HAa: tapering Effexor and buspirone

[HAa]

I think I want to take

6am buspiron 3mg +lamotrigin 100mg

9am Effexor 75mg

6pm buspiron 3,5mg + lamotrigin 100mg

 When we spilt lamotrigin dosis in two, I reacted by sleeping very light and woke very often during the night. I’ll rather just separete buspiron and effexor for a start, and see if it makes any change.

 

I have forgotten to tell, that I during the last 14 days have started to loose hair. Lamotrigin has that as adversed effect and also restless and nervous. I bever realized this untill now.

If this continue I think I should start tapering this first.

 

[HAa]

5.11.

1am-5am. Awake every hour. Calm

6am Buspiron 3mg 

6-7.30am Sleept on off

7.30am Got up - Breakfast Mind-racing hectic on off within few seconds. Diarrhea x multible

9am Effexor 75mg Lamotrigin 100mg - Hectic mindracing altering with calm every few sek.

9am Efexor 75mg Lamotrigin 100mg Symptom continue

10am Take a rest - a little calm for a few minutes

11am lunch - Nauseous - no appetite unease restless tens crying Cant contain myself.

12am take a rest - calm for a few minutes

2am Volunteer-work Restless Mind-racing tension Want to cry Want to curl up and disappear 

4pm Massage

5pm Some calm Worried the turmoil will return. 

6pm Dinner no appetite nauseous - Buspiron 3,5mg Lamotrigin 100mg.

7pm A little calm

[Altostrata]

Okay, please stick with this:

 

7 hours ago, HAa said:

I think I want to take

6am buspiron 3mg +lamotrigin 100mg

9am Effexor 75mg

6pm buspiron 3,5mg + lamotrigin 100mg

 When we spilt lamotrigin dosis in two, I reacted by sleeping very light and woke very often during the night. I’ll rather just separete buspiron and effexor for a start, and see if it makes any change.

 

I have forgotten to tell, that I during the last 14 days have started to loose hair. Lamotrigin has that as adversed effect and also restless and nervous. I bever realized this untill now.

If this continue I think I should start tapering this first.

 

 

Yes, we need to see what the 3 drugs are doing. Please continue to post your daily notes.

 

When you started to take 100mg lamotrigine in the evening, your sleep broke up?

[HAa]

Yes my sleep broke up. After a week or so I started to wake up less times. Then I stopped oxapax and and again I wake up every hour. And I have had very loose stool the last two days. 

I stopped the magnesium oil 4.11. because of the diarrhea and womiting. 

 

 

[HAa]

On 11/6/2018 at 2:06 AM, Altostrata said:

Yes, we need to see what the 3 drugs are doing. Please continue to post your daily notes.

6.11. 

Continue from 5.11.

8pm Loose stool - Nauseous 

10.30pm To bed

 

6.11.

12-4am Awake every hour 

4.45am Got up - Calm 

5.45am Breakfast 

6am Buspiron 3mg Lamotrigin 100mg - To bed

7.30am Got up - Nauseous -Some mind-racing unease

8am Breakfast -  Nauseous

9am Efexor 75mg

10am rowing - some ease

12am Lunch Nauseous  Tension Mind start racing as soon as I am not active. Hard not get stuck in them. Keeping myself active. 

Trigger: I am feeling emty..

2.30pm 7,5mg oxapax Nauseous Cannot deal with my anxiety and dark thoughts and the horrifying feeling of me disappearing. Mind-racing stoped Sadness still there but I could function. 

3pm went for a walk with a friend - Crying

6pm Dinner- Buspiron 3,5mg Lamotrigin 100mg Good appetite 

6.30pm indoor rowing - Some ease

8.30pm Home At ease

11pm To bed - at ease

 

7.11.

1 and 4am Awake - Nightmare.

6am Breakfast Buspiron Mindracing  - Insight: How do I meet my own needs? -Calm. 3mg buspiron Lamotrigin 100mg

7.30 Breakfast - calm

9am Effexor 75mg. Meeting 

 

 

[Altostrata]

On 11/5/2018 at 8:22 PM, HAa said:

I stopped the magnesium oil 4.11. because of the diarrhea and womiting. 

