gn11: WD symptoms appearing at 5mg due to cortisol dysfunction after eye surgery

[ChessieCat]

19 minutes ago, gn11 said:

I am taking magnesium glycinate and doing acupuncture so I can continue this? 

 

You can continue doing/taking what has already been started.

 

20 minutes ago, gn11 said:

my formulation Is 2 to 1 ...1.5 ml has 3 mg ...0.5 ml has 1 mg...if I want 0.01 I should  use  1mg (0.5 ml liquid) to 100 ml of water...your suggestion is cut to 0.01 right.

 

When you get the new liquid double check that the ratio is the same.

 

So 1mL prescription liquid = 2mg citalopram

 

1mL (2mg) in 200mL of water

 

Divide both sides by 200

 

1mL of diluted liquid is 0.01mg dose

 

So you would take 1mL of the diluted liquid for 0.01mg dose

 

OR

 

You could measure 0.5mL prescription liquid (1mg) and add to 100mL of water and the concentration would be the same as above, ie 1mL is 0.01mg dose.

 

The thing to note is that the mL amount of prescription liquid only matters at the very beginning and is the physical quantity that you add to the water.

 

Once the prescription liquid is added to the water then you work with the mg dose amount of citalopram that you added and the water is the mL amount.

[gn11]

2 hours ago, ChessieCat said:

 

You can continue doing/taking what has already been started.

 

 

When you get the new liquid double check that the ratio is the same.

 

So 1mL prescription liquid = 2mg citalopram

 

1mL (2mg) in 200mL of water

 

Divide both sides by 200

 

1mL of diluted liquid is 0.01mg dose

 

So you would take 1mL of the diluted liquid for 0.01mg dose

 

OR

 

You could measure 0.5mL prescription liquid (1mg) and add to 100mL of water and the concentration would be the same as above, ie 1mL is 0.01mg dose.

 

The thing to note is that the mL amount of prescription liquid only matters at the very beginning and is the physical quantity that you add to the water.

 

Once the prescription liquid is added to the water then you work with the mg dose amount of citalopram that you added and the water is the 

I got an on call doctor to call the medication but I am not sure if it will be here today. I do have another liquid from 6 or 8 months ago that I only opened once and I can try to begin with that...but you probably think that it wouldn't be accurate...I'm kind of desperate...Most of my coping stuff is not working and I can barely eat and I am barely sleeping 

[ChessieCat]

6-8 months old prescription liquid would be much better than the older one that you were talking about before.

 

It is hard to know how much the efficacy has reduced, or even if it has at all, but it would probably be okay to start with the more recent prescription liquid.  Just be aware that went you start the new liquid when you get it that you may be increasing your dose a little bit so my suggestion would be that when you start the new liquid that you DO NOT make a dose increase at the same time.

 

And then throw out the old liquids and continue to use the new liquid.  You do not want to accidentally start taking one of the old liquids.

[gn11]

17 hours ago, ChessieCat said:

6-8 months old prescription liquid would be much better than the older one that you were talking about before.

 

It is hard to know how much the efficacy has reduced, or even if it has at all, but it would probably be okay to start with the more recent prescription liquid.  Just be aware that went you start the new liquid when you get it that you may be increasing your dose a little bit so my suggestion would be that when you start the new liquid that you DO NOT make a dose increase at the same time.

 

And then throw out the old liquids and continue to use the new liquid.  You do not want to accidentally start taking one of the old liquids.

Thanks I'm much better a friend helped me with some body grounding exercises  and I also slept last night. I'll probably wait till Tuesday as to not increase confusion... but just in case I'll follow your suggestion 

[gn11]

On 9/4/2021 at 5:40 AM, ChessieCat said:

 

You can continue doing/taking what has already been started.

 

 

When you get the new liquid double check that the ratio is the same.

 

So 1mL prescription liquid = 2mg citalopram

 

1mL (2mg) in 200mL of water

 

Divide both sides by 200

 

1mL of diluted liquid is 0.01mg dose

 

So you would take 1mL of the diluted liquid for 0.01mg dose

 

OR

 

You could measure 0.5mL prescription liquid (1mg) and add to 100mL of water and the concentration would be the same as above, ie 1mL is 0.01mg dose.

 

The thing to note is that the mL amount of prescription liquid only matters at the very beginning and is the physical quantity that you add to the water.

