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Strange sensations while falling asleep - surges, zaps, jerks


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@Patti2057This seems to be very similar to my own experience. I have a handful of them just about every night. Two of them last night were so intense that I jumped up and gasped for air in a panic. Rather than zaps, however, mine present as a surge of warm anxious energy, as if its being injected into my upper body, quickly washing over me...

 

I'm so sorry that your experiencing this symptom as well, but hope you can find some comfort in knowing you're not alone. 

Prozac: 20-40mg from 2006-2019. Zoloft: 2003-2005 off and on. Adderall XR: 20-50mg (abused so took more than prescribed often) 2006-2016. Amphetamine Salts 2006-2016 10-20mg (abused). Ativan: 2009-2010 1mg. Suboxone 16mg sublingual strips 2013-2016. Vyvanse: mg? (abused) 2014-2015. Alprazolam: December 2018- June 2019 1-2mg (abused). Diazepam: June 2019-November 2019 mg? (used to taper me off of Xanax). Lexapro: 2018-September 2020 10-20mg. Mitrazapine 30mg: Nov 2019-May 2020 (tapered off over 3 months) Trintillex: May 2019-December 2019 (mg?). Hormonal birth control 2003-2019.

Lexapro: 11/30/21- 12/2/21 - .5mg; 12/11/21 - 12/12/21 - 2.5mg 

Ativan: 12/11/21 - .5mg; 12/12/21 - .25mg 

supplements (current):

Morning: 400mg L-Theanine, 375mg magnesium.

Night:  450mg Valerian Root, 2.5mg Melatonin

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Thank you, it does help to hear from you. I pray we'll get through and past this. 

Nardil 1985-1988
Paxil ?-1998

Effexor150  1998-November 2018 

Bupoprion150 2002-November 2018

Fluoxetine approximately 1/4 mg trial for WD symptoms December 2020. Took for 3 days but  it seemed to compound the dizziness significantly so I had to discontinue the trial. 

 

Current Medications: Levothyroxine, Acyclovir 

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@MaryMoo429

I am pleased that you are getting back your confidence. I can understand why you are hesitant with the sertraline.

Have you tried propanalol? Thar will also help immensly as it controls the migrane. I have a strong feeling its 2 things that are troubling you.

please try the massager. the key is your brain tells u it will happen and it does. you need something to distract you. so a book and massager wil help lots

i will pray you feel better. Also you need good sleep. What i have seen is that long duration of sleep also reduces them. I tried taking zopiclon for 7 days to help me sleep

then it happens automatically. also please take omega 3 tablets. they will help with rebuilding the damage.

February: 10 mg citalopram - for anxiety related to sleep ( getting adrenal surges on sleep onset )

March : Mirtazapine 15 mg as citalopram side effects unbearable - Mirtazapine prescribed for sleep. Stopped Citalopram cold turkey

April: Anxiety around sleep still bad put on Sertraline 50 mg - continued with Mirtazapine - 15 mg

June: Anxiety around sleep in good control and able to sleep well most nights. Stopped Mirtazapine 15 mg cold turkey based on Doctors advise

May 31st 2022 started 15 ml mirtazapine for sleep onset anxiety

june 30 2022 started paxil 25 cr stopped mirtazapine

dec 2022 reduced paxil to 12.5 cr based on advise from psych 

currently on paxil 12.5 cr tried to quit cold turkey with really bad symptoms reinstated at 12.5 cr 

 

 

 

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  • Moderator Emeritus
2 hours ago, zen81 said:

Have you tried propanalol? Thar will also help immensly as it controls the migrane.

 

Please do not make suggestions about drugs to other members because it might be dangerous for them.

 

It is generally better to tell a member what you have tried and how it affected you.

 

Edited by ChessieCat

* NO LONGER ACTIVE on SA *

MISSION ACCOMPLISHED:  (6 year taper)      0mg Pristiq  on 13th November 2021

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

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Hi ChessieCat,

 

I tried it with the doctor's suggestion and it worked.

