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  2. UPDATE....!!!!! Its been one month since I posted last time here. Some symptoms got improved while others got worsen. Sleep:- I'm able to sleep between 5 to 7.5 hours daily. But the thing is...... I feel less deep sleep. Something like my brain stopped to relax during sleep. I feel no difference between before and after sleep. Vivid dreams !!!!! instead of deep sleep my brain is running in some kind of weird dreams. And this symptom started around 2 weeks back and it slowly intensified for 1 week. Since last 5 days onwards, this symptom is fading away. Today I had a peaceful sleep for 7.5 hours and I had a good dream instead of some horror one. I don't know how it will be tomorrow. 🙁 Armpit ,Beard and Pubic hair loss:- This one didn't appeared suddenly. I started losing hair very gradually. But last month hair loss was too much. I didn't posted in last post because during that time it was not much noticable. Eye floaters:- This symptom is less bothersome now. I see improvements. Previously floaters very concentrated and very black. But now they have reduced very much. Diarrhea:- I fixed it by taking probiotics and intermittent fasting for 48 hours. I stopped eating refined sugar, sweets and desserts. No caffeine and no alcohol. Sweating:- Completely gone. I never observed them since last month. Appetite:- Gradually appetite got improved. PSSD:- Gradually it got worsen, no morning and random erections these days. Semen volume got decreased. I feel like my balls are shrunken. Joint pains:- As i do gym and sports regularly I didn't added in WD list. But I stopped doing gym since one month but still im having joint paints randomly. Calcium and D3 supplements are not helpful. Moderators please answer my question..... Does anyone faced similar way of healing??? Like some symptoms got worse and vice versa??? As PSSD got worsen I done blood test and results were optimal. Free Testosterone is 650ng/dl Prolactin is 4.5ng/dl FSH is 2.6 mIU/ml(close to lower border) LS is 4.6 mIU/ml Done liver functional test and all are optimal. Done thyroid test FT4 is 1.7 ng/dl and optimal range is 0.82-1.57 As per my knowledge, this period might be wave. Your opinions are very valuable for me. So do reply to my post. Thank you all (namaste 🙏)
  3. Hi Lindsay, thank you for letting us know. It would be really great if Johawaii could post herself and tell us in more detail about her recovery.
  4. Today
  5. I do want to add some positivity to my thread though for anyone who lurks on here, although I have these small waves, they are absolutely nothing compared to the reaction. I am myself again, I laugh again and I genuinely enjoy my life and my family. I go days and days forgetting that this had ever even happened, its not even a thought most of the time. I don't even think about this website anymore until I get an email from it and decide to update and this website used to be my life line! I don't know if anyone actually reads any of this but just incase anyone does I just want them to know there is hope and i know how hard that is to believe when you are in it.
  6. For anyone who comes across Johawaii's story, I just wanted to update since she no longer comes on here, she is doing AMAZING. Truly one of the strongest people I know. A huge beacon of hope to others who find themselves in this situation. There is hope for healing, it takes work though.
  7. I have still been stuck in this wave. It is strange, I feel as though I have PTSD from everything that happened. Now any amount of stress sets me off. Anger, being overwhelmed, feeling guilty for anything, any kind of negative emotion is just too much for me sometimes and send me back into a spiral. But Im doing my best to bring myself out of it.
  8. Yes I took 5mg Escitalopram for 1 month. No withdrawal symptoms observed for 2 months. March is the month where my withdrawal is severe.
  9. bunchesofoats

