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Nikki

Female hormone replacement therapy (HRT) -- estrogen and progesterone

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Nikki

ADMIN NOTE Also see


 

I didn't really know where to put this.

 

I am tapering bio-identical hormones. Not bad. Off progesterone/testosterone.

 

Went to doctor today. My Blood Pressure has been high and I take Lisinopril.

 

He said Estrogen causes HBP which I had read about. I told him I had read that Celexa (all ssri's) can elevate blood pressure. He said he didn't think Celexa does that.

 

He told me to taper off estrogen over a course of months if I needed to.

And here doctor's tell patients to just stop taking ssri's.

 

I told him it would take me another few weeks. Then have blood pressure taken again.

 

I do need to make another drop in dose of the Celexa (and I do think they can cause HBP, particularly from a weight gain).

 

There is a large part of me that is glad that I am going to be getting off some medications.

 

I do need to lose weight and I have a hard time with that. I believe ssri's keep it on, and so does estrogen. I also know I am a sugar addict. Honest to God, I never craved sugar like I do after going on ssri's. I had it under control and it wasn't 24/7.

 

Today one of my customers told me that I get one helluva workout with my cleaning business.

So how come I am not like Twiggy????? :lol: I should be :(

 

I am excited to be coming off of four drugs: Celexa - Estrogen - Progesterone - Testosterone. Alot less visits to the Drugstore.

Edited by Altostrata
Added admin note

Intro: http://survivingantidepressants.org/index.php?/topic/1902-nikki-hi-my-rundown-with-ads/

 

Paxil 1997-2004

Crossed over to Lexapro Paxil not available

at Pharmacies GSK halted deliveries

Lexapro 40mgs

Lexapro taper (2years)

Imipramine

Imipramine and Celexa

Now Nefazadone/Imipramine 50mgs. each

45mgs. Serzone  50mgs. Imipramine

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Altostrata

Yep, you have to taper estrogen, too. All the steroids.


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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Nikki

Okay, here it is ;)

 

Was off Progesterone/testosterone for three weeks. Wired and constantly hot, sweaty.

 

Tapered Estrogen and forget-about-it :blink: Major hot flashes, perspiration, wired, not good at all. However there was no anxiety/melancholy.

 

Yes, I am back on progesterone/testosterone and estradiol in very small doses and there is a world of difference.

 

Soo...in order to get off Celexa as safely as possible, I will remain on hormones. Hormones and Celexa drops = feeling lousy.

 

I would rather be rid of Celexa more than hormones. I tried, not is not the time ;)

 

Hugs I guess Suzanne Somers is right after all.


Intro: http://survivingantidepressants.org/index.php?/topic/1902-nikki-hi-my-rundown-with-ads/

 

Paxil 1997-2004

Crossed over to Lexapro Paxil not available

at Pharmacies GSK halted deliveries

Lexapro 40mgs

Lexapro taper (2years)

Imipramine

Imipramine and Celexa

Now Nefazadone/Imipramine 50mgs. each

45mgs. Serzone  50mgs. Imipramine

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Barbarannamated

Nikki,

 

If I knew of something that would make "world of difference" at this point, I'd have no hesitation. There are many new opinions and interpretations of data coming out about HRT used in the big Womens Health Initiative trial. So confusing. The main point that has been brought to light is that the median age of women enrolled was 65. They had already been post menopausal for 10-15 years. To use that as a guideline for treatment of pre/peri-menopausal symptoms or other endocrine failure is ludicrous. [i'm using the definition that menopause begins when periods stop permanently ("pause of menses")]. One doctor said that "post-menopausal" would start with death. :o

 

BTW, when did you notice that you began to grind your teeth/bruxism? My doc changed my estrogen recently and I'm grinding my teeth and waking with headaches again. Not certain if it's related.

 

I'm glad you found something that helps you.


Pristiq tapered over 8 months ending Spring 2011 after 18 years of polydrugging that began w/Zoloft for fatigue/general malaise (not mood). CURRENT: 1mg Klonopin qhs (SSRI bruxism), 75mg trazodone qhs, various hormonesLitigation for 11 years for Work-related injury, settled 2004. Involuntary medical retirement in 2001 (age 39). 2012 - brain MRI showing diffuse, chronic cerebrovascular damage/demyelination possibly vasculitis/cerebritis. Dx w/autoimmune polyendocrine failure.<p>2013 - Dx w/CNS Sjogren's Lupus (FANA antibodies first appeared in 1997 but missed by doc).

