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Early-morning waking - managing the morning cortisol spike


Altostrata

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I feel the same Rhi... Although I started sleeping longer and actually sleeping a lot and not waking up too early, I don't remember when was the last time I woke up with that morning dread and mental nausea.

 

I say that I operate with the help of the crane that comes to drag me out of the bed. It's soooo hard to do the motions of going to work. My only consolation is thinking of coming back home to sprawl on the bed. That's when I usually fall sound asleep for an hour or so which doesn't prevent me from sleeping for another 8 hours (struggling with intense dreams, sometimes very shallow) but when I read about other members struggling with insomnia, I can only count my blessings...

 

My days have been so repetitive, just endurance and putting one foot after the other as you say.

 

But I somehow feel that with the passage of time, I will start feeling better. Or at least stable enough to start tapering...

 

Big hug Rhi as I'm waiting for my bed time. I wish I could do more for you. But I like it that you allow yourself to be a downer. I see that as a sign of a special inner strength...

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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Ohhh, I'm so confused. I thought that adrenalin dumps happen, the body gets irritated. provoked, and anxiety starts - then cortisol comes and calms everything down. I don't get it?

 

I've tried going through other posts/topics but most say anxious = cortisol?  I go from very anxious to lethargic when I've panicked. I wake up, I guess anxious. My heart does pound at first but lately it seems that my heart just pounds more often than not regardless of the situation. My morning feels more like I don't want to deal with the day than anything else.  

 

So cortisol?

Current:

Lorazapam2mg: 4/9/152mg - 1.5mg: already sick/nothing noticed. No changes in sleep noted after illness.  

Lamictal: 7/27/13 - 8/6/13: 400mg - 500mg(dr order) mouth sores, headache, cognitive/balance, heart palp...8/7/13 - 8/23/13: 500mg - 400mg; symptoms↓...10/10/13: 350mg; fever/flu-like <2-weeks...12/30/13: 325mg; fever/flu-like symptoms <1-week...2/10/17: 300mg; no significant changes noted. 

 

Discontinued:

Omeprazole: 09/2103 40mg...5/1/14: 20mg... 8/21/14 = 0

Wellbutrin: 11/22/13: 300mg – 225mg...12/6/13 delayed reaction- mood swings, weight↓, heart palp/chest pain, alerting...12/14/13: 187mg; physical symptoms↓, neuro emotions ↑, weight stable...12/20/13: 225mg; physical symptoms return, emotions stable <1-week, weight↓...4/21/14: 187mg; weight↑...5/17/14 (neurologist ordered discontinue asap):168mg; headache, mood swings, ↑weight, sleep flux...5/24/14: 150mg; headache, mood swings, ↓cognitive/balance...6/2/14: 112mg; see above, weight stable, <3-weeks... 6/28/14: 100mg; moody...7/25/14: 87.5mg; family troubles... 8/4/14: 75mg; headaches; moody... 8/9/1450mg headaches... 8/12/14: 37.5mg; 8/17/14: 25mg...8/26/14 = 0

Hydroxyzine; 10mg: 5/20/15 *prn 4/5 times then dc'd. Mood changes/rage 

Buspirone: 7.5mg: 5/20/15 *prn 4/5 times then dc'd. No changes.

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Anyone identify with getting out of bed in the morning only to barely do 5 mins of simple chores then end up laying down soo ill and weak?

1989-2004 low doze Xanax nightly.

2004 w/d in hospital c/t with 3 other meds, (trazadone, phenobarbital, risperdal)

Tapered off those meds in 7 months.

2010- bad anxiety so tried Valium and klonopin, back to hospital, came home on nothing, got much better.

12-23-2013- hospital for anxiety, depression,insomnia...used low dose lamictal 12 days with mitrazapine.

Came home on 15 mg mitrazapine, down to c. 10 mg mitrazapine in c. 3weeks, 7.5 mg in 32 days..

Tapered off mitrazapine March 6, 2014.

Took .75 mg April 20 and 1.05 mg April 21st.

Ended taper March 6, 2014.

Take supplements tho not all daily: fish oil, Vit. C., Vit. D, cal/mag, little multi, mag at night,

Been taking homeopathic remedy since June, 2014 via a Homeopathic M.D. (Trained in psychiatry)1-12, 2018 put on 60 mg cymbalta; 150 lyrica for anxiety and 50 mg trazadone. Tapered of trazadone after 3 months on it and tapered off of lyrica in about 9 months. As of March, 2019, only on 60 mg cymbalta.

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Yes , I do.

It gets better;albeit very slowly.

 

Hang in there.

4 years aprox. on 150mgs.Effexor for situational major depression.No AD before.
Tapered 150-0mgs in 3 months.

Tapered Quetiapine,Xanax in the last 18 months.NO med of any kind anymore.
First 3 months off acute w/d
Protracted w/d ever since.
Symptoms:Anxiety,anhedonia,insomnia,tinnitus,PSSD

04/13/2014 Awful Relapse.Recovered fairly fast.

3 years and 4 months off.

waves and windows.Very much recovered.

November 2015,health issue.Setback.
 

 

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  • 3 weeks later...

I now have to deal with reactive hypoglycemia and I'm back on the "dawn patrol."

 

It may be that low blood sugar plays a part in this early-morning alerting. To deal with hypoglycemia, it seems that ingesting some protein during the night can help reduce the early-morning cortisol spike (the adrenals release cortisol to deal with low blood sugar).

 

I've heard that taking some whey protein isolate when you wake up in the middle of the night can help. Have some unflavored whey protein with NO SUGAR or artificial sweeteners mixed in some water handy. It doesn't taste bad, it's very neutral.

 

Take this with a cider vinegar tablet to prevent a blood sugar spike, which will further wake you up. Vinegar and lemon juice slow the progress of sugars into the bloodstream.

 

This seemed to help me to get back to sleep last night. Theoretically, this ameliorates low blood sugar in the early morning.

Not sure if you will see this, since this was from June.... but I was told by my Integrative doc that eating some form of protein right before bed can help with the sugar spikes and the higher morning cortisols, so very much what you have stated here!  Now that its around 7 months past this post, how are your mornings??  Please say way better!  I really need to get some better shades or curtains to give this a try.

Sept-1990 started my first AD Zoloft never got higher dose than 50mg

Dec-1990 Quit Zoloft  =Nov-1995 Back on Zoloft for Post-partum depression/anxiety

early-1998 Quit Prozac to get pregnant   =Feb-1999 Back on Prozac 20mg

10-1999 Prozac 30mg  =12-1999 Prozac 20mg

7-2001 switch to Wellbutrin SR 100mg

8-2001 increase Wellbutrin SR 150mg

10-2001 adding back Prozac 20mg

5-2003 tapered off Prozac  =7-2003 back on Prozac 20mg

8-2003 Add in Imipramine 25mg then to 50mg    (given Xanax for bad panic episodes

9-2003 Imipramine 75 mg then to 100mg

1-2004 switch to Lexapro 10mg

8-2004 Lexapro 20mg, Imipramine 75mg

4-2006 Adding Wellbutrin 150mg then to 200mg

7-2006 switch Lexapro to Celexa

12-2007Celexa 40mg Wellbutirin 150mg

9-2009 switch back to Lexapro 20mg, WellbutrinXL 150mg

2-2010 stop Lexapro start Celexa 40mg

11-2010 switch Celexa to Cymbalta 60mg

3-2011 Cymbalta 60mg switch to Effexor 37.5 to 75mg

10-2012 thru 12-2012 taper Effexor 75mg to 37.5 and off.

