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Akathisia vs restlessness, anxiety, agitation


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On 2/10/2024 at 1:38 PM, Safran said:

Yes, and only at night when I feel a little better I can watch TV or the phone, and during the day I've been bedridden for 2 months and I can't stand anything and I'm scared as you say.


@Kat66 @Safran Do you guys also get extremely cold with the akathisia? Like my hands & feet always get extremely cold when it flares up

April 2022- Only 1 celxa pill 10mg

had an adverse reaction & never took anymore again 

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12 hours ago, peaceandlove said:


@Kat66 @Safran Are you also very cold with akathisia? Like my hands and feet are always extremely cold when it flares up

My feet are almost always cold with or without akathasia

2002. - 2021. Paroksetin 20mg
2021.: januar - I started reducing the dose, 14. mart / 18 mg, 16. maj / 16,2 mg, 18. jul / 14,6 mg, 19. septembar / 13,4 mg, 21. novembar / 12.12.21. pala na 11,2mg and then I kept her until 28. februara, when I increased the dose to 11,8mg.

2022: 7. maj / 11,65 mg, 1. jun / 11,35 mg, 4. jul / 10,9 mg, 1. avgust / 10,62 mg, 5. septembar / 9,72 mg, 3. oktobar / 9,24 mg, 

07. novembar / 9,01 mg, 5. decembar / 8,55 mg.

2023: 2. januar / 8,25 mg, 6. februar / 7,9 mg, 6. mart / 7,5 mg, 3. april /7,3 mg, 1. maj / 7,1 mg, 5. jun / 6,7 mg, 3. jul / 6,46 mg,7. avgust / 6,30 mg, Sep. 04 / 6,14 mg, Okt. 02 /5,98 mg, 16. dec / 6,54 mg,(upp 0,56mg).

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  • Mentor

Here is a very helpful meditation video that Chris Paige, a taper/withdrawal coach, made that is very comforting for people undergoing distress due to Akathisia and severe WD symptoms.  He himself suffered with Akathisia for three years.  

 

https://www.youtube.com/watch?v=wHuwGnc1F9A

 

 

 

 

Edited by Catina7

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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  • Mentor

Deleted by me.

Edited by Catina7

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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For the people who have experience with Akathisia: Is it normal that it waxes and wanes during the course of days? Since it started 4 weeks ago, I had it on and off. One day nothing and then it was back for several days. It usually subsides in the evening, though. Never had it during the nights so far.

End of 2008: Remeron 15mg for around 2 months. Unorthodox taper, no problems.
End of August 2009: Lexapro 10mg for only 4 days. Panic attack after 3 pills. Severe gastro problems in the morning for 3 days after last pill. 2 weeks later strong w/d symptoms set in.

Acute WD lasted around 3.5 years. I am feeling much better today, 5.5 years out, but still have some symptoms left.

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I had a window yesterday majority of the day where I actually had a glimpse of what it feels like to be a normal human being with mindfulness & being able to be present in conversation instead of intrusive thoughts & anxiety 24/7 

April 2022- Only 1 celxa pill 10mg

had an adverse reaction & never took anymore again 

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On 2/28/2024 at 12:08 PM, Maybe said:

For the people who have experience with Akathisia: Is it normal that it waxes and wanes during the course of days? Since it started 4 weeks ago, I had it on and off. One day nothing and then it was back for several days. It usually subsides in the evening, though. Never had it during the nights so far.


Yes mine varies in intensity & cycles. I wouldn’t say I never have it but Usually but night time it calms down some @Maybe

April 2022- Only 1 celxa pill 10mg

had an adverse reaction & never took anymore again 

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22 hours ago, peaceandlove said:


Yes mine varies in intensity & cycles. I wouldn’t say I never have it but Usually but night time it calms down some @Maybe

Hmm, I still have no clue what I have gotten myself into with this cup of coffee. I haven't had any akathisia since last Friday, but I sometimes have the feeling that I am close to it, if that makes sense. As if my nervous system is still aroused more than normal and that when I give it a little push, akathisia will be back. Sensations in the legs, arms and gut are there some of the days. Maybe another wave around 10 years out from my last one...