 

Thank you

February: 10 mg citalopram - for anxiety related to sleep ( getting adrenal surges on sleep onset )

March : Mirtazapine 15 mg as citalopram side effects unbearable - Mirtazapine prescribed for sleep. Stopped Citalopram cold turkey

April: Anxiety around sleep still bad put on Sertraline 50 mg - continued with Mirtazapine - 15 mg

June: Anxiety around sleep in good control and able to sleep well most nights. Stopped Mirtazapine 15 mg cold turkey based on Doctors advise

May 31st 2022 started 15 ml mirtazapine for sleep onset anxiety

june 30 2022 started paxil 25 cr stopped mirtazapine

dec 2022 reduced paxil to 12.5 cr based on advise from psych 

currently on paxil 12.5 cr tried to quit cold turkey with really bad symptoms reinstated at 12.5 cr 

 

 

 

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  • 1 month later...

Hi @whatshappening

 

I read your posts above about energy surges as you're relaxing and trying to sleep and this sounds very similar to something I'm experiencing. I get a surge in the brain and chest that lasts only a second or two as I'm trying to fall asleep and, when I get this sensation, I'll usually have a night of total insomnia or very little sleep.

 

(Strangely, this is triggered even by gentle walking in the day or normal activities. Anything more than just being at home or in the garden seems to give me this weird surge like a 'blocking sensation' and no sleep.)

 

Anyway, I've struggled to find this described anywhere else but your description has some similarities. I'd be very grateful to learn how you're doing now and whether these surges have diminished or perhaps gone? Or did anything help you manage them? 

 

I'm sort of 'waiting for them to pass' but as time goes on this gets harder and more worrying.

 

I hope to hear from you,

R

▪︎2000 - Seroxat (25mg?) 6 months C/T

▪︎2015 - 7.5mg Zopiclone 1 month C/T

▪︎ 2016 - 2018 - Diazapam and Phenergan occasionally for sleep

▪︎2017 June to Oct - Mirtazapine 7.5mg C/T

▪︎2018 April - 2019 Oct Mirtazapine 7.5mg tapered to 1.5mg.

▪︎2019 October - Mirtazapine 1.5mg (Skipped alternate doses on doctor's advice then stopped - Insomnia.) Phenergan

▪︎2020 Jan 6th - Mirtazapine 1.5mg

▪︎2020 Jan 13th - Mirtazapine 7.5mg

▪︎2020 - Feb - May, holding 7.5mg

▪︎2020 1st June, 7.35mg. 27 June, 7.2mg. 7 July, 7.05mg. 18 July, 6.9mg. 28 July, 6.75mg. 27 Aug, 6.6mg. 7 Sep, 6.45mg. 17 Sep, 6.6mg. Crash/Hold

▪︎2022 - 4 Feb, 6.45mg. 24 Mar, 6.3mg. 13 May, 6.15mg. 13 July, 6mg. 10 Aug, 5.85mg.

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Hi @MaryMoo429 and @Patti2057

 

How are you? I was wondering if the surges when you were trying to sleep had improved at all? I have the same problem. When you had/have them, are you able to sleep after them?

 

R

▪︎2000 - Seroxat (25mg?) 6 months C/T

▪︎2015 - 7.5mg Zopiclone 1 month C/T

▪︎ 2016 - 2018 - Diazapam and Phenergan occasionally for sleep

▪︎2017 June to Oct - Mirtazapine 7.5mg C/T

▪︎2018 April - 2019 Oct Mirtazapine 7.5mg tapered to 1.5mg.

▪︎2019 October - Mirtazapine 1.5mg (Skipped alternate doses on doctor's advice then stopped - Insomnia.) Phenergan

▪︎2020 Jan 6th - Mirtazapine 1.5mg

▪︎2020 Jan 13th - Mirtazapine 7.5mg

▪︎2020 - Feb - May, holding 7.5mg

▪︎2020 1st June, 7.35mg. 27 June, 7.2mg. 7 July, 7.05mg. 18 July, 6.9mg. 28 July, 6.75mg. 27 Aug, 6.6mg. 7 Sep, 6.45mg. 17 Sep, 6.6mg. Crash/Hold

▪︎2022 - 4 Feb, 6.45mg. 24 Mar, 6.3mg. 13 May, 6.15mg. 13 July, 6mg. 10 Aug, 5.85mg.

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@Ripley Hi. The sensation I have is like a startle and then I feel extreme anxiety in my stomach. It wakes me in the early morning and,  usually, I can’t fall back to sleep. I generally have no issues falling asleep when I go to bed at night. 
 

How are you doing?

Patti

Nardil 1985-1988
Paxil ?-1998

Effexor150  1998-November 2018 

Bupoprion150 2002-November 2018

Fluoxetine approximately 1/4 mg trial for WD symptoms December 2020. Took for 3 days but  it seemed to compound the dizziness significantly so I had to discontinue the trial. 

