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coldturkey1: tough withdrawal after stopping sertraline cold turkey


ColdTurkey1

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Hi All

 

I have been taking SSRI for the last 4 years, last 2 years I tool Sertraline 20mg.

I really wanted to stop them !

3 months ago, I went to a water fasting retreat, and at the advice of the instructor I stopped them cold turkey. Big mistake !

The first 2 months were great ! I felt good, alive, and happy that there are no withdrawal symptoms.

But last month the withdrawal started kicking.

I had severe insomnia, few days of rage, depression and feeling of anxiety in the solar plexus coming and going. 

I didn't know what to do, so decided to see if I can handle it without going back to medications.

I am quite self aware, went to quite a few body\mind treatments, started doing body exercises, started taking Omega 3, and tried to do good things for myself. 

These things help, but the symptoms persist, and it is hard.

 

The situation now is that I have:

Severe insomnia, quite sensitive emotionally, mild depression sometimes, the anxiety in the solar plexus comes in the evenings, weak memory, and I worry\think a lot about the situation - how long will it persist, and what should I do. 

My day-to-day functioning is OK for now. and sometimes I also feel happy.

 

My question to you in this amazing forum is what should I do now ?

Should I go back to taking Sertraline and start tapering it off very slowly ? to what dosage should I return ?

Or, if I already did the stupid cold turkey withdrawal, and am already 1 month into the withdrawal symptoms, maybe I should just hang on the best I can until the finish ?

May 2020 - 30mg Mirtrazapine
May 2020 - 2mg Ativan (for anxiety)
Sept 2020 - 20mg Escitalopram
Jan 2021 - started suffering from right side scalp+face pressure pains, relieved by Ativan
Jan 2021 - increased to 3mg Ativan (not suffering from anxiety. for right head pains)
June 2021 - started tapering Escitalopram (hoping it's the source of the head pains)
Jan 2022 - 10mg Escitalopram (head pains stay the same)

 

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  • Moderator Emeritus

Hi CT1

 

Welcome to the forum and thanks for filling out your signature. We recommend a very conservative trial and error approach to recovery. Reinstatement is better done sooner rather than later. We have a thread on reinstating here. http://survivingantidepressants.org/index.php?/topic/7562-about-reinstating-and-stabilizing-to-reduce-withdrawal-symptoms/page-2

 

3 months out its possible that your system has become very sensitive in withdrawal so if you consider reinstatement you want to start on a very low dose eg 2 mg

 

It's difficult to say how long things might take to settle either way (whether you reinstate or not)

 

Perhaps you could read the above thread and then come back here to ask questions, talk through your options

 

Dalsaan

Please note - I am not a medical practitioner and I do not give medical advice. I offer an opinion based on my own experiences, reading and discussion with others.On Effexor for 2 months at the start of 2005. Had extreme insomnia as an adverse reaction. Changed to mirtazapine. Have been trying to get off since mid 2008 with numerous failures including CTs and slow (but not slow enough tapers)Have slow tapered at 10 per cent or less for years. I have liquid mirtazapine made at a compounding chemist.

Was on 1.6 ml as at 19 March 2014.

Dropped to 1.5 ml 7 June 2014. Dropped to 1.4 in about September.

Dropped to 1.3 on 20 December 2014. Dropped to 1.2 in mid Jan 2015.

Dropped to 1 ml in late Feb 2015. I think my old medication had run out of puff so I tried 1ml when I got the new stuff and it seems to be going ok. Sleep has been good over the last week (as of 13/3/15).

Dropped to 1/2 ml 14/11/15 Fatigue still there as are memory and cognition problems. Sleep is patchy but liveable compared to what it has been in the past.

 

DRUG FREE - as at 1st May 2017

 

>My intro post is here - http://survivingantidepressants.org/index.php?/topic/2250-dalsaan

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Thank you Dalsaan

 

1) Are there instructions in the site on how to turn a 50mg pill into 2mg ?

 

2) I don't understand from the posts what is the meaning of becoming very sensitive after 3 months. what may happen if I reinstate by taking 25mg (half a pill) ?

