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  1. I feel low & numb & anxious & stuck in my own head & struggling with intrusive sucidal thoughts. I first started panic attacks through a couple hangovers didn't no much about them which they were scary, went to doctors to ask advice straight away given citalopram told to take once a day did so for a few weeks till I realised I didn't want to be on these and they were antidepressants, then the trouble started panic attacks everyday so went back to doc & given sertaline tried for less than a week and symptoms was to bad stopped then went back to doc & given citalopram liquid tried for couple weeks had like a high effect which wasn't good & finally given mirtazapine was on it for over a month with really bad lows and symptoms at first then started to ease but I still didn't want to be on a mind altering drugs! So I got told to just stop. Now from July 10th 2018 that's when all the issues have started been a rocky road ups & downs but I'm sat here thinking what's the next steps as I feel low and numb and sucidal thoughts all the time shall I go back to the drugs or ??? Struggling with no sleep Sucidal thoughts Anxiousness Low mood Snappyniess No interests in life
  2. Hi folks! I'm very grateful for the resources you've offered. It helps me feel less alone as I struggle through this. I'm a 39yo male. I've been on SSRIs (paxil first and then citalopram) for 18 years. I've tried going off citalopram (10mg) several times, and ended up going back on each time because the withdrawal symptoms were so excruciating (extreme insomnia, panic, rage, fear, mania, confusion, etc.). I'd always tried to go off basically cold-turkey, but this past time I took a few weeks to taper down from 10mg, before completely stopping 1 month ago. (I would've gone much slower if I'd come across this site earlier.) Things have been tenuous; last night was my worst night so far—I came very close to going back on the citalopram because I was in such anguish. At this moment, I'm unclear as to whether to re-start the citalopram and then taper down very slowly, or to try to ride this out and see if I can handle it. Any thoughts would be much appreciated. I take magnesium regularly and find it very helpful. And I just ordered some Omega-3's. Thanks again for any insights!
  3. Hello, I'm new here, I hope this is the correct place to put this. I have been on Citalopram 10mg since 2014. Very little dose, took the edge off a little. I never wanted to increase because of the awful time I had on Paxil. I must be very sensitive to SSRI's. I noticed if I skipped a few doses for whatever reason, I would get w/d effects. About a year ago, I noticed this was doing nothing. And I would randomally get side effects. Fall of 2019, body aches, shakiness, health anxiety, brain fog, didnt want to do anything. Restless. Etc. Dec.2019 I started weaning, I've had strange headaches sort or dull, but fullness. My ear feels fullness, strangle whishing sounds at times in my ears. I'm very scared with the brain fog, that something is seriously wrong. Thank you to anyone who comments.
  4. masa998899 Hello. Im new here and my english is not perfect. My story is 11 years of citalopharm 20mg. I didnt have any information or support on this matter so this is what ive tried to do by myself. 2012 CT That caused me total burnout. After that i started again with 10mg. 2015 i started to smaller the dose by cutting the 10mg pill smaller and smaller by month and i stopped taking it completely after 2017 Ive had two times since then that my anxiety was so high that i got desperate and took 5mg dose only for a single day. My question is, has that set back my recovery? 2020 now and i have all kinds of wd symptoms and trying to keep living day by day. If taking that one 5mg pill means i now have CT should i just roll with it. Been 1 year now since that happened.
  5. just wanted to tell everyone that I have found this easier than anticipated but have been taking ibuprofen and paracetamol regularly to help with the symptoms, especially headaches and have found this really helps, also exercise. I used this method when withdrawing from diazepam several yrs ago and it worked well then. I am now down to 7.5 mg citalopram in the morning and am going to do this very slowly because from previous experience this is the only way. By the way, after every psychiatric drug I have stopped using I have discovered it never helped anyway.
  6. Hi, I found this website from someone's post who seemed to be going through the same as what I am. Sorry if this is long but I'm not sure which info is necessary! I was taking Citolapram for alittle over 2 years, mostly 20mg but I upped to 30mg near the end. I weened off them within a week but after almost a month I went back of them (20mg). I only stayed on them for a week and then came off them cold turkey. About 7 or more weeks since, I randomly woke up one day with PGAD. It's a horrible, progressive, non-curable disorder that makes your genitals feel constantly aroused, sometimes stabbing, burning, feeling the need to pee, zap feelings and a lot of throbbing. I've had this for a month now and feels worse these past 2 days (coincidentally I was pescribed Amitriptyline 10mg but after 2 days of taking them I decided I don't want to go back to ADs - apparently PGAD is mostly caused by withdrawing from ADs) I've had so many breakdowns because of this and there is no way I can live with it, especially because it can cause spontaneous orgasms and a lot of pain which I haven't got yet. I'm so scared and my doctors have no idea about the disorder and just try to convince me it's in my head which despite my obvious symptoms and causes I'm hoping it is. My history of OCD could explain it too. Before taking ADs I had a fear of farting in public which as stupid as it sounds, kept me house-bound for years. It went away after I took ADs and started college. Then a year later I had a bad sickness bug which led me to a fear of throwing up, with that I felt sick literally every single day and not always just mildly. I had tests but nothing explained it. Then I started hearing alot about PGAD just before mine started, once mine started my sickness has completely gone (so all this time it must have been in my head which is crazy because I almost threw up it was so bad). And now I'm getting all these symptoms of PGAD constantly. But I'm still not convinced it's all in my head because it is a fact that withdrawing from ADs too fast can cause it, plus I think I have some damage in my pelvice since I went on an exercise bike during my 2nd withdrawals. This gave me what I thought was piles in my perineum which went away after a week and then came back with my PGAD. I have a huge skin tag in my perineum which fills and becomes solid if I'm too active and I start getting a pain around it (in my legs/butt cheeks). I'm thinking I've damaged my pelvic floor and that these things could be connected? Although the PGAD didn't start straight away? I'm sorry this was so long but I am so so terrified of having this disorder, it is honestly such a horrible, embarrassing, painful and hopeless thing to live with and has always been my biggest fear since I learnt about it. I have so many things that could have caused it which makes me think that maybe it isn't just in my head. It's driving me crazy and if anyone has any hope or experience like this I would really love to hear from you. Sorry again for the long post.
