Mutfael: try to recover

[Shep]

13 hours ago, Mutfael said:

I want an explanation for this symptom, as it still comes to me in the morning and continues until sunset, then it starts to calm down a bit.

 

Early-morning waking - managing the morning cortisol spike

[Mutfael]

On 4/1/2023 at 1:09 AM, Shep said:

 

Yes, but you've likely kindled your nervous system.

 

Hypersensitivity and Kindling

Shep I have another question please.. I am a smoker and when I smoke I feel a bad mood, extreme lethargy, rapid heartbeat, dizziness and nausea. What does that mean?

Also, when I drink tea, I feel palpitations. I quit tea almost two months ago. Is there an explanation for this situation?

 

[Shep]

17 hours ago, Mutfael said:

Shep I have another question please.. I am a smoker and when I smoke I feel a bad mood, extreme lethargy, rapid heartbeat, dizziness and nausea. What does that mean?

Also, when I drink tea, I feel palpitations. I quit tea almost two months ago. Is there an explanation for this situation?

 

 

Nicotine and caffeine are both stimulants, which can cause upticks in symptoms for someone with a destabilized nervous system. If you smoke and drink caffeinated tea, you'll have more symptoms.

[Mutfael]

6 hours ago, Shep said:

 

Nicotine and caffeine are both stimulants, which can cause upticks in symptoms for someone with a destabilized nervous system. If you smoke and drink caffeinated tea, you'll have more symptoms.

Excellent...but I get palpitations, severe anxiety, and fatigue only from taking the first two cigarettes in the morning, then smoking becomes normal, since I smoke cigarettes in the evening and they don't affect me much...

[Shep]

18 hours ago, Mutfael said:

Excellent...but I get palpitations, severe anxiety, and fatigue only from taking the first two cigarettes in the morning, then smoking becomes normal, since I smoke cigarettes in the evening and they don't affect me much...

 

 

Early-morning waking - managing the morning cortisol spike

 

Many people have worse symptoms in the morning and fewer symptoms in the evening as cortisol decreases. 

[Mutfael]

5 hours ago, Shep said:

 

 

Early-morning waking - managing the morning cortisol spike

 

Many people have worse symptoms in the morning and fewer symptoms in the evening as cortisol decreases. 

Thanks🌹

[Mutfael]

 

  Hello.. 
  For nearly 19 years, I have been taking one Seroxat pill daily, and years ago it was replaced with Cipralex. I do not take more than that, only one Seroxat pill, 20 milligrams, daily.

  Two years ago, I tried to gradually progress, and the progression continued until two years ago. I reached 2.5 milligrams of Cipralex and I can no longer stand my life at all. Severe lethargy, depression, and severe heart palpitations at the slightest effort. Even if I walk a few steps, I feel extremely exhausted and have pain in my legs, as well as severe phobia. I can no longer talk to anyone! Then, 7 months ago, I was forced to return to the original dose of Seroxat, 20 milligrams per day. The condition improved by 50%, but I still have lethargy and lack of desire for everything, as well as phobias. I want to get rid of this poison. Is it impossible!!? I am still afraid that the previous symptoms will return because my life has really stopped and I am responsible for a family!

[Emonda]

Hi @Mutfael

 

Welcome back. I have moved your new post back to your own thread. It is best for everything relating to yourself to be in the one spot so that any of the volunteers who try to help you can see what you have previously been advised and what you have subsequently done.

 

I’m sorry to read you have had a rough time tapering from Cipralex (escitalopram). I note, as per your most recent post, that you are now on Seroxat (Paroxetine) as of 7 months ago (please put the date into your drug signature). 

 

Back at the start of your thread, getofflex posted a link recommending a maximum taper of 10% per month of the most recent dose. The reductions should get smaller and smaller each month.

 

Looking at your drug signature, it appears that you have gone faster than this…an average of 15% per month and as high as 28% initially. Your last reduction seems to have been 17% before you ended up in emergency. 

 

Many of us find that at lower doses of our AD, we need to really slow down our taper. The reductions need to be very, very small.

 

8 hours ago, Mutfael said:

Severe lethargy, depression, and severe heart palpitations at the slightest effort. Even if I walk a few steps, I feel extremely exhausted and have pain in my legs, as well as severe phobia. I can no longer talk to anyone!

 

These are all typical WD symptoms - a sign that you are going too fast with the taper, or that the monthly reductions are too great for you.

 

When you experience an unpleasant WD symptom, you should hold your current dose until you feel stable. If you push on with the tapering plan, it just makes you feel even worse.

 

8 hours ago, Mutfael said:

I want to get rid of this poison. Is it impossible!!?

