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Hrm310582: long term sertraline effects and withdrawal symptoms


Hrm310582

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Posted (edited)

Been on 200mg for about 15 years. Now 40, overweight, peri menopausal symptoms, urge bowel incontinence and possible hypermanic symptoms. Registered mental health nurse so have insight. Trying to taper to 175 at the moment. Go GP (member corrected in next post) wants to put me on fluoxetine for hot flushes. No depressive symptoms. Was put on paroxetine aged 18, followed by fluoxetine at 24 then sertraline at 26. Should have been diagnosed with adjustment disorder or just been offered counselling. Instead been medicated for ‘depression’ for 22 years when actually it was trauma related not biological! Anyone else experiencing either peri menopause, urge bowel unconvinced or elevated mood after long term ssri use? 

 

Edited by ChessieCat
made correction
  • ChessieCat changed the title to Hrm310582: long term sertraline effects and withdrawal symptoms
  • Administrator
Posted

Welcome, @Hrm310582

 

We certainly have a lot of people here going through perimenopause!

 

What do you mean by hypomanic symptoms? Do these occur at any particular times of day?

 

When do you take your drugs, with their dosages? Have you ever skipped a dose of sertraline, or forgotten to take it on schedule?

 

To help us out, follow these instructions Please summarize your drug and withdrawal history in your signature You may need to use a computer to do this.

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

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  • 3 weeks later...
Posted

I'm 48 and in peri menopause.  The symptoms were minimal and when AD withdrawal kicked off, I initially put it down to hormones until I realised what was actually going on.  I'd take peri menopause over this any day.  @Hrm310582I'm also a registered mental health nurse, they sure don't teach us about this though 🥵 

  • August 2004:  Citalopram 20mg for "postnatal anxiety".  
  • May-Sept 2011:  Adverse reaction to the contraceptive pill, causing severe anxiety and panic.  Was switched from 7 years on Citalopram to Lofepramine briefly, then Mirtazapine 30mg.  Was an anxious, depressed, suicidal wreck and got misdiagnosed with GAD by a psychiatrist.  I now realise my symptoms were all medication related, as opposed to so-called psychiatric diagnosis.
  • October 2011:  Pregabalin 450mg and propranolol 40mg TID added by psychiatrist. 
  • Feb 2013: Tapered off pregabalin 450mg; stopped propranolol.
  • July 2013: Switched from Mirtazapine 30mg to Cipralex 10mg in a two-week cross titration, which caused horrific withdrawal symptoms lasting months.
  • April 2015: Increased to 15mg Cipralex. 
  • 2017:  Was treated by a clinical psychologist for medication-related trauma and slowly tapered down to 2mg Cipralex over the next four years. 
  • December 2021: Switched from Cipralex tablets to drops to facilitate further tapering; this caused withdrawal reaction lasting approx 6 weeks. 
  • May 2022: Experienced severe withdrawal reaction after inadvertently taking expired drops.  
  • 3rd June 2022: Reinstated 2mg Cipralex drops. Stabilisation hindered by drinking alcohol socially; didn't realise impact of this. Nil alcohol since September 2022.
  • Supplements: Cycling Magnesium, Omega 3, Evening Primrose, Vitamin D3, Vitamin C, Vitamin B Complex, Zinc, Ashwagandha, Sage.  Had been taking these prior to withdrawal incident.
  • Feb 2023:  Relatively stable and aiming to hold on 2mg Cipralex and with a view to tapering down in 2024.  Tapered off Ashwagandha.

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