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thecowisback

thecowisback: wondering why I'm giving up Prozac

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ChessieCat
11 minutes ago, thecowisback said:

am i hindering healing with the tiny dose of prozac? 

 

You know that we are unable to answer that question.  If only it we could know, it would be so much easier.  Unfortunately, it isn't.  Sorry.

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thecowisback

i've been trying to search for success stories of people who reinstated a small dose but haven't come across any yet. i'm rubbish at making decisions at the best of times but find it especially hard since stopping the meds.

tattyapple said they just stopped the small dose - is this the norm or is it safer to taper off if i do decide to stop?

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Gridley

 We advise that once you have stabilized on the reinstated small dose to taper off it rather than cold turkey. The dose may be small but these drugs are strong

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thecowisback

thankyou. is there any way of knowing when to call it quits or do you keep upping the dose slowly until it reaches what the doctors call a therapeutic level?

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Gridley

"Therapeutic level" is a meaningless phrase concocted by the pharmaceutical industry and parroted by doctors.  It's a made-up dosage that bears no relation to reality.   It's better to get to what we call "minimum effective dose."  There's no way to know what dose will be your minimum effective dose.  

 

There's no real way to know when to call it quits or whether to keep upping your dosage slowly.  That has to be your decision.  Remember that it takes about four days for a dose change to get to full state in the blood and a bit longer to register in the brain.

 

According to your signature, you started the 1 mg Prozac only 7 days ago, so you might want to give it a little more time.  

 

 

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thecowisback

i'm really scared i'm going to make things worse. i keep thinking i should just stop now before i've done any more damage. 

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Gridley

We can't tell you what to do.  We don't know.  You are the one in the best position to know.  

 

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thecowisback

will i be able to stop now from 1mg as i've only been on it a week?

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Gridley

I think that will be fine.  Let me check with the other mods.

Edited by Gridley

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thecowisback

i'm in such a quandry. i just want these symptoms to ease. i wish i knew what to do for the best 😰😱😫

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Altostrata

What time of day do you take 1mg Prozac? What is your symptom pattern before and after you take it?

 

Please keep daily notes on paper with times of day for when you take your drugs, their dosages, and your symptoms. You can post them in this topic with a simple list format with time of day on the left and notation (symptom, drug and dosage) on the right.

 

Observing your symptoms is the only way we can tell what it's doing. If it's not doing anything, you might increase the dose slightly. Please post your daily notes here in your Intro topic.

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thecowisback

i'll do that tomorrow and post the results.

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ChessieCat

Example:

 

6 a.m. Woke with anxiety
8 a.m. Took 2.5mg Lexapro
10 a.m. Stomach is upset
10:30 a.m. Ate breakfast
11:35 a.m. Got a headache, lasted one hour
12:35 p.m. Ate lunch
4 p.m. Feel a bit better
5 p.m. Took 2.5mg Lexapro
6 p.m. Ate dinner
9:20 p.m. Headache
10:00 p.m. Took 50mg Seroquel
10:20 p.m. Feeling dizzy
10:30 p.m. Fell asleep
2:30 a.m. Woke, took 3mg Ambien (NOT "took 1/2 tablet Ambien")
2:45 a.m. Fell asleep
4:30 a.m. Woke but got back to sleep

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thecowisback

so, this is what's happened over the last 24 hours. 

 

monday 21st january

woke at 5 a.m. (had some intrusive thoughts, slept on and off until 7 am.

took 1.5mg of prozac (upped the dose by 0.5mg as one week had gone by since i started it)

had breakfast

8.30 drove kids to school. slightly anxious, intrusive thoughts. 

did housework, cleaned out pets, checked mail online. 

12.00 had lunch. feeling more anxious. 

spent afternoon checking online for success stories after reinstating. got very anxious about having upped the dosage. didn't mention on here that i'd gone up as i wanted to see what the result would be in a few days. 

husband told me off for checking online so much. he pointed out it was my ocd making me check and that i needed to do something else, so went for a long walk. still very anxious. 

3.30 picked kids up from school. kids had had a bad day so i got more anxious. tried to do some reading. 

5.00 cooked dinner. anxiety very high. 