5-2013 start generic Prozac 10mg to 20mg, Trazadone 25mg  BEGIN THE TAPER(6-2013 Prozac 20mg to 10mg, Trazadone 25mg. 7-2013 liquid Prozac 7mg, Trazadone 25mg 8-2013 liquid Prozac 8mg, Trazadone 25mg9-2013 liquid Prozac 5mg, Trazadone 25mg10-31-2013 liquid Prozac 3.25mg, Trazadone 25mg=11-11-2013 liquid Prozac 3.0mg, Trazadone 25mg=12-4-2013 liquid Prozac 2.8mg, Trazadone 25mg=12-13-2013 liquid Prozac 2.5mg, Trazadone 25mg=1-5-2014 liquid Prozac 2.0mg, Trazadone 25mg=(CURRENT/06-01-2014 LAST dose liquid Prozac, Trazadone 25mg)((Aug. 13, 2014 reinstate .20mg of liquid Prozac for crippling anxiety, dread (still on same Trazadone...)supplements are probiotic, Vit. D3 and Fish Oil daily)Aug 19th reinstate 6.25mg Zoloft, Sept. 4th 25mg Zoloft.CURRENT(50mg Zoloft, 25mg Trazadone)

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This anxiety in the mornings is one of the big ones I'm worried about coming back when beginning this taper. I did not get this until about four weeks after I finished my last prozac dose. I took my curtains down because I thought it had something to do with not having enough sunlight. Now I'm reading it's the opposite.  Somehow even though I had a rapid taper, I was fine while weaning. With my husband traveling it leaves me to be the one to put on the chipper face and wake the kids up which is so hard when I'm alone and feeling miserable. I remember wanting to flee my house and not wanting to be in there. Which is kind of hard when you're a stay at home mom. I was kind of hoping since I now know how to correctly come off the meds that I might not get this again. :(

Kris,  I think if you do the slower/slowest taper that works for you, that it will help manage the AM anxiety.  I still have it, but it has gotten better with the slow taper and goes away faster once I get out of bed and start the day.  I plan to try the darkening room suggestion that has been made.  Throw up some dark material over the window.  Sleep masks don't work for me, but some people suggest that.

Sept-1990 started my first AD Zoloft never got higher dose than 50mg

Dec-1990 Quit Zoloft  =Nov-1995 Back on Zoloft for Post-partum depression/anxiety

early-1998 Quit Prozac to get pregnant   =Feb-1999 Back on Prozac 20mg

10-1999 Prozac 30mg  =12-1999 Prozac 20mg

7-2001 switch to Wellbutrin SR 100mg

8-2001 increase Wellbutrin SR 150mg

10-2001 adding back Prozac 20mg

5-2003 tapered off Prozac  =7-2003 back on Prozac 20mg

8-2003 Add in Imipramine 25mg then to 50mg    (given Xanax for bad panic episodes

9-2003 Imipramine 75 mg then to 100mg

1-2004 switch to Lexapro 10mg

8-2004 Lexapro 20mg, Imipramine 75mg

4-2006 Adding Wellbutrin 150mg then to 200mg

7-2006 switch Lexapro to Celexa

12-2007Celexa 40mg Wellbutirin 150mg

9-2009 switch back to Lexapro 20mg, WellbutrinXL 150mg

2-2010 stop Lexapro start Celexa 40mg

11-2010 switch Celexa to Cymbalta 60mg

3-2011 Cymbalta 60mg switch to Effexor 37.5 to 75mg

10-2012 thru 12-2012 taper Effexor 75mg to 37.5 and off.

5-2013 start generic Prozac 10mg to 20mg, Trazadone 25mg  BEGIN THE TAPER(6-2013 Prozac 20mg to 10mg, Trazadone 25mg. 7-2013 liquid Prozac 7mg, Trazadone 25mg 8-2013 liquid Prozac 8mg, Trazadone 25mg9-2013 liquid Prozac 5mg, Trazadone 25mg10-31-2013 liquid Prozac 3.25mg, Trazadone 25mg=11-11-2013 liquid Prozac 3.0mg, Trazadone 25mg=12-4-2013 liquid Prozac 2.8mg, Trazadone 25mg=12-13-2013 liquid Prozac 2.5mg, Trazadone 25mg=1-5-2014 liquid Prozac 2.0mg, Trazadone 25mg=(CURRENT/06-01-2014 LAST dose liquid Prozac, Trazadone 25mg)((Aug. 13, 2014 reinstate .20mg of liquid Prozac for crippling anxiety, dread (still on same Trazadone...)supplements are probiotic, Vit. D3 and Fish Oil daily)Aug 19th reinstate 6.25mg Zoloft, Sept. 4th 25mg Zoloft.CURRENT(50mg Zoloft, 25mg Trazadone)

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Take a look at my post about Taurine and heart arrhythmia. It addresses this exact problem of this constant morning anxiety and panic. It may work for some of you. It's been a complete game changer for me.

Short term low dose Klonopin use back in 2004
Acute, protracted withdrawal after discontinuing
Began Lexapro in 2005 to ease Benzo withdrawal
Took 2 years to stabilize
Rapid taper from Lexapro in July/August 2012
Return of anxiety, insomnia and cardiac issues
Failed reinstatement early August 2012
Acute withdrawal for 9 months; intermittent symptoms for another 6

Relief on February 9, 2014 after addition of Taurine

Almost complete remission of symptoms w/addition of 12.5mg Atenolol daily

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i came across this post about cold therapy to help you sleep.

http://wellnessmama.com/4936/how-to-improve-sleep-naturally/

 

i tried it a few times when my cortisol was pretty high by putting cold packs around my neck and trying to relax. surprisingly it seemed to cut the cortisol some. of course its not very comfortable so I'm basically trading one form of being uncomfortable for another, but it was a nice break. i'm not sure i can bring myself to cold baths or showers but was happy with the cold packs.

 

also for morning high cortisol i make a mug of tulsi tea (holy basil) and it does seem to help a bit most times. it has a nice taste. i try to skip days when i can though, based on what alto said about it pooping out after a few days in a row.

on 37.5 - 50mg zoloft/sertraline for GAD from 3/1996 to 4/2013 (17 years) 

too fast taper from 1/13-4/13

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to those taking aspirin, when is the best time to take it and at waht doses? thanks all..

Dec 2012 tried 10 mg Lexapro caused panic attack 

                 titrated 5 mg, and finally settling at 2.5 mg for some time

Jan-May 2013 on and off carelessly experimented on doses from 1.5 mg to as high as 12.5 mg 

June 2013 had extreme anxiety/panic attacks/paranoia when I ran out of samples.

July 7 2013 - August 10 2013 went back to 2.5 mg to relieve the anxiety and it worked until i felt restless and agitated

August 11 2013 AD-free and substituted with 5-HTP and it seemed to work together with GABA after I read "The Mood Cure" by Julia Ross 

dec 20, 2013 switched to 5mg Valium from 0.25mg-0.5mg xanax daily and felt better

dec31 3.75mg V

 

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  • Administrator

You might try a low dose of 81mg at night to see if it helps your sleep.

