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Qqii: switch from tablets to liquid (sertraline), anxiety and panic attack


Qqii

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Hey! I recently switched from pills to liquid form Sertraline. I took 1ml (20mg) liquid today and 1-2 hours later i get hard to controll to anxiety, almost went in to a anxiety attack. Should hold on to do this switch since it easier to taper liquid or should i switch back to pills? Im very sensitive to meds. Regards L

Edited by scallywag
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2009-2011 Clomipramine (Was 16 years old and depressed)

2011-2017 Escitalopram  (2016 failed attempts for CT which resulted in awful panic attacks and deep depressions)

2017- Sertraline 20mg (Planning to taper 1mg every other month)

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Thought for the day: Lets stand up, and let’s speak out , together. G Olsen

We have until the 14th. Feb 2018. 

URGENT REQUEST Please consider submitting  for the petition on Prescribed Drug Dependence and Withdrawal currently awaiting its third consideration at the Scottish Parliament. You don't even have to be from Scotland. By clicking on the link below you can read some of the previous submissions but be warned many of them are quite harrowing.

http://www.parliament.scot/GettingInvolved/Petitions/PE01651   

Please tell them about your problems taking and withdrawing from antidepressants and/or benzos.

Send by email to petitions@parliament.scot and quote PE01651 in the subject heading. Keep to a maximum of 3 sides of A4 and you can't name for legal reasons any doctor you have consulted. Tell them if you wish to remain anonymous. We need the numbers to help convince the committee members we are not isolated cases. You have until mid February. Thank you

Recovering paxil addict

None of the published articles shed light on what ssri's ... actually do or what their hazards might be. Healy 2013. 

This is so true, with anything you get on these drugs, dependance, tapering, withdrawal symptoms, side effects, just silent. And if there is something mentioned then their is a serious disconnect between what is said and reality! 

  "Every time I read of a multi-person shooting, I always presume that person had just started a SSRI or had just stopped."  Dr Mosher. Me too! 

Over two decades later, the number of antidepressant prescriptions a year is slightly more than the number of people in the Western world. Most (nine out of 10) prescriptions are for patients who faced difficulties on stopping, equating to about a tenth of the population. These patients are often advised to continue treatment because their difficulties indicate they need ongoing treatment, just as a person with diabetes needs insulin. Healy 2015

I believe the ssri era will soon stand as one of the most shameful in the history of medicine. Healy 2015

Let people help people ... in a natural, kind, non-addictive (and non-big pharma) way. J Broadley 2017

 

 

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  • Administrator

Welcome, Qqii.
 
Please read Tips for tapering off Zoloft (sertraline) carefully.

 

We suggest people take part of the dose in tablet form and part of the dose in liquid form for a while, to ease the transition to liquid.

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

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  • 3 weeks later...

I'm sure if it were just one / two hours later it was a mental thing i.e. you freaked out as you knew you had switched and were anxious about what might happen...we are what we think etc. I find sometimes the thought of withdrawing is harder than the actual withdrawal you know?! 

Prescribed the below after suffering from severe PTSD following an extreme reaction to just two days of Citalopram 10mg in the summer of 2015. This was prescribed for postnatal anxiety following the birth of my second child. I needed the below to get me out of hospital and back home to my kids. Ironic I know...needing drugs to help me get over drugs but hey, I've learned a lot on this journey. 

 

15mg mirtazapine (remeron) DONE!

50mg quetiapine (seroquel) DONE! 

225mg pregablin (lyrica) DONE!

150mg venlaflaxine (effexor) down to 75mg 

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  • 2 months later...

Hello! Im suspecting that antidepressant (or maybe any substance) is less potent in liquid than pill form. When i was on Lexapro (Escitalopram) i tried liquid form, the exact same dose, even though this I experienced more anxiety, and my cognitive ability began to increase (that's when I know the dose is lowered, because they screw up my mental ability). Fast forward. Half year ago i wanted to switch to a less potent ssri, so i went for Zoloft. Eventually i tried liquid form. I went from the same manufacturer, from pill to liquid. And also this time i experienced anxiety, panic attacks, increased mental ability. Which tells me that it somehow is less effective, so I went back to pill form Zoloft, then I was alright. Both time, if I recall correctly I mixed these liquids with water, stirred around and then drank it. I would love to have liquid instead of pill form, so i dont have to weigh it, because it is less time consuming with liquid, and less messy. Anyone know if im doing something wrong, or why it is like this?

