HAa: tapering Effexor and buspirone

[Altostrata]

I need to see your daily notes, like you did on 9/21/18.

 

What times of day do you take lamotrigine? How long has it been since you split the dose?

 

On 9/23/2018 at 12:30 PM, HAa said:

I think that I have a negative / adverse effect of Effexor.

 

What is this adverse effect of Effexor, and when does it occur?

 

Did you start taking buspirone because Effexor made you jumpy?

[HAa]

24. september 2018

7 am Woke up with extreme restlessness and crying

7 am Breakfest and Effexor xr 75 mg, Buspiron 3mg, Lamotrigin 100 mg start splitting dosis

8 am Lamotrigin 100 mg

8 am - 5pm on of restlessness and turmoil thoughts 

12 noon lunch

5 pm Rowing with a good friend - At ease and hopefull

7 pm Dinner  and Buspiron 3,5 mg

7 - 10.30 pm Peace in body and mind and  relaxed 

10.30 pm to bed

 

25. september

7 am Woke with Woke up with extreme restlessness and crying

7 am breakfest and Effexor xr 75 mg, Buspiron 3mg, Lamotrigin 100 mg

9 am Lamotrigin 100 mg

12 am lunch

8am - 2 pm Restless and crying on of. Running around, calling friends, being aktive in order to cope

4 pm  Oxapax 7,5 mg Very little effect

7.30 pm Dinner and meds no appetite 

9.30 pm calming down - mood is stabilising, at ease. T

10.30 pm to  bed

 

26. september 

7 am Woke with Woke up with extreme restlessness and crying and thoughtracing

8 am breakfest and Effexor xr 75 mg, Buspiron 3mg, Lamotrigin 100 mg

11 am Lamotrigin 100 mg

11 am  Oxapax 7,5 mg Very little effect

12 am lunch

8 am - 5 pm Restless and crying on of. No rest 

8 pm Dinner no appetite and meds

6 pm - 8 pm Sailing At ease and and peace the rest of the evening

11 pm To bed

 

27. september

5.30 am Woke early Headache, leg muscles twitching extreme restlessness and inner turmoil in body and thoughts 

7 am Setteling down can concentrate on preparing a first aid course, can let go of the painfull thoughs 

7 am Breakfest and usual meds 

12 am lamotrigin 100 mg and lunch

7 am - 11 pm mostly at ease Meeting with a friend for an hour, winter bathing. Some small periods with tension and sadness and intruding thoughts

11pm To bed restless legs and twisting muscle 

 

28. September

 8.15 am Waking with restless legs and twisting muscle and sadness and turmoil thoughts, Wanting to run away from it and know I can't  Fighting the urge and is staying with the mode - and it decrease and       fade away. The mode his in the backgrund all day but not as painfull as it usually is

9 am Breakfest and usual meds

 9 - 11.30 am Talking with my husband about how we want our lifes to be and the dreams we have and of all the good that is already here. He is not running away - he is supportive

11.30 7,5 mg oxapax as the painfully mode is returning. I just want some peace.. Little effect 

12 am lunch

1 pm Finding some peace by writing 

2 pm 100 mg lamotrigin

2-3 pm Walking by the sea A little uneasy and tension

3-4.30 pm Back some Some turmoil thoughs an sadness and again hectic

5 pm A friend is visiting unexpected and I can let go of all the inner turmoil and prepare dinner. Having af relaxing evening

7 pm dinner and meds

11 pm to bed restless legs and twisting muscle 

 

29. September

Same as the other days

8 am lamotrigin 100 mg and other meds

3 pm lamotrigin 100 mg

 

30. September

8 am - 5 pm First aid course in the kajak club All day and evening at ease and at peace

7 am lamotrigin 100 mg and other meds

6 pm lamotrigin 100 mg and other meds 

 

1 - 4. oktober

Increasing restless crying turmoil thoughts

Continuing restless legs and muscle during nights

Early waking 4-5-6 o´clock

Very loose stool

Meds as usual dose and time

Friends visiting ad supporting by giving hugs or talking about anything else but my state. It helps focusing on something else

 

Increasing symptoms in volume and intensityr. More need of oxapax even it only helps very little I each time hope it will give me just som calming effect Now more days in a row. As shown below

2. okt 

9 am 7,5 mg oxapax little effect

3 pm 7,5 mg oxapax little effect

 

4.okt

9 am 7,5 mg oxapax little effect

3 pm  7,5 mg oxapax little effect

 

20 yeas ago I was diagnosed with agitated depression. I was having the same symptoms as I have now.

Effexor 75 mg was given after trying a lot of different brands of SSRi. I don't think it help A LOT except I believed it would. All though it did not ease the inner turmoil in thoughts and body restless crying  fighting to find comfort and ease the pain.

Then buspiron was added on 10 + 10 mg. It helped somewhat, and I started climbing back to life. Trying not to work as hard, but I soon went back to overworking as that was my way to cope. This have been my pattern all life.

 

Some psych toll me that after many years of taking this meds, the could start to work opposite of what the were supposed to do. And that was why i started to taper. To get med free and see if that together wit frekvens terapi over a long periode of time, would diminish the painfully mode.

