Jump to content

Highbury: Tapering from Escitalopram


Recommended Posts

Tapering history from Escitalopram taken at 10 mg since 2009 until increased to 20mg June 2022

 

November 15th   2023 17.5mg 

January 24                                     16.25mg

February 24.                                    15mg 

March.      24.                                    13.75mg

April.          24                                     12.5mg 

May.           24.                                     11.25mg 

June.          24.                                     10mg 

 

 

 

I first took an SSRI back in 1994 for depression and anxiety.
Had small periods away from SSRI’s, unfortunately since 2009 i had been taking 10mg of Escitalopram and thought that i would be on it for life.
In the summer of 2022 i had a very stressful event and was advised to up it to 20mg.

I have been tapering slowly since 15th November 2023 @ a rate of 1.25mg proximally every month.
However my last reduction from 11.25mg to 10mg at the beginning of June 2024 has been absolute HELL! 
 


My GP is supporting my plan, even if it is 100% led my me.


Right now i am feeing very desperate and holding on for dear life the last couple of weeks. Praying the withdrawal symptoms subside and my nervous system and brain acclimatise to 10mg. 
Debating if I reinstall back to my previous dose of 11.25 last taken 27 days ago at that dosage or hold until my nervous system settles! 
It’s pretty horrendous at the moment. 

Help!

Edited by Emonda
Name correction to title

1994-2006 SSRI’s Prozac, Effexor, Mirtazapine, cipralex 

August 2003 Two weeks cold turkey Mirtazapine 15mg (lost luggage) Reinstated at 15mg 

2006 -March 2022   10mg escitalopram   April -May  2022 5mg escitalopram 

15th June  2022                      20mg escitalopram 

15th November 2023   17.5mg escitalopram 1st January 2024          16.25mg escitalopram 1st February 2024 15mg 

1st March 2024              13.75mg

1st April 2024                 12.5mg 

1st May 2024                  11.25mg 

1st June 2024                  10mg 

28th June 2024                10.625mg 

16th July 2024                   10mg 

Link to comment
  • Moderator Emeritus

Hello, and welcome to SA.  We are a volunteer-run community of people who have been or are getting off of psychiatric drugs.  What days of the month over the past 4 months did you do your dose reductions?  Please add the days of the months, as best you can remember. Please also add any other drugs/supplements you have been or are taking. 

 

How to List Your Drug History in Your Signature

 

I suspect that you are tapering faster than your brain is able to adjust to the lower dose, and it is catching up with you.  What are your symptoms?  

 

Here is some important information about how these drugs actually work.  This explains why we get symptoms from going off of these medications, and why it's so important to taper slowly and carefully, and be very cautious about changing our doses: 

 

How Psychiatric Drugs Remodel Your Brain

 

 

This helps you understand what withdrawal syndrome is: 

 

Video on Recovery from Psych Drugs

 

Windows and Waves Pattern of Stabilization

 

 

Tapering is best done extremely slowly, and we generally taper by 10% of the current dose no more than once every 4 weeks, so that the reduction becomes exponentially smaller.

 

 Why Taper by 10% of my Dosage  

 

Tips for Tapering Lexapro

 

Since you dropped your dose 27 days ago, I don't suggest you go back to the previous dose.  Your brain will have made some adjustments to the reduction, so I would suggest updosing to 10.75 mg.  Please give this some time to work.  It may take up to a week to feel an improvement, and it will take longer for the updose to fully help.  It may not fully resolve the withdrawal symptoms, completely, but it should help. Then, give yourself several months of a hold period on this dose to allow your nervous system to rest and catch up before doing another reduction.  

 

Here is a link with checklists of common WD symptoms: 

 

Dr Joseph Glenmullen Withdrawal Symptom Checklists

 

 

Here are some techniques to cope with symptoms: 

 

Non Drug Ways to Cope with Withdrawal Symptoms

 

Stability is really important when we are tapering off psych meds.  Please read the link about stability:

 

Keep It Simple, Slow, and Stable

 

We don't suggest many supplements, but 2 that many of us find helpful are magnesium and omega-3 fish oil. Here are the links for info about those. It is suggested to add one at a time, and start with a low dose to see how it affects you. 


Magnesium

Omega 3 Fish Oil

 

Please let us know how you are doing.  Good luck. 

Please do not private message me.  Only tag me for urgent questions about tapering and reinstating - thank you.  

 

***Please note this is not medical advice.  Discuss any decisions about your medical care with a doctor who understands psych meds and how to withdraw from them, if you can find one.

 

Lexapro   Started Apr 15 2010 - 10 mg;  started taper August 2017, recent taper info: Apr 2 '20  0.18 mg; Jul 16  0.17 mg, Aug 23  0.16 mg, Oct 7  0.15 mg, Nov 8 - 0.14, Jan 16 '21 - 0.13, Feb 7 - 0.12, Feb 22 - 0.11, Mar 26 - 0.10, May 21 - 0.09, June 15 - 0.08 Aug 16 - 0.07, Oct 6 - 0.06, Nov 21 0.05, Dec. 17 0.04, Jan 14 '22 0.03, Feb 19 0.02, Apr 18 0.01, May 15 0.005,  Jul 8, 0.00.  Psych Drug Free as of July 8, 2022!!  Woohoo!!!

other meds: Levothyroxine 75 mg

magnesium in small amounts at 4 AM, before bed

suppl AM: fish oil, flax oil, vit C, vit E, multivitamin, zinc

suppl 8 PM: magnesium 350 mg, extended release vitamin C, melatonin 2 mg

 

Paxil 2002 - 2010, switched to Lexapro 2010 

Trazodone 50 mg. 2002 - 2019, fast tapered in 2019 

Xanax 0.5 mg as needed 2002 - 2019, up to 3x weekly 

Link to comment
  • getofflex changed the title to Erminio: Tapering from Escitalopram

I choose the 1st day of every month to reduce the dose.

Monday  1st January 16.25mg

Thursday 1st February 15mg

Friday 1st March 13.75mg

Monday 1st April 12.5mg

Wednesday 1st May 11.25mg

Saturday 1st June 10mg

 

I have not taken any other drugs or supplements throughout this tapering period.

 

 

 

 

 

1994-2006 SSRI’s Prozac, Effexor, Mirtazapine, cipralex 

August 2003 Two weeks cold turkey Mirtazapine 15mg (lost luggage) Reinstated at 15mg 

2006 -March 2022   10mg escitalopram   April -May  2022 5mg escitalopram 

15th June  2022                      20mg escitalopram 

15th November 2023   17.5mg escitalopram 1st January 2024          16.25mg escitalopram 1st February 2024 15mg 

1st March 2024              13.75mg

1st April 2024                 12.5mg 

1st May 2024                  11.25mg 

1st June 2024                  10mg 

28th June 2024                10.625mg 

16th July 2024                   10mg 

Link to comment

My symptoms are intense anxiety and very low mood, shacking, dizziness, headache, restlessness, fatigue, suicidal thoughts, wanting to cry all the time.

two weeks ago I felt really good!

1994-2006 SSRI’s Prozac, Effexor, Mirtazapine, cipralex 

August 2003 Two weeks cold turkey Mirtazapine 15mg (lost luggage) Reinstated at 15mg 

2006 -March 2022   10mg escitalopram   April -May  2022 5mg escitalopram 

15th June  2022                      20mg escitalopram 

15th November 2023   17.5mg escitalopram 1st January 2024          16.25mg escitalopram 1st February 2024 15mg 

1st March 2024              13.75mg

1st April 2024                 12.5mg 

1st May 2024                  11.25mg 

1st June 2024                  10mg 

28th June 2024                10.625mg 

16th July 2024                   10mg 

Link to comment
14 hours ago, getofflex said:

Hello, and welcome to SA.  We are a volunteer-run community of people who have been or are getting off of psychiatric drugs.  What days of the month over the past 4 months did you do your dose reductions?  Please add the days of the months, as best you can remember. Please also add any other drugs/supplements you have been or are taking. 

 

How to List Your Drug History in Your Signature

 

I suspect that you are tapering faster than your brain is able to adjust to the lower dose, and it is catching up with you.  What are your symptoms?  