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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i came across this post about cold therapy to help you sleep.

http://wellnessmama.com/4936/how-to-improve-sleep-naturally/

 

i tried it a few times when my cortisol was pretty high by putting cold packs around my neck and trying to relax. surprisingly it seemed to cut the cortisol some. of course its not very comfortable so I'm basically trading one form of being uncomfortable for another, but it was a nice break. i'm not sure i can bring myself to cold baths or showers but was happy with the cold packs.

 

also for morning high cortisol i make a mug of tulsi tea (holy basil) and it does seem to help a bit most times. it has a nice taste. i try to skip days when i can though, based on what alto said about it pooping out after a few days in a row.

There is a certain type of fat below the back of the neck.. andipose fat... and cold packs where andipose fat is concerned is suppose to reduce weight... there was a time I did a huge study on this and now can't recall.... 

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3146611/

 

If you smarter than me you may know what this says..

This cold induction of PGC-1α is largely due to sympathetic nervous system input through β-adrenergic receptors and cAMP action (20,21).

There are reports that FGF21 is expressed in BAT, but its role in metabolism has not been investigated (11,14,22). Instead, FGF21 produced in the liver promotes thermogenic activation of brown fat and is dispensable during starvation-induced torpor (23,24).

Here we demonstrate that BAT of mice not only responds to FGF21 produced in the liver, but also overexpresses FGF21 after cold exposure or selective β3-adrenergic stimulation. This FGF21 might act as an autocrine factor.

 

I have no idea but did not it mentions the nervous system... 

it is suppose to help you lose weight and stay skinny... I read about it in a book 

  1. Feel the Burn | Science News
    by TH Saey - ‎2012 - ‎Related articles

    Turning brown fat on may also benefit people who cannot exercise because of ... andbrown fat cells from mice and humans to produce more of some proteins  ...

     

    I think there may be more to it then that just don't recall what.  I forget. 

WARNING THIS WILL BE LONG
Had a car accident in 85
Codeine was the pain med when I was release from hosp continuous use till 89
Given PROZAC by a specialist to help with nerve pain in my leg 89-90 not sure which year
Was not told a thing about it being a psych med thought it was a pain killer no info about psych side effects I went nuts had hallucinations. As I had a head injury and was diagnosed with a concussion in 85 I was sent to a head injury clinic in 1990 five years after the accident. I don't think they knew I had been on prozac I did not think it a big deal and never did finish the bottle of pills. I had tests of course lots of them. Was put into a pain clinic and given amitriptyline which stopped the withdrawal but had many side effects. But I could sleep something I had not done in a very long time the pain lessened. My mother got cancer in 94 they switched my meds to Zoloft to help deal with this pressure as I was her main care giver she died in 96. I stopped zoloft in 96 had withdrawal was put on paxil went nutty quit it ct put on resperidol quit it ct had withdrawal was put on Effexor... 2years later celexa was added 20mg then increased to 40mg huge personality change went wild. Did too fast taper off Celexa 05 as I felt unwell for a long time prior... quit Effexor 150mg ct 07 found ****** 8 months into withdrawal learned some things was banned from there in 08 have kept learning since. there is really not enough room here to put my history but I have a lot of opinions about a lot of things especially any of the drugs mentioned above.
One thing I would like to add here is this tidbit ALL OPIATES INCREASE SEROTONIN it is not a huge jump to being in chronic pain to being put on an ssri/snri and opiates will affect your antidepressants and your thinking.

As I do not update much I will put my quit date Nov. 17 2007 I quit Effexor cold turkey. 

http://survivingantidepressants.org/index.php?/topic/1096-introducing-myself-btdt/

There is a crack in everything ..That's how the light gets in :)

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  • 2 weeks later...

 

i came across this post about cold therapy to help you sleep.

http://wellnessmama.com/4936/how-to-improve-sleep-naturally/

 

i tried it a few times when my cortisol was pretty high by putting cold packs around my neck and trying to relax. surprisingly it seemed to cut the cortisol some. of course its not very comfortable so I'm basically trading one form of being uncomfortable for another, but it was a nice break. i'm not sure i can bring myself to cold baths or showers but was happy with the cold packs.

 

also for morning high cortisol i make a mug of tulsi tea (holy basil) and it does seem to help a bit most times. it has a nice taste. i try to skip days when i can though, based on what alto said about it pooping out after a few days in a row.

 

There is a certain type of fat below the back of the neck.. andipose fat... and cold packs where andipose fat is concerned is suppose to reduce weight... there was a time I did a huge study on this and now can't recall.... 

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3146611/

 

If you smarter than me you may know what this says..

This cold induction of PGC-1α is largely due to sympathetic nervous system input through β-adrenergic receptors and cAMP action (20,21).

There are reports that FGF21 is expressed in BAT, but its role in metabolism has not been investigated (11,14,22). Instead, FGF21 produced in the liver promotes thermogenic activation of brown fat and is dispensable during starvation-induced torpor (23,24).

Here we demonstrate that BAT of mice not only responds to FGF21 produced in the liver, but also overexpresses FGF21 after cold exposure or selective β3-adrenergic stimulation. This FGF21 might act as an autocrine factor.

 

I have no idea but did not it mentions the nervous system... 

it is suppose to help you lose weight and stay skinny... I read about it in a book 

 

by TH Saey - ‎2012 - ‎Related articles

Turning brown fat on may also benefit people who cannot exercise because of ... andbrown fat cells from mice and humans to produce more of some proteins  ...

 

I think there may be more to it then that just don't recall what.  I forget. 

 

 

 

So doing this would stimulate the sympathetic nervous system then? That is what is the problem though, isn't it?

Lexapro & Wellbutrin ~2003-2012

Switched from Lexapro to Prozac early 2012

CT all meds mid 2012, manic episode; put on every bipolar med known to man June-Aug 2012

Stopped meds CT Aug 2012

50 mg Lamictal Nov 2012

Ativan 0.5mg/PRN Dec 2012 (up to 2mg by May 2013)

Lunesta Jan-June 2013, CTed

Trazodone 100mg June 2013

[non-psych: Nature-Throid/Cytomel Dec 2012-June 2013; progesterone cream Nov 2013-pres]

current:75mg Lamictal (raised to help with benzo withdrawal)

1.6mg Ativan (very slowly tapering)

30mg Trazodone (holding)

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here is a description from one of the links:

 

This technique sounds pretty weird, but it works. When your distress feels intense, fill a sink or large bowl with ice water (that's right, ice water), take a deep breath, and immerse your face in the water for 30 seconds or so. It's not as terrible as it sounds. This calming technique is believed to work because it elicits what's known as the body's dive reflex. When you're in ice-cold water, the body slows its metabolism in order to spare vital organs. A slowed metabolism reduces tension, so when your face is in ice water, your metabolism slows, your tension goes down, and you stop fretting about the things that are bothering you and your negative mind chatter ceases. It sounds weird, but try it!

on 37.5 - 50mg zoloft/sertraline for GAD from 3/1996 to 4/2013 (17 years) 

too fast taper from 1/13-4/13

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I did not try this but I have used cold packs I keep in the freezer they type that do not freeze and cold therapy lotions ... they type for sore muscles.. I have used both on my back and on my face and head ... tried them just about every place there is.  