    bunchesofoats: starting 2nd citalopram taper

    Well today sucked. It wasn't all WD, since I've definitely felt some of these things before, but I'm assuming it was triggered by it. I had a powerful flashback of a sexual assault that happened several years ago. I've never repressed it and have spoken about it to others, yet I think I've never really let myself go there. I can't stand to admit vulnerability, even if I understand the importance of it. I heard Brene Brown's TED talk when it first came out and I knew it completely shifted my perspective right away. Yet those old habits are still there somewhere, and I guess that's where the WD comes in - it takes me back to the most destructive ways of thinking that I've tried so much to change. Or maybe that's not it at all. To be honest it's been really hard to get a grasp on what's going on. I've never had a flashback like this, and I don't want to go into too much detail, but it threw me around in a powerful way that I don't know if I've ever been aware of experiencing before. And it wasn't just the one, it was a culmination of all the times my boundaries have been crossed. The WD definitely sucks, but so do the conditions that existed before it. There are just so many factors. It's really hard to make sense of, and I really like having things organized. One thing's for sure, my head feels weird. That for sure is the medication. It's almost like I can't get to a relaxed state in my head, it's hard to explain. It's how I felt on wellbutrin and other stimulants. I'm going to stop Vitamin D since I already know I have insomnia when I take too much, and I read here that people can be more sensitive during WD. I also read the same about B vitamins which I found interesting because I was taking just methylfolate (I have the MTHFR mutation, as well as COMT) and at some point felt like it was making me anxious, so I stopped that. I don't take a multivitamin because my b12 was high during my last blood test so the NP recommended I stop taking any b12 supplements.
  10. Thanks for the great reply. All of this information is very much appreciated. My doctor initiated my 1st taper of 5 mg. I had already started that when I found this forum and decided to join so I could get some support. Over the past month or so, I have started to get very intense spells of uncontrollable thoughts of worry. I have been able to tame them down with deep breathing and exercise. The Doctor said that he thinks the Paroxetine has quit working. I purchased a little scale and a pair of pill cutting scissors and I have been shaving of small portions until I get to the correct weight. My little scale shows that a standard 30 mg paroxetine pill actually weighs 44mg so I have been cutting them down to 37 grams and I think that calculates out to 25 or 26 mg of Paroxietine. I plan on doing that for 4 weeks and hope for the best and if all goes well, I will then begin to reduce by another 10% for 3 to 4 weeks. Tomorrow will be day 5 on my 1st reduction and so far so good. I am actually feeling pretty good. However, I also know that often the WD symptoms will not start to occur until week 2 or 3.
  11. David182

    David182: hello all

    I just looked up magnesium deficiency symptoms... I have almost every one of them. For whatever reason I think I’ve hit an ebb in magnesium despite not changing much of anything. https://naturalsociety.com/16-magnesium-deficiency-symptoms-signs-low-levels/
  12. Another option to measure capsule contents for a dose. Fold a piece of firm paper in half and fold it backwards and forwards on the fold so that it will still sit flat. Pour the capsules contents onto the paper and fold it so that the powder is along the fold. Carefully open out the fold and place down on a flat surface. With a flat sharp implement, blade of a knife or razor blade, divide up the powder. If you fold two pieces of paper together you can pull one out from under the other and scrape the powder on the underneath piece of paper.
  13. Jlkdr

    Jlkdr: off Prozac

    8/18/19 6:30 AM Up for coffee, losartan, krill oil 8:30 AM Repaired gutter leaks 9:00 AM Made preps in home to leave dogs, changed out area rugs etc, feeling bad, angry, short tempered, impatient, sad, crying 1:30 PM Feel debilitated, cannot describe this feeling, canceled book study group, daughter brought me lunch. I miss this daughter who lives here. She’s currently commuting to work out of town for a limited time. 3:00 PM Meditation, rest, reading surviving antidepressants.com forum posts about spiraling emotions. Recognized akathisia and morning dread. Recalled akathisia is what started my venture into heavy-duty psych drugs. It was the result of rebound effect of the Xanax I purchased online in 2004/2005. After reading the information on how long the process of tapering and feeling better will take, I’ve decided I will be dead before I feel alive again. I think I need to stop reading and look for YouTubes on meditation and brain healing. 6:30 PM Made it to bed already, feeling better 9:00 PM Fisher Wallace, 400 mg magnesium, .75 mg klonopin, listening to brain healing binaural music for sleep
  14. I don't think more water would help....this powder is just not dissolving easily....They are gelatin capsules full of the powder so I can try dumping out the powder onto a piece of paper and forming an even rectangle....and then cutting that into quarters... But what about when we have to taper down further? How can I accurately do it this way? I am also not clear as to how long this taper is going to last. Could this really takes weeks to get off the DLPA? I didn't seem to have any trouble dropping from 1000 to 500 though. Today, I have had 24/7 anxiety in my chest (which isn't that different from other days)....I have the heart palpitations and flutters and a constant racy feeling....also feel wide awake at 7pm when I should be getting that winding down feeling....I definitely feel better after cutting down the DLPA dosage from 1000 mg to 500 mg but I am scared that I still have this constant anxiety....why is this? During my bad taper, I did, from time to time, experience the chest pressure. But I do not recall feeling this constant, level of anxiety when the withdrawals first started on July 24th...it was more of a sick/unwell/weak/hungover feeling. So, where is the anxiety coming from? Do withdrawal symptoms evolve from one thing into another? I'm feeling really fearful right now.... My goal is to get off the aminos and then see where I am at with the Prozac reinstatement. If I need to increase the Prozac, I am fine with that. I have also reconciled the fact that I may never be able to get off Prozac. That is ok, too. I just want the withdrawal symptoms and anxiety to go away. Is it possible the 1.25 mg of Prozac is causing the anxiety? Or wouldn't it make more sense that it is my body's way of saying that it wants more Prozac? Sorry, just having a worrisome day and am looking for some reassurance.
  15. ChessieCat

