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Dental surgery, dental medications, tooth discoloration


spidey

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I have a lot of dental work that I need done. My molars are rotting and need to be pulled due to a 2 year spat of binging and purging (I stopped months ago....but no matter, the damage has been done). However, I am NOT in a good place right now for this. My body is still trying to adjust to 2 withdrawals. How do I deal with the pain that is to come?? I am freaking out right now and would love a friendly voice or two :( :(

1993: Diagnosed with "Depression" & "GAD, given Prozac
1994: Diagnosis changed to Bipolar II, Lithium added
1994-1997: Tried Wellbutrin and Zoloft
1997: Prescribed Effexor XR & Depakote ER
2012: Stopped Depakote, decreased dose of Effexor over the course of 2 or 3 months, used Prozac to help
2012: Stopped Prozac, began noticing disturbing symptoms after a few weeks of being antidepressant free.
late 2012: Prescribed Cymbalta
2013: Felt disconnected, disoriented, not "real".... Dr. recommended increasing the dose from 30mg to 60mg. Increased dosage was too much for my body/brain to handle....I had a very nasty reaction.

2014: Tried to go off Cymbalta. It did not work. I now take 15 beads.

2016: I take 3 beads daily...can't get off this crap. Obvious brain damage...most days I feel defeated and hopeless.

 

 

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Spidey,

 

I just had a molar pulled using anesthesia / sedation. It went fine and i had minimal discomfort afterward. The pain of the bad tooth was far worse.

 

B

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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Thank you for your reply, Barb :)

 

Can I ask if you are ultra sensitive to medications?

1993: Diagnosed with "Depression" & "GAD, given Prozac
1994: Diagnosis changed to Bipolar II, Lithium added
1994-1997: Tried Wellbutrin and Zoloft
1997: Prescribed Effexor XR & Depakote ER
2012: Stopped Depakote, decreased dose of Effexor over the course of 2 or 3 months, used Prozac to help
2012: Stopped Prozac, began noticing disturbing symptoms after a few weeks of being antidepressant free.
late 2012: Prescribed Cymbalta
2013: Felt disconnected, disoriented, not "real".... Dr. recommended increasing the dose from 30mg to 60mg. Increased dosage was too much for my body/brain to handle....I had a very nasty reaction.

2014: Tried to go off Cymbalta. It did not work. I now take 15 beads.

2016: I take 3 beads daily...can't get off this crap. Obvious brain damage...most days I feel defeated and hopeless.

 

 

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That's a good question..

 

I seem to be very sensitive to hormonal meds (progesterone, thyroid, hydrocortisone) but tolerate hydrocodone (Norco, Vicodin) the same as I did prior to tapering off of Pristiq. Antibiotics haven't created significant problems. I took Cipro in early taper prior to knowing anything about withdrawal. I also took penicillin (2 rounds) for the bad tooth (recently) without significant problems.

 

I guess I've been fortunate in that regard.

 

I hope this helps a bit.

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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It sounds like we are each a little different in this regard. I'm not quite certain how pain killers will affect me as I have been afraid to tamper with anything strong while in this state. What I do know is that prior to my withdrawal experiences I was always quick to respond to drugs. It would usually only take 2 glasses of wine to get me drunk, and things like pot, antihistamines, and herbs that act as sedatives could always be felt 1-2 days after the initial dose. So I guess I now have the drug tolerance of a small child or something.....

1993: Diagnosed with "Depression" & "GAD, given Prozac
1994: Diagnosis changed to Bipolar II, Lithium added
1994-1997: Tried Wellbutrin and Zoloft
1997: Prescribed Effexor XR & Depakote ER
2012: Stopped Depakote, decreased dose of Effexor over the course of 2 or 3 months, used Prozac to help
2012: Stopped Prozac, began noticing disturbing symptoms after a few weeks of being antidepressant free.
late 2012: Prescribed Cymbalta
2013: Felt disconnected, disoriented, not "real".... Dr. recommended increasing the dose from 30mg to 60mg. Increased dosage was too much for my body/brain to handle....I had a very nasty reaction.

2014: Tried to go off Cymbalta. It did not work. I now take 15 beads.

2016: I take 3 beads daily...can't get off this crap. Obvious brain damage...most days I feel defeated and hopeless.

 

 

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  • 4 weeks later...
  • Administrator

I am planning on having oral surgery to perform two implants where I have missing teeth.  Fortunately these teeth are hidden at the back of my mouth so cosmetically not really an issue, but my bigger concern is maintaining normally healthy teeth throughout my life.

 

First I consulted my regular dentist and he advised me that I am a candidate for either dental implants or bridgework.  They look at bone structure and proximity to nerves running through the mouth. 

 

Next I requested a list of the medications prescribed in association with the procedure and researched them against my current medications.  Since I am also taking a benzo I went to the benzo site and researched each of the meds there.

 

In my case the following prescriptions are given:

  • Amoxicillin/Cephalexin as a prophylatic antibiotic to prevent infection
  • Chlorhexidine 0.12% as an oral antibiotic to help prevent any chance of secondary infection
  • Vicodin/Percocet as narcotic pain medication
  • Ibuprofen 800 mg as prescription strength pain medication
  • Medrol Dospak as a corticosteriod to reduce post-operative swelling

Next I met with the oral surgeon and explained that I am hypersensitive to medications.  We discussed my drug history and the problem I had with Cipro back in fall 2011.  I also told him how albuterol causes me to shake all over and that I am concerned about epinephrine.

 

He recommended that I go with what is called twilight anesthesia.  Twilight anesthesia is an anesthetic technique in which the patient is not unconscious, but sedated.  The patient is sleepy, but able to answer questions and follow simple directions from the doctor. 

 

In this process they use a combination of midazolam, fentanyl and propofol.  Midazolam (versed) is called a dissociative, it keeps nerve sensations from reaching the brain.  Fentanyl is a potent, synthetic opioid analgesic with a rapid onset and short duration of action.  Propofol is a hypnotic/amnestic agent (puts you to sleep and causes you not to remember).  He will also use a local, but since I will be sedated he only has to use about half as much of the local as he would if I wasn't sedated.

 

I read on the benzo site where someone over there had this procedure with just the local ... and they used carbocaine rather than novacaine and did just fine.  Not sure I'm that brave ... I think I'd rather be slightly knocked out and not remember the procedure.

 

My procedure is scheduled for about 3 weeks from now.  I'd be interested in any comments from members who are withdrawing from antidepressants and who have either had implants or used any of these meds while in the process of withdrawing or after withdrawing.  I am going to do some more research, but if all goes as planned I will update this thread with my experience for other members who may plan this type of procedure in the future.

2007 @ 375 mg Effexor - 11/29/2011 - 43.75 mg Effexor (regular) & .625 mg Xanax

200 mg Gabapentin 2/27/21 - 194.5 mg, 5/28/21 - 183 mg, 8/2/21 - 170 mg, 11/28/21 - 150 mg, 4/19/22 - 122 mg; 8//7/22 - 100 mg; 12/17 - 75mg; 8/17 - 45 mg; 10/16 40 mg
Xanax taper: 3/11/12 - 0.9375 mg, 3/25/12 - 0.875 mg, 4/6/12 - 0.8125 mg, 4/18/12 - 0.75 ; 10/16 40mg;

1/16 0.6875 mg; at some point 0.625 mg
Effexor taper: 1/29/12 - 40.625 mg, 4/29/12 - 39.875 mg, 5/11/12 - Switched to liquid Effexor, 5/25/12 - 38 mg, 7/6/12 - 35 mg, 8/17/12 - 32 mg, 9/14/12 - 30 mg, 10/19/12 - 28 mg, 11/9/12 - 26 mg, 11/30/12 - 24 mg, 01/14/13 - 22 mg. 02/25/13 - 20.8 mg, 03/18/13 - 19.2 mg, 4/15/13 - 17.6 mg, 8/10/13 - 16.4 mg, 9/7/13 - 15.2 mg, 10/19/13 - 14 mg, 1/15/14 - 13.2 mg, 3/1/2014 - 12.6 mg, 5/4/14 - 12 mg, 8/1/14 - 11.4 mg, 8/29/14 - 10.8 mg; 10/14/14 - 10.2 mg; 12/15/14 - 10 mg, 1/11/15 - 9.5 mg, 2/8/15 - 9 mg, 3/21/15 - 8.5 mg, 5/1/15 - 8 mg, 6/9/15 - 7.5 mg, 7/8/15 - 7 mg, 8/22/15 - 6.5 mg, 10/4/15 - 6 mg; 1/1/16 - 5.6 mg; 2/6/16 - 5.2 mg; 4/9 - 4.8 mg; 7/7 4.5 mg; 10/7 4.25 mg; 11/4 4.0 mg; 11/25 3.8 mg; 4/24 3.6 mg; 5/27 3.4 mg; 7/8 3.2 mg ... 10/18 2.8 mg; 1/18 2.6 mg; 4/7 2.4 mg; 5/26 2.15mg; 8/18 1.85 mg; 10/7 1.7 mg; 12/1 1.45 mg; 3/2 1.2 mg; 5/4 0.90 mg; 6/1 0.80 mg; 6/22 0.65 mg; 08/03 0.50 mg, 08/10 0.45 mg, 10/05 0.325 mg, 11/23 0.2 mg, 12/14 0.15 mg, 12/21 0.125 mg, 02/28 0.03125 mg, 2/15 0.015625 mg, 2/29/20 0.00 mg - OFF Effexor


I am not a medical professional - this is not medical advice. My suggestions are based on personal experience, reading, observation and anecdotal information posted by other sufferers

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I must have had the twilight anesthesia though it wasnt referred to by that name. It contained those same drugs. I thought Versed (midazolam) was a very short acting benzo that acts as an amnestic, but I may be wrong.