I find it is somehow calming after the first impulse of freezing.  I find the lotions make me very cold and I often confuse my system on purpose cold pack on my neck and heat on my spine I send mixed signals as I can't take the cold alone but if I mix the two... and leave them in place my body kind of resets something.  I have no idea what is going on inside the body but have found when I had intense burning or pain I would try this... often pain and burning came with mind chatter... that was secondary to me at the time. 

It may be it shocks the body out of some confused state it is in I don't know it was all quite accidental. 

 

I also use this cold lotion or jell over my entire head at times when I have a severe head ache it brings on chills and I keep a heating on my spine to offset the effects.  It is eventually calming tho not so pleasant the first few minutes. 

WARNING THIS WILL BE LONG
Had a car accident in 85
Codeine was the pain med when I was release from hosp continuous use till 89
Given PROZAC by a specialist to help with nerve pain in my leg 89-90 not sure which year
Was not told a thing about it being a psych med thought it was a pain killer no info about psych side effects I went nuts had hallucinations. As I had a head injury and was diagnosed with a concussion in 85 I was sent to a head injury clinic in 1990 five years after the accident. I don't think they knew I had been on prozac I did not think it a big deal and never did finish the bottle of pills. I had tests of course lots of them. Was put into a pain clinic and given amitriptyline which stopped the withdrawal but had many side effects. But I could sleep something I had not done in a very long time the pain lessened. My mother got cancer in 94 they switched my meds to Zoloft to help deal with this pressure as I was her main care giver she died in 96. I stopped zoloft in 96 had withdrawal was put on paxil went nutty quit it ct put on resperidol quit it ct had withdrawal was put on Effexor... 2years later celexa was added 20mg then increased to 40mg huge personality change went wild. Did too fast taper off Celexa 05 as I felt unwell for a long time prior... quit Effexor 150mg ct 07 found ****** 8 months into withdrawal learned some things was banned from there in 08 have kept learning since. there is really not enough room here to put my history but I have a lot of opinions about a lot of things especially any of the drugs mentioned above.
One thing I would like to add here is this tidbit ALL OPIATES INCREASE SEROTONIN it is not a huge jump to being in chronic pain to being put on an ssri/snri and opiates will affect your antidepressants and your thinking.

As I do not update much I will put my quit date Nov. 17 2007 I quit Effexor cold turkey. 

http://survivingantidepressants.org/index.php?/topic/1096-introducing-myself-btdt/

There is a crack in everything ..That's how the light gets in :)

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  • 1 month later...

I've been suffering from this. I wake up every morning scared and panicing....and often I'm confused too.....it takes me like 10 to 15 mins to come back to reality and become awake. And this is cause so much stress on me that I'm scared to go to sleep.....cause I will wake up in a panic attack.....does this ever go away? Please let me know

Been on medications since i was about 12 or 13. I have tried many meds through out my life so far. Even tho as a teenager. I never really took the meds I was giving. I didn't actually start taking antidepressants consistently until i was about 15 or 16. So i have had a multi drug history. I came off of 3 meds this year. And it was fast tapering because that is what the DR told me to do. I forget the MGs of the meds i came off of my memory isn't really that good. I was on pristiq and lamactal. In septemeber I came off of the pristiq....it was a fast taper. But then I was put on lithium. I was on lithium with lamactal for about a month. I hated the way lithium made me feel so i came off of it cold turkey in November or December i cant really remember.Then I decided to come off of lamactal, at the end of January is when i tapered it it was a 15 day taper because I listen to the DR and did what they told me to do. Which now i know was too fast of a taper. 

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Does the morning panic usually send you scurrying for the bathroom or is it more a mental feeling? Are you having nightmares when you do sleep? Are you still on meds or are you completely off? There may be some things you can try depending on where you are in w/d. Like many of us, I've been at this a while now, so chances are, we can help you with some suggestions.

Short term low dose Klonopin use back in 2004
Acute, protracted withdrawal after discontinuing
Began Lexapro in 2005 to ease Benzo withdrawal
Took 2 years to stabilize
Rapid taper from Lexapro in July/August 2012
Return of anxiety, insomnia and cardiac issues
Failed reinstatement early August 2012
Acute withdrawal for 9 months; intermittent symptoms for another 6

Relief on February 9, 2014 after addition of Taurine

Almost complete remission of symptoms w/addition of 12.5mg Atenolol daily

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lexhex where is your post on taurine?  I'd like to read it.

 

itslist monster I have been having this for years.  It takes me alot longer than 15 minutes to come out of it. 

 

I know how you feel.  It is the reason I have taken so many meds.  None of it helped.

Intro: http://survivingantidepressants.org/index.php?/topic/1902-nikki-hi-my-rundown-with-ads/

 

Paxil 1997-2004

Crossed over to Lexapro Paxil not available

at Pharmacies GSK halted deliveries

Lexapro 40mgs

Lexapro taper (2years)

Imipramine

Imipramine and Celexa

Now Nefazadone/Imipramine 50mgs. each

45mgs. Serzone  50mgs. Imipramine

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http://survivingantidepressants.org/index.php?/topic/5759-taurine-for-heart-arrhythmia/?hl=taurine

 

I am still taking it - and it's still working. I also recently added a few more supplements that seem to be helping with some of the other issues I developed. (ongoing gastro problems, nosebleeds, yada yada yada). If you're interested I'd be happy to share. :)

Short term low dose Klonopin use back in 2004
Acute, protracted withdrawal after discontinuing
Began Lexapro in 2005 to ease Benzo withdrawal
Took 2 years to stabilize
Rapid taper from Lexapro in July/August 2012
Return of anxiety, insomnia and cardiac issues
Failed reinstatement early August 2012
Acute withdrawal for 9 months; intermittent symptoms for another 6

Relief on February 9, 2014 after addition of Taurine

Almost complete remission of symptoms w/addition of 12.5mg Atenolol daily

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There are other great suggestions in this thread. Taurine helps some but not others. One of the most beneficial things for me, for example, has been mag glycinate. And darkening the windows and other light sources. Tape over those led lights on the surge protectors and other electronic devices. It may be that when your system is sensitized, any smidge of light that hits your closed eyelids is enough to raise the cortisol levels and wake you up. But during periods of WD it goes into overdrive, overshoots the mark. We are programmed to wake with light.

 

I use black plastig bags. Have to take them down during the day because the dim room upsets me. Bright light during the day can be bad for some. Jemima made a post about just the other day. You have to try these things to see if they will work. There are also suggestions about what you eat before bed helping.

What happened and how I arrived here: http://survivingantidepressants.org/index.php?/topic/4243-cymbaltawithdrawal5600-introduction/#entry50878

 

July 2016 I have decided to leave my story here at SA unfinished. I have left my contact information in my profile for anyone who wishes to talk to me. I have a posting history spanning nearly 4 years and 3000+ posts all over the site.

 

Thank you to all who participated in my recovery. I'll miss talking to you but know that I'll be cheering you on from the sidelines, suffering and rejoicing with you in spirit, as you go on in your journey.

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  • 3 months later...
  • Moderator Emeritus

Just bumping this thread because I'm hating cortisol mornings again. Had one today. It's almost 1 pm and I'm finally settling down.