So my symptoms now is the same as before I started tapering. Thats is why it is hard to tell which is witch. The only physical symptoms I have is the restless legs, the loose stool, headache , and ligt sleep with early waking. It usually stops after 3-4 weeks. And remaining is the psychical symptoms as described. Some times it is worse like in unbearable, sometimes when I am occupied in doing something og in conversation the inner restlessness and all the other symptoms diminish. As soon as I am not bizzy all my focus is on how I feel and hopelessness This of course makes it all worse.

 

 

 

[HAa]

Is my above writing too long?

I can write it again and try to use less words.

I hope rhat I answered your quistions.

Looking forward to your thoughts 

on why I am getting worse as the years have gone by. 

[Altostrata]

Thank you, HAa.

 

What is your current lamotrigine schedule? How long have you been at that schedule? Has your symptom pattern changed since you have been on that schedule?

 

What symptoms have increased, and at what times of day?

 

When you write

On 10/5/2018 at 12:51 AM, HAa said:

8 am lamotrigin 100 mg and other meds

 

What other meds? What dosages? Please give complete information every day.

 

It seems you are taking Oxapax almost every day, several times a day, is that correct? It does not seem to be doing anything, why do you continue to take it?

 

Whenever you take Oxapax, please be sure to keep detailed symptom notes. It may be the Oxapax is causing some of your symptoms.

 

 

[HAa]

I am unsure of what you mean by schedual?

I started  spitting from 200 mg lamotrigin 8am to 

100 mg 8am and 100 mg 6pm on the 24. September. The day we last spoke. 

The 200 mg am I have been on since january. 

 

When I wrote and other meds it was because I get the same every day as on the 24. Sep 

 

I will repost my writing and put in the meds as taken

 

I am unsure what you mean by keeping notes. I wrote in the post the symptoms I have before and after taking oxapax.

 

The symptoms that are increasing is the restlessness, crying nor being able to sit still, as if I have ro use all energi to keep myself from falling apart

 

 

[HAa]

On 10/5/2018 at 9:51 AM, HAa said:

Increasing restlessnes, crying turmoil thoughts

 restless legs and muscle during nights

Early waking 4-5-6 o´clock

Very loose stool

This is the symptoms that had gotten worse. 

The way I changed frim 200 mg lamotrigin to 100x2mg as you adwised by takeing it one hour later over the day untill I was on

8am 100 mg lamotrigin

6pm 100 mg lamotrigin

 

 

 

[Altostrata]

How long have you been taking lamotrigine at 8am and 6 pm? Has your symptom pattern changed since you have been taking lamotrigine on this schedule?

 

17 minutes ago, HAa said:

8am 100 mg lamotrigin

6pm 100 mg lamotrigin

 

Please keep daily notes on paper about your symptoms, when you take your drugs, and their dosages. Use a simple list format with time of day on the left and notation (symptom, drug and dosage) on the right.

 

Many people do better with fish oil and magnesium supplements, see http://survivingantidepressants.org/index.php?/topic/36-king-of-supplements-omega-3-fatty-acids-fish-oil/
http://survivingantidepressants.org/topic/15483-magnesium-natures-calcium-channel-blocker/

 

A lot of people find them helpful. Magnesium can be good for "restless legs." Try a little bit of one at a time to see how it affects you.

[HAa]

Buth that is what I submitted last week

[HAa]

On 10/5/2018 at 9:51 AM, HAa said:

24. september 2018

7 am Woke up with extreme restlessness and crying

7 am Breakfest and Effexor xr 75 mg, Buspiron 3mg, Lamotrigin 100 mg start splitting dosis

8 am Lamotrigin 100 mg

8 am - 5pm on of restlessness and turmoil thoughts 

12 noon lunch

5 pm Rowing with a good friend - At ease and hopefull

7 pm Dinner  and Buspiron 3,5 mg

7 - 10.30 pm Peace in body and mind and  relaxed 

10.30 pm to bed

 

25. september

7 am Woke with Woke up with extreme restlessness and crying

7 am breakfest and Effexor xr 75 mg, Buspiron 3mg, Lamotrigin 100 mg

9 am Lamotrigin 100 mg

12 am lunch

8am - 2 pm Restless and crying on of. Running around, calling friends, being aktive in order to cope

4 pm  Oxapax 7,5 mg Very little effect

7.30 pm Dinner and meds no appetite 

9.30 pm calming down - mood is stabilising, at ease. T

10.30 pm to  bed

 

26. september 

7 am Woke with Woke up with extreme restlessness and crying and thoughtracing

8 am breakfest and Effexor xr 75 mg, Buspiron 3mg, Lamotrigin 100 mg

11 am Lamotrigin 100 mg

11 am  Oxapax 7,5 mg Very little effect

12 am lunch

8 am - 5 pm Restless and crying on of. No rest 

8 pm Dinner no appetite and meds

6 pm - 8 pm Sailing At ease and and peace the rest of the evening

11 pm To bed

 

27. september

5.30 am Woke early Headache, leg muscles twitching extreme restlessness and inner turmoil in body and thoughts 

7 am Setteling down can concentrate on preparing a first aid course, can let go of the painfull thoughs 