  7. Dollshead Hey, I'm pretty new to this but just seeking some advice as I'm in a pretty strange situation. Around 3 weeks ago I started lactating (I'm not pregnant and I have never been pregnant) with really bad headaches. I've been rushed through for an MRI as they suspected I had a tumour on my Pituitary gland. Thankfully I don't- brilliant news! However, my prolactin hormone levels are rising. I'm currently being referred to an Endocrinologist but may have a wait a while with the current situation. Anyway, a doctor has said it could be a symptom of me taking Ciltilopram. But I have been on these tablets for 10 years. Has anyone else had these symptoms before and would it be likely to be my citilopram after all this time? he has suggested to stop taking it for 7 days and put me on something else ( a tablet from the Tryclic group) I'm terrified as I've never had a break or taken anything else. Another doctor said it's a slim chance the symptoms are caused by citilopram with me being on it so long! I just don't know what to do and it's making me more anxious. Any help/advise would be massively appreciated. Thank you!
  8. Ok so 10 weeks ago i halved my dose of citalopram from 20mg (which i was taking for 1 year) to 10mg after a fast taper for about 4 weeks alternating doses each day from 20mg to 10mg. Which after reading the info on here i now know was a bad idea. At first i felt a bit off but nothing too serious for about 6 weeks. Since then I've gradually felt worse. Syptoms are headache, fatigue, tired, anxiety, irritable, depressed and feeling a bit better for say an hour then feeling like crap again! I have been through a stressful time in my personal life lately and wondoring if it could be that. Im wondering if i should reinstate to my previous dose or hold on 10mg. Any advice would be appreciated. Thanks
  9. Hello to all of you! I just discovered this forum and I think it's best for me to ask you for advice, since most doctors here in germany don't have a clue about ssri withdrawal.. So I'm trying to keep it short. I was prescribed 20mg of escitalopram (=40mg citalopram) in september 2017 after having severe depression, caused by withdrawal from benzos (lorazepam) which I'm off for 16 months now. The ssri helped me a lot and thankfully my depression went away and never came back. I tried to get off the ssri in april this year and tapered waaaay too fast. Took 10mg for a week, then 5 for a week and then zero. The withdrawal symptoms were severe but i could stand them. But after 3 months I got some heavy muscle pain and numbness in my forearms and felt so fatigue i couldn't get out of bed anymore. That led me to reinstating the drug at 6mg at first. I didn't feel much better, so i updosed to 10mg 10 days later. The first 5 days or so i felt pretty well, but after that I felt much worse and I'm feeling worse every day since then. I'm suffering severe anhedonia, brain fog, anxiety and a bit of fatigue. At least the muscle weakness is gone. Honestly I don't really know what to do next. Updosing to 10mg was about 12 days ago and i wonder if I should go back to a lower dose like 5mg or should just wait and hope to get better. Hope some of you can help me Much greetings, Gaebbi
  10. Hi - i have been on Citalopram 10 years. A year ago i started getting the symptoms i was originally prescribed Citalopram for. I wondered whether, when poop out occurs, if you can start to withdraw from the meds at that point? Or is it just that the meds no longer work but you don't get withdrawal until you come off them because although they don't seem to be working any more, they are still in your system? I guess I feel like i was withdrawing when poop out occurred but i actually doubled my dose first and still experienced symptoms (I was prescribed the meds for headaches, derealisation-type symptoms, brain fog etc.) Thoughts please?
  11. Taken citalopram last year on the 13 th of August 2019 20 mg then on the 24 th of August changed to 10 mg then stopped altogether on the 30 th of August 2019 only been on them for 17 days still having withdrawals symptoms, the worst is intrusive thoughts Can anyone help me please I'll be so grateful
  12. Hi all, here is my story. I started with dizziness about 10 months ago. My doctor thought it was Vestibular migraine and put me on Celexa 20 mg for two months. Did nothing. They then weaned be off over 10 days before putting me on nortriptyline, getting up to 30 mg over three months. It started to affect me by giving me panic attacks so I weaned off of that over another month. While weaning off of the nortriptyline, once I got down to 15 mg, the doctor started me on Effexor. I started at a quarter of a 37.5 mg tablet and worked up to 37.5 mg over three weeks. I was then on 37.5 mg for two weeks and had awful side effects so started tapering off over a three-week period. Basically, I was on and off of Effexor a total of seven weeks. Then, the doctor put me on Klonopin for two weeks to try to help me come off of the Effexor. I refused to take it for more than two weeks. However, I am now 45 days off all of the medication and I'm having really bad muscle twitches, unsteadiness still, sensations of the floor feeling squishy beneath my feet and a constant feeling of like my brain is cracking. Not to mention emotional upheaval Has anyone here noticed significant improvement in recovery after short term use of these drugs? I'm terrified they permanently altered me and I won't get back to homeostasis.
  13. I was prescribed Citalopram (Celexa) by my doctor in London UK, when I was depressed during a period of unemployment. I took it for 3 years, taking 20mg once a day. I never felt like it did much good helping me, and it made me feel a bit spaced out, not all there. After 2 years on Citalopram I started to have some suicidal thoughts, but far more homicidal thoughts. I wanted to kill people. I had thoughts of driving head on into traffic, pushing people under trains, killing my partner, my dogs and burning the house down. I had never had these kinds of thoughts or ideas before, and was convinced they were a side-effect of the anti-depressant Citalopram which i was taking. I told my doctor about my suicidal/ homicidal thoughts and he was told me to double my dose of citalopram! I told him that the drugs were the problem, not me! I then slowly reduced my dose once each week for 10 weeks, taking the drug on alternate days, and then cutting the pill in half and only taking it on alternate days. Every time I reduced the dose I woke up the next day with cramps in my intercostal muscles? (muscles between my ribs), feeling very sore and stiff, like I'd been kicked in the ribs. I also felt quite sharp electric shock; in my neck and shoulders, and had some jerky twitches of my neck and shoulders from time to time. The symptoms went away after day or two, until the next time I reduced my dose. After 10 weeks I was off of Citalopram completely, and have been off them for 5 years now. It took about 3- 6 months for me to feel normal again after coming off of Citalopram, My life is much better without Citalopram, and I have had NO suicidal or homicidal urges or thoughts since I gave up the SSRI drug. I do not think doctors are not helping their patients by drugging them with SSRI's.
