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Adili13

Adili13: Paxil withdrawal - questions and concerns

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ChessieCat

You were planning on a 5% reduction with 4 week hold.

 

Doing a 5% reduction using the BrassMonkey Slide will add 2 extra weeks so will make your total taper length 1/2 as much again.  5% over 6 weeks.

 

To keep to a 5% reduction and do it using the BrassMonkey Slide method you would need to make your calculations based on 7.5%.  This would keep your taper length at about the same.

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Adili13

That makes sense. So 4 reductions that equate to 7.5 percent over a month, then a two week hold?? 

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Adili13

I got 16.5 for a 7.5 reduction. That’s 1.3 less than 17.8. Should I divide the 1.3 by 4 and do that every week for a month?? 

7.5 percent, sorry. Then hold for two weeks. 

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Adili13

So, first week drop .4, second, .3, third and fourth .3. Then hold for two weeks. 

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ChessieCat

I can't see that you have been given this link:  Brass Monkey Slide

 

BrassMonkey Slide Online Calculator

 

Choose one of the "decimal point options".  If you want to compare, you will need to enter the dose for each option at the top of the column.

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Adili13

ohhh this calculator is sweet!! thanks!!

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ChessieCat

Note that if you round your doses for easier measuring, it is generally better to round up.  However, because you are making a <10% reduction this may not be an issue.

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Adili13

Ok, ill take that into account 

Thanks!!!!! 

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Adili13

My fatigue has been unbearable for like a week now. It’s so hard for me to tell if this is WD, tolerance, or something else like a vitamin deficiency or something. I feel like I’m 95 years old. Anyone have any advice. I took b12 for a few days but found it too activating. Going to give it another shot in a few days at a very small dose. 

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Adili13

I’m literally constantly tired. Anyone else fear that ssri WD has triggered some kind of CFS in them? This is my new fear 

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direstraits
45 minutes ago, Adili13 said:

I’m literally constantly tired. Anyone else fear that ssri WD has triggered some kind of CFS in them? This is my new fear 

yes,always fatigued....sometimes worse than other times.

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Adili13

Anyone feel like one of their main symptoms is simply being annoyed constantly. Its like an agitation paired with low mood. Just annoyed, angry and very irritated by most people most of the time. I also grind my teeth a lot. Feels kinda like mild akathisia 

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Cocopuffz17

This wave I am going through has massive fatigue. Like zero energy! It will get better in time!

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Adili13

Anyone else ever have massive ocd about taking the wrong dose? I’m freaking out that maybe I took 18.3 mg instead of 17.3 

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Longroadhome
47 minutes ago, Adili13 said:

Anyone else ever have massive ocd about taking the wrong dose? I’m freaking out that maybe I took 18.3 mg instead of 17.3 

Hi Adil

it really doesn’t matter even if you did for one dose . You feel like you do because of neuro emotions . Try not to worry . 

Nothing will happen . Just continue with the right dose next time . 

LRH 

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ChessieCat

I've accidentally missed or taken a reduced dose several times.  It's no good worrying about it because you can can't go back and change it.  If you did take a different dose then you might feel a bit of extra discomfort for a few days but generally it will settle down.

 

And a 1mg increase from 17.3mg to 18.3mg is only minimimal compared to if you had been taking 5mg and took 6mg.

 

As LRH said, just go back to the regular dose.

 

Edited by ChessieCat
changed can to can't

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Adili13

Great points guys, thanks a lot lrh and chessie. 

 

Chess, you’ve eased my mind a bit 😊. Appreciate you!! 

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Adili13

Not sure where to post this, but an iconic songwriter, Daniel Johnston, has died at the age of 58. He was a lifelong user of antipsychotics. Death was ruled to be naturally caused, but I definitely think these drugs were the main cause of his deteriorating health that eventually caused his death. rip Daniel 

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Adili13

Had a wave yesterday and it threw me into a depression. Today I’ve been thinking, what if my brain just can’t function without an ssri after all these years. Maybe I can’t bounce back. Its really upsetting me 

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Adili13

After being out of work for 7 months, I’ve decided I need to hold until I get back to work. Being inactive and dependent on others has added to my suffering way too much. 

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Adili13

Maybe this means a year of holding, idk. But I can’t be inactive anymore 

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Adili13

So unbelievably tired this last couple days. Having trouble doing much of anything 

So hard for me to tell if it’s tolerance, withdrawal or some combo of the two of them 

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Adili13

Anyone else experience crushing fatigue that comes in waves?? I’ve had mind for two days now and haven’t left bed much. Just feel totally incapacitated. It’s distinctly different than waves. I’m having trouble understanding if it’s WD or tolerance, or something else entirely. It’s unbelievably frustrating, to say the least 

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Cocopuffz17
13 minutes ago, Adili13 said:

Anyone else experience crushing fatigue that comes in waves?? I’ve had mind for two days now and haven’t left bed much. Just feel totally incapacitated. It’s distinctly different than waves. I’m having trouble understanding if it’s WD or tolerance, or something else entirely. It’s unbelievably frustrating, to say the least 

O yes, when I was coming off I would sleep 14 hrs. Just enough energy to get up and go to school. Now that’s I’m 7 months off I had a week of rough fatigue where I could barely do a push up and I regularly do 100+ per day. It has passed for me and it will for you as well

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ChessieCat

There are many existing topics on this site.  You can either use the site search function or use google and add survivingantidepressants.org to your search term.  Searching in google for tired found this topic:

 

severe-fatigue-tiredness-lethargy-lethargic

 

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Adili13

thanks, guys. I guess I just have to accept it as a withdrawal symptom. if it doesn't improve, i'll have to just continue my taper in spite of it. I'm scared because i'm thinking about starting to work soon and don't want to to be incapacitated by fatigue.