 

Current Medications: Levothyroxine, Acyclovir 

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  • 4 weeks later...

I have a solution gor those suffering from the surge of energy waking u up right at the moment of transition to sleep.

-2015 september zoloft (20 mg updosed to 125) plus clonazepam for anxiety and panic attacks

2016 Jan replaced clonazepam with chlorodiazpoxide 20 mg

-2016 April cold turkeyed both after a urinary retention surgery with no withdrawal symptom at all

-2018 Jan perscribed Nortriptyline 10 mg for vestibular vertigo 

-2018 Feb due to the horrible side effects which my psychiatrist took for depression and anxiety, Nortriptyline began to be updosed to reach 100 in June

-2018 Oct noticed I wasexperiencing no pleasure in life and decided to taper(zombie-style kind of life)Tapered to fast to reach 50 mg in 2019 Feb

-Terrible withdrawal symtoms began to creep up, had to updose to 75 in June 2019

-Began to make changes in diet and lifestyle and tapered again to reach 30 by 2020 Jan

-(using Brassmonkey method from here on)By May 2020 reached 22.5 when my whole taper process hit the wall due to infection to God-damned Covid 19. Late Sep 2020 restarted my taper 16 mg in Jan 2021, Jan 2021 to Feb down from 16mg to 14.5mg,Feb to March 13mg,March to July had to hold on 13mg due to being sold counterfeit drugs, took me a while to find out and get a new batch and get back on track again,July to August 11.5 mg,August to Sep 10.5 mg,Sep to Oct 9.5 mg, Jan 2022 started the water solution Nori, had to hold for a few months due to the horrible side effects of Covid shots, restarted taper on June 2022, March 2023(now) 1.8 mg (deem myself 60 to 70 percent recovered and functional)

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I have something similar.  I have had them twice during my taper.  When I am falling asleep but seem to be still awake I get extreme chest pain and extreme panic.  I tell myself to get up, your having a heart attack.  As soon as I fully wake up, a matter of a few seconds, the chest pain is completely gone and the panic immediately begins to dissipate.  It’s very similar to waking from a nightmare but not actually being asleep.  It feels incredibly real up until I sit up for a half a second.  Luckily, it hasn’t caused many issues for getting to sleep or back to sleep. It has been helpful to tell myself, and believe it for that matter, that this is withdrawal related and not dangerous.  Sometimes I will drink a cup of chamomile tea before bed to ward off these experiences but can’t say for sure if it works at all.

Multiple drugs for my teen years.  ~10 years on Pristiq 100mg.  
January 2021: 50mg Pristiq to 43.75. Stopped Viibryd at 10mg

March 2021: holding at 37.5mg.
April 2021: 25mg.  May 2021: 18.75 to 12.5.  
June 2021: 12.5 to (accidentally) 4.29mg.  Updose to 6mg using compounded Pristiq

August 2020: Crashed at day 35 of 5mg. Updose to 6mg

September 2020: 5.5mg from 6 after 38 days

10/2021: 5mg, 11/2021: 4.5mg, 12/21:4mg, 3/22:3.75mg, Propranolol 10mg prn

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  • 4 months later...

@lowan @Iman Do you experience vivid dreams?

2017 october--2018 march->(6 month) fluoxetine 20,30 mg-->cold turkey= after 2 month semen leakage

2018 july---2018 Aug-->(24 days) fluoxetine 20 mg --> cold turkey = vivid dreams begin

2018 december 2019 Jan-->(1 month) Amitriptyline 25--> cold turkey
--------++++--horror of drugs begins. Taking one after another and cold turkey-------+++------------------
2019 May--2019 May--> (12 days) Lexapro cold turkey

2019 May--2019 august -->(3 month)Cobazam 10 mg +amitriptyline 25 mg --> clobazam cold turkey

----2019 october ---> went cold turkey amitriptyline 25 mg.

2019 october--2020 Jan -->(3 months) duloxetine cymbalta 30mg --->cold turkey

2020 jan-2020 Apr--> (3 months) paroxetine 25 mg --> Cold turkey

2020 July--2021 Jan--> (6 months) amitriptyline 50 mg ,75 mg,100 mg ,125 mg -> cold turkey

2021 jan--2021 May--> (4 months) imipramine 75 mg -->cold turkey

2021 may-2021 Aug--> (3 months) nortriptyline 25 mg --> cold turkey== still semen leakage and vivid dream

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4 minutes ago, PsychologicalSafe15 said:

@lowan @Iman Do you experience vivid dreams?