 

This is aggravated by the GI problems I'm having in association with my Valium taper (at least I think that's what it is, that's the only thing I've really changed, still very slowly tapering the other stuff but never really had this particular flavor of GI sensitivity before). Seems like my bellybrain is most upset during those cortisol morning times.

 

Anyway just had to grumble and I remembered this thread is here.

Started on Prozac and Xanax in 1992 for PTSD after an assault. One drug led to more, the usual story. Got sicker and sicker, but believed I needed the drugs for my "underlying disease". Long story...lost everything. Life savings, home, physical and mental health, relationships, friendships, ability to work, everything. Amitryptiline, Prozac, bupropion, buspirone, flurazepam, diazepam, alprazolam, Paxil, citalopram, lamotrigine, gabapentin...probably more I've forgotten. 

Started multidrug taper in Feb 2010.  Doing a very slow microtaper, down to low doses now and feeling SO much better, getting my old personality and my brain back! Able to work full time, have a full social life, and cope with stress better than ever. Not perfect, but much better. After 23 lost years. Big Pharma has a lot to answer for. And "medicine for profit" is just not a great idea.

 

Feb 15 2010:  300 mg Neurontin  200 Lamictal   10 Celexa      0.65 Xanax   and 5 mg Ambien 

Feb 10 2014:   62 Lamictal    1.1 Celexa         0.135 Xanax    1.8 Valium

Feb 10 2015:   50 Lamictal      0.875 Celexa    0.11 Xanax      1.5 Valium

Feb 15 2016:   47.5 Lamictal   0.75 Celexa      0.0875 Xanax    1.42 Valium    

2/12/20             12                       0.045               0.007                   1 

May 2021            7                       0.01                  0.0037                1

Feb 2022            6                      0!!!                     0.00167               0.98                2.5 mg Ambien

Oct 2022       4.5 mg Lamictal    (off Celexa, off Xanax)   0.95 Valium    Ambien, 1/4 to 1/2 of a 5 mg tablet 

 

I'm not a doctor. Any advice I give is just my civilian opinion.

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Ohhh, I'm so confused. I thought that adrenalin dumps happen, the body gets irritated. provoked, and anxiety starts - then cortisol comes and calms everything down. I don't get it?

 

I've tried going through other posts/topics but most say anxious = cortisol? I go from very anxious to lethargic when I've panicked. I wake up, I guess anxious. My heart does pound at first but lately it seems that my heart just pounds more often than not regardless of the situation. My morning feels more like I don't want to deal with the day than anything else.

 

So cortisol?

Amy,

 

I'm just seeing this post. I've wondered about the cortisol-adrenaline connection, too. I THOUGHT that if cortisol is low, adrenaline kicks in, but I'd like to know more. I've been told that my cortisol is either normal or low in AM. I've been too afraid to try any cortisol supplements (PS).

 

I also have a nasty headcold...the worst in years....and wonder if that's worsening my cortisol mornings.

Pristiq tapered over 8 months ending Spring 2011 after 18 years of polydrugging that began w/Zoloft for fatigue/general malaise (not mood). CURRENT: 1mg Klonopin qhs (SSRI bruxism), 75mg trazodone qhs, various hormonesLitigation for 11 years for Work-related injury, settled 2004. Involuntary medical retirement in 2001 (age 39). 2012 - brain MRI showing diffuse, chronic cerebrovascular damage/demyelination possibly vasculitis/cerebritis. Dx w/autoimmune polyendocrine failure.<p>2013 - Dx w/CNS Sjogren's Lupus (FANA antibodies first appeared in 1997 but missed by doc).

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I still get cortisol mornings, but it's more a hormonal thing now.

I am in perimenopause, and the symptoms of it are really similar to the symptoms I had when coming off valilum.

In fact, they started about four years ago, and I took them to be valium withdrawals.

I went on HRT and that helped partially, and they didn't get worse as I tapered off the valium.

 

I am someone who, after waking up on a morning, likes to stay in bed and go back to sleep, but doing that really worsens the cortisol and the feeling of doom and dread.

When I get up soon after initially waking, I never have it as bad, but as the temptation to stay in bed is so strong, I often wake up feeling like my body is soaked in cortisol.

You know when you are on a roller coaster and it goes down a slope, and you get that feeling in your stomach, well, that's how my stomach feels from too much cortisol.

My heart feels like it is in a metal tight vice from inside.

pregan taper 600mg down to 240mg, daily cuts since xmas

valium, just over 75mg, tapering 0.1 a day, will keep this more udated, cos amounts going down

i have borderline personality, chronic ptsd, and suspected adhd and substance misuse as a symptom, which i am addressing with help of medical staff, drugs agencies & mh sta

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I still get cortisol mornings, but it's more a hormonal thing now.

I am in perimenopause, and the symptoms of it are really similar to the symptoms I had when coming off valilum.

In fact, they started about four years ago, and I took them to be valium withdrawals.

I went on HRT and that helped partially, and they didn't get worse as I tapered off the valium.

 

I am someone who, after waking up on a morning, likes to stay in bed and go back to sleep, but doing that really worsens the cortisol and the feeling of doom and dread.

When I get up soon after initially waking, I never have it as bad, but as the temptation to stay in bed is so strong, I often wake up feeling like my body is soaked in cortisol.

You know when you are on a roller coaster and it goes down a slope, and you get that feeling in your stomach, well, that's how my stomach feels from too much cortisol.

My heart feels like it is in a metal tight vice from inside.

Primrose,

How did the HRT effect the cortisol awakenings? I'm on estrogen but havent been able to tolerate progesterone (oral or rectal -- triggers depression and UTIs because it is a steroid, I was told). However, every practitioner has told me that progesterone is the calming hormone of the two.

Pristiq tapered over 8 months ending Spring 2011 after 18 years of polydrugging that began w/Zoloft for fatigue/general malaise (not mood). CURRENT: 1mg Klonopin qhs (SSRI bruxism), 75mg trazodone qhs, various hormonesLitigation for 11 years for Work-related injury, settled 2004. Involuntary medical retirement in 2001 (age 39). 2012 - brain MRI showing diffuse, chronic cerebrovascular damage/demyelination possibly vasculitis/cerebritis. Dx w/autoimmune polyendocrine failure.<p>2013 - Dx w/CNS Sjogren's Lupus (FANA antibodies first appeared in 1997 but missed by doc).

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I THINK, not know, that adrenaline stimulates cortisol release. Progesterone is derived off cortisol, so if all your cortisol is being used as cortisol, progesterone will be low. But so not sure. CFS unplugged has a lot of info, as does the blog at larabriden.com.

1st round Prozac 1989/90, clear depression symptoms. 2nd round Prozac started 1999 when admitted to dr. I was tired. Prozac pooped out, switch to Cymbalta 3/2006. Diagnosed with bipolar disorder due to mania 6/2006--then I was taken abruptly off Cymbalta and didn't know I had SSRI withdrawal. Lots of meds for my intractable "bipolar" symptoms.