 

This happens when you take too much magnesium in a day. A lower dose might be fine.

 

Please try not to take Oxapax.

 

How do you feel between 6 a.m., when you take buspirone and lamotrigine, and 9 a.m., when you take Effexor? You've been on this schedule for only 2 days.

 

How do you feel between 6 p.m., when you take buspirone and lamotrigine, and 11 p.m.?

 

We need a few more days' notes, to see more about what the drugs are doing.

[HAa]

1 hour ago, Altostrata said:

How do you feel between 6 a.m., when you take buspirone and lamotrigine, and 9 a.m., when you take Effexor? You've been on this schedule for only 2 days.

 

How do you feel between 6 p.m., when you take buspirone and lamotrigine, and 11 p.m.?

Usually I calm down in the evening

so between 6pm and 11pm I feel mostly calm.

Between 6am and 9am I often have mindracing and feeling restless.

Usually the anxiety builds up during the day. 

Today have been a good day- Mostly calm. 

 

[HAa]

14 hours ago, HAa said:

7.11.

1 and 4am Awake - Nightmare.

6am Breakfast Buspiron Mindracing  - Insight: How do I meet my own needs? -Calm. 3mg buspiron Lamotrigin 100mg

7.30 Breakfast - calm

9am Effexor 75mg. Coach meeting - calm the rest of the day

12 Lunch - good appetite 

4pm Nauseus 

5pm Dinner Nauseas - calm 

6pm Buspiron 3,5mg Lamotrigin 100mg 

6pm-10pm Calm 

10pm To bed

 

 

[Altostrata]

31 minutes ago, HAa said:

Between 6am and 9am I often have mindracing and feeling restless.

 

Did this happen before you moved lamotrigine to 6 a.m.?

 

23 minutes ago, HAa said:

6am Breakfast Buspiron Mindracing  - Insight: How do I meet my own needs? -Calm. 3mg buspiron Lamotrigin 100mg

7.30 Breakfast - calm

9am Effexor 75mg. Coach meeting - calm the rest of the day

 

Are you calm after you take 3mg buspirone and 100mg lamotrigine at 6 a.m.? Does this have a beneficial effect?

 

I think we need some more daily notes to see your symptom pattern.

[HAa]

I continue posting my day notes 

 

I is difficult to find a pattern

 

So yes agree. More days to se if something change over time by not taking all 3 drugs together in the morning and having split the lamotrigin doses.  

 

At the moment It still variate how I feel in the morning both efter taking the 6am buspiron + lamotrigin and the 9am Efexor.

 

The last two days have I generally had a little less anxiety throughout the day. 

[HAa]

8.11.

The anxiety got worse again through out the day. Perhaps I had less anxiety the last few days because I had taken oxapax, and now I am again back without it in my system?

 

7am Got up late Breakfast - calm at ease. Start ruminating (why do I feel good?) - Unease - fear that the anxiety is hitting in again

7.15am Buspiron 3mg Lamotrigin 100mg 

8-10am On off anxiety and calm altering in short rapid waves.

10.15am Efexor 75mg On off anxiety and calm altering in short rapid waves.

11-12am Kajakclub - indoor rowing Unease ruminating anxiety goes up Restless Tension 

12am Lunch No appetite 

1-3pm Volunteer work Restless pressure meaninglessness ruminating 

3-7pm Home -Symptoms continue. Tired sad hopelessness mind racing

 7pmDinner - No appetite Sad tension mind-racing Buspiron 3mg Lamotrigin 100mg. 

7-8.30pm Friend visiting, massage - Sad Short ease Ruminating tens

8.30-10.30pm Ruminating unease sad hopeless

10.30pm To bed

 

9.11.

4am Awake fell asleep 

6.15am Got up - ruminating headache dry mouth

7am Breakfast - Buspiron 3mg Efexor 75mg Lamotrigin 100mg - Tension headache ruminating.