 

3) After how many days should I decide weather I should go up from 2mg ?

 

4) The withdrawal stories here on the site are very frightening. Would love to get some reassurance that the withdrawal can also be not so bad, and that even if I stopped cold turkey, there are chances that the symptoms will subside in not a long period (with 

May 2020 - 30mg Mirtrazapine
May 2020 - 2mg Ativan (for anxiety)
Sept 2020 - 20mg Escitalopram
Jan 2021 - started suffering from right side scalp+face pressure pains, relieved by Ativan
Jan 2021 - increased to 3mg Ativan (not suffering from anxiety. for right head pains)
June 2021 - started tapering Escitalopram (hoping it's the source of the head pains)
Jan 2022 - 10mg Escitalopram (head pains stay the same)

 

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  • Moderator Emeritus

We go into withdrawal because our nervous system has become used to functioning with the drugs in our system.   Our brain has kind of remodelled itself around the presence of the drug.   If we take the drug away our brain has to adjust to this absence.   If the drug isnt in our system and our brain hasn't fully adjusted to that it becomes a bit unbalanced or destabalized.   This is what generates withdrawal symptoms.

 

Within this destablized state, our systems get very sensitive to stressors.   Reintroduced the drug can be experienced as a stressor by our nervous system therefore some people have an adverse reaction when they reinstate.   The more you throw at it the greater the risk so we suggest very small amounts.  

 

We don't have a crystal ball so we can't say that your symptoms will resolve in x amount of time.   Some people have very little trouble coming off these drugs, some people have a moderate degree of difficulty coming off and it resolves over a few months, some people have significant trouble and it is prolonged.

 

We cant know which category you will fit in.   Stopping cold turkey isn't great because you have given your brain no chance to adjust.   That's why reinstatement is an option that people consider.

 

Your symptoms are not horrendous and unrelenting so that is cause for some optimism. The fact that your functioning is ok and you can feel times of happiness is a good sign.

 

If you are going to try to reinstate to enable you to taper off slowly, you need to do that asap.  here is a link on tapering off sertraline and how to make a liquid (which is the easiest way to control your doses and take very small amounts) http://survivingantidepressants.org/index.php?/topic/1441-tips-for-tapering-off-zoloft-sertraline/

 

I'm sorry there are no black and white answers.   Our general advice to people is to taper slowly.   That's why we recommend reinstatement.   However, the longer it is since you last took a dose the more risky that becomes - your brain has changed since the last time you took your drugs.   You can mediate the risks of a negative reaction somewhat by taking an extremely low dose and listening to your body in terms of how to respond.   Whether you want to try this or wait out the symptoms is up to you.

 

Dalsaan

Please note - I am not a medical practitioner and I do not give medical advice. I offer an opinion based on my own experiences, reading and discussion with others.On Effexor for 2 months at the start of 2005. Had extreme insomnia as an adverse reaction. Changed to mirtazapine. Have been trying to get off since mid 2008 with numerous failures including CTs and slow (but not slow enough tapers)Have slow tapered at 10 per cent or less for years. I have liquid mirtazapine made at a compounding chemist.

Was on 1.6 ml as at 19 March 2014.

Dropped to 1.5 ml 7 June 2014. Dropped to 1.4 in about September.

Dropped to 1.3 on 20 December 2014. Dropped to 1.2 in mid Jan 2015.

Dropped to 1 ml in late Feb 2015. I think my old medication had run out of puff so I tried 1ml when I got the new stuff and it seems to be going ok. Sleep has been good over the last week (as of 13/3/15).

Dropped to 1/2 ml 14/11/15 Fatigue still there as are memory and cognition problems. Sleep is patchy but liveable compared to what it has been in the past.

 

DRUG FREE - as at 1st May 2017

 

>My intro post is here - http://survivingantidepressants.org/index.php?/topic/2250-dalsaan

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Wow, I really appreciate your long and caring responses.