I hope you do not have to deal with it for too long anymore.

 

End of 2008: Remeron 15mg for around 2 months. Unorthodox taper, no problems.
End of August 2009: Lexapro 10mg for only 4 days. Panic attack after 3 pills. Severe gastro problems in the morning for 3 days after last pill. 2 weeks later strong w/d symptoms set in.

Acute WD lasted around 3.5 years. I am feeling much better today, 5.5 years out, but still have some symptoms left.

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14 minutes ago, Maybe said:

Hmm, I still have no clue what I have gotten myself into with this cup of coffee. I haven't had any akathisia since last Friday, but I sometimes have the feeling that I am close to it, if that makes sense. As if my nervous system is still aroused more than normal and that when I give it a little push, akathisia will be back. Sensations in the legs, arms and gut are there some of the days. Maybe another wave around 10 years out from my last one...

I hope you do not have to deal with it for too long anymore.

 


Can you describe this akathisia sensation in more detail please? Is it like an inner vibration feeling, tingling or are your legs literally moving ?? @Maybe 
 

thank you I hope yours goes away too. 

April 2022- Only 1 celxa pill 10mg

had an adverse reaction & never took anymore again 

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28 minutes ago, peaceandlove said:


Can you describe this akathisia sensation in more detail please? Is it like an inner vibration feeling, tingling or are your legs literally moving ?? @Maybe 
 

thank you I hope yours goes away too. 

Thank you.

It is very hard to describe. It is no real tingling and my legs are not moving. Inner vibration may fit better. At the beginning it feels as if my legs are "relaxing". Then they feel nervous until I have to move around to keep it on a level I can bear.

End of 2008: Remeron 15mg for around 2 months. Unorthodox taper, no problems.
End of August 2009: Lexapro 10mg for only 4 days. Panic attack after 3 pills. Severe gastro problems in the morning for 3 days after last pill. 2 weeks later strong w/d symptoms set in.

Acute WD lasted around 3.5 years. I am feeling much better today, 5.5 years out, but still have some symptoms left.

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On 2/29/2024 at 4:08 AM, Maybe said:

For the people who have experience with Akathisia: Is it normal that it waxes and wanes during the course of days? Since it started 4 weeks ago, I had it on and off. One day nothing and then it was back for several days. It usually subsides in the evening, though. Never had it during the nights so far.

Definitely happens, it is part of the process of recovery.

 

 

On 3/6/2024 at 7:14 AM, Maybe said:

Hmm, I still have no clue what I have gotten myself into with this cup of coffee. I haven't had any akathisia since last Friday, but I sometimes have the feeling that I am close to it, if that makes sense. As if my nervous system is still aroused more than normal and that when I give it a little push, akathisia will be back. Sensations in the legs, arms and gut are there some of the days. Maybe another wave around 10 years out from my last one...

I hope you do not have to deal with it for too long anymore.


Coffee can turn up my now relatively mild akathisia into a rage. Any stimulants will be a bad idea for a while. You are quite correct in saying that your nervous system is more aroused than usual, that is exactly what it is.

December 2021 - Metoclopramide started. Akathisia symptoms start; Metoclopramide gets changed to PRN.

March 2022 - Akathisia diagnosed; Metoclopramide stopped; Propranolol 10mg x twice a day. Biperiden PRN (0.5mg to 1mg).

April 2022 - Tandospirone 30mg (10mg 3x day), Quetiapine 25mg (only taken once, immediate adr). Mirtazapine 7.5mg. . Discontinued Propranolol.