[Altostrata]

14 hours ago, HAa said:

The anxiety got worse again through out the day. Perhaps I had less anxiety the last few days because I had taken oxapax, and now I am again back without it in my system?

 

Correct, this is why we don't want you to take Oxapax. After it wears off, it can cause rebound anxiety, which is worse than the original anxiety. Then you want to take more of it, and some hours later, it makes more anxiety again. Benzos are awful drugs.

 

Do you feel better or worse after you take Effexor?

[HAa]

20 minutes ago, Altostrata said:

Do you feel better or worse after you take Effexor?

I cant say I feel any difference after efexor. 

 Today has been a good day

9.11.

4am Awake fell asleep 

6.15am Got up - ruminating headache dry mouth

7am Breakfast - Buspiron 3mg Efexor 75mg Lamotrigin 100mg - Tens headache ruminating. 

7.30am At ease. Less ruminating -Able to postpone the rumination to “worry hour” = 4pm

10am efexor 75mg

12am lunch - good appetite 

5pm Training and rowing 

7pm Dinner - buspiron 3,5mg Lamotrigin 100mg

8.30pm. Some anxiety - (I try to Accept it and postpone the rumination)

10pm Calm and at ease.

 

At ease and calm almost all day.

[Altostrata]

HAa, what's a typical dinner for you? Are you on a low-carb diet?

[HAa]

11 hours ago, Altostrata said:

HAa, what's a typical dinner for you? Are you on a low-carb diet?

I eat no special diet except I dont eat milkproducts and gluten free as I get eczema and upset stomach when I do

Breakfast 

oatmeal and oatmilk

bread ( corn and rice flower) jam

 

Snack banana toast with ham apple pear 

 

Lunch

bread egg pate’ salmon herring trout 

 

Snack banana toast with ham apple pear

 

Dinner 

Rice, potatoes, vegetables

(cabbage spinat carrots broccoli cauliflower) meat (beef pork chicken salmon), salats (raw cappage red and white tomato cucumber,  red pepper) Oil and vinegar dressing 

 

Desserts Soya is-creme fruits  

 

This is example of what I could eat. Not all off it every time of cause. 

[Altostrata]

That looks like a good diet.

 

On 11/5/2018 at 9:53 AM, HAa said:

I think I want to take

6am buspiron 3mg +lamotrigin 100mg

9am Effexor 75mg

6pm buspiron 3,5mg + lamotrigin 100mg

....

 

Did you move your dosing times yesterday because of a daylight savings change?

 

Why do you call 4 p.m. "worry hour"?

[HAa]

Yesterday i overslept and woke at 7pm

 

I try to pospone my rumintation and worrying to a specific time instead of worring all the time.  

I have chosen 4pm were I can worry if I still have the trigger thoughts. I usually forget it and havent yet used the worry hour. 

But it sometimes help me to let the  negative thought disolve themself.

[HAa]

10.11

5.15 Awake Fell asleep

7am Got up - Little ruminating “Could postpone the thoughts - Calm. Breakfast Buspiron 3mg Efexor 75mg Lamotrigin 100mg

8.15 am Calm   

10am Efexor 75mg calm 

Winter swimming - calm

12am Lunch Good appetite calm

6.30pm Dinner Buspiron 3,5mg Lamotrigin 100mg - calm 

11pm To bed - calm

[HAa]

11.11.

7am Got up - Slept all night  Some restlessness and  ruminating 

7.15am Breakfast Buspiron 3mg Lamotrigin 100mg 

10am efexor 75mg Ruminating restlessness  continue all morning

11.30am Shortly less ruminating and restless

12am Lunch 

1- 5pm Ruminating, restless and pressure on of all afternoon “Why am I not able to stop ruminating, why did it start again, why did I have a normal day yesterday... and so on

6pm Dinner Pressure and mindracing continue

7pm Buspiron 3,5mg Lamotrigin 100mg 

9pm Cocos cake

10.30pm To bed unease pressure mind racing sad tens

 

Havent been able to calm myself down. Anxiety all most all day. Few short periods with rest in mind and body

[HAa]

I as I wake up later now, I have moved medication time to:

7am buspiron 3mg lamotrigin 100mg

10am efexor 75mg

7pm Buspiron 3,5mg Lamotrigin 100 mg

[Altostrata]

On 11/10/2018 at 9:55 AM, HAa said:

I have chosen 4pm were I can worry if I still have the trigger thoughts. I usually forget it and havent yet used the worry hour. 