 

I seemed to do ok with the drugs.

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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I was hoping you'd drop by this thread, Barb :) .  Based on the description in your thread I think it may be the same anesthetic ... the patient is sedated rather than unconscious.  You are correct about Versed, too ;) it is a very short acting benzo.

 

From the research I've done if I was just having one implant I would probably be fine with just a local anesthetic ... but I'm having one on the top and one on the bottom so he will be working on my mouth for 30-45 minutes. 

 

It is encouraging that you did ok with the drugs.

 

Karma

2007 @ 375 mg Effexor - 11/29/2011 - 43.75 mg Effexor (regular) & .625 mg Xanax

200 mg Gabapentin 2/27/21 - 194.5 mg, 5/28/21 - 183 mg, 8/2/21 - 170 mg, 11/28/21 - 150 mg, 4/19/22 - 122 mg; 8//7/22 - 100 mg; 12/17 - 75mg; 8/17 - 45 mg; 10/16 40 mg
Xanax taper: 3/11/12 - 0.9375 mg, 3/25/12 - 0.875 mg, 4/6/12 - 0.8125 mg, 4/18/12 - 0.75 ; 10/16 40mg;

1/16 0.6875 mg; at some point 0.625 mg
Effexor taper: 1/29/12 - 40.625 mg, 4/29/12 - 39.875 mg, 5/11/12 - Switched to liquid Effexor, 5/25/12 - 38 mg, 7/6/12 - 35 mg, 8/17/12 - 32 mg, 9/14/12 - 30 mg, 10/19/12 - 28 mg, 11/9/12 - 26 mg, 11/30/12 - 24 mg, 01/14/13 - 22 mg. 02/25/13 - 20.8 mg, 03/18/13 - 19.2 mg, 4/15/13 - 17.6 mg, 8/10/13 - 16.4 mg, 9/7/13 - 15.2 mg, 10/19/13 - 14 mg, 1/15/14 - 13.2 mg, 3/1/2014 - 12.6 mg, 5/4/14 - 12 mg, 8/1/14 - 11.4 mg, 8/29/14 - 10.8 mg; 10/14/14 - 10.2 mg; 12/15/14 - 10 mg, 1/11/15 - 9.5 mg, 2/8/15 - 9 mg, 3/21/15 - 8.5 mg, 5/1/15 - 8 mg, 6/9/15 - 7.5 mg, 7/8/15 - 7 mg, 8/22/15 - 6.5 mg, 10/4/15 - 6 mg; 1/1/16 - 5.6 mg; 2/6/16 - 5.2 mg; 4/9 - 4.8 mg; 7/7 4.5 mg; 10/7 4.25 mg; 11/4 4.0 mg; 11/25 3.8 mg; 4/24 3.6 mg; 5/27 3.4 mg; 7/8 3.2 mg ... 10/18 2.8 mg; 1/18 2.6 mg; 4/7 2.4 mg; 5/26 2.15mg; 8/18 1.85 mg; 10/7 1.7 mg; 12/1 1.45 mg; 3/2 1.2 mg; 5/4 0.90 mg; 6/1 0.80 mg; 6/22 0.65 mg; 08/03 0.50 mg, 08/10 0.45 mg, 10/05 0.325 mg, 11/23 0.2 mg, 12/14 0.15 mg, 12/21 0.125 mg, 02/28 0.03125 mg, 2/15 0.015625 mg, 2/29/20 0.00 mg - OFF Effexor


I am not a medical professional - this is not medical advice. My suggestions are based on personal experience, reading, observation and anecdotal information posted by other sufferers

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  • 3 weeks later...
  • Administrator

Update - day 1 after the surgery ... no ill effects from the twilight sedation, from percocet or from the antibiotic. 

 

I will tell you that although they call it "twilight sedation" I felt like I was completely out.  One minute I was chatting with the surgeon and feeling all warm and cozy from the sedation meds and the next minute someone was calling my name and I was opening my eyes.  It was all over.

 

They said the pain would be its worst about 6 hours after the anesthetic wore off and they were correct ... I needed a double-dose of pain meds last night.  I didn't need anything more than a single advil today. My surgery was performed at about 2:00 PM yesterday afternoon and it took less than an hour.  I had two implants, one on top and one on the bottom.  (Also note that I did not need to have teeth removed, these teeth had been missing for over 20 years).

 

I did not need a medrol dospak and I haven't taken Ibuprofen because my pdoc was concerned about possible interactions with effexor.  I did apply ice packs to my cheek last night to help minimize swelling and there is virtually no apparent swelling today.

 

They did use local anesthetic that I believe contained epenephrine, but they monitored my heart rate through the whole procedure so if I got the shakes I didn't know about it.  The surgeon had previously indicated that since we were using twilight sedation that he only needed to use half the local anesthetic of what he would have used if I had been awake.

 

I'll monitor my symptoms this week and continue to report, but it appears to have been a very uneventful surgery.

 

Karma

2007 @ 375 mg Effexor - 11/29/2011 - 43.75 mg Effexor (regular) & .625 mg Xanax

200 mg Gabapentin 2/27/21 - 194.5 mg, 5/28/21 - 183 mg, 8/2/21 - 170 mg, 11/28/21 - 150 mg, 4/19/22 - 122 mg; 8//7/22 - 100 mg; 12/17 - 75mg; 8/17 - 45 mg; 10/16 40 mg
Xanax taper: 3/11/12 - 0.9375 mg, 3/25/12 - 0.875 mg, 4/6/12 - 0.8125 mg, 4/18/12 - 0.75 ; 10/16 40mg;

1/16 0.6875 mg; at some point 0.625 mg
Effexor taper: 1/29/12 - 40.625 mg, 4/29/12 - 39.875 mg, 5/11/12 - Switched to liquid Effexor, 5/25/12 - 38 mg, 7/6/12 - 35 mg, 8/17/12 - 32 mg, 9/14/12 - 30 mg, 10/19/12 - 28 mg, 11/9/12 - 26 mg, 11/30/12 - 24 mg, 01/14/13 - 22 mg. 02/25/13 - 20.8 mg, 03/18/13 - 19.2 mg, 4/15/13 - 17.6 mg, 8/10/13 - 16.4 mg, 9/7/13 - 15.2 mg, 10/19/13 - 14 mg, 1/15/14 - 13.2 mg, 3/1/2014 - 12.6 mg, 5/4/14 - 12 mg, 8/1/14 - 11.4 mg, 8/29/14 - 10.8 mg; 10/14/14 - 10.2 mg; 12/15/14 - 10 mg, 1/11/15 - 9.5 mg, 2/8/15 - 9 mg, 3/21/15 - 8.5 mg, 5/1/15 - 8 mg, 6/9/15 - 7.5 mg, 7/8/15 - 7 mg, 8/22/15 - 6.5 mg, 10/4/15 - 6 mg; 1/1/16 - 5.6 mg; 2/6/16 - 5.2 mg; 4/9 - 4.8 mg; 7/7 4.5 mg; 10/7 4.25 mg; 11/4 4.0 mg; 11/25 3.8 mg; 4/24 3.6 mg; 5/27 3.4 mg; 7/8 3.2 mg ... 10/18 2.8 mg; 1/18 2.6 mg; 4/7 2.4 mg; 5/26 2.15mg; 8/18 1.85 mg; 10/7 1.7 mg; 12/1 1.45 mg; 3/2 1.2 mg; 5/4 0.90 mg; 6/1 0.80 mg; 6/22 0.65 mg; 08/03 0.50 mg, 08/10 0.45 mg, 10/05 0.325 mg, 11/23 0.2 mg, 12/14 0.15 mg, 12/21 0.125 mg, 02/28 0.03125 mg, 2/15 0.015625 mg, 2/29/20 0.00 mg - OFF Effexor


I am not a medical professional - this is not medical advice. My suggestions are based on personal experience, reading, observation and anecdotal information posted by other sufferers

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Thanks for this, Karma. I'll be getting a couple of implants some time in the next year myself so this is very valuable info to me!

Started on Prozac and Xanax in 1992 for PTSD after an assault. One drug led to more, the usual story. Got sicker and sicker, but believed I needed the drugs for my "underlying disease". Long story...lost everything. Life savings, home, physical and mental health, relationships, friendships, ability to work, everything. Amitryptiline, Prozac, bupropion, buspirone, flurazepam, diazepam, alprazolam, Paxil, citalopram, lamotrigine, gabapentin...probably more I've forgotten. 