Zyprexa started about 9/06, mostly 5mg. Tapered 4/12 through12/29/12

Wellbutrin. XL 300 mg started 1/07, tapered 1/18/13 through 7/8/13

Oxazepam mostly continuously since 6/06, 30mg since 12/12, tapered 1.17.14 through 8.26.15

11/06 Lithium 600mg twice daily, 2.2.14 400mg TID DIY liquid, 2.12.14 1150mg, 3.2.14 1100mg, 3.18.14 1075mg, 4/14 updose to 1100mg, 6.1.14 900 mg capsules 7.8.14 810mg, 8.17.14 725mg, 8.24.24 700mg...10.22.14 487.5mg, 3.9.15 475mg, 4.1.15 462.5mg 4.21.15 450mg 8.11.15 375mg, 11.28.15 362.5mg, back to 375mg four days later, 3.4.16 updose to 475 (too much going on to risk trouble)

9/4/13 Toprol-XL 25mg daily for sudden hypertension, tapered 11.12.13 through 5.3.14, last 10 days or so switched to atenolol

7.4.14 Started Walsh Protocol

56 years old

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I still get cortisol mornings, but it's more a hormonal thing now.

I am in perimenopause, and the symptoms of it are really similar to the symptoms I had when coming off valilum.

In fact, they started about four years ago, and I took them to be valium withdrawals.

I went on HRT and that helped partially, and they didn't get worse as I tapered off the valium.

 

I am someone who, after waking up on a morning, likes to stay in bed and go back to sleep, but doing that really worsens the cortisol and the feeling of doom and dread.

When I get up soon after initially waking, I never have it as bad, but as the temptation to stay in bed is so strong, I often wake up feeling like my body is soaked in cortisol.

You know when you are on a roller coaster and it goes down a slope, and you get that feeling in your stomach, well, that's how my stomach feels from too much cortisol.

My heart feels like it is in a metal tight vice from inside.

Primrose,

How did the HRT effect the cortisol awakenings? I'm on estrogen but havent been able to tolerate progesterone (oral or rectal -- triggers depression and UTIs because it is a steroid, I was told). However, every practitioner has told me that progesterone is the calming hormone of the two.

 

Hi

 

I still get cortisol mornings even with the HRT, because it only partially works for me, dunno why, when so many women say hrt completely took away their sysmptoms.

 

What type of progesterone were you taking please?

There is some types of hrt that has the synthetic progestin called norethisterone in it.

Many women cannot tolerate norethisterone, because it causes too many side effects for them.

A better synthetic progestin is dydrogesterone, but, ideally a bio-identical progesterone called utrogestin in the uk, and I think prometrium in the us is best, as it's easier to tolerate.

 

hth

pregan taper 600mg down to 240mg, daily cuts since xmas

valium, just over 75mg, tapering 0.1 a day, will keep this more udated, cos amounts going down

i have borderline personality, chronic ptsd, and suspected adhd and substance misuse as a symptom, which i am addressing with help of medical staff, drugs agencies & mh sta

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Prometrium is the one I reacted very badly to. Bizarre nightmares and deep depression within a few hours.

 

The others have been bio-identicals, but I dont recall exactly what.

Pristiq tapered over 8 months ending Spring 2011 after 18 years of polydrugging that began w/Zoloft for fatigue/general malaise (not mood). CURRENT: 1mg Klonopin qhs (SSRI bruxism), 75mg trazodone qhs, various hormonesLitigation for 11 years for Work-related injury, settled 2004. Involuntary medical retirement in 2001 (age 39). 2012 - brain MRI showing diffuse, chronic cerebrovascular damage/demyelination possibly vasculitis/cerebritis. Dx w/autoimmune polyendocrine failure.<p>2013 - Dx w/CNS Sjogren's Lupus (FANA antibodies first appeared in 1997 but missed by doc).

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Prometrium is the one I reacted very badly to. Bizarre nightmares and deep depression within a few hours.

 

The others have been bio-identicals, but I dont recall exactly what.

Ohh, sorry to hear you reacted badly to prometrium, or utrogestan as it's known here.

You are unlucky as most women get on with that.

 

I wish my doctor wouldnt insist on me taking a progestin, but she says she has to, because, with me being peri-menopausal and still haivng a womb, that to prescribe oestrogen alone would risk thickening and potential cancer of the womb lining.

Maybe you might be ok with a hrt that contains dydrogesterone. It is a synthetic hormone and is tolerated well by most women, it's the progestin that I use. My hrt is called femoston. Dunno  if you have heard of it.

pregan taper 600mg down to 240mg, daily cuts since xmas

valium, just over 75mg, tapering 0.1 a day, will keep this more udated, cos amounts going down

i have borderline personality, chronic ptsd, and suspected adhd and substance misuse as a symptom, which i am addressing with help of medical staff, drugs agencies & mh sta

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I don't understand any of it but I have learned that my body likes to go slowly in the morning. I wake up and just stay down for about 15-minutes. Then I scootch up and sit for another 20-minutes. Sometimes I meditate. There have been a few times I've dozed back off. I read my e-mail, don't answer unless I am really needed, and then head for the shower. The whole thing takes 45-minutes to 1 hour. I just let it happen. My mornings are mu

ch smoother when I go slowly. 

Current:

Lorazapam2mg: 4/9/152mg - 1.5mg: already sick/nothing noticed. No changes in sleep noted after illness.  

Lamictal: 7/27/13 - 8/6/13: 400mg - 500mg(dr order) mouth sores, headache, cognitive/balance, heart palp...8/7/13 - 8/23/13: 500mg - 400mg; symptoms↓...10/10/13: 350mg; fever/flu-like <2-weeks...12/30/13: 325mg; fever/flu-like symptoms <1-week...2/10/17: 300mg; no significant changes noted. 

 

Discontinued:

Omeprazole: 09/2103 40mg...5/1/14: 20mg... 8/21/14 = 0

Wellbutrin: 11/22/13: 300mg – 225mg...12/6/13 delayed reaction- mood swings, weight↓, heart palp/chest pain, alerting...12/14/13: 187mg; physical symptoms↓, neuro emotions ↑, weight stable...12/20/13: 225mg; physical symptoms return, emotions stable <1-week, weight↓...4/21/14: 187mg; weight↑...5/17/14 (neurologist ordered discontinue asap):168mg; headache, mood swings, ↑weight, sleep flux...5/24/14: 150mg; headache, mood swings, ↓cognitive/balance...6/2/14: 112mg; see above, weight stable, <3-weeks... 6/28/14: 100mg; moody...7/25/14: 87.5mg; family troubles... 8/4/14: 75mg; headaches; moody... 8/9/1450mg headaches... 8/12/14: 37.5mg; 8/17/14: 25mg...8/26/14 = 0

Hydroxyzine; 10mg: 5/20/15 *prn 4/5 times then dc'd. Mood changes/rage 

Buspirone: 7.5mg: 5/20/15 *prn 4/5 times then dc'd. No changes.

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Just bumping this thread because I'm hating cortisol mornings again. Had one today. It's almost 1 pm and I'm finally settling down.

 

This is aggravated by the GI problems I'm having in association with my Valium taper (at least I think that's what it is, that's the only thing I've really changed, still very slowly tapering the other stuff but never really had this particular flavor of GI sensitivity before). Seems like my bellybrain is most upset during those cortisol morning times.

 

Anyway just had to grumble and I remembered this thread is here.

 

(This turned out to be a ramble. Read what you like and leave the rest. :-)  )

 

Rhi, I'll have a bit of a grumble, too. :-) My current wave has seen a distressing return of fairly intense cortisol mornings - after a window (2 wks +/-) during which they'd subsided enough for me to notice that I wasn't whimpering (yes, literally) when the alarm went off. I still had to go slooow, but the dread was largely absent. Then this wave hit and cortisol mornings came back big time. They are ever-so-slightly subsiding now.