7 am Breakfest and usual meds 

12 am lamotrigin 100 mg and lunch

7 am - 11 pm mostly at ease Meeting with a friend for an hour, winter bathing. Some small periods with tension and sadness and intruding thoughts

11pm To bed restless legs and twisting muscle 

 

28. September

 8.15 am Waking with restless legs and twisting muscle and sadness and turmoil thoughts, Wanting to run away from it and know I can't  Fighting the urge and is staying with the mode - and it decrease and       fade away. The mode his in the backgrund all day but not as painfull as it usually is

9 am Breakfest and usual meds

 9 - 11.30 am Talking with my husband about how we want our lifes to be and the dreams we have and of all the good that is already here. He is not running away - he is supportive

11.30 7,5 mg oxapax as the painfully mode is returning. I just want some peace.. Little effect 

12 am lunch

1 pm Finding some peace by writing 

2 pm 100 mg lamotrigin

2-3 pm Walking by the sea A little uneasy and tension

3-4.30 pm Back some Some turmoil thoughs an sadness and again hectic

5 pm A friend is visiting unexpected and I can let go of all the inner turmoil and prepare dinner. Having af relaxing evening

7 pm dinner and meds

11 pm to bed restless legs and twisting muscle 

 

29. September

Same symptoms patrern  as the other days

8 am lamotrigin 100 mg, buspiron 3 mg and effexor 75 mg

3 pm lamotrigin 100 mg

 

30. September

8 am - 5 pm First aid course in the kajak club All day and evening at ease and at peace

7 am lamotrigin 100 mg buspiron 3 mg and effexor 75 mg

6 pm lamotrigin 100 mg and buspiron 

 

1 - 4. oktober

Increasing restless crying turmoil thoughts

Continuing restless legs and muscle during nights

Early waking 4-5-6 o´clock

Very loose stool

Meds as usual dose and time

Friends visiting ad supporting by giving hugs or talking about anything else but my state. It helps focusing on something else

 

Increasing symptoms in volume and intensityr. More need of oxapax even it only helps very little I each time hope it will give me just som calming effect Now more days in a row. As shown below

2. okt 

Sammas other says above

9 am 7,5 mg oxapax little effect

3 pm 7,5 mg oxapax little effect

 

4.okt

same as otherday above

9 am 7,5 mg oxapax little effect

3 pm  7,5 mg oxapax little effect

 

20 yeas ago I was diagnosed with agitated depression. I was having the same symptoms as I have now.

Effexor 75 mg was given after trying a lot of different brands of SSRi. I don't think it help A LOT except I believed it would. All though it did not ease the inner turmoil in thoughts and body restless crying  fighting to find comfort and ease the pain.

Then buspiron was added on 10 + 10 mg. It helped somewhat, and I started climbing back to life. Trying not to work as hard, but I soon went back to overworking as that was my way to cope. This have been my pattern all life.

 

Some psych toll me that after many years of taking this meds, the could start to work opposite of what the were supposed to do. And that was why i started to taper. To get med free and see if that together wit frekvens terapi over a long periode of time, would diminish the painfully mode.

So my symptoms now is the same as before I started tapering. Thats is why it is hard to tell which is witch. The only physical symptoms I have is the restless legs, the loose stool, headache , and ligt sleep with early waking. It usually stops after 3-4 weeks. And remaining is the psychical symptoms as described. Some times it is worse like in unbearable, sometimes when I am occupied in doing something og in conversation the inner restlessness and all the other symptoms diminish. As soon as I am not bizzy all my focus is on how I feel and hopelessness This of course makes it all worse.

 

 

 

This is my notes...

 

[Shep]

On 10/5/2018 at 3:51 AM, HAa said:

Increasing symptoms in volume and intensityr. More need of oxapax even it only helps very little I each time hope it will give me just som calming effect Now more days in a row. As shown below

2. okt 

9 am 7,5 mg oxapax little effect

3 pm 7,5 mg oxapax little effect

 

4.okt

9 am 7,5 mg oxapax little effect

3 pm  7,5 mg oxapax little effect

 

HAa, you were taking oxapax once a day and now you're taking it twice a day, so you've doubled your dose. 

 

In your signature, you state you only take it 5 - 8 times a month.

 

How many days in a row have you taken oxapax in the past 4 weeks? Have you continued to take it daily since the above quote from October 5? 

 

Please note it only takes 2 - 4 weeks to become dependent on oxapax (and any other benzodiazepine). It's also possible to become dependent with periodic use, especially if that periodic use increases, as you are doing. 

 

As Alto mentioned, some of your symptoms may be coming from the oxapax. 

 

 

[HAa]

50 minutes ago, Shep said:

 

HAa, you were taking oxapax once a day and now you're taking it twice a day, so you've doubled your dose. 

 

In your signature, you state you only take it 5 - 8 times a month.

 

How many days in a row have you taken oxapax in the past 4 weeks? Have you continued to take it daily since the above quote from October 5? 

 

Please note it only takes 2 - 4 weeks to become dependent on oxapax (and any other benzodiazepine). It's also possible to become dependent with periodic use, especially if that periodic use increases, as you are doing. 

 

As Alto mentioned, some of your symptoms may be coming from the oxapax. 

 

 

I know and that is why I am concerned.