I will try to reinstate

But I don't understand something about tapering off after reinstating - if I reinstate only 3mg, it seems that the tapering will be very short

And another thing - how long should I give the 3mg dosage a try, before you raise the dosage ? (in case the 3mg doesn't help)

May 2020 - 30mg Mirtrazapine
May 2020 - 2mg Ativan (for anxiety)
Sept 2020 - 20mg Escitalopram
Jan 2021 - started suffering from right side scalp+face pressure pains, relieved by Ativan
Jan 2021 - increased to 3mg Ativan (not suffering from anxiety. for right head pains)
June 2021 - started tapering Escitalopram (hoping it's the source of the head pains)
Jan 2022 - 10mg Escitalopram (head pains stay the same)

 

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The memory gets better for me it has at least hang in there . I am like 5 months in the first few months were brutal for cogniton and memory now it has improved.

Been on 1 year cymbalta, 1 year  pristiq, zoloft 2 years nad seroquel 2 years.Now I've been off everything since February 2015. so 6 months free. Still have insomnia, short term memory problems, brain fog these are the only problems hope they will improve.

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  • Administrator

Hello, ColdTurkey, did you reinstate?

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

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  • Moderator

Would love to get some reassurance that the withdrawal can also be not so bad, and that even if I stopped cold turkey, there are chances that the symptoms will subside in not a long period (with 

 

Hi ColdTurkey1. Welcome to the site.  As Dalsaan said, it is impossible to predict how any one person will react to getting of SSRIs because (i) we are all so bioindividual and (ii) it is impossible with current testing to ascertain what level of affinity for the drug your serotonin receptors have developed.  Based on my experience, I would say the factors that tend to lead to better outcomes are:

  • shorter duration of usage
  • lower dosages during usage
  • younger age at time of attempting to get off the drug

I don't know your age but 50mg is a relatively low dose of Zoloft and 4 years is not extremely long by comparison to many (myself included).  While I would test the reinstatement (please answer Alto's question as to whether you did), I would find optimism in how you have reacted so far and would be hopeful that you will have a good recovery.

 

But I don't understand something about tapering off after reinstating - if I reinstate only 3mg, it seems that the tapering will be very short

 

This site recommends tapering no more than 10% per month so even at 3 mg the tapering process will take a while.  It is the safest way to come off with the least amount of adverse effects.

 

Best of luck and let us know how you are doing.

 

Andy

Sertraline 50mg and Clonazapam .375mg from 2000 -- symptoms of dizziness Spring 2012

increased to .5 Clonazapam and 100mg Sertraline -- no improvement

Benzo microtaper from November 2012 to November 2014 (followed benzo sites "taper benzo first")

Started Sertraline taper in December 2014 cut by 25mg to 75mg; 62.5mg 1/1/15 and 50mg on 2/1/15

Held at 50mg through April 5 to use liquid 
Reduced dosage in 10% or less drops from 50mg to 25mg -- at single tablet of 25mg on 10/5/15

Transitioned to all liquid for accuracy while tapering -- Horrible insomnia -- back to 25mg liquid and held until October 1, 2016

10/16 -- 11/18 tapered very slowly to 10.6mg.  No real improvement and never really stable so updosed to 12.5mg (1/2 a pill) for convenience and long hold.

After 8+ months of holding with no noticeable improvement decided to add .4ml of liquid Prozac (about 1.5mg) to see if that improves the situation

Supplements, Magnesium, D3, Omega 3, curcumin, Valerian, 81mg Aspirin, L-Theanine, Vit. C,

 

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Hi Friends

 

Sorry for not answering, I don't get notifications for responses

 

I still didn't reinstate. I'm taking some amino acid supplements - 5HTP, Gaba, Same-e. and also Omega 3

Things are not getting better.

I'm getting depressed from small things in my life.

 

I'm starting to think about going back to Sertraline 50mg for a few months to stabilize, get my life in order, get a therapist, start doing sports

and then to start tapering down in the right way, not cold turkey as I did

 

What do you think ?

