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DG17: What should I do?


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Just came across this site, wish I saw it sooner!  

 

My primary care doctor put me on celexa 20 mg in 2012 for some mood issues.  Started seeing a psychiatrist in 2016 who then put me on 40 mg celexa. Switched to effexor, not sure about dose in 2018, then switched to 10 mg prozac in 2020.  Tried coming off cold turkey in 2022, was fine for 3 months then withdrawal hit, psychiatrist had me reinstate to 10mg and I stabilized.  April 2023 psych had me drop 1 mg every 1 months until I got to 1 mg in December 2023.  January 2024 went down to 0.5 mg then February 2024 went down to 0.3 mg.  The crash came at the end of February 2024.  Psych had me updose to 3 mg which I've been on for 8 days now.  Thought I felt some improvement with the updose but still having periods of severe anxiety every other day.  My question is should I stay on 3mg for a few weeks and see if I stabilize?  

 

Thanks for any input.

Edited by FireflyFyte
Updated title

2012 citalopram 20 mg then citalopram 40 mg in 2016.

50mg trazadone 2016 - present.

Switched from citalopram to effexor, not sure about dose in 2018.

Switched to 10 mg fluoxetine in 2020.

Tried coming off cold turkey in 2022, was fine for 3 months then withdrawal, psychiatrist had me reinstate to 10 mg and I stabilized. April 2023 psych had me drop 1 mg every month until I got to 1 mg in December 2023.  January 2024 went down to 0.5 mg then February 2024 went down to 0.3 mg.  The crash came at the end of February 2024.  Psych had me updose to 3 mg which I've been holding.  

 

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  • FireflyFyte changed the title to DG17: What should I do?
  • Moderator

Hi DG17,

 

Welcome to SA. Can you update your signature to follow the format at How to Summarize Your Drug History in Your Signature? You may need to be on a computer to complete this.

 

18 hours ago, DG17 said:

Psych had me updose to 3 mg which I've been on for 8 days now.

 

Is this 3mg of Prozac?

 

Thanks,

 

Firefly

 

Pre- October 2022: Wellbutrin, Escitalopram, CitalopramSertraline, Adderall IR, Vyvanse, Propranolol, Buspar, Ativan, and Latuda

Oct 13, 2022 - Oct 24, 2022 and Oct 31, 2022 - Present: Zyprexa (2.5 mg). Jan 14, 2023 -> Began transition to liquid suspension. Jan 29, 2023 = 2.375mg -> Feb 12, 2023 = 2.25mg -> Feb 27, 2023 = 2.14mg -> Mar 12, 2023 = 2.025mg -> Mar 27, 2023 = 1.93mg -> Apr 10, 2023 = 1.82mg -> Apr 23, 2023 = 1.74mg -> May 7, 2023 = 1.64mg -> May 21, 2023 = 1.56mg -> June 4, 2023 = 1.48mg -> June 19, 2023 = 1.4mg -> July 2, 2023 = 1.33mg -> July 16, 2023 = 1.26mg -> July 31, 2023 = 1.2mg -> Aug 13, 2023 = 1.14mg -> Aug 27, 2023 = 1.08mg -> Sep 13, 2023 = 1.02mg -> Jan 22, 2024 = 0.97mg -> Feb 4, 2024 = 0.92mg -> Feb 19, 2024 = 0.87mg -> Mar 3, 2024 = 0.83mg -> Mar 17, 2024 = 0.78mg -> Mar 31, 2024 = 0.74mg -> Apr 14, 2023 = 0.7mg

Oct 14, 2022 - Present: Prozac (40mg) upped from 20mg on Nov 1, 2022.

Oct 31, 2022 - Present: Gabapentin (300mg 3x day) -> May 3, 2023 = 300mg 2x day -> Oct 1, 2023 = 570mg -> Oct 15, 2023 = 540mg -> Oct 29, 2023 = 510mg -> Nov 13, 2023 = 484mg -> Nov 27, 2023 = 460mg -> Dec 9, 2023 = 436mg -> Dec 24, 2023 = 414mg -> Jan 7, 2024 = 400mg

 

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31 minutes ago, FireflyFyte said:

Hi DG17,

 

Welcome to SA. Can you update your signature to follow the format at How to Summarize Your Drug History in Your Signature? You may need to be on a computer to complete this.

 

 

Is this 3mg of Prozac?

 

Thanks,

 

Firefly

Hi!  Yes this is 3 mg liquid fluoxetine.

