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Bailey: Acute Paxil Withdrawal Symptoms


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On 1/1/2024 at 10:22 PM, Bailey said:

Hi, I'm new here. A friend found this site for me a few weeks ago. I wish I had found it many many years ago. I'm in extreme crisis. I did a drop on Paxil from 20-10mg in October 2023. The bottom dropped out in November. I caught a virus and that's when things started to spiral. I think it was a virus and not just withdrawal because I had a high fever and a lot of coughing in addition to body aches but maybe I'm wrong. My physician brought me back up to 15mg on November 18  but I switched to the equivalent 7.5ml liquid at that time because I couldn't split the tiny pills evenly. Not confident I'm doing the syringe properly either. I am totally destabilized and in dangerous shape. Constant high level terror, anxiety, shaking, electrical current running through body, insomnia, suicidal thoughts, hopelessness at finding help. Waking up is terrifying. Lots of akathisia. I've been to the ER twice but don't want to go in-patient for fear of having more meds poured in that will make me much sicker. I realize now that I wasn't tapering properly even though I was doing it with a doctor. I wish I had found the tapering info. here much sooner. If I can stabilize, I will taper differently after I figure it all out. Right now it's the urgent matter of stabilizing and surviving.  My nervous system seems to be an out of control freight train every hour of the day. No idea what to do. 

Hi,

I have currently been going through the same as you. I cut down from 20mg of Paxil to 10mg very quickly and on the advice of a GP missed doses for nearly two weeks. I have been on Paxil for over 25 years. Around  this time I was unwell with a hypertensive crisis admitted to hospital and when I came out started to get anxiety and upped my dosage to 20mg again and like yourself all hell broke loose. Tingling sensations through my body in the middle of the night which jolted me awake terrified with a rapid heartbeat, Inner restlessness on waking, head and back pain and anxiety beyond anything I have ever experienced. I have reached out to this group (I had forgotten I had posted hear 5 years earlier when I suffered some withdrawal symptoms, what a fool I was not to have read up properly at that time bearing in mind I have mucked around with this medication quite a few times, big mistake…) and they advised me to stabilise. My GP gave me a prescription for an anti psychotic drug (didn’t take) for sleeping and was going to let me continue taking Benzodiazepines but after taking them for small amount of time I realised they were masking the symptoms not improving them or even making them perhaps a little worse (after looking at data). The GOOD news is that even though I still have a long way to go I have windows of feeling much better especially in the day. Please realise you are not alone and you will improve. Scoring each symptom out of 10 each day will give you something to look back on. If I have a bad day I look at this to keep myself going. I am so grateful to this group, keep talking😘

1998(approx.) 20mg Paroxetine, 1998 -2015  various unsuccessful tapers, 2015 app 6 month taper to 0, 2015 approx 6 months later reinstated  original brand after debilitating neurological delayed WD symptoms. Made worse after surgery.2023 Famotidine, Cetirizine, New Generic, muscle relaxer.  March/April19th June, 2023 - 23rd July, 2023: Paroxetine Dosage reduced from 20mg to 15mg (on 15mg for 35 days), no significant symptoms.

24th July, 2023 - 26th July, 2023: Paroxetine Dosage reduced from 15mg to 12.5mg (on 12.5mg for 3 days), no significant symptoms.

27th July, 2023 - 3rd September, 2023: Paroxetine Dosage reduced from 12.5mg to 10mg (on 10mg for 39 days), no significant symptoms.

4th September, 2023 - 15th September, 2023: Paroxetine Dosage reduced from 10mg to 5mg i.e. 10mg every other day (on 5mg for 12 days), although not noted, must have experienced some symptoms, as I  decided to return to previous 10mg dosage on the 16th September.

16th September, 2023 - 25th November, 2023: Dosage increased from 5mg to 10mg i.e. 10mg every day (on 10mg for 71 days), symptoms start dates: Late September sweating, shaking and right side upper back pain., 5th October 23: Upper back pain worsening,21st Oct 23: Night time symptoms: insomnia, nausea, sweats, headaches, some anxiety (predominantly in the mornings)27th Oct 23 admitted to hospital with 1st hypertensive crisis with severe frontal headache  (now suspected of withdrawal ) BP 225/115.   Admitted twice more with high BP . Doctors at a loss for cause.  Given anti nausea, anti anxiety and sleeping tabs in hospital. . 1st Nov 23: , heart palpitations, some anxiety.. 7th Nov 23: Anxiety was now becoming more frequent (not severe)26th November, 2023 Dosage increased from 10mg to 20mg possibly first time taking 20 mg of Extine, new manufacturer.  3rd Dec 23 - 18th Dec, 23: Started taking 7.5mg - 15mg of Oxazepam when anxiety became unbearable only took 8 in total now stopped. Symptoms now more severe have head pain rather than headache. .Electrical shocks through body overnight accompanied by head pain. Sheer terror,. Sore eyes. 23rd Dec 23: All symptoms remain the same i.e. severe except for the last 2 days where my anxiety levels have not been as severe/ extreme and somewhat manageable (later in the day).22 Jan 24 Have some windows now but still suffering from all day head pain, upper back pain, waking up inner restlessness and terror , nausea, intermittent feelings of fear and wake up 12.30 am every morning  and sometimes up to 3 times a night with weird tingling down arms and back, pounding heart head pain and nausea.  2nd March 24, head pain/eye pain everyday and all day and & night wake ups.. Mild Akathisia early morning,, upper back pain, sweats. Anxiety much better.  21st April 24, drop 2.25% drop to 19.5 mg to test help with head /eye nerve pain and new symptom tinnitus.

 

 

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@Xcaretuk Thank you for your encouragement. How do you get through? Especially the night and early morning? I'm in constant terror and my limbs are moving everywhere. Bad akathisia. I'm convulsing for hours. I don't know how to do this. Every night and every day brings very challenging thoughts. Again, thank you. 

 

  • 1996 Effexor XR
  • 1996-2012  Prozac and Klonipin
  • 2012: physician took me off Prozac rapidly. Severe (unrecognized) withdrawal. Went inpatient and was poly-drugged -- rapid changes of SSRIs, antipsychotics and benzodiazepines. 
  • 2012 Paxil 40mg
  • 2012 Xanax XR 6mg
  • 2019 Xanax XR .5mg (tapered down to this level since being prescribed in 2012)
  • 2014-2022 Gabapentin (tapered down to zero from 1800mg)
  • May 2023 HRT - estriol, estradiol, testosterone, progesterone. Dec. 8, 2023 - stopped progesterone pill (started having awful reactions); inconsistent with estrogen and testosterone combined cream in confusion of severe withdrawal symptoms. Dec. 14, 2023: Estrogen/testosterone cream: Back on about 1/4 amount I was taking previously of estrogen and testosterone cream (1.5 pumps out of 4 -- full amount seemed to ignite some kind of fire in my hyper sensitive state); did not resume progesterone (b/c of bad reactions after taking in WD)
  • December 2022: Paxil 40 to 30mg (went OK); May 2023: Paxil 30 to 20 mg (went OK); Oct. 14, 2023: Paxil 15mg; Oct. 21, 2023: Paxil 10mg
  • Nov. 9, 2023: tried reinstating to 20mg but reacted very badly (kindling?)
  • November 18, 2023: 7.5ml (15mg equivalent) *switch to manufacturer's liquid, Novatium* Conventional psych doc switched me to 7.5ml liquid b/c tiny pills were  splitting unevenly - further destabilization by both switching to liquid and changing dose at same time.
  • November 2023 - present: *severe* withdrawal symptoms, akathisia
  • Dec. 6 - manufacturer change on alprazolam er (further destabilization?). Normal mfr very difficult to find now. 
  • Jan 6 2024 - stopped coffee and all forms of caffeine. Eliminated dairy, processed foods, sugar.  Gluten intolerant so no gluten. Low fodmap diet for gut issues, daily leafy greens, a lot of protein to avoid blood sugar spikes after meals and also for akathisia. 
  • Feb 27 2024 - doc had me stop hormone cream. FDA-required formulation had changed and she was worried about my transition to something new. She also said that the estrogen/testosterone hormones are activating.  I had already dropped a good bit in dose early in withdrawal (Dec 14 2023 above) b/c it got lost in the chaos of early withdrawal.  
  • March 2024 - doctor having me try propranolol for akathisia. First as needed starting around Mar 7 and then daily starting around Mar 23. (aka very bad in morning especially)
  • Apr 2 2024 - stopped propranolol. Think it was interefering with sleep and causing other side effects. May keep on as prn. 

 

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The only way I used to manage to get some relief was having cold showers because I couldn't think about anything else apart from the cold. I know that doesn't sound great but the only thing I found helpful. Also walking, walking and more walking. 

 

 

2015- Jan 2021 20mg Citalapram

Jan 2021- April 2021 Sertraline (CT)

June 2021 - Fluoxetine & Trazadone

Oct 2021- Trazadone to Quitiapin 

Oct 2021 to June 2022 switches Duloxetine then paroxatine then Venlafaxine.

June 2022- venlafaxine for 5 or 6 weeks at 37.5 twice daily. Upped for one week to 75mg twice daily but caused panic attacks. Dropped back down to 37.5 twice daily. Panic attacks stopped. 

1 week- 62.5mg 1 week- 50mg 1 week- 37.5mg 1 week - 25mg 

ANTIDEPRESSANT FREE SINCE JULY 22ND 2022!! 

18/05/23 - 01-06/23 doxycycline for a rat bite 

Taken propranalol since 2015. 80mg.

21/11/22 76mg. 28/11/22 72mg. 05/12/22 68mg. 19/12/22 64mg. 27/12/22 60mg. 02/01/23 56mg. 09/01/23 50mg. 16/01/23 47mg. 23/01/23 44mg. 29/01/23 40mg. 05/02/23 38mg. 12/02/23 35mg. 19/02/23 32mg. 25/02/23 27mg. 04/03/23 25mg. 11/03/23 22mg. 17/03/23 19mg. 24/03/23 20mg. 05/04/23 18mg. 11/04/23 16mg. 17/04/23 14mg. 27/04/23 20mg. 19/06/23 19mg. 25/06/23 20mg. 04/08/23 18mg. 11/08/23 17mg. 16/08/23 16mg. 25/08/23 15mg. 01/09/23 14mg. 08/09/23 13mg. 15/08/23 12mg. 22/09/23 11mg. 29/09/23 10mg. 19/11/23 9mg. 26/11/23 8mg. 03/12/23 7mg. 10/12/23 6mg. 17/12/23 5mg. 24/12/23 4mg. 31/01/23 3mg. 07/01/24 2mg. 13/01/24 1mg. 19/01/24 0mg. DONE! 

 

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10 hours ago, Bailey said:

@Xcaretuk Thank you for your encouragement. How do you get through? Especially the night and early morning? I'm in constant terror and my limbs are moving everywhere. Bad akathisia. I'm convulsing for hours. I don't know how to do this. Every night and every day brings very challenging thoughts. Again, thank you. 

The night and early morning is worse for me too. I try listening to relaxation music with earphones when I go bed. I have been told it takes time to stabilise and everyone is different. It’s absolutely terrifying but you will get through it. Cold showers, cold drinks may help. Initially I couldn’t focus on television or meditation but I can a bit more now. I have Akathisia when I first wake up and I can’t stop moving my feet or trying to stop the inner restlessness. But I am trying to just go with it for a bit and accept it. Keep going…

1998(approx.) 20mg Paroxetine, 1998 -2015  various unsuccessful tapers, 2015 app 6 month taper to 0, 2015 approx 6 months later reinstated  original brand after debilitating neurological delayed WD symptoms. Made worse after surgery.2023 Famotidine, Cetirizine, New Generic, muscle relaxer.  March/April19th June, 2023 - 23rd July, 2023: Paroxetine Dosage reduced from 20mg to 15mg (on 15mg for 35 days), no significant symptoms.

24th July, 2023 - 26th July, 2023: Paroxetine Dosage reduced from 15mg to 12.5mg (on 12.5mg for 3 days), no significant symptoms.