 

My waking ritual is to avoid all light sources, brush teeth, swig of OJ, and into a warm (not too hot) epsom salt bath. It's only about a five-minute soak, but it still helps ease me into waking. That said, when it's bad, I still have to go about the house, eyes barely open, dressing, having breakfast, but limiting my sensory exposure as much as possible. Sheesh.

 

My psych issues stem from a few traumatic months dealing with my Mom (personality disorder) resulting in extreme sleep distubance/deprivation. I'd try to fall asleep and my belly brain (LOVE that term, I'm gonna steal it!) would be hit by some kind of horrific zap - it felt electric - like a tazer. Oddly, it happened almost every night at 1:00 a.m. I wasn't on any meds at the time - I guess it was some kind of horrible adrenalin surge.

 

Anyway, since my original trauma involved night/waking terrors, I try to remember to practice positive self-talk upon waking: "that was part of your past, there's nothing to worry about now, you are safe in bed," etc., etc. It helps some, but not during the most intense mornings when very little cognitive rationalizing cuts through the panic. Thankfully, those mornings are increasingly rare.

 

I eat a handful of walnuts everyday for their cortisol reducing benefit. Lots of salmon, too.

 

I've read about the benefits of theanine in black tea for cortisol reduction. I already drink one cup a day in the afternoon. I'm wary of drinking more because of the caffeine, but perhaps I will experiment with a cup of tea in the morning, instead of a cup of decaf coffee.

 

My brain finding its way back? A few weeks ago, I felt well enough to travel 100 miles with my husband to see my critically ill niece in hospital. We drove to a hotel with plans to see her the next morning. What do you know, I woke up that morning clear-headed, fresh as a daisy, with one of the most brilliant windows I have had since this whole odyssey started. I was perfectly aware of my niece's predicament, but somehow, I had returned to the former un"depressed," unmedicated, perky me. It lasted about 10 minutes. I think it had everything to do with waking in a cool, clean, comfortable hotel room - my brain had taken itself back to one of my former passions, which is travel. It was such a brief moment, but I hold on to its memory, because I want to believe that if my brain could make that happy connection once, it will be able to do it again, and for longer and longer stretches.

 

I wish you all better, happier, tranquil dawns.

04/2013 diagnoses: severe insomnia, major depressive disorder, anxiety disorder, agoraphobia. PTSD (my diagnosis)

Original scripts: 30 mg mirtazapine (Remeron) (1x day), 75 mg Bupropion HCL (Wellbutrin) (2x day), and 0.5 lorazepam (1x day or as needed)

05/05/14: Onset of acute Wellbutrin withdrawal symptoms after haphazard "taper" of 6-8 wks.

05/10/14: Joined this site.

05/11/14: Reinstated approx. 25 mg Wellbutrin (1x day)

05/14/14: Switched to 12.5 mg Wellbutrin (2x day)

06/28/14: Changed lorazepam dosing to .25 mg 2x a day - seems to be reducing anxiety flare-ups

07/28/14: Dosing Wellbutrin in a (home made) solution form 12.5 mg (2x day) 08/15/14: Remeron 28 25.2 22.7 20.5 18.5 16.7 15.1 13.6 mg (home made) solution

05/16/15: Have been dosing lorazepam at .5 mg in the morning, .25 mg in the afternoon, and .25 mg at bedtime. Anxiety has increased somewhat, possibly due to tolerance.

 

 

 

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  • 4 weeks later...

I think I have cortisol mornings, too. Is the dread I experience upon awakening considered part of a cortisol morning? I must say it's the most horrible, horrible feeling. Words don't do it justice, but it seems a lot of posters here are talking about the same thing.

 

In the past, before my psych med troubles, I'd experience low moods and sadness and lethargy and various symptoms of "depression." But nothing I experienced before comes close to this black dread. It's cosmic in scope. From the moment my eyes open I simply wish to cease existing, but it's not something I would call a suicidal urge. It's more hopeless than that.

The only relief is if by some miracle I can fall asleep again, but that's almost never.

 

2009: Cancer hospital said I had adjustment disorder because I thought they were doing it wrong. Their headshrinker prescribed Effexor, and my life set on a new course. I didn't know what was ahead, like a passenger on Disneyland's Matterhorn, smiling and waving as it climbs...clink, clink, clink.

2010: Post surgical accidental Effexor discontinuation by nurses, masked by intravenous Dilaudid. (The car is balanced at the top of the track.) I get home, pop a Vicodin, and ...

Whooosh...down, down, down, down, down...goes the trajectory of my life, up goes my mood and tendency to think everything is a good idea.
2012: After the bipolar jig was up, now a walking bag of unrelated symptoms, I went crazy on Daytrana (the Ritalin skin patch by Noven), because ADHD was a perfect fit for a bag of unrelated symptoms. I was prescribed Effexor for the nervousness of it, and things got neurological. An EEG showed enough activity to warrant an epilepsy diagnosis rather than non-epileptic ("psychogenic") seizures.

:o 2013-2014: Quit everything and got worse. I probably went through DAWS: dopamine agonist withdrawal syndrome. I drank to not feel, but I felt a lot: dread, fear, regret, grief: an utter sense of total loss of everything worth breathing about, for almost two years.

I was not suicidal but I wanted to be dead, at least dead to the experience of my own brain and body.

2015: I  began to recover after adding virgin coconut oil and organic grass-fed fed butter to a cup of instant coffee in the morning.

I did it hoping for mental acuity and better memory. After ten days of that, I was much better, mood-wise. Approximately neutral.

And, I experienced drowsiness. I could sleep. Not exactly happy, I did 30 days on Wellbutrin, because it had done me no harm in the past. 

I don't have the DAWS mood or state of mind. It never feel like doing anything if it means standing up.

In fact, I don't especially like moving. I'm a brain with a beanbag body.   :unsure:

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I think I have cortisol mornings, too. Is the dread I experience upon awakening considered part of a cortisol morning? I must say it's the most horrible, horrible feeling. Words don't do it justice, but it seems a lot of posters here are talking about the same thing.

 

In the past, before my psych med troubles, I'd experience low moods and sadness and lethargy and various symptoms of "depression." But nothing I experienced before comes close to this black dread. It's cosmic in scope. From the moment my eyes open I simply wish to cease existing, but it's not something I would call a suicidal urge. It's more hopeless than that.

 

The only relief is if by some miracle I can fall asleep again, but that's almost never.

 

 

Yep. You describe it well, WC.

 

In early WD, it was more of a panic/anxiety that hit at about 4am. Now, a few years out, there is sometimes panic with palpitations, but more frequently the dread of life you describe. I don't know if this is a universal *progression*. It often doesn't begin to lift for me until mid to late afternoon.

Pristiq tapered over 8 months ending Spring 2011 after 18 years of polydrugging that began w/Zoloft for fatigue/general malaise (not mood). CURRENT: 1mg Klonopin qhs (SSRI bruxism), 75mg trazodone qhs, various hormonesLitigation for 11 years for Work-related injury, settled 2004. Involuntary medical retirement in 2001 (age 39). 2012 - brain MRI showing diffuse, chronic cerebrovascular damage/demyelination possibly vasculitis/cerebritis. Dx w/autoimmune polyendocrine failure.<p>2013 - Dx w/CNS Sjogren's Lupus (FANA antibodies first appeared in 1997 but missed by doc).