    getofflex: weaning of Lexapro

    Acceptance
  16. Yes I think this secondary fear, which I see as freaking out over the withdrawal symptoms and fighting them, is a problem for me. My takeaway from this is that I need to accept my W/D symptoms, and just flow with them, instead of fighting them or getting upset by them. This forum is a huge help in allowing me to do that. I already feel much calmer now than I did earlier today. What happens is I feel so good for a few days, then it's as if the bottom has dropped out and I feel awful the next day, and it takes me by surprise. Windows and waves.
  17. ChessieCat

    getofflex: weaning of Lexapro

    I'm pleased about this. And this is good too. He doesn't have to be specific. It's none of her business. Even just saying that you are run down at the moment, or have a lot on your plate. Something really general that happens to anybody.
  18. getofflex

    getofflex: weaning of Lexapro

    Thankfully she will not be staying with me. She stayed with me one day back in April, and that didn't work out. I'm going to set some boundaries as to how much time I spend with her, and if she gets offended, hubby is going to run interference for me and have a talk with her and tell her that I'm stretched to the limit, which I am. Thanks for all the information. I'll read the links tomorrow when I have time.
  19. WinterMermaid

    WinterMermaid

    Thanks, ChessieCat, your response is very helpful. I will try to go SLOW this time. Although I am, of course, ready to be DONE, I don't want to go through the setback that I had this spring/summer.
  20. Welcome back Survivor1, I am very sorry to hear that you are not feeling well and have these medical conditions. Pulmonary venous hypertension is serious. I seem to recall that you were getting those middle of the night or early morning jerks awake. Are you still getting those as well? I am still tapering, it's taking forever. I can do about 5% every five or six weeks. Sometimes I get symptoms but they are mild. I am not complaining at all. Compared to what you are going through, and what others of this site and even what I have gone through in the past I am most grateful for every bit of health I have right now. It is a long and ugly road recovery road we walk. I hope that these problems go away for you. RS
  21. So I don’t have enough info to draw any conclusion yet, but Thursday and Friday were the worst I’ve felt in a while. Then Saturday and Sunday were the best days I’ve had in a while. Seems like it might be coming back now, it started midnight on Sunday. I also discovered that the impact of being fasted vs fed on the bioavailability of Effexor XR is much greater than the impact on the other brand I was taking. What exactly does “fed” mean in the context of taking medicstion? I take mine at 9pm, so would toast or a yogurt or something count?
  22. ChessieCat