 

You can taper off this AD. There are most certainly members on this site who have successfully gone off this AD.

 

My understanding is that the AD you take needs to be tapered with great care and much patience. I know of other members that taper much slower, at say 1%-2% per month.

 

I haven't read all 9 pages of your thread, but have you seen the link to the micro taper? Personally, I've found it a more tolerable method of tapering....that said, I still notice WD symptoms, but they are manageable.

 

 

 

8 hours ago, Mutfael said:

I am still afraid that the previous symptoms will return because my life has really stopped and I am responsible for a family!

 

It's perfectly normal to feel afraid of a repeat experience.

 

I'm a guy approaching 50, with a family I am responsible for...I appreciate your concern and responsibilities. 

 

Given you are worried about tapering, go much slower this time. Try a 1% or 2% reduction, then just hold there for a month and see how you go. 'dip your toe in the water' so to speak (I am not sure how that will translate with Google).

 

I am sure you've been given these links, but here they are again:

 

Windows and waves pattern of stabilization. 

non-drug coping strategies  

 

Let us know how you are progressing.

 

Emonda

[Mutfael]

14 hours ago, Emonda said:

Hi @Mutfael

 

Welcome back. I have moved your new post back to your own thread. It is best for everything relating to yourself to be in the one spot so that any of the volunteers who try to help you can see what you have previously been advised and what you have subsequently done.

 

I’m sorry to read you have had a rough time tapering from Cipralex (escitalopram). I note, as per your most recent post, that you are now on Seroxat (Paroxetine) as of 7 months ago (please put the date into your drug signature). 

 

Back at the start of your thread, getofflex posted a link recommending a maximum taper of 10% per month of the most recent dose. The reductions should get smaller and smaller each month.

 

Looking at your drug signature, it appears that you have gone faster than this…an average of 15% per month and as high as 28% initially. Your last reduction seems to have been 17% before you ended up in emergency. 

 

Many of us find that at lower doses of our AD, we need to really slow down our taper. The reductions need to be very, very small.

 

 

These are all typical WD symptoms - a sign that you are going too fast with the taper, or that the monthly reductions are too great for you.

 

When you experience an unpleasant WD symptom, you should hold your current dose until you feel stable. If you push on with the tapering plan, it just makes you feel even worse.

 

 

You can taper off this AD. There are most certainly members on this site who have successfully gone off this AD.

 

My understanding is that the AD you take needs to be tapered with great care and much patience. I know of other members that taper much slower, at say 1%-2% per month.

 

I haven't read all 9 pages of your thread, but have you seen the link to the micro taper? Personally, I've found it a more tolerable method of tapering....that said, I still notice WD symptoms, but they are manageable.

 

 

 

 

It's perfectly normal to feel afraid of a repeat experience.

 

I'm a guy approaching 50, with a family I am responsible for...I appreciate your concern and responsibilities. 

 

Given you are worried about tapering, go much slower this time. Try a 1% or 2% reduction, then just hold there for a month and see how you go. 'dip your toe in the water' so to speak (I am not sure how that will translate with Google).

 

I am sure you've been given these links, but here they are again:

 

Windows and waves pattern of stabilization. 

non-drug coping strategies  

 

Let us know how you are progressing.

 

Emonda

Thank you for your interaction, Emonda... As for the 1% monthly discount, I think it is not useful, as you will remain for many years while decreasing.. What do you think?

[Emonda]

Hi Mutfael,

Not suggesting to do that permanently. Just as a start, given you said you were worried about tapering again. The point is, try a small reduction at first, build your confidence and reassess from there.

 

I taper at 2% per week for 4 weeks, then hold for a further 2 weeks. This is slightly slower than the Brassmonkey slide I mentioned above.

 

Have a read of the Brassmonkey slide link about, and see what you think about a small reduction at first...

 

5 minutes ago, Mutfael said:

you will remain for many years while decreasing

 

Yes. I've been tapering for close to 2 years, and I'll be doing it for at least another 2 years.

 

Keep us posted.

[Mutfael]

On 11/10/2023 at 9:11 PM, Emonda said:

Hi Mutfael,

Not suggesting to do that permanently. Just as a start, given you said you were worried about tapering again. The point is, try a small reduction at first, build your confidence and reassess from there.

 

I taper at 2% per week for 4 weeks, then hold for a further 2 weeks. This is slightly slower than the Brassmonkey slide I mentioned above.

 

Have a read of the Brassmonkey slide link about, and see what you think about a small reduction at first...

 

 

Yes. I've been tapering for close to 2 years, and I'll be doing it for at least another 2 years.

 

Keep us posted.

 Thank you for sharing, I appreciate it 🌷