I can't say that I did or do, but my mind would be racing a lot. Like permanently stuck in fight of flight mode. I haven't had a 'jerk' for a while now, but I still don't sleep very well. Things have improved nicely over the past year + off Lexapro.

1999: Paxil ?? mgai (Paroxetine Hydrochloride) - stopped cold turkey
2001-03: Celexa ?? mgai (Citalopram Hydrobromide) - switched to Lexapro
2003-August 2015: Lexapro 20 mgai (Escitalopram Oxalate) - rapid 5 mgai increment taper down to 0 mgai
December 2015 - January 2016: Short hospital stay for unknown acute AD WD due to rapid taper
January 2016-February 21, 2016: Prozac ?? mgai (Fluoxetine Hcl) and Wellbutrin ?? mgai (Bupropion Hcl) - switched to Lexapro
February 21, 2016-July 22, 2018: Lexapro 10 mgai  - rapid 5 mgai increment taper down to 5 mgai
July 22, 2018-March 17, 2019: Lexapro 5 mgai - endured horrible waves due to rapid taper
March 17, 2019-April 7, 2019: Lexapro 3.226 mgai - endured horrible wave due to rapid taper
April 7, 2019-April 28, 2019: Lexapro 3.548 mgai - updosed to level out
April 28, 2019: Implemented Brass Monkey Slide taper method (2.5% weekly reduction) - IT’S WORKING!!!
September 2, 2020: Lexapro 0.000 mgai / 0 mgpw / 100% Taper COMPLETE!

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  • 5 weeks later...
On 10/7/2020 at 11:57 PM, whatshappening said:

So I've tried to search the forums before posting this and so far I've only seen topics on adrenaline surges and cortisol spikes. So I'm not sure if what I am about to explain is really that?  I've been experiencing these weird energy surges (like electrical shocks) that happen in my upper body when I'm trying to relax in bed and close my eyes. I'm not asleep yet but just trying to close my eyes and clear my mind when these happen. I've read elsewhere someone describing it like starting off as that butterflies feeling you get in your stomach and then a rush/surge of energy to the brain which gives you a 'jump' and an electric feeling.  These definitely aren't brain zaps as I've experienced those before. This one is more the entire upper body and only during relaxed states. 

 

This keeps me from settling down and actually falling asleep because when it happens it literally feels like electricity. It hangs on for a bit until I find myself alert again then it will fade. Almost like it's saying "oh no you don't! Don't you dare fall asleep!" So it's a vicious cycle of relaxing, getting electrocuted, relaxing, getting electrocuted etc. I'm sure by now lack of sleep makes this worse. So I'm wondering if there are any remedies that may help lesson the severity of these energy surges so that they aren't so disruptive to sleep?

I get this currently most nights. Exactly as you describe and they are different from brain zaps and only happen when I am falling asleep. It'a not the same as the jerks either, it's different. Starts in my stomach and is like a wave / surge - lasts around 5 to 7 seconds each time and sometimes I gasp for breath. Extremely overpowering. Did you find anything that helped? Hope so.  I am listening to guided sleep meditations but it doesn't stop them always. Warmly, LondonGal

All from Feb 2019: Bupropion 150mg XL daily for 30+ months. Tapered down to 100mg SR daily in September 2021. Quit Dec 2021. bad withdrawls?

Mirtazapine 15mg daily - 4 weeks only. Buspirone 10mg twice daily - 8/12 weeks only. Trazodone 50mg - for one year, quit cold turkey - aches and pains like flu

Visteril can't place dose - 7 months, cold turkey. Seroquel 50mg daily - 3 months - cold turkey. Risperidone 1mg twice daily - one year - akathisia, suicide ideation, severe cognitive impairment, loss of interest in life - cold turkey in Feb 2020. Bad withdrawls. 1992 Prozac brand (20mg?) -18 months ish- cold turkey. 1998- Escitalopram - can't remember dose or duration- cold turkey. 2005- Amitriptyline 70mg, self tapered to 50mg over time. Off 2020, bad withdrawls as quit too quickly - deep depression and anxiety.

2015 - Diazepam various doses- current 5mg daily- still on it, mildly dependent. 2024 10mg daily, dependent.

