Jump to content

Dmil101: Want to quit fluoxetine


Dmil101

Recommended Posts

Hello all, someone told me about this group. I have been on fluoxetine 20 mg for about 8 months and suddenly out of no where, my anxiety and panic attacks started up again this week. I have decided that I don’t want to be on this medication anymore. There has to be better ways. I am terrified to come off the medicine though. When I started the fluoxetine, the side affects were pretty rough. I wish I had stopped then but here I am 8 months later and scared to stop. Thanks for any help from y’all 

Started December 2017 on Fluoxetine 20 mg 

Link to comment
  • Moderator

Hello, Dmil101, and welcome to SA.  We are a site dedicated to helping people safely come off of psychiatric drugs, and so you've come to the right place.  It's also great you found your way here before you started to taper so we can help you.

 

To give members the best information, we ask them to summarize their medication history in a signature -- drugs, doses, dates, and discontinuations & reinstatements, in the last 12-24 months particularly.  If the 20mg fluoxetine is the only drug you've been on, simply click on the link, write the date you started the drug and the dosage.
 
 
At Surviving Antidepressants, it is recommended that a person taper by no more than 10% of their current dose with at least a four week hold in-between decreases.  The 10% taper recommendation is a harm reduction approach to going off psychiatric drugs.  Some people may have to taper at a more conservative rate as they are sensitive to even the smallest drops.
 
The following link explains why it is important to taper slowly.
 
 
The following link gives very specific information about how to taper fluoxetine, including instructions on how to make smaller doses.  Under the 10% method, your first reduction would be to reduce 10% of 20mg, and your dose would be 18mg.  You would stay at 18mg for 4 weeks and see how you're doing.  If you're doing well, you would reduce by 10% of 18mg (1.8mg), so your next dose would be 18 - 1.8 = 16.2mg.
 
We don't recommend a lot of supplements on SA, as many members report being sensitive to them due to our over-reactive nervous systems, but two supplements that we do recommend are magnesium and omega 3 (fish oil). Many people find these to be calming to the nervous system. 

 

 

 

Please research all supplements first and only add in one at a time and at a low dose in case you do experience problems.
 
This is your introduction topic -- the place for you to ask questions, record symptoms, share your progress, and connect with other members of the SA community.  I hope you’ll find the information in the SA forums helpful for your situation.  I'm sorry that you are in the position that you need the information, but I am glad that you found us.

 
 
 

 
 
 

 

Gridley Introduction

 

Lexapro 20 mg since 2004.  Begin Brassmonkey Slide Taper Jan. 2017.   

End 2017 year 1 of taper at 9.25mg 

End 2018 year 2 of taper at 4.1mg

End 2019 year 3 of taper at 1.0mg  

Oct. 30, 2020  Jump to zero from 0.025mg.  Current dose: 0.000mg

3 year, 10 month taper is 100% complete.

 

Ativan 1 mg to 1.875mg 1986-2020, two CT's and reinstatements

Nov. 2020, 7-week Ativan-Valium crossover to 18.75mg Valium

Feb. 2021, begin 10%/4 week taper.  Current Valium dose as of Feb 22, 2022: 4.8mg 

March 22, 2022: hold at 4.8 and shift to Imipramine taper

Taper is 74% complete.

 

Imipramine 75 mg daily since 1986.  Jan-Sept 2016 tapered to 16mg.  

Held until Aug 2021, tapered for 4 weeks to 14.4mg

March 22, 2022: Begin 10%/4 week taper.  Current dose as of May 17: 10.5mg 

Taper is 86% complete.  

  

Supplements: omega-3, vitamins C, E and D3, magnesium glycinate, probiotic, zinc, melatonin .3mg


I am not a medical professional and this is not medical advice, but simply information based on my own experience, as well as other members who have survived these drugs.

Link to comment

I am wondering how I can suddenly wake up one day and start having anxiety again all day long? I have been taking fluoxetine for 8 months and things have been pretty good once I got past the intitial side affects. But now, I am having anxiety everyday for the past week. How does this happen? I am quitting this med but I wonder how it will work tapering off fluoxetine when I am experiencing this anxiety already while still taking the 20mg

Started December 2017 on Fluoxetine 20 mg 

Link to comment
  • ChessieCat changed the title to Dmil101: Want to quit fluoxetine
  • 4 months later...

So i have ordered my scale and will begin tapering from 60 mg and I have been on fluoxetine for 1 year total time, and 2 months at the 60 mg dose. I am so scared to start because of how rough the side effects were when raising the doses from 20 to 40 to 60

Started December 2017 on Fluoxetine 20 mg 

Link to comment
  • Moderator

Dmil101,

 

There is no need to be afraid. The getting side effects of your dosage increases earlier are different from withdrawal symptoms from a taper, which should be mild if you go slowly and follow the 10% method, as described in my August 19 post to you.  Please re-read especially the link 

 

Gridley Introduction

 

Lexapro 20 mg since 2004.  Begin Brassmonkey Slide Taper Jan. 2017.   

End 2017 year 1 of taper at 9.25mg 

End 2018 year 2 of taper at 4.1mg

End 2019 year 3 of taper at 1.0mg  

Oct. 30, 2020  Jump to zero from 0.025mg.  Current dose: 0.000mg

3 year, 10 month taper is 100% complete.