May 2022 - Mirtazapine upped to 15mg. Tandospirone cut to 2x 10mg. Low dose Depakote for the month; 100 to 200 to 100 to 0. Mirtazapine cut back to 11.75mg (3/4 of a 15mg pill).
June 2022 - Mirtazapine updose to 15mg. Tandospirone, Biperiden discontinued. Klonopin started PRN (0.5mg). 
September 2022 - Akathisia slowly starts improving, WD/ADR normal sets in in mid September. Hold for 4 months.
March 2023 - Off mirtazapine; no Klonopin for 5 months either! Started quercetin (250mg x 2) to soften the histamine rebound.

May 2023 - Stopped quercetin and changed from magnesium carbonate to oxide - reacted badly. Reverted back to carbonate. 
June 2023 - Added fish oil.
Current regimen: CALM Magnesium (Carbonate into Citrate) 175mg x2; Vitamin E 268mg x2; Fish oil (100mg Omega3; EPA 30mg; DHA 37mg)x2
Intro thread: 
https://www.survivingantidepressants.org/topic/27095-portuguesesea-metoclopramide-akathisia-and-mirtazapine/

 

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7 hours ago, PortugueseSea said:

Definitely happens, it is part of the process of recovery.

 

 


Coffee can turn up my now relatively mild akathisia into a rage. Any stimulants will be a bad idea for a while. You are quite correct in saying that your nervous system is more aroused than usual, that is exactly what it is.

@PortugueseSea i have same experience, when i take Coffee, then my akathisia rage. Therefore i decide to never take coffee untill full recovery. 

. 2018  took prozac olanzapine for only 3 months . 

2021 took paxil  12.5mg and xanax for year.2023 in july took prozac 25mg and olanzapine 3mg for only 3 days cause akathisia . july 2023 took sertalline 100mg  and olanzapine 2.5mg for a month cause ocd and akathisia . august 2023 took lexapro 5mg only for 2 days cz extreme akathisia .August 2023 took paxil Cr 12.5mg cause agitation  and kolonopin 0.5mgoctober 2023 cut pill haf6.25mg .December 2023 cut 1/4 (3.125mg) coated pill as per psy advice.last December quit cold turkey after 7 days then reinstate(3.125mg).January 2024 contine 3.1mg paxil cr .january 5 -2024 as per psy took pill 3.125mg at other day(skiping days)  for 15dJanuary 20-2024 skiping dose at gap of two days . feb 5-2024 1/4 of paxil cr 3.125 and kolonopin continue 0.5mg also taking pregabalin 100mg from September 2023 till now 

10-feb-2024: switch to home-made 1ml paxil solution. +0.5mg k+100mg pregabalin 

Akathisia, depression, anxiety,throat choking, extreme fear,physical pains.  

 

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19 hours ago, PortugueseSea said:

Definitely happens, it is part of the process of recovery.

Well, I thought my recovery was done a decade ago :)
Guess I was wrong, though as the akathisia is only inbetween, I can cope
.

End of 2008: Remeron 15mg for around 2 months. Unorthodox taper, no problems.
End of August 2009: Lexapro 10mg for only 4 days. Panic attack after 3 pills. Severe gastro problems in the morning for 3 days after last pill. 2 weeks later strong w/d symptoms set in.

Acute WD lasted around 3.5 years. I am feeling much better today, 5.5 years out, but still have some symptoms left.

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  • 2 weeks later...

Hi,

I went on a trip and got a cold
Nasal congestion-runny nose occurred
I took Sudafed for 2-3 days
It worked well for the common cold, but several bad symptoms appeared
I have like more confusion-agitation and anxiety
The sleep is very bad, there is insomnia and very disturbing dreams
Depression is stronger again.
Can Sudafed cause psychiatric symptoms?
The pharmacist said that it might make you a little drowsy, but did not warn about other symptoms
 

Xanax 0,5mg 1999-2019 a Xanax 0,5mg paar korda kuus, vajadusel

Cymbalta 30mg 2012-25.04.2018 kitsenev 2-3 kuud,rasked sümptomid 1 nädal pärast viimast annust

Amitriptüliin 25mg 25.05.18-20.01.19 ,kitsenev 2-3 kuuga, unetus, paanika-ärevus, segasusseisund, iiveldus