In my first post earlier this year I did not oxapax on regular basis. 

I have not been useing it regular before 2,5 years ago when my condition got worse after 20 some years on effexor and buspiron. 

Mindracing, extreem restlessnes, crying. Not able to sit down but have to be one the moce all the time

This has incresed since 2010 just getting worse and more intens. As of now it is like this all the time untill late evening.

This state was the reason I gor the oxapax in the first place back in 2016...

From january this year and forward it has just gotten worse. 

I started tapering august 2017 buspiron 10 mg x 2 taking of 10% a mont of the previos dose. Each time the symptoms as descrebed abowe just intensified... Usually the faded after 4-6 weeks. The faded so a was back to “my normal level of turmoil restless crying not able to sit down.

 

Since I resuced to 3+3,5 buspiron back on 1. August it has not settled down.

As succested here I continiu to hold on all tapering. The symptoms are not fadeing - 

I an in therapi I take mg and fishoil

I try to stay with what is here the pain inside and the raicing mind just to let it be / observe it.

I try to activate myself out of the state and so on mindfulness Metacognitive terapi I eat good food. I do all I can to cope with this state and I dont succed. 

 

If I got depended on oxapax and as Alto succested that when the nervoussystem settles down should taper effexor first I dint know how to deal with this inner terror / state that I permenently is in. And all days it all settles down around 9pm. 

What do you suggest?

 Should I taper oxapax before effexor instead. 

 

[Shep]

29 minutes ago, HAa said:

If I got depended on oxapax and as Alto succested that when the nervoussystem settles down should taper effexor first I dint know how to deal with this inner terror / state that I permenently is in. And all days it all settles down around 9pm. 

What do you suggest?

 Should I taper oxapax before effexor instead. 

 

I'm still confused about how many days you have consistently taken oxapax.

 

Have you been taking 7.5 mg two times a day since October 2 (as you noted in this post here)?  

 

1 hour ago, Shep said:

How many days in a row have you taken oxapax in the past 4 weeks? Have you continued to take it daily since the above quote from October 5? 

 

As best as you can, please try to answer these questions. I'm trying to determine if you may already be dependent on oxapax. 

[HAa]

1 hour ago, Shep said:

I'm trying to determine if you may already be dependent on oxapax. 

No not every day.

Not on 3., 6.,7.8 and 9 oktober 

10.10. 7,5 mg x 2

Today none. But the terror i unbearable

I am getting lost in my thoughts and feeling as if I disapear. My legs feels nome. I am terrified

But I dont feel any need for oxapax - just need for peace.

I just allow myself  oxapax when I absolutly cant stand it any longer

[Shep]

Thanks for the additional information, HAa.

 

You may be getting paradoxical or rebound symptoms from the off-and-on use of oxapax.

 

Also, because you are taking it more often and feeling the need to increase the dose, you are likely developing a dependency.

 

You'll need to decide if you wish to use Oxapax regularly and take it every day at the same time each day, as consistently as possible. Or you need to stop taking it. The rate you are using it (more than 2 times a week) is risking becoming dependent on it.

 

From what you've posted about oxapax not having any effect, it might be good to put it away and not use it and instead, find some non-drug methods of coping. Please see:

 

Non-drug techniques to cope with emotional symptoms

 

This is a video of a very effective breathing technique you may wish to try when you feel overwhelmed:

 

4-7-8 Breathing Exercise by GoZen video (3.5 minutes)

 

Another good technique is the "change the channel" technique that Alto writes about here:

 

"Change the channel" -- dealing with cognitive symptoms

 

The "change the channel" technique is very effective, especially if you break it down into easy, manageable activities throughout the day. Take a walk in nature, work a jigsaw puzzle, watch a favorite TV show, or if you are struggling too much to do those things, simply sitting and listening to quiet music can be helpful. It's important to learn how to distract through difficult symptoms. In time, your distracts will become a very effective non-drug coping skill that will help you during withdrawal, along with helping you learn healthy ways of handling stress when you're completely drug free. 

 

If you can learn to cope and distract through withdrawal, you'll be able to handle anything that comes your way after withdrawal. 

 

Two requests:

1. Please add in the number of hours you are sleeping each night when you post your symptoms. 
2. Please add in when you have a meal or snack. 

This is a great format to use:

 

Drug and Symptoms Journal Format

 

Please keep updating how you are feeling as we sort out your taper plan. 

[HAa]

Thank you...

I will try not to take the oxapax.

If what I expirens is a pradoxal reaction, how long before I will know and the increaxed terror feeling will deminish.?

 

Can I write my notes in word and add the file instead of writing it here?

[Altostrata]

You have been taking lamotrigine at 8am and 6 pm since September 30? Has your symptom pattern changed since then?

 

Do you often have loose stool, and at what time of day? When did this start?

 

What symptoms have gotten worse since September 30? Have any gotten better?

 

What is your "agitated depression"?

[HAa]

1 hour ago, Altostrata said:

You have been taking lamotrigine at 8am and 6 pm since September 30? Has your symptom pattern changed since then?

 

Do you often have loose stool, and at what time of day? When did this start?

 

What symptoms have gotten worse since September 30? Have any gotten better?

 

What is your "agitated depression"?

