SouthernFreeze Posted May 14, 2014 Posted May 14, 2014 (edited) Hi .... i am on my second week totally clean from 5 years on Effexor xr and 5 years of other anti depressants. I am now on 5htp, B vitamins and Magnesium supplements now but this doesn't worry me at all. I also have herbal tea's regularly like oatstraw and chamomile to calm my nerves a bit. I have been an alcoholic and had to come clean three years ago, and have also quit smoking and nothing has compared to this. In my signature you will see how i finally came off the Effexor and have to say this cut down the strongest withdrawal symptoms and now any of those severe withdrawals have gone. Saying this though i still don't feel right and i'm not sure whats real and whats not with my emotions. I must admit after reading on here how people are still suffering withdrawals after years of stopping is kind of disheartening, i feel like i have been through the worst of it and would only get better. The thought of it haunting me for years makes me wonder if it's worth it. Edited May 24, 2014 by Altostrata changed name at request of member 10 years on various anti-depressants 5 years Effexor xr tappered of 150mg in 6 months nothing for two weeks Reinstated 15 beads for 50 days Tappered off then clean 2-3months gradually went back up to 13 mg 3 years bridged fluoxetine 10mg 2 week tapper 1 year clean reinstated 5ml dispersed fluroxatine for 6months
Moderator Emeritus bubble Posted May 14, 2014 Moderator Emeritus Posted May 14, 2014 Hello SF and welcome to SA, thank you for putting your drug history in the signature. Yes, you are right a lot of people are still suffering withdrawals after years of stopping medication. That's one of the main reason this forum is here. But it doesn't have to be a disheartening thought. Withdrawal happens and is prolonged when we come off the medication too fast. After I read what you wrote in your signature: coming off of 37.5 mg in 2 weeks this unfortunately sounds more like a cold-turkey than tapering. There are many reasons why we advise 10 % taper on your current dose and holding the dose for 30 days to allow our brains to adjust to the change. You can learn about these from the links I will copy for you. A very important piece of information would be the one about when you took the last dose of Effexor. (Your brain might still not have fully registered what has happened and it's very likely that it will dislike it intensely). Many people have found 5htp very problematic and ended having to taper it just like an AD. I most warmly recommend that you read the information on these links. We will do our best to answer any of your questions. It might take some time for you to absorb all the information. But it will help you to understand why we will advise you to reinstate a certain dose of Effexor. Our experience tells us that the worst of withdrawal happens weeks and even months after the drug is phsysically out of the system. Most of us here thought thought that we would be an exception (in my case I fell apart 45 days after I "tapered" my medication,stopping what seemed "only" 2.5 mg). http://survivingantidepressants.org/index.php?/topic/603-what-is-antidepressant-withdrawal-syndrome/ http://survivingantidepressants.org/index.php?/topic/1024-why-taper-by-10-of-my-dosage/ http://survivingantidepressants.org/index.php?/topic/3079-about-reinstating-and-stabilizing-to-stop-withdrawal-symptoms/ Here is what we advise as a safe way of coming off of Effexor. http://survivingantidepressants.org/index.php?/topic/272-tips-for-tapering-off-effexor-and-effexor-xr-venlafaxine/ Once again, welcome. you will find a lot of friendly support here and I'm glad you found us especially so early in the journey. best, bubble Current: 9/2022 Xanax 0.08, Lexapro 2 2020 Xanax 0.26 (down from 2 mg in 2013), Lexapro 2.85 mg (down from 5 mg 2013) Amitriptyline (tricyclic AD) and clonazepam for 3 months to treat headache in 1996 1999. - present Xanax prn up to 3 mg. 2000-2005 Prozac CT twice, 2005-2010 Zoloft CT 3 times, 2010-2013 Escitalopram 10 mg went from 2.5 to zero on 7 Aug 2013, bad crash 40 days afterreinstated to 5 mg Escitalopram 4Oct 2013 and holding liquid Xanax every 5 hours 28 Jan 2014 Xanax 1.9, 18 Apr 2015 1 mg, 25 June 2015 Lex 4.8, 6 Aug Lexapro 4.6, 1 Jan 2016 0.64 Xanax 9 month hold 24 Sept 2016 4.5 Lex, 17 Oct 4.4 Lex (Nov 0.63 Xanax, Dec 0.625 Xanax), 1 Jan 2017 4.3 Lex, 24 Jan 4.2, 5 Feb 4.1, 24 Mar 4 mg, 10 Apr 3.9 mg, May 3.85, June 3.8, July 3.75, 22 July 3.7, 15 Aug 3.65, 17 Sept 3.6, 1 Jan 2018 3.55, 19 Jan 3.5, 16 Mar 3.4, 14 Apr 3.3, 23 May 3.2, 16 June 3.15, 15 Jul 3.1, 31 Jul 3, 21 Aug 2.9 26 Sept 2.85, 14 Nov Xan 0.61, 1 Dec 0.59, 19 Dec 0.58, 4 Jan 0.565, 6 Feb 0.55, 20 Feb 0.535, 1 Mar 0.505, 10 Mar 0.475, 14 Mar 0.45, 4 Apr 0.415, 13 Apr 0.37, 21 Apr 0.33, 29 Apr 0.29, 10 May 0.27, 17 May 0.25, 28 May 0.22, 19 June 0.22, 21 Jun updose to 0.24, 24 Jun updose to 0.26 Supplements: Omega 3 + Vit E, Vit C, D, magnesium, Taurine, probiotic I'm not a medical professional. Any advice I give is based on my own experience and reading.
