deejay: 34 years old recovery in process

[Songbird]

2 minutes ago, deejay said:

 Niacin (Vitamin B3) as nicotinic Acid

Vitamin B6 as Pyridoxine Hydrochloride

Tart Cherry (from prunus cerasus) fruit Concentrate

Chamomile flower Extract

Jujube (from Ziziphus jujube) seed extract

GABA

L-Theanine

L-Tryptophan

Meletonin 1.5mg

5-HTP from Griffonia Simplicifolia (seed extract

 

That's a lot of ingredients!  When in severe withdrawal like you are, herbs and supplements that would normally be calming can sometimes have unexpected effects.  I experienced this with L-Theanine - it worked great for a few nights, then went paradoxical - i.e. had the opposite effect - instead of calming it made anxiety much worse.  This is important:  if you are still taking sertraline you should not take tryptophan or 5HTP as these both affect serotonin and can cause a potentially dangerous interaction.

 

In general, melatonin is safe to take - I would take it as a single ingredient, not in a formula with a bunch of other stuff.  See the topic about melatonin (DJ2010 posted the link above).   Low doses of melatonin can work better than high doses - I've found 0.5mg to 1mg works okay for me, but 2mg goes paradoxical.

 

 

 

[deejay]

Is this the same? 3mg

[deejay]

2 minutes ago, Songbird said:

 

That's a lot of ingredients!  When in severe withdrawal like you are, herbs and supplements that would normally be calming can sometimes have unexpected effects.  I experienced this with L-Theanine - it worked great for a few nights, then went paradoxical - i.e. had the opposite effect - instead of calming it made anxiety much worse.  This is important:  if you are still taking sertraline you should not take tryptophan or 5HTP as these both affect serotonin and can cause a potentially dangerous interaction.

 

In general, melatonin is safe to take - I would take it as a single ingredient, not in a formula with a bunch of other stuff.  See the topic about melatonin (DJ2010 posted the link above).   Low doses of melatonin can work better than high doses - I've found 0.5mg to 1mg works okay for me, but 2mg goes paradoxical.

 

 

 

 

I have been taking it for about 2 months I will stop tonight. Will any of the things in this or the Chinese herb pills have withdrawal symptoms of their own?

[dj2010]

5 minutes ago, deejay said:

Is this the same? 3mg

 

this is very strong, its 3mg, the one in the link I provided is 0.3mg, ones this strong often go paradoxical and give opposite effect, ive tried many brands at many different strengths and the 0.3mg one works best for me, you can always work your way up and take 2 if it is not enough for you

[deejay]

Only asking because that's the only Australian one I found.

[Songbird]

1 minute ago, deejay said:

 

I have been taking it for about 2 months I will stop tonight. Will any of the things in this or the Chinese herb pills have withdrawal symptoms of their own?

 

It's hard to say.  As far as I know herbs and supplements don't normally have withdrawal syndromes like pharmaceuticals, although if you've been taking something daily it's possible your body has become used to it and may notice its absence to some degree. 

 

It might be better to stop only one thing at a time - with any kind of change - adding or removing - it's better to make only one change at a time, so if something happens you'll have a better idea of what caused it.  If you remove them all at once and there is any kind of problem, you won't have any idea which thing was the cause.

 

I have 1mg melatonin tablets - I think that's the lowest dose available here - they are not time-released.  Melatonin is prescription-only in NZ.  With the 1mg tablets I can cut in halves or quarters to get 0.5mg or 0.25mg.

[dj2010]

the company in the link I provided ship to australia

[deejay]

I just read

 

Please note:  As of 1 March 2018, a Prescription is required to import melatonin into Australia, so no amount will be shipped there without a doctor’s order.  RX’s can be emailed to us:  service@worldwidelabs.com or faxed: 801-396-7105.

Many other countries limit the import quantity per package. 

Please do not order more than 2 bottles per person for Austria, France, Netherlands, Switzerland. 

Only 1 bottle per person for New Zealand. 

6 bottles for the UK. 

Melatonin is not allowed to be imported into Belgium, Denmark, Finland, Germany, Norway, Sweden.  No orders will be accepted.

Thank you!

Edited June 9, 2018 by SkyBlue
font size

[dj2010]

12 hours ago, deejay said:

I just read

 

Please note:  As of 1 March 2018, a Prescription is required to import melatonin into Australia, so no amount will be shipped there without a doctor’s order.  RX’s can be emailed to us:  service@worldwidelabs.com or faxed: 801-396-7105.