2009-2011 Clomipramine (Was 16 years old and depressed)

2011-2017 Escitalopram  (2016 failed attempts for CT which resulted in awful panic attacks and deep depressions)

2017- Sertraline 20mg (Planning to taper 1mg every other month)

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  • ChessieCat changed the title to Qqii: Is liquid less potent than pills even though its same substance?
  • Moderator Emeritus

Hi Qqii, welcome to SA. There can be problems switching from tablets to liquid, even with the same maufacturer.  We suggest taking part tablet and part liquid and increasing the liquid over time while decreasing the tablet. You could cut a tablet in half then cut one half in half so you have one 1/2 and 2 x 1/4 . Take 3/4 of the tablet and the rest in liquid. After a few days ( I make it a week if I change brands ) take half tablet and half liquid, then 1/4 tablet and the rest liquid, then all liquid. Alternatively you could make a liquid from tablets yourself. Lots of people do this and it works well.   

 

Instead of tapering 1mg every other month we suggest tapering 10% of the CURRENT dose with 4 weeks between cuts, or some people make smaller cuts more often. Tapering 1mg every 2 months is slow but the % of cut gets larger each time, and that leads to withdrawal.  People often have to go back up in dose, especially at smaller doses and can take some time to stabilise before restarting the taper. I will post some links for you. I am glad that you joined us. 

 

How to make a liquid. 

http://survivingantidepressants.org/topic/2693-how-to-make-a-liquid-from-tablets-or-capsules/

 

Tapering sertraline

http://survivingantidepressants.org/index.php?/topic/1441-tips-for-tapering-off-zoloft-sertraline/

 

Micro taper

http://survivingantidepressants.org/index.php?/topic/2878-micro-taper-instead-of-10-or-5-decreases/

 

**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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  • 5 months later...

Qqii how are you doing?

Thought for the day: Lets stand up, and let’s speak out , together. G Olsen

We have until the 14th. Feb 2018. 

URGENT REQUEST Please consider submitting  for the petition on Prescribed Drug Dependence and Withdrawal currently awaiting its third consideration at the Scottish Parliament. You don't even have to be from Scotland. By clicking on the link below you can read some of the previous submissions but be warned many of them are quite harrowing.

http://www.parliament.scot/GettingInvolved/Petitions/PE01651   

Please tell them about your problems taking and withdrawing from antidepressants and/or benzos.

Send by email to petitions@parliament.scot and quote PE01651 in the subject heading. Keep to a maximum of 3 sides of A4 and you can't name for legal reasons any doctor you have consulted. Tell them if you wish to remain anonymous. We need the numbers to help convince the committee members we are not isolated cases. You have until mid February. Thank you

Recovering paxil addict

None of the published articles shed light on what ssri's ... actually do or what their hazards might be. Healy 2013. 

This is so true, with anything you get on these drugs, dependance, tapering, withdrawal symptoms, side effects, just silent. And if there is something mentioned then their is a serious disconnect between what is said and reality! 

  "Every time I read of a multi-person shooting, I always presume that person had just started a SSRI or had just stopped."  Dr Mosher. Me too! 

Over two decades later, the number of antidepressant prescriptions a year is slightly more than the number of people in the Western world. Most (nine out of 10) prescriptions are for patients who faced difficulties on stopping, equating to about a tenth of the population. These patients are often advised to continue treatment because their difficulties indicate they need ongoing treatment, just as a person with diabetes needs insulin. Healy 2015

I believe the ssri era will soon stand as one of the most shameful in the history of medicine. Healy 2015

Let people help people ... in a natural, kind, non-addictive (and non-big pharma) way. J Broadley 2017

 

 

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  • 1 year later...

Hey guys! I really have an issue. I am extremely sensitive to any kind of drug. 

 

Ibuprofen: I tried really low does (60mg), . Side effects = Ringing in ears, eye pain, depressed mood, stomach pain, acid coming up my throat. anxiety. 

Blood pressure medicine (Propranolol) 5mg = Side effects, extremely tired, breathing difficulties, leg pain, chest pains, stomach pain

 

The lists goes on, the lowest possible dose. If i check the recommended dose for infants, i can barely tolerate it. Its insane. 