May 2020 - 30mg Mirtrazapine
May 2020 - 2mg Ativan (for anxiety)
Sept 2020 - 20mg Escitalopram
Jan 2021 - started suffering from right side scalp+face pressure pains, relieved by Ativan
Jan 2021 - increased to 3mg Ativan (not suffering from anxiety. for right head pains)
June 2021 - started tapering Escitalopram (hoping it's the source of the head pains)
Jan 2022 - 10mg Escitalopram (head pains stay the same)

 

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  • Moderator Emeritus

Since you have been off the drug for over 3 months there is a risk that the full dose will be too much.

 

That's why you have been advised to start much lower such as 2 mg.

Current: Xanax 0.26 (down from 2 mg in 2013), Lexapro 2.85 mg (down from 5 mg 2013)

Amitriptyline (tricyclic AD) and clonazepam for 3 months to treat headache in 1996 
1999. - present Xanax prn up to 3 mg.
2000-2005 Prozac CT twice, 2005-2010 Zoloft CT 3 times, 2010-2013 Escitalopram 10 mg
went from 2.5 to zero on 7 Aug 2013, bad crash 40 days after
reinstated to 5 mg Escitalopram 4Oct 2013 and holding liquid Xanax every 5 hours
28 Jan 2014 Xanax 1.9, 18 Apr  2015 1 mg,  25 June 2015 Lex 4.8, 6 Aug Lexapro 4.6, 1 Jan 2016 0.64  Xanax     9 month hold

24 Sept 2016 4.5 Lex, 17 Oct 4.4 Lex (Nov 0.63 Xanax, Dec 0.625 Xanax), 1 Jan 2017 4.3 Lex, 24 Jan 4.2, 5 Feb 4.1, 24 Mar 4 mg, 10 Apr 3.9 mg, May 3.85, June 3.8, July 3.75, 22 July 3.7, 15 Aug 3.65, 17 Sept 3.6, 1 Jan 2018 3.55, 19 Jan 3.5, 16 Mar 3.4, 14 Apr 3.3, 23 May 3.2, 16 June 3.15, 15 Jul 3.1, 31 Jul 3, 21 Aug 2.9 26 Sept 2.85, 14 Nov Xan 0.61, 1 Dec 0.59, 19 Dec 0.58, 4 Jan 0.565, 6 Feb 0.55, 20 Feb 0.535, 1 Mar 0.505, 10 Mar 0.475, 14 Mar 0.45, 4 Apr 0.415, 13 Apr 0.37, 21 Apr 0.33, 29 Apr 0.29, 10 May 0.27, 17 May 0.25, 28 May 0.22, 19 June 0.22, 21 Jun updose to 0.24, 24 Jun updose to 0.26

Supplements: Omega 3 + Vit E, Vit C, D, magnesium, Taurine, probiotic 

I'm not a medical professional. Any advice I give is based on my own experience and reading. 

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  • Administrator

Please read the links we have given you.

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

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  • 5 years later...

Face + Scalp spasm\contruction due to Lexapro\SSRI\Benzo ?

 

Hi

 

A year ago a went off Prozac, in the beginning I was fine, but then got severe Insomnia and depression, and had to go back to meds.

I have started taking Lexapro 3 months ago, after a very long and Anxiety\Depression period of trial and error of various meds that didn't help

For the severe anxiety that I had, that was probably increased dramatically due to starting Lexapro. I was given Lorazepam (benzo)

I'm now taking 20mg Lexapro, 30mg Mirtrazapin, 2mg Lorazepam (twice daily), and Ambien

I'm not suffering from anxiety or depression now

I'm slowly going off Mirtrazapin because Lexapro was the med that really helped

 

My problem is that I have facial\scalp spasms that are suppressed only when I take Lorazepam


At about 10am I start feeling the scalp muscles contract (not twitch, just contruct and stay that way), and also the right upper side of my face and rmuscles around the right eye

This is very worrisome to me

I don't know if it's because of the Lexapro, because of anxiety, becuase of trauma, or because of the benzo

I don't know how to get oof the benzo if I get these cramps if I don't take it

I don't know if the benzo is "hiding" the size effects of the Lexapro

And I don't know if indeed it's a sizez effect of Lexapro, will it go away if I wait enough

 

I wish I could get off all the meds, but currently it's not possible for me

 

Does anyone know of such side effects ?