Valdoxan 25mg 10.02.19-10.03.19, ei stabiliseerinud olukorda, Lorasepaam 10.02.19-20.02.19 vajadusel üleöö

Brintellix 5mg 10.03.19-30.06.19 ,ei stabiliseerinud olukorda, hirme, segasust ja unetust, olin haiglas 1 nädal

Olansapiin 5mg 01.03.19-02.08.19,unetuse leevendamiseks suureneb segasus, suureneb depressioon, tekib raske akatiisia Cymbalta 30mg 30.06.19-01.08.19,ei tööta enam, olukord ei stabiliseeru, jälle haiglas 2 nädalat

Levomepromasiin 5mg 03.08.19-20.12.19 aitas magada, kuid suurendas segadust ja depressiooni

Anafraniil 75mg03.08.19-15.12.19  15.12.19 , 35mg  17.05.20  , 27mg 01.01.21 16.07.21 oli päevane A19 mg 01.04.22 11mg 01.11.22 8,6mg, 01.11.23 6,5mg 01.01.24 5mg

 

 

 

                 

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49 minutes ago, Estman said:

Hi,

I went on a trip and got a cold
Nasal congestion-runny nose occurred
I took Sudafed for 2-3 days
It worked well for the common cold, but several bad symptoms appeared
I have like more confusion-agitation and anxiety
The sleep is very bad, there is insomnia and very disturbing dreams
Depression is stronger again.
Can Sudafed cause psychiatric symptoms?
The pharmacist said that it might make you a little drowsy, but did not warn about other symptoms
 

 

Yes, Sudafed contains Pseudoephedrine, which quite commonly causes anxiety and agitation, even in healthy people.

Oct 2018 - Jun 2020: 10 mg per day generic Escitalopram in pill form.

Jul 2020 - Aug 2020: Switched to 9 mg per day of Cipralex drops to aid tapering.

Sep 2020 - Oct 2020: Taper to 8 mg.

Nov 2020 - Dec 2020: Taper to 7 mg.

Jan 2021 - Feb 2021: Taper to 6 mg.

Mar 2021 - Apr 2021: Taper to 5 mg.

May 2021 - Jun 2021: Taper to 4 mg.

Jul 2021 - Sep 2021: Taper to 3 mg.

Sep 2021 - Jan 2022: Taper to 2 mg.

Jan 2022: Stopped taking altogether.

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4 hours ago, jon1 said:

 

Yes, Sudafed contains Pseudoephedrine, which quite commonly causes anxiety and agitation, even in healthy people.

Depression and hopelessness are also more intense.
Maybe it affects neurotransmitters
I took a total of 10 tablets (60mg) of it for about a week
Last one tablet this morning.
How long can it stay in the body and cause anxiety?

Xanax 0,5mg 1999-2019 a Xanax 0,5mg paar korda kuus, vajadusel

Cymbalta 30mg 2012-25.04.2018 kitsenev 2-3 kuud,rasked sümptomid 1 nädal pärast viimast annust

Amitriptüliin 25mg 25.05.18-20.01.19 ,kitsenev 2-3 kuuga, unetus, paanika-ärevus, segasusseisund, iiveldus

Valdoxan 25mg 10.02.19-10.03.19, ei stabiliseerinud olukorda, Lorasepaam 10.02.19-20.02.19 vajadusel üleöö

Brintellix 5mg 10.03.19-30.06.19 ,ei stabiliseerinud olukorda, hirme, segasust ja unetust, olin haiglas 1 nädal

Olansapiin 5mg 01.03.19-02.08.19,unetuse leevendamiseks suureneb segasus, suureneb depressioon, tekib raske akatiisia Cymbalta 30mg 30.06.19-01.08.19,ei tööta enam, olukord ei stabiliseeru, jälle haiglas 2 nädalat

Levomepromasiin 5mg 03.08.19-20.12.19 aitas magada, kuid suurendas segadust ja depressiooni

Anafraniil 75mg03.08.19-15.12.19  15.12.19 , 35mg  17.05.20  , 27mg 01.01.21 16.07.21 oli päevane A19 mg 01.04.22 11mg 01.11.22 8,6mg, 01.11.23 6,5mg 01.01.24 5mg

 

 

 

                 

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1 hour ago, Estman said:

Depression and hopelessness are also more intense.
Maybe it affects neurotransmitters
I took a total of 10 tablets (60mg) of it for about a week
Last one tablet this morning.
How long can it stay in the body and cause anxiety?