Started multidrug taper in Feb 2010.  Doing a very slow microtaper, down to low doses now and feeling SO much better, getting my old personality and my brain back! Able to work full time, have a full social life, and cope with stress better than ever. Not perfect, but much better. After 23 lost years. Big Pharma has a lot to answer for. And "medicine for profit" is just not a great idea.

 

Feb 15 2010:  300 mg Neurontin  200 Lamictal   10 Celexa      0.65 Xanax   and 5 mg Ambien 

Feb 10 2014:   62 Lamictal    1.1 Celexa         0.135 Xanax    1.8 Valium

Feb 10 2015:   50 Lamictal      0.875 Celexa    0.11 Xanax      1.5 Valium

Feb 15 2016:   47.5 Lamictal   0.75 Celexa      0.0875 Xanax    1.42 Valium    

2/12/20             12                       0.045               0.007                   1 

May 2021            7                       0.01                  0.0037                1

Feb 2022            6                      0!!!                     0.00167               0.98                2.5 mg Ambien

Oct 2022       4.5 mg Lamictal    (off Celexa, off Xanax)   0.95 Valium    Ambien, 1/4 to 1/2 of a 5 mg tablet 

 

I'm not a doctor. Any advice I give is just my civilian opinion.

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Update Day 2 since surgery - Last night and this morning I had a little nerve pain in my left lower leg and foot ... the kind where your skin feels like its burning.  I did take another percocet last night because I think I'd had slight pain all day and by last night it just seemed to build up.  This morning there is slight swelling and a little pain so I took some asprin.

 

I forgot to take my neurontin last night ... so if I start to have depression or anxiety symptoms, let's keep in mind that I missed a dose of my normal meds.  Since I've been so stable on my Effexor decrement I really don't expect the missed dose of neurontin to have an effect, but will continue to monitor it.  (The nerve pain started yesterday before I missed a dose of neurontin).

 

I read something interesting ... it seems that the titanium screws they use for implants can set off the metal detectors in airport security ... so we should self-declare to security that we have metal implants and indicate where they are in our bodies ... and it is likely airport security will do a separate wanding. 

 

Karma

2007 @ 375 mg Effexor - 11/29/2011 - 43.75 mg Effexor (regular) & .625 mg Xanax

200 mg Gabapentin 2/27/21 - 194.5 mg, 5/28/21 - 183 mg, 8/2/21 - 170 mg, 11/28/21 - 150 mg, 4/19/22 - 122 mg; 8//7/22 - 100 mg; 12/17 - 75mg; 8/17 - 45 mg; 10/16 40 mg
Xanax taper: 3/11/12 - 0.9375 mg, 3/25/12 - 0.875 mg, 4/6/12 - 0.8125 mg, 4/18/12 - 0.75 ; 10/16 40mg;

1/16 0.6875 mg; at some point 0.625 mg
Effexor taper: 1/29/12 - 40.625 mg, 4/29/12 - 39.875 mg, 5/11/12 - Switched to liquid Effexor, 5/25/12 - 38 mg, 7/6/12 - 35 mg, 8/17/12 - 32 mg, 9/14/12 - 30 mg, 10/19/12 - 28 mg, 11/9/12 - 26 mg, 11/30/12 - 24 mg, 01/14/13 - 22 mg. 02/25/13 - 20.8 mg, 03/18/13 - 19.2 mg, 4/15/13 - 17.6 mg, 8/10/13 - 16.4 mg, 9/7/13 - 15.2 mg, 10/19/13 - 14 mg, 1/15/14 - 13.2 mg, 3/1/2014 - 12.6 mg, 5/4/14 - 12 mg, 8/1/14 - 11.4 mg, 8/29/14 - 10.8 mg; 10/14/14 - 10.2 mg; 12/15/14 - 10 mg, 1/11/15 - 9.5 mg, 2/8/15 - 9 mg, 3/21/15 - 8.5 mg, 5/1/15 - 8 mg, 6/9/15 - 7.5 mg, 7/8/15 - 7 mg, 8/22/15 - 6.5 mg, 10/4/15 - 6 mg; 1/1/16 - 5.6 mg; 2/6/16 - 5.2 mg; 4/9 - 4.8 mg; 7/7 4.5 mg; 10/7 4.25 mg; 11/4 4.0 mg; 11/25 3.8 mg; 4/24 3.6 mg; 5/27 3.4 mg; 7/8 3.2 mg ... 10/18 2.8 mg; 1/18 2.6 mg; 4/7 2.4 mg; 5/26 2.15mg; 8/18 1.85 mg; 10/7 1.7 mg; 12/1 1.45 mg; 3/2 1.2 mg; 5/4 0.90 mg; 6/1 0.80 mg; 6/22 0.65 mg; 08/03 0.50 mg, 08/10 0.45 mg, 10/05 0.325 mg, 11/23 0.2 mg, 12/14 0.15 mg, 12/21 0.125 mg, 02/28 0.03125 mg, 2/15 0.015625 mg, 2/29/20 0.00 mg - OFF Effexor


I am not a medical professional - this is not medical advice. My suggestions are based on personal experience, reading, observation and anecdotal information posted by other sufferers

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Karma,

 

I'm glad to hear things went well with your surgery.

 

I know you're dealing with osteopenia (osteoporosis?) and wondered if you'd heard the warnings about bisphophonates causing necrosis of the jaw bone? A dentist I went to recently mentioned this to me and I thought I'd pass it on. She said that dentists have been noticing that patients on these drugs (Fosamax etal) are having more problems with the jaw bone holding onto implants. There is quite a bit in the medical literature.

 

http://www.mayoclinic.com/health/fosamax/AN01379

 

Just an FYI. Sorry for the tangent!

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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  • Administrator

I had heard about this, Barb ... and I refuse to take bisphophonates or anything like them.  I am addressing my bone density by eating a highly alkaline diet, supplementing vitamin K2, maintaining a good level of estradiol, and exercising with additional weight to stimulate bone growth.

 

My dentist was only concerned if I was on bisphophonates ... since I wasn't we went ahead with the implants.

 

Karma

2007 @ 375 mg Effexor - 11/29/2011 - 43.75 mg Effexor (regular) & .625 mg Xanax

200 mg Gabapentin 2/27/21 - 194.5 mg, 5/28/21 - 183 mg, 8/2/21 - 170 mg, 11/28/21 - 150 mg, 4/19/22 - 122 mg; 8//7/22 - 100 mg; 12/17 - 75mg; 8/17 - 45 mg; 10/16 40 mg
Xanax taper: 3/11/12 - 0.9375 mg, 3/25/12 - 0.875 mg, 4/6/12 - 0.8125 mg, 4/18/12 - 0.75 ; 10/16 40mg;

1/16 0.6875 mg; at some point 0.625 mg
Effexor taper: 1/29/12 - 40.625 mg, 4/29/12 - 39.875 mg, 5/11/12 - Switched to liquid Effexor, 5/25/12 - 38 mg, 7/6/12 - 35 mg, 8/17/12 - 32 mg, 9/14/12 - 30 mg, 10/19/12 - 28 mg, 11/9/12 - 26 mg, 11/30/12 - 24 mg, 01/14/13 - 22 mg. 02/25/13 - 20.8 mg, 03/18/13 - 19.2 mg, 4/15/13 - 17.6 mg, 8/10/13 - 16.4 mg, 9/7/13 - 15.2 mg, 10/19/13 - 14 mg, 1/15/14 - 13.2 mg, 3/1/2014 - 12.6 mg, 5/4/14 - 12 mg, 8/1/14 - 11.4 mg, 8/29/14 - 10.8 mg; 10/14/14 - 10.2 mg; 12/15/14 - 10 mg, 1/11/15 - 9.5 mg, 2/8/15 - 9 mg, 3/21/15 - 8.5 mg, 5/1/15 - 8 mg, 6/9/15 - 7.5 mg, 7/8/15 - 7 mg, 8/22/15 - 6.5 mg, 10/4/15 - 6 mg; 1/1/16 - 5.6 mg; 2/6/16 - 5.2 mg; 4/9 - 4.8 mg; 7/7 4.5 mg; 10/7 4.25 mg; 11/4 4.0 mg; 11/25 3.8 mg; 4/24 3.6 mg; 5/27 3.4 mg; 7/8 3.2 mg ... 10/18 2.8 mg; 1/18 2.6 mg; 4/7 2.4 mg; 5/26 2.15mg; 8/18 1.85 mg; 10/7 1.7 mg; 12/1 1.45 mg; 3/2 1.2 mg; 5/4 0.90 mg; 6/1 0.80 mg; 6/22 0.65 mg; 08/03 0.50 mg, 08/10 0.45 mg, 10/05 0.325 mg, 11/23 0.2 mg, 12/14 0.15 mg, 12/21 0.125 mg, 02/28 0.03125 mg, 2/15 0.015625 mg, 2/29/20 0.00 mg - OFF Effexor


I am not a medical professional - this is not medical advice. My suggestions are based on personal experience, reading, observation and anecdotal information posted by other sufferers

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  • Administrator

It is the evening of day 2 after the surgery:

 

The asprin took away the nerve pain and the discomfort in my cheek/jaw as well as the swelling.  If there were problems from missing my neurontin dose last night they passed.

