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Allreadygone

Allreadygone: need help

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Allreadygone

It’s the same most of the day,I accidentally forgot my 6.5 Effexor dose that goes with the 25 and I was allready having symptoms but this killed me.Im having the feeling I can’t sit still but tired,twitching muscles,Head pressure,high alert anxiett,sleep hasn’t been good for 18yrs but it’s worse rn,my Dp worse,Low appetite.I have a stressful life rn trying to coach 2 teams,work,and survive for my kids.Im done with coaching in 3weeks for good.I think I can get thru it my CNS and brain need to heal from this damage @Altostrata sorry for TMI just havin a tuff Time rn.You are the first ones who care and understand.

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Allreadygone

I feel my CNS is destabilized due to Wds and trying to reinstate lamictal made it worse.High anxiety,Dp worse,knot in stomach,twitching muscles,sleep is always tuff but worse rn.Im gonna let time go by in hopes to get better stability.I have way to much stress in my life rn that I’m gonna let some things go so I can heal. @Altostrata

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Allreadygone

@Altostrata I have tried to answer the questions a couple times I may be on wrong thread,Bare with me pls.As for side effects it’s typical CNS destabilization and worsening Dp.Its usually always present at this time,was brought on by me tapering to fast I believe and then I updosed the Effexor I forgot to take 6.5 and upped lamictal which may have made it worse.

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Altostrata

I need to know what time of day symptoms occur, if they occur in a daily pattern. What is your sleep schedule and pattern?

 

What do you mean, you upped the Lamictal? When, and to what dosage? Did this have a good effect?

 

Did you add the 6.5mg Effexor dose in again? Please be very careful to take your drugs at the same time each day. Do not suddenly change dosage of anything.

 

The symptoms from the skipped dose should gradually go away. Be patient. All of this is very frustrating.

 

This is going to take a bit more commitment from you. You will need to get to a desktop computer to add your signature.

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Allreadygone

I upped the lamictal from 37.5 to 50 I figured it would have the calming effect it had when I started it 6/7 yrs ago,back then I  was also in a really bad way and tried it as last resort.This time I became almost manic couod also have been to updosing the 6.5 or both.Either way I was goin to fast before Tgat happen the signs were there I wasn’t researching your site fully as I am now.I do take meds at same time after reading your post,I agree I need to be more committed to the proper way as I’m obviously sensitive to dosage changes now that I’m at lower dosages.I really appreciate you taking the time to help me it will save my life if I get thru this.I can live with DP just not all this on top.i will get in my wife’s computer to get u proper info.

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Allreadygone

I put my sig together just now @AltostrataIs there a way to see all the new post when they come up?

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Allreadygone

I have been on Many meds 25+Years for DP/DR depression which was never helped by and meds and I still struggle with.ended up on IR Effexor then added remeron 18ys ago to get some sleep goin thru what I know now was a reinstatement issue as I was taken off meds due to the situation I was in then put back on at higher dose of ER Effexor which caused me to fall off.Began goin thru withdrawals,The remeron helped get me thru that trauma but instead of gettin off I stayed on it as I know how gettin off feels.went thru another trauma in 2006 or so which I added trazadone.After Tgat I stayed on all meds cause I was scared to get off.Around 2010 I started having paws while on the meds.Tryed adding Zyprexa then  seroqiil and became very suicidal,never wanted to die before like that thru all my depressions.Went to hospital after stopping zyprexa CT,they bumped seroquil to 300 did nothing to help and released me.I knew that the meds were killing me,started to taper seroquil and got off.Next I started lowering all other meds,got off traz,and got Effexor to 75 from 150.Remeron 30 to 7.5,Added lamictal which calmed the suicidal thoughts which I’m on at 37.5 .Couldn’t eat,sleep,listen to music,be with kids,tired all the time with no sleep and DP worse.In 2011 I got to where I couod eat,rest,And be with family and I started coaching football which was my first Trauma.since then I’ve coached till now and started a club team as well.This stuff all stresses me out but I was able to handle it with only DP.Last yr I started cutting Effexor 3/4 mgs and got to 38 and besides vertigo was doin ok.Then I dropped to 31.25 and I started feeling Wds again.I may have missed a whole week of the 6.25 piece and became suicidal again.I am coaching 2 teams and it stresses me out,I can barely function at work.I had 2/3 days where I was able to watch Tv then back to wanting to die.I have followed this site for a while and isctge only place people can relate.I need help anything u guys can think off to calm my CNS.Football is over in 6 weeks if I can make it I’m done.I wanna live for my family.