 

My name is Derek by the way.  I'm a 41 father of 2 and thankfully work from home.  I'm a bit scared as it's been hard to make it through the days the last couple of weeks.  

2012 citalopram 20 mg then citalopram 40 mg in 2016.

50mg trazadone 2016 - present.

Switched from citalopram to effexor, not sure about dose in 2018.

Switched to 10 mg fluoxetine in 2020.

Tried coming off cold turkey in 2022, was fine for 3 months then withdrawal, psychiatrist had me reinstate to 10 mg and I stabilized. April 2023 psych had me drop 1 mg every month until I got to 1 mg in December 2023.  January 2024 went down to 0.5 mg then February 2024 went down to 0.3 mg.  The crash came at the end of February 2024.  Psych had me updose to 3 mg which I've been holding.  

 

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1 hour ago, DG17 said:

Hi!  Yes this is 3 mg liquid fluoxetine.

 

I would hold at the 3mg and see if you stabilize. 

 

It might be helpful to track your symptoms throughout the day to see if you note any improvements or declines.

 

Pre- October 2022: Wellbutrin, Escitalopram, CitalopramSertraline, Adderall IR, Vyvanse, Propranolol, Buspar, Ativan, and Latuda

Oct 13, 2022 - Oct 24, 2022 and Oct 31, 2022 - Present: Zyprexa (2.5 mg). Jan 14, 2023 -> Began transition to liquid suspension. Jan 29, 2023 = 2.375mg -> Feb 12, 2023 = 2.25mg -> Feb 27, 2023 = 2.14mg -> Mar 12, 2023 = 2.025mg -> Mar 27, 2023 = 1.93mg -> Apr 10, 2023 = 1.82mg -> Apr 23, 2023 = 1.74mg -> May 7, 2023 = 1.64mg -> May 21, 2023 = 1.56mg -> June 4, 2023 = 1.48mg -> June 19, 2023 = 1.4mg -> July 2, 2023 = 1.33mg -> July 16, 2023 = 1.26mg -> July 31, 2023 = 1.2mg -> Aug 13, 2023 = 1.14mg -> Aug 27, 2023 = 1.08mg -> Sep 13, 2023 = 1.02mg -> Jan 22, 2024 = 0.97mg -> Feb 4, 2024 = 0.92mg -> Feb 19, 2024 = 0.87mg -> Mar 3, 2024 = 0.83mg -> Mar 17, 2024 = 0.78mg -> Mar 31, 2024 = 0.74mg -> Apr 14, 2023 = 0.7mg

Oct 14, 2022 - Present: Prozac (40mg) upped from 20mg on Nov 1, 2022.

Oct 31, 2022 - Present: Gabapentin (300mg 3x day) -> May 3, 2023 = 300mg 2x day -> Oct 1, 2023 = 570mg -> Oct 15, 2023 = 540mg -> Oct 29, 2023 = 510mg -> Nov 13, 2023 = 484mg -> Nov 27, 2023 = 460mg -> Dec 9, 2023 = 436mg -> Dec 24, 2023 = 414mg -> Jan 7, 2024 = 400mg

 

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5 minutes ago, FireflyFyte said:

 

I would hold at the 3mg and see if you stabilize. 

 

It might be helpful to track your symptoms throughout the day to see if you note any improvements or declines.

Thank you so much.  

2012 citalopram 20 mg then citalopram 40 mg in 2016.

50mg trazadone 2016 - present.

Switched from citalopram to effexor, not sure about dose in 2018.

Switched to 10 mg fluoxetine in 2020.

Tried coming off cold turkey in 2022, was fine for 3 months then withdrawal, psychiatrist had me reinstate to 10 mg and I stabilized. April 2023 psych had me drop 1 mg every month until I got to 1 mg in December 2023.  January 2024 went down to 0.5 mg then February 2024 went down to 0.3 mg.  The crash came at the end of February 2024.  Psych had me updose to 3 mg which I've been holding.  

 

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Does a reinstatement or updose take a while to show?

2012 citalopram 20 mg then citalopram 40 mg in 2016.

50mg trazadone 2016 - present.

Switched from citalopram to effexor, not sure about dose in 2018.

Switched to 10 mg fluoxetine in 2020.

Tried coming off cold turkey in 2022, was fine for 3 months then withdrawal, psychiatrist had me reinstate to 10 mg and I stabilized. April 2023 psych had me drop 1 mg every month until I got to 1 mg in December 2023.  January 2024 went down to 0.5 mg then February 2024 went down to 0.3 mg.  The crash came at the end of February 2024.  Psych had me updose to 3 mg which I've been holding.  