 

What do I do? Im in the middle of tapering, from 25mg zoloft to 12mg atm (1 1/2 years). And i started noticing this when i switched from clomipramine to escitalopram. Thats when i started not tolerating coffee. When i drank coffee i started having panic attacks, breathing difficulties, stomach pains, sometimes becoming aggressive. I saw these symtoms EACH time i drank coffee. So when i quit my anxiety got so much better. 

 

I mean, what if i need surgery some day, how the hell am i suppose to tolerate sedation, morphine etc? Thats a big fear of mine. 

 

I really want to hear if someone else have this, if anything helps, if it gets better when you get off the ssri maybe your cns will heal. I dunno. Just wanted to hear some others experience.

Edited by manymoretodays
merged to existing introduction

2009-2011 Clomipramine (Was 16 years old and depressed)

2011-2017 Escitalopram  (2016 failed attempts for CT which resulted in awful panic attacks and deep depressions)

2017- Sertraline 20mg (Planning to taper 1mg every other month)

Link to comment
  • Moderator Emeritus

Hi Qqii,

 

This is relatively common for those who’s nervous systems have been destabilised by adverse reactions, drug changes, rapid tapers etc. The nervous system can become hypersensitive to drugs, supplements and even foods. 

 

It’s best to avoid anything that is triggering reactions, which will help in allowing your nervous system to settle and find stability. in terms of when this gets better, it’s more of a mixed bag, everyone’s experience of SSRI’s and tapering is different.

 

I’ve read many intro topics here and many individuals found they could tolerate things like caffeine after their nervous systems stabilised. Sometimes this won’t happen until the taper completes and the body has an extended period to heal off the drug entirely, but there is no way to know for sure. You may find that as you slowly taper and your dosage lowers, you’re able to better tolerate things you couldn’t previously. 

 

For now, the best you can do is avoid anything that seems to trigger a reaction. In regards to your ‘what if’ around surgery. If this scenario arises, you will cross that bridge when it comes. Various members here have had to have dental work, vaccinations or surgery during this process and of those who have symptom flare-ups, things tend to start settling before too long. 

 

 If somebody reads this with more knowledge or experience, hopefully they’ll be able to share more specific details. 

PLEASE NOTE:  I am not a medical professional.  I can only provide information and make suggestions.

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  • ChessieCat changed the title to Qqii: Switch from tablets to liquid (sertraline), anxiety and panic attack

Hey thanks for answer! Im glad its a common thing (or well, you know...) 

2009-2011 Clomipramine (Was 16 years old and depressed)

2011-2017 Escitalopram  (2016 failed attempts for CT which resulted in awful panic attacks and deep depressions)

2017- Sertraline 20mg (Planning to taper 1mg every other month)

Link to comment
  • ChessieCat changed the title to Qqii: switch from tablets to liquid (sertraline), anxiety and panic attack
  • 1 month later...
  • Moderator Emeritus

Hi Qqii, 

 

How are you doing?💚

Been on antipsychotics, benzos, ADs and opiates for chronic pain. 

Was cold turkeyed and put on and off lots of things. Was suicidal n ended up in a psych ward due to akathisia from WDs. When released I still had severe akathisia n was suicidal. Back to the ward and more meds. Tapered off one and have been trying to taper off Seroquel since. Many years of tapering. 

Tapered from 300mg of Seroquel to 7.5mg./2019:➡️ March 10=7.25mg ✔️  
April 17=7.0✔️ June 5th=6.75✔️ July 14th=6.50✔️Aug 28=6.25✔️

Oct 10=6.20 ✔️ Oct21=6.0✔️Dec16=5.80 ✔️                                
 2020➡️Jan 21=5.60✔️April 2=5.40✔️May 29=5.20✔️Aug14= 5.0 ✔️Sep 29=4.80✔️
 2021➡️ Jan 31=4.60 mg✔️April 24=4.40mg✔️Jul17=4.30mg ✔️Aug 28=4.20✔️ Oct 11=4.15✔️Nov 1=4.10✔️ Nov 21= 4.05✔️ Dec 13= 4mg✔️

  2022➡️Jan 8= 3.95

I AM NOT A MEDICAL PROFESSIONAL. These are my own views based on what I’ve experienced myself.

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