Daranco Posted February 13, 2022 Share Posted February 13, 2022 Hello! I am 69 years old and have been trying to taper down from a 75 mm dose of doxepin. I have been on it since March 2021. Prior to anxiety issues then I had been on 50 mg Zoloft (still am) and 25 mg of doxepin for over 25 years. I was in the hospital from 2/1 2022 until 2/4 for critically low sodium caused by months of psyllium use and drinking too much water and Miralax use. My psychiatrist is out of town until Friday 2/18. I only have 25 mg tablets. I went down to 50 mgs Sat. Feb. 5 until now. I have switched to sporadic ducolax or stool softener. I wonder if the tapering is too much as I have terrible withdrawal symptoms, lack of sleep, nausea, etc. I have not tried senna. Do you have any suggestions? Thank you! Link to comment
Moderator Onmyway Posted February 14, 2022 Moderator Share Posted February 14, 2022 Dear @Daranco, welcome to SA. Can you please help us understand your drug history by filling your drug signature following the instructions here: How to List Drug History in Signature - Introductions and updates - Surviving Antidepressants When you tell us your tapering history with exact dates if possible for the last couple of months we can try to help you better. We recommend not tapering by more than 10% a month in order to avoid withdrawal symptoms. Why taper by 10% of my dosage? - Tapering - Surviving Antidepressants Why taper? SERT transporter occupancy studies show importance of gradual change in plasma concentration - Tapering - Surviving Antidepressants It might be useful for you to increase your dosage but by how much will depend on when you lowered your dose which we can see from the drug signature. About reinstating and stabilizing to reduce withdrawal symptoms - Symptoms and self-care - Surviving Antidepressants Here are some links to help you understand withdrawal Are We There Yet? How Long Is Withdrawal Going To Take? - Tapering - Surviving Antidepressants The Windows and Waves Pattern of Stabilization - Symptoms and self-care - Surviving Antidepressants What is happening in your brain? - Symptoms and self-care - Surviving Antidepressants How psychiatric drugs remodel your brain - Symptoms and self-care - Surviving Antidepressants Important topics about symptoms, including sleep problems - Symptoms and self-care - Surviving Antidepressants Hope you feel better soon and we'll be back to help when you answer the questions above. OMW "Nothing so small as a moment is insurmountable, and moments are all that we have. You have survived every trial and tribulation that life has thrown at you up until this very instant. When future troubles come—and they will come—a version of you will be born into that moment that can conquer them, too." - Kevin Koenig I am not a doctor and this should not be considered medical advice. You can use the information and recommendations provided in whatever way you want and all decisions on your treatment are yours. In the next few weeks I do not have a lot of capacity to respond to questions. If you need a quick answer pls tag or ask other moderators who may want to be tagged. Aug 2000 - July 2003 (ct, 4-6 wk wd) , citalopram 20 mg, xanax prn, wellbutrin for a few months, trazodone prn Dec 2004 - July 2018 citalopram 20 mg, xanax prn (rarely used) Aug 2018 - citalopram 40 mg (self titrated up) September 2018 - January 2019 tapered citalopram - 40/30/20/10/5 no issues until a week after reaching 0 Feb 2019 0.25 xanax - 0.5/day (3 weeks) over to klonopin 0.25 once a day to manage severe wd March 6, reinstated citalopram 2.5 mg (liquid), klonopin 0.25 mg for sleep 2-3 times a week Apr 1st citalopram 2.0 mg (liquid), klonopin 0.25 once a week (off by 4/14/19- no tapering) citalopram (liquid) 4/14/19 -1.8 mg, 5/8/19 - 1.6 mg, 7/27/19 -1.5 mg, 8/15/19 - 1.35, 2/21/21 - 1.1 (smaller drops in between), 6/20/21 - 1.03 mg, 8/7/21- 1.025, 8/11/21 - 1.02, 8/15/21 - 1.015, 9/3/21 - 0.925 (fingers crossed!), 10/8/21 - 0.9, 10/18/21 - 0.875, 12/31/21 - 0.85, 1/7/22 - 0.825, 1/14/22 - 0.8, 1/22/22 - 0.785, 8/18/22 - 0.59, 12/15/2022 - 0.48, 2/15/22 - 0.43, 25/07/23 - 0.25 (mistake), 6/08/23 - 0.33mg Supplements: magnesium citrate and bi-glycinate Link to comment
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