 

 

Very creative! 

 

Perhaps the coco cake had caffeine in it?

 

Is your sleep improving?

[HAa]

No caffein.

 

Yes my sleep has improved. I am sleeping a lot better.

 

My challenge is that I worry and analyse all the time from I wake up till late evening. When i am able to postpone it, I get calm, but I is not very often. I keep practicing. But most of the time I am stuck in my thoughts and feelings and the more I focus on it, the worse I get. The dilemma is that I then try to run away from it, and that is also fuelling the anxiety and restlessness. 

 

Concerning medications: It seem as if, I only shortly have the bodily symptoms and longer time of much stronger anxiety. 

Bottomline and what persist is the rumination of why and worrying if I ever will get a grib of life.. I know my history. Have over the yeas attended numerous therapies, and nothing seems to give me peace of mind. You name it I tried it over the years. And also different kinds of magnesium probiotic fish olies.

The medication have no effect what so ever on my condition, that is why I want to taper of.

[ChessieCat]

https://www.cci.health.wa.gov.au/Resources/Looking-After-Yourself/Worry-and-Rumination

 

And that have a Worry App

 

Do you find yourself worrying a lot? Do you have many worries in your head at once? Or do you repeatedly worry throughout the day? You might like to try Worry Time – an app specifically designed to help with a busy mind. Learn to set aside your worries until a later time and get on with your day. You can then deal with them at your convenience and, with enough practice, learn to let go of worries altogether. You can download this free app through the Apple App store or Google Play.

[HAa]

Yes I do... all day the same analysing of why... , and worrying if it will ever get back to normal.

December 2017 I attended Metacognitive Terapi MCT (Andrian Wells). And it seems to work for me at least sometime. It actually is about postponing your thoughts. I keep on practising, but it seems as if it not are getting any better... But now I at least have something that I can do,  instead of running like a rabbit trying to find a hole in witch to hide; finding someone who can comfort me. ( Both witch is no good as it is feeling the anxiety.

And app might keep me on the track.

 

[HAa]

35 minutes ago, ChessieCat said:

 

https://www.cci.health.wa.gov.au/Resources/Looking-After-Yourself/Worry-and-Rumination

 

 

I dont suffer from GA and not any specific anxiety. It is part of the rumination about the past. And then I worry if it is ever gonna stop.

When I am occupied fx talking to people my focus on my thoughts /rumination is manageable. It developed ro me running around trying to find ways to avoid thinking because of the pain it causes and so on and on..

When I temporary is at peace, I start analyzing why I am not i pain.. Is it because I changes the time of medicarion? Is it because I stopes the oxapax? on and on and back in anxiety..

[Allreadygone]

 Hey there @HAa I’m having a lot of same issues and others as well.Your not alone,I will have a moment,hour,day once in a while where I can sit still and not feel like I’m about to lose it.Then it’s back to the wds which usually morph every time.Maybe the waves and windows thing just real slow.

 

[HAa]

1 hour ago, Allreadygone said:

 Hey there @HAa I’m having a lot of same issues and others as well.Your not alone,I will have a moment,hour,day once in a while where I can sit still and not feel like I’m about to lose it.Then it’s back to the wds which usually morph every time.Maybe the waves and windows thing just real slow.

 

I am sorry that you are in this hell as well. How do you cope?

And what is morph and waves and windows thing just real slow?

[HAa]

12.11.