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Sparrow

Would anyone care to share how much estrogen and/or progesterone you're taking? If your prescriber uses blood levels to help determine dosing, what levels are you shooting for?

 

My hormone doc wants my estradiol around 70 pg/mL and progesterone about 20 ng/ml. Last time they were tested, my est was 35 and progest was 15.

 

I'm taking 500 mg of compounded bioidentical progesterone (orally) and using a 0.1 mg PLUS a 0.025 mg Vivelle patch twice a week. I'm worried. Those are pretty hefty doses and yet the hormones are still low. Why?

 

Sparrow


2009-2011: tapered off Trazodone, Namenda, Lamictal, Dextroamphetamine, Zyprexa; cold-turkeyed Pristiq; reduced Lexapro dose 50%.
On clonazepam since 2004, 0.5 - 1.0 mg daily PRN. Three failed (too rapid) partial tapers, 2010 - 2011.
Dec. 2011 - March 2013: Tapered off 0.5 mg clonazepam (Klonopin)

August 2013: Switched to liquid escitalopram (Lexapro) and began tapering from 10 mg.

January 2014: 4.5 mg escitalopram

March 2014: One year off benzos

May 2014: 3.0 mg escitalopram

June 2014: severe depression, updosed to 4.0 mg

Sept 1, 2014: 2.7 mg

Dec 7, 2014: Can't get below 2.5 mg without unbearable symptoms. Doing an extended hold (I hope)

March 2015: TWO YEARS POST-BENZO

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Barbarannamated

Sparrow,

 

My doc changed me to Bi-est (20% estriol/80% estradiol) and shooting for pharmacologic (not physiologic/replacement) level to treat mood and energy. Currently at 0.75ml (or mg). It's a compounded cream. I liked the ease of Vivelle better. I was on 0.1 Vivelle. Doesn't sound like an increase..?

 

I have progesterone, too, but afraid to use after my severe reaction to Prometrium (immediate horrid depression, nightmares w 1 dose) that nobody can explain. It is supposed to be a "natural progesterone" (estradiol) and seems to be the choice of the docs I've talked to. There was mention on adrenal forum about using progesterone with caution in adrenal impairment but I don't recall the details. It seems akin to someone having a psychotic depressive reaction to one SSRI but told to try another. It was that extreme.

 

I suspect it will be difficult to reach a consistent level/balance as drugs are getting out of system. The SS/NRIs effect so many hormones, especially adrenals. The adrenals are in direct communication/axis with ovaries/testes (gonads) and thyroid (OAT axis). Then balanced among themselves, I believe.

 

I'm not sure about benzos.

 

This was a long way of saying "I don't know".


Pristiq tapered over 8 months ending Spring 2011 after 18 years of polydrugging that began w/Zoloft for fatigue/general malaise (not mood). CURRENT: 1mg Klonopin qhs (SSRI bruxism), 75mg trazodone qhs, various hormonesLitigation for 11 years for Work-related injury, settled 2004. Involuntary medical retirement in 2001 (age 39). 2012 - brain MRI showing diffuse, chronic cerebrovascular damage/demyelination possibly vasculitis/cerebritis. Dx w/autoimmune polyendocrine failure.<p>2013 - Dx w/CNS Sjogren's Lupus (FANA antibodies first appeared in 1997 but missed by doc).

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s1335

Hi s...

 

I tapered Lexapro (similar to Celexa (citalopram) and it was the anxiety/depression that caused me the most harm.

 

In the Celexa taper, I am finding it easier. I can't do the slow taper others refer to. I did that with Lexapro and it took 2 years out of my life.

 

I drop in a larger amount with Celexa and wait a few months before doing it again. This method (so far :) ) seems to be okay. I am not suggesting you do this. This could change again with my next drop. We really never know.

 

If you feel that you can't do the taper right now, then don't. You don't owe anyone an explanation. It does take a toll and takes away a decent quality of life for alot of us.

 

If you read Strawberry's Posts on her taper (here on this site or in her blog), you may be able to follow her pattern of tapering which gives alot of people the least amount of agony.

 

You can taper for a period of time and then halt. Take a long break and feel better.

 

If you felt good at 20mgs. and think that you need to get back to that, then do so. I did that with Lexapro after my first tapering attempt. It was bad, my daughter was little, I had just gotten divorced and I needed to keep my wits about me.

 

You have choices. A word of caution....don't keep playing around with Celexa. Sometimes reinstating after upping and lowering doses over and over can render it ineffective.