 

Here is some important information about how these drugs actually work.  This explains why we get symptoms from going off of these medications, and why it's so important to taper slowly and carefully, and be very cautious about changing our doses: 

 

How Psychiatric Drugs Remodel Your Brain

 

 

This helps you understand what withdrawal syndrome is: 

 

Video on Recovery from Psych Drugs

 

Windows and Waves Pattern of Stabilization

 

 

Tapering is best done extremely slowly, and we generally taper by 10% of the current dose no more than once every 4 weeks, so that the reduction becomes exponentially smaller.

 

 Why Taper by 10% of my Dosage  

 

Tips for Tapering Lexapro

 

Since you dropped your dose 27 days ago, I don't suggest you go back to the previous dose.  Your brain will have made some adjustments to the reduction, so I would suggest updosing to 10.75 mg.  Please give this some time to work.  It may take up to a week to feel an improvement, and it will take longer for the updose to fully help.  It may not fully resolve the withdrawal symptoms, completely, but it should help. Then, give yourself several months of a hold period on this dose to allow your nervous system to rest and catch up before doing another reduction.  

 

Here is a link with checklists of common WD symptoms: 

 

Dr Joseph Glenmullen Withdrawal Symptom Checklists

 

 

Here are some techniques to cope with symptoms: 

 

Non Drug Ways to Cope with Withdrawal Symptoms

 

Stability is really important when we are tapering off psych meds.  Please read the link about stability:

 

Keep It Simple, Slow, and Stable

 

We don't suggest many supplements, but 2 that many of us find helpful are magnesium and omega-3 fish oil. Here are the links for info about those. It is suggested to add one at a time, and start with a low dose to see how it affects you. 


Magnesium

Omega 3 Fish Oil

 

Please let us know how you are doing.  Good luck. 

 

1994-2006 SSRI’s Prozac, Effexor, Mirtazapine, cipralex 

August 2003 Two weeks cold turkey Mirtazapine 15mg (lost luggage) Reinstated at 15mg 

2006 -March 2022   10mg escitalopram   April -May  2022 5mg escitalopram 

15th June  2022                      20mg escitalopram 

15th November 2023   17.5mg escitalopram 1st January 2024          16.25mg escitalopram 1st February 2024 15mg 

1st March 2024              13.75mg

1st April 2024                 12.5mg 

1st May 2024                  11.25mg 

1st June 2024                  10mg 

28th June 2024                10.625mg 

16th July 2024                   10mg 

Link to comment
Posted (edited)

Thank you, i have reinstated 0.75mg today on day 28 after 27 days of 10mg

I really appreciate you taking the time to respond and share your experience with me.

 

warmly

 

Edited by Emonda
Name removed

1994-2006 SSRI’s Prozac, Effexor, Mirtazapine, cipralex 

August 2003 Two weeks cold turkey Mirtazapine 15mg (lost luggage) Reinstated at 15mg 

2006 -March 2022   10mg escitalopram   April -May  2022 5mg escitalopram 

15th June  2022                      20mg escitalopram 

15th November 2023   17.5mg escitalopram 1st January 2024          16.25mg escitalopram 1st February 2024 15mg 

1st March 2024              13.75mg

1st April 2024                 12.5mg 

1st May 2024                  11.25mg 

1st June 2024                  10mg 

28th June 2024                10.625mg 

16th July 2024                   10mg 

Link to comment

 @getofflex Thank you so much for your experience.

I have reinstated 0.75mg by cutting down the pills as best I can as you pointed out, 27 days had passed since I tapered down to 10mg 

The side effects since this last reduction from 11.25mg to 10mg has been a real shock.

depression, intense anxiety, headache, depersonalisation, shaking, crying, confusion, brain fog.

it is so intense and I am trying to work through this.

 

 

 

Do you know about liquid medication? 
So that I can be precise with the 0.75mg I am adding to my 10mg pill? 

 

 

 

1994-2006 SSRI’s Prozac, Effexor, Mirtazapine, cipralex 

August 2003 Two weeks cold turkey Mirtazapine 15mg (lost luggage) Reinstated at 15mg 

2006 -March 2022   10mg escitalopram   April -May  2022 5mg escitalopram 

15th June  2022                      20mg escitalopram 

15th November 2023   17.5mg escitalopram 1st January 2024          16.25mg escitalopram 1st February 2024 15mg 

1st March 2024              13.75mg

1st April 2024                 12.5mg 

1st May 2024                  11.25mg 

1st June 2024                  10mg 

28th June 2024                10.625mg 

16th July 2024                   10mg 

Link to comment

I am new here and have been really struggling since my last dose reduction from 11.25mg to 10mg escitalopram.

After 27 days at this dose I have reinstated 0.75mg as best I can by cutting down a pill.

I will see my GP and ask for liquid.

can anyone offer advice on how to use and get the exact dosage of 0.75 please.

1994-2006 SSRI’s Prozac, Effexor, Mirtazapine, cipralex 

August 2003 Two weeks cold turkey Mirtazapine 15mg (lost luggage) Reinstated at 15mg 

2006 -March 2022   10mg escitalopram   April -May  2022 5mg escitalopram 

15th June  2022                      20mg escitalopram 

15th November 2023   17.5mg escitalopram 1st January 2024          16.25mg escitalopram 1st February 2024 15mg 

1st March 2024              13.75mg

1st April 2024                 12.5mg 

1st May 2024                  11.25mg 

1st June 2024                  10mg 

28th June 2024                10.625mg 

16th July 2024                   10mg 

Link to comment
  • Emonda changed the title to Highbury: Tapering from Escitalopram

 

Tapering history from Escitalopram taken at 10 mg since 2009 until increased to 20mg June 2022

 

November 15th   2023 17.5mg 

January 24                                     16.25mg

February 24.                                    15mg 

March.      24.                                    13.75mg

April.          24                                     12.5mg 

May.           24.                                     11.25mg 

June.          24.                                     10mg 

 

 

 

I first took an SSRI back in 1994 for depression and anxiety.

Taken many different SSRI medications until 2009 that I can’t remember. 

Had small periods away from SSRI’s, unfortunately since 2009 i had been taking 10mg of Escitalopram and thought that i would be on it for life.
In the summer of 2022 i had a very stressful event and was advised to up it to 20mg.

I have been tapering slowly since 15th November 2023 @ a rate of 1.25mg proximally every month.
However my last reduction from 11.25mg to 10mg at the beginning of June 2024 has been absolute HELL! 
 


My GP is supporting my plan, even if it is 100% led my me.


Right now i am feeing very desperate and holding on for dear life the last couple of weeks. Praying the withdrawal symptoms subside and my nervous system and brain acclimatise to 10mg. 
Debating if I reinstall back to my previous dose of 11.25 last taken 27 days ago at that dosage or hold until my nervous system settles! 
It’s pretty horrendous at the moment. 

Help!

 

 I have now reinstated 0.75mg 

so taking10.75 by pill cutting.

its not so precise and will see my GP to switch over to liquid.

 

Can anyone recommend how the  measurements work with liquid.

I am desperate for symptoms to stabilise.

depression, intense anxiety, confusion, depersonalisation, crying, intense cortisol levels that don’t ease, terrifying thoughts.

 

 

After all the years on SSRI I thought I was this time tapering slowly and feeling great! Until this moment of collapse.

 

PLEASE HELP. 

 

1994-2006 SSRI’s Prozac, Effexor, Mirtazapine, cipralex 

August 2003 Two weeks cold turkey Mirtazapine 15mg (lost luggage) Reinstated at 15mg 

2006 -March 2022   10mg escitalopram   April -May  2022 5mg escitalopram 

15th June  2022                      20mg escitalopram 

15th November 2023   17.5mg escitalopram 1st January 2024          16.25mg escitalopram 1st February 2024 15mg 

1st March 2024              13.75mg

1st April 2024                 12.5mg 

1st May 2024                  11.25mg 

1st June 2024                  10mg 

28th June 2024                10.625mg 

16th July 2024                   10mg 

Link to comment

@Altostrata  

Hello, I am going to get escitalopram in liquid.

As I am reinstating 0.75mg by cutting a 5mg pill 

it’s obviously not very precise.
 I have spent the last 7 months tapering at a rate of 1.25mg per month until my last reduction on the 1st June 2024 from 11.25mg to 10mg 

it has been hell the last 29 day’s, it was suggested that I reinstate up 0.75mg. Which I have done after 27 days at 10mg.

do you have any experience on how to do this with liquid escitalopram and what should I ask my GP for please? 
 