2023 - Olanzapine 10mg 10 weeks, then 5mg - lethargy, emotional blunting, weird head sensations, weight gain. Lorazepam 1mg daily - discontinued October 2024. Sertraline 150mg daily - emotional blunting, brain zaps. Aripiprazole 10mg for a month reduced to 5mg daily - akathisia, insomnia, muscle aches, heart palpitations, locked in feeling, cognitive impairment, dullness. Clonazepam 3mg daily reduced to .5mg daily.  Zopiclone 1mg at night -discontinued Oct 2023. Zolpiderm 10mg at night - I don't really take it often.

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  • Moderator Emeritus
1 hour ago, LondonGal said:

Did you find anything that helped?

 

Did you read the first post of this topic?

 

  

On 12/22/2012 at 5:47 PM, UnfoldingSky said:

ADMIN NOTE If you get twitches or jerks in your legs when you want to sleep, stretching exercises may help, particularly if you site at the computer a lot.

 

Playing very soft music while you're sleeping may calm the hypnic jerks or other strange jolts interrupting sleep or relaxation, see


Music for self-care: Calms hyperalertness, anxiety, aids relaxation and sleep

 

Tips to help sleep -- so many of us have that awful withdrawal insomnia

 

Hypnic / hypnagogic jerks when falling asleep

 

 

* NO LONGER ACTIVE on SA *

MISSION ACCOMPLISHED:  (6 year taper)      0mg Pristiq  on 13th November 2021

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

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to all here,

 

There could be many reasons why you are getting these surges/zaps. In my case it was excess anxiety to the point i thought i would not recover. I genuinely thought something was damaged in my brain as its something you only feel and cannot see.

Please Please Please do not despair. They willl go. Promise. Mine were brought on my anxiety. I was prescribed Propanalol and Sertraline. Sertraline sp really helped to ease this phenomenon. The thing is when you tell your mind not to think of it while you fall asleep it will most likely happen. Drift off and you wont realise. However the drift off is where it gets tricky.  For me the surges practically reduced to 10% mild in the second month of taking sertraline which I started in April 20. I was on it till April 21. Tapered a little and stopped cold turkey in Julyish timeframe. They never returned as in my cases it was excessive anxiety that the brain does not let you sleep. This is not the same as surges in brain or zaps. This is the adrenaline ( butterflies in chest ) almost.

 

Here is what worked for me in addition to Sertraline back then.

1. Affirmation before going to bed that all will be fine and I am improving and these horrible feelings have gone.

2. Audio Books (to help drift off to bed )

3. Walks very Long walks in the park. Exercise will make u sleep. no matter what. I went even when i didnt feel like. 

4. This forum helped tremendously as lot of encouragement stories.

5.  Bedtime routine. Anything that works for you. E.g my case daily bath, lavender massage and then affirmation/meditation.

6. Lots of Omega 3  6 9 to calm the brain.

7. Eating proper food. good / healthy meals. Its fine to eat junk once in a while.

8. Music ( although it didnt work for me ).

9. Writing down that this is not permanant and its gone on a piece of paper ( might seem silly but there is a great power in writing positive thoughts )>

10. Yoga ( calming stretches will ease muscles ).

11. Faith ( Lots of Faith whoever you pray to. I prayed to the Universe as well ) - its a very powerful mantra. 

 

Anyone suffering with this be assured it will go. I am happy to help anyone who wants to know the detailed routine i followed. PLease note however sertraline really did help me.

When i had a bit of anxiety again, propanolol on its on did the trick and it took a few days to reduce these surges. 

It took me 3 anti-depressants to get rid of these. so please dont give up hope. Antidepressants are a crutch you need to get over a bad phase but you dont need them forever.

Now I have started a supplement called Mensana , Bacopa all herbal supplements.

 

Please keep faith this is not permanent but it took me a while to realise that. 

