Lenaf Posted February 5, 2023 Posted February 5, 2023 I wasn't sure where to post this question - Moderators, please feel free to move it to the most appropriate forum. I started on a liquid formulation of Escitalopram on 1 Nov 2022. It is a suspension made by a compounding pharmacy since liquid Cipralex/Lexapro is not available in my country. Since starting the suspension, I have noticed that about 2 hours after taking the liquid, I develop akathisia. This lasts for about 4 hours after which I feel okay. Since I take this in the evening, it interferes with my sleep. I wanted to know whether I can move my dosage time to the morning and how best to do this? My initial thought was to do this slowly where I would take the dosage 15 min earlier everytime and then eventually be able to shift the dosage time. Does this sound practical? I think that slow 15-min increments would be best so thought I would shift by 15min, hold that dosage time for 2 days, then shift again, hold 2 days etc. Would this be slow enough to prevent a relative change in dosage-size? Thank you. 45yo woman. Cipralex/Lexapro (10mg active ingredient Escitalopram) treatment started March 2007 (28yo at the time). Two unsuccessful tapers (2008 and 2013). Two psychiatric hospital stays (2007 and 2014). Other psychiatric drugs were prescribed and taken from Apr 2014 until June 2016. Tapered off all of the below by June 2016 and from then on have been on Cipralex/Lexapro only. List of drugs that I had tapered off of so far: Lamictal (Lamotrigine), Esperide (Sulperide), Dormonoct (Loprazolam), Rivotril (Clonazepam, Klonopin), Prozac (Fluoxetine), Cipramil (Citalopram, Celexa), Stilnox (Zolpidem), Urbanol (Clobazam), Olexar (Olanzapine) and Seroquel (Quetiapine). Taking Cipralex (Lexapro) only since June 2016. Currently on extended Cipralex (Lexapro) taper since Nov 2016. Started compounded liquid suspension on 01Nov 2022 (1.3mgai/2.5ml). Had problems with flavourant in compounded liquid. June 23: Started to make own liquid from commercial saline then had eye blinking. July 23: Making own liquid using home-made isotonic saline and adding this liquid to gelatine capsules so the liquid will not irritate my esophagus. I stopped doing this in the meantime and just swallow the dosage with some water. Okt23: Current dosage 1.15mg Escitalopram. Jan 2024: 1.12mg Escitalopram. Aug 24: 1.09mg Escitalopram.
Moderator Frogie Posted February 7, 2023 Moderator Posted February 7, 2023 @Lenaf 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. This is a site for tapering off medications. Is this what you want to do? I can tell you we suggest moving your medication by one hour each day until the desired time is reached. Please let me know and I will be happy to provide you with information on tapering. 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.
Mentor littlebird Posted February 7, 2023 Mentor Posted February 7, 2023 Just wanted to say welcome, glad you're here! Hope you find some relief soon. 1 Pronouns: they/them/theirs Started on Prozac in early 2000s to treat cPTSD, been on various cocktails ever since. 2002-2004, 2017-2022: Buspar, tapered down to 0 2016-present: 100mg Seroquel for sleep -> May 2023: 90mg -> June 2023: 81mg -> September 2023: 72mg -> switched to brand name, much too strong, down to 60mg -> October 2023: 54mg -> November 2023: 50mg -> January 2024: 45mg -> April 2024: 40.5mg -> May 2024: 41mg -> June 2024: 35mg -> July 2024: 31mg -> August 2024: 28mg -> September 2024: 25mg 2016-Present: 100mg Wellbutrin SR -> January 2023: 75mg IR (37.5mg 2x a day, a mistake, don't replicate) -> February 2023 (33.75mg 2x a day) -> July 2023 (30.37mg 2x a day) -> August 2023: 25mg 2x a day -> October 2024: 22mg 2x a day 2018-present: 25mg Pristiq 2015-present: 600mg Gabapentin (200mg 3x a day) -> December 2022: 300mg Gabapentin (100mg 3x a day) per GP's recommendation after side effects -> March 2023: 90mg 3x a day (switched to liquid suspension) -> April 2023: 81mg 3x a day -> September 2023: bad generic, switched back to homemade liquid; too strong after bad generic, down to 70mg 3x a day, still bad. Adjusted slowly till at 60mg 3x a day, much better. Long hold till -> December 2023: 54mg, still feels too high after November Seroquel switch from brand name to generic, doc recommended 50mg which feels better -> January 2024: When Wellbutrin went down, Gabapentin started putting me to sleep, went down to 45mg, then 41mg to stay awake, so far so good -> February 2024: 36mg, still too high, 34mg -> March 2024: 31mg, STILL too high, 30mg down to 25mg Supplements: Multivitamin w/magnesium, probiotics, digestive enzymes, anti-viral nitric oxide nose spray as needed
Lenaf Posted February 8, 2023 Author Posted February 8, 2023 Thank you @littlebird, appreciate the message. Thanks @Frogie, I will adjust with an hour each day, much apreciated. 45yo woman. Cipralex/Lexapro (10mg active ingredient Escitalopram) treatment started March 2007 (28yo at the time). Two unsuccessful tapers (2008 and 2013). Two psychiatric hospital stays (2007 and 2014). Other psychiatric drugs were prescribed and taken from Apr 2014 until June 2016. Tapered off all of the below by June 2016 and from then on have been on Cipralex/Lexapro only. List of drugs that I had tapered off of so far: Lamictal (Lamotrigine), Esperide (Sulperide), Dormonoct (Loprazolam), Rivotril (Clonazepam, Klonopin), Prozac (Fluoxetine), Cipramil (Citalopram, Celexa), Stilnox (Zolpidem), Urbanol (Clobazam), Olexar (Olanzapine) and Seroquel (Quetiapine). Taking Cipralex (Lexapro) only since June 2016. Currently on extended Cipralex (Lexapro) taper since Nov 2016. Started compounded liquid suspension on 01Nov 2022 (1.3mgai/2.5ml). Had problems with flavourant in compounded liquid. June 23: Started to make own liquid from commercial saline then had eye blinking. July 23: Making own liquid using home-made isotonic saline and adding this liquid to gelatine capsules so the liquid will not irritate my esophagus. I stopped doing this in the meantime and just swallow the dosage with some water. Okt23: Current dosage 1.15mg Escitalopram. Jan 2024: 1.12mg Escitalopram. Aug 24: 1.09mg Escitalopram.
Recommended Posts
Create an account or sign in to comment
You need to be a member in order to leave a comment
Create an account
Sign up for a new account in our community. It's easy!
Register a new accountSign in
Already have an account? Sign in here.
Sign In Now