27th July, 2023 - 3rd September, 2023: Paroxetine Dosage reduced from 12.5mg to 10mg (on 10mg for 39 days), no significant symptoms.

4th September, 2023 - 15th September, 2023: Paroxetine Dosage reduced from 10mg to 5mg i.e. 10mg every other day (on 5mg for 12 days), although not noted, must have experienced some symptoms, as I  decided to return to previous 10mg dosage on the 16th September.

16th September, 2023 - 25th November, 2023: Dosage increased from 5mg to 10mg i.e. 10mg every day (on 10mg for 71 days), symptoms start dates: Late September sweating, shaking and right side upper back pain., 5th October 23: Upper back pain worsening,21st Oct 23: Night time symptoms: insomnia, nausea, sweats, headaches, some anxiety (predominantly in the mornings)27th Oct 23 admitted to hospital with 1st hypertensive crisis with severe frontal headache  (now suspected of withdrawal ) BP 225/115.   Admitted twice more with high BP . Doctors at a loss for cause.  Given anti nausea, anti anxiety and sleeping tabs in hospital. . 1st Nov 23: , heart palpitations, some anxiety.. 7th Nov 23: Anxiety was now becoming more frequent (not severe)26th November, 2023 Dosage increased from 10mg to 20mg possibly first time taking 20 mg of Extine, new manufacturer.  3rd Dec 23 - 18th Dec, 23: Started taking 7.5mg - 15mg of Oxazepam when anxiety became unbearable only took 8 in total now stopped. Symptoms now more severe have head pain rather than headache. .Electrical shocks through body overnight accompanied by head pain. Sheer terror,. Sore eyes. 23rd Dec 23: All symptoms remain the same i.e. severe except for the last 2 days where my anxiety levels have not been as severe/ extreme and somewhat manageable (later in the day).22 Jan 24 Have some windows now but still suffering from all day head pain, upper back pain, waking up inner restlessness and terror , nausea, intermittent feelings of fear and wake up 12.30 am every morning  and sometimes up to 3 times a night with weird tingling down arms and back, pounding heart head pain and nausea.  2nd March 24, head pain/eye pain everyday and all day and & night wake ups.. Mild Akathisia early morning,, upper back pain, sweats. Anxiety much better.  21st April 24, drop 2.25% drop to 19.5 mg to test help with head /eye nerve pain and new symptom tinnitus.

 

 

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Thank you @Xcaretuk. I'll be thinking of you as we both especially struggle with our nights and mornings even though we're in different time zones.  I've been trying to listen to relaxing music, too, and hope my ability to listen, watch and even read expands. 

 

  • 1996 Effexor XR
  • 1996-2012  Prozac and Klonipin
  • 2012: physician took me off Prozac rapidly. Severe (unrecognized) withdrawal. Went inpatient and was poly-drugged -- rapid changes of SSRIs, antipsychotics and benzodiazepines. 
  • 2012 Paxil 40mg
  • 2012 Xanax XR 6mg
  • 2019 Xanax XR .5mg (tapered down to this level since being prescribed in 2012)
  • 2014-2022 Gabapentin (tapered down to zero from 1800mg)
  • May 2023 HRT - estriol, estradiol, testosterone, progesterone. Dec. 8, 2023 - stopped progesterone pill (started having awful reactions); inconsistent with estrogen and testosterone combined cream in confusion of severe withdrawal symptoms. Dec. 14, 2023: Estrogen/testosterone cream: Back on about 1/4 amount I was taking previously of estrogen and testosterone cream (1.5 pumps out of 4 -- full amount seemed to ignite some kind of fire in my hyper sensitive state); did not resume progesterone (b/c of bad reactions after taking in WD)
  • December 2022: Paxil 40 to 30mg (went OK); May 2023: Paxil 30 to 20 mg (went OK); Oct. 14, 2023: Paxil 15mg; Oct. 21, 2023: Paxil 10mg
  • Nov. 9, 2023: tried reinstating to 20mg but reacted very badly (kindling?)
  • November 18, 2023: 7.5ml (15mg equivalent) *switch to manufacturer's liquid, Novatium* Conventional psych doc switched me to 7.5ml liquid b/c tiny pills were  splitting unevenly - further destabilization by both switching to liquid and changing dose at same time.
  • November 2023 - present: *severe* withdrawal symptoms, akathisia
  • Dec. 6 - manufacturer change on alprazolam er (further destabilization?). Normal mfr very difficult to find now. 
  • Jan 6 2024 - stopped coffee and all forms of caffeine. Eliminated dairy, processed foods, sugar.  Gluten intolerant so no gluten. Low fodmap diet for gut issues, daily leafy greens, a lot of protein to avoid blood sugar spikes after meals and also for akathisia. 
  • Feb 27 2024 - doc had me stop hormone cream. FDA-required formulation had changed and she was worried about my transition to something new. She also said that the estrogen/testosterone hormones are activating.  I had already dropped a good bit in dose early in withdrawal (Dec 14 2023 above) b/c it got lost in the chaos of early withdrawal.  
  • March 2024 - doctor having me try propranolol for akathisia. First as needed starting around Mar 7 and then daily starting around Mar 23. (aka very bad in morning especially)
  • Apr 2 2024 - stopped propranolol. Think it was interefering with sleep and causing other side effects. May keep on as prn. 

 

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@LotusRising Between fish oil capsules and magnesium, which did you start first? I want to go one at a time and slowly. 

 

  • 1996 Effexor XR
  • 1996-2012  Prozac and Klonipin
  • 2012: physician took me off Prozac rapidly. Severe (unrecognized) withdrawal. Went inpatient and was poly-drugged -- rapid changes of SSRIs, antipsychotics and benzodiazepines. 
  • 2012 Paxil 40mg
  • 2012 Xanax XR 6mg
  • 2019 Xanax XR .5mg (tapered down to this level since being prescribed in 2012)
  • 2014-2022 Gabapentin (tapered down to zero from 1800mg)
  • May 2023 HRT - estriol, estradiol, testosterone, progesterone. Dec. 8, 2023 - stopped progesterone pill (started having awful reactions); inconsistent with estrogen and testosterone combined cream in confusion of severe withdrawal symptoms. Dec. 14, 2023: Estrogen/testosterone cream: Back on about 1/4 amount I was taking previously of estrogen and testosterone cream (1.5 pumps out of 4 -- full amount seemed to ignite some kind of fire in my hyper sensitive state); did not resume progesterone (b/c of bad reactions after taking in WD)
  • December 2022: Paxil 40 to 30mg (went OK); May 2023: Paxil 30 to 20 mg (went OK); Oct. 14, 2023: Paxil 15mg; Oct. 21, 2023: Paxil 10mg
  • Nov. 9, 2023: tried reinstating to 20mg but reacted very badly (kindling?)
  • November 18, 2023: 7.5ml (15mg equivalent) *switch to manufacturer's liquid, Novatium* Conventional psych doc switched me to 7.5ml liquid b/c tiny pills were  splitting unevenly - further destabilization by both switching to liquid and changing dose at same time.
  • November 2023 - present: *severe* withdrawal symptoms, akathisia
  • Dec. 6 - manufacturer change on alprazolam er (further destabilization?). Normal mfr very difficult to find now. 
  • Jan 6 2024 - stopped coffee and all forms of caffeine. Eliminated dairy, processed foods, sugar.  Gluten intolerant so no gluten. Low fodmap diet for gut issues, daily leafy greens, a lot of protein to avoid blood sugar spikes after meals and also for akathisia. 
  • Feb 27 2024 - doc had me stop hormone cream. FDA-required formulation had changed and she was worried about my transition to something new. She also said that the estrogen/testosterone hormones are activating.  I had already dropped a good bit in dose early in withdrawal (Dec 14 2023 above) b/c it got lost in the chaos of early withdrawal.  
  • March 2024 - doctor having me try propranolol for akathisia. First as needed starting around Mar 7 and then daily starting around Mar 23. (aka very bad in morning especially)
  • Apr 2 2024 - stopped propranolol. Think it was interefering with sleep and causing other side effects. May keep on as prn. 

 

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  • Moderator

I believe I started with omega 3's, but I think either would be okay to start with. 

2003-2009 on and off various SSRI's for short periods, Ativan prn

2010-2011 Ativan, up to 1.5mg/day - tapered off without issue

2013-2021 ativan 1-1.5mg 10-12x/month, daily starting Oct 21 to help with buspar WD

2016 - Effexor 75mg, short-term

2021 Mar -Jun Buspar ADR at high dose, tapered 3 months

2021 Aug Wellbutrin 150mg for 5 days (ADR), then MIrtazapine 7.5mg for 7 days (ADR)

Oct 22/21 - Direct switch ativan to clonazepam (don't do this)

Tapered clonaz Oct/21 - Apr/23  - 0mg!

 

Supplements: omega-3, mag-glycinate

 

"Believe that your tragedies, your losses, your sorrows, your hurt, happened for you, not to you. And I bless the thing that broke you down and cracked you open, because the world needs you open" - Rebecca Campbell

 

*** Disclaimer: Please note, my suggestions/comments are based on my own personal experiences. Please consult a knowledgeable practitioner to discuss decisions regarding your medical care *** 

 

                                                             *** Please do not send me PM's ***

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  • Mentor

Hello @Bailey and welcome!  I'm so sorry you're suffering the ill effects of a too-fast taper.  Unfortunately, doctors do not understand how to safely taper, nor do they understand withdrawal-related symptoms.  I'm so glad you found us.  It's not too late in the game for your nervous system to stabilize, although it may take some time.  You're definitely not alone in what you're going through as you can see.  I experienced an "inner" akathisia when I tapered too fast myself and it was absolutely the most terrifying thing I've ever gone through.  Then I updosed too much and I think I "kindled" myself.  I finally got to a point (after two entire years) where I feel I can begin tapering again.  

 

Please understand that you WILL get better eventually.  I think knowing that there is a light at the end of the tunnel helps us all to keep persevering.  You will get there, I know it!  Sending you a huge hug and lots of warm healing thoughts!

 

Catina ❤️

Disclaimer:  This is not professional medical advice but is based on personal experience only.

1994 - 2017:  Prozac, Cymbalta, Celexa, Paxil, Wellbutrin, Zoloft, Seroquel, Buspar, Lorazepam, Xanax, Ambien

2005-present:  Trazodone 50 mg 

2017:  Effexor XR 37.5 >> 75 mg 

2020 (March):  Began 10% monthly taper of Effexor XR (got down to 12 mg)

2021 (September):  Completely crashed.  Went back up to 37.5 mg but in doing so I kindled myself

2024:  1/1:  35.6 mg (-6 beads)  |  2/1:  33.8 mg (-11 beads)  |  3/1:  32.1 mg (-16 beads)  |   4/1:  (-18 beads)

Reasons for starting psych meds:  PMDD/Depression, Generalized Anxiety Disorder

Other medications:  Levothyroxine 75 mcg

Supplements:  Dr. Berg's Electrolyte Powder on occasion   

 

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@Catina7 Thank you SO much for the encouraging note. It really does feel like it will be impossible for my nervous system to stabilize. It sounds like we did similar things in terms of a big drop then updosing and kindling. In the midst of the reduction, I also switched from tablet to liquid b/c I couldn't cut the teeny tiny pills evenly. Just another thing that was done incorrectly b/c my physician didn't know. I'm learning everything I should have done only after the fact. I'm thankful for your encouragement that it does get better. It's hard to believe it in this moment and I appreciate your telling me about your healing. 