 

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  • Moderator
16 hours ago, DG17 said:

Does a reinstatement or updose take a while to show?

 

Yes, it can often take up to several weeks to see the effects of a reinstatement or updose.

 

Pre- October 2022: Wellbutrin, Escitalopram, CitalopramSertraline, Adderall IR, Vyvanse, Propranolol, Buspar, Ativan, and Latuda

Oct 13, 2022 - Oct 24, 2022 and Oct 31, 2022 - Present: Zyprexa (2.5 mg). Jan 14, 2023 -> Began transition to liquid suspension. Jan 29, 2023 = 2.375mg -> Feb 12, 2023 = 2.25mg -> Feb 27, 2023 = 2.14mg -> Mar 12, 2023 = 2.025mg -> Mar 27, 2023 = 1.93mg -> Apr 10, 2023 = 1.82mg -> Apr 23, 2023 = 1.74mg -> May 7, 2023 = 1.64mg -> May 21, 2023 = 1.56mg -> June 4, 2023 = 1.48mg -> June 19, 2023 = 1.4mg -> July 2, 2023 = 1.33mg -> July 16, 2023 = 1.26mg -> July 31, 2023 = 1.2mg -> Aug 13, 2023 = 1.14mg -> Aug 27, 2023 = 1.08mg -> Sep 13, 2023 = 1.02mg -> Jan 22, 2024 = 0.97mg -> Feb 4, 2024 = 0.92mg -> Feb 19, 2024 = 0.87mg -> Mar 3, 2024 = 0.83mg -> Mar 17, 2024 = 0.78mg -> Mar 31, 2024 = 0.74mg -> Apr 14, 2023 = 0.7mg

Oct 14, 2022 - Present: Prozac (40mg) upped from 20mg on Nov 1, 2022.

Oct 31, 2022 - Present: Gabapentin (300mg 3x day) -> May 3, 2023 = 300mg 2x day -> Oct 1, 2023 = 570mg -> Oct 15, 2023 = 540mg -> Oct 29, 2023 = 510mg -> Nov 13, 2023 = 484mg -> Nov 27, 2023 = 460mg -> Dec 9, 2023 = 436mg -> Dec 24, 2023 = 414mg -> Jan 7, 2024 = 400mg

 

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Update: I'm on day 13 of my updose to 3mg of fluoxetine and already feel much better.  I've been able to work and carry out my daily activities the last few days and even got on the treadmill for a bit this morning.  If everything keeps improving, my plan is to hold until at least July then start a proper 10% taper.  My psychiatrist is even on board.

 

I just want to say that the experiences described on this website are some of the most terrifying yet inspirational things I've ever read.  

2012 citalopram 20 mg then citalopram 40 mg in 2016.

50mg trazadone 2016 - present.

Switched from citalopram to effexor, not sure about dose in 2018.

Switched to 10 mg fluoxetine in 2020.

Tried coming off cold turkey in 2022, was fine for 3 months then withdrawal, psychiatrist had me reinstate to 10 mg and I stabilized. April 2023 psych had me drop 1 mg every month until I got to 1 mg in December 2023.  January 2024 went down to 0.5 mg then February 2024 went down to 0.3 mg.  The crash came at the end of February 2024.  Psych had me updose to 3 mg which I've been holding.  

 

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  • Moderator
4 hours ago, DG17 said:

Update: I'm on day 13 of my updose to 3mg of fluoxetine and already feel much better.  I've been able to work and carry out my daily activities the last few days and even got on the treadmill for a bit this morning.  If everything keeps improving, my plan is to hold until at least July then start a proper 10% taper.  My psychiatrist is even on board.

 

I am glad that you appear to be stabilizing. I think a long hold is a great idea before you begin tapering again.