 

February: 10 mg citalopram - for anxiety related to sleep ( getting adrenal surges on sleep onset )

March : Mirtazapine 15 mg as citalopram side effects unbearable - Mirtazapine prescribed for sleep. Stopped Citalopram cold turkey

April: Anxiety around sleep still bad put on Sertraline 50 mg - continued with Mirtazapine - 15 mg

June: Anxiety around sleep in good control and able to sleep well most nights. Stopped Mirtazapine 15 mg cold turkey based on Doctors advise

May 31st 2022 started 15 ml mirtazapine for sleep onset anxiety

june 30 2022 started paxil 25 cr stopped mirtazapine

dec 2022 reduced paxil to 12.5 cr based on advise from psych 

currently on paxil 12.5 cr tried to quit cold turkey with really bad symptoms reinstated at 12.5 cr 

 

 

 

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When I first started getting these last winter I had them almost every night and they totally freaked me out. For me they occur over my chest/heart area and feel like a warm rush of anxious energy that often times caused me to sit up and gasp for air and check to see if my heart had stopped beating. They always happen right as I'm about to fall asleep. It's almost like as soon as my body is about to relax and drift off to sleep, my hyper-vigilant nervous system doesn't want to let go of control and lose awareness, so it jolts me back to being fully alert.

 

I thought that something was wrong with my heart so had several ekgs done as well as and echocardiogram. When these all came back fine, I was able to better assure myself that the sensations were just a (very scary) physical manifestation of anxiety and were not going to kill me.

 

Once I was able to relax into them more and stop fighting them, it was like my body was better able to bridge the gap between being asleep and awake without experiencing them so frequently and intensely. I had these every night for a solid few months but now only get them every once in a while. This is the one symptom that I have seen significant improvement with. I actually had them three nights ago for the first time in at least a month and I was able to just let them do their thing without losing it.

 

So as hard as it is, I believe what helped me was trying my best to accept them for something that was uncomfortable but wouldn't hurt me. This seemed to rob them of the power they had over me. And believe me, they had a lot. I was certain that my heart was going to stop just about every night when I was dealing with them. Like others have said here, another thing that may help is playing something in the background.

 

I know many people like mediations and you should definitely give them a try if you haven't, but during this time, what really worked for me was to put on a familiar TV show and then put an eye mask over my face to block out the light. For some reason the cartoon King of the Hill was my go-to. Having a light-hearted, comedic dialogue running in the background help to  drown out the terrifying monologue that was racing through my head and established a more comfortable, less threatening environment for me.

 

I hope this helps and that you can find some peace with this symptom. I know how incredibly terrifying it is.

 

Sending lots of love.💕 

 

Edited by ChessieCat
added paragraph spacing for easier reading

Prozac: 20-40mg from 2006-2019. Zoloft: 2003-2005 off and on. Adderall XR: 20-50mg (abused so took more than prescribed often) 2006-2016. Amphetamine Salts 2006-2016 10-20mg (abused). Ativan: 2009-2010 1mg. Suboxone 16mg sublingual strips 2013-2016. Vyvanse: mg? (abused) 2014-2015. Alprazolam: December 2018- June 2019 1-2mg (abused). Diazepam: June 2019-November 2019 mg? (used to taper me off of Xanax). Lexapro: 2018-September 2020 10-20mg. Mitrazapine 30mg: Nov 2019-May 2020 (tapered off over 3 months) Trintillex: May 2019-December 2019 (mg?). Hormonal birth control 2003-2019.

Lexapro: 11/30/21- 12/2/21 - .5mg; 12/11/21 - 12/12/21 - 2.5mg 

Ativan: 12/11/21 - .5mg; 12/12/21 - .25mg 

supplements (current):

Morning: 400mg L-Theanine, 375mg magnesium.

Night:  450mg Valerian Root, 2.5mg Melatonin

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  • ChessieCat changed the title to Strange sensations while falling asleep - surges, zaps, jerks
  • 1 year later...

I've asked ChatGPT about the association between hypnic jerks and psychotropics. Wasn't looking for medical advice (and I'm not encouraging anyone to do this), just curious about the chemistry behind this awful symptom. Here is what it said:

 

"1. Central Nervous System (CNS) Excitation: Many psychotropic drugs, such as selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), and certain antidepressants, can enhance the activity of neurotransmitters in the brain, particularly serotonin. This increased CNS excitation may lead to hyperexcitability of certain nerve pathways involved in motor control, potentially resulting in sleep onset myoclonus.

2. Disruption of Sleep Architecture: Some psychotropic drugs can affect the stages of sleep and disrupt the normal sleep architecture. For example, certain antipsychotic medications, such as clozapine or olanzapine, may influence the transition between wakefulness and sleep, causing abnormal muscle movements during this transition.

3. Dopamine Imbalance: Dopamine is another neurotransmitter involved in the regulation of movement and muscle control. Drugs that affect dopamine levels or receptor activity, such as dopamine agonists used in the treatment of Parkinson's disease or antipsychotics that modulate dopamine pathways, may lead to an imbalance that triggers myoclonus during sleep onset.

