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bheb: akathisia without dose change


bheb

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Struggling with aka but also with emotional regulation or something? I'm wondering if this also caused by being on so many antibiotics.

 

I feel a lot of undirected anxiety and disgruntlement. I have OCD and am used to some level of anxiety. But this is weird. Even between distressing thoughts I feel the need to seek out/look for distress? To almost fill in missing content? Just a weird high alert feeling where I feel very upset for no reason. For lack of a better term, something "hormonal" seeming. 

 

This is quite horrid to those around me. Makes me want to isolate a lot because I don't want my misery infecting others.

Aug-Dec 2015 Prozac 20mg / Dec 2015-Feb 2016 Prozac 15mg / Feb 2016-May2016 Prozac 20mg

May 2016-June 2016 15mg

June 2016-August 2016 10mg

October 2016-January 2017 15mg, alternating agitation/akathisia sets in --> cold turkey

January 2017 Clonazepam .5mg 

February 2017 Clonazepam 1mg (for a week) then .5mg morning and .25mg evening for about a month. Came down to .25mg morning and evening. 

May 1, 2017 Clonazepam .25mg morning and .125mg evening. // May 20, 2017 Clonazepam .25mg morning and .0625 evening (.3125 total).

early June .28125 // early mid june .25mg // mid june .21875 // late june .1875 // early july .15625 // early mid july .125 

mid july .09375mg // late july .0625 //early August 2017 down to .03125mg once a day, hopped off in mid August

reinstated at .0625mg late August // Oct 16 - updose to .07mg and switch to oral Rosemont solution

Nov 17 2017 reinstate Prozac .5mg // Nov 21 2017 prozac 1.6mg // Dec 18 2017  3mg prozac / fast taper off the reinstatement -- probably completely off early Oct 2018

June 2019 begin tapering off .07mg Clonazepam, Finish taper December 2019

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The worst of the physical itchiness need-to-pace aspect is passing.

 

Still stuck with the emotional stuff and a sense of uneasiness in my chest. More of an aimless panic now. I've started to get constant bad butterflies in my stomach, fluttering, sinking feeling.

Aug-Dec 2015 Prozac 20mg / Dec 2015-Feb 2016 Prozac 15mg / Feb 2016-May2016 Prozac 20mg

May 2016-June 2016 15mg

June 2016-August 2016 10mg

October 2016-January 2017 15mg, alternating agitation/akathisia sets in --> cold turkey

January 2017 Clonazepam .5mg 

February 2017 Clonazepam 1mg (for a week) then .5mg morning and .25mg evening for about a month. Came down to .25mg morning and evening. 

May 1, 2017 Clonazepam .25mg morning and .125mg evening. // May 20, 2017 Clonazepam .25mg morning and .0625 evening (.3125 total).

early June .28125 // early mid june .25mg // mid june .21875 // late june .1875 // early july .15625 // early mid july .125 

mid july .09375mg // late july .0625 //early August 2017 down to .03125mg once a day, hopped off in mid August

reinstated at .0625mg late August // Oct 16 - updose to .07mg and switch to oral Rosemont solution

Nov 17 2017 reinstate Prozac .5mg // Nov 21 2017 prozac 1.6mg // Dec 18 2017  3mg prozac / fast taper off the reinstatement -- probably completely off early Oct 2018

June 2019 begin tapering off .07mg Clonazepam, Finish taper December 2019

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I get these too now- as the aka urges have passed - for years it was a panic for no reason feeling that was constant - and ever so slightly that started getting better - 

I now try to look at these waves as opportunities to deal with my bad feelings, whether they be anxiety or depression, without medication. 
I have fear all the time, doom and gloom what’s the point of life feelings often, and I don’t even want to get out of bed. It takes all I can muster to leave my house; but once I do it, I keep at it- with tears rolling down my face - with the desire the whole time to go back to bed- and for a few moments sometimes my physical activity can distract from my emotional feelings - 

I hope I’m doing the right thing, and I hope these are helpful coping mechanisms- for now they seem to at the very least keep me functioning in these waves - 

 

but what your feeling now it will get easier - it did for me - and it’s chemical- so try to distance yourself from it- IMO no amount of therapy and harping on old traumas help these - the beat we have is to cope with the feelings and remind ourselves they are the result of a damage to the cns. 
 

much love to you bheb! 

 

*Currently at 8.2-8.5 mg of my 10mg pill of Paxil (they actually weigh 12.5mg) 

january 2023 I began reducing my med again. I was a 9mg weight for years, I went to 8.9 in January, went to 8.6mg in February, and in March 2023 I went down to 8.5-8.2 mg ( my scale varies, so I stick within that .3 range because of that) 

*No other supplements or vitamins 

*Taper schedule in the pdf 

Blank.pdf

 

https://docs.google.com/document/d/1-5vShtJtwAOGA30OxIP87steLmMdFzD29F0fzAPD564

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16 hours ago, Vonnegutjunky said:

I now try to look at these waves as opportunities to deal with my bad feelings, whether they be anxiety or depression, without medication.

 

That's a good way to look at it. I've been working through Schubinger's book on chronic pain and other stuff on "Mind Body Syndrome." Doesn't exactly apply to all of drug induced stuff but lots of the coping stuff seems apt. One of them is fully feeling everything, accepting the distress, "objectively" observing physical symptoms and repeating affirmations of safety. I'm trying to do this for mental symptoms as well.

 

16 hours ago, Vonnegutjunky said:

but what your feeling now it will get easier - it did for me - and it’s chemical- so try to distance yourself from it- IMO no amount of therapy and harping on old traumas help these

 

Yeah I mostly agree with this. Therapy not particularly helpful. And one point of departure with the mind body syndrome stuff. Not on board with this just being unfelt past traumas or current stressors. It really feels outside of reality for the most part though I try hard to direct the panic to current stressors. I can do it as there is a lot of stress (that no doubt makes things worse) but it doesn't feel like the genuine source. 

 

Just weird as this feels different than the terror I was in before. Somewhere in between my old terror and panic/emotional agitation. 

 

^But on that note, something that I found helpful from therapy (at least my OCD focused therapy) is the advice to stop trying to figure it out. Just accept that I'm in distress regardless of the source or monitoring for what's different. At the end of the day it doesn't matter and all I am doing is trying to exert impossible control over it. 

 

Thanks VJ

Aug-Dec 2015 Prozac 20mg / Dec 2015-Feb 2016 Prozac 15mg / Feb 2016-May2016 Prozac 20mg

May 2016-June 2016 15mg

June 2016-August 2016 10mg

October 2016-January 2017 15mg, alternating agitation/akathisia sets in --> cold turkey

January 2017 Clonazepam .5mg 

February 2017 Clonazepam 1mg (for a week) then .5mg morning and .25mg evening for about a month. Came down to .25mg morning and evening. 