Yes I have been taking lamotrigin 100 mg 8am and 6pm since 30. September

 

All the symptoms I have had for 2,5 years on and of is the same I have now. It is just more intens I have gotten more of all the following symptoms (restless, thoughts are racing, feeling emty, hopeless and meningslesness, crying spells, can’t contain myself.

 

loose stool I had just for a few days 3-4 and and allways in the morning. the same with light sleep. Just a week. Waking often and early at 5.30am

But the other symptoms as written  above has not faded  just gotten more intens.

 

Agitered depression is rhe above symtoms as opposed to the

normal depression where you are slow and just sitting doing nothing. 

In the the agitated depression I cant sit still must be on the move constantly.

 

[Altostrata]

24 minutes ago, HAa said:

loose stool I had just for a few days 3-4 and and allways in the morning. the same with light sleep. Just a week. Waking often and early at 5.30am

But the other symptoms as written  above has not faded  just gotten more intens.

 

When you write up your daily notes, I need to know the time of day a symptom occurs. Does it occur before or after you take a drug?

 

You have not had loose stool for how many days?
 

27 minutes ago, HAa said:

restless, thoughts are racing, feeling emty, hopeless and meningslesness, crying spells, can’t contain myself.

 

Are any of these symptoms worse or better at any particular time of day?

 

You may note I keep asking about times of day. I need to know times of day. Please supply times of day, don't make me keep asking for this.

 

Please include your sleep pattern in your daily notes. Use a simple list format with time of day on the left and notation (symptom, drug and dosage) on the right. Do not attach a Word document to your post. You can copy and paste from a Word document.

[ChessieCat]

1 hour ago, Altostrata said:

You may note I keep asking about times of day. I need to know times of day. Please supply times of day, don't make me keep asking for this.

 

Please include your sleep pattern in your daily notes. Use a simple list format with time of day on the left and notation (symptom, drug and dosage) on the right.

 

This is an example of what is needed:

 

6 a.m. Woke and vomited
8 a.m. Took 2.5mg Lexapro
10 a.m. Had diarrhea
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. Stomachache
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. Headache got worse
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 with headache

[HAa]

8 hours ago, Altostrata said:

 

When you write up your daily notes, I need to know the time of day a symptom occurs. Does it occur before or after you take a drug?

 

You have not had loose stool for how many days?
 

 

Are any of these symptoms worse or better at any particular time of day?

 

You may note I keep asking about times of day. I need to know times of day. Please supply times of day, don't make me keep asking for this.

 

Please include your sleep pattern in your daily notes. Use a simple list format with time of day on the left and notation (symptom, drug and dosage) on the right. Do not attach a Word document to your post. You can copy and paste from a Word document.

Loose stool stopped 27. September. 

I go to the toilet at 6-7 o clock before medicin.

so normal stool for 7 days 

I go to bed around 10-10.30 pm and wake at 5.30-6. 

I will try to keep my dayly notes short as shown and inkl sleeping

THe symptoms are the same all day. They stop / deminich around 9-10pm almost every night. 

 

It is the same as before I started tapering. The symptoms are just there all the time and more intens. 

 

Same symptoms same pattern No variation during day. No difference before or after medication. Some small vindows few minutes here and there . It is a living hell 

[HAa]

6.10.

6.am Woke some restlessness but not too bad.

6.15 Had breakfast and Lamotrigin 100 mg Buspiron 3 mg Effexor 75 mg

6.45 am  Going sailing - calm

10.30am  lunch  - calm

12 am sailing test  - calm

3 pm Visiting friend  - a little unease rastless

7 pm Dinner - Lamotrigin 100 mg Buspiron 3 mg - a little unease but getting calm while eating

9 pm calm

10 pm To bed slept well

4 am woke and fell a sleep again

 

7.10.

6 am woke - restless an some unease

7 am Breakfast Lamotrigin 100 mg Buspiron 3 mg Effexor 75 mg - restless an some unease 

8 am Kajakklub calm and at ease

1 pm Lunch calm and at ease

6 pm Dinner - Lamotrigin 100 mg Buspiron 3 mg

10 pm To bed   - calm - slept well all night

 

8.10.

6.30 am woke calm

7 am breakfast and Lamotrigin 100 mg Buspiron 3 mg Effexor 75 mg - calm

8 am traume yoga  - calm

12 pm lunch  - calm

6 pm dinner with a friend and Lamotrigin 100 mg Buspiron 3 mg  -  calm

7 pm winter bathing - calm

10 pm To bed 
 

9.10 

4 am woke and fell a sleep again

5 am woke and fell a sleep again

6 am woke restless, uneasy, frightened excessive thoughts

8 am breakfast and Lamotrigin 100 mg Buspiron 3 mg Effexor 75 mg

12 am lunch

12 am The anxiety have increased since morning - can't contain myself, restless, unease, crying can't sit still must be on the move all the time

12 am 7,5 mg oxapax very little effect, the restlessness and anxiety was slightly diminished but increased again over the next hours

3 pm visiting friend  - symptoms as above increasing during the next 4 hours

6 pm dinner and Lamotrigin 100 mg Buspiron 3 mg crying restless continues

7 pm 7,5 mg oxapax some effect 

9 pm calm 

10 pm to bed - slept well

 