 

So far so good.

2007 @ 375 mg Effexor - 11/29/2011 - 43.75 mg Effexor (regular) & .625 mg Xanax

200 mg Gabapentin 2/27/21 - 194.5 mg, 5/28/21 - 183 mg, 8/2/21 - 170 mg, 11/28/21 - 150 mg, 4/19/22 - 122 mg; 8//7/22 - 100 mg; 12/17 - 75mg; 8/17 - 45 mg; 10/16 40 mg
Xanax taper: 3/11/12 - 0.9375 mg, 3/25/12 - 0.875 mg, 4/6/12 - 0.8125 mg, 4/18/12 - 0.75 ; 10/16 40mg;

1/16 0.6875 mg; at some point 0.625 mg
Effexor taper: 1/29/12 - 40.625 mg, 4/29/12 - 39.875 mg, 5/11/12 - Switched to liquid Effexor, 5/25/12 - 38 mg, 7/6/12 - 35 mg, 8/17/12 - 32 mg, 9/14/12 - 30 mg, 10/19/12 - 28 mg, 11/9/12 - 26 mg, 11/30/12 - 24 mg, 01/14/13 - 22 mg. 02/25/13 - 20.8 mg, 03/18/13 - 19.2 mg, 4/15/13 - 17.6 mg, 8/10/13 - 16.4 mg, 9/7/13 - 15.2 mg, 10/19/13 - 14 mg, 1/15/14 - 13.2 mg, 3/1/2014 - 12.6 mg, 5/4/14 - 12 mg, 8/1/14 - 11.4 mg, 8/29/14 - 10.8 mg; 10/14/14 - 10.2 mg; 12/15/14 - 10 mg, 1/11/15 - 9.5 mg, 2/8/15 - 9 mg, 3/21/15 - 8.5 mg, 5/1/15 - 8 mg, 6/9/15 - 7.5 mg, 7/8/15 - 7 mg, 8/22/15 - 6.5 mg, 10/4/15 - 6 mg; 1/1/16 - 5.6 mg; 2/6/16 - 5.2 mg; 4/9 - 4.8 mg; 7/7 4.5 mg; 10/7 4.25 mg; 11/4 4.0 mg; 11/25 3.8 mg; 4/24 3.6 mg; 5/27 3.4 mg; 7/8 3.2 mg ... 10/18 2.8 mg; 1/18 2.6 mg; 4/7 2.4 mg; 5/26 2.15mg; 8/18 1.85 mg; 10/7 1.7 mg; 12/1 1.45 mg; 3/2 1.2 mg; 5/4 0.90 mg; 6/1 0.80 mg; 6/22 0.65 mg; 08/03 0.50 mg, 08/10 0.45 mg, 10/05 0.325 mg, 11/23 0.2 mg, 12/14 0.15 mg, 12/21 0.125 mg, 02/28 0.03125 mg, 2/15 0.015625 mg, 2/29/20 0.00 mg - OFF Effexor


I am not a medical professional - this is not medical advice. My suggestions are based on personal experience, reading, observation and anecdotal information posted by other sufferers

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Update day 3 after surgery:

Woke with neuro anxiety.  Something went wrong at work late on Friday and interestingly enough I was able to ignore it all weekend.  But I woke Monday morning with an over reaction to the thing that went wrong at work.  It caused me to doubt myself and lose my confidence.  It wasn't debilitating and I was able to work and take action to minimize the impacts of the thing that went wrong.  Felt off balance and insecure. Had difficulty figuring out what to focus on. 

 

I was able to fall asleep easily Monday night.

 

No pain from the implants.  My tongue does want to play with the pokey parts of the stitches ;).

 

Update day 4 after after surgery:

Still woke up with some morning anxiety thinking about the thing that went wrong at work.  However, today I was able to put the thing in its box and start to look at what we could do to minimize the impacts of it.  I also realized that we made the best decisions we could make early on and it is no one's fault - yesterday I was blaming myself for not doing some things that could have prevented the thing that went wrong.  There was nothing I could do - I acted on the best information available to me and that is all there was.  I have a lesson learned now that I can use in the future.

 

By this afternoon my ability to concentrate had returned and I was quite productive at work.

 

I'm feeling more confident and less anxious tonight ...

 

Since I missed a dose of neurontin over the weekend that could be why I had neuro anxiety ... this may have nothing to do with the sedation or medications.  But I am still taking the amoxicillin through the rest of this week. 

 

I will keep posting updates so others can get a feel for this.

 

Karma

2007 @ 375 mg Effexor - 11/29/2011 - 43.75 mg Effexor (regular) & .625 mg Xanax

200 mg Gabapentin 2/27/21 - 194.5 mg, 5/28/21 - 183 mg, 8/2/21 - 170 mg, 11/28/21 - 150 mg, 4/19/22 - 122 mg; 8//7/22 - 100 mg; 12/17 - 75mg; 8/17 - 45 mg; 10/16 40 mg
Xanax taper: 3/11/12 - 0.9375 mg, 3/25/12 - 0.875 mg, 4/6/12 - 0.8125 mg, 4/18/12 - 0.75 ; 10/16 40mg;

1/16 0.6875 mg; at some point 0.625 mg
Effexor taper: 1/29/12 - 40.625 mg, 4/29/12 - 39.875 mg, 5/11/12 - Switched to liquid Effexor, 5/25/12 - 38 mg, 7/6/12 - 35 mg, 8/17/12 - 32 mg, 9/14/12 - 30 mg, 10/19/12 - 28 mg, 11/9/12 - 26 mg, 11/30/12 - 24 mg, 01/14/13 - 22 mg. 02/25/13 - 20.8 mg, 03/18/13 - 19.2 mg, 4/15/13 - 17.6 mg, 8/10/13 - 16.4 mg, 9/7/13 - 15.2 mg, 10/19/13 - 14 mg, 1/15/14 - 13.2 mg, 3/1/2014 - 12.6 mg, 5/4/14 - 12 mg, 8/1/14 - 11.4 mg, 8/29/14 - 10.8 mg; 10/14/14 - 10.2 mg; 12/15/14 - 10 mg, 1/11/15 - 9.5 mg, 2/8/15 - 9 mg, 3/21/15 - 8.5 mg, 5/1/15 - 8 mg, 6/9/15 - 7.5 mg, 7/8/15 - 7 mg, 8/22/15 - 6.5 mg, 10/4/15 - 6 mg; 1/1/16 - 5.6 mg; 2/6/16 - 5.2 mg; 4/9 - 4.8 mg; 7/7 4.5 mg; 10/7 4.25 mg; 11/4 4.0 mg; 11/25 3.8 mg; 4/24 3.6 mg; 5/27 3.4 mg; 7/8 3.2 mg ... 10/18 2.8 mg; 1/18 2.6 mg; 4/7 2.4 mg; 5/26 2.15mg; 8/18 1.85 mg; 10/7 1.7 mg; 12/1 1.45 mg; 3/2 1.2 mg; 5/4 0.90 mg; 6/1 0.80 mg; 6/22 0.65 mg; 08/03 0.50 mg, 08/10 0.45 mg, 10/05 0.325 mg, 11/23 0.2 mg, 12/14 0.15 mg, 12/21 0.125 mg, 02/28 0.03125 mg, 2/15 0.015625 mg, 2/29/20 0.00 mg - OFF Effexor


I am not a medical professional - this is not medical advice. My suggestions are based on personal experience, reading, observation and anecdotal information posted by other sufferers

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Update a week after my oral surgery

 

The excessive anxiety disappeared a day or so ago.  Not quite back to joyful, calm and completely balanced, but feeling pretty normal.  I will be finishing off the antibiotics over the next few days ... I think they gave me 10 days worth.

 

I'll report out again once I've finished the antibiotics.