 

Warmly 

@Highbury

1994-2006 SSRI’s Prozac, Effexor, Mirtazapine, cipralex 

August 2003 Two weeks cold turkey Mirtazapine 15mg (lost luggage) Reinstated at 15mg 

2006 -March 2022   10mg escitalopram   April -May  2022 5mg escitalopram 

15th June  2022                      20mg escitalopram 

15th November 2023   17.5mg escitalopram 1st January 2024          16.25mg escitalopram 1st February 2024 15mg 

1st March 2024              13.75mg

1st April 2024                 12.5mg 

1st May 2024                  11.25mg 

1st June 2024                  10mg 

28th June 2024                10.625mg 

16th July 2024                   10mg 

Link to comment

Hello @Highbury

Welcome to SA. 

 

On 6/27/2024 at 8:33 PM, getofflex said:

What days of the month over the past 4 months did you do your dose reductions?  Please add the days of the months, as best you can remember. Please also add any other drugs/supplements you have been or are taking. 

 

How to List Your Drug History in Your Signature

 

^ getofflex has asked you to list your drug history in your signature ^

Please do so ASAP, it will help moderators and members support you. 

 

1 hour ago, Highbury said:

@Altostrata  

Hello, I am going to get escitalopram in liquid.

As I am reinstating 0.75mg by cutting a 5mg pill 

it’s obviously not very precise.
 I have spent the last 7 months tapering at a rate of 1.25mg per month until my last reduction on the 1st June 2024 from 11.25mg to 10mg 

it has been hell the last 29 day’s, it was suggested that I reinstate up 0.75mg. Which I have done after 27 days at 10mg.

do you have any experience on how to do this with liquid escitalopram and what should I ask my GP for please? 
 

 

Warmly 

@Highbury

 

^ You originally posted the above in a help topic. Altostrata is no longer active day-to-day on SA. 

 

Any and all inquiries about your particular case belong here in your intro topic. This is your personal chronicle of tapering, withdrawal, and recovery. 

Along with your completed drug signature, keeping your posts collected here helps SA staff and members support you. 

 

Moderator getofflex welcomed you to the site and is following your thread. I'm sure you will receive a reply when getofflex is available. 

This is a peer support site with an all-volunteer staff who all have full lives and their own healing journeys to manage. There are many more members than staff.

Because of this we have to be patient while we wait for input from moderators. 

 

In the meantime, please do fill out your drug history and complete your signature.

 

Feel free to browse the site and familiarize yourself with the many informative and insightful topics. 

You might also read success stories in the recovery forum or reach out to other members for connection. 

SA is a phenomenal resource and there's a lot to take in. Go at your own pace, eventually you'll get the hang of it. 

 

Take care,

Ariel

1996-2018 - misc. polypharmacy, incl. SSRIs, SNRIs, neuroleptics, lithium, benzos, stimulants, antihistamines, etc. (approx. 30+ drugs)

2012-2018 - 10mg lexapro/escitalopram (20mg?)    Jan. 2018 - 10mg -> 5mg, then from 5mg -> 2.5mg, then 0mg  -->  July 2018 - 0mg

2017(?)-2020 - vyvanse/lisdexamfetamine 60-70mg    2020-2021 - 70mg down to 0mg  -->  July 2021 - 0mg

March-April 2021 - vortioxetine 5-10mg (approx. 7 weeks total; CT)  -->  April 28th, 2021 - 0mg

August 2021 - 2mg melatonin   August 1, 2022 - 1mg melatonin   March 31, 2023 - 0mg melatonin

2024 supplements update: electrolyte blend in water sipped throughout the day; 1 tsp cod liver oil blend (incl. vit. A+D+E) w/ breakfast; calcium; vitamin C+zinc

 

Courage is fear that has said its prayers.  - Karle Wilson Baker

love and justice are not two. without inner change, there can be no outer change; without collective change, no change matters.  - Rev. angel Kyodo williams

Holding multiple truths. Knowing that everyone has their own accurate view of the way things are.  - text on homemade banner at Afiya house

 

I am not a medical professional; this is not medical advice. 

Link to comment

Thank you 

1994-2006 SSRI’s Prozac, Effexor, Mirtazapine, cipralex 

August 2003 Two weeks cold turkey Mirtazapine 15mg (lost luggage) Reinstated at 15mg 

2006 -March 2022   10mg escitalopram   April -May  2022 5mg escitalopram 

15th June  2022                      20mg escitalopram 

15th November 2023   17.5mg escitalopram 1st January 2024          16.25mg escitalopram 1st February 2024 15mg 

1st March 2024              13.75mg

1st April 2024                 12.5mg 

1st May 2024                  11.25mg 

1st June 2024                  10mg 

28th June 2024                10.625mg 

16th July 2024                   10mg 

Link to comment
Posted (edited)

Hi Ariel, @Ariel

i am new here and not really familiar with how this all works.

 

thank you for your response 

 

warmly 

 

Edited by Emonda
Name removed

1994-2006 SSRI’s Prozac, Effexor, Mirtazapine, cipralex 

August 2003 Two weeks cold turkey Mirtazapine 15mg (lost luggage) Reinstated at 15mg 

2006 -March 2022   10mg escitalopram   April -May  2022 5mg escitalopram 

15th June  2022                      20mg escitalopram 

15th November 2023   17.5mg escitalopram 1st January 2024          16.25mg escitalopram 1st February 2024 15mg 

1st March 2024              13.75mg

1st April 2024                 12.5mg 

1st May 2024                  11.25mg 

1st June 2024                  10mg 

28th June 2024                10.625mg 

16th July 2024                   10mg 

Link to comment

Hi @Highbury

You've figured out how to tag people and how to use the quote function. You're doing great! 

 

Next task: fill out your medication history to complete your drug signature ;-)

1996-2018 - misc. polypharmacy, incl. SSRIs, SNRIs, neuroleptics, lithium, benzos, stimulants, antihistamines, etc. (approx. 30+ drugs)

2012-2018 - 10mg lexapro/escitalopram (20mg?)    Jan. 2018 - 10mg -> 5mg, then from 5mg -> 2.5mg, then 0mg  -->  July 2018 - 0mg

2017(?)-2020 - vyvanse/lisdexamfetamine 60-70mg    2020-2021 - 70mg down to 0mg  -->  July 2021 - 0mg

March-April 2021 - vortioxetine 5-10mg (approx. 7 weeks total; CT)  -->  April 28th, 2021 - 0mg

August 2021 - 2mg melatonin   August 1, 2022 - 1mg melatonin   March 31, 2023 - 0mg melatonin

2024 supplements update: electrolyte blend in water sipped throughout the day; 1 tsp cod liver oil blend (incl. vit. A+D+E) w/ breakfast; calcium; vitamin C+zinc

 

Courage is fear that has said its prayers.  - Karle Wilson Baker

love and justice are not two. without inner change, there can be no outer change; without collective change, no change matters.  - Rev. angel Kyodo williams

Holding multiple truths. Knowing that everyone has their own accurate view of the way things are.  - text on homemade banner at Afiya house

 

I am not a medical professional; this is not medical advice. 

Link to comment

@Ariel

Thank you

 

it is very sketchy 

but i will upload my medical history on SSRI’s 

 

warmly

 

Highbury 

1994-2006 SSRI’s Prozac, Effexor, Mirtazapine, cipralex 

August 2003 Two weeks cold turkey Mirtazapine 15mg (lost luggage) Reinstated at 15mg 

2006 -March 2022   10mg escitalopram   April -May  2022 5mg escitalopram 

15th June  2022                      20mg escitalopram 

15th November 2023   17.5mg escitalopram 1st January 2024          16.25mg escitalopram 1st February 2024 15mg 

1st March 2024              13.75mg

1st April 2024                 12.5mg 

1st May 2024                  11.25mg 

1st June 2024                  10mg 

28th June 2024                10.625mg 

16th July 2024                   10mg 

Link to comment
  • Administrator

Hi @Highbury,

I've moved your new post back here to your own thread. Please keep posting here.

So the moderators can best help you, please complete your drug signature by following these instructions. Adding a signature ensures your drug history appears at the bottom of every post, making it more efficient for those trying to assist.

This link should go directly to your own signature: Account Settings – Create or Edit a signature

Best wishes, Emonda

Please don't send me PMs. I am not a doctor. My comments are based on my personal experience with ADs and tapering. Consult your doctor about your own medical decisions.