May 1, 2017 Clonazepam .25mg morning and .125mg evening. // May 20, 2017 Clonazepam .25mg morning and .0625 evening (.3125 total).

early June .28125 // early mid june .25mg // mid june .21875 // late june .1875 // early july .15625 // early mid july .125 

mid july .09375mg // late july .0625 //early August 2017 down to .03125mg once a day, hopped off in mid August

reinstated at .0625mg late August // Oct 16 - updose to .07mg and switch to oral Rosemont solution

Nov 17 2017 reinstate Prozac .5mg // Nov 21 2017 prozac 1.6mg // Dec 18 2017  3mg prozac / fast taper off the reinstatement -- probably completely off early Oct 2018

June 2019 begin tapering off .07mg Clonazepam, Finish taper December 2019

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@bheb @Vonnegutjunky 

Ive personally heard Dr. Healy say that one needs to remain active in both physical and mental activities in order to facilitate healing. He has seen many people heal but the ones who heal quickest are more engaged with the world. Then you have people here that say you can’t do anything too strenuous because you’ll delay healing. One of them being Charlie G. 
 

I personally experienced a huge improvement after 3.5 years by remaining active.  I am doing the same now with the medication setback. Although a lot more difficult this time, there’s just something inside me that can’t stay home doing nothing but suffering.  I do admit when I do too much of anything I buy myself a month long wave, but if I stay home and do nothing I feel like I won’t get anywhere anytime soon.  

December 2014 - Lexapro 20 mg

August 2016 Med free (6 week taper)

December 22 2021  added Abilify 5mg / Ativan .5mg / Depakote ER 1000mg

Discontinued Abilify 5mg on 12-30-21---accidental dose on 1-13-22 (looks like Ativan)

Ativan PRN/Discontinued 1-14-22

Only drug is Depakote ER 1000mg ( looking to taper slow and safe for once )

3/24/22 Depakote 625mg 

Propranolol 20-40mg  PRN

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On 5/9/2021 at 3:08 PM, bheb said:

 

That's a good way to look at it. I've been working through Schubinger's book on chronic pain and other stuff on "Mind Body Syndrome." Doesn't exactly apply to all of drug induced stuff but lots of the coping stuff seems apt. One of them is fully feeling everything, accepting the distress, "objectively" observing physical symptoms and repeating affirmations of safety. I'm trying to do this for mental symptoms as well. 
 

this acceptance therapy is good - it helped me so much- we shift our expectations of what we “should” feel like and accept where we are - I know “waiting” for me to feel better was torture as everyday I’m waiting for symptoms to subside and yet they are still there - it made me so distraught, until I accepted that this was how things are - 

 

 

Yeah I mostly agree with this. Therapy not particularly helpful. And one point of departure with the mind body syndrome stuff. Not on board with this just being unfelt past traumas or current stressors. It really feels outside of reality for the most part though I try hard to direct the panic to current stressors. I can do it as there is a lot of stress (that no doubt makes things worse) but it doesn't feel like the genuine source. 


 

Just weird as this feels different than the terror I was in before. Somewhere in between my old terror and panic/emotional agitation. 

 
 

I noticed the same thing- my feelings of terror would change - not better or worse - I would just feel “off” in different ways - i


 

^But on that note, something that I found helpful from therapy (at least my OCD focused therapy) is the advice to stop trying to figure it out. Just accept that I'm in distress regardless of the source or monitoring for what's different. At the end of the day it doesn't matter and all I am doing is trying to exert impossible control over it. 

 

sorry it took so long to reply - I get so caught up in trying to distract sometimes I just try to stay off the site - 

 

how are you today? 

On 5/9/2021 at 3:08 PM, bheb said:

Thanks VJ

 

 

*Currently at 8.2-8.5 mg of my 10mg pill of Paxil (they actually weigh 12.5mg) 

january 2023 I began reducing my med again. I was a 9mg weight for years, I went to 8.9 in January, went to 8.6mg in February, and in March 2023 I went down to 8.5-8.2 mg ( my scale varies, so I stick within that .3 range because of that) 

*No other supplements or vitamins 

*Taper schedule in the pdf 

Blank.pdf

 

https://docs.google.com/document/d/1-5vShtJtwAOGA30OxIP87steLmMdFzD29F0fzAPD564

Link to comment

Hey VJ and Alice,

 

Happy to report that I appear to be back at baseline (with maybe just increased anxiety)! There are more antibiotics in my future I fear...but good to know I can recover.

 

How are you all?

Aug-Dec 2015 Prozac 20mg / Dec 2015-Feb 2016 Prozac 15mg / Feb 2016-May2016 Prozac 20mg

May 2016-June 2016 15mg

June 2016-August 2016 10mg

October 2016-January 2017 15mg, alternating agitation/akathisia sets in --> cold turkey

January 2017 Clonazepam .5mg 

February 2017 Clonazepam 1mg (for a week) then .5mg morning and .25mg evening for about a month. Came down to .25mg morning and evening. 

May 1, 2017 Clonazepam .25mg morning and .125mg evening. // May 20, 2017 Clonazepam .25mg morning and .0625 evening (.3125 total).

early June .28125 // early mid june .25mg // mid june .21875 // late june .1875 // early july .15625 // early mid july .125 

mid july .09375mg // late july .0625 //early August 2017 down to .03125mg once a day, hopped off in mid August

reinstated at .0625mg late August // Oct 16 - updose to .07mg and switch to oral Rosemont solution

Nov 17 2017 reinstate Prozac .5mg // Nov 21 2017 prozac 1.6mg // Dec 18 2017  3mg prozac / fast taper off the reinstatement -- probably completely off early Oct 2018

June 2019 begin tapering off .07mg Clonazepam, Finish taper December 2019

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Hello @bheb,

 

glad to read that you have to report something positive!

 

Please take care of you and stay strong!