 

Once the prescription liquid is added to the water then you work with the mg dose amount of citalopram that you added and the water is the 

Okay I finally got the liquid... I am starting tomorrow morning...I am. mixing 0.5  ml (1 mg) to 100 ml for 0.01 and then take  1 ml of the solution...just confirming

[ChessieCat]

That's good that you have the new liquid.  Have you thrown out the old ones?!?! 😉

 

Did you double check the strength?

 

Just want to make sure that you didn't forget to do this.  It is so easy to make a mistake.

 

6 minutes ago, gn11 said:

0.5  ml (1 mg) to 100 ml for 0.01 and then take  1 ml of the solution

 

If the new liquid is 1mL = 2mg citalopram - yes.

 

This will give you a dose of 0.01mg citalopram.

 

And yes, I doubled checked it using a calculator, just to be sure.

[gn11]

9 hours ago, ChessieCat said:

That's good that you have the new liquid.  Have you thrown out the old ones?!?! 😉

 

Did you double check the strength?

 

Just want to make sure that you didn't forget to do this.  It is so easy to make a mistake.

 

 

If the new liquid is 1mL = 2mg citalopram - yes.

 

This will give you a dose of 0.01mg citalopram.

 

And yes, I doubled checked it using a calculator, just to be sure.

I just took the first 1 ml of the diluted med. I am saving the liquid for 1 more day in the refrigerator...you said this may be okay.  I'll see how I do in 4 to 5 days. My biggest symptom change since last week is insomnia not one that I have experienced often. I sleep one night and not the next...Let's see if it helps with this...meanwhile I am trying to establish better routine for sleep...my food issues are challenging but they have been going on all along  ...anyhow I'll keep you posted with microdose...thanks for the mentoring

[gn11]

One more thing. any recommended sleeping aids that are not addictive...I looked through the forum but very conflicting info

[ChessieCat]

5 hours ago, gn11 said:

One more thing. any recommended sleeping aids that are not addictive...I looked through the forum but very conflicting info

 

10 hours ago, gn11 said:

My biggest symptom change since last week is insomnia not one that I have experienced often. I sleep one night and not the next.

 

This may or may not be withdrawal.  It might be caused by you stressing about whether to reinstate and then you having to wait to get the new liquid.  Even "regular" people have times when their sleep is not "normal".

 

Only make one change at a time.  At this time you are working on reinstating.  Adding in anything now will confuse things.

 

the-rule-of-3kis-keep-it-simple-keep-it-slow-keep-it-stable

 

Try out the non drug methods:

 

tips-to-help-sleep-so-many-of-us-have-that-awful-withdrawal-insomnia

[gn11]

I have now reinstated for a week at 0.01 mg. Unfortunately my sleep was so bad that I ended it up in a er trying to find sleep med with no avail...I started melatonin a few days and work my way from 0.5 to 2 mg a little fast...after 5 days of the reinstatement I didn't feel any different. Most of my anxiety seems to be related to my gut issues...sleep was good last night but it had been erratic before...melatonin e seems to be helping. I started Chi Gong yesterday...Have a great pcp supporting all of this

 

I have been wd from caffeine and will go to all decaf tomorriw.wondering whether this switch will help...any thoughts on this?

[gn11]

@ChessieCatStill struggling with sleep and anxiety wondering whether I should up the dose a little more..doing melatonin helps sometime..,will start a DBT IOP sometime soon...otherwise no drug relaxation magnesium and trying to continue to improve diet...thoughts about using th

On 9/15/2021 at 7:22 PM, gn11 said:

I have now reinstated for a week at 0.01 mg. Unfortunately my sleep was so bad that I ended it up in a er trying to find sleep med with no avail...I started melatonin a few days and work my way from 0.5 to 2 mg a little fast...after 5 days of the reinstatement I didn't feel any different. Most of my anxiety seems to be related to my gut issues...sleep was good last night but it had been erratic before...melatonin e seems to be helping. I started Chi Gong yesterday...Have a great pcp supporting all of this

 

I have been wd from caffeine and will go to all decaf tomorriw.wondering whether this switch will help...any thoughts on this?

 

[gn11]

@Altostrata further consultation...please see above...but really struggling with sleep and anxiety...reinstated @0.01 no change...I started melatonin. Doing Chi Gong and acupuncture...sorry not able to update signature right...jumped 2 2//1/2 months What is your opinion in upping my dose? 