 

 

Karma

2007 @ 375 mg Effexor - 11/29/2011 - 43.75 mg Effexor (regular) & .625 mg Xanax

200 mg Gabapentin 2/27/21 - 194.5 mg, 5/28/21 - 183 mg, 8/2/21 - 170 mg, 11/28/21 - 150 mg, 4/19/22 - 122 mg; 8//7/22 - 100 mg; 12/17 - 75mg; 8/17 - 45 mg; 10/16 40 mg
Xanax taper: 3/11/12 - 0.9375 mg, 3/25/12 - 0.875 mg, 4/6/12 - 0.8125 mg, 4/18/12 - 0.75 ; 10/16 40mg;

1/16 0.6875 mg; at some point 0.625 mg
Effexor taper: 1/29/12 - 40.625 mg, 4/29/12 - 39.875 mg, 5/11/12 - Switched to liquid Effexor, 5/25/12 - 38 mg, 7/6/12 - 35 mg, 8/17/12 - 32 mg, 9/14/12 - 30 mg, 10/19/12 - 28 mg, 11/9/12 - 26 mg, 11/30/12 - 24 mg, 01/14/13 - 22 mg. 02/25/13 - 20.8 mg, 03/18/13 - 19.2 mg, 4/15/13 - 17.6 mg, 8/10/13 - 16.4 mg, 9/7/13 - 15.2 mg, 10/19/13 - 14 mg, 1/15/14 - 13.2 mg, 3/1/2014 - 12.6 mg, 5/4/14 - 12 mg, 8/1/14 - 11.4 mg, 8/29/14 - 10.8 mg; 10/14/14 - 10.2 mg; 12/15/14 - 10 mg, 1/11/15 - 9.5 mg, 2/8/15 - 9 mg, 3/21/15 - 8.5 mg, 5/1/15 - 8 mg, 6/9/15 - 7.5 mg, 7/8/15 - 7 mg, 8/22/15 - 6.5 mg, 10/4/15 - 6 mg; 1/1/16 - 5.6 mg; 2/6/16 - 5.2 mg; 4/9 - 4.8 mg; 7/7 4.5 mg; 10/7 4.25 mg; 11/4 4.0 mg; 11/25 3.8 mg; 4/24 3.6 mg; 5/27 3.4 mg; 7/8 3.2 mg ... 10/18 2.8 mg; 1/18 2.6 mg; 4/7 2.4 mg; 5/26 2.15mg; 8/18 1.85 mg; 10/7 1.7 mg; 12/1 1.45 mg; 3/2 1.2 mg; 5/4 0.90 mg; 6/1 0.80 mg; 6/22 0.65 mg; 08/03 0.50 mg, 08/10 0.45 mg, 10/05 0.325 mg, 11/23 0.2 mg, 12/14 0.15 mg, 12/21 0.125 mg, 02/28 0.03125 mg, 2/15 0.015625 mg, 2/29/20 0.00 mg - OFF Effexor


I am not a medical professional - this is not medical advice. My suggestions are based on personal experience, reading, observation and anecdotal information posted by other sufferers

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  • 2 weeks later...
  • Administrator

Over the weekend of Aug 3 I started to feel normal again.  I finished the antibiotics and have felt pretty normal since then ... able to feel joy and not experiencing much excessive anxiety.  I think the anxiety issue I had was related to missing a dose of gabapentin.

 

Saw the dental surgeon for my 2 week post-op.  The bottom implant is healing beautifully, the top one isn't as far along.  The tissue wants to grow over the healing cap on the implant and he said I can just keep pushing it back around the implant.  Rinsing with salt water tends to help it heal.  He said the worst scenario is that the tissue heals over the cap and if that happens he will use a little topical anesthestic and a laser to clear it away.  That was a relief.  I was afraid I would need more stitiches and that would be more numbing shots ... happy I can avoid that.

 

My recommendation to anyone planning on this kind of procedure would be to hold for at least a month prior to the anesthesia, make sure you are getting an antibiotic that doesn't interact with your AD or benzo and don't make any changes until you are 2 weeks on the other side of the surgery.

2007 @ 375 mg Effexor - 11/29/2011 - 43.75 mg Effexor (regular) & .625 mg Xanax

200 mg Gabapentin 2/27/21 - 194.5 mg, 5/28/21 - 183 mg, 8/2/21 - 170 mg, 11/28/21 - 150 mg, 4/19/22 - 122 mg; 8//7/22 - 100 mg; 12/17 - 75mg; 8/17 - 45 mg; 10/16 40 mg
Xanax taper: 3/11/12 - 0.9375 mg, 3/25/12 - 0.875 mg, 4/6/12 - 0.8125 mg, 4/18/12 - 0.75 ; 10/16 40mg;

1/16 0.6875 mg; at some point 0.625 mg
Effexor taper: 1/29/12 - 40.625 mg, 4/29/12 - 39.875 mg, 5/11/12 - Switched to liquid Effexor, 5/25/12 - 38 mg, 7/6/12 - 35 mg, 8/17/12 - 32 mg, 9/14/12 - 30 mg, 10/19/12 - 28 mg, 11/9/12 - 26 mg, 11/30/12 - 24 mg, 01/14/13 - 22 mg. 02/25/13 - 20.8 mg, 03/18/13 - 19.2 mg, 4/15/13 - 17.6 mg, 8/10/13 - 16.4 mg, 9/7/13 - 15.2 mg, 10/19/13 - 14 mg, 1/15/14 - 13.2 mg, 3/1/2014 - 12.6 mg, 5/4/14 - 12 mg, 8/1/14 - 11.4 mg, 8/29/14 - 10.8 mg; 10/14/14 - 10.2 mg; 12/15/14 - 10 mg, 1/11/15 - 9.5 mg, 2/8/15 - 9 mg, 3/21/15 - 8.5 mg, 5/1/15 - 8 mg, 6/9/15 - 7.5 mg, 7/8/15 - 7 mg, 8/22/15 - 6.5 mg, 10/4/15 - 6 mg; 1/1/16 - 5.6 mg; 2/6/16 - 5.2 mg; 4/9 - 4.8 mg; 7/7 4.5 mg; 10/7 4.25 mg; 11/4 4.0 mg; 11/25 3.8 mg; 4/24 3.6 mg; 5/27 3.4 mg; 7/8 3.2 mg ... 10/18 2.8 mg; 1/18 2.6 mg; 4/7 2.4 mg; 5/26 2.15mg; 8/18 1.85 mg; 10/7 1.7 mg; 12/1 1.45 mg; 3/2 1.2 mg; 5/4 0.90 mg; 6/1 0.80 mg; 6/22 0.65 mg; 08/03 0.50 mg, 08/10 0.45 mg, 10/05 0.325 mg, 11/23 0.2 mg, 12/14 0.15 mg, 12/21 0.125 mg, 02/28 0.03125 mg, 2/15 0.015625 mg, 2/29/20 0.00 mg - OFF Effexor


I am not a medical professional - this is not medical advice. My suggestions are based on personal experience, reading, observation and anecdotal information posted by other sufferers

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  • 10 months later...

Hi all,

I'm hoping someone can give me some advise. I have to have 3 wisdom teeth removed sometime this month. 2 are partially impacted try to come through, the other is completely through but has cavity. I really don't want to be put under or sedated in anyway and I won't touch benzos. i really want to white knuckle it and just have a local-just numbing. I don't even want any narcotics for pain management, I have become so hyper-sensitive to medications, supplements etc. Anywho I have a consult with an oral surgeon on July 7 th, but I wanted to get some in-site and arm myself with a little info before the appointment. So if anyone has any info they would like to share on this topic, please share

Spring of 1998 place on birth control pills for irregular bleeding, high testosterone and one ovarian cyst, stayed on until April 2004, told to take hormone holiday, conceived first son 4 months later-VERY BIG SUPRISE, was told wouldn't be able to have childern or would need reproductive doctor to help. Got pregnant again 2006 with second son easily, then was on/off birthcontrol again until October 2011, concieved 3rd son in October 2011(tried many times to get pregant again when 2nd child was close to 2yrs, hormone problems started again after 2nd child, along with thyroid enlargement.

 

Spring of 2001 celexa 10 mgs-rx'd by pcp for complaints of chronic fatigue, irritability and weight gain, stayed on until June 2005, switched to Lexapro 20mgs for PPD, stayed on Lexapro 6-7 months, couldn't afford to see psyh dr. and Lexapro, saw PCP switched back to 20mgs celexa in 2007, remained on until November 2011, was c/t off due to 3rd pregnancy, baby had umbilical cord defect, seemed ok during pregnancy, except for crying jags here and there. Our miracle baby was born July 20th 2012, healthy except with reflux. One month later the anxiety,restlessness,horrible crying, insomnia and the deepest depression ever. That started the psyh drug nightmare-benzo's,antidepressants, sleeping pills, mood stablizers. Nothing help made me worse, doctors just kept changing the meds frequently. 4 mental health hospitalizations, rapid detox off benzos Jan 2013, horrible withdrawal and still suffering withdrawal symptoms NO ONE BELIEVES ME, I feel like ive been on one consistant drug withdrawal for the past 2 years

January 2014 slow titrate up of lexapro to 20 mgs-horrible side effects!!, was just rapidly taper by current pysh off to pursade me to try an MAOI-no way!!! Was told should consider ECT

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  • 7 months later...

Hello there,

 

I have been in a severe withdrawal for over six months and am housebound completely (also have ME/CFS). I think I may need to see a dentist for a filling and am terrified of having an injection for the pain - since I react so much to everything now that I can't even take a vitamin pill.

 

Does anyone know about what drugs to ask the dentist to avoid, and if there are any we are less likely to react to?

 

Hope so as terrified!

