 29th Dec on orders of cardiologist. Sertraline 25mg for 4 days Feb 2024, stopped but then restarted at 50mg on 15th Feb....to 100mg for one day 23rd Feb, felt awful. Stopped it on 28th Feb. Started mirtazapine 15mg on 5th Mar. Link to comment Share on other sites More sharing options...
Mentor RachelSusan Posted February 5 Mentor Share Posted February 5 @kayjaydee Hello. For me the shaking did go away but it went very slowly. It took a lot of time. Also introducing the sertraline might change the process, I don't know if it will help or prolong the situation. Perhaps the best thing you could do for yourself is not to make any more changes for a while. Just my opinion I am no expert. I have a ton of compassion for you. I know it is terrible. I am not a health professional in any way. I do not give medical advice. Discuss any decisions about your medical care with a professional medical practitioner. NEW INFORMATION FOR GABAPENTIN TAPER April 29, 2022 900 mg to 800 mg (11%), May 29, 2022 800 to 700 mg (12.5%), June 20, 2022 700 to 650mg (8%), July 20, 2022 650 to 575 (12%), August 20, 575 to 500 (13%), Sept 20, 2020 500 to 475mg (5%) Nov 7, 2022 475 to 425 (11%), Nov 21, 2022 500mg Medications: Gabapentin, Prednisone 1.5mg a day, Cortisol Inhaler daily. HISTORY FOR ZOLOFT TAPER Feb. 2016 to June 2016 - Was on 150mg Zoloft. Put on Gabapentin at 900mg a day in 2016 due to antidepressant withdrawal. Quit Zoloft (Sertraline) June 2016, reinstated 50mg of Zoloft July 2016. From July 2016 to October 2016 went from 50 mg down 2.3 mg. I up-dosed in November 2016 to 12.5 mg. Held there until January 2017 when I started a much slower taper. STARTING SENSIBLE ZOLOFT TAPERING USING GUIDELINES FROM THIS SITE Dec. 10 2016 - switched to Liquid Zoloft (Sertraline) @ 12.5 mg. Jan. 4, 2020 1.875 mg (6.3%). Jan. 25, 2020 1.75 mg. Feb. 29, 2020 1.625mg (7.10%). Apr. 4, 2020 1.5 mg. May 9, 2020 1.375 mg. June 6, 2020 1.25 mg. (9.10%). July 4, 2020 1.125 mg. (10%). August 15, 2020 1.0 mg. Oct 24, 2020 .875 mg. Nov. 28, 2020 .75mg. Jan 16, 2021 .685mg (8.7%). Feb 13, 2021 .62mg. March 12, 2021 .56mg. May 1, 2021 .375mg. May 29, 2021 .25mg. June 26, 2021 .0125mg. July 25, 2021 .065mg. August 22, 2021 .048mg. October 2, 2021 .043mg. October 10, 2021 .038mg. October 23, 2021 .035mg. October 30, 2021 .032mg. Nov. 13, 2021 .030 mg. Dec 4, 2021 .0285 mg. Dec 11, 2021 .0265 mg. Dec 18, 2021 .0246 mg. Dec 25, 2021 .023mg. Jan 1, 2022. 0 mg. OFF COMPLETELY Link to comment Share on other sites More sharing options...
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