[Altostrata]

 

On 8/31/2021 at 2:14 AM, gn11 said:

I reread an old posting from 2026 and I'm exploring the possibility that some of my current symptoms are related to low lo electrolytes/dehydration...

any further thoughts? Very little of this on the forum that I can see

 

Did you ever look into this?

 

On 9/2/2021 at 3:33 AM, gn11 said:

After a week of high ancxety and some panic I think I should reinstate. I am worried that my nervous system will get further destabilized. I jumped at 0.60 but didn't have major symptoms until 2 months later. My gut issues are worse and my anxiety is of the roof. I did start taking some electrolytes and it help the panic possibly becsuse it restore imbalance from poor eating. I will reinstate at 0. 2 mg and stay there for a while. Any further thoughts from any of the monitors? Needing some support

 

What makes you think your symptoms are related to going off Celexa and not low sodium (hyponatremia) or potassium (hypokalemia)?

 

Have you looked into potential adverse effects of your other drugs, such as Dorzalamide/timolol for glaucoma twice a day and Latanoprost?

 

Is it possible your symptoms are from your gut issues and food reactions?

[gn11]

Thanks I no longer use the eye drops. I have taken care of the electrolytes and much better but my sleep has gone array and sleep one day and not the next. I have been working with food issues with not much result. i restricted my food so much that I developed food fear and have lost tons of weight. i am trying to get involved with a program that works with deconditioned food fear.

I did test positive for sibo methane but Herbals  didn't seem to work.

The more severe symptoms appeared  two months after dropping final dose...insomnia and anxiety and some depression and thoughts of despair...last time I had these symptoms   with obsessive  thoughts etc.. was 2016 when I first went into wd pattern an

 I stabilized. I have been dropping for 4 and half years.

 

I ended it up in the er trying to get sleep meds...I  reinstated at 0.01 mg...and will start a DBT IOP plus I do some acupuncture and chi Gong.,I am doing melatonin but a kind of hit and miss

 

my nervous system seems very sensitive but yes gut issues have played a big role here  any further feedback is appreciated...I don't want to get back on meds beyond the Microsoft I'm doing txs

 

 

 

 

 

 

 

 

[gn11]

On 9/18/2021 at 2:01 PM, Altostrata said:

 

 

Did you ever look into this?

 

 

What makes you think your symptoms are related to going off Celexa and not low sodium (hyponatremia) or potassium (hypokalemia)?

 

Have you looked into potential adverse effects of your other drugs, such as Dorzalamide/timolol for glaucoma twice a day and Latanoprost?

 

Is it possible your symptoms are from your gut issues and food reactions?

I wonder if in addition to gut issues and the food fears I developed..I also have fluctuating cortisol levels due to  wd and food restrictions...do you believe that cortisol testing is a good path to follow? 

[Altostrata]

Exactly what drugs are you taking now, at what times o'clock and what dosages?

 

13 minutes ago, gn11 said:

do you believe that cortisol testing is a good path to follow? 

 

No, it's nonsense unless you think you have an adrenal or pituitary tumor.

[gn11]

3 minutes ago, Altostrata said:

Exactly what drugs are you taking now, at what times o'clock and what dosages?

 

 

No, it's nonsense unless you think you have an adrenal or pituitary tumor.

Okay so the fluctuating patterns and sleep issues are mostly caused by wd due to hypersensitive nervous system and probably my food issues? sometimes sensations feel like mild hot flashes .so I thought of hormones

[Altostrata]

Are you taking any drugs now? Exactly what drugs are you taking now, at what times o'clock and what dosages?

 

It's very likely many of your symptoms are from your food issues. We don't have the expertise to counsel you about that here.

[gn11]

26 minutes ago, gn11 said:

Okay so the fluctuating patterns and sleep issues are mostly caused by wd due to hypersensitive nervous system and probably my food issues? sometimes sensations feel like mild hot flashes .so I thought of hormones

To your above question: 0.01 mg of celexa a low reinstatement

24 to 72 mg of Magnesium...mostly 24 to 50 at night 2 mg of melatonin 2 hours before bed

 

 

 

 

 

 

[gn11]

39 minutes ago, gn11 said:

Okay so the fluctuating patterns and sleep issues are mostly caused by wd due to hypersensitive nervous system and probably my food issues? sometimes sensations feel like mild hot flashes .so I thought of hormones

I sleep one night and not another...this is recent 2 weeks or less...I feel normal in the afternoons after not sleeping and have anxiety the days after I had a good night sleep...