    mmcdonald21: intro

    I will ask the other mods for their assistance. We need to know your current symptoms and see if they follow any pattern related to time you take your drug. Please post 3 consecutive days of daily symptoms notes: Example: 6 a.m. Woke with anxiety 8 a.m. Took 2.5mg Lexapro 10 a.m. Stomach is upset 10:30 a.m. Ate breakfast 11:35 a.m. Got a headache, lasted one hour 12:35 p.m. Ate lunch 4 p.m. Feel a bit better 5 p.m. Took 2.5mg Lexapro 6 p.m. Ate dinner 9:20 p.m. Headache 10:00 p.m. Took 50mg Seroquel 10:20 p.m. Feeling dizzy 10:30 p.m. Fell asleep 2:30 a.m. Woke, took 3mg Ambien (NOT "took 1/2 tablet Ambien") 2:45 a.m. Fell asleep 4:30 a.m. Woke but got back to sleep
  23. ChessieCat

    mmcdonald21: intro

    From https://www.drugs.com/drug_interactions.html Drug Interaction Report This report displays the potential drug interactions for the following 5 drugs: Zyprexa (olanzapine) Abilify (aripiprazole) Effexor (venlafaxine) Remeron (mirtazapine) Xanax (alprazolam) Major (1) Moderate (9) Minor (0) Food (5) Therapeutic Duplication (4) Interactions between your drugs Major venlafaxine mirtazapine Applies to: Effexor (venlafaxine), Remeron (mirtazapine) Using venlafaxine together with mirtazapine can increase the risk of a rare but serious condition called the serotonin syndrome, which may include symptoms such as confusion, hallucination, seizure, extreme changes in blood pressure, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, tremor, incoordination, stomach cramp, nausea, vomiting, and diarrhea. Severe cases may result in coma and even death. You should seek immediate medical attention if you experience these symptoms while taking the medications. Talk to your doctor if you have any questions or concerns. Your doctor may already be aware of the risks, but has determined that this is the best course of treatment for you and has taken appropriate precautions and is monitoring you closely for any potential complications. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor. Moderate ALPRAZolam venlafaxine Applies to: Xanax (alprazolam), Effexor (venlafaxine) Using ALPRAZolam together with venlafaxine may increase side effects such as dizziness, drowsiness, confusion, and difficulty concentrating. Some people, especially the elderly, may also experience impairment in thinking, judgment, and motor coordination. You should avoid or limit the use of alcohol while being treated with these medications. Also avoid activities requiring mental alertness such as driving or operating hazardous machinery until you know how the medications affect you. Talk to your doctor if you have any questions or concerns. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor. Moderate mirtazapine ARIPiprazole Applies to: Remeron (mirtazapine), Abilify (aripiprazole) Using mirtazapine together with ARIPiprazole may increase side effects such as dizziness, drowsiness, confusion, and difficulty concentrating. Some people, especially the elderly, may also experience impairment in thinking, judgment, and motor coordination. You should avoid or limit the use of alcohol while being treated with these medications. Also avoid activities requiring mental alertness such as driving or operating hazardous machinery until you know how the medications affect you. Talk to your doctor if you have any questions or concerns. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor. Moderate mirtazapine OLANZapine Applies to: Remeron (mirtazapine), Zyprexa (olanzapine) Using OLANZapine together with mirtazapine can increase the risk of an irregular heart rhythm that may be serious and potentially life-threatening, although it is a relatively rare side effect. You may be more susceptible if you have a heart condition called congenital long QT syndrome, other cardiac diseases, conduction abnormalities, or electrolyte disturbances (for example, magnesium or potassium loss due to severe or prolonged diarrhea or vomiting). Talk to your doctor if you have any questions or concerns. Your doctor may already be aware of the risks, but has determined that this is the best course of treatment for you and has taken appropriate precautions and is monitoring you closely for any potential complications. You should seek immediate medical attention if you develop sudden dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations during treatment with these medications, whether together or alone. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor. Moderate venlafaxine ARIPiprazole Applies to: Effexor (venlafaxine), Abilify (aripiprazole) Using venlafaxine together with ARIPiprazole may increase side effects such as dizziness, drowsiness, confusion, and difficulty concentrating. Some people, especially the elderly, may also experience impairment in thinking, judgment, and motor coordination. You should avoid or limit the use of alcohol while being treated with these medications. Also avoid activities requiring mental alertness such as driving or operating hazardous machinery until you know how the medications affect you. Talk to your doctor if you have any questions or concerns. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor. Moderate venlafaxine OLANZapine Applies to: Effexor (venlafaxine), Zyprexa (olanzapine) Using OLANZapine together with venlafaxine can increase the risk of an irregular heart rhythm that may be serious and potentially life-threatening, although it is a relatively rare side effect. You may be more susceptible if you have a heart condition called congenital long QT syndrome, other cardiac diseases, conduction abnormalities, or electrolyte disturbances (for example, magnesium or potassium loss due to severe or prolonged diarrhea or vomiting). Talk to your doctor if you have any questions or concerns. Your doctor may already be aware of the risks, but has determined that this is the best course of treatment for you and has taken appropriate precautions and is monitoring you closely for any potential complications. You should seek immediate medical attention if you develop sudden dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations during treatment with these medications, whether together or alone. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor. Moderate ALPRAZolam ARIPiprazole Applies to: Xanax (alprazolam), Abilify (aripiprazole) Using ALPRAZolam together with ARIPiprazole may increase side effects such as dizziness, drowsiness, confusion, and difficulty concentrating. Some people, especially the elderly, may also experience impairment in thinking, judgment, and motor coordination. You should avoid or limit the use of alcohol while being treated with these medications. Also avoid activities requiring mental alertness such as driving or operating hazardous machinery until you know how the medications affect you. Talk to your doctor if you have any questions or concerns. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor. Moderate ALPRAZolam OLANZapine Applies to: Xanax (alprazolam), Zyprexa (olanzapine) OLANZapine should not be used with ALPRAZolam without first talking to your doctor. This combination may cause low blood pressure or slow heart rate. Low blood pressure can cause dizziness or feeling like you might pass out, especially when getting up from a sitting or lying position. You may need a dose adjustment or more frequent monitoring by your doctor to safely use both medications. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor. Moderate ALPRAZolam mirtazapine Applies to: Xanax (alprazolam), Remeron (mirtazapine) Using ALPRAZolam together with mirtazapine may increase side effects such as dizziness, drowsiness, confusion, and difficulty concentrating. Some people, especially the elderly, may also experience impairment in thinking, judgment, and motor coordination. You should avoid or limit the use of alcohol while being treated with these medications. Also avoid activities requiring mental alertness such as driving or operating hazardous machinery until you know how the medications affect you. Talk to your doctor if you have any questions or concerns. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor. Moderate OLANZapine ARIPiprazole Applies to: Zyprexa (olanzapine), Abilify (aripiprazole) Using OLANZapine together with ARIPiprazole may increase side effects such as drowsiness, blurred vision, dry mouth, heat intolerance, flushing, decreased sweating, difficulty urinating, abdominal cramping, constipation, irregular heartbeat, confusion, and memory problems. Side effects may be more likely to occur in the elderly or those with a debilitating condition. You should avoid or limit the use of alcohol while being treated with these medications. Also avoid activities requiring mental alertness such as driving or operating hazardous machinery until you know how the medications affect you. Talk to your doctor if you have any questions or concerns. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor. No other interactions were found between your selected drugs. This does not necessarily mean no other interactions exist. Always consult your healthcare provider. Drug and food interactions Moderate ALPRAZolam food Applies to: Xanax (alprazolam) Grapefruit and grapefruit juice may interact with ALPRAZolam and lead to potentially dangerous side effects. Discuss the use of grapefruit products with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor. Do not drink alcohol while taking ALPRAZolam. This medication can increase the effects of alcohol. You may feel more drowsy, dizzy, or tired if you take ALPRAZolam with alcohol. Talk to your doctor or pharmacist if you have any questions or concerns. Moderate venlafaxine food Applies to: Effexor (venlafaxine) Alcohol can increase the nervous system side effects of venlafaxine such as dizziness, drowsiness, and difficulty concentrating. Some people may also experience impairment in thinking and judgment. You should avoid or limit the use of alcohol while being treated with venlafaxine. Do not use more than the recommended dose of venlafaxine, and avoid activities requiring mental alertness such as driving