AndreaMC Posted April 25, 2024 Posted April 25, 2024 (edited) I began my time on meds when I had Postpartum depression in 2009. I was prescribed Escitalopram 20 mg and also was given Clonazepam for anxiety and sleep. I took 2 mg doses. I didn’t know benzos were dangerous so continued to take them pretty regularly for the next 14 years, along with the AD. I finally went into tolerance withdrawal in May of 2023 and had insomnia and anxiety. In July I did a rapid taper and was off the benzo in August. I was also switched from Escitalopram to Sertraline 100 mg, then given more meds to try to help the insomnia-Mirtazapine, Quetiapine, and Trazodone. Nothing really worked. I also took Gabapentin for anxiety. I was taken off all these meds and switched to a combination of Zyprexa and Prozac in October 2023. The Zyprexa has helped with sleep, but I am now tapering it since it’s not a good med to be on long term. Currently at 7 mg. My doctor switched me from Prozac to Trintellix, telling me I could stop the Prozac abruptly and start the new med. My question is, can Prozac safely be stopped abruptly and a new med started? I’m very discouraged and don’t know where to turn. I want to be off all meds as they are not helping. I actually think that the polydrugging plus benzo withdrawal has increased my depression and anxiety. Edited April 26, 2024 by Emonda Name to title 2009-July 2023: Escitalopram 20 mg, Clonazepam 2 mg (rapid taper off both) July 2023: Quetiapine 100 mg (stopped in August) July 2023-September 2023: Sertraline 100 mg, Mirtazapine 15 mg, Trazodone 50 mg, Gabapentin 900 mg (rapid taper off Sertraline, CT the rest) October 2023-present: Zyprexa-started at 10 mg, now tapering and current dose is 7 mg, Prozac 40 mg April 2024: Stopped Prozac and started Trintellix (currently at 10 mg)
Moderator Erimus Posted April 26, 2024 Moderator Posted April 26, 2024 Hello, and welcome to Surviving Antidepressants. We are a peer support forum to assist in tapering off psychiatric drugs safely, or recovering from psychiatric drug withdrawal. How long has it been since you switched from prozac to trintellix? Taper Calculating Spreadsheet PSYCHIATRIC MEDICATION: 1) Sertraline: 55.89mgai // 0.178gpw 2020: 50mg - Oct, 100mg - Dec 2021: 50mg - Apr, 75mg - May, 50mg - Sep, severe withdrawal for 12 months 2024: 55mg - 23 Feb, 60mg - 20 Mar, start tapering - 24 Apr, reached 52.5mg before crashing hard - 13 Aug, updose to 57.93mg - 29 Aug (mistake in hindsight), 3 month hold, split dose in two - late Nov, 57.30mg - 10 Dec 2025: 55.89mg - 6 Jan, 2) Mirtazapine: 15mg 2020: 15mg - Nov OTHER MEDICATION: 1) Omeprazole: 10mg SUPPLEMENTS: Cod liver oil, Magnesium, Vitamin C, Vitamin D DIET: No alcohol, caffeine or any other psychoactive substances
AndreaMC Posted April 26, 2024 Author Posted April 26, 2024 It’s been a little less than 2 weeks. I think I’m going to just go back on Prozac and eventually do a proper taper of it. I just don’t feel comfortable switching abruptly and starting all over with a new med. I’ve heard too many stories of awful withdrawals when people suddenly stop a med. Plus I’m already in the process of tapering Zyprexa! What are your thoughts? 2009-July 2023: Escitalopram 20 mg, Clonazepam 2 mg (rapid taper off both) July 2023: Quetiapine 100 mg (stopped in August) July 2023-September 2023: Sertraline 100 mg, Mirtazapine 15 mg, Trazodone 50 mg, Gabapentin 900 mg (rapid taper off Sertraline, CT the rest) October 2023-present: Zyprexa-started at 10 mg, now tapering and current dose is 7 mg, Prozac 40 mg April 2024: Stopped Prozac and started Trintellix (currently at 10 mg)
Moderator Erimus Posted April 26, 2024 Moderator Posted April 26, 2024 2 hours ago, AndreaMC said: It’s been a little less than 2 weeks. I think I’m going to just go back on Prozac and eventually do a proper taper of it. I just don’t feel comfortable switching abruptly and starting all over with a new med. I’ve heard too many stories of awful withdrawals when people suddenly stop a med. Plus I’m already in the process of tapering Zyprexa! What are your thoughts? I think that would be a sensible idea given it has been less than two weeks. The prozac will not have fully left your system due to it's long half-life. Please monitor how you feel over the coming days and weeks. Things may be turbulent for a while. I would give it a good month before trying to taper again. Your brain needs stability. Please explore the site and read as much as you can. Here are some of the most useful links: Important topics in the Tapering forum and FAQ Micro tapering Why taper by 10% of my dosage? Taking multiple psych drugs? Which drug to taper first? How to make a liquid from tablets or capsules Using a scale to weigh and measure doses We only recommend two supplements. Omega 3 Fish Oil and Magnesium. Both should be introduced separately and increased slowly. Regards Erimus Taper Calculating Spreadsheet PSYCHIATRIC MEDICATION: 1) Sertraline: 55.89mgai // 0.178gpw 2020: 50mg - Oct, 100mg - Dec 2021: 50mg - Apr, 75mg - May, 50mg - Sep, severe withdrawal for 12 months 2024: 55mg - 23 Feb, 60mg - 20 Mar, start tapering - 24 Apr, reached 52.5mg before crashing hard - 13 Aug, updose to 57.93mg - 29 Aug (mistake in hindsight), 3 month hold, split dose in two - late Nov, 57.30mg - 10 Dec 2025: 55.89mg - 6 Jan, 2) Mirtazapine: 15mg 2020: 15mg - Nov OTHER MEDICATION: 1) Omeprazole: 10mg SUPPLEMENTS: Cod liver oil, Magnesium, Vitamin C, Vitamin D DIET: No alcohol, caffeine or any other psychoactive substances
AndreaMC Posted April 26, 2024 Author Posted April 26, 2024 Thanks, that is what I plan to do. I took Prozac again this morning and have stopped the Trintellix. 2009-July 2023: Escitalopram 20 mg, Clonazepam 2 mg (rapid taper off both) July 2023: Quetiapine 100 mg (stopped in August) July 2023-September 2023: Sertraline 100 mg, Mirtazapine 15 mg, Trazodone 50 mg, Gabapentin 900 mg (rapid taper off Sertraline, CT the rest) October 2023-present: Zyprexa-started at 10 mg, now tapering and current dose is 7 mg, Prozac 40 mg April 2024: Stopped Prozac and started Trintellix (currently at 10 mg)
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