 

Best Regards

 

Thanks Nikki. If it can be rendered ineffective, then maybe I should stay at 20mg. I was on 40 mg before and was doing very well, but I am now worried about the fluctuating dosages that I've made.

 

Hopefully it is still effective...


Lexapro 20mg 2001-2003 (tried to taper myself too quickly)

Back on Lexapro 40mg 2003-2006 (tried to taper...again)

On Celexa 20mg 2006-2008 (taper again)

Citalopram 40mg 2008-2012 (mid November tried to taper, things got worse)

Citalopram 20mg 2012 (late November)

Citalopram 20mg 2013 (January started to get a little better but sometime along the way stopped taking Citalopram and started losing track of everything)

Bad episode of lack of concentration and lost in thoughts, loss of sleep etc. Ended up in mental hospital for a week and was back on 20mg Citalopram and 5mg Olanzopine and 2mg Benztropine.

February 11 2013 Back on 40mg Citalopram and tapering Olanzopine to 2.5mg and Benztropine 1mg under Psychiatric care.

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Nikki

Wow so many responses and info....thank you :)

 

Barb...about Bruxism. Started after going on ssri's. Got worse with Lexapro, and just continued after that.

 

What has helped is meditation. Big difference. Need new tapes. Doing it again, have old CD's and haven't been doing it religiously.

 

Progesterone was described to me as the 'calming hormone' and I believe it.

 

Now that I am working and my business is building, I really don't have anxiety or the blues.

 

s: if you were doing well at 40 mgs. of Lexapro why not go back to 35mgs. and stay put.

Please don't worry about the fluctuations. You only recently did it. Just focus on stabilizing and you will :)

 

I take 1/4mg. Estradiol now (was on 1/2mg.) My progesterone is high and needs to be reduced. It is 100mgs. The testosterone is 1/2 mg. and I am okay with that. I want to take the least amount of all three drugs.

 

I will probably have the progesterone cut in half. 50mgs. or less.

 

Just realizing with playing around with trying to get off HRT that it does help me feel better. Alot better. So I would rather keep this and get off ssri's.

 

We ladies have so much more to contend with than men in regards to hormones, pregnancy, menopause, etc. :rolleyes:

 

Hugs


Intro: http://survivingantidepressants.org/index.php?/topic/1902-nikki-hi-my-rundown-with-ads/

 

Paxil 1997-2004

Crossed over to Lexapro Paxil not available

at Pharmacies GSK halted deliveries

Lexapro 40mgs

Lexapro taper (2years)

Imipramine

Imipramine and Celexa

Now Nefazadone/Imipramine 50mgs. each

45mgs. Serzone  50mgs. Imipramine

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Fenrir

At the end of August I made some hormonal tests and these are the results:
 
- TSH: 6.60 mUI/mL normal: (0.31-4.50)
- Basal Testosterone: 35,9 nmol/L normal in men: (8.2-34,6)
- Cortisol 281 ng/mL normal at 8AM: (50-260)
- Prolactine 34,5 ng/mL normal: (4.0-15,2)

eek.gif eek.gif eek.gif 
 
I think paxil messed me up very well
 
At the I had already began my tapering from 20mg and I was at 14mg (still here after crashing reached the 10mg dosage as you can see in my sig.)
 
Some inputs? Should I have more test or wait?


end of 2010, prescribed paxil 20mg

1 year off cold turkey  september 2011- september 2012 (nightmare) escitalopram for 4 months (didn't help).

RI september 2012 20mg

october 2013 crash reaching 10mg

10/31/2013 updose to 14mg

1/3/2014-13mg

2/23/2014-12mg

4/6/2014-11mg

august 2014-10mg

November-December 2014 Big mistake, skipping doses BIG Crash

January 2015- 12 mg

 

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Zoe

Hi Lex- I recently had my hormones checked also. I ended up going on an estrogen troche & a progesterone cream. The original level that I was put on really helped & then I went to see a nurse practitioner who doubled the amount without any testing just saying that I wasn't on enough. ( I should have been smarter than to fall for that) She also put me on DHEA. Within a week my anxiety was going up tremendously again. She didn't return my call, so I talked to the compounding pharmacist who recommended that I cut the estrogen back to the original level & keep the progesterone cream where it was. I also eliminated the DHEA. It has taken about 3 weeks, but I feel like I am starting to settle back into my normal anxiety levels. My point in all of this is to be very careful what hormones you take & who prescribes them. They have definitely helped, but you can end up agitating yourself also. Alto or someone else more knowledgeable will come along and help you soon I'm sure. Hang in there. Hugs & prayers being sent your way.