or operating hazardous machinery until you know how the medication affects you. Talk to your doctor or pharmacist if you have any questions or concerns. Moderate mirtazapine food Applies to: Remeron (mirtazapine) Alcohol can increase the nervous system side effects of mirtazapine such as dizziness, drowsiness, and difficulty concentrating. Some people may also experience impairment in thinking and judgment. You should avoid or limit the use of alcohol while being treated with mirtazapine. Do not use more than the recommended dose of mirtazapine, and avoid activities requiring mental alertness such as driving or operating hazardous machinery until you know how the medication affects you. Talk to your doctor or pharmacist if you have any questions or concerns. Moderate OLANZapine food Applies to: Zyprexa (olanzapine) Alcohol can increase the nervous system side effects of OLANZapine such as dizziness, drowsiness, and difficulty concentrating. Some people may also experience impairment in thinking and judgment. You should avoid or limit the use of alcohol while being treated with OLANZapine. Do not use more than the recommended dose of OLANZapine, and avoid activities requiring mental alertness such as driving or operating hazardous machinery until you know how the medication affects you. Talk to your doctor or pharmacist if you have any questions or concerns. Moderate ARIPiprazole food Applies to: Abilify (aripiprazole) Alcohol can increase the nervous system side effects of ARIPiprazole such as dizziness, drowsiness, and difficulty concentrating. Some people may also experience impairment in thinking and judgment. You should avoid or limit the use of alcohol while being treated with ARIPiprazole. Do not use more than the recommended dose of ARIPiprazole, and avoid activities requiring mental alertness such as driving or operating hazardous machinery until you know how the medication affects you. Talk to your doctor or pharmacist if you have any questions or concerns. Therapeutic duplication warnings Therapeutic duplication is the use of more than one medicine from the same drug category or therapeutic class to treat the same condition. This can be intentional in cases where drugs with similar actions are used together for demonstrated therapeutic benefit. It can also be unintentional in cases where a patient has been treated by more than one doctor, or had prescriptions filled at more than one pharmacy, and can have potentially adverse consequences. Duplication Central Nervous System (CNS) Drugs Therapeutic duplication The recommended maximum number of medicines in the 'Central Nervous System (CNS) Drugs' category to be taken concurrently is usually three. Your list includes five medicines belonging to the 'Central Nervous System (CNS) Drugs' category: Zyprexa (olanzapine) Abilify (aripiprazole) Effexor (venlafaxine) Remeron (mirtazapine) Xanax (alprazolam) Note: The benefits of taking this combination of medicines may outweigh any risks associated with therapeutic duplication. This information does not take the place of talking to your doctor. Always check with your healthcare provider to determine if any adjustments to your medications are needed. Duplication Psychotropic agents Therapeutic duplication The recommended maximum number of medicines in the 'psychotropic agents' category to be taken concurrently is usually three. Your list includes five medicines belonging to the 'psychotropic agents' category: Zyprexa (olanzapine) Abilify (aripiprazole) Effexor (venlafaxine) Remeron (mirtazapine) Xanax (alprazolam) Note: The benefits of taking this combination of medicines may outweigh any risks associated with therapeutic duplication. This information does not take the place of talking to your doctor. Always check with your healthcare provider to determine if any adjustments to your medications are needed. Duplication Antidepressants Therapeutic duplication The recommended maximum number of medicines in the 'antidepressants' category to be taken concurrently is usually one. Your list includes two medicines belonging to the 'antidepressants' category: Effexor (venlafaxine) Remeron (mirtazapine) Note: The benefits of taking this combination of medicines may outweigh any risks associated with therapeutic duplication. This information does not take the place of talking to your doctor. Always check with your healthcare provider to determine if any adjustments to your medications are needed. Duplication Antipsychotics Therapeutic duplication The recommended maximum number of medicines in the 'antipsychotics' category to be taken concurrently is usually one. Your list includes two medicines belonging to the 'antipsychotics' category: Zyprexa (olanzapine) Abilify (aripiprazole) Note: The benefits of taking this combination of medicines may outweigh any risks associated with therapeutic duplication. This information does not take the place of talking to your doctor. Always check with your healthcare provider to determine if any adjustments to your medications are needed.
  24. Yesterday
  25. ChessieCat