Start of taper: Jan ’22 Vortioxetine 15mg, 

End year 1: 4.5mg, 

End year 2: 2.38mg, 

Year 3: 19 Jan 2.33mg, 26 Jan 2.28mg, 2 Feb 2.24mg, 8 Feb 2.19mg, 29 Feb 2.15mg, 7 Mar 2.10mg, 14 Mar 2.06mg, 21 Mar 1.99mg, 10 Apr 1.95mg, 17 Apr 1.91mg, 24 Apr 1.87mg, 1 May 1.83mg, 23 May 1.80mg, 30 May 1.76mg, 8 Jun 1.72mg, 13 Jun 1.66mg, 3 Jul 1.62mg, 10 Jul 1.58mg, 17 Jul 1.54mg

Link to comment

@Emonda

 

thank you 

 

i have just posted my drug history 

 

 

warmly

@Highbury

1994-2006 SSRI’s Prozac, Effexor, Mirtazapine, cipralex 

August 2003 Two weeks cold turkey Mirtazapine 15mg (lost luggage) Reinstated at 15mg 

2006 -March 2022   10mg escitalopram   April -May  2022 5mg escitalopram 

15th June  2022                      20mg escitalopram 

15th November 2023   17.5mg escitalopram 1st January 2024          16.25mg escitalopram 1st February 2024 15mg 

1st March 2024              13.75mg

1st April 2024                 12.5mg 

1st May 2024                  11.25mg 

1st June 2024                  10mg 

28th June 2024                10.625mg 

16th July 2024                   10mg 

Link to comment
On 6/27/2024 at 7:33 PM, getofflex said:

Hello, and welcome to SA.  We are a volunteer-run community of people who have been or are getting off of psychiatric drugs.  What days of the month over the past 4 months did you do your dose reductions?  Please add the days of the months, as best you can remember. Please also add any other drugs/supplements you have been or are taking. 

 

How to List Your Drug History in Your Signature

 

I suspect that you are tapering faster than your brain is able to adjust to the lower dose, and it is catching up with you.  What are your symptoms?  

 

Here is some important information about how these drugs actually work.  This explains why we get symptoms from going off of these medications, and why it's so important to taper slowly and carefully, and be very cautious about changing our doses: 

 

How Psychiatric Drugs Remodel Your Brain

 

 

This helps you understand what withdrawal syndrome is: 

 

Video on Recovery from Psych Drugs

 

Windows and Waves Pattern of Stabilization

 

 

Tapering is best done extremely slowly, and we generally taper by 10% of the current dose no more than once every 4 weeks, so that the reduction becomes exponentially smaller.

 

 Why Taper by 10% of my Dosage  

 

Tips for Tapering Lexapro

 

Since you dropped your dose 27 days ago, I don't suggest you go back to the previous dose.  Your brain will have made some adjustments to the reduction, so I would suggest updosing to 10.75 mg.  Please give this some time to work.  It may take up to a week to feel an improvement, and it will take longer for the updose to fully help.  It may not fully resolve the withdrawal symptoms, completely, but it should help. Then, give yourself several months of a hold period on this dose to allow your nervous system to rest and catch up before doing another reduction.  

 

Here is a link with checklists of common WD symptoms: 

 

Dr Joseph Glenmullen Withdrawal Symptom Checklists

 

 

Here are some techniques to cope with symptoms: 

 

Non Drug Ways to Cope with Withdrawal Symptoms

 

Stability is really important when we are tapering off psych meds.  Please read the link about stability:

 

Keep It Simple, Slow, and Stable

 

We don't suggest many supplements, but 2 that many of us find helpful are magnesium and omega-3 fish oil. Here are the links for info about those. It is suggested to add one at a time, and start with a low dose to see how it affects you. 


Magnesium

Omega 3 Fish Oil

 

Please let us know how you are doing.  Good luck. 


@getofflex

Hi,

 

I hope this is the correct way to respond.

 

As i have up dosed from 10mg escitalopram to 10.75 after 27 days at 10mg by cutting dry pills. (Not so precise) 

I have a scheduled appointment with my GP to obtain the liquid version of escitalopram.

Having never used liquid, do you know how i get 10.75mg in liquid from please.

Really appreciate your efforts and time in responding to me a few days ago.

 

Warmly

@Highbury

1994-2006 SSRI’s Prozac, Effexor, Mirtazapine, cipralex 

August 2003 Two weeks cold turkey Mirtazapine 15mg (lost luggage) Reinstated at 15mg 

2006 -March 2022   10mg escitalopram   April -May  2022 5mg escitalopram 

15th June  2022                      20mg escitalopram 

15th November 2023   17.5mg escitalopram 1st January 2024          16.25mg escitalopram 1st February 2024 15mg 

1st March 2024              13.75mg

1st April 2024                 12.5mg 

1st May 2024                  11.25mg 

1st June 2024                  10mg 

28th June 2024                10.625mg 

16th July 2024                   10mg 

Link to comment
  • Moderator Emeritus
On 6/27/2024 at 2:04 PM, Highbury said:

My symptoms are intense anxiety and very low mood, shacking, dizziness, headache, restlessness, fatigue, suicidal thoughts, wanting to cry all the time.

These are classic withdrawal symptoms.  

 

4 hours ago, Highbury said:

Having never used liquid, do you know how i get 10.75mg in liquid from please.

Really appreciate your efforts and time in responding to me a few days ago.

 

This is very easy to do.  Buy a syringe and measure it with that. Of course you will safely discard the needle.  This link will explain exactly how to do this.  I think it is good you will use liquid, as this is more precise with nonstandard doses, and will be easy to taper.  

 

Using an Oral Syringe

 

Please give the updose at least a week, as this is how long it takes to register with your system.  It can take several weeks for the updose to fully help you, so please be patient.  

 

Good luck, and please let us know how it goes.  

 

 

Please do not private message me.  Only tag me for urgent questions about tapering and reinstating - thank you.  

 

***Please note this is not medical advice.  Discuss any decisions about your medical care with a doctor who understands psych meds and how to withdraw from them, if you can find one.

 

Lexapro   Started Apr 15 2010 - 10 mg;  started taper August 2017, recent taper info: Apr 2 '20  0.18 mg; Jul 16  0.17 mg, Aug 23  0.16 mg, Oct 7  0.15 mg, Nov 8 - 0.14, Jan 16 '21 - 0.13, Feb 7 - 0.12, Feb 22 - 0.11, Mar 26 - 0.10, May 21 - 0.09, June 15 - 0.08 Aug 16 - 0.07, Oct 6 - 0.06, Nov 21 0.05, Dec. 17 0.04, Jan 14 '22 0.03, Feb 19 0.02, Apr 18 0.01, May 15 0.005,  Jul 8, 0.00.  Psych Drug Free as of July 8, 2022!!  Woohoo!!!

other meds: Levothyroxine 75 mg

magnesium in small amounts at 4 AM, before bed

suppl AM: fish oil, flax oil, vit C, vit E, multivitamin, zinc

suppl 8 PM: magnesium 350 mg, extended release vitamin C, melatonin 2 mg

 

Paxil 2002 - 2010, switched to Lexapro 2010 

Trazodone 50 mg. 2002 - 2019, fast tapered in 2019 

Xanax 0.5 mg as needed 2002 - 2019, up to 3x weekly 

Link to comment

Thank you @getofflex 

Very much appreciated.

I am trying to hang in there at the moment and being patient whilst hopeful that the up dose with help as you have suggested. 
Tomorrow i will pick up the liquid and be more precise with the 0.75mg increase.

Today had more window openings that gave me hope after 4 day’s of reinstating to 10.75mg

 

Thank you and to finding SA 

priceless 

 

Warmly

Highbury 

 

 

 

1994-2006 SSRI’s Prozac, Effexor, Mirtazapine, cipralex 

August 2003 Two weeks cold turkey Mirtazapine 15mg (lost luggage) Reinstated at 15mg 

2006 -March 2022   10mg escitalopram   April -May  2022 5mg escitalopram 

15th June  2022                      20mg escitalopram 

15th November 2023   17.5mg escitalopram 1st January 2024          16.25mg escitalopram 1st February 2024 15mg 

1st March 2024              13.75mg

1st April 2024                 12.5mg 

1st May 2024                  11.25mg 

1st June 2024                  10mg 

28th June 2024                10.625mg 

16th July 2024                   10mg 

Link to comment

@getofflex

I saw the GP today who pointed out that my reinstatement from 10mg escitalopram 10.75mg that i thought I’d done 5 days ago was in fact an increase of 0.625

as i had cut a 5mg table into 1/8

brain fog on top of all the withdrawal symptoms.

should i stick to 10.625mg ?

yesterday was a big hopeful day with a large window & today it’s one big wave!