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ChessieCat
On 10/17/2018 at 5:38 AM, Altostrata said:

 

I need to know what time of day symptoms occur, if they occur in a daily pattern. What is your sleep schedule and pattern?

 

 

From this post:  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.

 

This is an example of the preferred format of how to keep daily symptom notes:

 

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

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Allreadygone

Ok @ChessieCatI will try to remember my daily symptoms more detailed.I do have a journal back to 2011.My symptoms are pretty random other than Dp which is always with me at some level,the reason this whole med thing started.I think I’m in waves rn with hours of windows that are still tuff.The intrusive thoughts and thoughts of dying are not as strong from a month ago when I became destabilized.I have muscle and facial twitches that aren’t as strong as well.I don’t believe I’ve had any rem sleep in 10yrs.In my heart i know I’m sick from wds,and this Shouid get better but as u know when in a wave it feels like it will never end.Thx for reaching out it means a lot.

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Altostrata

Please keep daily notes on paper. They will be more accurate than what you remember. Use a simple list format with time of day on the left and notation (symptom, drug and dosage) on the right.

 

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Allreadygone

Ok I will add more about moods during day.Thx @Altostrata

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ChessieCat
3 hours ago, Allreadygone said:

I’m new to SA,I’m still tapering but gonna be on a long hold after goin to fast.Im having some waves with windows that don’t feel great either just not as horrible as the deep waves.I went thru this 6 yrs ago when I was destabilized,it did get better.It just seams every time a wave hits deep that I will never get my doses down if it’s this bad all ready at lower doses.Are any of u having this pattern still tapering but on a hold till a more stable pattern returns?

 

Withdrawal Normal Description

 

stabilizing-what-does-that-mean

 

 

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Allreadygone

Thx @ChessieCatHave u destabilized your system before?How long did it take u to feel better.I was having symptoms on my taper but as alto says I ignored them to keep lowering and they caught up.Then I’m pretty sure I accidentally forgot my smaller piece of effexor as I cut them to get the 6.5.I was just dumb enough to stay on it this long because of how I felt when I was cold turkeyed twice long ago and there were no sites like this as I started in 95/96

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Idlehnds

Hey Alreadygone.  For me I felt that I destabilized my system and it crept up on me slowly until I was a mess.  It took me about a month to start noticing to feel better.  I also had to limit stress which I think was the main cause of the breakdown.  

 

Lower stress however you can.. and slowly it gets better.   

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Allreadygone

Thx @Idlehnds It’s been close to a month for me with minimal relief,but as u said there are things I have to let go of.I am coaching and own a club sports program but I am unable to continue these commitments.Part of the stress is I feel guilty letting people down that believe in me but I’m know if I’m not alive I can’t be here for my family.Did u have intrusive thoughts?Akathisia?Are u still tapering?

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Idlehnds

I had Akathsia before I went on the meds which was very hard but not during withdrawal.  Its really really difficult to have that and it always feels like that its never going to end but it always does.  

 

I never had intrusive thoughts persay, except that they would be running constantly.  Like it would stop running and running.  Before I started the meds I always had alot of fear.  I remember one time holding my neice and thinking what If I just dropped her on the ground.  Horrible thoughts but there is always a difference between reality and actually it doing it.

 

For me the things that have worked the best are...   

 

Finding hope in spirituality,  I listened to a lot of near death experiences and heard there story about what happens after we die.  It reassured me alot that this isnt the end that there is a bigger reason we are all going through this stuff.

 

Eating a healthy diet.

 

Exercising.

 

Acceptance

 

Getting all your nutrients checked and taking supplements based upon what you are deficient in.  This is a little expensive but well worth it in my opinion.  A normal doctor doesnt check that stuff and you need to go to a naturpathic or integrative doctor.

 

10% rule of taper.  I was going really fast but then I started to go down by 10%.  Currently at 1.90mg after going down to 1.5 I think then I had to go back up because I didnt realize I was having withdrawals and they crept up on me.