  14. Current drugs: - 2012-present citalopram, currently steady at 25mg - 2020 lyrica: max 4mg/day. started tapering after 2 weeks and having worse withdrawal than from 225mg This case history must be very unusal given the low dose and short time. Has anyone heard of a similar case? Also unusual is the bad method I'm stuck with to calculate doses. Recent start and tapering of lyrica ----------------------------------- I started a microdose of lyrica January 1 2020, thinking I could test side effects and stop if they were bad. Worked up to a maximum of about 4mg/day. After 2 weeks I decided it wasn't for mej. Reduced to 70% of max dose and held 4 days but got serious withdrawal symptoms. I thought an increase might help so went up to 80% of my maximum for 2 days, symptoms got MUCH worse, then down to 75% (1 day) and 65%. I thought lyrica and citalopram might be interacting and that tapering citalopram might be easier, so I tried 20% less (25->20mg) one day. I got the worst anxiety of my life and haven't changed it again. Following that I stayed on 65% of my lyrica dose for 2 weeks while I stabilised. Now on day 5 down from 65% to 60% which has not been bad. So, tapering slowly seems best. BUT I cannot measure doses accurately because I'm dividing powder with a knife on a plate (see below). Would switch to liquid but I can only guess how much I'm taking in a day. I'd be grateful for any advice on what I should do! Or information about similar low-dose, short-term cases, or how to handle inaccurate doses. I've been advised by some to go cold turkey given the small dose and short time, and that might have been ok when I started tapering after 2 weeks, but now I've been on it 6 weeks total. I could just about handle the initial 30% drop from my maximum dose but I could not handle what happened when I raised it 10%, then lowered it again. Maybe my case will be useful to someone. If nothing else it shows you can get hooked on a very small dose. The rest of this post goes into background a little and a lot of detail about what I'm doing now, so may be of less general interest. Prior drug history ------------------ - before 2010: prozac then paroxetine then seroquel. never any real trouble getting off them. Just some anxiety/irritability. - 2012 lyrica (only) for 11 days max 225mg/day then tapered off over 5 days with bad withdrawal symptoms for about a week - 2012 mirtazapine for a couple of months, after the lyrica - 2012-present citalopram, starting near the end of the mirtazapine Why is withdrawal worse in 2020 than on a much bigger dose in 2012? ------------------------------------------------------------------- It's hard to compare the two but the current withdrawal seemed considerably worse even before I raised the dose again and made it much worse. Some ideas I had: - I'm also on citalopram now. - Use or withdrawal from lyrica in 2012 primed/changed something. - I got lucky when i went off quickly in 2012, just in time (tapering after 11 days of using it) and just fast enough (5 tapered doses) to escape worse withdrawal. - The down/up dose in first week or withdrawal made it much worse. Also changing citalopram dose for 1 day seemed clearly VERY bad. Switching to liquid ------------------- Day 1 of last taper (65->60%) was partly with liquid I got from a compounding pharmacy. I replaced about 23% of the powder with liquid. Symptoms from underdosing have been bad but less bad than raising the dose, so I aimed low, and took what should have been roughly 45% less liquid than needed (using my rough estimate at equivalance - see dosing method below for details). It was much too strong. I got more sedated than I've ever been on lyrica, lots of muscle twitches, then somewhat agitated when it wore off. I switched back to all-powder doses, and decreased the evening dose by 1/3 to compensate for the morning overdose, and from the next day remained 5% of max dose lower. This has gone surprisingly well despite the updose then decrease. I'm tempted to stay on the powder, but I can't divide into smaller amounts than 1/256 of a capsule with any accuracy at all. That means as I decrease the dose, the reduction step size will get bigger. The most recent step down (65->60%) was about 7.5% of my current dose, but that will become 15% of current dose given a few more steps etc. Also, if a shirtsleeve brushes my reference doses away I'm sunk - I'll have little idea how much to take. But if I switch to liquid, I have to guess how much to take, and try to correct for symptoms, and gradually replace powder with liquid. After the first drop in dose (100% to 70%) it seemed to take a few days for the withdrawal to really get going. If that's still true, adjusting the liquid dose up and down could easily get out of hand and be less gentle than the later, and proportionally bigger, powder decreases. So neither option is good. Powder dosing method (details) ------------------------------ The method I use to dose is awful: I divide capsule's powder into two piles of 1/2, then divide each pile agqin and again. Currently I take 1/64 + 1/128th of a capsule every morning and again at night. This has limited accuracy of course, but it gets worse; there is residue left on the plate after the division. The amount of residue has changed over time since I switched from a big knife to a razor blade, and I haven't been consistent about how much residue I leave. At one point I thought measurements would be more consistent if I kept "reference" piles of each key size: 1/32, 1/64 and 1/128. But I realise now the references are not accurate, and I'm basically eyeballing the new piles now to match the reference ones. To estimate how much my 1/128 actually is, I started a new pill, and divided it with as little residue as possible (using a razor blade, which doesn't leave much at allif you're careful). To my amazement I seem to have left about 50% of the pill as residue. Separately I began sweeping residue from another pill into a pile, which I estimated was about 30% of the pill. Another idea would be to weigh my 1/64th, but I suspect it's too little to measure accurately with any scale I can get my hands on. Potency of my powder -------------------- To make matters even worse, the capsules I'm using expired 4.5 years ago. From a short look on the net and talking with a pharmacist this might not be big deal. But also the powder sits on a plate being slowly divided for up to 2 weeks before I take it, so it may degrade somewhat.