The liquid formula I can’t get hold of until next week.

once i have it I’ll be very precise hopefully.

 

Warmly 

 

@highbury 

1994-2006 SSRI’s Prozac, Effexor, Mirtazapine, cipralex 

August 2003 Two weeks cold turkey Mirtazapine 15mg (lost luggage) Reinstated at 15mg 

2006 -March 2022   10mg escitalopram   April -May  2022 5mg escitalopram 

15th June  2022                      20mg escitalopram 

15th November 2023   17.5mg escitalopram 1st January 2024          16.25mg escitalopram 1st February 2024 15mg 

1st March 2024              13.75mg

1st April 2024                 12.5mg 

1st May 2024                  11.25mg 

1st June 2024                  10mg 

28th June 2024                10.625mg 

16th July 2024                   10mg 

Link to comment
  • Moderator Emeritus

Yes, stick to 10.625.  That is pretty close to 10.75.  Consistency is important. Do please correct your drug signature with 10.625 - thank you.  

Please do not private message me.  Only tag me for urgent questions about tapering and reinstating - thank you.  

 

***Please note this is not medical advice.  Discuss any decisions about your medical care with a doctor who understands psych meds and how to withdraw from them, if you can find one.

 

Lexapro   Started Apr 15 2010 - 10 mg;  started taper August 2017, recent taper info: Apr 2 '20  0.18 mg; Jul 16  0.17 mg, Aug 23  0.16 mg, Oct 7  0.15 mg, Nov 8 - 0.14, Jan 16 '21 - 0.13, Feb 7 - 0.12, Feb 22 - 0.11, Mar 26 - 0.10, May 21 - 0.09, June 15 - 0.08 Aug 16 - 0.07, Oct 6 - 0.06, Nov 21 0.05, Dec. 17 0.04, Jan 14 '22 0.03, Feb 19 0.02, Apr 18 0.01, May 15 0.005,  Jul 8, 0.00.  Psych Drug Free as of July 8, 2022!!  Woohoo!!!

other meds: Levothyroxine 75 mg

magnesium in small amounts at 4 AM, before bed

suppl AM: fish oil, flax oil, vit C, vit E, multivitamin, zinc

suppl 8 PM: magnesium 350 mg, extended release vitamin C, melatonin 2 mg

 

Paxil 2002 - 2010, switched to Lexapro 2010 

Trazodone 50 mg. 2002 - 2019, fast tapered in 2019 

Xanax 0.5 mg as needed 2002 - 2019, up to 3x weekly 

Link to comment

@getofflex

Thank you 

1994-2006 SSRI’s Prozac, Effexor, Mirtazapine, cipralex 

August 2003 Two weeks cold turkey Mirtazapine 15mg (lost luggage) Reinstated at 15mg 

2006 -March 2022   10mg escitalopram   April -May  2022 5mg escitalopram 

15th June  2022                      20mg escitalopram 

15th November 2023   17.5mg escitalopram 1st January 2024          16.25mg escitalopram 1st February 2024 15mg 

1st March 2024              13.75mg

1st April 2024                 12.5mg 

1st May 2024                  11.25mg 

1st June 2024                  10mg 

28th June 2024                10.625mg 

16th July 2024                   10mg 

Link to comment

@xTJx

I have up dosed slightly and holding on for dear life.

The waves and Windows are really tough.

Still not switched to liquid, i am cutting my pills. 

1994-2006 SSRI’s Prozac, Effexor, Mirtazapine, cipralex 

August 2003 Two weeks cold turkey Mirtazapine 15mg (lost luggage) Reinstated at 15mg 

2006 -March 2022   10mg escitalopram   April -May  2022 5mg escitalopram 

15th June  2022                      20mg escitalopram 

15th November 2023   17.5mg escitalopram 1st January 2024          16.25mg escitalopram 1st February 2024 15mg 

1st March 2024              13.75mg

1st April 2024                 12.5mg 

1st May 2024                  11.25mg 

1st June 2024                  10mg 

28th June 2024                10.625mg 

16th July 2024                   10mg 

Link to comment

@getofflex

Hello again, hope you’re well.

Apologies if I’m reaching out so much.

I am starting to fully understand this situation i’m now experiencing.

It’s absolutely terrifying & devastating thinking I’d been going slowly through the tapering process.

It has been 7 day’s since I’ve up dosed from 10mg to 10.625mg.

You mentioned to please be patient, feeling so desperate as my symptoms aren’t subsiding, the opposite!

 

should i stick to my dose or increase again slightly?

perhaps to 11mg 

or is this a bad idea? 
 

Warmly

Erminio. 

1994-2006 SSRI’s Prozac, Effexor, Mirtazapine, cipralex 

August 2003 Two weeks cold turkey Mirtazapine 15mg (lost luggage) Reinstated at 15mg 

2006 -March 2022   10mg escitalopram   April -May  2022 5mg escitalopram 

15th June  2022                      20mg escitalopram 

15th November 2023   17.5mg escitalopram 1st January 2024          16.25mg escitalopram 1st February 2024 15mg 

1st March 2024              13.75mg

1st April 2024                 12.5mg 

1st May 2024                  11.25mg 

1st June 2024                  10mg 

28th June 2024                10.625mg 

16th July 2024                   10mg 

Link to comment

 

@getofflex

 

Since you dropped your dose 27 days ago, I don't suggest you go back to the previous dose.  Your brain will have made some adjustments to the reduction, so I would suggest updosing to 10.75 mg.  Please give this some time to work.  It may take up to a week to feel an improvement, and it will take longer for the updose to fully help.  It may not fully resolve the withdrawal symptoms, completely, but it should help. Then, give yourself several months of a hold period on this dose to allow your nervous system to rest and catch up before doing another reduction.  


I have obviously tapered a little to fast as you have pointed out, i would give anything to stabilise as this is so debilitating On all fronts. 
 

 

1994-2006 SSRI’s Prozac, Effexor, Mirtazapine, cipralex 

August 2003 Two weeks cold turkey Mirtazapine 15mg (lost luggage) Reinstated at 15mg 

2006 -March 2022   10mg escitalopram   April -May  2022 5mg escitalopram 

15th June  2022                      20mg escitalopram 

15th November 2023   17.5mg escitalopram 1st January 2024          16.25mg escitalopram 1st February 2024 15mg 

1st March 2024              13.75mg

1st April 2024                 12.5mg 

1st May 2024                  11.25mg 

1st June 2024                  10mg 

28th June 2024                10.625mg 

16th July 2024                   10mg 

Link to comment

I have just read this article…..

 

 

Tapering off of an SSRI can be very difficult.  It’s not like other ailments that have defined timelines and symptoms.  When a doctor treats a broken bone, there are long established milestones in recovery.  SSRI withdrawal is different.  Each case seems to be unique, with different length and severity of symptoms.  One of the frustrating parts of withdrawal is the way that symptoms fluctuate over time.  People call them waves and windows.  At first, withdrawal is unremitting.  There seems to be no respite from the symptoms.  After some time, which varies from person to person, symptoms begin to break up into cycles.  There are times when symptoms aren’t as bad, and other times when they are quite severe.  It’s not a universal pattern.  Some patients find that they have constant symptoms that slowly go away.  The wave/window pattern seems to be the majority, though.

Waves

Waves describe those times when symptoms are more severe.  Symptoms can be physical or emotional.  It feels like getting sick.  When you start to get a cold, you can feel little changes that presage the illness.  A sore throat or headache, then the full symptoms of the cold start in a day or two.  A wave has similar precursors.  Usually, physical symptoms are the first sign that a wave is coming.  A stiff neck, headaches, and dizziness are some of the symptoms.  A day or two later, the emotional symptoms become more pronounced.  These symptoms include obsessive or compulsive thoughts, depression, or anxiety.  It can be helpful to break waves up into different parts.  Knowing that each part of a wave is coming, and what to expect next, can make the whole process easier to handle.  The reason we’re so adept at knowing the cycle of a cold is that we’ve had them off and on all our lives.  we’re aware of the subtle changes in our bodies that tell us that we’re getting sick.  In the same way, it takes some experience before you can separate the parts of wave from each other.  It takes still more time to develop ways of dealing with each part of a wave.