Many other countries limit the import quantity per package. 

Please do not order more than 2 bottles per person for Austria, France, Netherlands, Switzerland. 

Only 1 bottle per person for New Zealand. 

6 bottles for the UK. 

Melatonin is not allowed to be imported into Belgium, Denmark, Finland, Germany, Norway, Sweden.  No orders will be accepted.

Thank you!

 

says here can import for personal use, articles from 12th March 2018,  you are best contacting a few sites that sell it and ask them advice

 

https://nootriment.com/melatonin-australia/

 

Edited June 9, 2018 by ChessieCat
reduced font size in quote

[Songbird]

11 minutes ago, deejay said:

Only 1 bottle per person for New Zealand. 

 

That's weird - it isn't allowed to be imported here!

[dj2010]

yes looks like cant import it, will need to get a prescription from doctor

 

Restrictions

• At iHerb, we respect the rules and regulations of Australian government and do our best to block Customs prohibited products from our site. However, please be aware, the following substances are not allowed to be imported into Australia: Supplements containing hemp oil, egg yolks, dairy, MSM, DHEA, Melatonin, bee pollen, bee pollen as a powder, banana, Hoodia, Kava, Camu Camu powder, Cordyceps powder, products with hormones such as Pregnenolone, HGH or 7-Keto and some products containing enzymes
• Dried beans, lentils, products for pets, and rice each require an import permit
• Any product in powdered form may cause customs to quarantine an order or assess extra fees.
• For information about prohibited and restricted products please visit: Biosecurity Import Conditions System (BICON).

[deejay]

[dj2010]

1 minute ago, deejay said:

you may still be able to place the order but it may be stopped at customs and you will lose your money, I am not sure if they declare the exact contents of the parcel, most just write health supplement, customs might pull the parcel for checking or they might not and it will slip through, your risk

[mammaP]

Hi Deejay, I am sorry to see that you are suffering this way. 

 

Looking at your history it is very clear that your nervous system is highly unstable with all the changes. When you reinstated zoloft at 200mg that was far, far too high. Sadly doctors don't understand this and just throw more drugs at the problem. 

 

Can you tell us what you have taken in the last month, and especially the last 7 days, day by day.  You are taking many different drugs and different doses trying to feel better but they are making you worse. Your poor brain needs a break.  It is important we know this 

Diazepam octazipam lorazepam temazepam can all turn paradoxical and cause the problems they are supposed to help.  

Seroquel is often prescribed for sleep and is sedating at the lower doses.  

Does the mirtazepine help? It is the latest drug and has only been taken a few days. 

 

You need to stop panicking, you are not brain damaged for life, you will get better but you need to work out a regular dosage plan. Same drugs, same time every day in order to stabilise.  We will help you with that but we need precise doses . We also need a symptom PATTERN.  When do you take the drugs, and what time symptoms start.  We might be able to see what is causing which symptoms. 

 

Something like this

8am zoloft 200   headache

9am lorazepam   sweating 

etc........

 

 

[Altostrata]

You are taking too many drugs. Stop adding drugs and supplements immediately.

 

Do not add melatonin. Your situation is complicated enough.

 

Stop flailing around. You will need to make an effort to stay calm while we discuss what to do. Please read the responses from the staff carefully and answer their questions completely.

 

23 hours ago, Altostrata said:

In order to figure out your best course right now, please list what time of day you take your drugs and their dosages.

 

^ WE NEED THIS INFORMATION.

 

19 hours ago, deejay said:

Something did happen to me though on the 3rd march. It was no panic attack, what I am experiencing now are panic attacks.

 

It was like my insides were full of sand paper, to describe the chemical burning feeling better. This horrible feeling lasted a good 4-5 days 24/7 and then came in waves, then eventually subsided in roughly a week and a half. My heart was pounding for a good 2-3 hours when it 1st happened. About 4 days later my vision changed, concentration went, short term memory went funny. 

 

This makes sense. It takes about 4 days for the Zoloft to ramp up in your system. 200mg was too strong for you, over 4 days, it got stronger.

 

9 hours ago, deejay said:

Forgive me if I'm wrong but I honestly feel like my current mental state goes far beyond your typical withdrawal syndrome

 

You are TOO MANY drugs. We see this fairly often. Your doctor has been remiss. You will need to decide if you want to continue taking his or her advice.