SouthernFreeze Posted May 14, 2014 Author Posted May 14, 2014 i haven't read all your links yet but i thought i would let you know that i went from 150 for two months to 75 for two months to 35.7 for two months and then done the two week thing if that makes any difference. edit: ah, i see now lower doses are more vital. I wonder if i should go back on to 3 mg for a month or two then two, then one also wouldn't 5htp be a good bridge ? 10 years on various anti-depressants 5 years Effexor xr tappered of 150mg in 6 months nothing for two weeks Reinstated 15 beads for 50 days Tappered off then clean 2-3months gradually went back up to 13 mg 3 years bridged fluoxetine 10mg 2 week tapper 1 year clean reinstated 5ml dispersed fluroxatine for 6months
Moderator Emeritus mammaP Posted May 14, 2014 Moderator Emeritus Posted May 14, 2014 Hi SF, I have been on effexor for 12 years and tapering from 37.5 for over 2 years! I count beads too and stopped at 5 beads after tapering for a year. I was fine the first few weeks then started to suffer from withdrawal symptoms that were excruciating. I am concerned that you have gone far, far too fast and agree that reinstating would be worth considering. It is only 2 weeks and you only did a 2 week taper so personally I would go back to the 37.5 and start a slow taper of no more than 10%of the current dose. Effexor/venlafaxine is a particularly nasty drug to get off and needs to be tapered very carefully. If I had to start tapering this drug again, I would go at 5% reductions and do a micro taper, but that is just me and based on my experience. **I am not a medical professional, if in doubt please consult a doctor with withdrawal knowledge. Different drugs occasionally (mostly benzos) 1976 - 1981 (no problem) 1993 - 2002 in and out of hospital. every type of drug + ECT. Staring with seroxat 2002 effexor. Tapered March 2012 to March 2013, ending with 5 beads. Withdrawal April 2013 . Reinstated 5 beads reduced to 4 beads May 2013 Restarted taper Nov 2013 OFF EFFEXOR Feb 2015 Tapered atenolol and omeprazole Dec 2013 - May 2014 Tapering tramadol, Feb 2015 100mg , March 2015 50mg July 2017 30mg. May 15 2018 25mg Taking fish oil, magnesium, B12, folic acid, bilberry eyebright for eye pressure. My story http://survivingantidepressants.org/index.php?/topic/4199-hello-mammap-checking-in/page-33 Lesson learned, slow down taper at lower doses. Taper no more than 10% of CURRENT dose if possible
Moderator Emeritus bubble Posted May 14, 2014 Moderator Emeritus Posted May 14, 2014 yes, as you noted yourself, it's the lower doses that are particularly tricky (and there is very well documented research explaining why it is that). But you have a lot of reading to catch up with so I won't bother you with that article if you are prepared to take my word for it for the time being I'm glad you are considering reinstating. We all want to come off these meds so badly. But if we rush it we only prolong it plus end up suffering horribly. 5htp wasn't found to be helpful (there is also a link for later reading http://survivingantidepressants.org/index.php?/topic/656-5-htp-5-hydroxytryptophan-and-tryptophan/?hl=5htp the gist is this: cymbaltaD -- It's not a good idea to take 5-HTP with a serotonergic drug as it could cause excessive elevation of serotonin. So cross-tapering with 5-HTP would be risky. There are no reports that I know of about this succeeding. If you mean can you treat withdrawal symptoms with 5-HTP, I guess you could say we are still gathering info on that. Occasionally people say it helps, others say it hurts. Its effect is unpredictable. Try it at your own risk, and only a very small amount in case you get a bad reaction. After all I've been through, if I were you (or me) again, I'd reinstate. How much is the main question. But it largely depends on when you stopped taking it (I suppose it wasn't too long ago because withdrawal is only lurking so there is still time for the reinstatement to work.) But the sooner we reinstate the better. I'd ask Alto about the dose, she's our main expert... Also were you taking (do you stull have) tablets or capsules with beads inside? Maybe it woudl be best to read tips on how to taper Effexor first http://survivinganti...xr-venlafaxine/ (to get the proper dose people eaither use liquid or count beads - I found this very strange when I first came here but it is because pharma doesn't recognise withdrawal so tehy don't provide forms for tapering. (If they did, much fewer people woudl be taking their pproducts so from their perspective it definitely doesn't make sense) Current: 9/2022 Xanax 0.08, Lexapro 2 2020 Xanax 0.26 (down from 2 mg in 2013), Lexapro 2.85 mg (down from 5 mg 2013) Amitriptyline (tricyclic AD) and clonazepam for 3 months to treat headache in 1996 1999. - present Xanax prn up to 3 mg. 2000-2005 Prozac CT twice, 2005-2010 Zoloft CT 3 times, 2010-2013 Escitalopram 10 mg went from 2.5 to zero on 7 Aug 2013, bad crash 40 days afterreinstated to 5 mg Escitalopram 4Oct 2013 and holding liquid Xanax every 5 hours 28 Jan 2014 Xanax 1.9, 18 Apr 2015 1 mg, 25 June 2015 Lex 4.8, 6 Aug Lexapro 4.6, 1 Jan 2016 0.64 Xanax 9 month hold 24 Sept 2016 4.5 Lex, 17 Oct 4.4 Lex (Nov 0.63 Xanax, Dec 0.625 Xanax), 1 Jan 2017 4.3 Lex, 24 Jan 4.2, 5 Feb 4.1, 24 Mar 4 mg, 10 Apr 3.9 mg, May 3.85, June 3.8, July 3.75, 22 July 3.7, 15 Aug 3.65, 17 Sept 3.6, 1 Jan 2018 3.55, 19 Jan 3.5, 16 Mar 3.4, 14 Apr 3.3, 23 May 3.2, 16 June 3.15, 15 Jul 3.1, 31 Jul 3, 21 Aug 2.9 26 Sept 2.85, 14 Nov Xan 0.61, 1 Dec 0.59, 19 Dec 0.58, 4 Jan 0.565, 6 Feb 0.55, 20 Feb 0.535, 1 Mar 0.505, 10 Mar 0.475, 14 Mar 0.45, 4 Apr 0.415, 13 Apr 0.37, 21 Apr 0.33, 29 Apr 0.29, 10 May 0.27, 17 May 0.25, 28 May 0.22, 19 June 0.22, 21 Jun updose to 0.24, 24 Jun updose to 0.26 Supplements: Omega 3 + Vit E, Vit C, D, magnesium, Taurine, probiotic I'm not a medical professional. Any advice I give is based on my own experience and reading.