 

  • 1996 Effexor XR
  • 1996-2012  Prozac and Klonipin
  • 2012: physician took me off Prozac rapidly. Severe (unrecognized) withdrawal. Went inpatient and was poly-drugged -- rapid changes of SSRIs, antipsychotics and benzodiazepines. 
  • 2012 Paxil 40mg
  • 2012 Xanax XR 6mg
  • 2019 Xanax XR .5mg (tapered down to this level since being prescribed in 2012)
  • 2014-2022 Gabapentin (tapered down to zero from 1800mg)
  • May 2023 HRT - estriol, estradiol, testosterone, progesterone. Dec. 8, 2023 - stopped progesterone pill (started having awful reactions); inconsistent with estrogen and testosterone combined cream in confusion of severe withdrawal symptoms. Dec. 14, 2023: Estrogen/testosterone cream: Back on about 1/4 amount I was taking previously of estrogen and testosterone cream (1.5 pumps out of 4 -- full amount seemed to ignite some kind of fire in my hyper sensitive state); did not resume progesterone (b/c of bad reactions after taking in WD)
  • December 2022: Paxil 40 to 30mg (went OK); May 2023: Paxil 30 to 20 mg (went OK); Oct. 14, 2023: Paxil 15mg; Oct. 21, 2023: Paxil 10mg
  • Nov. 9, 2023: tried reinstating to 20mg but reacted very badly (kindling?)
  • November 18, 2023: 7.5ml (15mg equivalent) *switch to manufacturer's liquid, Novatium* Conventional psych doc switched me to 7.5ml liquid b/c tiny pills were  splitting unevenly - further destabilization by both switching to liquid and changing dose at same time.
  • November 2023 - present: *severe* withdrawal symptoms, akathisia
  • Dec. 6 - manufacturer change on alprazolam er (further destabilization?). Normal mfr very difficult to find now. 
  • Jan 6 2024 - stopped coffee and all forms of caffeine. Eliminated dairy, processed foods, sugar.  Gluten intolerant so no gluten. Low fodmap diet for gut issues, daily leafy greens, a lot of protein to avoid blood sugar spikes after meals and also for akathisia. 
  • Feb 27 2024 - doc had me stop hormone cream. FDA-required formulation had changed and she was worried about my transition to something new. She also said that the estrogen/testosterone hormones are activating.  I had already dropped a good bit in dose early in withdrawal (Dec 14 2023 above) b/c it got lost in the chaos of early withdrawal.  
  • March 2024 - doctor having me try propranolol for akathisia. First as needed starting around Mar 7 and then daily starting around Mar 23. (aka very bad in morning especially)
  • Apr 2 2024 - stopped propranolol. Think it was interefering with sleep and causing other side effects. May keep on as prn. 

 

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3 hours ago, Catina7 said:

Hello @Bailey and welcome!  I'm so sorry you're suffering the ill effects of a too-fast taper.  Unfortunately, doctors do not understand how to safely taper, nor do they understand withdrawal-related symptoms.  I'm so glad you found us.  It's not too late in the game for your nervous system to stabilize, although it may take some time.  You're definitely not alone in what you're going through as you can see.  I experienced an "inner" akathisia when I tapered too fast myself and it was absolutely the most terrifying thing I've ever gone through.  Then I updosed too much and I think I "kindled" myself.  I finally got to a point (after two entire years) where I feel I can begin tapering again.  

 

Please understand that you WILL get better eventually.  I think knowing that there is a light at the end of the tunnel helps us all to keep persevering.  You will get there, I know it!  Sending you a huge hug and lots of warm healing thoughts!

 

Catina ❤️

Hi Catina,

I think I may have done the same as you tapered to quickly. I missed doses and  reinstated too high. I also still have that inner akathisia first thing on waking and other symptoms. However as I said to Bailey I am feeling windows of feeling better and reading your post has given me more encouragement that I will eventually heal even though I have had to stay on my up dose to try and stabilise. I am very grateful for you repost 🙏🙏

1998(approx.) 20mg Paroxetine, 1998 -2015  various unsuccessful tapers, 2015 app 6 month taper to 0, 2015 approx 6 months later reinstated  original brand after debilitating neurological delayed WD symptoms. Made worse after surgery.2023 Famotidine, Cetirizine, New Generic, muscle relaxer.  March/April19th June, 2023 - 23rd July, 2023: Paroxetine Dosage reduced from 20mg to 15mg (on 15mg for 35 days), no significant symptoms.

24th July, 2023 - 26th July, 2023: Paroxetine Dosage reduced from 15mg to 12.5mg (on 12.5mg for 3 days), no significant symptoms.

27th July, 2023 - 3rd September, 2023: Paroxetine Dosage reduced from 12.5mg to 10mg (on 10mg for 39 days), no significant symptoms.

4th September, 2023 - 15th September, 2023: Paroxetine Dosage reduced from 10mg to 5mg i.e. 10mg every other day (on 5mg for 12 days), although not noted, must have experienced some symptoms, as I  decided to return to previous 10mg dosage on the 16th September.

16th September, 2023 - 25th November, 2023: Dosage increased from 5mg to 10mg i.e. 10mg every day (on 10mg for 71 days), symptoms start dates: Late September sweating, shaking and right side upper back pain., 5th October 23: Upper back pain worsening,21st Oct 23: Night time symptoms: insomnia, nausea, sweats, headaches, some anxiety (predominantly in the mornings)27th Oct 23 admitted to hospital with 1st hypertensive crisis with severe frontal headache  (now suspected of withdrawal ) BP 225/115.   Admitted twice more with high BP . Doctors at a loss for cause.  Given anti nausea, anti anxiety and sleeping tabs in hospital. . 1st Nov 23: , heart palpitations, some anxiety.. 7th Nov 23: Anxiety was now becoming more frequent (not severe)26th November, 2023 Dosage increased from 10mg to 20mg possibly first time taking 20 mg of Extine, new manufacturer.  3rd Dec 23 - 18th Dec, 23: Started taking 7.5mg - 15mg of Oxazepam when anxiety became unbearable only took 8 in total now stopped. Symptoms now more severe have head pain rather than headache. .Electrical shocks through body overnight accompanied by head pain. Sheer terror,. Sore eyes. 23rd Dec 23: All symptoms remain the same i.e. severe except for the last 2 days where my anxiety levels have not been as severe/ extreme and somewhat manageable (later in the day).22 Jan 24 Have some windows now but still suffering from all day head pain, upper back pain, waking up inner restlessness and terror , nausea, intermittent feelings of fear and wake up 12.30 am every morning  and sometimes up to 3 times a night with weird tingling down arms and back, pounding heart head pain and nausea.  2nd March 24, head pain/eye pain everyday and all day and & night wake ups.. Mild Akathisia early morning,, upper back pain, sweats. Anxiety much better.  21st April 24, drop 2.25% drop to 19.5 mg to test help with head /eye nerve pain and new symptom tinnitus.

 

 

Link to comment
3 hours ago, Bailey said:

@Catina7 Thank you SO much for the encouraging note. It really does feel like it will be impossible for my nervous system to stabilize. It sounds like we did similar things in terms of a big drop then updosing and kindling. In the midst of the reduction, I also switched from tablet to liquid b/c I couldn't cut the teeny tiny pills evenly. Just another thing that was done incorrectly b/c my physician didn't know. I'm learning everything I should have done only after the fact. I'm thankful for your encouragement that it does get better. It's hard to believe it in this moment and I appreciate your telling me about your healing. 

Bailey,

I am still early on in the healing process and several weeks ago if you had told me I might feel even a tiny bit better I wouldn’t have believed you. Don’t get me wrong I still have many symptoms and some days are worse than others but I am def seeing improvement. Keep listening to the moderators. One minute, one hour, one day at a time…

1998(approx.) 20mg Paroxetine, 1998 -2015  various unsuccessful tapers, 2015 app 6 month taper to 0, 2015 approx 6 months later reinstated  original brand after debilitating neurological delayed WD symptoms. Made worse after surgery.2023 Famotidine, Cetirizine, New Generic, muscle relaxer.  March/April19th June, 2023 - 23rd July, 2023: Paroxetine Dosage reduced from 20mg to 15mg (on 15mg for 35 days), no significant symptoms.

24th July, 2023 - 26th July, 2023: Paroxetine Dosage reduced from 15mg to 12.5mg (on 12.5mg for 3 days), no significant symptoms.

27th July, 2023 - 3rd September, 2023: Paroxetine Dosage reduced from 12.5mg to 10mg (on 10mg for 39 days), no significant symptoms.

4th September, 2023 - 15th September, 2023: Paroxetine Dosage reduced from 10mg to 5mg i.e. 10mg every other day (on 5mg for 12 days), although not noted, must have experienced some symptoms, as I  decided to return to previous 10mg dosage on the 16th September.

16th September, 2023 - 25th November, 2023: Dosage increased from 5mg to 10mg i.e. 10mg every day (on 10mg for 71 days), symptoms start dates: Late September sweating, shaking and right side upper back pain., 5th October 23: Upper back pain worsening,21st Oct 23: Night time symptoms: insomnia, nausea, sweats, headaches, some anxiety (predominantly in the mornings)27th Oct 23 admitted to hospital with 1st hypertensive crisis with severe frontal headache  (now suspected of withdrawal ) BP 225/115.   Admitted twice more with high BP . Doctors at a loss for cause.  Given anti nausea, anti anxiety and sleeping tabs in hospital. . 1st Nov 23: , heart palpitations, some anxiety.. 7th Nov 23: Anxiety was now becoming more frequent (not severe)26th November, 2023 Dosage increased from 10mg to 20mg possibly first time taking 20 mg of Extine, new manufacturer.  3rd Dec 23 - 18th Dec, 23: Started taking 7.5mg - 15mg of Oxazepam when anxiety became unbearable only took 8 in total now stopped. Symptoms now more severe have head pain rather than headache. .Electrical shocks through body overnight accompanied by head pain. Sheer terror,. Sore eyes. 23rd Dec 23: All symptoms remain the same i.e. severe except for the last 2 days where my anxiety levels have not been as severe/ extreme and somewhat manageable (later in the day).22 Jan 24 Have some windows now but still suffering from all day head pain, upper back pain, waking up inner restlessness and terror , nausea, intermittent feelings of fear and wake up 12.30 am every morning  and sometimes up to 3 times a night with weird tingling down arms and back, pounding heart head pain and nausea.  2nd March 24, head pain/eye pain everyday and all day and & night wake ups.. Mild Akathisia early morning,, upper back pain, sweats. Anxiety much better.  21st April 24, drop 2.25% drop to 19.5 mg to test help with head /eye nerve pain and new symptom tinnitus.

 

 

Link to comment

I understand your anxiety with the syringe, I struggled with reading the lines properly. I did figure out drawing it up, expelling it into the bottle immediately and then drawing it up a second time without removing it from the stopper made for a smoother draw and an easier time reading the lines on the syringe. This also eliminated any air bubbles.

2011 Paxil 12.5

2022 Paxil 25

2022 Paxil 12.5mg liquid taper 10% per month

2023 Paxil 5mg taper stopped

2023 Dec. 5mg Prozac for 5 days

2024 Paxil/Prozac stopped

 

Link to comment

@jtarchin Thank you. So you draw some liquid up and then expel  it back into the bottle? Then draw up again and take the med? I'm supposed to shake my oral suspension which doesn't help with the air bubbles. 