 

Keep in mind, I am not a success story yet so please understand this is just what is working currently for me.  Who knows where I will be in a year.  But I am just living for now and not the future or the past.  

 

 

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Allreadygone

That is all good stuff,I really appreciate u taking the time to share.Im new here and would love to be able to corespond with others goin thru the process.Sounds like u got relief after destabilizing and that is encouraging.I try to avoid sugar,fast food,don’t drink or smoke anymore.I have thought about goin to natural doctor to see if they can check vitamin,mineral levels.I work out and run a lot even tho it  stimulates the CNS but I have to do it to quell the inner restlessness and deep depressions is experiencing.I was put on meds for depersonalization which depressed me as doctors havnt and still don’t understand.After all my studies I figured the Effexor and remeron was stimulating me all these years and kept my fight or flight on which is main cause of Dp.What med are u titrating?You are a success story getting past akastasia and getting as far as u have.

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Allreadygone

Right now I’m falling asleep naturally and taking my remeron at 12 when I awake.then I take Effexor and lamictal at 530am.I don’t feel I get Rem sleep due to the drugs.I have Dp so I m anxious all the time,There’s days like yesterday when I had  intrusive thoughts most of the day and not as much after 8pm.The Dp makes everything harder to deal with as if Wds or destabilization isn’t hard enough.My hopes were it would lesson if I could lower the meds at some point.I have moments where it will ease and have days where I don’t think about death or worry about every minute.i know from m my journal that I went to fast from 75-31.25 now that I have seen your schedule.no cuts for a while if I survive this.

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ChessieCat
5 hours ago, Allreadygone said:

Have u destabilized your system before?How long did it take u to feel better.

 

I started by halving my dose 3 years ago.  Pristiq is only available in 100mg and 50mg tablets in Australia and I was suffering mild serotonin syndrome.  I suffered extreme cog fog for 3 weeks and got to the stage that I was unable to type.  Thankfully I had joined SA a few days before this happened and they had suggested taking extra Pristiq, which I did and after about 4 hours I was able to type again and the cog fog was lifting.  When I started tapering I started sooner than I probably should have and had to updose 1 or 2 times by a tiny amount.  I have to get my tablets compounded so I held at 50mg for about 3 months because it was convenient and I wanted to give my brain a chance to catch up if it needed to.  I had extra 20mg capsules and held for 7 weeks at 20mg.  I'm now down to 6mg.

 

There have been times during my taper that additional stressors (external, and this year several months of dental problems) have occurred and my withdrawal symptoms do increase at those times.  Last year when I turned 60 I had a helicopter flying lesson.  I decided to do it several days before my birthday so didn't have any lead up issues, but found that for several weeks afterwards my symptoms did increase.  I also find that financial issues and when I have problems with things around the house, or issues at work it can increase them.

 

Even though my taper has been going well and I have only experienced mild withdrawal symptoms for most of the last 3 years, I know that I am being affected by withdrawal.

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Altostrata
On 10/20/2018 at 4:21 PM, Allreadygone said:

I put my sig together just now @AltostrataIs there a way to see all the new post when they come up?

 

Since you're following this topic, if you turn on notifications in your Settings, you will get a notification every time there is a post in this topic.

 

4 hours ago, Allreadygone said:

Right now I’m falling asleep naturally and taking my remeron at 12 when I awake.then I take Effexor and lamictal at 530am.I don’t feel I get Rem sleep due to the drugs.I have Dp so I m anxious all the time,There’s days like yesterday when I had  intrusive thoughts most of the day and not as much after 8pm.The Dp makes everything harder to deal with as if Wds or destabilization isn’t hard enough.My hopes were it would lesson if I could lower the meds at some point.I have moments where it will ease and have days where I don’t think about death or worry about every minute.i know from m my journal that I went to fast from 75-31.25 now that I have seen your schedule.no cuts for a while if I survive this.

 

Have you always taken Remeron at 12 midnight? What time do you fall asleep naturally? When did you start falling asleep naturally? How has your sleep pattern changed since you reduced Remeron to 7.5mg?

 

Did you always take Effexor with Lamictal at 5:30 a.m.? Did Effexor make it difficult for you to sleep?