  15. Hi to all I'm Chuck, Italian guy of 33 years old, have PSSD after adverse reactions to Citalopram 7 drops of 3 years ago,now I'M total drug free I'm Old pp members, I hope someone remember me in these years I had some improvement better erections, more sensitivity. My story of AD and psychiatric drugs start around 2001, in my first college years I have degree in Biology and now I'm in the third year of MD school, for some months in 01/02 psichyatry put on me on Amisulpride and Seroquel, and After mutabon mite(amytryptaline) and i stay on It for 3 months, i try some SSRIs but I always vomit it at the first dose, after this evrything gos is fine, and I stay drug free for around 10 years, in december 2013 after a period of discouragement I go to psychiatric and he is prescribed me Citaloprom 10 drops, I take only 7 drops and I have horrible adverse reaction with 11 discharges of diarrhea and since I developed in PSSD. But on Monday I had a virtual colonoscopy, for rectal bleeding due to hemorrhoids, Virtual colonoscopy did not find anything abnormal, no polyps, and no cancerous lesion, the colon is perfectly clean and healthy. But the preparation for Virtual Colonoscopy was brutal, I used two laxatives , one Lovoldyl pill, and 3 glasses of Lovol ESSE (polyethylene glycol ), I think is the same product of Miralax, I had a serious adverse reaction to this product with Eighteen discharges of bloody diarrhea abdominal pain and cramps that I have and even PSSD symptoms seem worse, and despite this strong rectal bleeding due to inflamed hemorrhoids, the doctor decided to make the virtual colonoscopy, drenching with less air. Can this preparation for colonoscopy have worsened PSSD? I read that the polyethylene glycol is neurotoxic, and can damage the kidneys, I am very afraid of developing kidney damage in the future, this is possible? I'm also afraid of not being able to eat and drink as before, or develop Diverticulosis another possible side effects of colonoscopy,I have strong pangs in the stomach and burning, I have read of people after the colonoscopy for years can eat only liquid food, This screening for early detection of cancer is very barbaric, and brutal, both the classic version and virtual, it would definitely prohibited and find safer alternatives. Thx to all.
  16. Admin note: link to benzo forum thread: freespirit123: Lunesta So I've been on Seroqoil nightly for about 3-4 months. I started on 100mg and that only lasted one night. Went to 75mg and that lasted for a couple of weeks then 50mg. Last month I went down to 25mg. And about 4 wks ago I've been on 12-14mg (cutting the 50 in 1/2 then the half in 1/2.) I'm also taking Lunesta 3mg at no hr and about once a week ill need Klonopin.25 bc I have a hard time falling asleep. I've also started Celexa for anxiety during the day. So question and problem! How do I get off this Seroqoil?!? Like is aid I haven't even taking it long to begin with and I've taped to 12-14mg fine but it seems to mess with my sleep when I try and cut that in half. Don't believe I have the EXtended tablet. Help!!! If it messes with my sleep, is it only temp? I don't want to switch this to get hooked on Klonopin bc that's a nasty drug too!
  17. Short time users on citalopram quitting cold turkey, how long the withdrawals
  18. Aria's recovery from poly drugs. I had no idea when I walked into a psychiatrist's office 25 yrs ago the horrible labyrinth I'd entered. Slam dunked at a point in my life when I was feeling low and the loss of future possibilities taken away. Being told I was mentally ill, would never function again, needed to be on disability and poly drugged for the rest of my life repeatedly took it's toll. All this impacted my relationships with family, friends and enjoying life. The pdoc constantly added new psych drugs, changed doses and took me off the old drugs at an alarming rate. I became a morbidly obese woman who mumbled or talked rapidly and it was obvious to everyone but the pdoc I was totally messed up on something. I had Seroquel Induced Acute Pancreatitis that landed me in the hospital for quite awhile and my pdoc put in my open med chart I was crazy. I didn't know this till later but ill as I was I did notice some of my physicians were treating me oddly. One good thing about being so ill was I referred to a neurologist for chronic pain and found out my problem was profound drug induced Akathsia. This neurologist actually screamed at me, these psych drugs are killing you, they're killing you. I knew I had to get off these drugs not matter what it took and reclaim my life. At my next appointment I asked my psychiatrist why he was drugging me like this and he looked directly at me (probably for the first time in years he saw "me"). He started sobbing, loudly sobbing, "Oh God what have I done to you", over and over. I'm sitting there thinking oh crap, I don't need this. Our 15 minute med check was up and this guy calmly goes to the front desk to get the next patient and proceeds without any other fanfare. He's robot. A robot. All this in itself was mind boggling. Hell, closure?? No way. I found out I had Tardive Dyskinesia and a few other psych drug induced issues. My face was a road map with twitches and jerking that yelled hey, I'm on massive psychiatric drugs. Will my face be like this forever?? The TD has mostly gone away and I'm so grateful (the pdoc adamantly said I did not have Tardive Dyskinesia from psych drugs). Well, guess what?? The psychiatrist was wrong...horribly wrong. Other doctors, psychiatrist, therapists said you're not mentally ill and never had been. The sad but very scarey part is I'm labeled as profoundly mentally ill and that info is in my medical charts. One pdoc did this...one. I've gone through the gambit of emotions dealing with this. I will probably always be mad at this jerk for what he did to me and for what he still does to others. It affected years of my life and he was wrong. I'm a Success Story because I'm psych drug free and have been for several years. My journey was extremely difficult and I did it on my own hit or miss tapering off numerous psychiatric drugs. I endured drug withdrawals that paralyzed me month after month. Was it worth the hell of tapering? Yes, very much yes. My reward was my clarity of mind, my passions for life returned and I have hopes for my future. I mended fences with family and have made new friends. I strive everyday to be productive. I'm me but a different me because no one could go through all this and not be changed by it. (for more in-depth conversations about my struggles, coping and self awareness with surviving psychiatry please visit my ongoing thread Aria's Psych Journey http://survivinganti...psych-journey/)
  19. I have been on citalopram since 2009 then it stopped working. The Dr put me on citalopram and mirtazapine combination which worked for a while then that stopped working. The Dr then put me on mirtazapine and Venlafaxine 150mg XL combination which workes for a while again ans then stopped working. The Dr put me on amitriptyline 50mg saying thay would be the best drug for me while i took 8 months to slowly remove each bead from Venlafaxine capsule to come off it. As soon as I took my last beed i went into crazy angry depression. The dr increased my dosage of amitriptyline from 50mg to 150mg but the side effects were horrible and at this point i got sick of these meds and decided to quit CT. I had horrible withdrawal symptoms and i started acting like a child and not being able to walk, had balance problems. I reinstated back to 50mg amitriptyline since april 2018 and i have been getting worse. I cannot sleep. My vision is so badly affected that i have grainy vision and floaters have increased dramatically . I see after images and it's as if the lights have been turned off. When i begin to fall asleep, i start to have dreams before i actually fall asleep and my brain keep. Waking up just before i am about to sleep. I cannot follow conversations, I mishear things all the time. I am totally dependant on others and i feel people think i have gone crazy. I don't know what to do i am getting worse and worse. I often trip, lose my balance. I hardly have any short term memory and cannot do simplest of things. I cannot even watch anything on TV as i cannot follow.it I'm having major concentration problems. I don't know how. I'm writing this. I cannot work or drive. Please you have no idea how i am putting these sentences together. I need urgent help. Please advice. I have no energy, no appetite. If I'm posting this in the wrong place, please accept my appology as I can hardly read and understand things. P
  20. Hi friends this is JB, I have a specific question for those of you out there in regards to heightened sensitivity to sound. Does anyone have any experience with antidepressant induced sensitivity to sound? I experienced a couple of years of severe reactivity to sound, inability to filter noise and converse, loud noises and certain music intrusive. Was getting a physical respnse to sound felt as real as being slapped in the face. Fast forward to now a year later slowly tapering off celexa my mind is clearer i am better able to think and cope with sound sensitivity. However, I still have this overreaction to sound where I perceive volume on just about anything to be intolerable and too loud. I often try to calm myself with my music. This works often except for the lower frequencies that “intrude” and can be heard and felt through headphones. Does this ring a bell with anyone?