[gn11]

38 minutes ago, Altostrata said:

Are you taking any drugs now? Exactly what drugs are you taking now, at what times o'clock and what dosages?

 

It's very likely many of your symptoms are from your food issues. We don't have the expertise to counsel you about that here.

I had food issues before that  they emerged after the first time I destabilized. I was sleeping well with my food issues and no anxiety until I made the final jump so the wd has something to do with this I am pursuing  a dietitian I that works with that so I am only asking you about wd

 

 

[Altostrata]

I do not have any magical abilities to examine your nervous system or gut long-distance to find out exactly what is going on inside you. All I can go on is what you tell me. Your signature is way out of date and you are disinclined to update it.

 

Given you have gut problems that may be generating the same symptoms and not knowing what drugs and supplements you are taking now and therefore not being able to tell if you might be having adverse reactions to any of them, I don't know for sure if any of your symptoms are withdrawal symptoms.

 

Intermittent symptoms could be related to food intolerances.

 

We have reviewed the potential flaws in your citalopram dosing. If you correct those flaws and some symptoms reduce, those symptoms probably were related to the citalopram dosing.

 

 

[gn11]

46 minutes ago, Altostrata said:

I do not have any magical abilities to examine your nervous system or gut long-distance to find out exactly what is going on inside you. All I can go on is what you tell me. Your signature is way out of date and you are disinclined to update it.

 

Given you have gut problems that may be generating the same symptoms and not knowing what drugs and supplements you are taking now and therefore not being able to tell if you might be having adverse reactions to any of them, I don't know for sure if any of your symptoms are withdrawal symptoms.

 

Intermittent symptoms could be related to food intolerances.

 

We have reviewed the potential flaws in your citalopram dosing. If you correct those flaws and some symptoms reduce, those symptoms probably were related to the citalopram dosing.

 

 

I will review my signature in the next day:

this what I'm taking:

 

0.01 mg Celexa 9 am

24 mg to 72 mg magnesium 1 to 3 times a day

2 mg of  melatonin 2 hours before bed

what do you mean flaws I reinstated at 0.01 10 days ago

Txs

 

 

 

 

 

 

 

 

 

 

[Altostrata]

Don't forget to put month and year for events in your signature.

 

How has taking 0.01mg Celexa for 10 days changed your symptom pattern? How do you feel before and after you take 0.01mg Celexa each day?

[gn11]

I havent posted for a while. I am 2 years medication free. I am in recovery but still struggling with a number of symptoms.  I no longer have severe insomnia or severe anxiety but continue to struggle with sleep (too anxious to go to bed). Now I can sleep 5 to 7 hours mist nights. I have gut issues and deal with acid reflux, and histamine sensitivity. I exoerience ringing in the ears but is mostly mild unless I am digesting or chewing. Lately i have been going through some dizziness  and balance issues. I get dehydrated easily. I have glaucoma and my vision has deteriorated in the last 3 years. I should have better central vision so I wonder if the blurriness and light sensitivity is related to wd. I am doing so much better than 2 years ago when I had lost 45 lbs due to fear of eating, I had panic attacks and could barely sleep so I am hopeful that I will continue to recover. 

In the last 2 years I did the following with some degree of success. It also helped me to cope:

Acupuncture low fodmap diet Qi Gong DBT ACT  Continued my Ji

Jungian analysis and spiritual practices. Also started somatic practices such as the RAIN process and EMDR (doing currently). I am just starting to meditate again.  I have also done Shiatsu. Currently have a massage therapist which sometime includes Reiki and Chakra balancing in her treatment

Most importantly I have kept a wide circle of friends with whom I speak regularly. I also have a number of on-line spiritual groups that provide community and some structure. 

I can see that I have come a long way. It has not been linear and it will probably won't moving forward. I am focusing on healing

the gut and some of the health trauma I have undergone. I am looking at a more normal future, a slow unfolding sprouting being born in this present moment.

 

[gn11]

My sleep has been off. Mostly if I sleep too much or too late in the AM I am groggy and sleepy. My gut is feeling better

 When I am halanced in my sleep everything feels better. It seems like I am in a low energy place right now. Any suggestions for balancing sleep?