SouthernFreeze Posted May 14, 2014 Author Posted May 14, 2014 Damn, feels like i'v been shot down and i should change my topic title Anyway yes i still have capsules with beads in them, and counting them down is how i done my last two weeks. As with the 5htp i have mostly heard good things and it does help out a bit, if anything it just makes you drowsy. To be honest after having bouts with drugs like crystal meth and ecstasy while on 150mg of effexor it doesn't overly concern me as to doing too much damage, especially while i'm not even taking any prescription drugs at the moment. 10 years on various anti-depressants 5 years Effexor xr tappered of 150mg in 6 months nothing for two weeks Reinstated 15 beads for 50 days Tappered off then clean 2-3months gradually went back up to 13 mg 3 years bridged fluoxetine 10mg 2 week tapper 1 year clean reinstated 5ml dispersed fluroxatine for 6months
Moderator Emeritus bubble Posted May 14, 2014 Moderator Emeritus Posted May 14, 2014 I understand about the title sorry, but from everything I've seen from my own example and reading many stories here over 7 months (MammaP a lot more), I just don't see how your case can be different ;( What is different with you is that you came here a lot earlier than most people (as I think I mentioned I was waiting for 45 days. After that it took me 4 months to stop being a zombie...) Current: 9/2022 Xanax 0.08, Lexapro 2 2020 Xanax 0.26 (down from 2 mg in 2013), Lexapro 2.85 mg (down from 5 mg 2013) Amitriptyline (tricyclic AD) and clonazepam for 3 months to treat headache in 1996 1999. - present Xanax prn up to 3 mg. 2000-2005 Prozac CT twice, 2005-2010 Zoloft CT 3 times, 2010-2013 Escitalopram 10 mg went from 2.5 to zero on 7 Aug 2013, bad crash 40 days afterreinstated to 5 mg Escitalopram 4Oct 2013 and holding liquid Xanax every 5 hours 28 Jan 2014 Xanax 1.9, 18 Apr 2015 1 mg, 25 June 2015 Lex 4.8, 6 Aug Lexapro 4.6, 1 Jan 2016 0.64 Xanax 9 month hold 24 Sept 2016 4.5 Lex, 17 Oct 4.4 Lex (Nov 0.63 Xanax, Dec 0.625 Xanax), 1 Jan 2017 4.3 Lex, 24 Jan 4.2, 5 Feb 4.1, 24 Mar 4 mg, 10 Apr 3.9 mg, May 3.85, June 3.8, July 3.75, 22 July 3.7, 15 Aug 3.65, 17 Sept 3.6, 1 Jan 2018 3.55, 19 Jan 3.5, 16 Mar 3.4, 14 Apr 3.3, 23 May 3.2, 16 June 3.15, 15 Jul 3.1, 31 Jul 3, 21 Aug 2.9 26 Sept 2.85, 14 Nov Xan 0.61, 1 Dec 0.59, 19 Dec 0.58, 4 Jan 0.565, 6 Feb 0.55, 20 Feb 0.535, 1 Mar 0.505, 10 Mar 0.475, 14 Mar 0.45, 4 Apr 0.415, 13 Apr 0.37, 21 Apr 0.33, 29 Apr 0.29, 10 May 0.27, 17 May 0.25, 28 May 0.22, 19 June 0.22, 21 Jun updose to 0.24, 24 Jun updose to 0.26 Supplements: Omega 3 + Vit E, Vit C, D, magnesium, Taurine, probiotic I'm not a medical professional. Any advice I give is based on my own experience and reading.
Moderator Emeritus Rhiannon Posted May 14, 2014 Moderator Emeritus Posted May 14, 2014 This explains why it's important to come off the last bit of a taper much more slowly than the first part: http://survivingantidepressants.org/index.php?/topic/6036-why-taper-paper-demonstrates-importance-of-gradual-change-in-plasma-concentration/ Take a look at the charts in that paper. That's why we say to reduce by 10% or less of your current dose, not of your original dose. It's a curve, not a line, if that makes sense to you (if you understand algebraic functions, it's exponential, not linear). So, yes, you've done great coming off the 150 mg, but yes, you have taken it too fast, especially the last part. Unfortunately it is common for people to get through the early withdrawal symptoms and feel good and think they're done, then to get hit hard a few weeks or months out with the delayed symptoms, which can be very rough. If you can reinstate now and then taper slowly, this period will go more smoothly for you. I know it's discouraging, but on a low dose the drug will not cause as much bad effect for you, and believe me, it is very worthwhile to make that last part of the taper as slow as your brain needs it to be. Oh, and just FYI, there is no comparison between coming off street type drugs or alcohol and coming off psych drugs. Not even prescription opiates can compare. They are powerful substances, but not nearly as precise and potent in their action as these psychiatric drugs. I have never been alcoholic but I have withdrawn from prescription opiates and although it was no walk in the park it was a total picnic compared to coming off psych drugs. Started on Prozac and Xanax in 1992 for PTSD after an assault. One drug led to more, the usual story. Got sicker and sicker, but believed I needed the drugs for my "underlying disease". Long story...lost everything. Life savings, home, physical and mental health, relationships, friendships, ability to work, everything. Amitryptiline, Prozac, bupropion, buspirone, flurazepam, diazepam, alprazolam, Paxil, citalopram, lamotrigine, gabapentin...probably more I've forgotten. Started multidrug taper in Feb 2010. Doing a very slow microtaper, down to low doses now and feeling SO much better, getting my old personality and my brain back! Able to work full time, have a full social life, and cope with stress better than ever. Not perfect, but much better. After 23 lost years. Big Pharma has a lot to answer for. And "medicine for profit" is just not a great idea. Feb 15 2010: 300 mg Neurontin 200 Lamictal 10 Celexa 0.65 Xanax and 5 mg Ambien Feb 10 2014: 62 Lamictal 1.1 Celexa 0.135 Xanax 1.8 Valium Feb 10 2015: 50 Lamictal 0.875 Celexa 0.11 Xanax 1.5 Valium Feb 15 2016: 47.5 Lamictal 0.75 Celexa 0.0875 Xanax 1.42 Valium 2/12/20 12 0.045 0.007 1 May 2021 7 0.01 0.0037 1 Feb 2022 6 0!!! 0.00167 0.98 2.5 mg Ambien Oct 2022 4.5 mg Lamictal (off Celexa, off Xanax) 0.95 Valium Ambien, 1/4 to 1/2 of a 5 mg tablet I'm not a doctor. Any advice I give is just my civilian opinion.