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Wow. I didn 't know there was a name for these episodes other than "horrible". I have been getting these with varying degrees of intensity. There is the waking early, racing heart, anxiety, dread, nausea/acid stomach. A terrible way to start the day. Had it bad this morning. I keep my ipod close to my bed and when I wake up feeling like this, I play the guided meditation playlist. Even when that doesn't help, it makes me feel less alone.

<p>Lexapro taper from 7.5mg to 5mg for one week to 2.5mg for one to 2.5mg every other day for one week. Original dose of Lexapro was 10mg. On that for a few years,then cut back to 7.5 with no effects. In total, on Lexapro for about 7 years. Never did much to help with my panic disorder. Cross-tapered with Zoloft 12.5mg for one week, 25mg for one week. Stopped after ten days due to sexual side effects. Off Lexapro completely since end of July 2014.

Update: Aug. 20, 2014 - restarted Lexapro at 3.75mg due to intolerable withdrawal symptoms.

Update: Sept. 16, 2014 - increased Lexapro to 5mg on advice of GP.

Update: Jan. 13, 2015 - requesting Rx for Liquid Lexapro from pdoc on Friday to start taper. Horrible side effects from Lexapro since going back on. Haven't resolved so need to come off.

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Does anyone here recall experiencing these dread-mornings before psych meds and/or withdrawal? I don't! Never even had them on meds.

2009: Cancer hospital said I had adjustment disorder because I thought they were doing it wrong. Their headshrinker prescribed Effexor, and my life set on a new course. I didn't know what was ahead, like a passenger on Disneyland's Matterhorn, smiling and waving as it climbs...clink, clink, clink.

2010: Post surgical accidental Effexor discontinuation by nurses, masked by intravenous Dilaudid. (The car is balanced at the top of the track.) I get home, pop a Vicodin, and ...

Whooosh...down, down, down, down, down...goes the trajectory of my life, up goes my mood and tendency to think everything is a good idea.
2012: After the bipolar jig was up, now a walking bag of unrelated symptoms, I went crazy on Daytrana (the Ritalin skin patch by Noven), because ADHD was a perfect fit for a bag of unrelated symptoms. I was prescribed Effexor for the nervousness of it, and things got neurological. An EEG showed enough activity to warrant an epilepsy diagnosis rather than non-epileptic ("psychogenic") seizures.

:o 2013-2014: Quit everything and got worse. I probably went through DAWS: dopamine agonist withdrawal syndrome. I drank to not feel, but I felt a lot: dread, fear, regret, grief: an utter sense of total loss of everything worth breathing about, for almost two years.

I was not suicidal but I wanted to be dead, at least dead to the experience of my own brain and body.

2015: I  began to recover after adding virgin coconut oil and organic grass-fed fed butter to a cup of instant coffee in the morning.

I did it hoping for mental acuity and better memory. After ten days of that, I was much better, mood-wise. Approximately neutral.

And, I experienced drowsiness. I could sleep. Not exactly happy, I did 30 days on Wellbutrin, because it had done me no harm in the past. 

I don't have the DAWS mood or state of mind. It never feel like doing anything if it means standing up.

In fact, I don't especially like moving. I'm a brain with a beanbag body.   :unsure:

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No, I don't remember having them, aside from a few instances when my stomach was acting up, but I could count the number of those occurrances on one hand. They were never part of my anxiety symptom set.

<p>Lexapro taper from 7.5mg to 5mg for one week to 2.5mg for one to 2.5mg every other day for one week. Original dose of Lexapro was 10mg. On that for a few years,then cut back to 7.5 with no effects. In total, on Lexapro for about 7 years. Never did much to help with my panic disorder. Cross-tapered with Zoloft 12.5mg for one week, 25mg for one week. Stopped after ten days due to sexual side effects. Off Lexapro completely since end of July 2014.

Update: Aug. 20, 2014 - restarted Lexapro at 3.75mg due to intolerable withdrawal symptoms.

Update: Sept. 16, 2014 - increased Lexapro to 5mg on advice of GP.

Update: Jan. 13, 2015 - requesting Rx for Liquid Lexapro from pdoc on Friday to start taper. Horrible side effects from Lexapro since going back on. Haven't resolved so need to come off.

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Does anyone here recall experiencing these dread-mornings before psych meds and/or withdrawal? I don't! Never even had them on meds.

No, although my mood is often lower when I get up in a morning, it wasn't until I was suffering diazepam withdrawals that I got them.

My heart goes out to anyone who has got them, because they are something I never want again.

 

I have had them after diazepam withdrawals, because, some time at the start of my taper five years ago, I started perimenopause. Cortisol mornings are also a part of perimenopause.

Apparently the symptoms of this and diazepam withdrawals are so similar, it is impossible to taper diazepam as it's impossible to differentiate perimenopause and diazepam withdrawal, so you can never monitor symptoms and time cuts.

Cortisol mornings were one of the symptoms I looked out for when monitoring whether to time cuts.

I don't know where my diazpepam withdrawals ended and where my permenopause symptoms began, but I think that they overlapped to some extent.

My taper took five years because, for the first four years, I was not aware I was  perimenopausal.

Beleiving my symptoms to be diazepam withdrawal related, and still getting cortisol mornings, I tapered at a ridiculously slow rate.

Once I got on hormone replacement pills I was able to differentiate and as a result, the last 1mg was the easiest for me to taper.

Diazepam withdrawals caused worse cortisol mornings for me than perimenopause did/does.

My hormone tablets only partially work. I still get hot flushes and bad anxiety/moods, but nothing like the early stages of my taper, and thankfully, the cortisol mornings have improved, although not totally.

pregan taper 600mg down to 240mg, daily cuts since xmas

valium, just over 75mg, tapering 0.1 a day, will keep this more udated, cos amounts going down

i have borderline personality, chronic ptsd, and suspected adhd and substance misuse as a symptom, which i am addressing with help of medical staff, drugs agencies & mh sta

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Does anyone here recall experiencing these dread-mornings before psych meds and/or withdrawal? I don't! Never even had them on meds.

The ONLY time i had them was after being switched cold turkey between several meds in short period of time. I had no idea at that time that it was withdrawal, but i know now that it was. It's like deja vu now.

 

I must add that my personal/living situation is the main focus of my dread and doom. I know i have to get out of my house/marriage/isolation to stay alive. I spent about a month with friends over the summer and the cortisol mornings were almost nonexistent.

Pristiq tapered over 8 months ending Spring 2011 after 18 years of polydrugging that began w/Zoloft for fatigue/general malaise (not mood). CURRENT: 1mg Klonopin qhs (SSRI bruxism), 75mg trazodone qhs, various hormonesLitigation for 11 years for Work-related injury, settled 2004. Involuntary medical retirement in 2001 (age 39). 2012 - brain MRI showing diffuse, chronic cerebrovascular damage/demyelination possibly vasculitis/cerebritis. Dx w/autoimmune polyendocrine failure.<p>2013 - Dx w/CNS Sjogren's Lupus (FANA antibodies first appeared in 1997 but missed by doc).

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  • ChessieCat changed the title to Early-morning waking - managing the morning cortisol spike
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