7.00 feeling really tired and have a headache like a tight band around my head and the back of my neck. had a nap on the sofa. 

8.00 got kids ready for bed. anxiety is getting much much worse. 

spent the evening in a state of panic about various things. tried not to check online. kept coming on here to look for success stories. ocd got worse as the evening wore on. irritable with my husband. 

11.00 took thyroxine and amlodipine, magnesium. went to bed but couldn't fall asleep. dozed off after 1 a.m. 

kept waking throughout the night because of nightmares. very vivid dreams. kept seeing strange patterns in my sleep which lingered just after waking. 

after a disturbed and very scary night got up at 7 am

had breakfast. very dizzy and slightly blurry vision. 

haven't had any prozac this morning. very scared to take any more after what happened last night. 

 

not sure what to do now - cut back to 1 mg or stop altogether. i didn't have any problems on 1mg apart from headaches and some dizziness for the first couple of days. could the extra 0.5 mg i took yesterday really have had a bad effect that quickly or did the 1mg i'd taken all week finally kick in? i have no idea but am very scared now. 

 

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thecowisback

i've just taken a 1mg dose but i'm not sure whether to carry on with it. 

just had to drive to the city and i feel really odd. i had to make the journey really slowly as my eyes are still a bit blurry and i feel my concentration is off. i feel sick, my mouth is dry, i have a headache, and my face feels weird - almost as if someone has their hand over it, if that makes any sense - sort of tight and tingly. i don't feel ill but i do feel 'off' and my anxiety is sky high. 

 

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GonnaBeOk

Following 

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Altostrata
On 1/15/2019 at 12:23 AM, thecowisback said:

the last time i saw the doctor about my symptoms he sent me for a thyroid check to rule that out.

 

What was the result of this check?

 

You need to take the same amount of Prozac at the same time each day. What time do you take it?

 

I think you made yourself anxious about increasing the Prozac to 1.5mg. Please go back to 1mg and keep those daily notes. We need to see when you take your drugs and your symptom pattern throughout the day.

 

Did you always take thyroxine at night?

 

On 8/19/2018 at 1:36 PM, thecowisback said:

i've been taking amlodipine for a few months (will have to check how long). i don't have any side effects from it that i know of. i was on it when i was still on prozac and didn't have any problems then either, but if depression is a side effect then maybe it was masked by the prozac. 

 

 

On 8/19/2018 at 1:38 PM, thecowisback said:

just checked and the amlodipine was started mid december last year. i was having depressive symptoms for quite a long time before this. 

 

Why are you taking amlodipine, and why at night? Do you have any of these side effects?

 

I couldn't find your drug interaction report, here it is https://www.drugs.com/interactions-check.php?drug_list=172-0,1463-0,1115-0&types[]=major&types[]=minor&types[]=moderate&types[]=food&types[]=therapeutic_duplication&professional=1

 

It does seem you are inclined to make yourself anxious about things. You'll need to use non-drug techniques to manage this or we won't be able to tell what's drug-related or what is coming from your tendency to worry yourself sick. Please read

 

Neuro-emotions

 

Non-drug techniques to cope with emotional symptoms

 

Health anxiety, hypochondria, and obsession with symptoms

 

Dealing With Emotional Spirals


Easing your way into meditation for a stressed-out nervous system 

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thecowisback

i normally take the prozac at 7 when i get up. the last thyroid check i had was normal and i stayed on the same dose of meds. 

i take the amlodipine at night with the levothyroxine as i forget to take them in the morning. i don't get any side effects on the dose i'm on now. 

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Altostrata
1 hour ago, Altostrata said:

Why are you taking amlodipine, and why at night? Do you have any of these side effects?

 

Please answer any questions from the staff. We ask because we need to know the answers.

 

When was the last time your thyroid hormone dosage was adjusted? How do you sleep? What is your usual sleep pattern?

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thecowisback

the amlodipine is for high blood pressure. as i said, i take it at night as i forget to take it in the morning and no, no side effects. my thyroid meds have stayed the same for the last decade or so. they're checked once a year and the results have always been the same. 

my sleep has been disturbed since giving up prozac. i fall asleep easily but wake up every couple of hours until 5 when i cannot get back to sleep. 