    mmcdonald21: intro

    Drug interaction check: Zyprexa Abilify Effexor Remeron Xanax From https://reference.medscape.com/drug-interactionchecker Monitor Closely venlafaxine + aripiprazole venlafaxine, aripiprazole. unspecified interaction mechanism. Use Caution/Monitor. Serotonin modulators may enhance dopamine blockade, possibly increasing the risk for neuroleptic malignant syndrome. Antipsychotics may enhance serotonergic effect of serotonin modulators, which may result in serotonin syndrome. Monitor for evidence of serotonin toxicity (eg, mental status changes, autonomic instability, and neuromuscular hyperactivity) or neuroleptic malignant syndrome (eg, hyperthermia, muscle rigidity, autonomic dysfunction). venlafaxine + olanzapine venlafaxine, olanzapine. unspecified interaction mechanism. Use Caution/Monitor. Serotonin modulators may enhance dopamine blockade, possibly increasing the risk for neuroleptic malignant syndrome. Antipsychotics may enhance serotonergic effect of serotonin modulators, which may result in serotonin syndrome. Monitor for evidence of serotonin toxicity (eg, mental status changes, autonomic instability, and neuromuscular hyperactivity) or neuroleptic malignant syndrome (eg, hyperthermia, muscle rigidity, autonomic dysfunction). venlafaxine + mirtazapine venlafaxine and mirtazapine both increase serotonin levels. Modify Therapy/Monitor Closely. venlafaxine + aripiprazole venlafaxine will increase the level or effect of aripiprazole by affecting hepatic enzyme CYP2D6 metabolism. Use Caution/Monitor. aripiprazole + olanzapine aripiprazole and olanzapine both increase antidopaminergic effects, including extrapyramidal symptoms and neuroleptic malignant syndrome. Use Caution/Monitor. alprazolam + aripiprazole alprazolam and aripiprazole both increase sedation. Use Caution/Monitor. alprazolam + olanzapine alprazolam and olanzapine both increase sedation. Use Caution/Monitor. alprazolam + mirtazapine alprazolam and mirtazapine both increase sedation. Use Caution/Monitor. aripiprazole + olanzapine aripiprazole and olanzapine both increase sedation. Use Caution/Monitor. aripiprazole + mirtazapine aripiprazole and mirtazapine both increase sedation. Use Caution/Monitor. olanzapine + mirtazapine olanzapine and mirtazapine both increase sedation. Use Caution/Monitor.
  26. ChessieCat

    WinterMermaid

    Because of all the dose changes you have made since the beginning of this year, and making a 25% reduction of Viibryd about 8 days ago, it would probably be best to stay on the doses you currently taking for at least 2 months. Even though you are feeling good, withdrawal symptoms can be delayed. It is better to start from a nice stable foundation than to start tapering again too soon. When you do resume tapering, it might be a good idea to make a test reduction of 5% instead of 10%. If you find that as your dose of Viibryd gets lower you start to feel too sedated, you might consider reducing the Abilify for a while before resuming the Viibryd taper. You will need to listen to your body/symptoms. It's a good idea to keep a daily log so that you can assess your symptoms. There are some symptoms checklists here, both computer and printable: Dr Joseph Glenmullen's Withdrawal Symptoms
  27. Thank you for your reply. I was surprised that symptoms appeared a week after the reduction. Usually, for me, they show up by day 3 or 4 and are resolved by day 6. No, so far the symptoms from the larger first reduction are minimal; as are the 3 smaller and subsequent reductions. I suspect I may be able to increase the first reduction easier than the rest. I intend to try after this 2 week hold. Full disclosure: When I tried the following 10.22% taper in May, I had a sort of mini crash and had to hold for a month and a half. 5/1/2019 5.90 3.28% 5/8/2019 5.75 2.54% 5/15/2019 5.60 2.61% 5/24/2019 5.50 1.79
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