 

  • 1996 Effexor XR
  • 1996-2012  Prozac and Klonipin
  • 2012: physician took me off Prozac rapidly. Severe (unrecognized) withdrawal. Went inpatient and was poly-drugged -- rapid changes of SSRIs, antipsychotics and benzodiazepines. 
  • 2012 Paxil 40mg
  • 2012 Xanax XR 6mg
  • 2019 Xanax XR .5mg (tapered down to this level since being prescribed in 2012)
  • 2014-2022 Gabapentin (tapered down to zero from 1800mg)
  • May 2023 HRT - estriol, estradiol, testosterone, progesterone. Dec. 8, 2023 - stopped progesterone pill (started having awful reactions); inconsistent with estrogen and testosterone combined cream in confusion of severe withdrawal symptoms. Dec. 14, 2023: Estrogen/testosterone cream: Back on about 1/4 amount I was taking previously of estrogen and testosterone cream (1.5 pumps out of 4 -- full amount seemed to ignite some kind of fire in my hyper sensitive state); did not resume progesterone (b/c of bad reactions after taking in WD)
  • December 2022: Paxil 40 to 30mg (went OK); May 2023: Paxil 30 to 20 mg (went OK); Oct. 14, 2023: Paxil 15mg; Oct. 21, 2023: Paxil 10mg
  • Nov. 9, 2023: tried reinstating to 20mg but reacted very badly (kindling?)
  • November 18, 2023: 7.5ml (15mg equivalent) *switch to manufacturer's liquid, Novatium* Conventional psych doc switched me to 7.5ml liquid b/c tiny pills were  splitting unevenly - further destabilization by both switching to liquid and changing dose at same time.
  • November 2023 - present: *severe* withdrawal symptoms, akathisia
  • Dec. 6 - manufacturer change on alprazolam er (further destabilization?). Normal mfr very difficult to find now. 
  • Jan 6 2024 - stopped coffee and all forms of caffeine. Eliminated dairy, processed foods, sugar.  Gluten intolerant so no gluten. Low fodmap diet for gut issues, daily leafy greens, a lot of protein to avoid blood sugar spikes after meals and also for akathisia. 
  • Feb 27 2024 - doc had me stop hormone cream. FDA-required formulation had changed and she was worried about my transition to something new. She also said that the estrogen/testosterone hormones are activating.  I had already dropped a good bit in dose early in withdrawal (Dec 14 2023 above) b/c it got lost in the chaos of early withdrawal.  
  • March 2024 - doctor having me try propranolol for akathisia. First as needed starting around Mar 7 and then daily starting around Mar 23. (aka very bad in morning especially)
  • Apr 2 2024 - stopped propranolol. Think it was interefering with sleep and causing other side effects. May keep on as prn. 

 

Link to comment
  • Mentor
14 hours ago, Xcaretuk said:

I will eventually heal

 

Yes, you will!  We ALL will one day!  Always keep HOPE alive!  😊

Disclaimer:  This is not professional medical advice but is based on personal experience only.

1994 - 2017:  Prozac, Cymbalta, Celexa, Paxil, Wellbutrin, Zoloft, Seroquel, Buspar, Lorazepam, Xanax, Ambien

2005-present:  Trazodone 50 mg 

2017:  Effexor XR 37.5 >> 75 mg 

2020 (March):  Began 10% monthly taper of Effexor XR (got down to 12 mg)

2021 (September):  Completely crashed.  Went back up to 37.5 mg but in doing so I kindled myself

2024:  1/1:  35.6 mg (-6 beads)  |  2/1:  33.8 mg (-11 beads)  |  3/1:  32.1 mg (-16 beads)  |   4/1:  (-18 beads)

Reasons for starting psych meds:  PMDD/Depression, Generalized Anxiety Disorder

Other medications:  Levothyroxine 75 mcg

Supplements:  Dr. Berg's Electrolyte Powder on occasion   

 

Link to comment
On 1/7/2024 at 7:26 AM, Bailey said:

Thank you @Xcaretuk. I'll be thinking of you as we both especially struggle with our nights and mornings even though we're in different time zones.  I've been trying to listen to relaxing music, too, and hope my ability to listen, watch and even read expands. 

It will…

 

Thank you, it means a lot…

1998(approx.) 20mg Paroxetine, 1998 -2015  various unsuccessful tapers, 2015 app 6 month taper to 0, 2015 approx 6 months later reinstated  original brand after debilitating neurological delayed WD symptoms. Made worse after surgery.2023 Famotidine, Cetirizine, New Generic, muscle relaxer.  March/April19th June, 2023 - 23rd July, 2023: Paroxetine Dosage reduced from 20mg to 15mg (on 15mg for 35 days), no significant symptoms.

24th July, 2023 - 26th July, 2023: Paroxetine Dosage reduced from 15mg to 12.5mg (on 12.5mg for 3 days), no significant symptoms.

27th July, 2023 - 3rd September, 2023: Paroxetine Dosage reduced from 12.5mg to 10mg (on 10mg for 39 days), no significant symptoms.

4th September, 2023 - 15th September, 2023: Paroxetine Dosage reduced from 10mg to 5mg i.e. 10mg every other day (on 5mg for 12 days), although not noted, must have experienced some symptoms, as I  decided to return to previous 10mg dosage on the 16th September.

16th September, 2023 - 25th November, 2023: Dosage increased from 5mg to 10mg i.e. 10mg every day (on 10mg for 71 days), symptoms start dates: Late September sweating, shaking and right side upper back pain., 5th October 23: Upper back pain worsening,21st Oct 23: Night time symptoms: insomnia, nausea, sweats, headaches, some anxiety (predominantly in the mornings)27th Oct 23 admitted to hospital with 1st hypertensive crisis with severe frontal headache  (now suspected of withdrawal ) BP 225/115.   Admitted twice more with high BP . Doctors at a loss for cause.  Given anti nausea, anti anxiety and sleeping tabs in hospital. . 1st Nov 23: , heart palpitations, some anxiety.. 7th Nov 23: Anxiety was now becoming more frequent (not severe)26th November, 2023 Dosage increased from 10mg to 20mg possibly first time taking 20 mg of Extine, new manufacturer.  3rd Dec 23 - 18th Dec, 23: Started taking 7.5mg - 15mg of Oxazepam when anxiety became unbearable only took 8 in total now stopped. Symptoms now more severe have head pain rather than headache. .Electrical shocks through body overnight accompanied by head pain. Sheer terror,. Sore eyes. 23rd Dec 23: All symptoms remain the same i.e. severe except for the last 2 days where my anxiety levels have not been as severe/ extreme and somewhat manageable (later in the day).22 Jan 24 Have some windows now but still suffering from all day head pain, upper back pain, waking up inner restlessness and terror , nausea, intermittent feelings of fear and wake up 12.30 am every morning  and sometimes up to 3 times a night with weird tingling down arms and back, pounding heart head pain and nausea.  2nd March 24, head pain/eye pain everyday and all day and & night wake ups.. Mild Akathisia early morning,, upper back pain, sweats. Anxiety much better.  21st April 24, drop 2.25% drop to 19.5 mg to test help with head /eye nerve pain and new symptom tinnitus.

 

 

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Bailey,

Yes, expel it back into the bottle, then draw it again. I found the lines were easier to see without any air inside of the medication. My eyes were trying to measure around an air bubble so many times I started experimenting with a way to improve what I was looking at.

2011 Paxil 12.5

2022 Paxil 25

2022 Paxil 12.5mg liquid taper 10% per month

2023 Paxil 5mg taper stopped

2023 Dec. 5mg Prozac for 5 days

2024 Paxil/Prozac stopped

 

Link to comment

@jtarchin That helps - thank you. 

 

  • 1996 Effexor XR
  • 1996-2012  Prozac and Klonipin
  • 2012: physician took me off Prozac rapidly. Severe (unrecognized) withdrawal. Went inpatient and was poly-drugged -- rapid changes of SSRIs, antipsychotics and benzodiazepines. 
  • 2012 Paxil 40mg
  • 2012 Xanax XR 6mg
  • 2019 Xanax XR .5mg (tapered down to this level since being prescribed in 2012)
  • 2014-2022 Gabapentin (tapered down to zero from 1800mg)
  • May 2023 HRT - estriol, estradiol, testosterone, progesterone. Dec. 8, 2023 - stopped progesterone pill (started having awful reactions); inconsistent with estrogen and testosterone combined cream in confusion of severe withdrawal symptoms. Dec. 14, 2023: Estrogen/testosterone cream: Back on about 1/4 amount I was taking previously of estrogen and testosterone cream (1.5 pumps out of 4 -- full amount seemed to ignite some kind of fire in my hyper sensitive state); did not resume progesterone (b/c of bad reactions after taking in WD)
  • December 2022: Paxil 40 to 30mg (went OK); May 2023: Paxil 30 to 20 mg (went OK); Oct. 14, 2023: Paxil 15mg; Oct. 21, 2023: Paxil 10mg
  • Nov. 9, 2023: tried reinstating to 20mg but reacted very badly (kindling?)
  • November 18, 2023: 7.5ml (15mg equivalent) *switch to manufacturer's liquid, Novatium* Conventional psych doc switched me to 7.5ml liquid b/c tiny pills were  splitting unevenly - further destabilization by both switching to liquid and changing dose at same time.
  • November 2023 - present: *severe* withdrawal symptoms, akathisia
  • Dec. 6 - manufacturer change on alprazolam er (further destabilization?). Normal mfr very difficult to find now. 
  • Jan 6 2024 - stopped coffee and all forms of caffeine. Eliminated dairy, processed foods, sugar.  Gluten intolerant so no gluten. Low fodmap diet for gut issues, daily leafy greens, a lot of protein to avoid blood sugar spikes after meals and also for akathisia. 
  • Feb 27 2024 - doc had me stop hormone cream. FDA-required formulation had changed and she was worried about my transition to something new. She also said that the estrogen/testosterone hormones are activating.  I had already dropped a good bit in dose early in withdrawal (Dec 14 2023 above) b/c it got lost in the chaos of early withdrawal.  
  • March 2024 - doctor having me try propranolol for akathisia. First as needed starting around Mar 7 and then daily starting around Mar 23. (aka very bad in morning especially)
  • Apr 2 2024 - stopped propranolol. Think it was interefering with sleep and causing other side effects. May keep on as prn. 

 

Link to comment

Looking for hope. I feel like I've done everything wrong since my severe withdrawal symptoms began in November 2023 and will never get out of this mess. I dropped too much (w/conventional doc), switched from tablet to liquid during the med drop (and air bubbles in the liquid after shaking it -- a must -- that I can't get rid of and that cause me anxiety), a manufacturer change on the benzo, lost track of HRT cream in the chaos of the past 2 months and am now on 1/4 of what I was doing.  I wish the HRT had never been prescribed in the first place since I think it's making things worse but too late now. I've only learned after the fact all that I should or shouldn't have done but what do I do now? I feel there have been too many mistakes, too many destabilizing factors and am despondent. I feel doomed and stuck in this state. 

 

  • 1996 Effexor XR
  • 1996-2012  Prozac and Klonipin
  • 2012: physician took me off Prozac rapidly. Severe (unrecognized) withdrawal. Went inpatient and was poly-drugged -- rapid changes of SSRIs, antipsychotics and benzodiazepines. 
  • 2012 Paxil 40mg
  • 2012 Xanax XR 6mg
  • 2019 Xanax XR .5mg (tapered down to this level since being prescribed in 2012)
  • 2014-2022 Gabapentin (tapered down to zero from 1800mg)
  • May 2023 HRT - estriol, estradiol, testosterone, progesterone. Dec. 8, 2023 - stopped progesterone pill (started having awful reactions); inconsistent with estrogen and testosterone combined cream in confusion of severe withdrawal symptoms. Dec. 14, 2023: Estrogen/testosterone cream: Back on about 1/4 amount I was taking previously of estrogen and testosterone cream (1.5 pumps out of 4 -- full amount seemed to ignite some kind of fire in my hyper sensitive state); did not resume progesterone (b/c of bad reactions after taking in WD)
  • December 2022: Paxil 40 to 30mg (went OK); May 2023: Paxil 30 to 20 mg (went OK); Oct. 14, 2023: Paxil 15mg; Oct. 21, 2023: Paxil 10mg
  • Nov. 9, 2023: tried reinstating to 20mg but reacted very badly (kindling?)
  • November 18, 2023: 7.5ml (15mg equivalent) *switch to manufacturer's liquid, Novatium* Conventional psych doc switched me to 7.5ml liquid b/c tiny pills were  splitting unevenly - further destabilization by both switching to liquid and changing dose at same time.
  • November 2023 - present: *severe* withdrawal symptoms, akathisia
  • Dec. 6 - manufacturer change on alprazolam er (further destabilization?). Normal mfr very difficult to find now. 
  • Jan 6 2024 - stopped coffee and all forms of caffeine. Eliminated dairy, processed foods, sugar.  Gluten intolerant so no gluten. Low fodmap diet for gut issues, daily leafy greens, a lot of protein to avoid blood sugar spikes after meals and also for akathisia. 
  • Feb 27 2024 - doc had me stop hormone cream. FDA-required formulation had changed and she was worried about my transition to something new. She also said that the estrogen/testosterone hormones are activating.  I had already dropped a good bit in dose early in withdrawal (Dec 14 2023 above) b/c it got lost in the chaos of early withdrawal.  
  • March 2024 - doctor having me try propranolol for akathisia. First as needed starting around Mar 7 and then daily starting around Mar 23. (aka very bad in morning especially)
  • Apr 2 2024 - stopped propranolol. Think it was interefering with sleep and causing other side effects. May keep on as prn. 