  21. Hi there, I'm a 29 year old male from the UK and I'm really glad to have found this site. I've been taking 40mg citalopram for 8 years (since i was 21) for depression since my early teenage years (14 years old). I've considered reducing my dosage for a long time with the goal of coming off and finally took the plunge and yesterday saw a doctor about it. His advice didn't seem particularly good and I've spent the past 16 or so hours reading as much as possible on tapering off citalopram which has led me to this site. Reading about it makes me feel incredibly nervous but I feel like I'm ready as I haven't experienced depression in a long time and am in a good place in my life. My biggest worry about tapering off the citalopram is not so much the withdrawal effects as I'm coming off - but getting it wrong and having persisting/returning depressive symptoms after tapering off and finding the past 8 years of recovery going up in smoke. I'm determined to do this right. I accept the possibility that maybe I'll need to remain on a maintenance dose for the rest of my life, but if that is the case I don't want it to be because I screwed up the tapering process. I was optimistic in seeing the doctor that I'd get the support I need to make the right decisions and do this the right way, but my meeting with him didn't go well. Despite my high dose and fairly long term use he suggested dropping to 30mg for a week, then 20mg for a week, then 10mg for a week and then stopping altogether, 40mg - 0 in one month. Based on everything I've read this sounds like a recipe for disaster. I said this sounded very fast and he told me another option was to drop 10mg at a time and stay at the new dose for a few weeks to see how I get on - so now I have a repeat prescription for 30mg which I started yesterday. Based on what I'm reading it sounds like I should take this dosage for at least 2 months. If the drop to 30mg goes well after 2 months or so I may try and see a different doctor who will hopefully be more helpful. I was told I can only drop down in 10mg increments and 10mg is the lowest available dose, but now I'm reading about people cutting their 10mg in half and I was very interested to read about the liquid solution. I'm not sure if these are available in the UK but if I see another doctor I will enquire, though I'm more interested in that for the drop from 20mg to 10mg to 0 which sounds like where it gets tricky. I'm just starting to read all the different information on this site and will spend some time today going through as much as I can but was wondering if the drop from 40mg to 30mg is too much to start? I was hoping that this drop off wouldn't be too bad to start with and once I'm stable on 30mg I can speak to a different doctor about a slower taper rather than dropping from 30-20mg in one go. I feel like I'm caught between a rock and a hard place since doctors seem to absolutely hate any sort of 'self-medication' or people doing things their own way, yet this way seems significantly safer and healthier for both my short and long term health than what's been suggested to me and the limitations that the NHS allegedly puts on the tapering process (no doses smaller than 10mg etc). It's also complicated by the fact that I rely on the NHS and doctors to prescribe me any drugs at all. I look forward to hearing any advice and thank you in advance. QUAD
  22. Hi all, Long story short. Was anorexic last year until Christmas, starting recovering from that/weight restoring in January 2016. One of the ED therapists I worked with told me anxiety peaks once weight it restored, which happened (although didn't learn this until recently) - end of April 2016 I went into psychiatric hold because the anxiety was making me suicidal. Big mistake. Doc there put me on 20mg of Citalopram. For the next month I did therapy which along with an occasional Benzo resolved the anxiety. By May the Citalopram kicked in, with all its side effects. Extreme nausea, dry heaving, insomnia, weight gain, hunger cues messed up (already were from anorexia, but worsened), acne, gynecomastia, swollen fingers, fatigue - so bad (daily nausea was excrutiating) I nearly killed myself at the end of June. But I finally found a good doc, who through the next month of tests, determined it was the meds. Began tapering first day in August, 20 mg to 15 mg. Took a supp called Serosyn with 5HTP, L-theanine, and B vitamins. Withdrawal consisted of chapped lips in in the first week, increased hunger (I could be full but my brain still screamed to eat), fatigue (different form than when on 20 mg), wired feeling and weight gain. Leveled off a bit after 3 weeks, although I should have stayed there longer (but I didn't because the effects of 20 mg have been so bad that I've been trying to get off asap). 2 and a half weeks ago went down to 10 mg. Like before, chapped lips in the first week, wired feeling persisting, continued weight gain, and insatiable hunger. As before the lips are healing, but the hunger is still messed up (early fullness, insatiable hunger). Tired still, waking up hungry even after eating a lot at night. Haven't exercised in 8 months - first b/c of anorexia recovery, by now b/c exercise messes up my hunger cues/I cannot seem to physically eat enough. Worried I've been too aggressive with the taper, and that I'm doing irreparable damage to my nervous system. I wonder if I should reinstate 15 mg (scared it won't help/cause more complications) and start a slower taper? Seriously scared reinstating will mess things up even more, but equally scared that I've dropped too fast and have messed up my nervous system irreparably (and that my hunger cues/weight, which have been messed since starting anorexia recovery, are doomed for life). tl;dr: 20 mg citalopram was full of terrible side effects, dropped to 15 and then to 10 pretty quickly, and paying the price; wondering if I should wait it out for another week to see if anything improves like the 20-15 drop, or reinstate 15 and go slower from there (also scared I'm ruined for the rest of my life, I've had to quit a lot of things because of this damn med). On the bright side, gynecomastia, acne, and such are improving as expected. But this messed up hunger is getting at me (as is the weight gain and general crap feeling that I've had ever since starting this med).