 

Jan. 1994 Pamelor

2000 switched to Zoloft 

2011 Zoloft pooped out- Dr. switched me directly to Lexapro15mg -had a horrible 6mths

2013 upped Lexapro to 20 mgs-pooped out

June 2013 Dr. added 150 Wellbutrin to Lexapro.

July 2013 Switched back to Zoloft 100mgs.Was still taking Wellbutrin. Lots of anxiety from the Wellbutrin

July 2013 Started to wean Wellbutrin- off by Sept.

Oct. 2013 added 400 mgs of Neurotin to the Zoloft

Jan 2014 Tapered off of the Zoloft and onto Prozac 30 mgs. Also still taking 400 mgs Neurotin

Feb 2014 Reduced Prozac to 13 mgs. Still taking 400 mgs Neurotin

Aug. 2014 Prozac 13 mgs. Finished with Neurotin. .7 Risperadol

 

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oskcajga

1.  I am among those who went to see an endocrinologist to test a wide array of blood hormones in an attempt to explain the debilitating withdrawal symptoms related to psychiatric medication usage.  In my case, levels came back within the "normal range" some seemed a bit low on that range, but they were all within normal. 

 

**However, there's a massive problem with the common blood testing methodology that people don't seem to understand:  hormones fluctuate quite dramatically throughout the day - and one blood test cannot always expose a legitimate overview of our endocrine functions.  Instead, we would require multiple blood tests over a number of days to accurately diagnose any condition.  But of course doctors do not always have the time for that, and often rely on ONE blood test to diagnose and prescribe patients with a regime of exogenous hormones.  Even if the person is fasting, there can still be considerable variations in hormone levels throughout the day.  Therefore, this is sometimes a fundamentally incorrect approach, and any doctor who has gone through a basic 1st year medical school program should know better.

 

Here's a couple of basic references in the subject of hormone variation over time.  If you go to your local library and find a medical physiology textbook, you can also discover the same thing:

 

Thyroid hormone:  http://www.naturalmedicinejournal.com/journal/2012-12/thyroid-stimulating-hormone-fluctuates-time-day

 

Cortisol:  http://imgur.com/BjkVH3R

 

Testosterone:  http://imgur.com/7ZIEfjV

 

Hormonal changes during the normal menstrual cycle in females:  http://imgur.com/mWMElIw

 

2..  Why exogenous hormones are problematic:

 

Hormones operate very heavily upon negative feedback.  So if an exogenous hormone is introduced into the blood stream, your endocrine glands will ramp down the production of that specific hormone.  Tropic hormones will be released in less quantity by the hypothalamus pituitary axis, leading to less production from the specific gland (e.g., less cortisol production from the adrenals, or less thyroid production by the thyroid gland).  When the exogenous hormone is then stopped, either because we run out of the meds, or the side effects become unbearable (e.g., cushing syndrome, heart complications, liver challenges), there is a delay in the natural production of the hormone, and therefore the patient goes through a "withdrawal" period, where there is now not enough natural hormone production in the body.  Usually the endocrine glands will be able to function again and bring blood hormone levels back to normal, but this can take a long time.

 

--------------------

 

3.  Taking exogenous hormones without an underlying endocrine gland disorder is analogous to taking a psych med - short term benefits long term adaptations and side effects.  Moreover, because hormones and neurotransmitters are all interconnected and feed back on one other in elaborate and poorly understood fashions, there's a possibility that any pre-existing neurological dysregulation could become exacerbated by any one or more hormone therapy treatments.  

 

4.  Osk's personal recommendation:  Be careful with exogenous hormones of any kind - they are another massively over prescribed medication that makes Big Pharma and doctors very wealthy.  Sometimes they are necessary - but terribly risky otherwise - ESPECIALLY if your endocrine glands still exist within your body in an otherwise healthy state. 

 

There are some exceptions to this role, for example Hashimotos  Disease individuals basically NEED exogenous thyroid hormones to function.  Other examples include conditions where the endocrine gland has been ablated for one reason or another and you can no longer produce hormones naturally (e.g., testicular or ovarian removal). 

 

5.  Please be careful before "trying" exogenous hormones - there's big risks, and numerous side effects. I have a family member who after a number of cycle of cortisone treatment suddenly developed cushing syndrome which lasted for over 10 years AFTER stopping.  So there are potential long term risks.