Many thanks,

Picchy

Sufferer of moderate ME/CFS since 2005

Started 20mg Citalopram in March 2008 due to bereavement

Was fine since then with no adverse effects or depression - so decided to taper off

Came off it in March 2014 after a five-month taper, which I thought was a long time

Experienced a month of uncharacteristic depression in April 2014

Two months feeling fine

In June 2014 return of depression then an overnight physical crash leaving me debilitated in July

Tried to take moclobemide at low dose for 2 weeks in July but severe reaction

Housebound since then, ME now severe

No meds taken

Female, 38 years old

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Hello there,

 

I have been in a severe withdrawal for over six months and am housebound completely (also have ME/CFS). I think I may need to see a dentist for a filling and am terrified of having an injection for the pain - since I react so much to everything now that I can't even take a vitamin pill.

 

Does anyone know about what drugs to ask the dentist to avoid, and if there are any we are less likely to react to?

 

Hope so as terrified!

Many thanks,

Picchy

Hi Picchy,

 

During withdrawal, I had alot of dental work, including fillings and never had a problem in spite of being hypersensitive to meds.   I did avoid epinephrine based products since that was contraindicated since I was taking a stimulant.   But just to be on the safe side, I kept avoiding it even when I no longer took these meds.

 

If you are concerned, you might want to tell the dentist that due to being med sensitive, which local anesthetic would he advise giving you.  Not sure how helpful that will be but it is worth a shot.

 

Best of luck.

 

CS

Drug cocktail 1995 - 2010
Started taper of Adderall, Wellbutrin XL, Remeron, and Doxepin in 2006
Finished taper on June 10, 2010

Temazepam on a PRN basis approximately twice a month - 2014 to 2016

Beginning in 2017 - Consumption increased to about two times per week

April 2017 - Increased to taking it full time for insomnia

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Hi Picchy,

 

Wow, do you have someone to go with you?  

 

I think for just a filling you will only have local anesthetic, like CS said.  It's not as invasive as general anesthetic, and less likely to knock you for a loop.

 

But having a rotting tooth is problematic and should likely be dealt with.  It could cause more problems than the local anesthetic.  I had a boyfriend with a rotten tooth & it exploded and poisoned his blood, and he had to go to the hospital - that would be much worse than getting a filling.

 

I don't think there are any stimulants or steroids in local anesthetics. I'm not gonna lie - some people have reactions to lidocaine.  But the ones I know of are drug interactions - and you are off the drugs.

 

It's a trade off - you will have to decide which is worse:  the risk of local anesthetic?  Or the risk of a rotten tooth going septic?

 

Sorry I don't have anything more definitive.

"Easy, easy - just go easy and you'll finish." - Hawaiian Kapuna

 

Holding is hard work, holding is a blessing. Give your brain time to heal before you try again.

 

My suggestions are not medical advice, you are in charge of your own medical choices.

 

A lifetime of being prescribed antidepressants that caused problems (30 years in total). At age 35 flipped to "bipolar," but was not diagnosed for 5 years. Started my journey in Midwest United States. Crossed the Pacific for love and hope; currently living in Australia.   CT Seroquel 25 mg some time in 2013.   Tapered Reboxetine 4 mg Oct 2013 to Sept 2014 = GONE (3 years on Reboxetine).     Tapered Lithium 900 to 475 MG (alternating with the SNRI) Jan 2014 - Nov 2014, tapered Lithium 475 mg Jan 2015 -  Feb 2016 = GONE (10 years  on Lithium).  Many mistakes in dry cutting dosages were made.


The tedious thread (my intro):  JanCarol ☼ Reboxetine first, then Lithium

The happy thread (my success story):  JanCarol - Undiagnosed  Off all bipolar drugs

My own blog:  https://shamanexplorations.com/shamans-blog/

 

 

I have been psych drug FREE since 1 Feb 2016!

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Hi picchy,

I too am sensitive to all vitamins except magnesium oil. I just had a filling two weeks ago and cried on the dentist chair because I was afraid of a reaction from the needle. I explained how sensitive I was so she used the one without epinephrine and I had no reaction.

 

I do understand every situation is different, but I hope this helps since I was in a very similar spot just two weeks ago and all turned out okay for me and I cannot tolerate most meds or vitamins.

1998-2013 Various antidepressants switches and CTs.

Benzo addiction unknowingly trying to cover withdrawals in 2011

January 2012,, 25 mg Zoloft , March 2012, Remeron 7.5 to sleep and 1 mg Clonazepam.

Tapered Clonazepam from April to June 2012 from 1 mg to .25 mg (stuck)

September to October 2012 tapered Remeron 7.5 mg to 5 mg. December upped to .75 mg Clonazepam due to mothers passing of cancer.

February 2013 to December 2013 tapered off 25 mg Zoloft

January 2014 to March 2014 tapered off 5 mg Remeron Doing not to bad, not perfect but okay. Here is where I screw up May 2014 to October 2014 tapered Clonazepam from .75 mg to .25 mg. Rapidly worsening every week. January 2015 updosed Clonazepam to .5 mg. Big Mistake - Holding

Currently .25 mg  Clonazepam 11 pm at night (give or take an hour)  and .25 mg 9 am in the morning (give or take an hour)

Hope this isn't to confusing.

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 Not sure about dedrugs dentists use but I'm also extremely sensitive to pain and any meds.

Also, I grew up in the fifties in Britain and had severe dental abuse as a kid. 

( held down while ether mask jammed on face etc, sometimes 5 teeth out at a time)

so have severe dental phobia. I'm also dealing with SSRI withdrawal. When I needed 

a lot of dental work done, I found a dentist online who specialized in patients with dental 

phobia. Whole staff were very sensitive. Put me under general anaesthetic for four hours and 

did all the work at once while I was under. It might be worth looking for such a dentist in U.K.

They do have a dental phobia website/blog in U.K. recommending dentists.

On 20 mg of Prozac for about ten years. Sept 2012 started reducing 10% a drop using gram scale, with average of one month holds.

When I'd reached the half way mark, taking 10 mg  powder out of the 20 mg capsules, I switched over to 10 mg capsules and cutting

down from those. Withdrawals got harder the lower I dropped.  May 2013 changed to 5% drops, holding until all withdrawal symptoms gone.

January 2015 changed to liquid prozac (concentration of 20MG per 5 mL) using a 1mL oral syringe.

Current dose of fluoxetine solution equivalent 3.4 mg. Any effort to drop below this has been disastrous so for the time being I'm staying at this level.
Adding 200 mg Tryptophan and 200 GABA a day has helped with anxiety.
Also take 1,300mg Omega- 3,  875mg  Magnesium, 1800mg Curcumin, 1000mg Vit C, 5000 Vit D.
 

 

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Thank you so very much for all the responses. I'm finding it very hard to use a computer ie look at a screen, so it's great to read these responses. The advice about avoiding that adrenaline drug in particular is very helpful. I've located a dentist here in Edinburgh that does home visits for housebound people, although I doubt they would do fillings at home! Still, perhaps a checkup at least.

 

Thanks again for all your useful help - this forum is the only place I could get this type of help.

 

Picchy x

Sufferer of moderate ME/CFS since 2005

Started 20mg Citalopram in March 2008 due to bereavement

Was fine since then with no adverse effects or depression - so decided to taper off

Came off it in March 2014 after a five-month taper, which I thought was a long time

Experienced a month of uncharacteristic depression in April 2014

Two months feeling fine

In June 2014 return of depression then an overnight physical crash leaving me debilitated in July

Tried to take moclobemide at low dose for 2 weeks in July but severe reaction

Housebound since then, ME now severe

No meds taken

Female, 38 years old

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  • 2 months later...

I may need to get a tooth pulled before I fully recover (could be a while yet). The tooth isn't bad yet but if it gets infected I know those meds are bad for wd. Has anyone had a tooth removed during this process?

Paxil 2007-2012, somnolence for a few months so quit, anxiety gets severe again, put on citalopram (horrible reaction). Used august 2013-September 2013, quit and doctor reinstates paxil (reaction again ) on from sep to dec. Quit cold turkey and suffer problems to this day

 

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  • 1 month later...

I'm struggling with infection and pain after a dental cleaning ???? This is not usual for me .Just wondering if wd is hindering my healing

Been taking paroxatine for approx 15 years.Tried a few times yo stop but failed. Am currently on 3.5mg liquid

Jan 2016 been slow tapering paroxatine and i am currently at 2.9 mg and last drop was 5 weeks ago.

Started to feel awful about 3 weeks ago with brain ???? , shakes, blurred vision and dizzyness. ..

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Just to add , after being in pain after the clean for way over a week I went back, to see the hygienist who said nothing to worry about it will settle down. Guess what ....It didn't!

3 days after the clean I was scheduled for re doing of an old filling.Not my idea but it was an old filling so I thought why not, little did I know all hell was about to be let loose.