10.10

5.30am  7 hours sleep Woke with extreme anxiety puls 150 restless, horror, crying, excessiv thoughts,

7 am normal stool

8 am Breakfast Lamotrigin 100 mg Buspiron 3 mg Effeksor 75 mg - Symptoms as above continue. Getting lost in my thoughts / disorientated

9.00 Rowing - at ease puls 80

11.30 Extreme anxiety and tension getting lost in my head Crying

1 pm visiting friend symptoms continue No rest crying - Massage - at ease for 1/2 hour the again restless crying, increasingly anxiety 

7.30 pm dinner Buspiron 3,5 mg lamotrigin 100 mg  

9pm I settle down and is at peace

10.30 pm To bed - woke at 4am and slept again till 5.30am

 

11.10

5.30am Woke with extreme horror, speeding puls no rest racing thoughts, crying could not sit still. Cant feel my legs 6 hours sleep

8.00 am Breakfast Buspiron 3 mg lamotrigin 100mg Efexor 75 mg Sympt continiue as above (no rest, racing thoughts, crying could not sit still. Cant feel my legs

9.30 am Winter bathing - some calming

10am anxiety restless spinning thoughts, crying no rest most be up and moving all the time feeling I am disappearing, cant feel my legs

10.45 am 7,5 mg oxapax little effect. Gardening no rest, crying excessiv thoughts

12.30 pm increasing anxiety restless inner tension, can't contain myself - fear the mode  - can't activate myself out of the mode, mindfulness is not doing any good, excessive thoughts

12.30 7,5 mg oxapax 

1 pm Fell a sleep

2 pm woke Drowsy a little restless

2 pm lunch

3 pm At ease

6 pm dinner Buspiron 3,5 mg lamotrigin 100 mg - at ease

7. pm driving home - excessiv thoughts but at ease

8 pm at home  - at ease

 

today was the first day I took 7,5 mg oxapax x 2 within just 2 hours. But the state I was was so terrible that I could not stand it. Even though I was in very safe  company and safe surroundings. I have been at ease and calm since. It is scary 

I´ll continue to write on daily basis.

 

I don't know what to do about the increasing need for oxapax the last two days. 

 

[HAa]

The oxapax has been more often than written below. This frekvens was earlier in the year.

How do I write the right amount of oxapax over the summer?

[Altostrata]

You don't have to tell us about the oxapax over the summer, just the oxapax you're taking every day now.

 

I see you have good days without oxapax. Sometimes you have a bad time and take oxapax. What happens when you have a bad time? What does it feel like?

 

You are not having this bad time every day, but when it happens, it happens about noon. Is there anything else you're doing every morning?

 

Are these the adverse effects you associate with Effexor?

 

 

[HAa]

7 hours ago, Altostrata said:

You don't have to tell us about the oxapax over the summer, just the oxapax you're taking every day now.

 

I see you have good days without oxapax. Sometimes you have a bad time and take oxapax. What happens when you have a bad time? What does it feel like?

 

You are not having this bad time every day, but when it happens, it happens about noon. Is there anything else you're doing every morning?

 

Are these the adverse effects you associate with Effexor?

 

 

Bad days are usually days when I don't have any activities planed. And then I try to plan my days so I do have plans for visiting, or rowing og something. When i row I am at ease and calm.

It is not always that activatvating myself is calming. 

Almost every morning I wake with this anxiety. I keep it going until mid morning or noon and then I can't hold myself together any more. And take the oxapax.

 

Yes this is the adverse effects I associate with effexor having started to give. I do this because thise symptoms have worsened over the last 5-6 years and especially during the last two yeas.

[Altostrata]

12 hours ago, HAa said:

Almost every morning I wake with this anxiety.

 

If you wake with anxiety, before taking Effexor, why do you associate it with the Effexor? Does it get worse after you take Effexor?

 

Does the anxiety come in waves? Have you tried magnesium supplements http://survivingantidepressants.org/topic/15483-magnesium-natures-calcium-channel-blocker/

[HAa]

11 hours ago, Altostrata said:

If you wake with anxiety, before taking Effexor, why do you associate it with the Effexor? Does it get worse after you take Effexor?

I was told that after long term treatment with efexor it could start working opposite and instead og helping on the depression and anxiety it can increase it. 

So it is not like when you take it you nessesaraly react on it with symptoms right away. This can occur accur after long time use.

 

I think this is what have happend as I have gotten worse during the last 6-7 years.

 

Yes I have tried different type of mg. I took some that is supposed to be able to pass the blod brain barrier for a year. I thougt It helped but then this spring I got more anxiety ( restless unease terror and so on ) I tried to pause mg. Then after a month I started again and got even worse.

 

Now a week ago I tried mg malate just 115 mg (1/3 of recomened dosis) and the restless unease  and th rest symptoms got worse and it did not help on the feeling in my legs so I stoped again.

apperent I react strong on any changes in meds and supplements

 

Perhaps I should try yet another mg as recomende in the link as the feeling in my legs are increasing and I have nomeness i the opper part of the legs and muskle twitzing in feet and calfs.  

Any suggestions?