SouthernFreeze Posted May 14, 2014 Author Posted May 14, 2014 Ok, the question is, how much do start on again? And how long for should i taper for this time 10 years on various anti-depressants 5 years Effexor xr tappered of 150mg in 6 months nothing for two weeks Reinstated 15 beads for 50 days Tappered off then clean 2-3months gradually went back up to 13 mg 3 years bridged fluoxetine 10mg 2 week tapper 1 year clean reinstated 5ml dispersed fluroxatine for 6months
Administrator Altostrata Posted May 14, 2014 Administrator Posted May 14, 2014 Welcome, SF. 5mg Effexor might do it, allowing for the possibility your nervous system has adjusted somewhat to the absence of the drug. If that is enough, it will be less to taper. Then, stabilize for a month and taper more gradually. Since 5mg is so few beads, when you begin your taper, you may wish to use a liquid made of regular Effexor instead, so you can taper by amounts smaller than one bead. This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner. "It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein All postings © copyrighted.
SouthernFreeze Posted May 14, 2014 Author Posted May 14, 2014 Welcome, SF. 5mg Effexor might do it, allowing for the possibility your nervous system has adjusted somewhat to the absence of the drug. If that is enough, it will be less to taper. Then, stabilize for a month and taper more gradually. Since 5mg is so few beads, when you begin your taper, you may wish to use a liquid made of regular Effexor instead, so you can taper by amounts smaller than one bead. thank you, not sure if i have been saved or scare mongered reading this forum i'm confident it's the first one 10 years on various anti-depressants 5 years Effexor xr tappered of 150mg in 6 months nothing for two weeks Reinstated 15 beads for 50 days Tappered off then clean 2-3months gradually went back up to 13 mg 3 years bridged fluoxetine 10mg 2 week tapper 1 year clean reinstated 5ml dispersed fluroxatine for 6months
SouthernFreeze Posted May 14, 2014 Author Posted May 14, 2014 i'm soo frickin stupid and angry at myself, i accidentally took 10 mg today Do you think i will be ok to take 5 for the next month after todays stuff up ? I have made a months worth of 5 already and if i taper from 10mg it's like an extra 5 months added to the plan. 10 years on various anti-depressants 5 years Effexor xr tappered of 150mg in 6 months nothing for two weeks Reinstated 15 beads for 50 days Tappered off then clean 2-3months gradually went back up to 13 mg 3 years bridged fluoxetine 10mg 2 week tapper 1 year clean reinstated 5ml dispersed fluroxatine for 6months
Member cymbaltawithdrawal5600 Posted May 15, 2014 Member Posted May 15, 2014 Your system might react to the bump of 10 but might not. Did you make up a liquid for the 5 mg doses? If you did, the solution usually isn't stable for more than 3 days. Your body will register it as an incomplete dose and you won't be able to stabilize that way. Could definitely cause problems. What happened and how I arrived here: http://survivingantidepressants.org/index.php?/topic/4243-cymbaltawithdrawal5600-introduction/#entry50878 July 2016 I have decided to leave my story here at SA unfinished. I have left my contact information in my profile for anyone who wishes to talk to me. I have a posting history spanning nearly 4 years and 3000+ posts all over the site. Thank you to all who participated in my recovery. I'll miss talking to you but know that I'll be cheering you on from the sidelines, suffering and rejoicing with you in spirit, as you go on in your journey.
SouthernFreeze Posted May 15, 2014 Author Posted May 15, 2014 Your system might react to the bump of 10 but might not. Did you make up a liquid for the 5 mg doses? If you did, the solution usually isn't stable for more than 3 days. Your body will register it as an incomplete dose and you won't be able to stabilize that way. Could definitely cause problems. no i just took out beads and weighed them 10 years on various anti-depressants 5 years Effexor xr tappered of 150mg in 6 months nothing for two weeks Reinstated 15 beads for 50 days Tappered off then clean 2-3months gradually went back up to 13 mg 3 years bridged fluoxetine 10mg 2 week tapper 1 year clean reinstated 5ml dispersed fluroxatine for 6months
Member cymbaltawithdrawal5600 Posted May 15, 2014 Member Posted May 15, 2014 Good then. You just might be able to keep on going and your body might not register the bump. Just remember to take the correct amount at the same time every day. That part is really important. Give your system a routine to lean on so it can stabilize. It will take awhile so don't lose heart or get impatient. What happened and how I arrived here: http://survivingantidepressants.org/index.php?/topic/4243-cymbaltawithdrawal5600-introduction/#entry50878 July 2016 I have decided to leave my story here at SA unfinished. I have left my contact information in my profile for anyone who wishes to talk to me. I have a posting history spanning nearly 4 years and 3000+ posts all over the site. Thank you to all who participated in my recovery. I'll miss talking to you but know that I'll be cheering you on from the sidelines, suffering and rejoicing with you in spirit, as you go on in your journey.
Moderator Emeritus bubble Posted May 15, 2014 Moderator Emeritus Posted May 15, 2014 i'm soo frickin stupid and angry at myself, i accidentally took 10 mg today Do you think i will be ok to take 5 for the next month after todays stuff up ? I have made a months worth of 5 already and if i taper from 10mg it's like an extra 5 months added to the plan. don't beat yourself about that. Things like that happen to all of us from time to time. What I do then is that I just go on with the plan the next day or whenever the next dose is. So, I'd say, yes: take 5 starting with your next dose and hold it: every day the same amount at the same time. The symptoms will come and go in windows and waves pattern but you will keep the boat steady and on the course. Current: 9/2022 Xanax 0.08, Lexapro 2 2020 Xanax 0.26 (down from 2 mg in 2013), Lexapro 2.85 mg (down from 5 mg 2013) Amitriptyline (tricyclic AD) and clonazepam for 3 months to treat headache in 1996 1999. - present Xanax prn up to 3 mg. 2000-2005 Prozac CT twice, 2005-2010 Zoloft CT 3 times, 2010-2013 Escitalopram 10 mg went from 2.5 to zero on 7 Aug 2013, bad crash 40 days afterreinstated to 5 mg Escitalopram 4Oct 2013 and holding liquid Xanax every 5 hours 28 Jan 2014 Xanax 1.9, 18 Apr 2015 1 mg, 25 June 2015 Lex 4.8, 6 Aug Lexapro 4.6, 1 Jan 2016 0.64 Xanax 9 month hold 24 Sept 2016 4.5 Lex, 17 Oct 4.4 Lex (Nov 0.63 Xanax, Dec 0.625 Xanax), 1 Jan 2017 4.3 Lex, 24 Jan 4.2, 5 Feb 4.1, 24 Mar 4 mg, 10 Apr 3.9 mg, May 3.85, June 3.8, July 3.75, 22 July 3.7, 15 Aug 3.65, 17 Sept 3.6, 1 Jan 2018 3.55, 19 Jan 3.5, 16 Mar 3.4, 14 Apr 3.3, 23 May 3.2, 16 June 3.15, 15 Jul 3.1, 31 Jul 3, 21 Aug 2.9 26 Sept 2.85, 14 Nov Xan 0.61, 1 Dec 0.59, 19 Dec 0.58, 4 Jan 0.565, 6 Feb 0.55, 20 Feb 0.535, 1 Mar 0.505, 10 Mar 0.475, 14 Mar 0.45, 4 Apr 0.415, 13 Apr 0.37, 21 Apr 0.33, 29 Apr 0.29, 10 May 0.27, 17 May 0.25, 28 May 0.22, 19 June 0.22, 21 Jun updose to 0.24, 24 Jun updose to 0.26 Supplements: Omega 3 + Vit E, Vit C, D, magnesium, Taurine, probiotic I'm not a medical professional. Any advice I give is based on my own experience and reading.