Pain was horrible,so back again to the dentist.By this time I was beginning to feel like a neurotic hypochondriac. After so much pain the dentist recommended an extraction.I was devastated and shed a tear in the treatment room but couldn't cope with the pain anymore. Next day went for the extraction ( the tooth which was refilled and all ready paid for the week before)

 

So after the extraction I was hoping to be pain free. Ohhhhhhh NOOOOO! Even more pain, how can this be there was no more infected tooth?. Back again in distress to the dentist. Pain in all my mouth not just the extraction site. X rays were taken and he came to the conclusion of infection of extraction site, and suspected infection of the other side of mouth in a tooth with a root canal. Concluding another re root canal or another extraction. Again sheer devastation 2 teeth in 2 weeks. Again emotional in the treatment room (happening quite frequently at this stage of withdrawl). I questioned different things ...was he sure etc etc, he sent me for a 2 opinion 2 days later.By this time I am a complete nervous wreck , feeling fragile in withdrawl and thinking I'm going to loose 1 or even 2 more teeth. .yet another emotional episode retelling the new dentist my story. She again X rayed and did some tests on teeth with ice , tapped on teeth, felt around gums and jaw.Her conclusion was no infection .In either side, if the extraction site was infected it wasn't anymore.Also there was a little bit of irritation/ inflammation above the non extraction side which did not need any treatment.I was in disbelief. She said the pain was probably from the cleaning a and from grinding my teeth and would hopefully settle down In about 3 weeks.

 

After all that I was wondering if any one else has tooth , jaw, face pain throbbing and shooting pains as she said also the paroxatine could be causing get some of the pain.

Been taking paroxatine for approx 15 years.Tried a few times yo stop but failed. Am currently on 3.5mg liquid

Jan 2016 been slow tapering paroxatine and i am currently at 2.9 mg and last drop was 5 weeks ago.

Started to feel awful about 3 weeks ago with brain ???? , shakes, blurred vision and dizzyness. ..

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  • Moderator Emeritus

Merged similar topics. 

 

You might find some similar experiences in this thread KatieB, I hope things settle down for you soon, it's good that there isn't any infection. 

Pain does seem to be more acute in withdrawal, like all nerves are on edge and the slightest pain is amplified, if that's the right word! 

**I am not a medical professional, if in doubt please consult a doctor with withdrawal knowledge.

 

 

Different drugs occasionally (mostly benzos) 1976 - 1981 (no problem)

1993 - 2002 in and out of hospital. every type of drug + ECT. Staring with seroxat

2002  effexor. 

Tapered  March 2012 to March 2013, ending with 5 beads.

Withdrawal April 2013 . Reinstated 5 beads reduced to 4 beads May 2013

Restarted taper  Nov 2013  

OFF EFFEXOR Feb 2015    :D 

Tapered atenolol and omeprazole Dec 2013 - May 2014

 

Tapering tramadol, Feb 2015 100mg , March 2015 50mg  

 July 2017 30mg.  May 15 2018 25mg

Taking fish oil, magnesium, B12, folic acid, bilberry eyebright for eye pressure. 

 

My story http://survivingantidepressants.org/index.php?/topic/4199-hello-mammap-checking-in/page-33

 

Lesson learned, slow down taper at lower doses. Taper no more than 10% of CURRENT dose if possible

 

 

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Thanks mammap.

I guess I have to try and relax and just let whatever is happening heal.Stress won't help me one little bit.

IM no good with pain and on top of horrible muscle pain which I have had now for 4 months this happens.It just seems that I never get a break,whenever a pain or sympton goes or reduces up pops another one immediately to take its place.Just feel so deflated and worn out at the moment

Been taking paroxatine for approx 15 years.Tried a few times yo stop but failed. Am currently on 3.5mg liquid

Jan 2016 been slow tapering paroxatine and i am currently at 2.9 mg and last drop was 5 weeks ago.

Started to feel awful about 3 weeks ago with brain ???? , shakes, blurred vision and dizzyness. ..

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  • 1 month later...

im not in a great state for writing, but i wanted to put up a post asking about peoples experiences with dental agents.

 

 

ive had at least one filling since i was on meds/in withdrawal from meds, and it wasnt a concern that past drugs involved with that might come back to me.  but in 2014 i had to have a filling done and i told the dentist i was in a hypersensitivity from withdrawal and he dialed back the doses and maybe held back on one of the heavier things entirely (i dont really recall).  when he injected me, i had a lot of trouble breathing and my face sort of collapsed, but i evened out after a while.  there was a forming cavity and he said he had to deal with it before it became too late to preserve the tooth in ideal shape, which is why i risked a procedure when the outcome seemed a bit unpredictable (though he gave me assurances when i confronted him about my specific peril beforehand).  this was before i had verification that psychotropic withdrawal of the sort i was imagining even existed, and before i came onto here, i believe.

 

anyway, i started feeling a numbness in my lower jaw, on the right hand side, and it began spreading, just an hour or so ago.  it felt just like dental anaesthesia.  it made me curious, but i was going to wait it out and see what happens (as maybe it was a dyskinesia, or my teeth moving again, or who knows what).  after a minute or two, i began tasting the pre-numbing agent that is spread to mask the needle entry of the venal intoxicant, and salivating abnormally for minutes and minutes.  finally, it got to the point where my smile was one-sided, like in a stroke or bells palsy.  i called the dentists office for my records, asking if there were any procedures done during the period i was on meds (as i figure im in the 2006-2007 range right now, in terms of re-experiencing past medication clusters).  after a lot of digging and questioning, it turns out the most recent procedure in late 2014, which i hadnt recalled any of the specific details of until i was told, is the one where i had a filling on my lower right side.

 

 

the entire right side of my face is radiating a numbness, and i am still tasting the medication.  its hard to even keep my head straight, and my lips, cheek, and face are experiencing an induced numbness and laxness.  even my right eye is feeling wonky.  i dont imagine this will persist more than a few hours, as these are short acting and has always dissipated during the initial treatments (even if i never had such a severe susceptibility as 2014 and presently), but i hadnt thought it would come back to bite me in the ass in the same way as the psychotropics.  so i was wondering about the experiences of other members who have noticed such correlations or had after-effects of dental procedures while in withdrawal.  i am curious as to the rate of storage, release, and metabolism for the common anaesthetic agents so i can figure out why this is happening 9 months later.  i may inquire elsewhere as to those specifics.

from 2005-2012, i spent 7 years taking 17 different psychotropic medications covering several classes.  i would be taking 3-7 medications at a time, and 6 out of the 17 medications listed below were maxed or overmaxed in clinical dosage before i moved on to trying the next unhelpful cocktail.
 
antidepressants (SSRIs, SNRIs, NDRIs, tetracyclics): zoloft, wellbutrin, effexor, lexapro, prozac, cymbalta, remeron
antipsychotics (atypical): abilify, zyprexa, risperdal, geodon
sleep aids (benzos, off-label antidepressants & antipsychotics, hypnotics): seroquel, temazepam, trazodone, ambien
anxiolytics: buspar
anticonvulsants: topamax
 
i tapered off all psychotropics from late 2011 through early 2013, one by one.  since quitting, ive been cycling through severe, disabling withdrawal symptoms spanning the gamut of the serious, less serious, and rather worrisome side effects of these assorted medications.  previous cross-tapering and medication or dosage changes had also caused undiagnosed withdrawal symptoms.
 
brainpan addlepation

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  • 2 months later...

I may be in the same place as Spidey:  I had to have a back molar removed (really just chips of the tooth from a bridge removal).  I had that done on the Thursday and I have no pain at all but the clotting that should have stayed on has come off and the bone is exposed.  My dentist says that doesn't mean that I will get a dry socket but its certainly not ideal.  So from what I understand, the dry socket comes on a few days after the tooth is removed and is excruciatingly painful.

 

I can't take the usual tx which is a direct pack on the gum/bone because it contains oil of clove---that is not recommended for people either on SSRI's or w/d'ing etc as it interferes with the serotonin action.  I can't take Ibuprofen or Tylenol because that too, interacts with serotonin. 

 

Does anyone know of ANY type of pain relief that has at least less effect on serotonin receptors or at least is tolerated?  I just want to find something that would help in case I do end up with dry socket and am in awful pain and can't do any research.  I tend to have a VERY low pain threshold!! 

1971-81  Valium 5mg c/t PAWS     1992- through now Zoloft 25mg    2003-05 Valium 12mg Slow Taper Off

2013 Afrin Exposure to CNS    2013 O/D Val 230mg    2013 Doxepin 50mg Clonidine 2mg Zoloft 25mg

3/15/16  Doxepin 49mg Micro Tapering  Zoloft 24.3mg Holding taper

3/15/16 Clonidine mg 0.1 1/2 -    Decreasing incrementally.  DISCONTINUED

10/9/16  Doxepin 48.9  Zoloft 24.3  Clonidine  01.10  Continuing micro taper on Doxepin.

