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MBO514: Suffering CT withdrawal and akathisia


MB0514

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Hello, I'm new here. Here is my history:

 

C/T citalopram November of 2015 and put on Paraxotine. Soon after started to experience Akathisia. Started tapering the Paraxotine and started to feel better by 6 months with no more akathisia. I was down to 15mg when I got a blood infection in November 2016. I had a bad reaction to Cipro antibiotic where I experienced confusion. I went to the hospital where they diagnosed me with anxiety but found out later it was the Cipro.

 

They c/t my Paraxotine and put me back on Citalopram. I was in a confused state so wasn't really able to make a rational decision, I just listened to the doctors. A month later, I started experiencing severe Akathisia.

 

I've been tapering the Citalopram since January 2017 and only have a crumb left. My akathisia has improved in the last couple weeks in that I don't really have the urge to pace anymore. I still experience debilitating anxiety and depression though, electricity running through my body, mental akathisia, adrenalin surges. I only sleep 2-4 hours a night. I don't windows because my anxiety is so bad. The only time I really had windows was when I was up for 48 hours straight.

Edited by baroquep
White Space

C/T Citalopram in November 2015, and then started Paraxotine. C/T Paraxotine in January 2017 and started Citalopram. Only have a crumb left of the Citalopram after tapering 10% each month.

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I need hope, has anyone recovered from Akathisia while experiencing chronic anxiety?

C/T Citalopram in November 2015, and then started Paraxotine. C/T Paraxotine in January 2017 and started Citalopram. Only have a crumb left of the Citalopram after tapering 10% each month.

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  • ChessieCat changed the title to MB0514: Suffering CT withdrawal and akathisia
  • Moderator Emeritus

Hi MB0514,

Welcome to Surviving Antidepressants, am glad that you found the site and sorry to hear that you are in such distress.  While I understand the reason the hospital CT's you from Paxil, it's unfortunate for the people that have to deal with the aftereffects of withdrawal after being removed from these drugs so abruptly.   It's not clear when you were put back on Celexa, at what dose or how you have been tapering since January 2017 and it would be helpful if you explained this in more detail.  

 

SA recommends tapering by no more than 10% of your current dose followed by a hold of about 4 weeks to allow the brain to adapt to the changes in the central nervous system (CNS).  When changes are made too quickly, doses are alternated/skipped or the drug is discontinued abruptly, the brain is unable to adapt to the changes and this results in uncomfortable withdrawal symptoms.  I am attaching a few links so that you can familiarize yourself with the recommendations made by Surviving Antidepressants.  

 

What is Withdrawal Syndrome?
Before you begin tapering what you need to know

Why taper by 10% of my dosage?
Tips for Tapering off of Celexa / Citalopram

 

Before being able to provide you with any specific information with respect to your current situation, we would ask that you summarize your withdrawal/drug history in a signature - ALL drugs, doses, dates, and discontinuations & reinstatements, in the last 12-24 months in particular?  We ask all members to provide their drug history as a signature.  This will be a permanent part of your introduction and It helps moderators to be able to see all of your details at a glance.  You can find the information on how to complete your signature at the link below:
 
Instructions:  Withdrawal History Signature
 
    •    Please leave out symptoms and diagnoses.
    •    A list is easier to understand than one or multiple paragraphs. 
    •    Any drugs prior to 24 months ago can just be listed with start and stop years.
    •    Please use actual dates or approximate dates (mid-June, Late October) rather than relative time frames (last week, 3 months ago)
    •    Spell out months, e.g. "October" or "Oct."; 9/1/2016 can be interpreted as Jan. 9, 2016 or Sept. 1, 2016.

 

I am including a link to the thread on Akathisia and our self-care forum so that you read about what other members did to alleviate some of the more uncomfortable symptoms caused by antidepressant withdrawal.   

 

Akathisia / Restlessness / Anxiety / Agitation
Symptoms & Self Care

 

Please feel free to connect with other members of the Surviving Antidepressants community by posting in their introduction topics, they are a supportive group, know what you are going through and are here to help.

 

If you have any questions or need clarification on the information above, please do not hesitate to post back here in your introduction topic and one of the moderators will be by to help.

 


 

Current Prescription Drugs for Hypothyroidism:  Synthroid 100mcg / Cytomel 5mcg (15 years Pristiq/Effexor)

Tapering Schedule
September 15, 2016 - switched from Pristiq 50mg to Effexor XR 75mg; November 10, 2016 - reduced to 67.5 Effexor XR
December 9, 2016 - reduced 60.75
January 5, 2017 - reduced 54.67
January 30, 2017 - reduced to 49.0
February 20, 2017 - reduced to 44.0 
May 20, 2017 - reduced to 40.25 (holding for additional month due to late onset of withdrawal symptoms after this taper)
July 17, 2017 - reduced to 38.24
August 15, 2017 - reduced to 37.5 (50% of my original dose)

October 15, 2017 - reduced to 35.6

November 12, 2017 - reduced to 33.8
December 15, 2017 - up-dose to 35.6
December 28, 2017 - up-dose to 37.5

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On 12/10/2017 at 2:46 PM, MB0514 said:

I need hope, has anyone recovered from Akathisia while experiencing chronic anxiety?

