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  1. Hi all - It seems pretty clear that I've tapered too quickly off from Viibryd, but what now? My situation is a bit complicated because I'm on a few medications to help me sleep. My symptoms right now are severe fatigue, cognitive issues (brain fog, spaciness, lack of focus) and akathasia at night. Pretty worrisome stuff as I'm a Director at tech company and I need to be on point = / (yes, stress isn't helping my cause). I think I should reinstate, but I'm not sure if I should at 5 mg, 10 mg or higher. Please see below and thanks in advance for your help. SSRI and Adjunct History: -At age 33 started Lexapro 10 mg and from summer 2012 to summer 2014 worked great for GAD, OCD -Lexapro 10 mg seemed to "poop out," but with new symptoms of difficulty concentrating/brain fog so upped to 15 mg and then 20 mg over remainder of 2014. Anxiety was still managed but my P Doc and PCP believed it was depression symptoms (hence increase) -Added Abilify early 2015 - did not help with cognitive issues and gave me akathasia so discontinued -Cross-tapered to Viibryd 20 mg during summer 2015 - still no anxiety, but still dealing with brain fog. Side effects were worse than Lexapro with upper and lower GI issues -Over past year went up to 30 mg Viibryd - no anxiety, but still brain fog -Spring 2016 - Sleep got progressively worse which made it difficult to determine whether cognitive issues were more from lack of sleep or lack of appropriate SSRI dose -Spring 2016 tried Rexulti - no help so tapered off -Current - 0 mg Viibryd (tapered recently, though too fast) Taper: From 30 mg to 20 mg from 6/20/16 to 6/30/16 (two weeks on 20 mg) From 20 mg to 10 mg from 7/1/16 to 7/14/16 (two weeks on 10 mg) From 10 mg to 0 mg (3 days), then up to 5 mg (3 days) then 2.5 mg (2 days) and now 0 mg since 7/23/16 Additional medication history: -From ~2014 to early 2016, took 5 mg valium suppository as needed for chronic pelvic pain - able to stop due to successful physical therapy -From June 2015 to now, taking 75 mg (yes 75, not 750) gabapentin to help sleep/akathasia -From May 2016 to recently, taking 0.5 mg lorazepam for sleep (recently tapered this to 0.25 mg) -Took propranolol 20 mg for about a week in mid-July 2016 due to severe akathasia (assumed due to Viibryd withdrawal). Tapered down to 0 mg over following week -From summer 2015 to now, take 10 mg Vyvanse as needed for focus (more days than not) Current supplements: -5 mg melatonin nightly -200 mg L-Theanine x2 day -150 mg Magnesium Glycinate x2 day -5000 iu D3 1x day -1000 mg Omega 3 fish oil x1 day
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