 

Moreover, I've read anecdotal reports of people who take exogenous hormones for SSRI and psych med problems (these were located on the now defunct website, Paxilprogress.org), and they got short term benefits for a while, and then no longer get these benefits - but are now stuck taking exogenous hormones.   From these perusings on that now defunct website, I also noticed that there were a number of anecdotal reports that SSRIs and antipsycotics threw normal blood hormone levels out of whack in a surprising number of individuals - but unfortunately hormone therapy did NOT always relieve these problems and sometimes lead to hormone therapy withdrawal or side effects (or no effect at all).

 

I hope this helped someone :unsure:

 

Footnote:

This is my personal opinion only.  I am not a doctor or medical professional, and this post is not meant to be interpreted as medical advice.  Please contact your doctor for medical advice.

 

 

TLDR:  Endocrinologists do not always practice the best diagnostic testing (too many patients, too little time/compensation by insurance companies), and hormone therapy can be very risky (because hormones operate via negative feedback), please be very careful.

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Wildflower0214

I appreciate your writing this. I have often suspected all of the above. I have seen so many people get placed on hormones during AD use or WD. This happens so frequently with thyroid diagnosis and then hormone replacement. It seems like the thyroid really gets knocked around during WD, and I just can't see how testing thyroid hormone levels during this process could be used to make a diagnosis.

 

I'm pretty sure I have a wonky thyroid at the moment, but I have stayed away from hormones for two reasons.

1) I couldn't tolerate any kind of med at this point in time anyways.

2) I have no idea if my thyroid will even out after a few years, it may. feel the need to give my body a chance to balance out before I consider taking anything.

 

I understand others may have a different viewpoint. That's ok, this a decision I have made for myself.


2005-Zoloft bad reaction.....2006-Lexepro......2012-Upped Lexepro.......2013-Upped Lexepro......2/2014- Attempted Taper Lexepro...2/2014- Updosed Lexepro.......3/2014-Ativan.....5/2014- CT switch from Lexpro to Effexor.....

5/2014-7/2014-Tapered Ativan from 1mg to .25mg.....6/2014-Bad reaction to Effexor........7/2014- Rapid taper Effexor every other day......7/5/2014- Off Effexor.......7/2014-12/2014 - Ativan .25mg.......12/25/2014 -Taper Ativan by 4% due to paradoxical reaction .24mg...11/18/2015-Taper Ativan 1% CURRENTLY ON: .2376mg Ativan taken in 6 .0396mg doses.

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NoMeaning25

I was on birth control for many years. I cold turkeyed them in beginning of ad withdrawal but suffered severely. I went back on but it didnt help my symptoms. I had to taper off them. I developed severe fibroadenomas in my breasts. I think this is the reason im so severely effected. Im dealing with ad withdrawal, birth control withdrawal, adverse reaction, abuse and break up of a 4 year partner.

 

Im in a bad place right now :(


Was on Citalopram 20mg since Feb 2008 - switched to Paxil 20mg in August 2010

Tapered way too fast in April 2012 by skipping days. Taper completed in 6 weeks

Tried prozac 20mg for 3 days - felt spaced out, not better.

Tried 30mg Cymbalta for 2 days. SEVERE ADVERSE REACTION

Antidepressant free since 14 August 2012

Birth control on and off during this time - Last taken 18 June 2017 - Morning after pill 

Started mainly using 0.5mg Xanax beginning 2016 for severe panic attacks and anxiety due to trauma

Xanax on and off never more than 0.5mg at a time, never taking it 3 days in a row - used sparingly 

 

6 Years antidepressant free - Still in severe withdrawal with over 60 symptoms

Severe setback started May 2018 with no let up to date. Developed many new symptoms like tremors, inner vibrations, insomnia, visual distortions and dr/dp are 100x worse, i have severe sensitivity to movement, My dizziness and vertigo got worse and it now feels like im constantly rocking on a boat, my anxiety is sky high, suicidal idiation is back, i feel extremely brain damaged 

 

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Newbeginning

So if someone has low thyroid they should not take hormones? 