 

11 hours ago, deejay said:

well they are deffinately not making me feel any better.

 

Stop the herbs immediately.

[deejay]

I apologize Altostrata

 

I took 200mg Seroquel last night and the herbs. No Meletonin spray or mirtazipine. Tightness in chest and arms, pulse beating through head, luying on back with hands on chest hands all numb (a lot of the time). Nerve/buzzing feeling through whole body. 3 extreme panic type attacks with chest quivering and internal trembling. Woke several times. No dreams that I can remember. When I wake it's the usual tight/tense inner feeling that I cannot luy still. frequent hypno hallucinations and self talking. Feeling of losing control and detachment

 

7:20 burning arms, got up, usual feeling of dread 0.25mg lorazepam and 200mg zoloft, stabbing pains in chest/neck, sitting here now tingling left arms and tight chest. No herbs this morning

 

The mirtazapine helps only a fraction with sleep but not a lot but is not making me feel any better.

 

Last 7 days have taken the herbs, lorazepam, Zoloft, Seroquel, melatonin spray and x2 40mg propanolol's because of heavy heart beating.

 

I a no longer going to take the herbs or melatonin spray. I am trying my best not to take the Loraz that's why I have gone down to .025mg morning arvo last 2 days. I will try and not take another 0.25mg until tomorrow. I am also not going to take any more propranolol. I have not had Diazepam for over a month and a half, no oxazepam for 3 weeks, no tamezepam for about 2 1/2 months

 

I will take any help you can offer and will stop going off on a tangent, I need to get well and yes I know I need to stop playing around with all these meds and that stops right now.

 

The only reason I am saying brain damage is because of my visual change, hearing senses altered & speech issues/inner rambling, confusion, memory issues.. Also doing things that I'm not think about. For eg I will go to have a cigarette and walk to the fridge then think what the hell am I doing, It's like I'm in a constant day drea state/total daze. All this started on the 3rd March and has only gotten worse.

 

I would give anything to not have to deal with Dr's and Psych's apart from getting the required prescription for whatever, again I will take on any advice and assistance and no more stuffing around.

 

If you want I can give you an update of my day tonight

 

The herb pills that are meant to help with sleep, don't! And I also have no idea of what's in them as said above, all written in Chinese.

 

I only have x5 1mg Loraz pills left plus 3 .025mg pieces which I cut this morning. As said above also, will try not have another 0.25mg until tomorrow and will try my best to wean off them this weak. I do not have another repeat prescription for them. They do help but I know at the end of the day they are only a quick fix and only adding more issues

 

I have mentioned that tie is getting away from me.. minutes turning to hours etc.. the last 2 days were horrible like this especially yesterday. I can hardly account for any of it. I know I was sitting here a lot of the day, went for a walk but apart from that it's like the day was not evan there.

 

I have an appt with the Psych this Thurs. He's going to ask how the mirtazapine is going. I didn't end up taking it when he gave it to me 4 weeks (roughly) ago because I didn't want another pill combo. So not quite sure what to do. Have another appt with the Chinese doc this Fri and he will ask how the pills are going, so will most likely cancel that I guess.

 

The Dr wanted me to see a Neurologist, but is there a point if my nervous system has crashed? He would only be telling me what you guys are and I don't think there would be any quick fix for it that they could do.

 

 

 

[deejay]

Also as said above, if all the rubbish in my head wasn't here and my eye sight didn't change and all I was coping with was the physical bodily symptoms then I would be able to cope a lot better. I know it's going to take a long time to heal from this and I need to come to terms with this, and stop thinking there will be a quick fix. I also need to stop catastrophizing all day long and stop blaming myself.

[ChessieCat]

20 hours ago, ChessieCat said:

Hi DJ,

 

Could you please correct these dates in your signature, it is only 9th June 2018 in Australia!

 

4th March - 16th June 2018 Diazepam, Tamezepam, Oxazipam, Apo-Propanolol

16th June 2018 Lorazepam 1mg - 1/5 mg- 1/4mg 

18th June 2018 Chinese Herbal Tablets x8 morning x8 evening x8 before bed

 

Hi DJ,

 

We missed one of the "not here yet" dates in your signature

 

4th March - 16th June 2018 Diazepam, Tamezepam, Oxazipam, Apo-Propanolol when needed

[deejay]

1 hour ago, ChessieCat said:

 

Hi DJ,

 

We missed one of the "not here yet" dates in your signature

 

4th March - 16th June 2018 Diazepam, Tamezepam, Oxazipam, Apo-Propanolol when needed

 I apologize, I have tried to rectify the dates the best that I can remember. Please let me know if any others seem out of place. My brain is just not working anymore

[ChessieCat]

Thanks DJ.  It was just a small oversight, but we do need the information to be as accurate as possible.