SouthernFreeze Posted May 15, 2014 Author Posted May 15, 2014 i'm soo frickin stupid and angry at myself, i accidentally took 10 mg today Do you think i will be ok to take 5 for the next month after todays stuff up ? I have made a months worth of 5 already and if i taper from 10mg it's like an extra 5 months added to the plan. don't beat yourself about that. Things like that happen to all of us from time to time. What I do then is that I just go on with the plan the next day or whenever the next dose is. So, I'd say, yes: take 5 starting with your next dose and hold it: every day the same amount at the same time. The symptoms will come and go in windows and waves pattern but you will keep the boat steady and on the course. thanks for the encouragement, also thanks everyone for all the insight. This forum is amazing congrats to the people who got it going. 10 years on various anti-depressants 5 years Effexor xr tappered of 150mg in 6 months nothing for two weeks Reinstated 15 beads for 50 days Tappered off then clean 2-3months gradually went back up to 13 mg 3 years bridged fluoxetine 10mg 2 week tapper 1 year clean reinstated 5ml dispersed fluroxatine for 6months
Moderator Emeritus Rhiannon Posted May 15, 2014 Moderator Emeritus Posted May 15, 2014 You're doing great, SF, and I'm optimistic about your future. We all screw up our doses from time to time. It might make things a little bumpy, but you can ride it out. Just like everyone says, get back on track and stay there now, give your CNS some stability. You're going to be fine. There will be better days and worse days, but you're going to come right through this. Started on Prozac and Xanax in 1992 for PTSD after an assault. One drug led to more, the usual story. Got sicker and sicker, but believed I needed the drugs for my "underlying disease". Long story...lost everything. Life savings, home, physical and mental health, relationships, friendships, ability to work, everything. Amitryptiline, Prozac, bupropion, buspirone, flurazepam, diazepam, alprazolam, Paxil, citalopram, lamotrigine, gabapentin...probably more I've forgotten. Started multidrug taper in Feb 2010. Doing a very slow microtaper, down to low doses now and feeling SO much better, getting my old personality and my brain back! Able to work full time, have a full social life, and cope with stress better than ever. Not perfect, but much better. After 23 lost years. Big Pharma has a lot to answer for. And "medicine for profit" is just not a great idea. Feb 15 2010: 300 mg Neurontin 200 Lamictal 10 Celexa 0.65 Xanax and 5 mg Ambien Feb 10 2014: 62 Lamictal 1.1 Celexa 0.135 Xanax 1.8 Valium Feb 10 2015: 50 Lamictal 0.875 Celexa 0.11 Xanax 1.5 Valium Feb 15 2016: 47.5 Lamictal 0.75 Celexa 0.0875 Xanax 1.42 Valium 2/12/20 12 0.045 0.007 1 May 2021 7 0.01 0.0037 1 Feb 2022 6 0!!! 0.00167 0.98 2.5 mg Ambien Oct 2022 4.5 mg Lamictal (off Celexa, off Xanax) 0.95 Valium Ambien, 1/4 to 1/2 of a 5 mg tablet I'm not a doctor. Any advice I give is just my civilian opinion.
SouthernFreeze Posted May 18, 2014 Author Posted May 18, 2014 so now im back on five mg all my withdrawal symptoms are back...wtf, i thought i would be better, not worse 10 years on various anti-depressants 5 years Effexor xr tappered of 150mg in 6 months nothing for two weeks Reinstated 15 beads for 50 days Tappered off then clean 2-3months gradually went back up to 13 mg 3 years bridged fluoxetine 10mg 2 week tapper 1 year clean reinstated 5ml dispersed fluroxatine for 6months
Moderator Emeritus bubble Posted May 18, 2014 Moderator Emeritus Posted May 18, 2014 let's rewind the tape a bit.... I was reading through you posts, looking at you signature but couldn't find this information: it seems you reinstated 5 mg but you forgot to write WHEN. in order to see whether reinstatement is working, you have to carefully monitor your symptoms and keep notes of them because we just forget how things are changing and after a while we can't tell. Knowing the pattern of your symptoms is very important for seeing how the drugs affect you and what to do about them. So, how did you feel feel after the reinstatement? Did you feel any relief? That would be a sign that things are working. I'm saying relief, abating of symptoms and not that they would disappear. remember windows and waves pattern of recovery after our brains have been messed up with too speedy withdrawal? Putting dates into your signature would be very helpful, instead of saying that you tapered off 37.5 in 2 weeks: when was that? We recommend going down by 10 % every 30 days , so going down of 150 mg over 6 months is asking for trouble. So it might be that you are experiencing withdrawal already despite the reinstatement and might need to updose. But it's hard to tell since I can't see the pattern of your symptoms after reinstatement. What are your symptoms now? hang in there! Current: 9/2022 Xanax 0.08, Lexapro 2 2020 Xanax 0.26 (down from 2 mg in 2013), Lexapro 2.85 mg (down from 5 mg 2013) Amitriptyline (tricyclic AD) and clonazepam for 3 months to treat headache in 1996 1999. - present Xanax prn up to 3 mg. 2000-2005 Prozac CT twice, 2005-2010 Zoloft CT 3 times, 2010-2013 Escitalopram 10 mg went from 2.5 to zero on 7 Aug 2013, bad crash 40 days afterreinstated to 5 mg Escitalopram 4Oct 2013 and holding liquid Xanax every 5 hours 28 Jan 2014 Xanax 1.9, 18 Apr 2015 1 mg, 25 June 2015 Lex 4.8, 6 Aug Lexapro 4.6, 1 Jan 2016 0.64 Xanax 9 month hold 24 Sept 2016 4.5 Lex, 17 Oct 4.4 Lex (Nov 0.63 Xanax, Dec 0.625 Xanax), 1 Jan 2017 4.3 Lex, 24 Jan 4.2, 5 Feb 4.1, 24 Mar 4 mg, 10 Apr 3.9 mg, May 3.85, June 3.8, July 3.75, 22 July 3.7, 15 Aug 3.65, 17 Sept 3.6, 1 Jan 2018 3.55, 19 Jan 3.5, 16 Mar 3.4, 14 Apr 3.3, 23 May 3.2, 16 June 3.15, 15 Jul 3.1, 31 Jul 3, 21 Aug 2.9 26 Sept 2.85, 14 Nov Xan 0.61, 1 Dec 0.59, 19 Dec 0.58, 4 Jan 0.565, 6 Feb 0.55, 20 Feb 0.535, 1 Mar 0.505, 10 Mar 0.475, 14 Mar 0.45, 4 Apr 0.415, 13 Apr 0.37, 21 Apr 0.33, 29 Apr 0.29, 10 May 0.27, 17 May 0.25, 28 May 0.22, 19 June 0.22, 21 Jun updose to 0.24, 24 Jun updose to 0.26 Supplements: Omega 3 + Vit E, Vit C, D, magnesium, Taurine, probiotic I'm not a medical professional. Any advice I give is based on my own experience and reading.