  • SSRIs 3-4 times in the last 14 years; would take them for 6-8 months and then taper off under dr supervision with no problems.
  • Med history prior to 2015: http://survivingantidepressants.org/index.php?/topic/6012-newbeginning-my-withdrawal-story/?p=267313#entry267313
  • 04/2015: Prozac decreased to 15mg over last 3 months; effexor held steady at 8mg; current effexor XR: 20 beads of a 75mg capsule per day (about 8mg)
  • 06/2015: Prozac: 10mg; effexor XR: 19 beads (about 7.5mg); 07/2015: Prozac: 8.5mg; effexor 18 beads; 08/2015: Prozac: 7.5mg; effexor: 17 beads
  • End of August: withdrawal: depressive symptoms, crying spells. Realized I was measuring prozac dose wrong for the last 2 months. Reinstated Prozac 8.5mg; Kept effexor at 17 beads. Stabilized in 5 weeks.
  • 10/2015: Prozac: 8.5mg; effexor: 17 beads
  • 11/2015: Prozac: 1.9ml (7.5mg); effexor: 16 beads
  • 12/2015: Prozac: 1.6ml; effexor xr: 16 beads. Withdrawal: neuroemotions
  • 01/2016: prozac: 1.6ml; effexor xr: reinstated 17 beads, withdrawal improved; 02/2016: Prozac 1.5ml; Effexor: 17 beads; 03/2016: Prozac 1.3ml(5mg); Effexor: 17 beads (7mg)-withdrawal (flu-like malaise, lightheaded, drowsy) started end of March. April 15: reinstated Prozac 1.5ml. Stabilized. 2 weeks ok. End of April: Withdrawal (neuroemotions). Eventually stabilized in April-May. Apathy improved.
  • 3 month hold until August. August 2016: apathy came back;

  • October 2016: updosed to Prozac 1.6ml. Bad reaction: anxiety, depression. End of October: went down Prozac 1.5ml. Stabilized over several weeks.

  • Dec 9: tried macca for energy: anxiety/depression. Improved over several weeks, but not completely resolved.

  • Dec 31: cut Effexor 5% to 16 beads. After 9 days: withdrawal anxiety, depression; tried updosing to 17 beads Feb 7 but anxiety got worse; went down to 16 beads

    May 2017: Anxiety improved; severe depression continues

  • September 2017: finally stabilized!!!!!! 09/07/2017-12/31/2017: hold

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Lynnardgirl

My doctor gave me some estrogen cream because he said I’m very very low and was wondering if anybody else

started using estrogen and is going through withdrawals! Did it amp up your symptoms? I really need estrogen because this might be the cause of my horrible anxiety along with the withdrawals! Any help would be appreciated Thanks everyone God bless you


1997 regular Effexor  150 mg2016-2017 up dosage to 225 tried several times to taper no luck fast taper Back on  panic attacks anxiety Insomnia 2017 doing ok after a year but then insomia doctor put me onTrazodone 

was on Trazodone for 6 months or longer 

did a fast taper getting panic attacks 
2018 Doctor switched me to Effexor XR an 

reduced my dose to 225 - down to 150 felt worse went back on regular Effexor  Venlafaxine

2018 taper again, To fast tapered down to 112.5 from 150 take half twice a day 56.25 

 

 

 

 

 

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Altostrata

@Lynnardgirl, see above discussion.

 

I would be very, very careful about adding estrogen cream -- try a very little bit at first to see what it does.


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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Lynnardgirl
On 11/3/2019 at 9:13 AM, Altostrata said:

@Lynnardgirl, see above discussion.

 

I would be very, very careful about adding estrogen cream -- try a very little bit at first to see what it does.

Altostrata 

I started on a very low dose and I can’t seem to get out of this wave! I stopped using the estrogen 

Do you think it will subside wow this is awful


1997 regular Effexor  150 mg2016-2017 up dosage to 225 tried several times to taper no luck fast taper Back on  panic attacks anxiety Insomnia 2017 doing ok after a year but then insomia doctor put me onTrazodone 

was on Trazodone for 6 months or longer 

did a fast taper getting panic attacks 
2018 Doctor switched me to Effexor XR an 

reduced my dose to 225 - down to 150 felt worse went back on regular Effexor  Venlafaxine

2018 taper again, To fast tapered down to 112.5 from 150 take half twice a day 56.25 

 

 

 

 

 

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Altostrata

Did the estrogen make it worse? Estrogen has a very long half-life, this will gradually go away.


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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Lynnardgirl
5 minutes ago, Altostrata said:

Did the estrogen make it worse? Estrogen has a very long half-life, this will gradually go away.

Yes it made me worse! 