  23. I'm coming up on my 5th month of being off of Citalopram for 6 years. I recently came upon this forum and I'm just bewildered at the information I've found that was never told to me by my doctor. She made this WD sound like it was a 30 day thing no problem. No lingering effects or anything. I have alot of resentment towards her right now! It would have been nice to have the accurate tapering information 4 months ago. Unfortunately, I'm not in that boat. In my current situation, what can I expect going forward at the 5 month mark. This has been extremely rough on my family. I have 3 kids and a wonderful wife, who all have been blind sided by what I have turned into. They are my livelihood and my inspiration to be the father and husband I am capable of being. I'm just struggling, I still have different symptoms everyday (irritability, heart palpitations, dizziness, muscle tension, neck and back pain, foot numbness, panic attacks, high anxiety, headaches, tinnitus). I am doing the best i can but feel bad for my wife. This was my problem and should never have unknowingly effected her like this. Will these symptoms ease over time? I'm searching for someone who has had a similar experience than I and can give me some insight.
  24. ADMIN NOTE: Read this entire topic before attempting a switch to fluoxetine. Be sure to read details and cautions below . Consult a knowledgeable medical practitioner before changing medications. Also see Tips for tapering off fluoxetine (Prozac) Switching or bridging with another related drug, usually of a longer half-life, is a medically recognized way to get off psychiatric drugs, particularly if you find tapering your original drug to be intolerable. Many people with failed tapers from venlafaxine (Effexor), desvenlafaxine (Pristiq), paroxetine (Paxil), and duloxetine (Cymbalta) find they need to bridge in order to go off the drug. For many doctors, a switch to Prozac to go off a different antidepressant is routine. Because of the risks of switching drugs -- see below -- we recommend attempting a very gradual direct taper from your drug, with bridging with a different drug only a last resort. There are a lot of unknowns in bridging. Fluoxetine (Prozac) has the longest half-life of any of the modern antidepressants. Because it takes more than a week for a dose to be metabolized completely, a careful taper off fluoxetine is easier for many people -- see information about Tapering off Prozac. And, at least fluoxetine comes in a liquid. (Do not assume fluoxetine is "self-tapering"! We have many people here with Prozac withdrawal syndrome. While going off fluoxetine usually has less risk, one might still develop withdrawal symptoms going off fluoxetine. No bridging strategy is risk-free.) Citalopram (Celexa )and its sibling escilatopram (Lexapro) have half-lives of about 35 hours, a relatively long half-life among SSRIs, and are other candidates for a bridging strategy. They also come in a liquid form. You must find a knowledgeable doctor to help you to with a bridging strategy. The cross-taper method discussed below is probably the safest way to make a change in drugs. You might wish to print this post out to discuss it with your doctor. For most people the switch goes smoothly but for some it doesn't. The drawbacks of switching to another drug to get off the first drug, described below, apply to ALL bridging strategies for ALL drugs, including benzodiazepines (where people often want to bridge with diazepam per the Ashton method). Risks of bridging A bridging strategy has the following drawbacks for a minority of those who try it: Dropping the first antidepressant in the switch may cause withdrawal symptoms even though you're taking a bridge drug. Adverse reaction to the bridge drug, such as Prozac. Serotonin toxicity or adverse effects of a drug combination. If withdrawal symptoms are already underway, switching to a bridge drug may not help. A cross-taper requires a number of careful steps. Difficulty tapering off the bridge drug. All of the bridge drugs can be difficult to taper themselves. So, like anything else, a drug switch is not guaranteed to work. When to switch or bridge "The devil you know is better than the devil you don't know". A direct taper from the drug to which your nervous system is accustomed carries less risk than a switch to a new drug. You may have a bad reaction to the substitute drug, or the substitution may not work to forestall withdrawal symptoms. The risk of a switch is justified if you find a taper from the original drug is simply too difficult. Usually people will do a switch when they find reducing the original antidepressant by even a small amount -- 10% or even 5% -- causes intolerable withdrawal symptoms. (I have heard doctors say they don't even try tapering off paroxetine (Paxil) or venlafaxine (Effexor ), they switch to Prozac at the beginning of the tapering process.) If you are having intolerable withdrawal or adverse effects from an antidepressant, it may be worth risking the worst case, which is that a switch to a bridge drug doesn't help and you have withdrawal syndrome anyway. If you're thinking of switching simply as a matter of convenience, you need to weigh the risks against the amount of convenience you would gain. Generally, switching for convenience is a bad idea. CAUTION: A switch to a bridge drug is not guaranteed to work. It's safer to slow down a taper than count on a switch. A switch really should be used only when a taper becomes unbearable or there are other serious adverse effects from the medication. You must work with a doctor who is familiar with bridging, in case you develop severe symptoms. Overview of cross-tapering method For drug switches, many doctors prefer cross-tapering, where a low dose of one drug is added and gradually increased while the first drug is reduced. For a period, both drugs are taken at the same time. Here is a graphic representation of cross-tapering: If you are making a switch to Prozac, the second antidepressant is fluoxetine (Prozac). Given fluoxetine's long half-life, it may take a couple of weeks to reach full effect. The effect of the amount you add at each stage of the cross-taper will build throughout the process. As it is possible to overshoot Prozac dosage, it's best to be very conservative about increasing fluoxetine throughout the cross-taper, you could end