[deejay]

2 hours ago, ChessieCat said:

Thanks DJ.  It was just a small oversight, but we do need the information to be as accurate as possible.

 

Will try my best from here on in

[pinkfairy]

So sorry for your situation deejay 

 

you will be ok I promise you...just take it minute by minute & breath.

 

please listen to the mods as they will steer you on the right track.As frightening as this is,I honestly believe you will be ok...

 

This is just a blip in the road & not the end of your story.You will rise again...because after every dark night there will always be a sun rise to follow...

 

This is not your fault always remember that 🙏🏻💖!

 

remember your not alone either we all care 🌷

[Altostrata]

deejay, if I were you, I'd drop 25mg Zoloft right off. This is close enough to 10% of 200mg that it shouldn't cause a problem. Let us know how you're doing.

 

My belief is that you have far too much serotonergics on board, and the mirtazapine-Zoloft combination makes this worse. Your doctor has been remiss, see this https://www.drugs.com/drug-interactions/remeron-with-zoloft-1640-1015-2057-1348.html

 

We need a daily record of your symptoms, when you take your drugs, and their dosages. This includes anything you're taking "as needed." It is best presented as a simple list, with time on the left and notation on the right, one item per line.

 

Exactly what herbs and supplements are you taking? Please list below with dosages, if known. Put a star (*) next to the ones you know are helping. Thank you.

[deejay]

3 hours ago, Altostrata said:

deejay, if I were you, I'd drop 25mg Zoloft right off. This is close enough to 10% of 200mg that it shouldn't cause a problem. Let us know how you're doing.

 

My belief is that you have far too much serotonergics on board, and the mirtazapine-Zoloft combination makes this worse. Your doctor has been remiss, see this https://www.drugs.com/drug-interactions/remeron-with-zoloft-1640-1015-2057-1348.html

 

We need a daily record of your symptoms, when you take your drugs, and their dosages. This includes anything you're taking "as needed." It is best presented as a simple list, with time on the left and notation on the right, one item per line.

 

Exactly what herbs and supplements are you taking? Please list below with dosages, if known. Put a star (*) next to the ones you know are helping. Thank you.

 

I did not take any herbs/supplements yesterday because I felt they were doing nothing. I also did not take the mirtazapine last 2 nights

Extreme nerve pain when waking but this is a constant thing

Burning arms/chest

Left ear still blocked

Severe de-personalization this morning and fear

 

7:30 0.25mg lorazepam - calmed a little

7:30 175mg Zoloft (cut)

[deejay]

10 hours ago, pinkfairy said:

So sorry for your situation deejay 

 

you will be ok I promise you...just take it minute by minute & breath.

 

please listen to the mods as they will steer you on the right track.As frightening as this is,I honestly believe you will be ok...

 

This is just a blip in the road & not the end of your story.You will rise again...because after every dark night there will always be a sun rise to follow...

 

This is not your fault always remember that 🙏🏻💖!

 

remember your not alone either we all care 🌷

 Thankyou for your kind words

[Altostrata]

Let us know if there are any significant changes in your symptom pattern after reducing the Zoloft. It will take at least 4 days for this change to register in your system.

 

You will want your doctor to prescribe liquid Zoloft for further tapering.

[deejay]

32 minutes ago, Altostrata said:

Let us know if there are any significant changes in your symptom pattern after reducing the Zoloft. It will take at least 4 days for this change to register in your system.

 

You will want your doctor to prescribe liquid Zoloft for further tapering.

 

Will do, have an appt with Psych on Thurs, unsure what to do? He has no idea what I'm going through and as you said just wants to throw more meds at me

[deejay]

The Lorazepam isn't doing much now as well either, the 0.25mg only lasted an hour yesterday and the dose  7:30 this morning worked a little but not so much now. So either I am developing a quick tolerance, or my inner anxiety is just getting so bad the tablets no longer can do much. I have been trying to find things to relieve the excruciating anxiety but nothing works, I will need to try harder. I literally cannot sit still and things get worse when trying to sit still. I will try some more deep breathing techniques today. I also get a pretty bad headache late arvo every day which a presuming lorazepam. It happened with the Diazepam early on as well but not with the Oxazepam.