1997 regular Effexor  150 mg2016-2017 up dosage to 225 tried several times to taper no luck fast taper Back on  panic attacks anxiety Insomnia 2017 doing ok after a year but then insomia doctor put me onTrazodone 

was on Trazodone for 6 months or longer 

did a fast taper getting panic attacks 
2018 Doctor switched me to Effexor XR an 

reduced my dose to 225 - down to 150 felt worse went back on regular Effexor  Venlafaxine

2018 taper again, To fast tapered down to 112.5 from 150 take half twice a day 56.25 

 

 

 

 

 

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Lynnardgirl
On 11/28/2015 at 12:12 PM, Wildflower0214 said:

I appreciate your writing this. I have often suspected all of the above. I have seen so many people get placed on hormones during AD use or WD. This happens so frequently with thyroid diagnosis and then hormone replacement. It seems like the thyroid really gets knocked around during WD, and I just can't see how testing thyroid hormone levels during this process could be used to make a diagnosis.

 

I'm pretty sure I have a wonky thyroid at the moment, but I have stayed away from hormones for two reasons.

1) I couldn't tolerate any kind of med at this point in time anyways.

2) I have no idea if my thyroid will even out after a few years, it may. feel the need to give my body a chance to balance out before I consider taking anything.

 

I understand others may have a different viewpoint. That's ok, this a decision I have made for myself.

Yes I have to agree with you! Tried estrogen cream and wow made me go into the worse wave!

no more for me! Yes let our body try and balance out before trying anything 


1997 regular Effexor  150 mg2016-2017 up dosage to 225 tried several times to taper no luck fast taper Back on  panic attacks anxiety Insomnia 2017 doing ok after a year but then insomia doctor put me onTrazodone 

was on Trazodone for 6 months or longer 

did a fast taper getting panic attacks 
2018 Doctor switched me to Effexor XR an 

reduced my dose to 225 - down to 150 felt worse went back on regular Effexor  Venlafaxine

2018 taper again, To fast tapered down to 112.5 from 150 take half twice a day 56.25 

 

 

 

 

 

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getofflex

I am a 58-year-old menopausal woman. My periods stopped two years ago. I have been tapering off Lexapro for 2 1/2 years. I have not Done a dose change in 2.5 months. The problem is I’m suffering from frequent and debilitating hot flashes that keep me up half the night. My nurse friend suggested going on Progesterone hormone replacement therapy. I called my doctor today and I’m supposed to talk to her tomorrow. Maybe she will suggest estrogen hormone replacement therapy. Now my question is if I go on hormone replacement therapy is this going to screw up my brain chemistry since I’ve already sensitized because of tapering off of SSRIs? I don’t want to go from the frying pan into the fire. Please advise


Lexapro   April02 - Aug17: 10 mg,  ***  Aug17 - Sept17: 5 mg ***  Sept17 - Nov17:  2.5 mg,  ***  Nov17: 0 mg, ***   Dec17 - Aug18: 5 mg  ***    Aug/1/18 - Aug/30/18: 2.5 mg     *** Sep/1/18 - Sep/27/18:  1.25 mg. ***   Sep/28/18 - Oct/31/18:  2.5 mg,  ***  Nov/1/18 - Nov/15/18: 1.25 mg  ***   Nov/16/18 - Nov/30/18: 2.5 mg  ***   Dec/1/18 - Dec/27/18: 2.0 mg (switched to liquid)  ***    Dec/27/18 - Jan/31/19: 1.5 mg ***    Feb/1/19 - Feb/20/19: 1.0 mg  ***  Feb/21/19 - Mar/7/19: 0.5 mg  ***  Mar/8/19 - May/03/19: 0.8 mg ***   May/04/19 - May/13/19 0.7 mg ***  May/14/19 - May/24/19 0.6 mg *** May/25/19 - June/05/19. 0.5 mg *** June/06/19 - July/19/19 0.4 mg. ***  July/20/19 - Sep 14 2019 0.3 mg.  ***  Sep 15 2019 - Oct 21 2019 0.27 mg. *** Oct 22 2019 - Jan 18 2020 - 0.23 mg. *** Jan 19 2020 - April 1 2020 0.2 mg  ***  April 2 2020 - July 15 2020 0.18 mg *** July 16 2020 - August 22 0.17 mg, August 23 -- Oct 6 0.16 mg, Oct 7 - present 0.15 mg

Trazodone.  used 50 mg once every 4-7 days for sleep, have discontinued altogether as of 12/23/19

Xanax. used 0.5 mg once every 4-7 days for sleep, have discontinued altogether as of 12/23/19 

When I cannot go to sleep, I take Benadryl 50 mg, Ibuprofen 800 mg, or Tylenol 1000 mg

other meds: Levothyroxine 75 mag. in AM 1/2 hour before breakfast with 24 ounces water

supplements AM: omega 3 fish oil, flax seed oil, natural multivitamin, vitamin C, vitamin E

supplements PM: Natural Calm magnesium 350 mg, GABA 750 mg, 5-HTP 50 mg. Estroven Sleep Cool and Calm (contains black cohosh 40 mg, soy isoflavones 56 mg) melatonin 3 mg

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Altostrata

@getofflex, please see this and related topics in the Symptoms and Self-Care forum.