 

Edited by ChessieCat
added topic title
May 2020 - 30mg Mirtrazapine
May 2020 - 2mg Ativan (for anxiety)
Sept 2020 - 20mg Escitalopram
Jan 2021 - started suffering from right side scalp+face pressure pains, relieved by Ativan
Jan 2021 - increased to 3mg Ativan (not suffering from anxiety. for right head pains)
June 2021 - started tapering Escitalopram (hoping it's the source of the head pains)
Jan 2022 - 10mg Escitalopram (head pains stay the same)

 

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  • ChessieCat changed the title to coldturkey1: tough withdrawal after stopping sertraline cold turkey
  • Moderator Emeritus

Hello and welcome back,

 

Please update your drug signature so that we can see your history at a glance.  Follow these instructions.  Please remove the spaces and also the last 2 lines.  We only need to see drug name and supplement name, doses and dates for dose changes and the last date and dose you took before stopping a drug.  Thank you.

 

Instructions:  Withdrawal History Signature
Account Settings – Create or Edit a signature

 

2011-2013 - Prozac/Fluoxetine 20mg
2013-2015 - Sertraline 50mg
9.7.2015 - stopped Sertraline cold turkey :(
Got withdrawal symptoms  :o
Breaking my head what to do now 
 
 
Please put all the drugs/supplements you are currently taking in the Drug.com Interactions Checker and copy and paste the report OR copy and paste the URL for the report here in your topic.  Please ensure that if you copy the report that the duplications at the bottom of the screen are included. Thank you.
 
Q:  Are you getting any of the symptoms which are described in the drug interaction?  If yes, what?

 

The enable the mods to assess your situation please provide 3 consecutive days of daily symptoms notes, posting a 24 hour period in one go.  This post explains what is required and how the notes can help:

 

Keep Notes on Paper

 

Edited by ChessieCat

 MISSION ACCOMPLISHED:    13 November 2021 -  0mg Pristiq      

Woohoo!!!  Finally off Pristiq   

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

My full tapering program     My Intro (goes to my tapering graph)    My website

PLEASE NOTE:  I am not a medical professional.  I provide information and make suggestions.  I do not provide tapering advice via PM.  Please post questions in your Introduction topic.  Please do not tag me for any reason.  I am an unpaid volunteer and assist members if I am able to and when I have the time.  Thank you for your understanding.

Mid Nov 2021 changed to low carb diet due to diabetes & cholesterol.  Lost 1/16 body weight, BP has reduced a lot. 

Links to my exercises and weights.  I also do 3 x 5.5 min with HIIT on exercise bike with 20 secs/min as fast as I can cycle.

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  • Moderator Emeritus

Please note that the spelling needs to be correct to use the drug interaction checker:

 

Mirtrazapin --> mirtazapine

 MISSION ACCOMPLISHED:    13 November 2021 -  0mg Pristiq      

Woohoo!!!  Finally off Pristiq   

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

My full tapering program     My Intro (goes to my tapering graph)    My website

PLEASE NOTE:  I am not a medical professional.  I provide information and make suggestions.  I do not provide tapering advice via PM.  Please post questions in your Introduction topic.  Please do not tag me for any reason.  I am an unpaid volunteer and assist members if I am able to and when I have the time.  Thank you for your understanding.

Mid Nov 2021 changed to low carb diet due to diabetes & cholesterol.  Lost 1/16 body weight, BP has reduced a lot. 

Links to my exercises and weights.  I also do 3 x 5.5 min with HIIT on exercise bike with 20 secs/min as fast as I can cycle.

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  • 5 months later...
On 12/18/2020 at 2:15 AM, ChessieCat said:

Please note that the spelling needs to be correct to use the drug interaction checker:

 

Mirtrazapin --> mirtazapine

Thank you ChessieCat

 

Sorry it took me time to answer, it's hard for me to enter this site as you can understand

I edited my signature, could you tell me if it looks fine ?