Physical symptoms of a wave are hard to mitigate.  There isn’t much you can do about general joint pain, headaches, or dizziness.  You can try analgesics like aspirin or ibuprofen, but those aches are fairly resistant to those kinds of pain killers.  Dizziness is likewise difficult to deal with.  Withdrawal dizziness isn’t just something that happens when you stand up or spin around.  It’s hard to believe that you can feel dizzy when you lie down, but it happens in withdrawal.  Try to stay as still as possible until it gets better.  Try to use the physical symptoms as a sign that there are new symptoms coming that you need to deal with.

There isn’t really any way to avoid the emotional symptoms of a wave.  There is no way to “suck it up and get over it”.  Our minds create our reality in a fluid way.  The anxiety, depression, and obsessions of a wave are just as real as the screen in front of you.  The fact that our rational mind would recognize that it’s not real or overblown doesn’t mean much when you’re experiencing it.  That’s the essence of a wave.  It’s not rational or thoughtful.  Obsessive thoughts can be about almost anything from the benign to the surreal.  Self harm can suddenly seem like a rational idea.  In normal thought, the entire spectrum of emotions are right below the surface.  When you’re cut off in traffic, you have several choices.  You can ignore it, respond verbally or visually, speed up, slow down.  Even the psychotic is present in that moment.  We’ve become so accustomed to suppressing psychotic thoughts that we don’t even realize that the idea of ramming the other car didn’t rise up to our conscious minds.  In withdrawal, those thoughts that would normally be dismissed without a thought gain the same weight in our conscious minds as socially acceptable thoughts.  The only way to mitigate the emotional symptoms of a wave is to be mindful of the difference between normal thought and the unnatural power that irrational thought has in a wave.  It’s very hard to pick apart which thoughts are your normal responses and which ones are caused by the wave.  They mingle together in a chaotic way.  That’s what makes your reactions to a window just as important as your reactions to a wave.

Windows

Windows are periods of time when symptoms are not as pronounced as they were before.  At first, it feels like it’s over… you beat withdrawal, you’re free.  That’s the cruel joke of SSRI withdrawal.  Windows and waves are intertwined together.  The way withdrawal works for most people is that the windows slowly, ever so slowly, get longer, and the waves get shorter.  A window is more than a vacation from symptoms, though.  It is a huge relief to have some time off from feeling miserable.  Savor the good times in withdrawal, because that is what you have to look forward to in recovery.  More than relief, though, windows are an opportunity to prepare yourself to deal with waves in a better way.  Try to pay attention to how you feel.  Examine the way you think, the way you respond to things.  Try to recognize the way that you automatically choose responses and thoughts.  Emotionally, a window is a return to the normal way of parsing thoughts.  Instead of allowing all thoughts to rise to consciousness, you mind is automatically tuning out undesirable thoughts based on your personality.  Paying attention to the process during a window makes it easier to impose that same kind of structure during the next wave.  It’s that mindfulness that you’ll need during the next wave.  After a while, you can tell when a thought is out of character, and consciously dismiss it.

Withdrawal is a process of alternating good times and bad.  The more you’re able to mitigate the bad with mindfulness, the shorter the waves become.  Our minds often work in feedback loops.  One thought leads to another through association, creating the pattern of our minds.  Mindfulness allows us to shape the pattern to a certain extent.  The more you can recognize that a harmful thought is just part of a wave, and not a normal part of your normal mind, the faster you’ll get to the next window.  Eventually, that last window becomes reality, and the next wave never comes.  The mindfulness you’ve developed getting there will remain, though.

1994-2006 SSRI’s Prozac, Effexor, Mirtazapine, cipralex 

August 2003 Two weeks cold turkey Mirtazapine 15mg (lost luggage) Reinstated at 15mg 

2006 -March 2022   10mg escitalopram   April -May  2022 5mg escitalopram 

15th June  2022                      20mg escitalopram 

15th November 2023   17.5mg escitalopram 1st January 2024          16.25mg escitalopram 1st February 2024 15mg 

1st March 2024              13.75mg

1st April 2024                 12.5mg 

1st May 2024                  11.25mg 

1st June 2024                  10mg 

28th June 2024                10.625mg 

16th July 2024                   10mg 

Link to comment
  • 2 weeks later...

On day 17 of up dosing from 10mg  

Escitalopram to half of my previous dose of 11.25mg now 10.0625 and feeling very desperate indeed.

WD symptoms through the roof and stressful fighting against the system trying to obtain liquid to be very precise with my addition dose 0.625mg

 

l am still working a couple of days a week, which is difficult to put it very lightly.

Reading through the articles here is reassuring and helping me to hold on for dear life.

I feel so scared and alone, whilst  praying that my slight up dose  starts to give me some WD symptom relief. 
 

I have been advised to stay at this dose & wait for it to level out @brassmonkey

Thank you for responding to my message.

 

still navigating my way around on here and gettIng to know how this forum works.

 

Staying still at the moment and doing nothing other that letting my nervous  system rest after almost no sleep. 
 

warmly

@Highbury

1994-2006 SSRI’s Prozac, Effexor, Mirtazapine, cipralex 

August 2003 Two weeks cold turkey Mirtazapine 15mg (lost luggage) Reinstated at 15mg 

2006 -March 2022   10mg escitalopram   April -May  2022 5mg escitalopram 

15th June  2022                      20mg escitalopram 

15th November 2023   17.5mg escitalopram 1st January 2024          16.25mg escitalopram 1st February 2024 15mg 

1st March 2024              13.75mg

1st April 2024                 12.5mg 

1st May 2024                  11.25mg 

1st June 2024                  10mg 

28th June 2024                10.625mg 

16th July 2024                   10mg 

Link to comment
  • Moderator Emeritus
Posted (edited)
23 hours ago, Highbury said:

On day 17 of up dosing from 10mg  

Escitalopram to half of my previous dose of 11.25mg now 10.0625 and feeling very desperate indeed.

Did you mean to say 10.625?  

 

How precise are you in your dosing?  How are you measuring your dose?  If the dose varies, then this could be causing your problem.  Have you missed any doses?  Do you take your dose at the same time each day? 

 

Are you drinking alcohol?  If so, this could definitely be causing problems.  Avoid it completely.  Are you using any other mind altering substances?  Are you using any supplements - if so, which ones?  Are you doing intense exercise?  How is your diet? 

 

It could also be that you are having an adverse reaction to the 10.625 mg dose.  Do you feel significantly worse in the hours after you take your dose?  

 

We need to try and figure out if this is withdrawal, or if it is an adverse reaction or possibly a combination of both. To see if there is an adverse reaction going on, please do a daily drug and symptoms journal.  Keep track of taking your drug, symptoms, eating, sleeping, etc.  Write the time on the left, and describe the event on the right.  Pay attention especially to how you feel before, and then after, you take your drug. Please do this for 24 hours, and post an entry in here for each 24 hour period.  Here is an example: 

 

January 31, 2023

6 AM woke with anxiety

8 am took 2.5 mg lexapro

10 am stomach is upset

10:30 am ate breakfast

11:35 am got a headache, lasted one hour

12:35 ate lunch

4 pm feel a bit better

5 pm took 2.5 mg lexapro

6 pm ate dinner

9:20 pm headache 

10:00 pm took 50 mg Seroquel

10:30 pm feeling dizzy

10:30 pm fell asleep 

2:30 am woke, took 3 mg Ambien

2:45 am fell asleep

4:30 am woke, but got back to sleep 

 

 

Edited by getofflex

Please do not private message me.  Only tag me for urgent questions about tapering and reinstating - thank you.  

 

***Please note this is not medical advice.  Discuss any decisions about your medical care with a doctor who understands psych meds and how to withdraw from them, if you can find one.