SouthernFreeze Posted May 19, 2014 Author Posted May 19, 2014 let's rewind the tape a bit.... I was reading through you posts, looking at you signature but couldn't find this information: it seems you reinstated 5 mg but you forgot to write WHEN. in order to see whether reinstatement is working, you have to carefully monitor your symptoms and keep notes of them because we just forget how things are changing and after a while we can't tell. Knowing the pattern of your symptoms is very important for seeing how the drugs affect you and what to do about them. So, how did you feel feel after the reinstatement? Did you feel any relief? That would be a sign that things are working. I'm saying relief, abating of symptoms and not that they would disappear. remember windows and waves pattern of recovery after our brains have been messed up with too speedy withdrawal? Putting dates into your signature would be very helpful, instead of saying that you tapered off 37.5 in 2 weeks: when was that? We recommend going down by 10 % every 30 days , so going down of 150 mg over 6 months is asking for trouble. So it might be that you are experiencing withdrawal already despite the reinstatement and might need to updose. But it's hard to tell since I can't see the pattern of your symptoms after reinstatement. What are your symptoms now? hang in there! 10 years on various anti-depressants 5 years Effexor xr tappered of 150mg in 6 months nothing for two weeks Reinstated 15 beads for 50 days Tappered off then clean 2-3months gradually went back up to 13 mg 3 years bridged fluoxetine 10mg 2 week tapper 1 year clean reinstated 5ml dispersed fluroxatine for 6months
SouthernFreeze Posted May 19, 2014 Author Posted May 19, 2014 i was two weeks clean and wasn't feeling to bad, then went on to 5 mg three days ago. the first day i felt better then i started to start crying and ****, today though i must admit i feel a little better. also note that the first day i accidentally had ten mg 10 years on various anti-depressants 5 years Effexor xr tappered of 150mg in 6 months nothing for two weeks Reinstated 15 beads for 50 days Tappered off then clean 2-3months gradually went back up to 13 mg 3 years bridged fluoxetine 10mg 2 week tapper 1 year clean reinstated 5ml dispersed fluroxatine for 6months
Moderator Emeritus Rhiannon Posted May 19, 2014 Moderator Emeritus Posted May 19, 2014 It can take a while to stabilize. A small reinstatement won't take away withdrawal completely but it should help to cushion the fall. You can also try a slightly larger reinstatement if you want, since it's been so recently that you came off the drug completely. Usually people in your position do well with a small reinstatement, a period of time to stabilize, and then a slow taper off. If it were me I would avoid 5htp at this point, since it's hard to say what effect it's having and it could actually be stimulating or disruptive. Mostly we find people in withdrawal are very sensitive to supplements and over time and much experimentation the consensus seems to be that the safest supplements are fish oil and magnesium. I personally take a few others, but nothing neuroactive. Started on Prozac and Xanax in 1992 for PTSD after an assault. One drug led to more, the usual story. Got sicker and sicker, but believed I needed the drugs for my "underlying disease". Long story...lost everything. Life savings, home, physical and mental health, relationships, friendships, ability to work, everything. Amitryptiline, Prozac, bupropion, buspirone, flurazepam, diazepam, alprazolam, Paxil, citalopram, lamotrigine, gabapentin...probably more I've forgotten. Started multidrug taper in Feb 2010. Doing a very slow microtaper, down to low doses now and feeling SO much better, getting my old personality and my brain back! Able to work full time, have a full social life, and cope with stress better than ever. Not perfect, but much better. After 23 lost years. Big Pharma has a lot to answer for. And "medicine for profit" is just not a great idea. Feb 15 2010: 300 mg Neurontin 200 Lamictal 10 Celexa 0.65 Xanax and 5 mg Ambien Feb 10 2014: 62 Lamictal 1.1 Celexa 0.135 Xanax 1.8 Valium Feb 10 2015: 50 Lamictal 0.875 Celexa 0.11 Xanax 1.5 Valium Feb 15 2016: 47.5 Lamictal 0.75 Celexa 0.0875 Xanax 1.42 Valium 2/12/20 12 0.045 0.007 1 May 2021 7 0.01 0.0037 1 Feb 2022 6 0!!! 0.00167 0.98 2.5 mg Ambien Oct 2022 4.5 mg Lamictal (off Celexa, off Xanax) 0.95 Valium Ambien, 1/4 to 1/2 of a 5 mg tablet I'm not a doctor. Any advice I give is just my civilian opinion.