Also, Do you think that I should post a new topic ? my main problem is still the pressure\tension\pain on the right side of my head, that is relaxed with Lorazepam

May 2020 - 30mg Mirtrazapine
May 2020 - 2mg Ativan (for anxiety)
Sept 2020 - 20mg Escitalopram
Jan 2021 - started suffering from right side scalp+face pressure pains, relieved by Ativan
Jan 2021 - increased to 3mg Ativan (not suffering from anxiety. for right head pains)
June 2021 - started tapering Escitalopram (hoping it's the source of the head pains)
Jan 2022 - 10mg Escitalopram (head pains stay the same)

 

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  • 2 weeks later...
On 12/18/2020 at 2:12 AM, ChessieCat said:

Please update your drug signature so that we can see your history at a glance.  Follow these instructions.  Please remove the spaces and also the last 2 lines.  We only need to see drug name and supplement name, doses and dates for dose changes and the last date and dose you took before stopping a drug.  Thank you.

Thank you ChessieCat

 

Sorry it took me time to answer, it's hard for me to enter this site as you can understand

I edited my signature, could you tell me if it looks fine ?

Also, Do you think that I should post a new topic ? my main problem is still the pressure\tension\pain on the right side of my head, that is relaxed with Lorazepam; And Tiredness & Foginess in the mornings probably because of the Mirtazapine 

May 2020 - 30mg Mirtrazapine
May 2020 - 2mg Ativan (for anxiety)
Sept 2020 - 20mg Escitalopram
Jan 2021 - started suffering from right side scalp+face pressure pains, relieved by Ativan
Jan 2021 - increased to 3mg Ativan (not suffering from anxiety. for right head pains)
June 2021 - started tapering Escitalopram (hoping it's the source of the head pains)
Jan 2022 - 10mg Escitalopram (head pains stay the same)

 

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  • 6 months later...

Right sided scalp and face pressure pains

 

Hi All

 

I am cuurently on 3 drugs: Mirtazapine 30mg, Escitalopram 10mg, Ativan 2-3mg

I suffer from right sided pressure pains in my scalp and right side of the face

The pains are releived by Ativan, and slowely increase as the Ativan influence decreases. after 5-6 hours I usually need to take another Ativan

I was on 20mg Escitalopram and lowered to 10mg hoping this was the cause of the pains. the pains stay the same

 

So now I need to decide what is my next step, and would appreciate your help

I need to decide which of the 3 drugs most probably cause the head pains, and start withdrawal from it

 

 

If anyone has (or read about someone else who have) suffered from these one sided head pains , I would appreciate it if you tell me from what drug you think it was induced

 

Thank you very much

 

Edited by ChessieCat
added Intro topic title before merging with intro topic
May 2020 - 30mg Mirtrazapine
May 2020 - 2mg Ativan (for anxiety)
Sept 2020 - 20mg Escitalopram
Jan 2021 - started suffering from right side scalp+face pressure pains, relieved by Ativan
Jan 2021 - increased to 3mg Ativan (not suffering from anxiety. for right head pains)
June 2021 - started tapering Escitalopram (hoping it's the source of the head pains)
Jan 2022 - 10mg Escitalopram (head pains stay the same)

 

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  • Moderator Emeritus

 MISSION ACCOMPLISHED:    13 November 2021 -  0mg Pristiq      

Woohoo!!!  Finally off Pristiq   

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

My full tapering program     My Intro (goes to my tapering graph)    My website

PLEASE NOTE:  I am not a medical professional.  I provide information and make suggestions.  I do not provide tapering advice via PM.  Please post questions in your Introduction topic.  Please do not tag me for any reason.  I am an unpaid volunteer and assist members if I am able to and when I have the time.  Thank you for your understanding.

Mid Nov 2021 changed to low carb diet due to diabetes & cholesterol.  Lost 1/16 body weight, BP has reduced a lot. 

Links to my exercises and weights.  I also do 3 x 5.5 min with HIIT on exercise bike with 20 secs/min as fast as I can cycle.

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