 

Hi MB, and welcome to the forum.  My drug history is a lot more involved than yours but I had akathisia from a number of pills, starting with Celexa, and it is now gone.  I also am not often anxious anymore either.  Please check out the akathisia threads if you have not already as quite a few have already recovered.

 

Also good to hear the akathisia has gotten better with the taper, that's a really good sign.

 

 

I am not a medical professional and nothing I say is a medical opinion or meant to be medical advice, please seek a competent and trusted medical professional to consult for all medical decisions.

 

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Just to clarify, the akathisia I had went away before the anxiety issues like you describe, so yes you can have the akathisia go, then later the anxiety stuff too.  (Or maybe they both leave at once that can happen as well.)

 

I was also put on Celexa for anxiety and "depression", the latter I feel now was due to vitamin and mineral deficiencies, one of which I think was caused by a fairly rare health problem it would seem I had.  Now after the issues I had with Celexa I cannot fathom why they use it ever for anxiety as it seems way too activating when it affects someone badly.

I am not a medical professional and nothing I say is a medical opinion or meant to be medical advice, please seek a competent and trusted medical professional to consult for all medical decisions.

 

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Thanks for replying. I'm just scared I won't heal because of my severe anxiety. I did notice once my urge to pace stopped that starting around 630pm my anxiety lowers and I don't have that desperate feeling. The rest of the day as soon as I wake up I'm a 9-10

C/T Citalopram in November 2015, and then started Paraxotine. C/T Paraxotine in January 2017 and started Citalopram. Only have a crumb left of the Citalopram after tapering 10% each month.

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I had  bad akathisia when I was put in a very high dose of Zoloft and zyprexa very quickly.  I stabilized meaning the akathisia started going away and then I was very groggy and slow and then started tapering the zyprexa until I got off. Now I am tapering Zoloft.  Since your akithisia has lessened I really do think you will recover and that  it as well as anxiety will settle down and go away eventually 

200 Zoloft; 10 mg Zyprexa; 4 mg valium as of May 2021;  Valium taper: July 16: 3.5 valium; July 30: 3 mg (paused valium taper); Aug. 23: 2.5 mg
Zyprexa: July 26: 8.75 mg; Aug. 9: 7.5 mg; Aug. 30: 7.1 mg

-------
Dec 1, 2016. 10 mg zyprexa for 1.5 month. Started taper mid-Jan. 2017. Cut 1.25 mg every 2 weeks; smaller cuts 2.5 mg down. Stopped at .6 mg. May 7, 2017: zyprexa free. 
Zoloft: Dec1, 2016, 200 mg. Started taper: Jun12, 2017: 197.5 mg; Jun19,:195 mg; July 2:185mg; July 9,:180 mg; July16,: 175; July 23: 170; July 30: 165; Aug6: 160; Aug13: 155; Aug. 20: 150; Aug.27: 146 mg; Sept3: 145 mg; Sept10:143 mg; Sept17:140 mg....Nov5: 122 mg...Dec3:112.5 mg; Jan14, 2018: 95 mg...Jan28: 90 mg; Feb21:80 mg; Mar11: 75 mg; May2:70 mg; May15: 68 mg; May28: 65 mg; Jun9: 62 mg;Jun25: 60 mg:July22: 55 mg; Aug25: 45 mg. Aug28: 50 mg...Oct 28: 38 mg; Dec.4: 30 mg; Jan8,2019: 25mg; Feb6: 23.5 mg; Apr1:17.5mg; May1:1 mg; May 5: 18;  May 18:15mg; June 16:12.5mg; Sept 10:11 mg; Sept.16:10 mg; Oct. 1: 9mg; Nov. 27: 8mg; Dec.5: 7mg; Jan.1,2020, 6 mg; Feb1: 5 mg; May 1: 2.5 mg; Jn 1: 2 mg; Jy 1: 1.5 mg

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Thanks right now I'm dealing with horrible mental akathisia and depression, its awful.

C/T Citalopram in November 2015, and then started Paraxotine. C/T Paraxotine in January 2017 and started Citalopram. Only have a crumb left of the Citalopram after tapering 10% each month.

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  • Moderator Emeritus

Have you tried Magnesium?  I have found that the few times I have gone off it that my anxiety increased and when I went back on it it took the edge off my anxiety.

 

There are various types of magnesium.

Please DO NOT TAG me - thank you

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

  MISSION ACCOMPLISHED:    (6 year taper)      0mg Pristiq      on 13th November 2021

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

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Hi MB, welcome to the forum, I am new myself but I wanted to let you know there is lots of hope. 