[PoetJester]

Hi Deejay

 

yeah, i have a lot of the same things you describe.  i have gotten in the habit of talking to myself since quitting the meds.  it's usually not too bad unless i do it around someone on the  walking path near my apartment, then it can be kind of embarrassing.  i also hear music or pop songs as i am falling asleep.  that's actually a pretty common effect of wd.  a lot of people describe having looping songs going on in their heads during withdrawal.  and i also walk around my apartment in a distracted daze quite often, forgetting what i was going to do.  it's mostly my inner dialogue that distracts me.  For a while, i was constantly going outside with my zipper down because i was so exhausted and mentally weary from all the sleep deprivation.  

 

with my hypnagogic hallucinations, i will close my eyes to try to sleep and within 30 seconds or so start to see images while i am still conscious.  often it's of walking down and empty dark road or up to the side of a deep dark hole.  they aren't dreams you can really go into so i end up pulling myself awake even though i am exhausted.  it's hell and sleep deprivation makes them worse and more prevalent.  once, i dreamed i was walking down a road and semi truck with it's headlights on was bearing down on me.  this happened after about a minute of sleep.  it's pretty horrible stuff for the most part that i see when i close my eyes.  

 

the actual dreams i have at night are so strange now and almost always are nightmarish.  Sometimes they are as realistic as television.  the imagery is so different and depressed.  it sucks.  

 

i also sit around a lot in a daze wondering where my day went, even though i usually don't do a whole lot due to fatigue.  it had been different earlier on-  where i tried to stay busy- i would go out to golf courses on my bike even though my health was bad and look for golf balls, usually finding around 200-300 a day and selling them online as a way of making a little money, since in the condition i am in i am not of much use for a regular job.  now i have a host of digestive problems and end up sitting around in my apartment all day and when i try to account for  what i did for the day, often have a hard time recalling.  

 

it's funny that you mentioned that your left ear is blocked.  i have had to go into the doctors to get earwax removed from my ears several times now the past few years.  Before i quit the pills, it was every few years maybe, now it seems to be every 4-5 months my ears get clogged up with earwax.  i don't know why that is. 

 

poetjester

Edited June 10, 2018 by ChessieCat
removed triggering content

[Altostrata]

The inconsistent dosing of the benzo is probably causing other problems. Please keep daily notes on paper about your symptoms, when you take your drugs and their dosages. (This must be, like, the 8th request.) We need to know when and how much lorazepam or any other benzo you might take.

 

We're about changing one drug at a time. You'll have to hang in to report what 175mg Zoloft does.

 

Ask your doctor for liquid Zoloft because you think 200mg is too strong for you and you want to reduce it slowly.

 

Read this Tips for tapering off Zoloft (sertraline)

 

How do you talk to a doctor about tapering and withdrawal?
 
What should I expect from my doctor about withdrawal symptoms?
 

before asking any other questions. You need to take responsibility for your medical care.

 

 

[ChessieCat]

This is an example of what Alto has requested:

 

Keep notes on paper about your drug dosages and daily symptom pattern

 

A symptom pattern that occurs regularly over several days could mean the symptoms are from withdrawal, other adverse effects of drugs, or something else you do on a daily schedule.

 

In the course of discussion in your Introductions forum topic, you may be asked to keep notes on paper of your daily symptom pattern, including when you take your drugs, their dosages, and any symptoms.

 

What we need to see for every individual day over several days is:

- Time and dosage for drugs taken in morning
- Time and description of any symptoms in the morning
 
- Time and dosage for drugs taken in afternoon
- Time and description of any symptoms in the afternoon
 
- Time and dosage for drugs taken in evening
- Time and description of any symptoms in the evening
 
- Time and dosage for drugs taken in middle of the night
- Time and description of any symptoms in the middle of the night (such as waking)
 
And so forth. A diary, in chronological order, such as:
 
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

 

An appointments diary is perfect for this and can be bought at stationery stores. 

They have a page for each day with times for appointments which can be filled in with doses, symptoms etc as shown by Alto.