 

Pre- October 2022: Wellbutrin, Escitalopram, CitalopramSertraline, Adderall IR, Vyvanse, Propranolol, Buspar, Ativan, and Latuda

Oct 13, 2022 - Oct 24, 2022 and Oct 31, 2022 - Present: Zyprexa (2.5 mg). Jan 14, 2023 -> Began transition to liquid suspension. Jan 29, 2023 = 2.375mg -> Feb 12, 2023 = 2.25mg -> Feb 27, 2023 = 2.14mg -> Mar 12, 2023 = 2.025mg -> Mar 27, 2023 = 1.93mg -> Apr 10, 2023 = 1.82mg -> Apr 23, 2023 = 1.74mg -> May 7, 2023 = 1.64mg -> May 21, 2023 = 1.56mg -> June 4, 2023 = 1.48mg -> June 19, 2023 = 1.4mg -> July 2, 2023 = 1.33mg -> July 16, 2023 = 1.26mg -> July 31, 2023 = 1.2mg -> Aug 13, 2023 = 1.14mg -> Aug 27, 2023 = 1.08mg -> Sep 13, 2023 = 1.02mg -> Jan 22, 2024 = 0.97mg -> Feb 4, 2024 = 0.92mg -> Feb 19, 2024 = 0.87mg -> Mar 3, 2024 = 0.83mg -> Mar 17, 2024 = 0.78mg -> Mar 31, 2024 = 0.74mg -> Apr 14, 2023 = 0.7mg

Oct 14, 2022 - Present: Prozac (40mg) upped from 20mg on Nov 1, 2022.

Oct 31, 2022 - Present: Gabapentin (300mg 3x day) -> May 3, 2023 = 300mg 2x day -> Oct 1, 2023 = 570mg -> Oct 15, 2023 = 540mg -> Oct 29, 2023 = 510mg -> Nov 13, 2023 = 484mg -> Nov 27, 2023 = 460mg -> Dec 9, 2023 = 436mg -> Dec 24, 2023 = 414mg -> Jan 7, 2024 = 400mg

 

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  • 3 weeks later...

5 weeks since updating to 3 mg and I would say I'm about 95% back to baseline.  My sleep is improved and exercise tolerance has returned.

 

My plan was to wait until July to begin tapering, but am now thinking of starting in May.  

 

Is May a little too ambitious?

2012 citalopram 20 mg then citalopram 40 mg in 2016.

50mg trazadone 2016 - present.

Switched from citalopram to effexor, not sure about dose in 2018.

Switched to 10 mg fluoxetine in 2020.

Tried coming off cold turkey in 2022, was fine for 3 months then withdrawal, psychiatrist had me reinstate to 10 mg and I stabilized. April 2023 psych had me drop 1 mg every month until I got to 1 mg in December 2023.  January 2024 went down to 0.5 mg then February 2024 went down to 0.3 mg.  The crash came at the end of February 2024.  Psych had me updose to 3 mg which I've been holding.  

 

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  • Moderator

I think middle to end of May would be a safe time to start tapering if you continue to feel stable and well.

 

Pre- October 2022: Wellbutrin, Escitalopram, CitalopramSertraline, Adderall IR, Vyvanse, Propranolol, Buspar, Ativan, and Latuda

Oct 13, 2022 - Oct 24, 2022 and Oct 31, 2022 - Present: Zyprexa (2.5 mg). Jan 14, 2023 -> Began transition to liquid suspension. Jan 29, 2023 = 2.375mg -> Feb 12, 2023 = 2.25mg -> Feb 27, 2023 = 2.14mg -> Mar 12, 2023 = 2.025mg -> Mar 27, 2023 = 1.93mg -> Apr 10, 2023 = 1.82mg -> Apr 23, 2023 = 1.74mg -> May 7, 2023 = 1.64mg -> May 21, 2023 = 1.56mg -> June 4, 2023 = 1.48mg -> June 19, 2023 = 1.4mg -> July 2, 2023 = 1.33mg -> July 16, 2023 = 1.26mg -> July 31, 2023 = 1.2mg -> Aug 13, 2023 = 1.14mg -> Aug 27, 2023 = 1.08mg -> Sep 13, 2023 = 1.02mg -> Jan 22, 2024 = 0.97mg -> Feb 4, 2024 = 0.92mg -> Feb 19, 2024 = 0.87mg -> Mar 3, 2024 = 0.83mg -> Mar 17, 2024 = 0.78mg -> Mar 31, 2024 = 0.74mg -> Apr 14, 2023 = 0.7mg

Oct 14, 2022 - Present: Prozac (40mg) upped from 20mg on Nov 1, 2022.

Oct 31, 2022 - Present: Gabapentin (300mg 3x day) -> May 3, 2023 = 300mg 2x day -> Oct 1, 2023 = 570mg -> Oct 15, 2023 = 540mg -> Oct 29, 2023 = 510mg -> Nov 13, 2023 = 484mg -> Nov 27, 2023 = 460mg -> Dec 9, 2023 = 436mg -> Dec 24, 2023 = 414mg -> Jan 7, 2024 = 400mg

 

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