 

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  • Moderator

@Bailey

 

You are not doomed, nor are you stuck here forever ❤️

 

I hope I can offer you some reassurance since I too felt very hopeless when I first found SA. I went downhill quickly from a failed reinstatement, followed by a direct switch to another benzo with a dose change of more than 50%. I was confused, frustrated and scared. What I can tell you is that stabilization takes time, but it most certainly happens. It took a long time for me, but it did happen and I am now on the other side. None of this is easy, but it does get better. I understand you're feeling all of the things right now, but with patience, you will stabilize and heal. You made the best choices you could at the time and there is no need to beat yourself up over this. When we know better, we do better, so please give yourself some grace. 

 

Let's try to break things down a bit.

 

Have you sorted out how to use the liquid? You're back on your original brand?

 

Have you restarted HRT? Were you on HRT prior to the issues with paxil? It would help if you could also include HRT and any other supplements to your signature.

 

Have you read through any of the success stories?

 

https://www.survivingantidepressants.org/forums/forum/28-success-stories-recovery-from-psychiatric-drug-withdrawal/

 

2003-2009 on and off various SSRI's for short periods, Ativan prn

2010-2011 Ativan, up to 1.5mg/day - tapered off without issue

2013-2021 ativan 1-1.5mg 10-12x/month, daily starting Oct 21 to help with buspar WD

2016 - Effexor 75mg, short-term

2021 Mar -Jun Buspar ADR at high dose, tapered 3 months

2021 Aug Wellbutrin 150mg for 5 days (ADR), then MIrtazapine 7.5mg for 7 days (ADR)

Oct 22/21 - Direct switch ativan to clonazepam (don't do this)

Tapered clonaz Oct/21 - Apr/23  - 0mg!

 

Supplements: omega-3, mag-glycinate

 

"Believe that your tragedies, your losses, your sorrows, your hurt, happened for you, not to you. And I bless the thing that broke you down and cracked you open, because the world needs you open" - Rebecca Campbell

 

*** Disclaimer: Please note, my suggestions/comments are based on my own personal experiences. Please consult a knowledgeable practitioner to discuss decisions regarding your medical care *** 

 

                                                             *** Please do not send me PM's ***

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Posted (edited)

@LotusRising Thank you for the encouragement. It sure helps to know you stabilized after those changes and switches.

I switched to liquid Paxil on Nov. 18 right when all the changes in dosing were happening. I'm still on the liquid. I have to shake it which causes air bubbles. I'm never sure I'm getting the same amount every day with the bubbles. I'm never sure the amount left in the tip after I push the liquid out is the same either. Because I'm so unstable, I wonder if I'm getting different amounts every day. This is an area of fear and anxiety for me.

The benzo manufacturer was switched on Dec. 7 and I'm still on the new manufacturer. Old manufacturer was not available.

I was on estradiol/estriol/testosterone cream at 4 pumps a day May 2023-early Nov. 2023. In all the confusion, I missed doses of the cream and am now at 1.5 pumps a day. Going back to the full dose also seemed to ignite some kind of terrible fire. ! was also taking 1 pill of progesterone at night.  Somewhere at the end of November, I dropped the progesterone pill because it seemed like it was setting me off. I started the HRT in May 2023, encouraged by a functional med doctor. I've been on Paxil since 2013.  

I actually haven't read through stories. Reading is hard but I should try to read those. Thanks again. 

Edited by Bailey
added info.

 

  • 1996 Effexor XR
  • 1996-2012  Prozac and Klonipin
  • 2012: physician took me off Prozac rapidly. Severe (unrecognized) withdrawal. Went inpatient and was poly-drugged -- rapid changes of SSRIs, antipsychotics and benzodiazepines. 
  • 2012 Paxil 40mg
  • 2012 Xanax XR 6mg
  • 2019 Xanax XR .5mg (tapered down to this level since being prescribed in 2012)
  • 2014-2022 Gabapentin (tapered down to zero from 1800mg)
  • May 2023 HRT - estriol, estradiol, testosterone, progesterone. Dec. 8, 2023 - stopped progesterone pill (started having awful reactions); inconsistent with estrogen and testosterone combined cream in confusion of severe withdrawal symptoms. Dec. 14, 2023: Estrogen/testosterone cream: Back on about 1/4 amount I was taking previously of estrogen and testosterone cream (1.5 pumps out of 4 -- full amount seemed to ignite some kind of fire in my hyper sensitive state); did not resume progesterone (b/c of bad reactions after taking in WD)
  • December 2022: Paxil 40 to 30mg (went OK); May 2023: Paxil 30 to 20 mg (went OK); Oct. 14, 2023: Paxil 15mg; Oct. 21, 2023: Paxil 10mg
  • Nov. 9, 2023: tried reinstating to 20mg but reacted very badly (kindling?)
  • November 18, 2023: 7.5ml (15mg equivalent) *switch to manufacturer's liquid, Novatium* Conventional psych doc switched me to 7.5ml liquid b/c tiny pills were  splitting unevenly - further destabilization by both switching to liquid and changing dose at same time.
  • November 2023 - present: *severe* withdrawal symptoms, akathisia
  • Dec. 6 - manufacturer change on alprazolam er (further destabilization?). Normal mfr very difficult to find now. 
  • Jan 6 2024 - stopped coffee and all forms of caffeine. Eliminated dairy, processed foods, sugar.  Gluten intolerant so no gluten. Low fodmap diet for gut issues, daily leafy greens, a lot of protein to avoid blood sugar spikes after meals and also for akathisia. 
  • Feb 27 2024 - doc had me stop hormone cream. FDA-required formulation had changed and she was worried about my transition to something new. She also said that the estrogen/testosterone hormones are activating.  I had already dropped a good bit in dose early in withdrawal (Dec 14 2023 above) b/c it got lost in the chaos of early withdrawal.  
  • March 2024 - doctor having me try propranolol for akathisia. First as needed starting around Mar 7 and then daily starting around Mar 23. (aka very bad in morning especially)
  • Apr 2 2024 - stopped propranolol. Think it was interefering with sleep and causing other side effects. May keep on as prn. 

 

Link to comment
  • Moderator
7 hours ago, Bailey said:

I'm never sure I'm getting the same amount every day with the bubbles

@Bailey are you holding it upside down and flicking the syringe to release the bubbles to the top (the tip)? Once you do this, you can push the plunger up slowly to reach the desired line on your syringe. Is this what you're doing?

 

7 hours ago, Bailey said:

I missed doses of the cream and am now at 1.5 pumps a day. Going back to the full dose also seemed to ignite some kind of terrible fire. ! was also taking 1 pill of progesterone at night.  Somewhere at the end of November, I dropped the progesterone pill because it seemed like it was setting me off.

I'm sure I've already mentioned this, but please do your best to stay consistent with this as well, since any change can be confusing for the nervous system.

2003-2009 on and off various SSRI's for short periods, Ativan prn

2010-2011 Ativan, up to 1.5mg/day - tapered off without issue

2013-2021 ativan 1-1.5mg 10-12x/month, daily starting Oct 21 to help with buspar WD

2016 - Effexor 75mg, short-term

2021 Mar -Jun Buspar ADR at high dose, tapered 3 months

2021 Aug Wellbutrin 150mg for 5 days (ADR), then MIrtazapine 7.5mg for 7 days (ADR)

Oct 22/21 - Direct switch ativan to clonazepam (don't do this)

Tapered clonaz Oct/21 - Apr/23  - 0mg!

 

Supplements: omega-3, mag-glycinate

 

"Believe that your tragedies, your losses, your sorrows, your hurt, happened for you, not to you. And I bless the thing that broke you down and cracked you open, because the world needs you open" - Rebecca Campbell

 

*** Disclaimer: Please note, my suggestions/comments are based on my own personal experiences. Please consult a knowledgeable practitioner to discuss decisions regarding your medical care *** 

 

                                                             *** Please do not send me PM's ***

Link to comment
15 minutes ago, LotusRising said:

@Bailey are you holding it upside down and flicking the syringe to release the bubbles to the top (the tip)? Once you do this, you can push the plunger up slowly to reach the desired line on your syringe. Is this what you're doing?

@LotusRising I am holding the syringe upside down as it's in the prescription bottle and drawing back to the 7.5ml line. It actually has a mechanism that stops it there. I take it out of the bottle, turn it up side down again and flick. That doesn't get rid of the bubbles. They may go to the top of the barrel (word?) but not into the narrow tip. It's a thick plastic syringe (EZY Dose brand) and my flick doesn't seem as effective as it would with a thin syringe. It's an oral suspension with instructions to shake well which doesn't help the bubble situation. I'm hoping I'm getting the same amount each day. Everything is anxiety producing for me right now. 

15 minutes ago, LotusRising said:

 

I'm sure I've already mentioned this, but please do your best to stay consistent with this as well, since any change can be confusing for the nervous system.

As for the HRT, yes, now I'm being consistent. It was in the early mess before I found this site that I was inconsistent. Part was just the extreme of the symptoms and me not understanding what was happening, but now I'm trying to be as exact as possible. I wish I weren't on HRT, and if I ever stabilize, I'd like to get off. But, since I'm in acute withdrawal with a totally destabilized nervous system, I need to keep things consistent. I sure hope stability comes. Thank you. 

 

  • 1996 Effexor XR
  • 1996-2012  Prozac and Klonipin
  • 2012: physician took me off Prozac rapidly. Severe (unrecognized) withdrawal. Went inpatient and was poly-drugged -- rapid changes of SSRIs, antipsychotics and benzodiazepines. 
  • 2012 Paxil 40mg
  • 2012 Xanax XR 6mg
  • 2019 Xanax XR .5mg (tapered down to this level since being prescribed in 2012)
  • 2014-2022 Gabapentin (tapered down to zero from 1800mg)
  • May 2023 HRT - estriol, estradiol, testosterone, progesterone. Dec. 8, 2023 - stopped progesterone pill (started having awful reactions); inconsistent with estrogen and testosterone combined cream in confusion of severe withdrawal symptoms. Dec. 14, 2023: Estrogen/testosterone cream: Back on about 1/4 amount I was taking previously of estrogen and testosterone cream (1.5 pumps out of 4 -- full amount seemed to ignite some kind of fire in my hyper sensitive state); did not resume progesterone (b/c of bad reactions after taking in WD)
  • December 2022: Paxil 40 to 30mg (went OK); May 2023: Paxil 30 to 20 mg (went OK); Oct. 14, 2023: Paxil 15mg; Oct. 21, 2023: Paxil 10mg
  • Nov. 9, 2023: tried reinstating to 20mg but reacted very badly (kindling?)
  • November 18, 2023: 7.5ml (15mg equivalent) *switch to manufacturer's liquid, Novatium* Conventional psych doc switched me to 7.5ml liquid b/c tiny pills were  splitting unevenly - further destabilization by both switching to liquid and changing dose at same time.
  • November 2023 - present: *severe* withdrawal symptoms, akathisia
  • Dec. 6 - manufacturer change on alprazolam er (further destabilization?). Normal mfr very difficult to find now. 
  • Jan 6 2024 - stopped coffee and all forms of caffeine. Eliminated dairy, processed foods, sugar.  Gluten intolerant so no gluten. Low fodmap diet for gut issues, daily leafy greens, a lot of protein to avoid blood sugar spikes after meals and also for akathisia. 
  • Feb 27 2024 - doc had me stop hormone cream. FDA-required formulation had changed and she was worried about my transition to something new. She also said that the estrogen/testosterone hormones are activating.  I had already dropped a good bit in dose early in withdrawal (Dec 14 2023 above) b/c it got lost in the chaos of early withdrawal.  
  • March 2024 - doctor having me try propranolol for akathisia. First as needed starting around Mar 7 and then daily starting around Mar 23. (aka very bad in morning especially)
  • Apr 2 2024 - stopped propranolol. Think it was interefering with sleep and causing other side effects. May keep on as prn. 