4. Individual Sensitivity: It's worth noting that not everyone who takes psychotropic drugs will experience sleep onset myoclonus. Some individuals may be more susceptible to this side effect due to their unique neurochemistry or other factors that influence the interactions between the drug and the central nervous system."

 


The sad takeaway for me is that the AI is more knowledgable about this issue than my doctor.

 

Since early March 2022: escitalopram 10 mg + trazodone 75 mg, after a month or so switched to sertraline 50 mg + mianserin 10 mg;

Later augmented with quetiapine 75 mg for insomnia;

Cold turkeyed all antidepressants in November 2022;

Currently on:

Quetiapine: 275 mg (21/02/2023; down from 300 mg) -> 250 mg (18/03/2023) -> 225 mg (26/04/2023) -> 200 mg (19/05/2023) -> 187.5 mg (12/06/2023) -> 175 mg  (27/06/2023) -> 162.5 mg (16/07/2023) -> 150 mg (31/07/2023) -> 137.5 mg (15/08/2023) -> 125 mg (17/09/2023) -> 112.5 mg (02/10/2023) -> 100 mg (17/10/2023) -> 87.5 mg (05/11/2023) -> 81.25 mg (01/12/2023) -> 75 mg (14/12/2023) -> 68.75 mg (22/12/2023) -> 62.5 mg (28/12/2023) -> 50 mg (11/01/2024) -> 43,75 mg (06/02/2024) -> 37,5 mg (20/02/2024)

Diazepam once every week/two weeks, or less frequently

Supplements: magnesium, vit. D3

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  • 6 months later...

Hi,

 

I have abdominal jerks night and day with breaks and also dependent on position. 
 

Also my legs and shoulders sometimes jerk.

 

 

 

Started 10mg escitalopram March 2016 and stopped CT Feb 2017.

Started 10mg citalopram May 2019

Swapped with mirtazapine mid June 2019 used for a week and then switched to Escitalopram 5mg at the end of July 2019, increased gradually to 10mg in September, 15mg in October and 20mg in January 2020. Tapered down to 15mg in April. 10mg in June then a week tapering to 5mg and then stopped CT. 
Resumed escitalopram in November 2020 at 5mg, increased to 10mg in February 2021, tapered down to 5mg in May 2021 and tapered down to 2.5 in the space of a week in September 2021. Resumed escitalopram at the end of December 2022 at 5mg, increased it to 10mg in March 2023 then tapered down to 5mg in June and down to 2.5mg in July. Started escitalopram 5mg beginning of December 2023 then stopped after 4 days. Took amytryptamine for 2 days then restarted escitalopram at 5mg, after two weeks increased it to 7.5mg, kept it for 1 week then 10mg for 1 week but two many side effects so went back to 5mg. Beginning of January 2023 stopped escitalopram for 1 day then 2.5mg for the next day. Developed  discontinuation symptoms reinstated it at 2.5 for 1 week and 1.5 for the following week then stopped. I’m currently experiencing withdrawal symptoms.

 

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Mine are getting less and less the lower I go with the dose.

Since early March 2022: escitalopram 10 mg + trazodone 75 mg, after a month or so switched to sertraline 50 mg + mianserin 10 mg;

Later augmented with quetiapine 75 mg for insomnia;

Cold turkeyed all antidepressants in November 2022;

Currently on:

Quetiapine: 275 mg (21/02/2023; down from 300 mg) -> 250 mg (18/03/2023) -> 225 mg (26/04/2023) -> 200 mg (19/05/2023) -> 187.5 mg (12/06/2023) -> 175 mg  (27/06/2023) -> 162.5 mg (16/07/2023) -> 150 mg (31/07/2023) -> 137.5 mg (15/08/2023) -> 125 mg (17/09/2023) -> 112.5 mg (02/10/2023) -> 100 mg (17/10/2023) -> 87.5 mg (05/11/2023) -> 81.25 mg (01/12/2023) -> 75 mg (14/12/2023) -> 68.75 mg (22/12/2023) -> 62.5 mg (28/12/2023) -> 50 mg (11/01/2024) -> 43,75 mg (06/02/2024) -> 37,5 mg (20/02/2024)

Diazepam once every week/two weeks, or less frequently

Supplements: magnesium, vit. D3

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Hi RobertZ,

 

Thank you for your contribution 😊.

