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Elshoop: SSRI discontinuation and hypoglycemia?


Elshoop

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Posted

Has anyone out there had hypoglycemia when trying to taper off their SSRI? I’m just now starting to understand that many of the odd Sx I am having are likely related to this. My PCP has been flummoxed. I was having night sweats, crazy dreams, sever dizziness, fatigue, couldn’t think. Also, had the “brain zaps” that I could never figure out how to describe until I found articles on my own. In an effort to to try to figure out what was happening, I started wearing a continuous blood glucose monitor and found my CBG’s were dropping into the 30’s at night. This resolved when I started taking my Prozac again. However at the time I had just started taking some new supplements and I attributed it to that. I can’t afford to get another monitor to further test this, I had signed up for a free trial, they are super expensive. None of my lab work is indicative of diabetes, and we’ve checked everything. Thanks all for you input.

  • ChessieCat changed the title to Elshoop: SSRI discontinuation and hypoglycemia?
  • Moderator Emeritus
Posted

Hi, @Elshoop

 

Welcome to Surviving Antidepressants.

 

On 11/8/2022 at 3:47 PM, Elshoop said:

Has anyone out there had hypoglycemia when trying to taper off their SSRI?

 

Yes, this is common for many people. Please see:

 

Reactive hypoglycemia? Low blood sugar and symptoms

 

For healthy ways of handling low blood sugar through diet, please see:

 

Hypoglycemia (low blood sugar) diet

 

Suggested meal plan - hypoglycemia (low blood sugar) diet

 

Here is information on tapering Prozac:


Tips for tapering off fluoxetine (Prozac)

 

Why taper by 10% of my dosage?


The Windows and Waves Pattern of Stabilization

 

On 11/8/2022 at 3:47 PM, Elshoop said:

However at the time I had just started taking some new supplements

 

Please let us know what supplements you are taking, the dose, and the time(s) of day you take them. 

 

Also, what time of day do you take Prozac? 

 

Please add a signature. Here's how:

 

How to Summarize Your Drug History in Your Signature

 

Please continue to use this thread to document your taper and ask questions. After you set up your signature, we'll be able to give you more targeted advice. 

 

 

  • 1 year later...
Posted

Hi Elshoop,

 

Yes I have this horrible symptom when I withdraw from my SNRI Venlafaxine. I never knew what it was until I read that the decrease in  noradrenaline somehow causes excess insulin secretion which in turn causes hypoglycemic episodes. 

I basically have changed my diet to a Keto diet which has helped a lot. So NO SUGAR or carbs, no bread, no potatoes, no honey or fruit juice. 

Yes to High fat, lots of dairy, butter, meat, chicken, fish, green vegetables, nuts but no pulses like lentils or chick peas. 

It's difficult to do but so worth it to decrease the distressing hypo attacks. 

Hope this helps xx

1995-1997  Prozac, Fluvoxamine, Escitalopram 10mg. 2003 Venlafaxine 150mg, CT'd effexor 2005, reinstated Effexor 2005.  2007 switch to Escitalopram 10mg

2009 cease escitalopram Crash, hospital  ECT 2009 Reinstate Effexor 150mg.

2011  Fast tapered off 150mg, WD symptoms reinsated 150mg Effexor swithed to Pristiq 50mg 2012

2016 slow but linear taper Desvenlafaxine over one year, 2017 severe WD, hospitalisation ECT, doctors reinstate Effexor 300mg and 4mg Alprazolam. 2017 tapered and stopped Alprazolam.

2018-2023 Slow microtaper Venlafaxine taking out one beead a day from 300mg capsule down to 37.5mg, hold for six months.

2023 began taper reducing 2.3% per week,  and reached about 29 beads out of 37.5mg capsule in April 2024  (30 mg). 

April 2024 Doctor increased Effexor up to 37.5mg due to stress, which caused serotonin toxicity, so I dropped 29 beads for 4 days.  I exprienced horrific withdrawal symptoms and became suicidal so gradually reinstated bead by bead up to 37.5mg Effexor. Began Diazepam 5mg as required

May 2024  until present -  Holding on 37.5mg Effexor and Diazepam 5mg -15mg daily

 

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