Tiramisu Posted September 21, 2022 Posted September 21, 2022 I was misdiagnosed with bipolar disorder over 15 years ago. As best I can recall, I was prescribed 450 mg bupropion and 20 mg Escitalopram and maybe 40 mg of Lamictal. I went off them suddenly about 8 years ago and had terrible withdrawal symptoms. A new doctor put me on a lower dosage of bupropion, about 200 mg and kept me at 20 mg Escitalopram. I became dissatisfied and found a new doctor who suggested Transcranial Magnetic Stimulation (TMS) which gave me some relief from my depression. A new doctor prescribed 150 mg bupropion, 20 mg Escitalopram, 4.5 mg pramipexol and a 4th I can't recall. I had been on this cocktail mix for at least 2 years. Earlier this year I began tapering, taking the medications once a week, then stopped altogether in about June. In July I began experiencing sudden vomiting spells out of the blue, lasting a full day, then going back to normal. I experienced one episode every 1 to 2 weeks for 6 episodes. Then 6 days ago I started trembling with anxiety every morning. It dissipates by the evening but I am non-functional for the entire day. My psychiatrist insists I am not going through withdrawal but is telling me to go back on a low dose of Escitalopram. I don't want to do it but need my life back. Any advice would be appreciated.
Moderator Frogie Posted September 25, 2022 Moderator Posted September 25, 2022 @Tiramisu Welcome to SA. We are a volunteer ran site helping people taper off psychiatric medications or have tapered off and are now healing. This is your introduction page where you will receive information, ask questions and meet other members. We ask that you only have one introduction page so we can keep all your information in one place. Please add a signature. Include drugs, doses, dates, and discontinuations & reinstatements in the last 12-24 months. Also include supplements. This will help us give you the most accurate advice we can. Any drugs and supplements prior to 24 months ago can just be listed with start and stop years. Please use actual dates or approximate dates (mid-June, Late October) rather than relative time frames (last week, 3 months ago) Spell out months, e.g. "October" or "Oct."; 9/1/2016 can be interpreted as Jan. 9, 2016 or Sept. 1, 2016. Please leave out symptoms and diagnoses. A list is easier to understand than one or multiple paragraphs. This is a direct link to your signature: Account Settings – Create or Edit a signature. It looks as though you tapered your medications really quickly. We don't suggest more than 10% a month and some go much slower than that. Why taper by 10% of my dosage? Tips for tapering off escitalopram (Lexapro) Tips for tapering off buproprion (Wellbutrin, SR, XR, XL) NEVER SKIP DOSES TO TAPER Here is some important information about how these drugs actually work. This explains why we get symptoms from going off of these medications: How Psychiatric Drugs Remodel Your Brain This helps you understand what withdrawal syndrome is: Video on Recovery from Psych Drugs Stability is really important when we are tapering off psych meds. Please read the link about stability: Keep It Simple, Slow, and Stable You could try to reinstate 1 mg of the Lexapro and see if that helps. It takes 7-10 days for it to reach stability in your bloodstream and brain. Then you would hold for quite a while before beginning a slow taper off of it. What is withdrawal syndrome? About reinstating and stabilizing to reduce withdrawal symptoms The Windows and Waves Pattern of Stabilization Here are some other links that you will find useful. Withdrawal Normal Description What to Do for Nausea, Queasiness Digestive Problems How do you talk to a doctor about tapering and withdrawal? Dr. Joseph Glenmullen's withdrawal symptom checklist We don't suggest supplements on here as they can be stimulating to the central nervous system (CNS) except 2. If you would like to try one, try a small amount and wait a few days before introducing the other. Magnesium Omega 3 Fish Oil After you have read the links provided please reach out with any questions you may have. PREVIOUS medications and discontinuations: Have been on medications since 1996. Valium, Gabapentin, Lamictal, Prilosec and Zantac from 2000 to 2015 with a fast taper by a psychiatrist. Liquid Lexapro Nov, 2016 to 31-March, 2019 Lexapro free!!! (total Lexapro taper was 4 years-started with pill form) ---CURRENT MEDICATIONS:Supplements:Milk Thistle, Metamucil, Magnesium Citrate, Vitamin D3, Levothyroxine 25mcg, Vitamin C, Krill oil. Xanax 1mg 3x day June, 2000 to 19-September, 2020 Went from .150 grams (average weight of 1 Xanax) 3x day to .003 grams 3x day. April 1, 2021 went back on 1mg a day. Started tapering May 19, 2023. July 28, 2023-approximately .87mg. Dr. fast tapered me at the end and realized he messed up. Prescribe it again and I am doing "slower than a turtle" taper. Last dose June 24, 2024 19-September, 2020 Xanax free!!! (total Xanax taper was 15-1/2 months-1-June, 2019-19-September, 2020) I am not a medical professional. The suggestions I make are based on personal experience.
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