 

Greetings

 

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

 

2021 IMPORTANT WITHDRAWAL SURVEY, PLEASE PARTICIPATE: https://uelpsych.eu.qualtrics.com/jfe/form/SV_0AR9IsQ61jsiXBk

2022 IMPORTANT WITHDRAWAL SURVEY, PLEASE PARTICIPATE: https://uelpsych.eu.qualtrics.com/jfe/form/SV_0AR9IsQ61jsiXBk

 

non-native speaker of english

2020: 3-March -> started Mirtazapine 15mg;

3-March to 6-April -> approx. cutting to 0 mg; 6-April to 20-April -> ~ 7,5 mg; 21-April to 31-April -> 15 mg; 1-May to 13-May -> ~ 10 mg (approx.); 15-May to 19-July -> 15 mg (psychosomatic clinic) 19-July -> started taper (scale and file) 14 mg (-6,6%); 08-August -> 12 mg (-14,3 %); 27-August -> 10 mg (-16,6 %); 15-September -> 8 mg (-20 %, bad idea, heavy WD); 23-September -> 10.2 mg (+20 %, 102 mgpw)

2021: 12-April to 12-May -> crossover from solid pill to DIY liquid (water only), 10.2 mg, not stable; 10-September -> back to crushing and weighing, still 10.2 mg (102 mgpw)

2022: 13-March -> changed to DIY liquid with suspension vehicle, 10.2 mg

 

Supplements: 1 x ~125 mg magnesiumbiglycinate before bed, low histamine diet

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3 hours ago, bheb said:

Happy to report that I appear to be back at baseline

Great to hear, bheb!  

-1/06 - 3/07 Cymbalta. Fast taper (essentially CT); withdrawal symptoms after 4 mos (didn't realize was WD)

-10/07: 100 mg Zoloft; 1 mg Klonopin - tapered off Klonopin after 4 mos. Several unsuccessful slow tapers of Zoloft; went up and down in dose a lot

-Spring 2013 back on 1 mg Klonopin to counter WD symptoms; switched over 5-6 mos from Zoloft to 35 mg citalopram
-Two attempts at slow tapering citalopram, always increased dose due to WD; also increased Klonopin to 1.25 mg in 2014, then to 1.5 mg in 2015

-8/17-9/17: After holding one year at 20 mg, feeling withdrawal symptoms due to stress - slowly increased to 25 mg. No change in symptoms after 6 months (? tolerance ?)  - decided to start citalopram taper February 2018 (still on Klonopin 1.5 mg).

Supplements: fish oil; magnesium; vitamin D3; curcumin

Citalopram taper:  2/2018 - 12/2019: 25 mg - 11.03 mg I 2020: 10.89 mg - 7.9 mg I 2021: 7.8 mg - 5.26 mg I 2022: 5.2 mg - 3.36 mg I 2023: 3.3 mg - 1.47 mg 2024: 1/5/24: 1.44 mg; 1/19/24: 1.40 mg; 1/26/24: 1.37 mg; 2/2/24: 1.34 mg; 2/9/24: 1.31 mg; 2/23/24: 1.28 mg; 3/1/24: 1.25 mg; 3/8/24: 1.22 mg; 3/15/24: 1.19 mg

 

 

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Hi, b h e b,

 

(Autocorrect ruins your name every time.  So, I fixed that!)

 

I’m very happy that you are feeling better.  How wonderful.

 

Rosetta

https://www.survivingantidepressants.org/topic/16629-rosetta-ct-may-2011-too-fast-taper-feb-2017/?page=25

2001-2011 Celexa 10 mg raised to 40 mg then 60 mg over this time period

May 2011 OB Doctor's Cold switch Celexa 60 mg to 10 mg Zoloft sertraline (baby born)

2012-2016 - Doctors raised dose of Zoloft up to 150 mg

2016 - Xanax prescribed - as needed - 0.5 mg about every 3 days (bad reaction)

2016 - Stopped Xanax

Late 2016- Began (too fast) taper of Zoloft

Early 2017 - Trazodone prescribed for bedtime (doseage unknown)

Feb 2017 - Completed taper/stopped Trazodone

Drug free since Feb 2017

2017 - Unisom otc very rarely for sleep

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Thanks you all.

 

Back to the grind of coping with my regular symptoms, but definitely taking this as a relief!

Aug-Dec 2015 Prozac 20mg / Dec 2015-Feb 2016 Prozac 15mg / Feb 2016-May2016 Prozac 20mg

May 2016-June 2016 15mg

June 2016-August 2016 10mg

October 2016-January 2017 15mg, alternating agitation/akathisia sets in --> cold turkey

January 2017 Clonazepam .5mg 

February 2017 Clonazepam 1mg (for a week) then .5mg morning and .25mg evening for about a month. Came down to .25mg morning and evening. 

May 1, 2017 Clonazepam .25mg morning and .125mg evening. // May 20, 2017 Clonazepam .25mg morning and .0625 evening (.3125 total).

early June .28125 // early mid june .25mg // mid june .21875 // late june .1875 // early july .15625 // early mid july .125 

mid july .09375mg // late july .0625 //early August 2017 down to .03125mg once a day, hopped off in mid August

reinstated at .0625mg late August // Oct 16 - updose to .07mg and switch to oral Rosemont solution

Nov 17 2017 reinstate Prozac .5mg // Nov 21 2017 prozac 1.6mg // Dec 18 2017  3mg prozac / fast taper off the reinstatement -- probably completely off early Oct 2018

June 2019 begin tapering off .07mg Clonazepam, Finish taper December 2019

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On 5/18/2021 at 11:07 AM, bheb said:

Hey VJ and Alice,

 

Happy to report that I appear to be back at baseline (with maybe just increased anxiety)! There are more antibiotics in my future I fear...but good to know I can recover.

 

How are you all?

That’s awesome! 
 

I too am riding this window! Symptoms are reduced and I am practicing practicing practicing- relaxing my muscles during the anxiety and forcing myself to move during depressive feelings - 

 

reduced ear ringing and reduced double vision, and reduced brain “blips”.

 

To keeping these windows open!!! 

 

*Currently at 8.2-8.5 mg of my 10mg pill of Paxil (they actually weigh 12.5mg) 

january 2023 I began reducing my med again. I was a 9mg weight for years, I went to 8.9 in January, went to 8.6mg in February, and in March 2023 I went down to 8.5-8.2 mg ( my scale varies, so I stick within that .3 range because of that) 

*No other supplements or vitamins 

*Taper schedule in the pdf 

Blank.pdf

 

https://docs.google.com/document/d/1-5vShtJtwAOGA30OxIP87steLmMdFzD29F0fzAPD564

Link to comment
On 5/20/2021 at 8:48 PM, Vonnegutjunky said:

That’s awesome! 
 

I too am riding this window! Symptoms are reduced and I am practicing practicing practicing- relaxing my muscles during the anxiety and forcing myself to move during depressive feelings - 

 

reduced ear ringing and reduced double vision, and reduced brain “blips”.

 

To keeping these windows open!!! 