 

What do you mean, you "have Dp so I m anxious all the time"? What do you mean by Dp? What do you mean by anxious? When you have intrusive thoughts, what are they about?

 

Please include your sleep pattern in your daily notes, which should include the time of day when things occur.

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Allreadygone

My sleep pattern was remeron when I was ready for bed arround 10,Since destabilized I try to fall asleep naturally and take it at 12,it’s been a month.My sleep pattern has been bad since I was CT in 2002,then they reinstated ER Effexor at 200.This was all done at a very stressful time and i wasn’t sleeping well.Remeron was added,was first drug that did anything fir me helped me get good rest for about a month then didn’t seem to do much.I just started taking meds at same time every day this yr after researching ur site.I feel like Effexor Causes the flight or fight response to keep adrenals and cortisone flooded as it’s a stimulant.Dp is Depersonalization that is my reason this journey started in 1992.The intrusive thoughts are about death,overall dread,fear of losing it.I feel that Effexor and these drugs keep me with Dp,Effexor never helped depression or Dp.Ive had  few yrs without Dp using marijuana and when I started my company.Sorry so long hope this makes sense. @Altostratathx for caring about others,u are a special person.

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Idlehnds
20 hours ago, Allreadygone said:

That is all good stuff,I really appreciate u taking the time to share.Im new here and would love to be able to corespond with others goin thru the process.Sounds like u got relief after destabilizing and that is encouraging.I try to avoid sugar,fast food,don’t drink or smoke anymore.I have thought about goin to natural doctor to see if they can check vitamin,mineral levels.I work out and run a lot even tho it  stimulates the CNS but I have to do it to quell the inner restlessness and deep depressions is experiencing.I was put on meds for depersonalization which depressed me as doctors havnt and still don’t understand.After all my studies I figured the Effexor and remeron was stimulating me all these years and kept my fight or flight on which is main cause of Dp.What med are u titrating?You are a success story getting past akastasia and getting as far as u have.

 

 

Thank you for this.  You will find your recovery. 

 

The fear of death was really squashed when I learned about near death experiences.  People dying and going outside of there bodies is pretty spectacular.  Edward Cayce is a cool clairvoyant who talks about life after death and reincarnation.  For me finding and knowing that we are eternal gave me a alot of peace and happiness.  Knowing that this is just one of our many lives we experience and that this whole journey is to learn and develop the principles of god like love and patience.  I am know I am speaking a bunch of mumbo jumbo but finding stuff  like this really helped me and was a huge peace of the puzzle.  It doesnt have to be the same beliefs as me, but find your own belief and peace.   Mind, body, and spirit are really important to healing.  

 

Vitamins levels are also important.  I have noticed that alot of people that have been going through a prolong state of fight or flight have depleted vitamins.  For instance your adrenals need I think vitamin C and B5 and if you depleted them with alot of stress, your body doesnt function well.

 

Just remember that healing doesnt ever happen overnight.  It takes time, just like how your illness started and all the time you have gone through it.  It takes time to heal and slowly you will.

 

Blessings-

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Allreadygone

Thx a lot @Idlehnds this stuff kills the soul and the heart,feeling like any minute can be my last.I think reincarnation is a wonderful thing I have thought about often.There are moments when my brain try’s to have a normal thought but then it goes back to doom.Ive been here before and came out so I’m praying this gets better with time.I can handle the Dp by itself but add the PAWS and as they say all bets are off.Can u tell me how Akathisia felt for u and what was your healing pattern.I can’t be positive this is what I have but whatever it is it’s extremely painfull mentally.thx 

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Idlehnds

For me Akathisia (never diagnosed), I couldn't sit down.   I needed to do something every two seconds.  I would pace around just in constant worry about everything.  I couldnt just sit there and relax and look at my children and be like, i love you.  I couldn't have anyone touch me or be next to me.  Just tense and needed to move constantly.

 

For me the feeling went away slowly when I was put on Lexapro.  Its like my body needed that kick of serotonin to calm down, then I could focus on eating right and healing myself through therapy and other understandings that I never had before.  I went to a therapist that really taught me the way our body works when we are in anxiety and depression.  I didn't know what was happening to me at the time and I remember the more I learned about that and the more the drug kicked it I was able to settle down.