 

 

[HAa]

It does get worse. The first wave I useally can calm a little down. Then over the next 2 hour the mind start racing and I get more and more tens and hectic. 

 

And yes it come in waves. Often ultra short windows and then again. I keep active all the time in prder to cope.

 

At 9pm I useually calm down

 

 

 

[Altostrata]

13 hours ago, HAa said:

I was told that after long term treatment with efexor it could start working opposite and instead og helping on the depression and anxiety it can increase it. 

So it is not like when you take it you nessesaraly react on it with symptoms right away. This can occur accur after long time use.

 

I think you're talking about poop-out. Your symptom pattern does not fit this.

 

Does the anxiety get worse after you take Effexor in the morning? Does the anxiety come in waves?

 

I still need to see your daily symptom and drug notes.

[HAa]

9 hours ago, Altostrata said:

 

I think you're talking about poop-out. Your symptom pattern does not fit this.

 

Does the anxiety get worse after you take Effexor in the morning? Does the anxiety come in waves?

 

I still need to see your daily symptom and drug notes.

12.10. 

1am Woke and fell a sleep after few minutes

2.30am Woke and fell a sleep after few min minutes

4.45 Woke and fell a sleep after few min minutes

5.30am Woke was hectic heart racing mind racing and got up. Sat outside  had coffee and a smoke. Calmed a little - mind still racing and restless..

7am Breakfast and buspiron 3mg, efexor 75mg, lamotrigin 100mg. Symptpms as above comes and goes with few minutes interval Consentrate on being precent and turrn my attention out. Few minutes rest.

9am mindracing and hectic continius. Nomness and pins and needles in my upper legs

Try keeping my attention on something else. 

10.45am 7,5mg oxapax. Cant contain myself. - Settled down

12am Went rowing with friends - calm

3pm Sat talking in the kajakclub - calm

5pm Instructed 4 people on using the rowing machine - calm

7pm Had dinner with a friend - calm

9pm Buspiron 3,5mg and lamotrgin 100mg 

11.30pm To bed - calm

 

[HAa]

13.10.

1, 2, 4, 5am Woke and fell asleep 

6.30 am Woke and got up - legmuscles twitzing and nomness in upper legs, less mindracing 

7.30am Breakfast and buspiron 3mg, effexor 75mg, lamotrigin 100mg.

9pm Mindracing, presure

10am Visiting friend. Presure and hectic continiue

10.45am 7,5mg oxapax

11am mindracing and presure deminish - 

11pm-5am Gardening - calm

6pm Mindracing, fast pulse, presure. 

7.30pm Dinner and Buspiron 3,5mg lamotrigin 100 mg. Some ease after dinner and half an hour on.

8pm restless presure high puls mindracing. Unease in legs

10pm To bed 

[HAa]

14.10

6.30am Got up (woke at 1 and 5am) Hectic mindrasing, high pulse presure

8am breakfast Symptoms continiue 

9.30 buspiron 3mg efexor 75 mg lamotrigin 100 mg

 

[Altostrata]

Given you're taking buspirone, Effexor, and lamotrigine at the same time in the morning, it's hard to tell if perhaps you're getting an adverse reaction from any of them or the combination, which might cause you to take oxazepam a little later.

 

I suspect the Effexor. Effexor can be activating -- causing anxiety, nervousness, jumpiness, etc.

 

Did the buspirone ever have any beneficial effect?

 

You are also taking oxazepam frequently. This can cause rebound symptoms when oxazepam wears off. Given its half-life of about 8 hours, this can be some time later, in the evening or the middle of the night.

 

Please put ALL your drugs in the Drug Interactions Checker https://www.drugs.com/drug_interactions.php
and copy and paste the results or a link to them in this topic.

[HAa]

14.10

6.30am Got up (woke at 1 and 5am) Hectic mindrasing, high pulse presure

8am breakfast Symptoms continiue 

9.30 buspiron 3mg efexor 75 mg lamotrigin 100 mg Symptoms continue and increase 

10am Gardening - irritable and increasing presure. 

11am Crying can’t contain myself. Remember to accept this. Calmed somewhat down 

12am lunch Again anxiety (presure, racing mind, unease, hectic). Can’t  calm me down

2pm 7,5mg oxapax - Some effekt.  Winter svimming and sauna. Talked to some people there - calm

5pm Visiting friends - calm

8pm Home - Checking medications for interaktions - some unease - fear that the hectic anxiety state will return..

 

Interactions between your drugs

Major

Using busPIRone together with venlafaxine can increase the risk of a rare but serious condition called the serotonin syndrome, which may include symptoms such as confusion, hallucination, seizure, extreme changes in blood pressure, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, tremor, incoordination, stomach cramp, nausea, vomiting, and diarrhea. Severe cases may result in coma and even death. You should seek immediate medical attention if you experience these symptoms while taking the medications. Talk to your doctor if you have any questions or concerns. Your doctor may already be aware of the risks, but has determined that this is the best course of treatment for you and has taken appropriate precautions and is monitoring you closely for any potential complications. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data

Moderate

 