 

Really good!

 

I need to figure out some practices for these residual distressed feelings/emotional overwhelm. 

Aug-Dec 2015 Prozac 20mg / Dec 2015-Feb 2016 Prozac 15mg / Feb 2016-May2016 Prozac 20mg

May 2016-June 2016 15mg

June 2016-August 2016 10mg

October 2016-January 2017 15mg, alternating agitation/akathisia sets in --> cold turkey

January 2017 Clonazepam .5mg 

February 2017 Clonazepam 1mg (for a week) then .5mg morning and .25mg evening for about a month. Came down to .25mg morning and evening. 

May 1, 2017 Clonazepam .25mg morning and .125mg evening. // May 20, 2017 Clonazepam .25mg morning and .0625 evening (.3125 total).

early June .28125 // early mid june .25mg // mid june .21875 // late june .1875 // early july .15625 // early mid july .125 

mid july .09375mg // late july .0625 //early August 2017 down to .03125mg once a day, hopped off in mid August

reinstated at .0625mg late August // Oct 16 - updose to .07mg and switch to oral Rosemont solution

Nov 17 2017 reinstate Prozac .5mg // Nov 21 2017 prozac 1.6mg // Dec 18 2017  3mg prozac / fast taper off the reinstatement -- probably completely off early Oct 2018

June 2019 begin tapering off .07mg Clonazepam, Finish taper December 2019

Link to comment
1 hour ago, bheb said:

 

Really good!

 

I need to figure out some practices for these residual distressed feelings/emotional overwhelm. 

One of the things I’ve been doing is….well….doing. 
 

Dr Michael yapko said one the the things he noticed about people who tend to get depressed is that they act on their emotions more often than those who are not depressed. 
 

so when I feel the dread and horror and anxiety and I want to cry and stay in bed, I say, can I physically move? Can I get out of my bed? The answer is almost always yes, regardless of how I feel, I can physically get up. So I do. I don’t want until I’m motivated anymore to do things - I do them anyway - I might be crying while I’m doing it- but I’m doing it anyway- 

 

when I force myself into goal oriented action, (I’ve been door dashing when I feel awful) it seems to help a bit - I get out, I have small achievable goals and it gets my mind refocused - i have my husband come with me because  sometimes I am literally in tears and I just want to go home - but even feeling like I did a bit helps me - 

 

I don’t do this every single time I feel the dread and doom, sometimes I will just stay in bed for the day- but I try to make sure I get up the next day and face all of the ick in my mind and heart. 
 

you can do it- you can find your goal oriented action- I know you can!! 

 

*Currently at 8.2-8.5 mg of my 10mg pill of Paxil (they actually weigh 12.5mg) 

january 2023 I began reducing my med again. I was a 9mg weight for years, I went to 8.9 in January, went to 8.6mg in February, and in March 2023 I went down to 8.5-8.2 mg ( my scale varies, so I stick within that .3 range because of that) 

*No other supplements or vitamins 

*Taper schedule in the pdf 

Blank.pdf

 

https://docs.google.com/document/d/1-5vShtJtwAOGA30OxIP87steLmMdFzD29F0fzAPD564

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  • 3 weeks later...

^I have been trying to be goal oriented recently. Eliminating avoidance behavior. Trying not to dwell or suppress my symptoms or feelings — sitting with them, experiencing them, and then going about my business.

 

But boy am I having major trouble. Think I spoke too soon about being at baseline. The weird distressed feeling seemingly morphs with akathisia and agitation. Just all around on edge. I don’t think it helped that I had a major stress flare while on the antibiotic — probably catalyzed the agitating effects or made me more susceptible to them. 
 

Or who knows what’s causing this. Trying not to figure it out constantly. But struggling a lot to survive each second. Feel like my body might explode from constant adrenaline feeling. 

Aug-Dec 2015 Prozac 20mg / Dec 2015-Feb 2016 Prozac 15mg / Feb 2016-May2016 Prozac 20mg

May 2016-June 2016 15mg

June 2016-August 2016 10mg

October 2016-January 2017 15mg, alternating agitation/akathisia sets in --> cold turkey

January 2017 Clonazepam .5mg 

February 2017 Clonazepam 1mg (for a week) then .5mg morning and .25mg evening for about a month. Came down to .25mg morning and evening. 

May 1, 2017 Clonazepam .25mg morning and .125mg evening. // May 20, 2017 Clonazepam .25mg morning and .0625 evening (.3125 total).

early June .28125 // early mid june .25mg // mid june .21875 // late june .1875 // early july .15625 // early mid july .125 

mid july .09375mg // late july .0625 //early August 2017 down to .03125mg once a day, hopped off in mid August

reinstated at .0625mg late August // Oct 16 - updose to .07mg and switch to oral Rosemont solution

Nov 17 2017 reinstate Prozac .5mg // Nov 21 2017 prozac 1.6mg // Dec 18 2017  3mg prozac / fast taper off the reinstatement -- probably completely off early Oct 2018

June 2019 begin tapering off .07mg Clonazepam, Finish taper December 2019

Link to comment

Oh, I’m sorry to hear that.  I hope this passes quickly.

https://www.survivingantidepressants.org/topic/16629-rosetta-ct-may-2011-too-fast-taper-feb-2017/?page=25

2001-2011 Celexa 10 mg raised to 40 mg then 60 mg over this time period

May 2011 OB Doctor's Cold switch Celexa 60 mg to 10 mg Zoloft sertraline (baby born)

2012-2016 - Doctors raised dose of Zoloft up to 150 mg

2016 - Xanax prescribed - as needed - 0.5 mg about every 3 days (bad reaction)

2016 - Stopped Xanax

Late 2016- Began (too fast) taper of Zoloft

Early 2017 - Trazodone prescribed for bedtime (doseage unknown)

Feb 2017 - Completed taper/stopped Trazodone

Drug free since Feb 2017

2017 - Unisom otc very rarely for sleep

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  • 1 month later...

Hey @bhebfellow OCD and akathisia sufferer here. Hows it going? I read a study the other day which was talking about how people with OCD are predisposed to akathisia and get it at much higher levels than others.

Started Lexapro 5mg Mid March 2020

Came off Completely September 2020

Hospitalised september 2021

Slowly worked up to 50mg lamictal and 60mg Prozac

reduced to 20mg Prozac September 2021

Holding 20mg Prozac and 50mg Lamictal for a good while to stabilise. November 2021

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4 hours ago, mva96 said:

Hey @bhebfellow OCD and akathisia sufferer here. Hows it going? I read a study the other day which was talking about how people with OCD are predisposed to akathisia and get it at much higher levels than others.