[deejay]

Yesterday, horrific day, will do what you ask and update tonight

[deejay]

Monday 11th June 2018
8am - 4pm ED most of day for ears (3pm x2panadol osteo) left ear shot, possibly ear drum damage with extreme high pitched ringing constantly, right ear on it's way out
4pm - 10pm burning arms, nerve (buzzing through whole whole body), shock snesations/legs, stabbing pains l/chest, jaw, neck & head
10pm - 200mg seroquel xr
11pm - Continued all above symptoms plus muscle/limb convulsions, brain fog, blurred vision, pressure/speech, hypnogogic's, visual disturbances, fell asleep
Tuesday 12th June 2018
6:00 awoke, severe chest burning, both arms numb, hands/legs buzzing (cannot remember anything from 11pm night before) shooting pain abdomen, extreme dizzy-ness
6:45am sound disturbance, loss of co-ordination walking
7:00am 1mg lorazepam & 175mg Zoloft taken 2 minutes apart
7:15 breakfast 2 banannas
8:20am pressure behind eyes, straining to see, shooting pain LS head
8:30am back to reality, muscle spasms right leg
9:00am stabbing pain abdomen

 

Will rectify list and edit this post tonight, if there is a problem with the format let me know, as stated I am unale to think clearly and cognitive function has been severely affected. I will try and do my best as requested but if you can cut me just a little slack that would be appreciated. If am listing too any symptoms let me know
 

[deejay]

Also failed to mention was taking Alprazolam for 10 days consecutively, will add to signature now with approximate dates

[Altostrata]

deejay, see your drug interactions report below. If I were you, I would subtract another 25mg from your Zoloft dose as soon as possible and stop taking mirtazapine.

 

You may get withdrawal symptoms from this, but your adverse reactions justify it.

 

Did you stop alpazolam cold turkey?

 

How often do you take lorazepam? That's not in your daily notes for Monday 11th June 2018.

 

IMPORTANT: Here is the report for 4 of your drugs from the Drug Interactions Checker https://www.drugs.com/drug_interactions.php

https://www.drugs.com/interactions-check.php?drug_list=1488-0,1640-0,1979-2549,2057-1348

 

Interactions between your drugs

Major

sertraline mirtazapine

Applies to: Zoloft (sertraline), mirtazapine

Using sertraline together with mirtazapine 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

lorazepam sertraline

Applies to: lorazepam, Zoloft (sertraline)

Using LORazepam together with sertraline 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

lorazepam mirtazapine

Applies to: lorazepam, mirtazapine

Using LORazepam together with mirtazapine 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

lorazepam quetiapine

Applies to: lorazepam, Seroquel XR (quetiapine)

Before using LORazepam, tell your doctor if you also use QUEtiapine. This combination may cause excessive sedation, confusion, dizziness, or lack of coordination. If you take both medications together, tell your doctor if you have any of these symptoms. You may need a dose adjustment if you take both medications. 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

sertraline quetiapine

Applies to: Zoloft (sertraline), Seroquel XR (quetiapine)

Using QUEtiapine together with sertraline can increase the risk of an irregular heart rhythm that may be serious and potentially life-threatening, although it is a rare side effect. You may be more susceptible if you have a heart condition called congenital long QT syndrome, other cardiac diseases, conduction abnormalities, or electrolyte disturbances (for example, magnesium or potassium loss due to severe or prolonged diarrhea or vomiting). 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. You should seek immediate medical attention if you develop sudden dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations during treatment with these medications, whether together or alone. Avoid driving or operating hazardous machinery until you know how the medications affect you. 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.

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Moderate

mirtazapine quetiapine

Applies to: mirtazapine, Seroquel XR (quetiapine)

Using QUEtiapine together with mirtazapine can increase the risk of an irregular heart rhythm that may be serious and potentially life-threatening, although it is a rare side effect. You may be more susceptible if you have a heart condition called congenital long QT syndrome, other cardiac diseases, conduction abnormalities, or electrolyte disturbances (for example, magnesium or potassium loss due to severe or prolonged diarrhea or vomiting). 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. You should seek immediate medical attention if you develop sudden dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations during treatment with these medications, whether together or alone. Avoid driving or operating hazardous machinery until you know how the medications affect you. 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.

 

[Altostrata]

When you feel better, you should file a complaint against the doctor who prescribed all these drugs for you. If you've been to the hospital and they didn't see the drug interactions, you should file a complaint against them, too.