 

The staff can't advise you on general medical matters, sorry.


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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Junglechicken

Anyone experience worse WD following having the mirena coil fitted?


Dose History: 19 Feb 2014 - Escitalopram 10mg daily June 2015 - Started taper, 5mg every other day July 2015 - 5mg every 2 days August 2015 - 5mg every 3 days September 2015 - 5mg every 4 days Sept 14th - Completed tapering, but at 7 weeks "drug free" I suffered serious WD symptoms as a consequence of "incorrect" tapering. Nov 25 2015 - Re-instated Cipralex @ 2.5mg daily. WD symptoms faded. Held at this dose and experienced "windows and waves". 12 Oct 2017 Reduced dose to 1.25mg. 13 Mar 2018 Reduced dose to 0.625mg (approx.). 16 April 2018 0mg. Windows and waves triggered by stress (IBS/reflux, headaches, sinus issues) Aug 2019 Mirena coil fitted 6 Jan 2020 MAJOR Wave hit 19 months following last dose (protracted WD).  Symptoms listed below Mar 2020 Mirena coil removal.

Therapy: Nov 15th 2016 Re-started therapy Jan 19th 2017 Started CBT Dec 2017 Started listening to Hypnotherapy CD (self-esteem). Nov 2019 Started couples therapy.

Supplements: "Bioglan" Biotic Balance Ultimate Flora 10 billion CFU, live Bacteria, Probiotic, suitable for Vegetarians, with Lactobacillus Acidophilus, Lactobacillus Rhamnosus, Bifidobacterium Longum"Pukka" Vitalise a unique blend of 30 energising botanicals.

Diet: 16 April 2018 Detox cleanse / anti-candida for 90 days. Jan 2020 Started "small plate" diet (i.e child size portions).

Exercise: Stretching, Yoga, Pilates, Spinning, Elliptical/upper body workout, walking.

Medical Test Results: 4 Jan 2017 Homeopathic Treatment starts 24 Feb 2017 Started weight loss program 24 Mar 2017 Naturopathic Treatment + anti-Candida diet started due to suspected Candida Related Complex (CRC). DETOXED for 7 weeks to "re-set" gut. April 2017 "Genova Diagnostics" Comprehensive Stool Analysis NEGATIVE; Full Blood Count (Normal) / Blood Cholesterol: 5.6 (Borderline) / Blood Sugar (Normal) / 28 Jun 2017 FSH 8.2 / 14 Nov 2017 FSH 17.7 Dec 2017 Blood Cholesterol: 3.9 (Normal) / Kidney Function (Normal) / Blood Sugar (Normal). December 2017 "Genova Diagnostics" Food panel allergy (bloodwork) analysis - a few "VERY LOW/VL" allergens; Mar 2018 "Genova Diagnostics" SIBO urine analysis: High Level of Yeast/fungal markers found in small intestine but NO SIBO.  April 2018 Thyroid (Normal) / Full Blood Count (Normal) / FSH (Normal). 16 April 2018 Started anti-Candida diet - 3 month protocol.   25 March 2020 All test results "Normal". CRP" 5 mg/L (normal range to 0-5 mg/L).

Symptoms:  Flu-like symptoms, anxiety, anhedonia, sinus headaches right-side (severe), IBS issues/reflux (severe)**, tinnitus, fatigue, inner tremor, nausea, chills/hot flushes, pounding heart, muscular issues including stiff left hip flexor, intense anger, PSSD (ongoing).  **Histhamine intolerance (suspected).

 

Major Life Events: 

Re-located to UK from Canada: Jan 2016

My father died: 5:05pm, Monday 5 Feb 2018 Last Lexapro dose: 16 April 2018 (its now been over a year since I quit ADs)

Moved house: Friday 23rd February 2018  "Divorced" toxic Mother: Monday 26 March 2018 Starting working again: 19 November 2018

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