 

Lexapro   Started Apr 15 2010 - 10 mg;  started taper August 2017, recent taper info: Apr 2 '20  0.18 mg; Jul 16  0.17 mg, Aug 23  0.16 mg, Oct 7  0.15 mg, Nov 8 - 0.14, Jan 16 '21 - 0.13, Feb 7 - 0.12, Feb 22 - 0.11, Mar 26 - 0.10, May 21 - 0.09, June 15 - 0.08 Aug 16 - 0.07, Oct 6 - 0.06, Nov 21 0.05, Dec. 17 0.04, Jan 14 '22 0.03, Feb 19 0.02, Apr 18 0.01, May 15 0.005,  Jul 8, 0.00.  Psych Drug Free as of July 8, 2022!!  Woohoo!!!

other meds: Levothyroxine 75 mg

magnesium in small amounts at 4 AM, before bed

suppl AM: fish oil, flax oil, vit C, vit E, multivitamin, zinc

suppl 8 PM: magnesium 350 mg, extended release vitamin C, melatonin 2 mg

 

Paxil 2002 - 2010, switched to Lexapro 2010 

Trazodone 50 mg. 2002 - 2019, fast tapered in 2019 

Xanax 0.5 mg as needed 2002 - 2019, up to 3x weekly 

Link to comment
2 hours ago, getofflex said:

Did you mean to say 10.625?  

 

How precise are you in your dosing?  How are you measuring your dose?  If the dose varies, then this could be causing your problem.  Have you missed any doses?  Do you take your dose at the same time each day? 

 

Are you drinking alcohol?  If so, this could definitely be causing problems.  Avoid it completely.  Are you using any other mind altering substances?  Are you using any supplements - if so, which ones?  Are you doing intense exercise?  How is your diet? 

 

It could also be that you are having an adverse reaction to the 10.625 mg dose.  Do you feel significantly worse in the hours after you take your dose?  

 

We need to try and figure out if this is withdrawal, or if it is an adverse reaction or possibly a combination of both. To see if there is an adverse reaction going on, please do a daily drug and symptoms journal.  Keep track of taking your drug, symptoms, eating, sleeping, etc.  Write the time on the left, and describe the event on the right.  Pay attention especially to how you feel before, and then after, you take your drug. Please do this for 24 hours, and post an entry in here for each 24 hour period.  Here is an example: 

 

January 31, 2023

6 AM woke with anxiety

8 am took 2.5 mg lexapro

10 am stomach is upset

10:30 am ate breakfast

11:35 am got a headache, lasted one hour

12:35 ate lunch

4 pm feel a bit better

5 pm took 2.5 mg lexapro

6 pm ate dinner

9:20 pm headache 

10:00 pm took 50 mg Seroquel

10:30 pm feeling dizzy

10:30 pm fell asleep 

2:30 am woke, took 3 mg Ambien

2:45 am fell asleep

4:30 am woke, but got back to sleep 

 

 

Hi @getofflex

 

I hope you are very well.

 

 

 

I did mean 10.625mg

I take a 10mg tablet and I’ve been cutting a 5mg tablet into an 1/8 = 10.625mg 

I take my dose every morning like I have done since 2009!
I have not missed any doses.

I have ordered a digital scale so that I can be more precise, hopefully it arrives on Tuesday.

@brassmonkey

told me to do the following and I am waiting to hear back if I understood correctly the instructions.

 

 

calculate the average weight of a tablet by weighing ten tablets and dividing the total weight by ten.

divide that number by 8 and that will be the weight of the dose I want.

 

my understanding is that this calculation is to achieve 0.625mg from 10 x 5 mg tablets ?

plus take the 10mg tablet separately.

 

 

It’s not 100 % precise, hence why I have been battling the system here in London, my GP approved liquid, but it was declined along the line and I was told to switch medication without this person even meeting me!

 

I have not drank any alcohol since starting tapering from 20mg escitalopram back in November 2023, no supplements, my diet is mainly carnivore with a little dairy here and there.I have done some gentle walking and a few laps in the pool. Nothing strenuous at all. In fact I’ve felt so low and anxious it’s been difficult to do what I’ve done. I haven’t taken any other medication just escitalopram. I have even stopped caffeine as it would make me feel worse.

 

 

I am keeping track of daily symptoms with the WD time that I printed out from here.

As you know my last reduction on the 1st June from 11.25 mg to 10 mg too two weeks for withdrawal symptoms to start and and continued to this day, I up dosed after 27 days at 10mg to 10.625 which I have now been at 18 days.

Can I have an adverse reaction and withdrawal going on together? It is so all over the place that perhaps following a tracker after taking my poison I do feel significantly worse in the hours after taking the drug.

 


 

 

 I will do as suggested and keep track of taking my drug and post here.

 

warmly @Highbury

 

 


 

 

 

 

 

 

  

 

 

1994-2006 SSRI’s Prozac, Effexor, Mirtazapine, cipralex 

August 2003 Two weeks cold turkey Mirtazapine 15mg (lost luggage) Reinstated at 15mg 

2006 -March 2022   10mg escitalopram   April -May  2022 5mg escitalopram 

15th June  2022                      20mg escitalopram 

15th November 2023   17.5mg escitalopram 1st January 2024          16.25mg escitalopram 1st February 2024 15mg 

1st March 2024              13.75mg

1st April 2024                 12.5mg 

1st May 2024                  11.25mg 

1st June 2024                  10mg 

28th June 2024                10.625mg 

16th July 2024                   10mg 

Link to comment
  • Moderator Emeritus
Posted (edited)
3 hours ago, Highbury said:

Can I have an adverse reaction and withdrawal going on together? It is so all over the place that perhaps following a tracker after taking my poison I do feel significantly worse in the hours after taking the drug.

Yes, you can have withdrawal and adverse reaction going on at the same time.  It is unfortunate, but it is something that with much time, patience, and diligence can be overcome.  Please do not give up. 

 

 

On 7/4/2024 at 12:26 PM, Highbury said:

You mentioned to please be patient, feeling so desperate as my symptoms aren’t subsiding, the opposite!

 

From what you say above, it does sound like you are having an adverse reaction from the drug, especially since you indicate that you feel worse in the hours after you take it.   If you are in fact feeling significantly worse in the hours after you take your drug, then I think it would be OK to go ahead and reduce your dose now.  I would suggest going ahead and dropping to an even 10 mg.  That way, you will get a precise consistent dose each and every time you take it.  You definitely do not want to increase it to 11 mg.  

 

You can make your own liquid out of your tablets.  The other way to do it, is to grind up the tablets into a powder, and weigh the powder, put it in gelatin capsules, and take that.  It will give you a more precise dose.  This link will give you instructions on how to do that.  

 

Dosing/Tapering Lexapro/Escitalopram

 

However, if you are on a 10 mg dose, you won't need to do the above.  But when you eventually start tapering again, it will help.  

 

Please hang in there!  We will get all this sorted out.  

Edited by getofflex

Please do not private message me.  Only tag me for urgent questions about tapering and reinstating - thank you.  

 

***Please note this is not medical advice.  Discuss any decisions about your medical care with a doctor who understands psych meds and how to withdraw from them, if you can find one.

 

Lexapro   Started Apr 15 2010 - 10 mg;  started taper August 2017, recent taper info: Apr 2 '20  0.18 mg; Jul 16  0.17 mg, Aug 23  0.16 mg, Oct 7  0.15 mg, Nov 8 - 0.14, Jan 16 '21 - 0.13, Feb 7 - 0.12, Feb 22 - 0.11, Mar 26 - 0.10, May 21 - 0.09, June 15 - 0.08 Aug 16 - 0.07, Oct 6 - 0.06, Nov 21 0.05, Dec. 17 0.04, Jan 14 '22 0.03, Feb 19 0.02, Apr 18 0.01, May 15 0.005,  Jul 8, 0.00.  Psych Drug Free as of July 8, 2022!!  Woohoo!!!

other meds: Levothyroxine 75 mg

magnesium in small amounts at 4 AM, before bed

suppl AM: fish oil, flax oil, vit C, vit E, multivitamin, zinc

suppl 8 PM: magnesium 350 mg, extended release vitamin C, melatonin 2 mg

 

Paxil 2002 - 2010, switched to Lexapro 2010 

Trazodone 50 mg. 2002 - 2019, fast tapered in 2019 

Xanax 0.5 mg as needed 2002 - 2019, up to 3x weekly 

Link to comment
  • Moderator

There is no mention in your signature about the Lexapro, Seroquel, and Ambien. Please update your signature with this information as it could be important.

20 years on Paxil starting at 20mg and working up to 40mg. Sept 2011 started 10% every 6 weeks taper (2.5% every week for 4 weeks then hold for 2 additional weeks), currently at 7.9mg. Oct 2011 CTed 15oz vodka a night, to only drinking 2 beers most nights, totally sober Feb 2013.