 

So you have been stable in the past and but since your latest hiccup with dosing it threw you off?   I am no doctor and cant recommend anything but I went back to the last known dose that helped me and I stood pat there for a while until I leveled out.  Patience is the key.

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Allreadygone

You explained very close to what I’m dealing with rn.Comes from within,I can’t be around my kids or wife to much either,very paranoid.I got it before when I was being poydrugged.To much serotonin as trazodone was added to my 2 ADs to help sleep.Then the antipsychotics made me suicidal,never felt either one of these things from my Dp or normal depression,they were chemically produced.I got off antipsychotics to fast and the Traz and lamictal was added and gave me Lil relief.Over 8-12months I got to where I could be around my family and go to games,vaca etc with only my Dp.I was ok like that for 6 yrs thru high stress,then 18months ago I had bad reaction to a brain supp,while I was healing I decided to lower Effexor as I was all ready unstable.I know now I went way to fast and that along with possibly missing an added 6.5 of my dose for a week put me here.I updosed the Effexor and added 12.5 lamictal and all he’ll broke loose so I took the lamictal back down and I’m gonna stay here long as it takes.last week I had 2 days where I was able to watch tv maybe a small window not sure 

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Allreadygone

@Altostrata @ChessieCatIve been reading a thread on this site about Akathisia,not for sure I have it but very close.Im reading people sayin that I won’t be able to get over it while on ADs.Im still on 3 and I’m tryin to hold until these symptoms pass.Had something similar 7 yrs ago while on Trazodone,Effexor,remeron.Zyorexa And seroquil were added they made me suicidal.I Got on Lamictal next seemed to calm those thoughts a lil.got off zyprexa,seroquil,trazodone and Reduced other 3 to current dosages.Do u think forgetting 6.5effexor for a week caused it or me tryin to up lamictal 6mgs to help.Muscle and eye twitches,inner restlessness,Sleep worse,Thiughts of dying,Overall feeling of being sick and nothing feels good.There are days when it’s not as brutal,is this classic wds from dosage changes and fast Wd or something worse.Ive only been suicidal twice once from antipsychotics and now.Back then 6-12 months it resolves where I couod be with family and go places.

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ChessieCat
21 minutes ago, Allreadygone said:

Do u think forgetting 6.5effexor for a week caused it or me tryin to up lamictal 6mgs to help.

 

If you have made two changes at the same or similar time, it can be nearly impossible to tell what or if either of those things caused it.

 

And please keep notes as requested by Alto:

 

On 10/22/2018 at 6:39 AM, Altostrata said:

Please keep daily notes on paper. They will be more accurate than what you remember. Use a simple list format with time of day on the left and notation (symptom, drug and dosage) on the right.

 

On 10/23/2018 at 11:43 AM, Altostrata said:

Please include your sleep pattern in your daily notes, which should include the time of day when things occur.

 

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Altostrata

Please answer these questions.

 

On 10/22/2018 at 5:43 PM, Altostrata said:

Have you always taken Remeron at 12 midnight? What time do you fall asleep naturally? When did you start falling asleep naturally? How has your sleep pattern changed since you reduced Remeron to 7.5mg? 

 

Did you always take Effexor with Lamictal at 5:30 a.m.? Did Effexor make it difficult for you to sleep?

 

....

 

Please include your sleep pattern in your daily notes, which should include the time of day when things occur.

 

Your symptoms may be a side effect of your drug combination. When are you taking your drugs, and at what dosages? I still need to see those daily notes in a simple list format with time of day on the left and notation (symptom, drug and dosage) on the right.

 

Those dense blocks of text are very difficult to follow.

 

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Allreadygone

Thx @ChessieCat I’ve been doin notes for 10yrs and just added moods per Alto. @Altostrata my notes are in my journal but I’ll text them in better fashion sorry.

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Allreadygone

@Altostrata  

430am-woke up laid in bed till 545lucid  

545 got up took Effexor31.25                             Lamictal37.5/Linsinopril 6mgs                    

6am drove to work knot in stomach.             Intrusive thoughts/Eyes twitching/muscles twitching.                        