 

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  • Moderator
1 hour ago, Bailey said:

It's a thick plastic syringe (EZY Dose brand) and my flick doesn't seem as effective as it would with a thin syringe.

You could use a pen to hit the syringe. It's quite important that you're getting an accurate dose with no bubbles. I would have a pharmacist show you how to do it, this might take some anxiety out of it. Youtube might have a good video too. I had a look on our site but couldn't find anything.

 

1 hour ago, Bailey said:

But, since I'm in acute withdrawal with a totally destabilized nervous system, I need to keep things consistent.

Agreed.

 

 

2003-2009 on and off various SSRI's for short periods, Ativan prn

2010-2011 Ativan, up to 1.5mg/day - tapered off without issue

2013-2021 ativan 1-1.5mg 10-12x/month, daily starting Oct 21 to help with buspar WD

2016 - Effexor 75mg, short-term

2021 Mar -Jun Buspar ADR at high dose, tapered 3 months

2021 Aug Wellbutrin 150mg for 5 days (ADR), then MIrtazapine 7.5mg for 7 days (ADR)

Oct 22/21 - Direct switch ativan to clonazepam (don't do this)

Tapered clonaz Oct/21 - Apr/23  - 0mg!

 

Supplements: omega-3, mag-glycinate

 

"Believe that your tragedies, your losses, your sorrows, your hurt, happened for you, not to you. And I bless the thing that broke you down and cracked you open, because the world needs you open" - Rebecca Campbell

 

*** Disclaimer: Please note, my suggestions/comments are based on my own personal experiences. Please consult a knowledgeable practitioner to discuss decisions regarding your medical care *** 

 

                                                             *** Please do not send me PM's ***

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Bailey

I know that if I distract myself with very minor tasks it will help me get through the passage of time. I try to come up with a few tasks a day - I'm talking about VERY simple tasks like: run the dishwasher etc... things I know I can do. These help my self-esteem have a fighting chance. My tasks are my attempt to keep some kind of illusion of control over my interior state. There are times that even this doesn't work. Recently I've been giving myself foot spa days... hey, whatever works. Some days it's just putting lotion on my feet. Trying to offer my body some comfort seems insignificant but it works for me.

2011 Paxil 12.5

2022 Paxil 25

2022 Paxil 12.5mg liquid taper 10% per month

2023 Paxil 5mg taper stopped

2023 Dec. 5mg Prozac for 5 days

2024 Paxil/Prozac stopped

 

Link to comment

@jtarchin Thank you so much. This is really helpful. 

 

  • 1996 Effexor XR
  • 1996-2012  Prozac and Klonipin
  • 2012: physician took me off Prozac rapidly. Severe (unrecognized) withdrawal. Went inpatient and was poly-drugged -- rapid changes of SSRIs, antipsychotics and benzodiazepines. 
  • 2012 Paxil 40mg
  • 2012 Xanax XR 6mg
  • 2019 Xanax XR .5mg (tapered down to this level since being prescribed in 2012)
  • 2014-2022 Gabapentin (tapered down to zero from 1800mg)
  • May 2023 HRT - estriol, estradiol, testosterone, progesterone. Dec. 8, 2023 - stopped progesterone pill (started having awful reactions); inconsistent with estrogen and testosterone combined cream in confusion of severe withdrawal symptoms. Dec. 14, 2023: Estrogen/testosterone cream: Back on about 1/4 amount I was taking previously of estrogen and testosterone cream (1.5 pumps out of 4 -- full amount seemed to ignite some kind of fire in my hyper sensitive state); did not resume progesterone (b/c of bad reactions after taking in WD)
  • December 2022: Paxil 40 to 30mg (went OK); May 2023: Paxil 30 to 20 mg (went OK); Oct. 14, 2023: Paxil 15mg; Oct. 21, 2023: Paxil 10mg
  • Nov. 9, 2023: tried reinstating to 20mg but reacted very badly (kindling?)
  • November 18, 2023: 7.5ml (15mg equivalent) *switch to manufacturer's liquid, Novatium* Conventional psych doc switched me to 7.5ml liquid b/c tiny pills were  splitting unevenly - further destabilization by both switching to liquid and changing dose at same time.
  • November 2023 - present: *severe* withdrawal symptoms, akathisia
  • Dec. 6 - manufacturer change on alprazolam er (further destabilization?). Normal mfr very difficult to find now. 
  • Jan 6 2024 - stopped coffee and all forms of caffeine. Eliminated dairy, processed foods, sugar.  Gluten intolerant so no gluten. Low fodmap diet for gut issues, daily leafy greens, a lot of protein to avoid blood sugar spikes after meals and also for akathisia. 
  • Feb 27 2024 - doc had me stop hormone cream. FDA-required formulation had changed and she was worried about my transition to something new. She also said that the estrogen/testosterone hormones are activating.  I had already dropped a good bit in dose early in withdrawal (Dec 14 2023 above) b/c it got lost in the chaos of early withdrawal.  
  • March 2024 - doctor having me try propranolol for akathisia. First as needed starting around Mar 7 and then daily starting around Mar 23. (aka very bad in morning especially)
  • Apr 2 2024 - stopped propranolol. Think it was interefering with sleep and causing other side effects. May keep on as prn. 

 

Link to comment

@LotusRising Thank you. All of this is truly helpful. I greatly appreciate you. I looked up a video and will try to also check with the pharmacist. 

 

  • 1996 Effexor XR
  • 1996-2012  Prozac and Klonipin
  • 2012: physician took me off Prozac rapidly. Severe (unrecognized) withdrawal. Went inpatient and was poly-drugged -- rapid changes of SSRIs, antipsychotics and benzodiazepines. 
  • 2012 Paxil 40mg
  • 2012 Xanax XR 6mg
  • 2019 Xanax XR .5mg (tapered down to this level since being prescribed in 2012)
  • 2014-2022 Gabapentin (tapered down to zero from 1800mg)
  • May 2023 HRT - estriol, estradiol, testosterone, progesterone. Dec. 8, 2023 - stopped progesterone pill (started having awful reactions); inconsistent with estrogen and testosterone combined cream in confusion of severe withdrawal symptoms. Dec. 14, 2023: Estrogen/testosterone cream: Back on about 1/4 amount I was taking previously of estrogen and testosterone cream (1.5 pumps out of 4 -- full amount seemed to ignite some kind of fire in my hyper sensitive state); did not resume progesterone (b/c of bad reactions after taking in WD)
  • December 2022: Paxil 40 to 30mg (went OK); May 2023: Paxil 30 to 20 mg (went OK); Oct. 14, 2023: Paxil 15mg; Oct. 21, 2023: Paxil 10mg
  • Nov. 9, 2023: tried reinstating to 20mg but reacted very badly (kindling?)
  • November 18, 2023: 7.5ml (15mg equivalent) *switch to manufacturer's liquid, Novatium* Conventional psych doc switched me to 7.5ml liquid b/c tiny pills were  splitting unevenly - further destabilization by both switching to liquid and changing dose at same time.
  • November 2023 - present: *severe* withdrawal symptoms, akathisia
  • Dec. 6 - manufacturer change on alprazolam er (further destabilization?). Normal mfr very difficult to find now. 
  • Jan 6 2024 - stopped coffee and all forms of caffeine. Eliminated dairy, processed foods, sugar.  Gluten intolerant so no gluten. Low fodmap diet for gut issues, daily leafy greens, a lot of protein to avoid blood sugar spikes after meals and also for akathisia. 
  • Feb 27 2024 - doc had me stop hormone cream. FDA-required formulation had changed and she was worried about my transition to something new. She also said that the estrogen/testosterone hormones are activating.  I had already dropped a good bit in dose early in withdrawal (Dec 14 2023 above) b/c it got lost in the chaos of early withdrawal.  
  • March 2024 - doctor having me try propranolol for akathisia. First as needed starting around Mar 7 and then daily starting around Mar 23. (aka very bad in morning especially)
  • Apr 2 2024 - stopped propranolol. Think it was interefering with sleep and causing other side effects. May keep on as prn. 

 

Link to comment

Any thoughts on taking Tylenol for pain in acute pax withdrawal? I've been scared to take anything as I seem to be hypersensitive to most everything in this state of destabilization. 

 

  • 1996 Effexor XR
  • 1996-2012  Prozac and Klonipin
  • 2012: physician took me off Prozac rapidly. Severe (unrecognized) withdrawal. Went inpatient and was poly-drugged -- rapid changes of SSRIs, antipsychotics and benzodiazepines. 
  • 2012 Paxil 40mg
  • 2012 Xanax XR 6mg
  • 2019 Xanax XR .5mg (tapered down to this level since being prescribed in 2012)
  • 2014-2022 Gabapentin (tapered down to zero from 1800mg)
  • May 2023 HRT - estriol, estradiol, testosterone, progesterone. Dec. 8, 2023 - stopped progesterone pill (started having awful reactions); inconsistent with estrogen and testosterone combined cream in confusion of severe withdrawal symptoms. Dec. 14, 2023: Estrogen/testosterone cream: Back on about 1/4 amount I was taking previously of estrogen and testosterone cream (1.5 pumps out of 4 -- full amount seemed to ignite some kind of fire in my hyper sensitive state); did not resume progesterone (b/c of bad reactions after taking in WD)
  • December 2022: Paxil 40 to 30mg (went OK); May 2023: Paxil 30 to 20 mg (went OK); Oct. 14, 2023: Paxil 15mg; Oct. 21, 2023: Paxil 10mg
  • Nov. 9, 2023: tried reinstating to 20mg but reacted very badly (kindling?)
  • November 18, 2023: 7.5ml (15mg equivalent) *switch to manufacturer's liquid, Novatium* Conventional psych doc switched me to 7.5ml liquid b/c tiny pills were  splitting unevenly - further destabilization by both switching to liquid and changing dose at same time.
  • November 2023 - present: *severe* withdrawal symptoms, akathisia
  • Dec. 6 - manufacturer change on alprazolam er (further destabilization?). Normal mfr very difficult to find now. 
  • Jan 6 2024 - stopped coffee and all forms of caffeine. Eliminated dairy, processed foods, sugar.  Gluten intolerant so no gluten. Low fodmap diet for gut issues, daily leafy greens, a lot of protein to avoid blood sugar spikes after meals and also for akathisia. 
  • Feb 27 2024 - doc had me stop hormone cream. FDA-required formulation had changed and she was worried about my transition to something new. She also said that the estrogen/testosterone hormones are activating.  I had already dropped a good bit in dose early in withdrawal (Dec 14 2023 above) b/c it got lost in the chaos of early withdrawal.  
  • March 2024 - doctor having me try propranolol for akathisia. First as needed starting around Mar 7 and then daily starting around Mar 23. (aka very bad in morning especially)
  • Apr 2 2024 - stopped propranolol. Think it was interefering with sleep and causing other side effects. May keep on as prn. 

 

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  • Moderator

Hi @Bailey

 

I was able to tolerate tylenol, but started with a pediatric dose first.

 

You could read below for others' experiences.

 

 

2003-2009 on and off various SSRI's for short periods, Ativan prn

2010-2011 Ativan, up to 1.5mg/day - tapered off without issue

2013-2021 ativan 1-1.5mg 10-12x/month, daily starting Oct 21 to help with buspar WD

2016 - Effexor 75mg, short-term

2021 Mar -Jun Buspar ADR at high dose, tapered 3 months

2021 Aug Wellbutrin 150mg for 5 days (ADR), then MIrtazapine 7.5mg for 7 days (ADR)

Oct 22/21 - Direct switch ativan to clonazepam (don't do this)

Tapered clonaz Oct/21 - Apr/23  - 0mg!