 

Ativan 1 mg to 1.875mg 1986-2020, two CT's and reinstatements

Nov. 2020, 7-week Ativan-Valium crossover to 18.75mg Valium

Feb. 2021, begin 10%/4 week taper.  Current Valium dose as of Feb 22, 2022: 4.8mg 

March 22, 2022: hold at 4.8 and shift to Imipramine taper

Taper is 74% complete.

 

Imipramine 75 mg daily since 1986.  Jan-Sept 2016 tapered to 16mg.  

Held until Aug 2021, tapered for 4 weeks to 14.4mg

March 22, 2022: Begin 10%/4 week taper.  Current dose as of May 17: 10.5mg 

Taper is 86% complete.  

  

Supplements: omega-3, vitamins C, E and D3, magnesium glycinate, probiotic, zinc, melatonin .3mg


I am not a medical professional and this is not medical advice, but simply information based on my own experience, as well as other members who have survived these drugs.

Link to comment
  • Moderator Emeritus

Yes, withdrawal symptoms and side effects are two different things.  Side effects are issues that the drug causes.  Withdrawal effects can occur when the drug is taken away.

 

I originally reduced my Pristiq from 100mg to 50mg because it is only available in those 2 doses.  I suffered extreme cog fog for 2 weeks.  But thanks to the suggestion from SA I increased my dose and the withdrawal symptoms eased.  After stabilising I have since been tapering following SA's protocol and only experience mild withdrawal symptoms.  And I'm now down to 5mg.  I get my tablets compounded.

 

Even doing a careful taper there will most likely be times when you experience withdrawal symptoms.  Sometimes this can be caused by external stress, or if you get sick, overdo things like exercise or working.  Some members also seem to have trouble at a particular dose, which can be different for different people.  Also, being a female, your monthly cycle can affect things.   It's important to try and stay as calm as possible and not panic.  When we panic we can make bad decisions.  It's important to learn and use  Non-drug techniques to cope to help get through the discomfort.

 

If at any time during your taper you are having difficulties please post about it here before doing anything like increasing your dose or adding in a supplement etc, so you can get some more information and input about your situation.

 MISSION ACCOMPLISHED:    13 November 2021 -  0mg Pristiq      

Woohoo!!!  Finally off Pristiq   

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

My full tapering program     My Intro (goes to my tapering graph)    My website

PLEASE NOTE:  I am not a medical professional.  I provide information and make suggestions.  Please DO NOT TAG me -thank you.

Link to comment

I am confused about the 10% taper. I will be tapering from 60 mg and weighing and removing some of the capsule. Would it be: the first day I go from 60 mg x 10% = 6 mg. Which would make my first month at 54 mg? 

 

Started December 2017 on Fluoxetine 20 mg 

Link to comment
  • Moderator Emeritus

Yes, that is correct.  It is easier to do the math the opposite way around by multiplying the current dose by 0.9.  So 60mg x 0.9 = 54mg.

 

The next reduction 54mg x 0.9 = 48.6.  If you round the number for easier measuring, always round up.  If you do round the number, next reduction needs to be calculated on the rounded up amount.  Just as an example for you to use as a guide:  round to 48.75, 48.75 x 0.9 = 43.875.  Round up to 44mg x 0.9 = 39.6, roundup to 40 etc.  As I said, just examples for you to follow.  You can decide what dose you want to take.

 MISSION ACCOMPLISHED:    13 November 2021 -  0mg Pristiq      

Woohoo!!!  Finally off Pristiq   

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

My full tapering program     My Intro (goes to my tapering graph)    My website

PLEASE NOTE:  I am not a medical professional.  I provide information and make suggestions.  Please DO NOT TAG me -thank you.

Link to comment
  • Moderator Emeritus

Yes after a reduction it is a good idea to hold at the new dose for 4 weeks.  This allows the brain to adapt to the lower dose.  However, if you find that you are feeling withdrawal symptoms it is better to hold for extra time until things settle down, or if it happens that you get sick or there is added stress in your life.

 

It's a good thing to note that many members find that the lower their dose gets the slower they need to go by reducing less and/or holding for longer.  This topic helps to explain why this may be the case:  Why taper paper: dose-occupancy curves

 

See:  this post in the Dose Occupancy topic:

 

 

This is a "perfect" 10% taper every 28 days:

 

776391214_PerfectTaper.png.f16551da35c66ed2616e7cdd534b7505.png

 

 

 

 

Edited by ChessieCat
removed graph

 MISSION ACCOMPLISHED:    13 November 2021 -  0mg Pristiq      

Woohoo!!!  Finally off Pristiq   

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

My full tapering program     My Intro (goes to my tapering graph)    My website

PLEASE NOTE:  I am not a medical professional.  I provide information and make suggestions.  Please DO NOT TAG me -thank you.

Link to comment

Thanks for this. Is it complicated to measure out the powder inside the capsule? I currently take 3 of 20 m pills. So I would simply be taking 2 full pills and taking some out of the 3rd one to get down to 54 mg 

Started December 2017 on Fluoxetine 20 mg 

Link to comment
  • Moderator Emeritus

Yes, you would take 2 capsules and make up the extra dose with powder from the 3rd capsule.

 

using-a-digital-scale-to-measure-doses

 

 MISSION ACCOMPLISHED:    13 November 2021 -  0mg Pristiq      

Woohoo!!!  Finally off Pristiq   

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

My full tapering program     My Intro (goes to my tapering graph)    My website

PLEASE NOTE:  I am not a medical professional.  I provide information and make suggestions.  Please DO NOT TAG me -thank you.

Link to comment

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
×
×
  • Create New...

Important Information

Terms of Use Privacy Policy