 

With me as I’m not tapering I just have to wait it out but they’re are diminishing though with ups and downs, windows and waves.

 

Where about do you get jerks if I may ask?

 

Started 10mg escitalopram March 2016 and stopped CT Feb 2017.

Started 10mg citalopram May 2019

Swapped with mirtazapine mid June 2019 used for a week and then switched to Escitalopram 5mg at the end of July 2019, increased gradually to 10mg in September, 15mg in October and 20mg in January 2020. Tapered down to 15mg in April. 10mg in June then a week tapering to 5mg and then stopped CT. 
Resumed escitalopram in November 2020 at 5mg, increased to 10mg in February 2021, tapered down to 5mg in May 2021 and tapered down to 2.5 in the space of a week in September 2021. Resumed escitalopram at the end of December 2022 at 5mg, increased it to 10mg in March 2023 then tapered down to 5mg in June and down to 2.5mg in July. Started escitalopram 5mg beginning of December 2023 then stopped after 4 days. Took amytryptamine for 2 days then restarted escitalopram at 5mg, after two weeks increased it to 7.5mg, kept it for 1 week then 10mg for 1 week but two many side effects so went back to 5mg. Beginning of January 2023 stopped escitalopram for 1 day then 2.5mg for the next day. Developed  discontinuation symptoms reinstated it at 2.5 for 1 week and 1.5 for the following week then stopped. I’m currently experiencing withdrawal symptoms.

 

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@Giuly88Hands, feet, lower face, eyelid, calves, abdomen - pretty much everywhere. They do follow a windows and waves pattern, too.

Since early March 2022: escitalopram 10 mg + trazodone 75 mg, after a month or so switched to sertraline 50 mg + mianserin 10 mg;

Later augmented with quetiapine 75 mg for insomnia;

Cold turkeyed all antidepressants in November 2022;

Currently on:

Quetiapine: 275 mg (21/02/2023; down from 300 mg) -> 250 mg (18/03/2023) -> 225 mg (26/04/2023) -> 200 mg (19/05/2023) -> 187.5 mg (12/06/2023) -> 175 mg  (27/06/2023) -> 162.5 mg (16/07/2023) -> 150 mg (31/07/2023) -> 137.5 mg (15/08/2023) -> 125 mg (17/09/2023) -> 112.5 mg (02/10/2023) -> 100 mg (17/10/2023) -> 87.5 mg (05/11/2023) -> 81.25 mg (01/12/2023) -> 75 mg (14/12/2023) -> 68.75 mg (22/12/2023) -> 62.5 mg (28/12/2023) -> 50 mg (11/01/2024) -> 43,75 mg (06/02/2024) -> 37,5 mg (20/02/2024)

Diazepam once every week/two weeks, or less frequently

Supplements: magnesium, vit. D3

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34 minutes ago, RobertZ said:

@Giuly88Hands, feet, lower face, eyelid, calves, abdomen - pretty much everywhere. They do follow a windows and waves pattern, too.

Can’t believe what these drugs caused to us and the clueless doctors prescribe them as candies as if they are safe and harmless 🤷‍♀️.

 

Best wishes and healing vibes to you RobertZ.

 

💕

 

Started 10mg escitalopram March 2016 and stopped CT Feb 2017.

Started 10mg citalopram May 2019

Swapped with mirtazapine mid June 2019 used for a week and then switched to Escitalopram 5mg at the end of July 2019, increased gradually to 10mg in September, 15mg in October and 20mg in January 2020. Tapered down to 15mg in April. 10mg in June then a week tapering to 5mg and then stopped CT. 
Resumed escitalopram in November 2020 at 5mg, increased to 10mg in February 2021, tapered down to 5mg in May 2021 and tapered down to 2.5 in the space of a week in September 2021. Resumed escitalopram at the end of December 2022 at 5mg, increased it to 10mg in March 2023 then tapered down to 5mg in June and down to 2.5mg in July. Started escitalopram 5mg beginning of December 2023 then stopped after 4 days. Took amytryptamine for 2 days then restarted escitalopram at 5mg, after two weeks increased it to 7.5mg, kept it for 1 week then 10mg for 1 week but two many side effects so went back to 5mg. Beginning of January 2023 stopped escitalopram for 1 day then 2.5mg for the next day. Developed  discontinuation symptoms reinstated it at 2.5 for 1 week and 1.5 for the following week then stopped. I’m currently experiencing withdrawal symptoms.

 

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