 

Supplements: omega-3, mag-glycinate

 

"Believe that your tragedies, your losses, your sorrows, your hurt, happened for you, not to you. And I bless the thing that broke you down and cracked you open, because the world needs you open" - Rebecca Campbell

 

*** Disclaimer: Please note, my suggestions/comments are based on my own personal experiences. Please consult a knowledgeable practitioner to discuss decisions regarding your medical care *** 

 

                                                             *** Please do not send me PM's ***

Link to comment

Thank you, @LotusRising. I wouldn't have even thought of starting with a pediatric dose. Good thinking and thanks for that idea. And I'll read what you attached about other people's experiences. 

 

  • 1996 Effexor XR
  • 1996-2012  Prozac and Klonipin
  • 2012: physician took me off Prozac rapidly. Severe (unrecognized) withdrawal. Went inpatient and was poly-drugged -- rapid changes of SSRIs, antipsychotics and benzodiazepines. 
  • 2012 Paxil 40mg
  • 2012 Xanax XR 6mg
  • 2019 Xanax XR .5mg (tapered down to this level since being prescribed in 2012)
  • 2014-2022 Gabapentin (tapered down to zero from 1800mg)
  • May 2023 HRT - estriol, estradiol, testosterone, progesterone. Dec. 8, 2023 - stopped progesterone pill (started having awful reactions); inconsistent with estrogen and testosterone combined cream in confusion of severe withdrawal symptoms. Dec. 14, 2023: Estrogen/testosterone cream: Back on about 1/4 amount I was taking previously of estrogen and testosterone cream (1.5 pumps out of 4 -- full amount seemed to ignite some kind of fire in my hyper sensitive state); did not resume progesterone (b/c of bad reactions after taking in WD)
  • December 2022: Paxil 40 to 30mg (went OK); May 2023: Paxil 30 to 20 mg (went OK); Oct. 14, 2023: Paxil 15mg; Oct. 21, 2023: Paxil 10mg
  • Nov. 9, 2023: tried reinstating to 20mg but reacted very badly (kindling?)
  • November 18, 2023: 7.5ml (15mg equivalent) *switch to manufacturer's liquid, Novatium* Conventional psych doc switched me to 7.5ml liquid b/c tiny pills were  splitting unevenly - further destabilization by both switching to liquid and changing dose at same time.
  • November 2023 - present: *severe* withdrawal symptoms, akathisia
  • Dec. 6 - manufacturer change on alprazolam er (further destabilization?). Normal mfr very difficult to find now. 
  • Jan 6 2024 - stopped coffee and all forms of caffeine. Eliminated dairy, processed foods, sugar.  Gluten intolerant so no gluten. Low fodmap diet for gut issues, daily leafy greens, a lot of protein to avoid blood sugar spikes after meals and also for akathisia. 
  • Feb 27 2024 - doc had me stop hormone cream. FDA-required formulation had changed and she was worried about my transition to something new. She also said that the estrogen/testosterone hormones are activating.  I had already dropped a good bit in dose early in withdrawal (Dec 14 2023 above) b/c it got lost in the chaos of early withdrawal.  
  • March 2024 - doctor having me try propranolol for akathisia. First as needed starting around Mar 7 and then daily starting around Mar 23. (aka very bad in morning especially)
  • Apr 2 2024 - stopped propranolol. Think it was interefering with sleep and causing other side effects. May keep on as prn. 

 

Link to comment

A holistic doctor told me I should be adding some fermented foods like sauerkraut to my diet to help with all this. Do a lot of people have trouble with fermented foods in withdrawal? What are the symptoms? Is this where I should be posting questions like this? Thanks. 

 

She also told me to increase healthy fats (avocados, coconut oil/milk, fish oil, etc.) and fiber (blueberries, raw spinach, other leafy greens). I've increased those things this week and am having GI pain. I don't know if it's too much or just a start up thing. I could see those things helping but maybe my digestion has been shut down a bit in withdrawal which started in November. Not sure. 

 

  • 1996 Effexor XR
  • 1996-2012  Prozac and Klonipin
  • 2012: physician took me off Prozac rapidly. Severe (unrecognized) withdrawal. Went inpatient and was poly-drugged -- rapid changes of SSRIs, antipsychotics and benzodiazepines. 
  • 2012 Paxil 40mg
  • 2012 Xanax XR 6mg
  • 2019 Xanax XR .5mg (tapered down to this level since being prescribed in 2012)
  • 2014-2022 Gabapentin (tapered down to zero from 1800mg)
  • May 2023 HRT - estriol, estradiol, testosterone, progesterone. Dec. 8, 2023 - stopped progesterone pill (started having awful reactions); inconsistent with estrogen and testosterone combined cream in confusion of severe withdrawal symptoms. Dec. 14, 2023: Estrogen/testosterone cream: Back on about 1/4 amount I was taking previously of estrogen and testosterone cream (1.5 pumps out of 4 -- full amount seemed to ignite some kind of fire in my hyper sensitive state); did not resume progesterone (b/c of bad reactions after taking in WD)
  • December 2022: Paxil 40 to 30mg (went OK); May 2023: Paxil 30 to 20 mg (went OK); Oct. 14, 2023: Paxil 15mg; Oct. 21, 2023: Paxil 10mg
  • Nov. 9, 2023: tried reinstating to 20mg but reacted very badly (kindling?)
  • November 18, 2023: 7.5ml (15mg equivalent) *switch to manufacturer's liquid, Novatium* Conventional psych doc switched me to 7.5ml liquid b/c tiny pills were  splitting unevenly - further destabilization by both switching to liquid and changing dose at same time.
  • November 2023 - present: *severe* withdrawal symptoms, akathisia
  • Dec. 6 - manufacturer change on alprazolam er (further destabilization?). Normal mfr very difficult to find now. 
  • Jan 6 2024 - stopped coffee and all forms of caffeine. Eliminated dairy, processed foods, sugar.  Gluten intolerant so no gluten. Low fodmap diet for gut issues, daily leafy greens, a lot of protein to avoid blood sugar spikes after meals and also for akathisia. 
  • Feb 27 2024 - doc had me stop hormone cream. FDA-required formulation had changed and she was worried about my transition to something new. She also said that the estrogen/testosterone hormones are activating.  I had already dropped a good bit in dose early in withdrawal (Dec 14 2023 above) b/c it got lost in the chaos of early withdrawal.  
  • March 2024 - doctor having me try propranolol for akathisia. First as needed starting around Mar 7 and then daily starting around Mar 23. (aka very bad in morning especially)
  • Apr 2 2024 - stopped propranolol. Think it was interefering with sleep and causing other side effects. May keep on as prn. 

 

Link to comment
  • Moderator
3 hours ago, Bailey said:

A holistic doctor told me I should be adding some fermented foods like sauerkraut to my diet to help with all this

Yes! All good for your microbiome, but if noticing additional gas, bloating, you may want to back off. I would address any dietary changes slowly. Also, if you're not used to extra fiber, this could have a similar effect. Are you drinking lots of liquid?

2003-2009 on and off various SSRI's for short periods, Ativan prn

2010-2011 Ativan, up to 1.5mg/day - tapered off without issue

2013-2021 ativan 1-1.5mg 10-12x/month, daily starting Oct 21 to help with buspar WD

2016 - Effexor 75mg, short-term

2021 Mar -Jun Buspar ADR at high dose, tapered 3 months

2021 Aug Wellbutrin 150mg for 5 days (ADR), then MIrtazapine 7.5mg for 7 days (ADR)

Oct 22/21 - Direct switch ativan to clonazepam (don't do this)

Tapered clonaz Oct/21 - Apr/23  - 0mg!

 

Supplements: omega-3, mag-glycinate

 

"Believe that your tragedies, your losses, your sorrows, your hurt, happened for you, not to you. And I bless the thing that broke you down and cracked you open, because the world needs you open" - Rebecca Campbell

 

*** Disclaimer: Please note, my suggestions/comments are based on my own personal experiences. Please consult a knowledgeable practitioner to discuss decisions regarding your medical care *** 

 

                                                             *** Please do not send me PM's ***

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@LotusRising Thank you. Introducing slowly is a good idea. Maybe the introduction of a larger amount of healthy fat and fiber this week has been challenging to my digestive system. I didn't add a ton but perhaps given that eating has been really tough since this started in November, maybe things have slowed down a bit. I'm trying to drink a lot of water early in the day and then pulling back at night. I wake up after only a couple hours of sleep in terror as it is and am trying to eliminate bathroom trips that will hasten this. Thanks again.

 

  • 1996 Effexor XR
  • 1996-2012  Prozac and Klonipin
  • 2012: physician took me off Prozac rapidly. Severe (unrecognized) withdrawal. Went inpatient and was poly-drugged -- rapid changes of SSRIs, antipsychotics and benzodiazepines. 
  • 2012 Paxil 40mg
  • 2012 Xanax XR 6mg
  • 2019 Xanax XR .5mg (tapered down to this level since being prescribed in 2012)
  • 2014-2022 Gabapentin (tapered down to zero from 1800mg)
  • May 2023 HRT - estriol, estradiol, testosterone, progesterone. Dec. 8, 2023 - stopped progesterone pill (started having awful reactions); inconsistent with estrogen and testosterone combined cream in confusion of severe withdrawal symptoms. Dec. 14, 2023: Estrogen/testosterone cream: Back on about 1/4 amount I was taking previously of estrogen and testosterone cream (1.5 pumps out of 4 -- full amount seemed to ignite some kind of fire in my hyper sensitive state); did not resume progesterone (b/c of bad reactions after taking in WD)
  • December 2022: Paxil 40 to 30mg (went OK); May 2023: Paxil 30 to 20 mg (went OK); Oct. 14, 2023: Paxil 15mg; Oct. 21, 2023: Paxil 10mg
  • Nov. 9, 2023: tried reinstating to 20mg but reacted very badly (kindling?)
  • November 18, 2023: 7.5ml (15mg equivalent) *switch to manufacturer's liquid, Novatium* Conventional psych doc switched me to 7.5ml liquid b/c tiny pills were  splitting unevenly - further destabilization by both switching to liquid and changing dose at same time.
  • November 2023 - present: *severe* withdrawal symptoms, akathisia
  • Dec. 6 - manufacturer change on alprazolam er (further destabilization?). Normal mfr very difficult to find now. 
  • Jan 6 2024 - stopped coffee and all forms of caffeine. Eliminated dairy, processed foods, sugar.  Gluten intolerant so no gluten. Low fodmap diet for gut issues, daily leafy greens, a lot of protein to avoid blood sugar spikes after meals and also for akathisia. 
  • Feb 27 2024 - doc had me stop hormone cream. FDA-required formulation had changed and she was worried about my transition to something new. She also said that the estrogen/testosterone hormones are activating.  I had already dropped a good bit in dose early in withdrawal (Dec 14 2023 above) b/c it got lost in the chaos of early withdrawal.  
  • March 2024 - doctor having me try propranolol for akathisia. First as needed starting around Mar 7 and then daily starting around Mar 23. (aka very bad in morning especially)
  • Apr 2 2024 - stopped propranolol. Think it was interefering with sleep and causing other side effects. May keep on as prn. 

 

Link to comment

Is it possible to feel worse or more anxious after eating? I was pretty hungry the past two mornings and lunchtimes after having stomach and gut issues since Friday (a virus? digestive issues?). I ate a fair amount of protein between the two meals (2 eggs, tuna, bone broth) healthy fats (avocado, coconut milk, cashew milk),  a small amount of frozen blueberries and maybe 10 small gluten free rice crackers with seeds. I feel worse now and did yesterday, too, after the same kind of eating.  I've lost a significant amount of weight since this all started in November -- weight I couldn't afford to lose -- and was encouraged that I've had more of an appetite the past couple days, However, I'm wondering if I ate too much (under these acute WD circumstances). Does all food, even protein and healthy fats, convert to sugar or raise cortisol? 