up with serotonin toxicity from too much fluoxetine (see below). Also see this discussion about cross-tapering with Prozac: Serotonin toxicity and serotonin syndrome You run the risk of serotonin toxicity if you are taking too much serotonergic. Most antidepressants (and some other drugs, such as triptans and MDMA) are serotonergics. Serotonergic effects of antidepressants are added when you take more than one of them, particularly if you add an SSRI (such as Prozac, Celexa, or Lexapro) to an SNRI (such as desvenlafaxine (Pristiq), duloxetine (Cymbalta), venlafaxine (Effexor), venlafaxine XR (Effexor XR), milnacipran (Savella), and levomilnacipran (Fetzima)). (Other types of antidepressants should not be combined with tricyclics or MAOIs.) Symptoms of too much serotonergic can be: Nervousness, anxiety, akathisia, sleeplessness, fast heartbeat. Symptoms of serotonin toxicity can be these plus disorientation, sweating, and others. Serotonin syndrome is even more serious. See Serotonin Syndrome or Serotonin Toxicity Reduction of the drug dose should resolve serotonin toxicity. Note that if you cross-taper, you will be taking 2 drugs at once for part of the time. Because of the potential of serotonin toxicity by overdosing SSRIs as well as in combination with SNRIs, it's safest to err on the lower side of a Prozac dose "equivalent" -- such as 5mg -- to your original drug. This is why doctors familiar with the Prozac switch will cross-taper by adding an initial LOW DOSE of Prozac to an SNRI. Start low, the effect of fluoxetine will increase over several weeks. Another concern: Escilatopram (Lexapro) is several times stronger, milligram for milligram, than the other SSRIs. If you add 10mg escilatopram to the high dose of 60mg duloxetine (Cymbalta), for example, you run the risk of serotonergic toxicity -- 10mg escilatopram is equal to approximately 20mg-30mg duloxetine. How much fluoxetine (Prozac) to substitute for my drug? Since fluoxetine's half-life is so much longer than those of other antdepressants, its effect is a little different. It's not a stronger antidepressant, but the effect of each dose lasts much longer. This may be the reason a lower dose of fluoxetine often seems to adequately substitute for other antidepressants. For an idea of equivalent doses of your medication to fluoxetine (Prozac) read this post (January 7, 2018) in this topic. It compares fluoxetine 40mg/day (a fairly high dose of Prozac) to other antidepressants. Source of that data: https://www.ncbi.nlm.nih.gov/pubmed/25911132 If you have tapered to a lower dose of an antidepressant, an even lower dose of Prozac may be more tolerable. If you are about half-way down, you might want to try 10mg Prozac. If you have decreased further, you may wish to try 5mg Prozac. If you have substituted fluoxetine for your drug and after two weeks, you feel you have withdrawal symptoms, you may wish to gradually the fluoxetine dosage. After each change in fluoxetine, wait at least 2 weeks to see the effect before deciding on another increase. More is not better for nervous systems sensitized by withdrawal. EXAMPLES OF THE PROZAC SWITCH Below is information I've gathered from doctors about how to do the Prozac switch. You will see there is no standard protocol. Healy 2009 method for the Prozac switch From Healy 2009 Halting SSRIs withdrawal guidelines: Phelps-Kelly 2010 method for Prozac switch From Clinicians share information about slow tapering (2010) Jim Phelps, one of the authors of the above, posted in 2005 in some detail about the so-called "Prozac bridging" strategy. He said it is described in Joseph Glenmullen's book, Prozac Backlash, maybe in the chapter titled of "Held Hostage." The technique Dr. Phelps described in this post skips doses and finishes with alternating dosages, which we do not recommend for people who are sensitive to withdrawal symptoms. Given that fluoxetine liquid is available, this is completely unnecessary. Foster 2012 method for Prozac switch Dr. Mark Foster, a GP whose mission is to get people safely off psychiatric drugs includes this in a presentation he gives to doctors. http://www.gobhi.org/spring_conference_powerpoints/safewithdrawal_of_psychotropics%5Bautosaved%5D.ppt. His method involves overlapping Prozac with the other antidepressant -- cross-tapering. Prey 2012 method for Prozac switch Another knowledgeable doctor (whom I trust) explained his technique to me (this is the technique I personally would prefer if I had to do it, it seems much gentler) For a "normal" dose of Effexor (150mg per day or more) or Paxil (20mg) or Cymbalta (20mg), he would switch to 10mg Prozac with a week of overlap. In other words, take both medications for a week and then drop the Effexor. Lower doses of Effexor or other antidepressant require lower doses of Prozac as a "bridge." The lower dose of Prozac reduces the risk of excessive serotonergic stimulation (serotonin toxicity) from the combination of the two antidepressants during the overlap period. Do not stay on the combination of the first antidepressant and Prozac for more than 2 weeks, or you run the risk of your nervous system accommodating to the combination and having difficulty tapering off both antidepressants. Later, taper off Prozac. He acknowledged Prozac can have its withdrawal problems, but given Prozac's long half-life, gradual tapering should be easier than tapering off Effexor. Smoothing out a transition to fluoxetine Even with a cross-taper, your system might feel a jolt after you finally drop the initial antidepressant, particularly if it is an SNRI, such as Effexor, Pristiq, or Cymbalta, or other drug that is not an SSRI like fluoxetine. (Other SSRIs include Paxil, Zoloft, Luvox, Celexa, Lexapro). If you go through a rough patch after the transition, patients find they can take a tiny chip of the original drug (or a bead or two, if it's a capsule containing beads) for a week or two to smooth out the transition. Eventually, you'd take a chip as needed only when you feel a wave of withdrawal from the original drug, and then finally leave the original drug entirely behind. (A gelatin capsule might make a tablet fragment easier to get down, but it is not necessary if you can wash it down with a good swallow of water. The gelatin capsule quickly dissolves in your stomach.) Here's an example. There is no shame in doing this. Whatever works, works.