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Adili13

Feeling like I’ll never stabilize and I should just taper. Very hopeless and depressed today 

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Guilietta

Hello  Adili,

 

I'm sorry you're experiencing a lot of fatigue (plus other ugly stuff).

 

I am another person trying to get off / away from the WD of duloxetine/cymbalta - like paxil - a miserable short half-life drug.

 

I looked at some of the posts and see that you are have not worked in a while (I think many on the site are not working - including me). Being active would be a good idea as long as you are able to function.

 

On 9/13/2019 at 1:00 PM, Adili13 said:

After being out of work for 7 months, I’ve decided I need to hold until I get back to work. Being inactive and dependent on others has added to my suffering way too much. 

 

Being around others and doing something that takes your mind away from WD and tapering - if as I said you can function - would be a good idea. Even if the job is part-time may be helpful for your mood and coping with WD.

 

Giuilietta

 

 

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Adili13

Thanks for the comment!!!! Yeah, i read some of your posts as well. Cymbalta definitely seems like one of the tougher ones to get off.

 

Trying to determine my functionality is a huge issue for me. Sometimes I feel like i could handle work, other times I feel incapacitated. My current plan is to wait a month and see if things get better. If they don't, i'll probably continue to taper without starting work. If they do, i'll switch gears and start working whilst holding for a bit.

 

I see you said you aren't able to work as well. Do you plan to get back eventually? Or are symptoms and side effects just too overbearing to even consider that?

 

 

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Guilietta

Hi there,

 

I plan to go back to work - and 2-3 weeks ago had restarted the resume updating, etc. I was then hit with dizziness and blurry vision and brain fog most mornings for 3-3.5 hours. The brain fog really didn't lift until later in the day. So - even though a woman who knows (but doesn't quite get it) that I am having medication adjustment problems - I had to pass up a temp job that she ran by me. I was truly incapacited during this period and could not have worked.

 

However - now that I have had a decent week - I feel confident about working at a job much lower stress than what I did previously. I expect that I will have WD symptoms for a time to come (weeks? months? etc. ?) but hopefully not incapacitating ones for more than a day or two at a time. One could call in sick on those days.

 

I'll focus on full-time work applications, etc. (supposed tohappen this week but did not) even though I have some angst around working FT. I haven't worked FT in a few years but I need the money and independence. volunteering keekkps one busy, etc. but is not the same as paid work. Still, ths is something I want and need to do.

13 hours ago, Adili13 said:

Sometimes I feel like i could handle work, other times I feel incapacitated.

 Likewise re: my comment above.

 

13 hours ago, Adili13 said:

My current plan is to wait a month and see if things get better. If they don't, i'll probably continue to taper without starting work. If they do, i'll switch gears and start working whilst holding for a bit.

 

I'm not sure I follow you- if your  priority is getting a job - then taking the time to stablize now while starting a job search may make sense? Depending on what type of work you are looking for, resumes, applications, andinterview practice take time. Getting call backs takes time - the hiring process can take months. So  if you're not feeling OK - when ou get an invitation to interview you can always decline. Try and see how it goes.

 

If you decide your priority is tapering off - and you are at 17.3 mg now - you have a ways to go and the closer you get to 0 mg the slower people are advised to go. This could take a while.  Many people work through tapering. You might ask some of them how they do this.

 

Generally - people who have not worked in a while - whether laid off, people returning tno work after an nillness, caring nfor someone (or medication issues like us) - have anxiety about getting back to work.

 

Giuilietta

 

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Adili13

Thanks for the reply! 

 

It seems your plan is pretty hashed out. I hope you find something that suits your needs and isn’t too stressful! 

 

In regards to the confusion about what I said: my priority IS to get back to work, but if I don’t improve at all in a month, that’s a sign to me that I’m probably not going to stabilize more and that waiting might just be a waste of time. 

 

Im aware that stabilizing takes a long time for some, but this was a percent cut and I feel like if I’m not making improvements in a month, I might just be in deep tolerance. 

 

On the other hand, it could be a compounded withdrawal from cuts leading up to this point. It’s all very confusing and frustrating, as I know you’re well aware.

 

Anthony 

3 percent*

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Adili13

Anhedonia has decimated me today. Anyone completely baffled by what’s tolerance and what’s WD and whether they should taper or hold longer? Unbelievably frustrating 

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Adili13

Anhedonia is crazy again today, like I’ve never had an emotion and never will. I just have zero motivation to do anything and feel like I’m totally toasted. I’ve noticed extreme crashes have totally gone away, so I’m wondering if this is my new WDNormal. 

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Cocopuffz17
22 minutes ago, Adili13 said:

Anhedonia is crazy again today, like I’ve never had an emotion and never will. I just have zero motivation to do anything and feel like I’m totally toasted. I’ve noticed extreme crashes have totally gone away, so I’m wondering if this is my new WDNormal. 

 

It will get better. I felt this way for 11 years while on the drug. I now feel little windows of pleasure and can cry. Which I almost never ever did before. That’s awesome that the extremes have gone! Focus on the positives. Everyday that passes is another day closer to being healed! 

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Adili13

Ty coco for the positive reply :). Are you able to work? How do you work with severe anhedonia and lack of energy. I feel like it’s going to be so hard for me and idk how much longer I can wait, I’m running out of money quickly 

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