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thecowisback

yesterday 

7am got up had breakfast. very panicky.

8.30 took kids to school. feeling very scared. bad headache. took 2 paracetamol.

9.30 drove to city. scared because of blurry vision and feeling like i have a lack of concentration. 

11.00 took 1mg prozac. headache from earlier hasn't shifted. 

12.00 had lunch. high anxiety. 

did some reading and sorted out some bills.

3.30 picked kids up from school. high anxiety. went out for a walk. 

5.00 made dinner. lots of scary thoughts. very tired and got another headache. 

6.30 took kids to scouts. had a nap. very tired and cold. 

8.30 picked up kids. feeling tearful and scared. read until bedtime. 

11.00 took meds and went to bed. fell straight to sleep tonight. 

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JackieDecides

I'm glad you are able to sleep at least some, but sorry to hear you have so much anxiety. give yourself time, things will improve but it will take time. 

 

❤️

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keepinghope

I had exactly the same on reinstating at first - increased anxiety and headaches, but stick with it a while longer. The first improvement I noticed was my sleep got a lot better, so if you’re sleeping better already that’s a good sign 

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thecowisback

thankyou both 💜

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thecowisback

wednesday 23rd

got up at 7 am, took 1mg prozac. 

8.30 took kids to school and went to doctors appointment. very anxious because of appointment. 

high anxiety for the rest of the day. 

12.00 had lunch. anxiety getting worse. 

3.30 picked kids up from school. very scared and anxious. 

5.30 tried to cook dinner but was distracted by anxiety and burnt it. had a meltdown! 

very tired in the evening but couldn't nap as anxiety was very bad. really bad ocd thoughts. couldn't talk to family, just wanted to curl up and scream. 

11.00 took meds and went to bed. had trouble getting to sleep. 

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thecowisback

thursday 24th

7 am got up took 1mg prozac

8.30 took kids to school high anxiety

12.45 had lunch anxiety rising even more

5.30 anxiety so bad didn't feel up to making dinner and went to chip shop. 

rest of the evening tried listening to meditation apps and reading. very anxious all night. had trouble falling asleep. 

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Altostrata

Have you been sleeping better in the past week? Overall, do you feel better or worse than you felt before taking 1mg Prozac?

 

Do you feel better or worse after you take 1mg Prozac at 7 a.m.?

 

In your notes, please specify the meds you take at 11 p.m.

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thecowisback

Have you been sleeping better in the past week? Overall, do you feel better or worse than you felt before taking 1mg Prozac?

 

sleep has been pretty bad but that's how it's been for the past 15 months or so.

 

Do you feel better or worse after you take 1mg Prozac at 7 a.m.?

 

no difference t all.

 

In your notes, please specify the meds you take at 11 p.m.

 

ok👍

 

 

Edited by Altostrata
deleted quote code

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Altostrata

As it's been 11 days since you started 1mg Prozac and it does not seem to have any adverse effects, do you want to increase it a bit to 1.5mg? We would need to observe to see what it does. This is how you judge dosage for reinstatement.

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Carmie

Hi thecowisback, 

 

I saw the link you posted on another thread on cognitive sleep games. Have you been using them? If you have, have they been helping? I’m really sorry to read your anxiety is so high. Hope you’re coping okay, sending hugs🤗

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thecowisback

i'll try 1.5mg in the morning. 

no i haven't tried the sleep games yet - will try to remember them tonight 😊

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thecowisback

i've just had 1.5mg. a question - when i drew up the second syringe for the 0.5 i noticed the solution  in the syringe seemed to have much more powder in than the first time i drew it up. i'd shaken the mixture between drawings. does this mean the lower down you get in the bottle the more concentrated the solution? i'm wondering if i need to make a bigger/weaker mixture so the power is more evenly distributed? 

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ChessieCat

The bits are filler.

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thecowisback

is that the same for tablets and the contents of capsules?

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ChessieCat
On 7/27/2012 at 11:44 AM, Altostrata said:

To mix, put the cap on the container, tightly, and shake it gently. You will be able to see particles swirling around in the water (some of the filler used in tablets and capsules is insoluble).

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thecowisback

thankyou ☺

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