 

When I first started having symptoms with Paxil akathisia was definitely one of them. It was so uncomfortable, the need to move, especially my legs. For me it almost felt like an anxiety attack in my body. You will stabilize. When I started withdrawing, I started healing, only when I messed about with my doses and tapered too fast was when the symptoms would flare up. 

 

Take it easy, you will heal. Try and keep your mind off it, as hard as that may sound. Maybe come up with a mantra like "This too shall pass"  

 

Cymbalta, Zoloft, Effexor: All during the past two years. When I was prescribed them, I would either take one pill a day for 2 days and the stop usage all together.

Pristiq: Taken for 2/3 weeks around April 2017. unknown dosage.  Discontinued cold turkey. 

Xanax: All thought 2017 here and there for panic attacks only. 

Focalin 10 mg: Taken on May 1st, 2017, discontinued after 3 days of usage. Cold Turkey.

Hospitalized May 13th, 2017.

Trazodone 10 mg: First doses around May 14th, 2017, The doses were taken sporadically for sleep along side Xanax and Triazolam. Stopped these cold turkey

Xanax & Triazolam: unknown dosage, used for sleep whenever I needed. Stopped usage cold turkey.

Paxil 40 mg: First dose around May 14th, 2017. Then I began having side effects so I found this website and began taper. 

September: Started Taper, dropped to 27 mg. Paxil

Beginning of October: Dropped to 24 mg. Paxil

October 12th 2017 & Current Dose: Dropped down to 21 mg Paxil. 

 

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I have horrible internal akathisia and fear I will never heal because I have chronic anxiety. I know stress slows healing but has anyone recovered that experiences chronic anxiety every day???

C/T Citalopram in November 2015, and then started Paraxotine. C/T Paraxotine in January 2017 and started Citalopram. Only have a crumb left of the Citalopram after tapering 10% each month.

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  • bubble changed the title to MBO514: Suffering CT withdrawal and akathisia
  • Moderator Emeritus

Hello MBO.

 

I just merged a thread you started with you existing thread. Please post all your questions and information in this thread and don't create new ones.

 

Most of us experience chronic anxiety, every day. It's part of the healing process. Luckily our brains have an amazing ability to heal. A few members already shared their stories of recovering from akathisia and there are more in the Success stories.

 

Can you write a bit more about your drug history? When were you first put on the drugs, why, how long you were on?

 

There are so many things we can do for ourselves to make this experience more bearable for us. Each of us builds compiles a kind of toolbox with non-drug coping techniques whether it is a very gentle and grounding yoga practice, mindfulness meditation, deep breathing, walking, colouring...anything that helps us to distract:

 

 

 

Current: 9/2022 Xanax 0.08, Lexapro 2

2020 Xanax 0.26 (down from 2 mg in 2013), Lexapro 2.85 mg (down from 5 mg 2013)

Amitriptyline (tricyclic AD) and clonazepam for 3 months to treat headache in 1996 
1999. - present Xanax prn up to 3 mg.
2000-2005 Prozac CT twice, 2005-2010 Zoloft CT 3 times, 2010-2013 Escitalopram 10 mg
went from 2.5 to zero on 7 Aug 2013, bad crash 40 days after
reinstated to 5 mg Escitalopram 4Oct 2013 and holding liquid Xanax every 5 hours
28 Jan 2014 Xanax 1.9, 18 Apr  2015 1 mg,  25 June 2015 Lex 4.8, 6 Aug Lexapro 4.6, 1 Jan 2016 0.64  Xanax     9 month hold

24 Sept 2016 4.5 Lex, 17 Oct 4.4 Lex (Nov 0.63 Xanax, Dec 0.625 Xanax), 1 Jan 2017 4.3 Lex, 24 Jan 4.2, 5 Feb 4.1, 24 Mar 4 mg, 10 Apr 3.9 mg, May 3.85, June 3.8, July 3.75, 22 July 3.7, 15 Aug 3.65, 17 Sept 3.6, 1 Jan 2018 3.55, 19 Jan 3.5, 16 Mar 3.4, 14 Apr 3.3, 23 May 3.2, 16 June 3.15, 15 Jul 3.1, 31 Jul 3, 21 Aug 2.9 26 Sept 2.85, 14 Nov Xan 0.61, 1 Dec 0.59, 19 Dec 0.58, 4 Jan 0.565, 6 Feb 0.55, 20 Feb 0.535, 1 Mar 0.505, 10 Mar 0.475, 14 Mar 0.45, 4 Apr 0.415, 13 Apr 0.37, 21 Apr 0.33, 29 Apr 0.29, 10 May 0.27, 17 May 0.25, 28 May 0.22, 19 June 0.22, 21 Jun updose to 0.24, 24 Jun updose to 0.26

Supplements: Omega 3 + Vit E, Vit C, D, magnesium, Taurine, probiotic 

I'm not a medical professional. Any advice I give is based on my own experience and reading. 

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