 

  • 1996 Effexor XR
  • 1996-2012  Prozac and Klonipin
  • 2012: physician took me off Prozac rapidly. Severe (unrecognized) withdrawal. Went inpatient and was poly-drugged -- rapid changes of SSRIs, antipsychotics and benzodiazepines. 
  • 2012 Paxil 40mg
  • 2012 Xanax XR 6mg
  • 2019 Xanax XR .5mg (tapered down to this level since being prescribed in 2012)
  • 2014-2022 Gabapentin (tapered down to zero from 1800mg)
  • May 2023 HRT - estriol, estradiol, testosterone, progesterone. Dec. 8, 2023 - stopped progesterone pill (started having awful reactions); inconsistent with estrogen and testosterone combined cream in confusion of severe withdrawal symptoms. Dec. 14, 2023: Estrogen/testosterone cream: Back on about 1/4 amount I was taking previously of estrogen and testosterone cream (1.5 pumps out of 4 -- full amount seemed to ignite some kind of fire in my hyper sensitive state); did not resume progesterone (b/c of bad reactions after taking in WD)
  • December 2022: Paxil 40 to 30mg (went OK); May 2023: Paxil 30 to 20 mg (went OK); Oct. 14, 2023: Paxil 15mg; Oct. 21, 2023: Paxil 10mg
  • Nov. 9, 2023: tried reinstating to 20mg but reacted very badly (kindling?)
  • November 18, 2023: 7.5ml (15mg equivalent) *switch to manufacturer's liquid, Novatium* Conventional psych doc switched me to 7.5ml liquid b/c tiny pills were  splitting unevenly - further destabilization by both switching to liquid and changing dose at same time.
  • November 2023 - present: *severe* withdrawal symptoms, akathisia
  • Dec. 6 - manufacturer change on alprazolam er (further destabilization?). Normal mfr very difficult to find now. 
  • Jan 6 2024 - stopped coffee and all forms of caffeine. Eliminated dairy, processed foods, sugar.  Gluten intolerant so no gluten. Low fodmap diet for gut issues, daily leafy greens, a lot of protein to avoid blood sugar spikes after meals and also for akathisia. 
  • Feb 27 2024 - doc had me stop hormone cream. FDA-required formulation had changed and she was worried about my transition to something new. She also said that the estrogen/testosterone hormones are activating.  I had already dropped a good bit in dose early in withdrawal (Dec 14 2023 above) b/c it got lost in the chaos of early withdrawal.  
  • March 2024 - doctor having me try propranolol for akathisia. First as needed starting around Mar 7 and then daily starting around Mar 23. (aka very bad in morning especially)
  • Apr 2 2024 - stopped propranolol. Think it was interefering with sleep and causing other side effects. May keep on as prn. 

 

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11 hours ago, Bailey said:

Is it possible to feel worse or more anxious after eating? I was pretty hungry the past two mornings and lunchtimes after having stomach and gut issues since Friday (a virus? digestive issues?). I ate a fair amount of protein between the two meals (2 eggs, tuna, bone broth) healthy fats (avocado, coconut milk, cashew milk),  a small amount of frozen blueberries and maybe 10 small gluten free rice crackers with seeds. I feel worse now and did yesterday, too, after the same kind of eating.  I've lost a significant amount of weight since this all started in November -- weight I couldn't afford to lose -- and was encouraged that I've had more of an appetite the past couple days, However, I'm wondering if I ate too much (under these acute WD circumstances). Does all food, even protein and healthy fats, convert to sugar or raise cortisol? 

Hi Bailey,

Not sure about any dietary advice but am wondering if it’s a wave. I def am feeling better but some days are still bad whatever I eat (but not as bad as they were) the better days are becoming more substantial…🌸 

1998(approx.) 20mg Paroxetine, 1998 -2015  various unsuccessful tapers, 2015 app 6 month taper to 0, 2015 approx 6 months later reinstated  original brand after debilitating neurological delayed WD symptoms. Made worse after surgery.2023 Famotidine, Cetirizine, New Generic, muscle relaxer.  March/April19th June, 2023 - 23rd July, 2023: Paroxetine Dosage reduced from 20mg to 15mg (on 15mg for 35 days), no significant symptoms.

24th July, 2023 - 26th July, 2023: Paroxetine Dosage reduced from 15mg to 12.5mg (on 12.5mg for 3 days), no significant symptoms.

27th July, 2023 - 3rd September, 2023: Paroxetine Dosage reduced from 12.5mg to 10mg (on 10mg for 39 days), no significant symptoms.

4th September, 2023 - 15th September, 2023: Paroxetine Dosage reduced from 10mg to 5mg i.e. 10mg every other day (on 5mg for 12 days), although not noted, must have experienced some symptoms, as I  decided to return to previous 10mg dosage on the 16th September.

16th September, 2023 - 25th November, 2023: Dosage increased from 5mg to 10mg i.e. 10mg every day (on 10mg for 71 days), symptoms start dates: Late September sweating, shaking and right side upper back pain., 5th October 23: Upper back pain worsening,21st Oct 23: Night time symptoms: insomnia, nausea, sweats, headaches, some anxiety (predominantly in the mornings)27th Oct 23 admitted to hospital with 1st hypertensive crisis with severe frontal headache  (now suspected of withdrawal ) BP 225/115.   Admitted twice more with high BP . Doctors at a loss for cause.  Given anti nausea, anti anxiety and sleeping tabs in hospital. . 1st Nov 23: , heart palpitations, some anxiety.. 7th Nov 23: Anxiety was now becoming more frequent (not severe)26th November, 2023 Dosage increased from 10mg to 20mg possibly first time taking 20 mg of Extine, new manufacturer.  3rd Dec 23 - 18th Dec, 23: Started taking 7.5mg - 15mg of Oxazepam when anxiety became unbearable only took 8 in total now stopped. Symptoms now more severe have head pain rather than headache. .Electrical shocks through body overnight accompanied by head pain. Sheer terror,. Sore eyes. 23rd Dec 23: All symptoms remain the same i.e. severe except for the last 2 days where my anxiety levels have not been as severe/ extreme and somewhat manageable (later in the day).22 Jan 24 Have some windows now but still suffering from all day head pain, upper back pain, waking up inner restlessness and terror , nausea, intermittent feelings of fear and wake up 12.30 am every morning  and sometimes up to 3 times a night with weird tingling down arms and back, pounding heart head pain and nausea.  2nd March 24, head pain/eye pain everyday and all day and & night wake ups.. Mild Akathisia early morning,, upper back pain, sweats. Anxiety much better.  21st April 24, drop 2.25% drop to 19.5 mg to test help with head /eye nerve pain and new symptom tinnitus.

 

 

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@XcaretukYeah I guess it's hard to tell.  I have the worst stomachache now. I thought it was on its way but worse now then ever. Not sure if it's a virus or abdominal/stomach issues related to withdrawal. I'm so discouraged. I feel like I can't catch a break.

 

  • 1996 Effexor XR
  • 1996-2012  Prozac and Klonipin
  • 2012: physician took me off Prozac rapidly. Severe (unrecognized) withdrawal. Went inpatient and was poly-drugged -- rapid changes of SSRIs, antipsychotics and benzodiazepines. 
  • 2012 Paxil 40mg
  • 2012 Xanax XR 6mg
  • 2019 Xanax XR .5mg (tapered down to this level since being prescribed in 2012)
  • 2014-2022 Gabapentin (tapered down to zero from 1800mg)
  • May 2023 HRT - estriol, estradiol, testosterone, progesterone. Dec. 8, 2023 - stopped progesterone pill (started having awful reactions); inconsistent with estrogen and testosterone combined cream in confusion of severe withdrawal symptoms. Dec. 14, 2023: Estrogen/testosterone cream: Back on about 1/4 amount I was taking previously of estrogen and testosterone cream (1.5 pumps out of 4 -- full amount seemed to ignite some kind of fire in my hyper sensitive state); did not resume progesterone (b/c of bad reactions after taking in WD)
  • December 2022: Paxil 40 to 30mg (went OK); May 2023: Paxil 30 to 20 mg (went OK); Oct. 14, 2023: Paxil 15mg; Oct. 21, 2023: Paxil 10mg
  • Nov. 9, 2023: tried reinstating to 20mg but reacted very badly (kindling?)
  • November 18, 2023: 7.5ml (15mg equivalent) *switch to manufacturer's liquid, Novatium* Conventional psych doc switched me to 7.5ml liquid b/c tiny pills were  splitting unevenly - further destabilization by both switching to liquid and changing dose at same time.
  • November 2023 - present: *severe* withdrawal symptoms, akathisia
  • Dec. 6 - manufacturer change on alprazolam er (further destabilization?). Normal mfr very difficult to find now. 
  • Jan 6 2024 - stopped coffee and all forms of caffeine. Eliminated dairy, processed foods, sugar.  Gluten intolerant so no gluten. Low fodmap diet for gut issues, daily leafy greens, a lot of protein to avoid blood sugar spikes after meals and also for akathisia. 
  • Feb 27 2024 - doc had me stop hormone cream. FDA-required formulation had changed and she was worried about my transition to something new. She also said that the estrogen/testosterone hormones are activating.  I had already dropped a good bit in dose early in withdrawal (Dec 14 2023 above) b/c it got lost in the chaos of early withdrawal.  
  • March 2024 - doctor having me try propranolol for akathisia. First as needed starting around Mar 7 and then daily starting around Mar 23. (aka very bad in morning especially)
  • Apr 2 2024 - stopped propranolol. Think it was interefering with sleep and causing other side effects. May keep on as prn. 

 

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@Xcaretuk I'm glad you're feeling better and better.

 

  • 1996 Effexor XR
  • 1996-2012  Prozac and Klonipin
  • 2012: physician took me off Prozac rapidly. Severe (unrecognized) withdrawal. Went inpatient and was poly-drugged -- rapid changes of SSRIs, antipsychotics and benzodiazepines. 
  • 2012 Paxil 40mg
  • 2012 Xanax XR 6mg
  • 2019 Xanax XR .5mg (tapered down to this level since being prescribed in 2012)
  • 2014-2022 Gabapentin (tapered down to zero from 1800mg)
  • May 2023 HRT - estriol, estradiol, testosterone, progesterone. Dec. 8, 2023 - stopped progesterone pill (started having awful reactions); inconsistent with estrogen and testosterone combined cream in confusion of severe withdrawal symptoms. Dec. 14, 2023: Estrogen/testosterone cream: Back on about 1/4 amount I was taking previously of estrogen and testosterone cream (1.5 pumps out of 4 -- full amount seemed to ignite some kind of fire in my hyper sensitive state); did not resume progesterone (b/c of bad reactions after taking in WD)
  • December 2022: Paxil 40 to 30mg (went OK); May 2023: Paxil 30 to 20 mg (went OK); Oct. 14, 2023: Paxil 15mg; Oct. 21, 2023: Paxil 10mg
  • Nov. 9, 2023: tried reinstating to 20mg but reacted very badly (kindling?)
  • November 18, 2023: 7.5ml (15mg equivalent) *switch to manufacturer's liquid, Novatium* Conventional psych doc switched me to 7.5ml liquid b/c tiny pills were  splitting unevenly - further destabilization by both switching to liquid and changing dose at same time.
  • November 2023 - present: *severe* withdrawal symptoms, akathisia
  • Dec. 6 - manufacturer change on alprazolam er (further destabilization?). Normal mfr very difficult to find now. 
  • Jan 6 2024 - stopped coffee and all forms of caffeine. Eliminated dairy, processed foods, sugar.  Gluten intolerant so no gluten. Low fodmap diet for gut issues, daily leafy greens, a lot of protein to avoid blood sugar spikes after meals and also for akathisia. 
  • Feb 27 2024 - doc had me stop hormone cream. FDA-required formulation had changed and she was worried about my transition to something new. She also said that the estrogen/testosterone hormones are activating.  I had already dropped a good bit in dose early in withdrawal (Dec 14 2023 above) b/c it got lost in the chaos of early withdrawal.  
  • March 2024 - doctor having me try propranolol for akathisia. First as needed starting around Mar 7 and then daily starting around Mar 23. (aka very bad in morning especially)
  • Apr 2 2024 - stopped propranolol. Think it was interefering with sleep and causing other side effects. May keep on as prn. 

 

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