6am Awake fell asleep

7am Got up - anxious ruminating restless unease

7.15am Somewhat calm Breakfast Buspiron 3mg lamotrigin 100 mg 

8am-10am Unease no rest tens restless hopelessness anxious 

10am Efexor 75mg

no rest tens restless hopelessness anxious Symptoms continue all day

12am Lunch

7pm Buspiron 3,5mg Lamotrigin 100mg

8pm Swimming - calm

9pm Mind racing - restless

10pm Snack  2 Falafels Little less anxious 

11pm To bed calm

[Allreadygone]

Right now I’m barely makin it,I have had a couple days that were Lil easier which gives hope but it’s very hard rn.Morph means changes,and waves are when it gets very hard,a window is any time that your symtoms are better or bearable. @HAa

[HAa]

@Allreadygone

Yes - rhat sounds like me. It is as if it is ferring worse and more permanent during rhw last year. The restlessness and rumination is there most of the time and it is just a few times a d shortly that I manage to let the thoughts pass and not getting stuck in them. When I manage to let my mind rest on the here and now - what is actually outside of me - the reality and not my rumination, that is when I get some rest. 

[HAa]

@ChessieCat

i got the app and like the setup. 

Worrytime at 4pm and 15 minutes. I will practice. Thank you

[Allreadygone]

Yes I’m the same way with ruminating,intrusive thoughts I just try to walk and focus on the present but as u know it’s tuff right now.I get a few times as well where my mind will keep the thoughts at bay so we just need to stay alive until the good outweighs the bad @HAa

[HAa]

So true. ... We shall manege.  

[HAa]

13.11.

2+5am Awake. Fell asleep

7am Got up - Restless worrying analyzing.  No rest

7.15am Breakfast Buspiron 3mg Lamotrigin 100mg

8am Continue Ruminating. Again and again postpone the ruminating til “worry hour” and focus on the good in my life-Some relief in short periodes through out the day

10am Efexor 75mg

11.30am Lunch

1-4pm Boxing training - Suiting to feel my inner strength - Calm

6pm Dinner 

6.45pm Buspiron 3,5mg Lamotrigin 100mg

7-9pm Rowing - Calm

10.30pm To bed -Calm

[HAa]

14.11.

5.30am Awake - Fell asleep

6.45 Slept all night Got up Intrusive thoughts - took focus on the feeling of inner strength from yesterday - Little  calm

7am Breakfast Buspiron 3mg Lamotrigin 100mg

8-9.30am Meeting mentor - Some tension . Talked of my resources - Little calm in a short periode

10am efexor 75mg

10.30. Meeting new psychiatrist to talk about medication - Hmm surprise.  They just dont know

“You just taper with 50% and hold 4 weeks.. 

symptoms will disappear after 14 days. It does not cause anxiety. That is just because you are scared” 

 “Your doses are so low that it will not give you any problems quitting it.”

I gave up!!

12am Boxing - feel so good. Can feel my strength. Some calm for awhile. 

1am Lunch 

2pm Pressure and thoughts are in focus again. “My life is empty and meaningless”..

6pm Buspiron 3,5mg Lamotrigin 100mg

6-9.30pm Rowing with friends - calm and at ease

11pm To bed

[HAa]

@Altostrata15.11.

5am Awake - Fell asleep Slept all night

7.30 Got up - intrusive thoughs Thoughts the same and the same racing Unease restless pressure all day

Breakfast Buspiron 3mg Lamotrigin 100mg

9-11am Rowing 

11.30 Efexor 75mg ( forgot it at 10)

12.30am Lunch Extreme anxiety pressure 

1.30am Volunteer work

 Extreme anxiety pressure mindracing Ticks in both legs. Brainzap

6pm 3,75 mg oxapax Calm at ease 

8.30- 22.30pm Extreme anxiety pressure mindracing 

22.30 To bed. 

I think i took a few drops less than 3mg buspiron this morning. (By mistake)Perhaps 2,9mg

It has been a lot worse today all day. And it has gotten worse during the day.And no rest now as I go to bed