It’s full effects last around 4-6 hours, it can take anywhere from 1-4 days to completely leave the body. It varies from person to person.

 

It’s always made me ‘jittery’, but it normally wears off within a day.

Oct 2018 - Jun 2020: 10 mg per day generic Escitalopram in pill form.

Jul 2020 - Aug 2020: Switched to 9 mg per day of Cipralex drops to aid tapering.

Sep 2020 - Oct 2020: Taper to 8 mg.

Nov 2020 - Dec 2020: Taper to 7 mg.

Jan 2021 - Feb 2021: Taper to 6 mg.

Mar 2021 - Apr 2021: Taper to 5 mg.

May 2021 - Jun 2021: Taper to 4 mg.

Jul 2021 - Sep 2021: Taper to 3 mg.

Sep 2021 - Jan 2022: Taper to 2 mg.

Jan 2022: Stopped taking altogether.

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With a lot of shame I hope for any reply to my thinking on akathisia.

 

Its not about be or not to be, because you aren't. In this state it's hard to do anything. Or anything right. It's like wearing straitjacked. And nothing helps. Anything you do, it's still there. It mean in the state of panic, horror, being full of muscle jerking, jailed in your own body you can't properly feel yourself or the other. You literally don't really have a right access to world. Because your painful filling act like huge obstacles. You can't be friend, partner, son, worker...

 

You can have some flashes what to do to help, but in the end nothing helps. You can change you job, change your company, you can migrate. It will be still there.

 

I always thought firstly have depression and now WD. Now I think I have akathisia for my whole life. In my childhood I was afraid of anything and anyone. I have intrusive though like I virtually speaks with someone who is talking to me what is right and what is wrong (not psychosis, just rethinking). I was having in my mind that it will be the end of the world if I won't be successful in school. I was studying all the time in panic like: "Oh I forgot that, what now?!). I was all the time so tense that my throat was dry. I was biting my nails and eating my hair all the time. I was burnout all the time asking myself why other people could have hobbies or just simple energy. When I was teenager I wasn't on any drug neither caffeine, but if I tried alcohol or weed I was wonder "Why it has so much impact on me, but not on the others." My father was always asking me: "Why you can't sit peacefully and moving something all the time?" Now I think it wasn't anxiety or shyness. It was rather AKA in some degree. Cause: several antibiotic treatments and anti asthma treatment in my childhood.

 

But lets get to the point. When I finally reached some breakout, when I suddenly became totally apathetic just crying on bed, I went to the doctor and was diagnosed with depression. Then I started with meds, tobacco and caffeine. The point is. Once you start solving you AKA with any psychoactive substance, you feel better thinking: "Oh this was missing, now I will feel better." You become more optimistic and easygoing, but then you AKA came back stronger, doesn't matter if you are on the drug or off. And then you reinstate, feel a little bit better, but after a period of time, it vanish. I think is happening to me all the time with psych drugs, caffeine, tobacco, aminoacids, Mg, even herbs and spices. The latter also help but not for a long time.

 

It seems important: akathisia nervous system is burnout nervous system. Putting someone with akathisia on any drug could be similar to putting alzheimer brain on amphetamine. The person will suddenly get power and will, but will he make good decisions? No. I know for myself that everything I did I ***** up.