Omg. That’s so strange. I got aka, I don’t have ocd, but I got on Paxil due to my uncontrollable intrusive thoughts causing me rumination, pure O, that was so bad I had suicidal ideation. Oddly enough before starting Paxil I had no idea I had a type of ocd, I didn’t know what it was, and I thought I had some special super smart mind that just understood things that other people don’t understand ( it’s existential obsessions related to death and eternity)  it wasn’t until I started exposing myself to my fears and thoughts that I was able to recognize that my imagination isn’t some great body of wisdom and insight but just something that anxiety had connected itself to. I’m working through it so I can at least try to be free of these meds and use my coping skills. 
 

I think new anxiety books need to be written, the ones out there are terrible, if someone had told me what was wrong w me I would never have needed the pills,I don’t think. 

 

*Currently at 8.2-8.5 mg of my 10mg pill of Paxil (they actually weigh 12.5mg) 

january 2023 I began reducing my med again. I was a 9mg weight for years, I went to 8.9 in January, went to 8.6mg in February, and in March 2023 I went down to 8.5-8.2 mg ( my scale varies, so I stick within that .3 range because of that) 

*No other supplements or vitamins 

*Taper schedule in the pdf 

Blank.pdf

 

https://docs.google.com/document/d/1-5vShtJtwAOGA30OxIP87steLmMdFzD29F0fzAPD564

Link to comment

Hey @Vonnegutjunky, my OCD mainly manifests as pure O too, but this is still the same as regular OCD just in a different manifestation. The rumination is a mental compulsion! do you do tons or reading/research around the topics of your obsessions? Those are physical compulsions, kind like the equivalent of hand washing for someone with contamination OCD. 

 

Its really strange about the OCD and aka connection. It was in this study that found an abnormally high number of the participants with OCD developed aka from both SSRI's and anti psychotics. Looking around this site it seems alot of the people with OCD have developed akathisia.

Started Lexapro 5mg Mid March 2020

Came off Completely September 2020

Hospitalised september 2021

Slowly worked up to 50mg lamictal and 60mg Prozac

reduced to 20mg Prozac September 2021

Holding 20mg Prozac and 50mg Lamictal for a good while to stabilise. November 2021

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9 hours ago, mva96 said:

Hey @Vonnegutjunky, my OCD mainly manifests as pure O too, but this is still the same as regular OCD just in a different manifestation. The rumination is a mental compulsion! do you do tons or reading/research around the topics of your obsessions? Those are physical compulsions, kind like the equivalent of hand washing for someone with contamination OCD. 

 

Its really strange about the OCD and aka connection. It was in this study that found an abnormally high number of the participants with OCD developed aka from both SSRI's and anti psychotics. Looking around this site it seems alot of the people with OCD have developed akathisia.

This makes so much sense - and I am now seeing I do have ocd but when I tell other people that they think it’s the traditional hand washing stuff- 

 

This is fascinating that ocd and aka have a connection - dopamine dysregulation in some area of the brain? 
 

Yea my compulsions for the longest time we’re researching physics and quantum mechanics to try to quell the terror and fear - 

 

now I’m just exposing myself every day to my fears and letting them be- I label them and allow them and allow the fears with them- I know they are irrational thoughts and they are a product of my imagination- and I write about them everyday - I don’t ever want to feel like I did before - I want to face them head on and cope without pills - 

 

thanks for this info - I’m fascinated by the connection- 

 

*Currently at 8.2-8.5 mg of my 10mg pill of Paxil (they actually weigh 12.5mg) 

january 2023 I began reducing my med again. I was a 9mg weight for years, I went to 8.9 in January, went to 8.6mg in February, and in March 2023 I went down to 8.5-8.2 mg ( my scale varies, so I stick within that .3 range because of that) 

*No other supplements or vitamins 

*Taper schedule in the pdf 

Blank.pdf

 

https://docs.google.com/document/d/1-5vShtJtwAOGA30OxIP87steLmMdFzD29F0fzAPD564

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@VonnegutjunkyIts crazy isn't it. You should check out an instagram account called OCDRecoveryUK, and a youtube channel called mark freeman. Both really good OCD recovery sites.

 

Yeah it must be some kind of pre existing issue with dopamine functioning in the brain. When i think about it, OCD before i even touched the drugs often manifested as a terrible feeling that something was very wrong, and akathisia is almost like that feeling but on steroids.

 

Anyway, glad it was of help to you :) 

Started Lexapro 5mg Mid March 2020

Came off Completely September 2020

Hospitalised september 2021

Slowly worked up to 50mg lamictal and 60mg Prozac

reduced to 20mg Prozac September 2021

Holding 20mg Prozac and 50mg Lamictal for a good while to stabilise. November 2021

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I am very obsessive and with ruminating thoughts. I would say I am compulsive with having to check things that are bothering me as well. I was never diagnosed with anything other than anxiety (thanks Paroxetine)

 

I did have Akathisia from Paroxetine.

April 2007 -  Seroxat 20mg

August 2008 - Cold Turkey

August 2009 - Cold Turkey

November 2009 - Reinstatement adverse reaction akathesia/suicidal/anxiety

March 2011 - Start taper

November 2012 - Crash badly at 1.25mg akathesia/suicidal/extreme anxiety

January 2013 - 5mg Seroxat, 300mg  Lyrica

April 2017 - Successfully get off Seroxat with taper followed by 4 month of withdrawal 

January 2018 - Start with constant urinary urge/pain/burning/genital sensations 2 week after anxiety/akathesia ends

January 2019 - Started reducing Lyrica as I suspect it's causing frequent urination, tinnitus, fatigue, brain fog and mental decline.

December 2019 - Off all pysch meds

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  • 2 weeks later...
On 7/13/2021 at 6:30 PM, mva96 said:

Hey @bhebfellow OCD and akathisia sufferer here. Hows it going? I read a study the other day which was talking about how people with OCD are predisposed to akathisia and get it at much higher levels than others.


wow, my thread has been hopping unexpectedly! Hello everyone

 

Still carrying on with varying symptoms. Akathisia stronger than it had been the past year. OCD there. I think the akathisia and OCD and stress have also been burning out my brain a lot too, because if they reduce at all I have severe anhedonia.

 

Is this the study you’re talking about?

Aug-Dec 2015 Prozac 20mg / Dec 2015-Feb 2016 Prozac 15mg / Feb 2016-May2016 Prozac 20mg

May 2016-June 2016 15mg

June 2016-August 2016 10mg

October 2016-January 2017 15mg, alternating agitation/akathisia sets in --> cold turkey

January 2017 Clonazepam .5mg 

February 2017 Clonazepam 1mg (for a week) then .5mg morning and .25mg evening for about a month. Came down to .25mg morning and evening. 