SouthernFreeze Posted May 19, 2014 Author Posted May 19, 2014 thanks, yeah i have stopped the 5htp now and think i will stay on this dose for at least a month. i have magnesium b vitamins and eat fish every day (caught my self if possible) 10 years on various anti-depressants 5 years Effexor xr tappered of 150mg in 6 months nothing for two weeks Reinstated 15 beads for 50 days Tappered off then clean 2-3months gradually went back up to 13 mg 3 years bridged fluoxetine 10mg 2 week tapper 1 year clean reinstated 5ml dispersed fluroxatine for 6months
Administrator Altostrata Posted May 19, 2014 Administrator Posted May 19, 2014 Fresh fish is the best! Good eating to you. This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner. "It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein All postings © copyrighted.
SouthernFreeze Posted May 22, 2014 Author Posted May 22, 2014 Ah after i have gone back on to the effexor i feel agitated, can't sleep very well and have bouts of aggression like i just cant let things go. I feel like i can't talk about it to anyone because no one understands, feel helpless and alone. Someone please tell me this will go away as it stabilizes more, usually when i go back on it i just feel relieved. I read the threads about stabilizing and reinstatement, but it kind of just confused me. I don't know if i should lower the dose, if it's not working because i have become accustom to nothing in my system, or it's just taking time to stabalize 10 years on various anti-depressants 5 years Effexor xr tappered of 150mg in 6 months nothing for two weeks Reinstated 15 beads for 50 days Tappered off then clean 2-3months gradually went back up to 13 mg 3 years bridged fluoxetine 10mg 2 week tapper 1 year clean reinstated 5ml dispersed fluroxatine for 6months
Moderator Emeritus Petunia Posted May 23, 2014 Moderator Emeritus Posted May 23, 2014 Is the aggression a completely new symptom? Is this just a feeling, or something you might act on? When did this start? In general, do you feel better or worse than before reinstatement? I'm not a doctor. My comments are not medical advise. These are my opinions based on my own experience and what I've learned. Please discuss your situation with a medical practitioner who has knowledge of tapering and withdrawal...if you are lucky enough to find one. My Introduction Thread Full Drug and Withdrawal History Brief Summary Several SSRIs for 13 years starting 1997 (for mild to moderate partly situational anxiety) Xanax PRN ~ Various other drugs over the years for side effects 2 month 'taper' off Lexapro 2010 Short acute withdrawal, followed by 2 -3 months of improvement then delayed protracted withdrawal DX ADHD followed by several years of stimulants and other drugs trying to manage increasing symptoms Failed reinstatement of Lexapro and trial of Prozac (became suicidal) May 2013 Found SA, learned about withdrawal, stopped taking drugs...healing begins. Protracted withdrawal, with a very sensitized nervous system, slowly recovering as time passes Supplements which have helped: Vitamin C, Magnesium, Taurine Bad reactions: Many supplements but mostly fish oil and Vitamin D June 2016 - Started daily juicing, mostly vegetables and lots of greens. Aug 2016 - Oct 2016 Best window ever, felt almost completely recovered Oct 2016 -Symptoms returned - bad days and less bad days. April 2018 - No windows, but significant improvement, it feels like permanent full recovery is close. VIDEO: Where did the chemical imbalance theory come from? VIDEO: How are psychiatric diagnoses made? VIDEO: Why do psychiatric drugs have withdrawal syndromes? VIDEO: Can psychiatric drugs cause long-lasting negative effects? VIDEO: Dr. Claire Weekes
SouthernFreeze Posted May 23, 2014 Author Posted May 23, 2014 Is the aggression a completely new symptom? Is this just a feeling, or something you might act on? When did this start? In general, do you feel better or worse than before reinstatement? the aggression is like a thing i kind of had, but have sort of only recognized it more after reinstating. Its not massive aggression, just getting angry about something and holding on to it...like all night. It's definitely something i had but am just acting on more now i have reinstated. I feel worse than before i reinstated. Before i reinstated i had an underlying feeling of anxiety but everything was more even. Now my feelings and actions are more erratic. The anxiety hits me more like stabs in the chest rather than something that's just sitting there in the background 10 years on various anti-depressants 5 years Effexor xr tappered of 150mg in 6 months nothing for two weeks Reinstated 15 beads for 50 days Tappered off then clean 2-3months gradually went back up to 13 mg 3 years bridged fluoxetine 10mg 2 week tapper 1 year clean reinstated 5ml dispersed fluroxatine for 6months
Moderator Emeritus Petunia Posted May 23, 2014 Moderator Emeritus Posted May 23, 2014 Its possible that reinstating 5mg may not be enough and you are getting withdrawals from your 2 week taper from 35.7mg. When you reinstated previously and felt relief, did you reinstate the whole amount? I'm not a doctor. My comments are not medical advise. These are my opinions based on my own experience and what I've learned. Please discuss your situation with a medical practitioner who has knowledge of tapering and withdrawal...if you are lucky enough to find one. My Introduction Thread Full Drug and Withdrawal History Brief Summary Several SSRIs for 13 years starting 1997 (for mild to moderate partly situational anxiety) Xanax PRN ~ Various other drugs over the years for side effects 2 month 'taper' off Lexapro 2010 Short acute withdrawal, followed by 2 -3 months of improvement then delayed protracted withdrawal DX ADHD followed by several years of stimulants and other drugs trying to manage increasing symptoms Failed reinstatement of Lexapro and trial of Prozac (became suicidal) May 2013 Found SA, learned about withdrawal, stopped taking drugs...healing begins. Protracted withdrawal, with a very sensitized nervous system, slowly recovering as time passes Supplements which have helped: Vitamin C, Magnesium, Taurine Bad reactions: Many supplements but mostly fish oil and Vitamin D June 2016 - Started daily juicing, mostly vegetables and lots of greens. Aug 2016 - Oct 2016 Best window ever, felt almost completely recovered Oct 2016 -Symptoms returned - bad days and less bad days. April 2018 - No windows, but significant improvement, it feels like permanent full recovery is close. VIDEO: Where did the chemical imbalance theory come from? VIDEO: How are psychiatric diagnoses made? VIDEO: Why do psychiatric drugs have withdrawal syndromes? VIDEO: Can psychiatric drugs cause long-lasting negative effects? VIDEO: Dr. Claire Weekes
SouthernFreeze Posted May 23, 2014 Author Posted May 23, 2014 yes 10 years on various anti-depressants 5 years Effexor xr tappered of 150mg in 6 months nothing for two weeks Reinstated 15 beads for 50 days Tappered off then clean 2-3months gradually went back up to 13 mg 3 years bridged fluoxetine 10mg 2 week tapper 1 year clean reinstated 5ml dispersed fluroxatine for 6months