Using oxazepam together with venlafaxine may increase side effects such as dizziness, drowsiness, confusion, and difficulty concentrating. Some people, especially the elderly, may also experience impairment in thinking, judgment, and motor coordination. You should avoid or limit the use of alcohol while being treated with these medications. Also avoid activities requiring mental alertness such as driving or operating hazardous machinery until you know how the medications affect you. Talk to your doctor if you have any questions or concerns. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data

Moderate

Using oxazepam together with lamoTRIgine may increase side effects such as dizziness, drowsiness, confusion, and difficulty concentrating. Some people, especially the elderly, may also experience impairment in thinking, judgment, and motor coordination. You should avoid or limit the use of alcohol while being treated with these medications. Also avoid activities requiring mental alertness such as driving or operating hazardous machinery until you know how the medications affect you. Talk to your doctor if you have any questions or concerns. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data

Moderate

Using busPIRone together with lamoTRIgine may increase side effects such as dizziness, drowsiness, confusion, and difficulty concentrating. Some people, especially the elderly, may also experience impairment in thinking, judgment, and motor coordination. You should avoid or limit the use of alcohol while being treated with these medications. Also avoid activities requiring mental alertness such as driving or operating hazardous machinery until you know how the medications affect you. Talk to your doctor if you have any questions or concerns. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data

Moderate

Using venlafaxine together with lamoTRIgine may increase side effects such as dizziness, drowsiness, confusion, and difficulty concentrating. Some people, especially the elderly, may also experience impairment in thinking, judgment, and motor coordination. You should avoid or limit the use of alcohol while being treated with these medications. Also avoid activities requiring mental alertness such as driving or operating hazardous machinery until you know how the medications affect you. Talk to your doctor if you have any questions or concerns. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

 

 

 

 

[HAa]

On 10/14/2018 at 8:40 PM, HAa said:

14.10

6.30am Got up (woke at 1 and 5am) Hectic mindrasing, high pulse presure

8am breakfast Symptoms continiue 

9.30 buspiron 3mg efexor 75 mg lamotrigin 100 mg Symptoms continue and increase 

10am Gardening - irritable and increasing presure. 

11am Crying can’t contain myself. Remember to accept this. Calmed somewhat down 

12am lunch Again anxiety (presure, racing mind, unease, hectic). Can’t  calm me down

2pm 7,5mg oxapax - Some effekt.  Winter svimming and sauna. Talked to some people there - calm

5pm Visiting friends - calm

8pm Home - Checking medications for interaktions - some unease - fear that the hectic anxiety state will return.

 

8pm Buspiron 3,5mg lamotrigin 100mg

10pm To bed

 

15.10.

1 and 5pm Woke

6.30 woke got up. Mindracing - could calm me down down by letting the thoughts be

7pm Breakfast

7pm buspiron 3mg efexor 75mg lamotrigin 100mg

9pm Rowing - calm a litle unease

11pm Lunch

2amVolenteer work - a little unease

4am Dinner 

5pm Buspiron 3,5mg lamotrigin 

5.30am Winter swimming. - calm

7am Meeting in the club - calm

9am home - calm

10am To bed

 

16.10

1 and 4pm Awake

5.45pm Got up - mindracing - could calm me down

6.30pm Breakfast 

6.30 Buspiron 3mg Efexor 75mg lamotrigin 100mg

7.30pm Rowing

 

All togerher better except my sleep, where I wake more often after I have started taking lamotrin in the evening

It was given for depression and should be activating, so it makes sence with less anxety in the midmorning and lighter sleep. 

[HAa]

You ask if buspiron have had any effekt - I dont know. For many years I was at ease - some anxius periods but norhing like this wich started 6 years and got worse before I started tapering.

 

16.10

1 and 4pm Awake

5.45pm Got up - mindracing - could calm me down

6.30pm Breakfast 

6.30 Buspiron 3mg Efexor 75mg lamotrigin 100mg

7.30pm Kajakclub, winterbathing rowing - calm

2am Lunch

4am rowing 

6.30an Dinner

6.30am Buspiron 3,5mg, Lamotrigin 100, Probiotika (Lactiplus 5 billion bacteria)

7am Friend visiting 

11am to bed 

 

17.10.

6.30pm Got up (awake 4.30) Less mindracing. Could calm me down

8pm breakfast 

8pm Buspiron 3mg Efexor 75mg lamotrigin 100mg

 

[HAa]

On 10/14/2018 at 7:31 PM, Altostrata said:

Given you're taking buspirone, Effexor, and lamotrigine at the same time in the morning, it's hard to tell if perhaps you're getting an adverse reaction from any of them or the combination, which might cause you to take oxazepam a little later.

 

I suspect the Effexor. Effexor can be activating -- causing anxiety, nervousness, jumpiness, etc.

 

Did the buspirone ever have any beneficial effect?

 

You are also taking oxazepam frequently. This can cause rebound symptoms when oxazepam wears off. Given its half-life of about 8 hours, this can be some time later, in the evening or the middle of the night.

 

Please put ALL your drugs in the Drug Interactions Checker https://www.drugs.com/drug_interactions.php
and copy and paste the results or a link to them in this topic.

I copied the list of my drugs in the interaction (it is above this post)

My daily registrations is allso above. ( I forgot to quote you in my answer) 

Should I write it again or is it fine as it is?

When I write my notes here, should I then quote you, in order for you to get it?