May 1, 2017 Clonazepam .25mg morning and .125mg evening. // May 20, 2017 Clonazepam .25mg morning and .0625 evening (.3125 total).

early June .28125 // early mid june .25mg // mid june .21875 // late june .1875 // early july .15625 // early mid july .125 

mid july .09375mg // late july .0625 //early August 2017 down to .03125mg once a day, hopped off in mid August

reinstated at .0625mg late August // Oct 16 - updose to .07mg and switch to oral Rosemont solution

Nov 17 2017 reinstate Prozac .5mg // Nov 21 2017 prozac 1.6mg // Dec 18 2017  3mg prozac / fast taper off the reinstatement -- probably completely off early Oct 2018

June 2019 begin tapering off .07mg Clonazepam, Finish taper December 2019

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On 7/15/2021 at 2:20 PM, Boris said:

I am very obsessive and with ruminating thoughts. I would say I am compulsive with having to check things that are bothering me as well. I was never diagnosed with anything other than anxiety (thanks Paroxetine)

 

I did have Akathisia from Paroxetine.

I’m sorry, I did too. It’s a horrid poison. It’s far from what I would consider medication. 

 

*Currently at 8.2-8.5 mg of my 10mg pill of Paxil (they actually weigh 12.5mg) 

january 2023 I began reducing my med again. I was a 9mg weight for years, I went to 8.9 in January, went to 8.6mg in February, and in March 2023 I went down to 8.5-8.2 mg ( my scale varies, so I stick within that .3 range because of that) 

*No other supplements or vitamins 

*Taper schedule in the pdf 

Blank.pdf

 

https://docs.google.com/document/d/1-5vShtJtwAOGA30OxIP87steLmMdFzD29F0fzAPD564

Link to comment
On 7/23/2021 at 6:19 PM, bheb said:


wow, my thread has been hopping unexpectedly! Hello everyone

 

Still carrying on with varying symptoms. Akathisia stronger than it had been the past year. OCD there. I think the akathisia and OCD and stress have also been burning out my brain a lot too, because if they reduce at all I have severe anhedonia.

 

Is this the study you’re talking about?

If that’s the study I’m super annoyed. They say in study that antipsychotics would be less likely to cause akathisia in those with severe ocd due to the fact that those with severe ocd have lower sert concentrations…..yet again chemical imbalance theory….and and and…..if you look at any akathisia group on Facebook, you will see those who got akathisia from an Ssri also got it when their “doctors” gave them an antipsychotic to treat the akathisia. So no, taking more drugs never ever helps akathisia. It always makes it worse, I don’t know one person who ever was able to successfully take another med to cure akathisia. So frustrating. However the study is interesting to help people with ocd learn cbt techniques to cope with ocd. 

 

*Currently at 8.2-8.5 mg of my 10mg pill of Paxil (they actually weigh 12.5mg) 

january 2023 I began reducing my med again. I was a 9mg weight for years, I went to 8.9 in January, went to 8.6mg in February, and in March 2023 I went down to 8.5-8.2 mg ( my scale varies, so I stick within that .3 range because of that) 

*No other supplements or vitamins 

*Taper schedule in the pdf 

Blank.pdf

 

https://docs.google.com/document/d/1-5vShtJtwAOGA30OxIP87steLmMdFzD29F0fzAPD564

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  • 2 weeks later...

@bhebHey yeah thats the study im talking about.

 

Sorry to hear about the anhedonia, i completely relate. It can't be good for our systems to be drenched in cortisol 24/7.

Started Lexapro 5mg Mid March 2020

Came off Completely September 2020

Hospitalised september 2021

Slowly worked up to 50mg lamictal and 60mg Prozac

reduced to 20mg Prozac September 2021

Holding 20mg Prozac and 50mg Lamictal for a good while to stabilise. November 2021

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  • 1 month later...

So glad to find this information. My situation is complicated but the main thing is how severe my Akathisia has become.  I

have been considering reinstating a micro dose of escitalopram.  This information is helping me to see that probably won’t help.

 

I was CTbfrom escitalopram about 2 years ago then did a 10 month taper off .5 mg lorazepam.   Many common symptoms.  I guess time is the only healer?

Mid and late 1990s various antidepressants including Prozac, Pamelor, Zoloft, Trazadone for brief periods of time  Usually one month or less with no taper.

1998 to August 2020   .5 mg lorazepam, first PRN then daily. CTed Jan 2015 RI March 2015 (6 wks): CTed October 2016 RI Nov 2016 (3 wks (October 2016). 10 month taper begin Oct 2019 finished Aug 10, 2020. 2000 to Sept 2015 periodic use Escitalopram 10 mg.  Brief periods, 3-6 months, with rapid tapers or cold turkeys.Oct 2016 Cymbalta and Remeron for a period of about 2 weeks. Stopped cold turkey.Nov 2016 to October 2017 10 mg escitalopram.  One month taper

Last 2 ½ years:

Ongoing daily .5 lorazepam originally began in 1998 PRN, then daily 2008.  March 2019 to August 2019 10 mg escitalopram; rapid taper about 3 weeks. Sept 2019 to Sept 2019 Pristiq 25mg, taken 2 weeks then a every other day taper for one week.  25 mg trazadone for one week, no taper.  Zoloft 25 mg for 5 days, no taper. October 2019 -August 2020 10 month taper from .5 lorazepam.

Currently taking Valsartan 40 mg daily and Preservision AREDS2 one capsule daily.

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  • 8 months later...
On 7/23/2021 at 3:19 PM, bheb said:


wow, my thread has been hopping unexpectedly! Hello everyone

 

Still carrying on with varying symptoms. Akathisia stronger than it had been the past year. OCD there. I think the akathisia and OCD and stress have also been burning out my brain a lot too, because if they reduce at all I have severe anhedonia.

 

Is this the study you’re talking about?

Hey, how is your akathisia going? Was just reading up on some of your old posts and how you describe yours is how I’d describe mine. Also suffer from OCD, but big on the O. Hope all is well! 