  25. Hey! I was 15 when I was put on Sepram (citalopram) due to depression (what I had that time was an eating disorder and guess I was depressed because of that) Anywho I ate Sepram until I was 24 on various dosages from 10-40mgs. I remember that often times when I was a teenager I'd just crash and get depression from nothing (now I realize that it was because I sometimes forgot to take my meds). I was 22 when I first unsuccesfully quit medication since I was feeling really well. I was going to university in a new town back then. Had a lot of new things going on. Well I survived for three months and then I crashed and burned. I had terrible anxiety and insommia and was tired as hell. I didn't know I was in withdrawal. I had quit my medication from 20mgs to 0 in two months as my pdoc had instructed (waaay too fast, now I know that, and it was really stupid to quit them in a period where a lot of changes happened in my life). I came back home to my parents as I was unable to function. I went to see my psychiatrist and got back on meds. I wonder why she didn't say to me that I was withdrawing and I really really must take things easy, she propably didn't know about SSRI withdrawal. I was in overdrive, I thought I had gone insane, it didn't occur to me that maybe the medication is doing all of this, it was like I had completely forgotten how my mind usually works. I got myself a job cause I thought that I must do something and not just be. I went to work after 4 months of doing nothing but pilates and qi qong and eating avocados. Everything was relatively fine though I had pretty bad anxiety and some racing thoughts and insomnia and my stress tolerance was bad. At some point I got tired and a bit depressed again and pdoc upped my dosage to 40mg. I got in to college again. I began to taper my meds again in a six month period (again way too fast). I was feeling quite low all the time, I had no motivation and everything felt futile and my condidence fell. I was a bit angry for no reason. My studies didn't go as fast I would have liked cause I was bit lethargic. I somehow managed with my low moods and anxiety. By summer 2015 I was energetic and I could FEEL. I hadn't really felt anything but anxiety and depression for years. I was interested with being around my friends. I was working fulltime and doing university exams at the same time. I was genuinenly interested in different things and life in general. I bicycled 20kms everyday and was riding almost everyday. I felt that I was ME after so many years of feeling weird. I had had social anxiety on and off during my medication, and I have gotten stressed easily. Then in the middle of the Summer 2015 i began to go on overdrive. I was hostile towards my parents. I had a met guy I got a crush on and I was mean to him and I wasnt myself. I was erratic but also very stressed and worried about everything. But I was so full of energy that I was unable to listen to me and my body. I had bad insomnia but I could go on and on without sleep. By the end of summer my new fling ended. I couldn't deal with it like normal people do as I was deep in withdrawing. My sense of security vanished. I tried to continue my studies. I couldn't sleep, I couldn't eat and my body couldn't hold liquid anymore. I was aggressive all the time. As studying proved to be impossible because I was unable to concentrate i tried just working. In October 2015 I started getting paranoid, I had intrusive and obsessive thoughts, I began to hate myself and felt that I'm no good and I don't deserve to live, I didn't sleep at all. I had stopped exercising in September 2015 cause I simply just couldn't do it any longer. My mother tried to get me to stretch my body and do a little pilates but I couldn't do it because I was so tense all the time. My muscles were sore and I was hurting all the time, I saw nothing but black and grey. I saw my psychiatrist few times and explained my symptoms to her but couldn't get any help except Xanax which I ate like candy. I deteriorated more and more as my insomnia grew worse. I was agitated and restless all the time, barely could walk and shivered like a leaf. My parents had no idea what to do with me. Thank god I had come back home to them when I started going nuts. I had arrythmias but I was so messed up that it didn't occur to me to go see a doctor. I had suicidal thoughts all the time. My mother couldn't leave from my side for a second. In January 2016 I could feel something zap in my brain, all of my emotions vanished. In the end my insomnia and mental state went so bad that I tried to kill myself. I was admitted to hospital and stayed there for a couple of days, somehow went back to work for a few days (I had tried to kill myself, who would go to work after that? ME). In march 2016 I tried to kill myself again with 3,8grams of propranolol. My life was hanging by a thread as my heat rate dropped too low. Again to hospital where I was put on Lyrica, Suprium, Tenox, Sepram again and Abilify. I was in the hospital for a month and when I got out I quit all medication. Now I live in a nursing home. They want me to do a bit of work and I have done some stable job few times a week. I get scared and stressed out easily. I have crying spells and sometimes I have dyskinesia and stiff neck and I find it hard to speak. Sometimes I vomit and have diarrhea and I'm fatigued. I have almost constant vertigo and inner emotional turmoil. I tried to eat different vitamins but my body couldn't handle them. Now I eat D vitamin and that is something my body can tolerate. when I exercise I begin to feel really weird and I bloat. I have had brain MRI, everything is fine. My bloodwork is fine. I have always been in good condition and exercised a lot but now I have zero muscle and it feels like my body can't build any muscle. I rarely see any dreams and if I do they are usually nightmares. I feel that my brain isn't working properly. I get this huge pressure in my head when i'm in a situation where I'd usually feel strong emotions but no emotional reaction comes out of me. I can't tolerate too much noise and some days I get irritated very very easily. Sometimes I sweat profusely and my sweat smells really bad. My sexuality is gone and I have no need to see my friends. Sometimes after exercising I get this window of wanting to see my friends and hug my parents and be close to them. I really don't like to be around people because they remind me of what i used to be. I was a talented rider, well I still am but it doesn't feel the same because now I get easily scared as I am riding. I feel very traumatized by all of this. My body triggers from almost nothing. I shiver and shake several times a day. I feel that I'm very very vulnerable and can collapse in any minute if i get too stressed. Sometimes I get an urge to kill someone. When I pet my dog I feel like killing her though I know I love her. I have suicidal thoughts, especially around people. I often want to (self harm - graphic language removed jch). I would really like to go to live at our summer cottage with my parents and just heal and hope some day I'll recover. What is the most devastating thing to me is that I have lost my creativity and I have lost myself, the spark inside of me, the thing that made me me. I have no goals left anymore except to stay alive. I know I have been stupid quitting my medication without tapering long enough and I have been stupid to strain my body as I have clearly been sick beyond measure but still tried to pull through and do my responsibilities. But I do feel that I have been ruined by psychiatry since I was put on meds at such a young age. Me and my parents were told that these meds are safe and won't do any harm and that it's safe to eat them indefinitely. I trusted what the doctor said. It never occurred to me that maybe my anxiety was the product of the meds. I had zero anxiety as a teenager but steadily during my adult years my anxiety has increased. I am very very thankful that I have parents who are willing to take care of me as long as it is needed. They hate to see me suffering, this is very hard on them. And it is very hard for me that they have to go through this with me. I really really hope that maybe after two or three years my body is healed and I can tolerate normal life again.
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