630ate banana no appetite            

7-11am worked with coworker digging and tree trim/same feelings with moments of relief.                                      

12-ate clam chowder no appetite just forced.                                                          

12-3worked to stay busy.Same Emotions as before.                                          

330-6pm ran amd worked out,same emotions.                                                          

6-830 Read and studied SA/Akathisia site.Inner restlessness less other emotions same                                                

830pm ate dinner pasta,not real hungry.

845-10-watched animal channel with my 8yr old.                                                          

10pm- fell asleep naturally                        

12-woke by alarm to take remeron 7.5mgs.                                                        

1230-515 went to bedroom and was able to sleep till 515 alarm.Laid in bed till 545am

 

Edited by ChessieCat
formatted text

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Altostrata

Good notes, Allready.

 

Next time, please use unformatted text (Notepad or Textedit on the computer) to keep the list format.

 

On 10/22/2018 at 7:23 PM, Allreadygone said:

My sleep pattern was remeron when I was ready for bed arround 10,Since destabilized I try to fall asleep naturally and take it at 12,it’s been a month.My sleep pattern has been bad since I was CT in 2002,then they reinstated ER Effexor at 200.This was all done at a very stressful time and i wasn’t sleeping well.Remeron was added,was first drug that did anything fir me helped me get good rest for about a month then didn’t seem to do much.I just started taking meds at same time every day this yr after researching ur site.I feel like Effexor Causes the flight or fight response to keep adrenals and cortisone flooded as it’s a stimulant.Dp is Depersonalization that is my reason this journey started in 1992.The intrusive thoughts are about death,overall dread,fear of losing it.I feel that Effexor and these drugs keep me with Dp,Effexor never helped depression or Dp.Ive had  few yrs without Dp using marijuana and when I started my company.Sorry so long hope this makes sense. @Altostratathx for caring about others,u are a special person.

 

I'm confused about why you break up your sleep with an alarm at 12:00 to take Remeron. Why don't you take Remeron at 10 p.m.? It would be better if you slept continuously.

 

If Effexor caused you to feel stimulated and affected your sleep, you were taking too much Effexor. Now that you're down to 31.25mg (good job!), this adverse effect might be reduced.

 

Was the Lamictal added because of activation from Effexor?

 

Why are you taking Linsinopril?

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Allreadygone

 was taking it at 10 for along time I still wake up on couch around 12to go upstairs .main reason I was trying to break up the Akathisia feelings(stupid I guess)I was hoping taking it later I would sleep better till 515.I totally agree with you about Effexor it did something yrs ago to my sleep.I was cold turkeyed against my will,then reinstated at higher dose and changed to ER smh.I was in a facility and very stressed,remeron was added for sleep.Trazone was added 5/6yrs later as another trauma occured to help sleep.              Around 2010 I started to hsve bad reaction to all the meds,after antipsychotics made me suicidal lamictal was added and calmed things a lil.sorry so long,linsinopril was added for blood pressure which Effexor and remeron effect                

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Allreadygone
20 hours ago, Allreadygone said:

 was taking it at 10 for along time I still wake up on couch around 12to go upstairs .main reason I was trying to break up the Akathisia feelings(stupid I guess)I was hoping taking it later I would sleep better till 515.I totally agree with you about Effexor it did something yrs ago to my sleep.I was cold turkeyed against my will,then reinstated at higher dose and changed to ER smh.I was in a facility and very stressed,remeron was added for sleep.Trazone was added 5/6yrs later as another trauma occured to help sleep.              Around 2010 I started to hsve bad reaction to all the meds,after antipsychotics made me suicidal lamictal was added and calmed things a lil.sorry so long,linsinopril was added for blood pressure which Effexor and remeron effect                

 @Altostrata forgot to tag u yesterday 

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Altostrata

If I were you, I'd move the Remeron back to 9:30 or 10 p.m., so you don't have to wake up to take it. That's counterproductive.

 

Please let us know how you're doing, and your daily symptom notes.

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Allreadygone

Ok @Altostrata I don’t have access to Comp most of the time.my text come out staggered for some reason.

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Altostrata

Understood, you're doing fine. Please continue with the notes as well as you can.

 

How are you taking the lamotrigine? Do you split a 25mg tablet?

 

Have you had a blood pressure check recently? It's possible you don't need linosopril any more, but it has to be tapered.

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