2000-2018 150-200mg Sertraline and Vyvanse

2018- vyvanse 60mg to 0 over 6mo. 200mg Sertraline to 150mg. 2019- 150mg Sertraline to 100mg. Early 2021- 100mg to 87.5, two weeks later 87.5 to 75mg, 1.25-4mg bromazepam PRN. Mid 2021 - Feb 2022 taper 2.5%-5% 75mg to 50mg. March 2022 bromazepam for 3 weeks. May 9th 2022 started Propranolol, 10mg in the morning and 10mg in the evening. July 2022- off propranolol Oct 2022- off birth control. Dec 2022- updose sertraline 100mg, benztropine 1mg and Ativan 1mg. March 2023- stop benztropine. May 2023 - ativan taper finished. May 2023 - updose Sertraline to 125mg added propranolol 40mg added Ativan 1mg. July 5- sertraline 112.5mg propranolol 60mg, quick 2 week Ativan taper. Current meds: propranolol 60mg, sertraline 106.25mg, Ativan .025mg, B6, CoQ10, Magnesium Glycinate

 

 

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  • 4 weeks later...

wow, can't believe so many others are experiencing this awful symptom. I feel constantly wired and unable to rest, my brain looping on thoughts of self preservation and trying to "solve the problem". just a lot of noise and electricity in my head. sleep comes easily but its unrefreshing. akathisia plus OCD is an evil mixture.

 

I can find solace in certain things like music or spending time around others. I think thats where healing will be found in the long run. I try not to be afraid of the feeling and distressing thoughts it brings. I remember this is more uncomfortable than dangerous, and it will pass!

2016: started sertraline 25mg - upped dose to 75mg and tapered down to 25mg.

2017: June - skipped doses to taper sertraline 25mg. December - reinstated sertraline 25mg

2018: October - skipped doses to taper sertraline 25mg. 

2019: January - reinstated sertraline 25mg because of dp/dr symptoms

2020: October - basically CTd sertraline 25mg. enter protracted withdrawal.

2021: Dec 9th - ADR to sertraline reinstatement at 25mg. Dec 10th - Zopiclone 2.5 mg. Dec 11th - zopiclone 5 mg. Dec 17th(?) - sertraline 25mg.

Dec 24th - sertraline 25mg. Dec 25th - sertraline 25mg.

December/January: was double dosing b12 1000mcg at some point :$

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  • 2 weeks later...

So I’ve had a somewhat risky encounter that makes a tetanus shot seem wise. And also am due for a booster.

 

I tried to make an appt. and when it asked “have you had a nervous system problem” I answered yes, because I’ve been diagnosed with akathisia and that seems like a neurological problem?

 

But I know many do fine on the vaxx. What do people normally answer to this question? 

Aug-Dec 2015 Prozac 20mg / Dec 2015-Feb 2016 Prozac 15mg / Feb 2016-May2016 Prozac 20mg

May 2016-June 2016 15mg

June 2016-August 2016 10mg

October 2016-January 2017 15mg, alternating agitation/akathisia sets in --> cold turkey

January 2017 Clonazepam .5mg 

February 2017 Clonazepam 1mg (for a week) then .5mg morning and .25mg evening for about a month. Came down to .25mg morning and evening. 

May 1, 2017 Clonazepam .25mg morning and .125mg evening. // May 20, 2017 Clonazepam .25mg morning and .0625 evening (.3125 total).

early June .28125 // early mid june .25mg // mid june .21875 // late june .1875 // early july .15625 // early mid july .125 

mid july .09375mg // late july .0625 //early August 2017 down to .03125mg once a day, hopped off in mid August

reinstated at .0625mg late August // Oct 16 - updose to .07mg and switch to oral Rosemont solution

Nov 17 2017 reinstate Prozac .5mg // Nov 21 2017 prozac 1.6mg // Dec 18 2017  3mg prozac / fast taper off the reinstatement -- probably completely off early Oct 2018

June 2019 begin tapering off .07mg Clonazepam, Finish taper December 2019

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On 6/25/2022 at 3:07 AM, Lauren90 said:

Hey, how is your akathisia going? Was just reading up on some of your old posts and how you describe yours is how I’d describe mine. Also suffer from OCD, but big on the O. Hope all is well! 


oh sorry I missed this! Akathisia has been not great lately. In 2020 I started to experience some healing after many years, but then slipped back into it. How are you doing?

Aug-Dec 2015 Prozac 20mg / Dec 2015-Feb 2016 Prozac 15mg / Feb 2016-May2016 Prozac 20mg

May 2016-June 2016 15mg

June 2016-August 2016 10mg

October 2016-January 2017 15mg, alternating agitation/akathisia sets in --> cold turkey

January 2017 Clonazepam .5mg 

February 2017 Clonazepam 1mg (for a week) then .5mg morning and .25mg evening for about a month. Came down to .25mg morning and evening. 

May 1, 2017 Clonazepam .25mg morning and .125mg evening. // May 20, 2017 Clonazepam .25mg morning and .0625 evening (.3125 total).

early June .28125 // early mid june .25mg // mid june .21875 // late june .1875 // early july .15625 // early mid july .125 

mid july .09375mg // late july .0625 //early August 2017 down to .03125mg once a day, hopped off in mid August

reinstated at .0625mg late August // Oct 16 - updose to .07mg and switch to oral Rosemont solution

Nov 17 2017 reinstate Prozac .5mg // Nov 21 2017 prozac 1.6mg // Dec 18 2017  3mg prozac / fast taper off the reinstatement -- probably completely off early Oct 2018

June 2019 begin tapering off .07mg Clonazepam, Finish taper December 2019

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On 7/18/2022 at 4:48 PM, weemie said:

wow, can't believe so many others are experiencing this awful symptom. I feel constantly wired and unable to rest, my brain looping on thoughts of self preservation and trying to "solve the problem". just a lot of noise and electricity in my head. sleep comes easily but its unrefreshing. akathisia plus OCD is an evil mixture.

 

I can find solace in certain things like music or spending time around others. I think thats where healing will be found in the long run. I try not to be afraid of the feeling and distressing thoughts it brings. I remember this is more uncomfortable than dangerous, and it will pass!


yeah, i try a lot not to focus on the symptoms or attach fear to it but it’s very hard. Especially after so long! Wishing you well

Aug-Dec 2015 Prozac 20mg / Dec 2015-Feb 2016 Prozac 15mg / Feb 2016-May2016 Prozac 20mg

May 2016-June 2016 15mg

June 2016-August 2016 10mg

October 2016-January 2017 15mg, alternating agitation/akathisia sets in --> cold turkey

January 2017 Clonazepam .5mg 

February 2017 Clonazepam 1mg (for a week) then .5mg morning and .25mg evening for about a month. Came down to .25mg morning and evening. 