Since I wrote this I have continued to decrease my dose by 10% every 6 weeks (2.5% every week for 4 weeks and then hold for an additional 2 weeks). I added in an extra 6 week hold when I hit 10mg to let things settle out even more. When I hit 3mgpw it became hard to split the drop into 4 parts so I switched to dropping 1mgpw (pill weight) every week for 3 weeks and then holding for another 3 weeks.  The 3 + 3 schedule turned out to be too harsh so I cut back to dropping 1mgpw every 4 weeks which is working better.

Final Dose 0.016mg.     Current dose 0.000mg 04-15-2017

 

"It's also important not to become angry, no matter how difficult life is, because you can loose all hope if you can't laugh at yourself and at life in general."  Stephen Hawking

Link to comment
4 hours ago, brassmonkey said:

There is no mention in your signature about the Lexapro, Seroquel, and Ambien. Please update your signature with this information as it could be important.

I only take escitalopram! 

1994-2006 SSRI’s Prozac, Effexor, Mirtazapine, cipralex 

August 2003 Two weeks cold turkey Mirtazapine 15mg (lost luggage) Reinstated at 15mg 

2006 -March 2022   10mg escitalopram   April -May  2022 5mg escitalopram 

15th June  2022                      20mg escitalopram 

15th November 2023   17.5mg escitalopram 1st January 2024          16.25mg escitalopram 1st February 2024 15mg 

1st March 2024              13.75mg

1st April 2024                 12.5mg 

1st May 2024                  11.25mg 

1st June 2024                  10mg 

28th June 2024                10.625mg 

16th July 2024                   10mg 

Link to comment
7 minutes ago, Highbury said:

I only take escitalopram! 

You mean 

 

1994-2006 SSRI’s Prozac, Effexor, Mirtazapine, cipralex 

 

I have no idea what doses & when i took the medication 

it was a time where i was being prescribed and drugs chopped and changed 

1994-2006 SSRI’s Prozac, Effexor, Mirtazapine, cipralex 

August 2003 Two weeks cold turkey Mirtazapine 15mg (lost luggage) Reinstated at 15mg 

2006 -March 2022   10mg escitalopram   April -May  2022 5mg escitalopram 

15th June  2022                      20mg escitalopram 

15th November 2023   17.5mg escitalopram 1st January 2024          16.25mg escitalopram 1st February 2024 15mg 

1st March 2024              13.75mg

1st April 2024                 12.5mg 

1st May 2024                  11.25mg 

1st June 2024                  10mg 

28th June 2024                10.625mg 

16th July 2024                   10mg 

Link to comment
16 hours ago, getofflex said:

Yes, you can have withdrawal and adverse reaction going on at the same time.  It is unfortunate, but it is something that with much time, patience, and diligence can be overcome.  Please do not give up. 

 

 

 

From what you say above, it does sound like you are having an adverse reaction from the drug, especially since you indicate that you feel worse in the hours after you take it.   If you are in fact feeling significantly worse in the hours after you take your drug, then I think it would be OK to go ahead and reduce your dose now.  I would suggest going ahead and dropping to an even 10 mg.  That way, you will get a precise consistent dose each and every time you take it.  You definitely do not want to increase it to 11 mg.  

 

You can make your own liquid out of your tablets.  The other way to do it, is to grind up the tablets into a powder, and weigh the powder, put it in gelatin capsules, and take that.  It will give you a more precise dose.  This link will give you instructions on how to do that.  

 

Dosing/Tapering Lexapro/Escitalopram

 

However, if you are on a 10 mg dose, you won't need to do the above.  But when you eventually start tapering again, it will help.  

 

Please hang in there!  We will get all this sorted out.  

Hi @getofflex

 

firstly thanks for taking the time to respond.

i am a little confused at the moment about an adverse reaction and withdrawal from my last drop and reinstalling giving me these symptoms.

when you say with much time, patience and diligence i can overcome this it scares me to think of what i am attempting to do here is achievable.

I will prevail and not give up, my nervous system and brain is going to have to readjust once more if i drop to 10mg tablet and wait until it levels out before even contemplating to restart tapering.


As an example, yesterday evening i felt a little window and felt positive for moments.

Then this morning 

 

4am woke up

4.30am back to to sleep 

7am woke up with a terrible headache and anxiety 

7-9am slept more and the awoke with an even worse headache

9am meditation & took 10.625mg escitalopram

10am felt nauseous 

11am made it to a lido to have a gentle swim and now writing this! 
 

I have a digital scale arriving today and gelatine capsules.

so i will be prepared either way.

 

I am just frightened to now drop to 10 in case it gets worse.

 

I really appreciate your experience and feedback and most importantly humanity to help 

so thank you 

 

 

Finding this forum is so important and the support.

 

1994-2006 SSRI’s Prozac, Effexor, Mirtazapine, cipralex 

August 2003 Two weeks cold turkey Mirtazapine 15mg (lost luggage) Reinstated at 15mg 

2006 -March 2022   10mg escitalopram   April -May  2022 5mg escitalopram 

15th June  2022                      20mg escitalopram 

15th November 2023   17.5mg escitalopram 1st January 2024          16.25mg escitalopram 1st February 2024 15mg 

1st March 2024              13.75mg

1st April 2024                 12.5mg 

1st May 2024                  11.25mg 

1st June 2024                  10mg 

28th June 2024                10.625mg 

16th July 2024                   10mg 

Link to comment
  • Moderator Emeritus

 

 

6 hours ago, Highbury said:

i am a little confused at the moment about an adverse reaction and withdrawal from my last drop and reinstalling giving me these symptoms.

Here is what you need to figure out.  Are you having worse symptoms in the several hours after you take your escitalopram?  If you are, that means you are having an adverse reaction to the drug.  This is where your daily drug symptom journal will really come in handy.  You indicated that you have felt worse since your updose 19 days ago, which is a strong indicator that you are having an adverse reaction.  Did you feel worse yesterday in the hours after you took the escitalopram?  I see you had nausea, did you have any other additional symptoms?  

 

You may be in the situation of having both withdrawal from the drug, as well as an adverse reaction to it. Unfortunately, our brains can be physically dependent on the drug, yet at the same time reacting adversely to the drug.   What this means, is that you need to taper the drug to reduce the adverse reaction, but yet you need to do this slowly, so as not to make your withdrawal symptoms worse than your symptoms from the adverse reaction.  In these cases, it is advised to keep a daily drug and symptom journal, and become aware of your own symptom patterns.  This will verify that you are having an adverse reaction.  

 

It's good that you are getting the scale and capsules.  I believe measuring your dose more precisely will help you.  If you are scared of dropping down to 10 mg, you could be extra cautious and drop down to 10.3 mg.  Or, you could continue to hold at 10.625 mg for a bit, and verify that you are having an adverse reaction, before doing another reduction.  

 

 

Please do not private message me.  Only tag me for urgent questions about tapering and reinstating - thank you.  

 

***Please note this is not medical advice.  Discuss any decisions about your medical care with a doctor who understands psych meds and how to withdraw from them, if you can find one.

 

Lexapro   Started Apr 15 2010 - 10 mg;  started taper August 2017, recent taper info: Apr 2 '20  0.18 mg; Jul 16  0.17 mg, Aug 23  0.16 mg, Oct 7  0.15 mg, Nov 8 - 0.14, Jan 16 '21 - 0.13, Feb 7 - 0.12, Feb 22 - 0.11, Mar 26 - 0.10, May 21 - 0.09, June 15 - 0.08 Aug 16 - 0.07, Oct 6 - 0.06, Nov 21 0.05, Dec. 17 0.04, Jan 14 '22 0.03, Feb 19 0.02, Apr 18 0.01, May 15 0.005,  Jul 8, 0.00.  Psych Drug Free as of July 8, 2022!!  Woohoo!!!

other meds: Levothyroxine 75 mg

magnesium in small amounts at 4 AM, before bed

suppl AM: fish oil, flax oil, vit C, vit E, multivitamin, zinc

suppl 8 PM: magnesium 350 mg, extended release vitamin C, melatonin 2 mg

 

Paxil 2002 - 2010, switched to Lexapro 2010 

Trazodone 50 mg. 2002 - 2019, fast tapered in 2019 

Xanax 0.5 mg as needed 2002 - 2019, up to 3x weekly 

Link to comment

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
×
×
  • Create New...

Important Information

Terms of Use Privacy Policy