 

And what to do, what do you guys think? I think. Do nothing! Eat as little as clean and as low as possible and sleep. Maybe I or you will "start walking" one day. If you think that putting some substance in your body, even B complex will help is similar to people who think some diet will heal some condition. It won't! Body heals just by itseld. I was eating just plant based home prepared oil free salt free diet with probiotics hoping to help me. All those fibers made my digestion worse and consequently my AKA worse.

 

Really what do you mean? Am I right? Was I having AKA all the time?

2009-2010: Asentra (50 mg)

2011: Cipralex (10 mg)

2009-2011: tried Zyprexa (5/2.5mg), Kventiax  (50/25mg) and Abilify (low dosage) (started refusing it - being zombie)

CT Cipralex, being free for several moths

2012-2016: Prozac (60 mg)

2016-2017: Alventa (75 mg)

2016: just tried Cymbalta and Ludiomil

2017-2018: Mirtazapine (30/45mg)

2012-2018: Wellbutrine (300 mg)

2014-2018: Lamotrigine (50/100/150 mg) CT Wellbutrin, tapering lamitrogine and mirtazapine too fast

Supplements: B12, D, Mg, trying B3, B1

I know I wrote a lot of nonsense here. I'm sorry, I feel shamed!

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On 3/21/2024 at 9:12 PM, jon1 said:


It’s full effects last around 4-6 hours, it can take anywhere from 1-4 days to completely leave the body. It varies from person to person.

 

It’s always made me ‘jittery’, but it normally wears off within a day.

When I took Sudafed, I had very intense dreams.
The last time I took it was the day before yesterday in the morning and yesterday I was less agitated and restless
At the same time, we had a rapid change in weather
The air pressure dropped and it rained all day
Then I usually get a headache in the back of my neck and on one side of my head
Also, the eyeballs are painful and sensitive to light
Apparently it has something to do with the blood vessels in the head
It is the same when flying by plane, there is a lot of uncomfortable head pressure and pain
I have taken painkillers, but they don't seem to help
The pain sometimes lasts for 2 days
Along with the headache, there is again strong agitation and anxiety because I can't relieve it
but the worst thing is that at night there are very disturbing, confusing dreams
I also wake up repeatedly and then it's some kind of nightmare
If you have such a dream, the next day you will be very agitated and phobic about sleeping.
Is it possible that Sudafed can also cause bad dreams, even a few days after stopping?
As if before REM sleep there is a disturbing image that immediately wakes me up
The head is also very dizzy and there is a dull average pain, an uncomfortable feeling behind the eyes
It's like mountain sickness, but I've experienced nothing but a change in weather

Xanax 0,5mg 1999-2019 a Xanax 0,5mg paar korda kuus, vajadusel

Cymbalta 30mg 2012-25.04.2018 kitsenev 2-3 kuud,rasked sümptomid 1 nädal pärast viimast annust

Amitriptüliin 25mg 25.05.18-20.01.19 ,kitsenev 2-3 kuuga, unetus, paanika-ärevus, segasusseisund, iiveldus

Valdoxan 25mg 10.02.19-10.03.19, ei stabiliseerinud olukorda, Lorasepaam 10.02.19-20.02.19 vajadusel üleöö

Brintellix 5mg 10.03.19-30.06.19 ,ei stabiliseerinud olukorda, hirme, segasust ja unetust, olin haiglas 1 nädal

Olansapiin 5mg 01.03.19-02.08.19,unetuse leevendamiseks suureneb segasus, suureneb depressioon, tekib raske akatiisia Cymbalta 30mg 30.06.19-01.08.19,ei tööta enam, olukord ei stabiliseeru, jälle haiglas 2 nädalat

Levomepromasiin 5mg 03.08.19-20.12.19 aitas magada, kuid suurendas segadust ja depressiooni

Anafraniil 75mg03.08.19-15.12.19  15.12.19 , 35mg  17.05.20  , 27mg 01.01.21 16.07.21 oli päevane A19 mg 01.04.22 11mg 01.11.22 8,6mg, 01.11.23 6,5mg 01.01.24 5mg

 

 

 

                 

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