Moderator Emeritus Rhiannon Posted May 23, 2014 Moderator Emeritus Posted May 23, 2014 Cam, you're in that place where it's hard to say which is causing your problems, the drug itself or the withdrawal. Unfortunately, once destabilized by a CT or too-rapid taper (pretty much the same thing as far as our CNS is concerned), it's hard to predict how we will respond to taking more of the drug again. Given your history I think what you're experiencing now is probably mostly due to withdrawal. You have several options now: stay where you are, go up in dose, or go down in dose. If you choose to go up in dose a bit, I'd recommend making only a small increase, maybe another 5 mg, not more. Then keep a journal daily, noting how you're doing and ranking your symptoms on a scale of 1 to 5. The problem with changing your dosage based on how you're feeling is that the bad waves are going to come and go whether or not you tweak your meds. People often get caught in the trap of going up and down on doses based on how they're feeling today, when how they're feeling today is really the result of something they did two weeks ago. And then going up and down on doses just destabilizes us further so then they continue to get worse. So I don't think it's unreasonable to consider increasing your reinstatement slightly, but be aware that you should do it by small amounts and then hold for a while. And be aware that pretty much no matter what you do now, you're going to have withdrawal symptoms, and you're going to be reacting to the drug in ways you maybe didn't in the past. Started on Prozac and Xanax in 1992 for PTSD after an assault. One drug led to more, the usual story. Got sicker and sicker, but believed I needed the drugs for my "underlying disease". Long story...lost everything. Life savings, home, physical and mental health, relationships, friendships, ability to work, everything. Amitryptiline, Prozac, bupropion, buspirone, flurazepam, diazepam, alprazolam, Paxil, citalopram, lamotrigine, gabapentin...probably more I've forgotten. Started multidrug taper in Feb 2010. Doing a very slow microtaper, down to low doses now and feeling SO much better, getting my old personality and my brain back! Able to work full time, have a full social life, and cope with stress better than ever. Not perfect, but much better. After 23 lost years. Big Pharma has a lot to answer for. And "medicine for profit" is just not a great idea. Feb 15 2010: 300 mg Neurontin 200 Lamictal 10 Celexa 0.65 Xanax and 5 mg Ambien Feb 10 2014: 62 Lamictal 1.1 Celexa 0.135 Xanax 1.8 Valium Feb 10 2015: 50 Lamictal 0.875 Celexa 0.11 Xanax 1.5 Valium Feb 15 2016: 47.5 Lamictal 0.75 Celexa 0.0875 Xanax 1.42 Valium 2/12/20 12 0.045 0.007 1 May 2021 7 0.01 0.0037 1 Feb 2022 6 0!!! 0.00167 0.98 2.5 mg Ambien Oct 2022 4.5 mg Lamictal (off Celexa, off Xanax) 0.95 Valium Ambien, 1/4 to 1/2 of a 5 mg tablet I'm not a doctor. Any advice I give is just my civilian opinion.
Administrator Altostrata Posted May 23, 2014 Administrator Posted May 23, 2014 What is the daily pattern for your symptoms? Please keep notes on paper. This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner. "It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein All postings © copyrighted.
SouthernFreeze Posted May 23, 2014 Author Posted May 23, 2014 i think i will stay on the dose i am on now, after all i wasn't feeling that bad when i was on nothing two weeks ago, so if i' feeling the withdrawals from then now, then i won't have really felt what this dose does till about another week. I'm not very good at describing my symptoms and they are kind of all over the place. The main ones that stand out are the headaches in the morning, rushing panicy thoughts through out the day that makes me do stupid ****, like when i do physical things my mind is else where. I also find it hard to get to sleep and then i wake in the night with panic attacks and consuming thoughts that keep you awake, same with early in the morning, like i said before, anxiety that feels like a stabbing in the chest when it hits. It feels very similar to a night sleep after drinking heavily and making an idiot of myself. Evenings seem to be the best times and when i meditate, but it's hard to bring myself around meditate these days as good as i know it is for me 10 years on various anti-depressants 5 years Effexor xr tappered of 150mg in 6 months nothing for two weeks Reinstated 15 beads for 50 days Tappered off then clean 2-3months gradually went back up to 13 mg 3 years bridged fluoxetine 10mg 2 week tapper 1 year clean reinstated 5ml dispersed fluroxatine for 6months
Administrator Altostrata Posted May 24, 2014 Administrator Posted May 24, 2014 That's a fairly typical withdrawal syndrome pattern. Still, it would help if we had more exact times when these things occur. This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner. "It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein All postings © copyrighted.
SouthernFreeze Posted May 24, 2014 Author Posted May 24, 2014 ok if anyone is confused i have changed my name to southernfreeze @ Alto I will try and wright down the exact times. I might just want to add that i have been at home for the last couple of months with an injury. I have used this opportunity to come off the effexor but i am back at work tomorrow so my symptoms will probably all change for better or worse. 10 years on various anti-depressants 5 years Effexor xr tappered of 150mg in 6 months nothing for two weeks Reinstated 15 beads for 50 days Tappered off then clean 2-3months gradually went back up to 13 mg 3 years bridged fluoxetine 10mg 2 week tapper 1 year clean reinstated 5ml dispersed fluroxatine for 6months
SouthernFreeze Posted May 29, 2014 Author Posted May 29, 2014 ok so just an update for myself or anyone who cares I am starting to feel stabilized now after pretty much two weeks of the same dose. I have been able to meditate first thing in the morning for four days straight now which has been really good and helpful, hopefully i can keep it up. I have been sleeping much better which is a great relief. I have noticed just in the last three days that i will fly off the handle at my wife with anything that has to do with stress but am happy as otherwise, problem is we are having some family issues which are very stressful at the moment, so it is difficult. Also, mainly from about twelve in the day onward, i have been started to feel a fair bit lethargic, like my usual interests don't really interest me anymore or i just can't be bothered with them. 10 years on various anti-depressants 5 years Effexor xr tappered of 150mg in 6 months nothing for two weeks Reinstated 15 beads for 50 days Tappered off then clean 2-3months gradually went back up to 13 mg 3 years bridged fluoxetine 10mg 2 week tapper 1 year clean reinstated 5ml dispersed fluroxatine for 6months
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