11/16/16 Doxepin 48mg  Zoloft 24.3mg  Clonidine 1.30mg

5/4/17  Doxepin 45mg  Zoloft 24mg  Clonidine 1.20mg   Micro taper of Doxepin  , Clonidine

01/13/19  Doxepin 45mg   Zoloft 21mg   Will start Micro taper of Doxepin 2/19

12/21/21  Doxepin 20 mg ?  Reducing using water micro taper--Pulling 24ml from 75ml

12/2121   Zoloft .060 grams by weight--HOLDING (info from post added by CC: On 12/21/21 my dosage was .060grams by weight or 20mg. )

26 Apr 2022 - Zoloft at -0-

 

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  • 3 weeks later...

I need to have some dental work done that would require a local anesthetic injection. 

 

I am so frightened by people having paradoxical reactions  to even pseudoephedrine that is in cold medications - could the anesthetic injection done at the dentist's office be a threat to the nervous system when in withdrawal?

 

If yes, what can be expected?


 

  • 2,5 years of slowly tapering down Cymbalta from 60 mg. Then tried going from 8,44 mg to 1 mg in 8 days. (April 1st 2015). That's when the real hell started. Reinstated. Didn't help. I was added Ativan (2 mg 2 times a day for relentless akathisia that started with jumping Cymbalta). For years had been taking Zopitin 7,5 mg and Stilnox 10 mg for I had not been able to sleep naturally since the 1st day I started Cymbalta). Used to take Xanax occasionally.
  • All of the above were stopped cold turkey when I was hospitalized in the beginning of May 2015.
  • Prior to that I have been on and off the whole spectrum of different AD-s for 15 years (since I was 17).

My introduction.

 

Tapering:

  • Olanzapine (starting point 2,1 mg): Jan 2016  /---/ April 2018 0 mg. (From 2,1 mg to 0 mg in 1y 3mo).
  • Diazepam (starting at 5 mg) : switching to liquid May 2018;  4,6 mg (June 2018) /---/ 0 mg (Feb 2020) (From 10 to 5 - nobody knows, from 5 to 0 in 1 y 10 mo)
  • Valdoxan (starting at 25 mg): switching to liquid (Feb 2019) /---/ 0 mg (July 2020)

 

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  • Moderator Emeritus

Topics merged.

Erer, please read through this topic from the beginning, you will find your questions answered here.

I'm not a doctor.  My comments are not medical advise. These are my opinions based on my own experience and what I've learned. Please discuss your situation with a medical practitioner who has knowledge of tapering and withdrawal...if you are lucky enough to find one.

My Introduction Thread

Full Drug and Withdrawal History

Brief Summary

Several SSRIs for 13 years starting 1997 (for mild to moderate partly situational anxiety) Xanax PRN ~ Various other drugs over the years for side effects

2 month 'taper' off Lexapro 2010

Short acute withdrawal, followed by 2 -3 months of improvement then delayed protracted withdrawal

DX ADHD followed by several years of stimulants and other drugs trying to manage increasing symptoms

Failed reinstatement of Lexapro and trial of Prozac (became suicidal)

May 2013 Found SA, learned about withdrawal, stopped taking drugs...healing begins.

Protracted withdrawal, with a very sensitized nervous system, slowly recovering as time passes

Supplements which have helped: Vitamin C, Magnesium, Taurine

Bad reactions: Many supplements but mostly fish oil and Vitamin D

June 2016 - Started daily juicing, mostly vegetables and lots of greens.

Aug 2016 - Oct 2016 Best window ever, felt almost completely recovered

Oct 2016 -Symptoms returned - bad days and less bad days.

April 2018 - No windows, but significant improvement, it feels like permanent full recovery is close.

VIDEO: Where did the chemical imbalance theory come from?



VIDEO: How are psychiatric diagnoses made?



VIDEO: Why do psychiatric drugs have withdrawal syndromes?



VIDEO: Can psychiatric drugs cause long-lasting negative effects?

VIDEO: Dr. Claire Weekes

 

 

 

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Topics merged.

Erer, please read through this topic from the beginning, you will find your questions answered here.

 

Thank you, but I don't think my question was answered here. I am still unaware whether to be cautious of any local anesthetic or not etc.

  • 2,5 years of slowly tapering down Cymbalta from 60 mg. Then tried going from 8,44 mg to 1 mg in 8 days. (April 1st 2015). That's when the real hell started. Reinstated. Didn't help. I was added Ativan (2 mg 2 times a day for relentless akathisia that started with jumping Cymbalta). For years had been taking Zopitin 7,5 mg and Stilnox 10 mg for I had not been able to sleep naturally since the 1st day I started Cymbalta). Used to take Xanax occasionally.
  • All of the above were stopped cold turkey when I was hospitalized in the beginning of May 2015.
  • Prior to that I have been on and off the whole spectrum of different AD-s for 15 years (since I was 17).

My introduction.

 

Tapering:

  • Olanzapine (starting point 2,1 mg): Jan 2016  /---/ April 2018 0 mg. (From 2,1 mg to 0 mg in 1y 3mo).
  • Diazepam (starting at 5 mg) : switching to liquid May 2018;  4,6 mg (June 2018) /---/ 0 mg (Feb 2020) (From 10 to 5 - nobody knows, from 5 to 0 in 1 y 10 mo)
  • Valdoxan (starting at 25 mg): switching to liquid (Feb 2019) /---/ 0 mg (July 2020)

 

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  • Moderator Emeritus

From the research I've done if I was just having one implant I would probably be fine with just a local anesthetic ...

 

They did use local anesthetic that I believe contained epenephrine, but they monitored my heart rate through the whole procedure so if I got the shakes I didn't know about it. 

 

I'll monitor my symptoms this week and continue to report, but it appears to have been a very uneventful surgery.

 

 

During withdrawal, I had alot of dental work, including fillings and never had a problem in spite of being hypersensitive to meds. 

If you are concerned, you might want to tell the dentist that due to being med sensitive, which local anesthetic would he advise giving you. 

 

 

I think for just a filling you will only have local anesthetic, like CS said.  It's not as invasive as general anesthetic, and less likely to knock you for a loop.

 

 

Please read through the topic.  No one is able to predict how a local anesthetic will effect you because everyone is different. But this thread contains examples of how dental work has impacted others who were in withdrawal.

 

The first few posts by Karma detail how she had extensive work done, including local and general anesthetic and she had some reactions which resolved within a week.

 

You will most likely be fine, but if you are concerned, you could do as compsports suggests.

I'm not a doctor.  My comments are not medical advise. These are my opinions based on my own experience and what I've learned. Please discuss your situation with a medical practitioner who has knowledge of tapering and withdrawal...if you are lucky enough to find one.

My Introduction Thread

Full Drug and Withdrawal History

Brief Summary

Several SSRIs for 13 years starting 1997 (for mild to moderate partly situational anxiety) Xanax PRN ~ Various other drugs over the years for side effects

2 month 'taper' off Lexapro 2010

Short acute withdrawal, followed by 2 -3 months of improvement then delayed protracted withdrawal

DX ADHD followed by several years of stimulants and other drugs trying to manage increasing symptoms

Failed reinstatement of Lexapro and trial of Prozac (became suicidal)

May 2013 Found SA, learned about withdrawal, stopped taking drugs...healing begins.

Protracted withdrawal, with a very sensitized nervous system, slowly recovering as time passes

Supplements which have helped: Vitamin C, Magnesium, Taurine

Bad reactions: Many supplements but mostly fish oil and Vitamin D

June 2016 - Started daily juicing, mostly vegetables and lots of greens.

Aug 2016 - Oct 2016 Best window ever, felt almost completely recovered

Oct 2016 -Symptoms returned - bad days and less bad days.

April 2018 - No windows, but significant improvement, it feels like permanent full recovery is close.

VIDEO: Where did the chemical imbalance theory come from?



VIDEO: How are psychiatric diagnoses made?



VIDEO: Why do psychiatric drugs have withdrawal syndromes?



VIDEO: Can psychiatric drugs cause long-lasting negative effects?

VIDEO: Dr. Claire Weekes

 

 

 

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  • Moderator

This year I had a broken tooth, root canal, post and crown and a full deep cleaning all of which required heavy locals on seven different occasions.  Other than feeling beaten up by the work itself, I had no lasting effects from the drugs.

20 years on Paxil starting at 20mg and working up to 40mg. Sept 2011 started 10% every 6 weeks taper (2.5% every week for 4 weeks then hold for 2 additional weeks), currently at 7.9mg. Oct 2011 CTed 15oz vodka a night, to only drinking 2 beers most nights, totally sober Feb 2013.

Since I wrote this I have continued to decrease my dose by 10% every 6 weeks (2.5% every week for 4 weeks and then hold for an additional 2 weeks). I added in an extra 6 week hold when I hit 10mg to let things settle out even more. When I hit 3mgpw it became hard to split the drop into 4 parts so I switched to dropping 1mgpw (pill weight) every week for 3 weeks and then holding for another 3 weeks.  The 3 + 3 schedule turned out to be too harsh so I cut back to dropping 1mgpw every 4 weeks which is working better.

Final Dose 0.016mg.     Current dose 0.000mg 04-15-2017

 

"It's also important not to become angry, no matter how difficult life is, because you can loose all hope if you can't laugh at yourself and at life in general."  Stephen Hawking

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