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PeerCBH: second try discontinuing Paxil


PeerCBH

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9 hours ago, Onmyway said:

Hi @PeerCBH

I use a generic syringe to dilute my medicine 1:1200. I first put 120 ml of water in a jar.  Then take 0.1ml of my medicine and deposit it into the receptacle (jar) where i already have the 1200ml water and will make the dilution.  Then take water from the 1:1200 solution in the medicine syringe and put it back into the solution. I draw water in and out a few times more to 'wash out' the syringe of any residue.  I draw water from the solution and deposit it back into the solution so it all goes into the solution.  

 

This is good enough.  I keep my two syringes the same until they're unusable.  The goal is not perfection but consistency. 

 

I've heard people who had access to lab equipment use graduated scientific pipettes. But syringes are good enough.

 

The key is not to turn this into something to obsess about as our minds are easy to hijack in this process.

 

OMW

This is most useful, thank you so much! At some point I am most certainly going to need to dilute my solution. 

Especially the last part. I do be obsessing sometimes :)

Current meds:

Lithium 1500mg

Prozac 17mg
2022 Prozac bridge:
9/20 Began bridge from Paxil to Prozac. Started Prozac 10mg. Instructed to taper Paxil over 2 weeks.
10/4 tapered last of Paxil. Paxil 0mg. Severe withdrawal. Increased Prozac to 20mg to alleviate wd for 5 days total. Symptoms partially alleviated.

10/8 reduced Prozac to 15mg at advice of doctor. Withdrawal relatively mild but bothersome. 
10/18 increased to 17mg Prozac to alleviate withdrawal.

12/10 reduced from 17mg to 15.4mg

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On 4/4/2023 at 6:54 PM, PeerCBH said:

This is most useful, thank you so much! At some point I am most certainly going to need to dilute my solution. 

Especially the last part. I do be obsessing sometimes :)

Hi @PeerCBH

 

there is a book I read recently - Needing to Know for Sure (by Seif and Winston) about OCD anxiety - it's amazing in how it breaks down the process. It calls the minds of some people 'sticky' where obsessions can sort of take seed and grow. I too have a sticky mind sometimes so I understand completely. I would highly recommend reading that book. Even if you didn't have a sticky mind prior to WD, withdrawal creates it for many people. 

 

Reassurance seeking is the beast that feeds this obsession loop and I do that very often in my case by reading incessantly about things. I highly recommend practicing mindfulness.

 

You might find this useful -  it's a free MBSR course. I took this course in person many years ago and it helped reduce  quite significantly my asthma attacks of all things. 

https://palousemindfulness.com/

 

See if you like it. 

OMW

Edited by Onmyway
removed a recommendation

"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

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  • 11 months later...

Hi,

I've been able to taper my prozac more. I stay off here because I tend to seek reassurance too much which gets in the way of my coping with my anxiety.

I did have a question. So I've arrived at a comfortable taper (2-4% is my range, 4 being the max I can tolerate) now that I'm below saturation. I was tapering by 2% as I had school and didn't want to destabilize myself. Nice and slow. While milder, prozac withdrawal drags on longer than paxil. Generally 3 months to stabilize. I tapered by 2 and waited about 2 months. Not quite stable and I took another 2% off. This sent me into a withdrawal frenzy. For future reference, will tapering while not fully stable create a sort of compounding effect concerning symptoms? That's really what it felt like. Things death spiraled very quickly. Too much too fast. Oops. I updosed and I'm feeling okay. Will hold here. 

Thank you,

After this question, I'll duck out for awhile as I don't want to get into a pattern of reassurance seeking.

Current meds:

Lithium 1500mg

Prozac 17mg
2022 Prozac bridge:
9/20 Began bridge from Paxil to Prozac. Started Prozac 10mg. Instructed to taper Paxil over 2 weeks.
10/4 tapered last of Paxil. Paxil 0mg. Severe withdrawal. Increased Prozac to 20mg to alleviate wd for 5 days total. Symptoms partially alleviated.

10/8 reduced Prozac to 15mg at advice of doctor. Withdrawal relatively mild but bothersome. 
10/18 increased to 17mg Prozac to alleviate withdrawal.

12/10 reduced from 17mg to 15.4mg

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