May 1, 2017 Clonazepam .25mg morning and .125mg evening. // May 20, 2017 Clonazepam .25mg morning and .0625 evening (.3125 total).

early June .28125 // early mid june .25mg // mid june .21875 // late june .1875 // early july .15625 // early mid july .125 

mid july .09375mg // late july .0625 //early August 2017 down to .03125mg once a day, hopped off in mid August

reinstated at .0625mg late August // Oct 16 - updose to .07mg and switch to oral Rosemont solution

Nov 17 2017 reinstate Prozac .5mg // Nov 21 2017 prozac 1.6mg // Dec 18 2017  3mg prozac / fast taper off the reinstatement -- probably completely off early Oct 2018

June 2019 begin tapering off .07mg Clonazepam, Finish taper December 2019

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@bheb

Hey B 

Glad you updated . Keep fighting the good fight . 

December 2014 - Lexapro 20 mg

August 2016 Med free (6 week taper)

December 22 2021  added Abilify 5mg / Ativan .5mg / Depakote ER 1000mg

Discontinued Abilify 5mg on 12-30-21---accidental dose on 1-13-22 (looks like Ativan)

Ativan PRN/Discontinued 1-14-22

Only drug is Depakote ER 1000mg ( looking to taper slow and safe for once )

3/24/22 Depakote 625mg 

Propranolol 20-40mg  PRN

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  • 3 months later...
On 8/4/2022 at 11:20 PM, bheb said:

yeah, i try a lot not to focus on the symptoms or attach fear to it but it’s very hard. Especially after so long! Wishing you well


Are you off everything? It is hard not to dwell on the discomfort given that it is constant. I am hitting my one year akathisia anniversary and feeling down in the dumps. I have been slowly improving but still feel so restless, also have 15mg mirtazapine to taper...

December 2021 - Metoclopramide started. Akathisia symptoms start; Metoclopramide gets changed to PRN.

March 2022 - Akathisia diagnosed; Metoclopramide stopped; Propranolol 10mg x twice a day. Biperiden PRN (0.5mg to 1mg).

April 2022 - Tandospirone 30mg (10mg 3x day), Quetiapine 25mg (only taken once, immediate adr). Mirtazapine 7.5mg. . Discontinued Propranolol.

May 2022 - Mirtazapine upped to 15mg. Tandospirone cut to 2x 10mg. Low dose Depakote for the month; 100 to 200 to 100 to 0. Mirtazapine cut back to 11.75mg (3/4 of a 15mg pill).
June 2022 - Mirtazapine updose to 15mg. Tandospirone, Biperiden discontinued. Klonopin started PRN (0.5mg). 
September 2022 - Akathisia slowly starts improving, WD/ADR normal sets in in mid September. Hold for 4 months.
March 2023 - Off mirtazapine; no Klonopin for 5 months either! Started quercetin (250mg x 2) to soften the histamine rebound.

May 2023 - Stopped quercetin and changed from magnesium carbonate to oxide - reacted badly. Reverted back to carbonate. 
June 2023 - Added fish oil.
Current regimen: CALM Magnesium (Carbonate into Citrate) 175mg x2; Vitamin E 268mg x2; Fish oil (100mg Omega3; EPA 30mg; DHA 37mg)x2
Intro thread: 
https://www.survivingantidepressants.org/topic/27095-portuguesesea-metoclopramide-akathisia-and-mirtazapine/

 

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On 8/4/2022 at 7:19 AM, bheb said:


oh sorry I missed this! Akathisia has been not great lately. In 2020 I started to experience some healing after many years, but then slipped back into it. How are you doing?

Hi! Sorry I never responded to this. I had it for a couple of times while tapering for only a week or so at a time. Then I had it from May to August pretty continuously. Had a break in akathisia but a ramp up in OCD obsessions and health anxiety. Dunno if it muted it or if I actually had a few month break. Started to come back a few days at a time in Oct/Nov, then in end of Nov it came back and hasn’t left since! I’ve read your posts and notice you have OCD. Do you ever wonder if OCD exacerbates our akathisia/agitation? Kindof like a chronic pain sort of deal? Like maybe the actual feeling isn’t there anymore but we’ve created these new neural pathways making us feel it? Idk, just a thought. I hope you’re doing better than you were when you replied in August. 

2000-2018 150-200mg Sertraline and Vyvanse

2018- vyvanse 60mg to 0 over 6mo. 200mg Sertraline to 150mg. 2019- 150mg Sertraline to 100mg. Early 2021- 100mg to 87.5, two weeks later 87.5 to 75mg, 1.25-4mg bromazepam PRN. Mid 2021 - Feb 2022 taper 2.5%-5% 75mg to 50mg. March 2022 bromazepam for 3 weeks. May 9th 2022 started Propranolol, 10mg in the morning and 10mg in the evening. July 2022- off propranolol Oct 2022- off birth control. Dec 2022- updose sertraline 100mg, benztropine 1mg and Ativan 1mg. March 2023- stop benztropine. May 2023 - ativan taper finished. May 2023 - updose Sertraline to 125mg added propranolol 40mg added Ativan 1mg. July 5- sertraline 112.5mg propranolol 60mg, quick 2 week Ativan taper. Current meds: propranolol 60mg, sertraline 106.25mg, Ativan .025mg, B6, CoQ10, Magnesium Glycinate

 

 

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  • 4 weeks later...

How are you doing @bheb

Aug 2020 - Feb 2022 on and off Lexapro 5 and 10mg,  Rapid taper

Nov 2021 - May 2022 on off Wellbutrin 100mg, 150mg, 75mg CT clindamycin cycle and also Plan B bc 1x 

Fall 2020- June 2022 - Xanax .5 PRN usually 4x a week, CT 

June 2022 - Z pack, Buspar 7.5 3 days

September 20-24th - low tryptophan diet and 20-30g beef gelatin powder

Oct 3- 16 - Xanax .5 for sleep each pm, 1 mg Ativan in ER, .25 Xanax —> .125–>0 

Oct 14-17Trazadone 50/75, Lunesta 3mg 

Oct 24-  start Belsomra, 4 days to20mg 

Nov 3-5 10mg Belsomra and 300mg Gabapentin 

Oct 13-Dec 1 Buspar 7.5 2x/day rapid taper over 2 weeks due to ADR 

Recent: Belsomra 20mg since 10/23/2022 to 15mg mid December for 2 nights —> 20mg —> 15 mg since 12/22/2022 —>14 mg compounded 02/11/2023 —> 15 mg 2/13 —> 10mg 2/22 —> 5mg 3/1 —> 0mg 3/8/2023 

Current:  Propanolol 20mg AM, 10mg 4pm, 20mg PM since 11/30/2022

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