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mdwstrx: Lexapro / escitalopram taper or not?

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Tom37

Good work about the morning anxiety and sleeping. Wish I could get that amount of sleep even though I don’t get the anxiety it just doesn’t want to happen. 

 

Hope the rest of the day goes well for you and try to enjoy the feeling better and don’t worry about tomorrow because it will be what it will be when it comes to wd.

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mdwstrx

Thanks!  It helps to have other's input and perspective.  Feeling better on many fronts this afternoon but still feel, and as you said at one point, that IT is still here - the wobbly/shaky inner, feeling, slight headache, heavy feeling in chest when breathing, stomach is tad upset.  Today is a strange day. Just don't feel 'right'.  

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ChessieCat
10 hours ago, mdwstrx said:

The liquid escitalopram is 5mg/5ml.  So to take 2.5 mg., I take 2.5 ml.  Correct?

 

Yes.  Correct.

 

10 hours ago, mdwstrx said:
  • The syringe plunger has a black rubber convex piece.  Is it accurate to line up the top of the rubber piece with marking (and not the bottom of the rubber piece)?
  • Also, is it accurate to fill the full tube and nozzle? Both yesterday and today, I made sure there was no liquid in the nozzle before pushing the plunger.  I think that may have inadvertently cut my dosage the last two days by the .5mL noted in quote below.  If so, should I remedy that today?

 

Consistency is what is most important.  Do everything the same way each time.

 

10 hours ago, mdwstrx said:

Question about oral syringe use.  I have the one shown here

 

For better accuracy it might be better to get a smaller syringe.  You will need them in the future anyway.  Where to get oral syringes

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mdwstrx

Thanks Chessie.

 

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mdwstrx

Last few days have been a bit better.  Two nights of good sleep.  Today was a mixed bag.  Woke feeling mild anxiety.  I call it anxiety but it's different.  It's oppressive, nervous discomfort.  Surprisingly,  at 11, sinuses cleared and I felt perfectly normal??  This lasted until noon when I began to feel symptoms lurking in background again.  The inner shaky/buzzy feeling and heavy chest is now back. :( 🙏

 

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Tom37

Good to hear!

 

Remember the better days as shows they do happen. Great you had a period of feeling ‘normal’. Frustrating when it ends but gives you something to hold on to when struggling and something to look forward to.

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mdwstrx

Thanks for your encouragement!  Weird day. Especially the part about the sinuses. I know the ADs are related in some way to antihistamines. It happened once before in early withdrawal. Sinuses cleared and symptoms significantly reduced for a bit.  Oh well, gotta take it as it comes. 

 

 

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mdwstrx

Today is day 4 of splitting 7.5 mg Lexapro to 5 mg. pill/2.5 mg. liquid. 

The pattern since 12/19 has gone as follows; 5-day wave, 5-day window, 4-day wave, 5-day window, 7-day wave, so far 3-day window.  

 

image.thumb.png.e45634ff8b359591203077c1c0da7a0e.png

 

Friday, January 18, 2019   7.5 hrs. of sleep

·         Early a.m. Woke middle of night once. Back to sleep.

·         6:00 a.m. Woke, light anxiety

·         7:00 a.m. Up took 7.5 mg. Lexapro (5 mg. pill/2.5 mg. liquid)

·         9:00 a.m.  Anxiety, breathless, heavy chest

·         10:30 a.m. Diarrhea. Anxiety has lessened a bit.

·         12.:30 p.m. Nausea, slight tingling/burning in arms, hot flushing.

·         2:00 p.m. feeling ok, sx in background

·         4:00 p.m   Buzzy feeling is back, short of breath, head ache and eye stress.  Slight burning in arms.

·         10:00 p.m. bed

 

More snow expected tonight.  3-7 inches.  Praying for all on this site for healing. 🙏

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mdwstrx

Alto, could you please weigh in as to whether you think reinstatement has worked or not based on the above?   I am feeling as though stabilization is far away sadly.  Your opinion is very much respected and appreciated. 

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Altostrata

I don't understand your scale. Are the numbers on the y axis hours of sleep or severity of symptoms? Does the orange line currently show close to 0 hours of sleep? That does not match your notes.

 

23 hours ago, mdwstrx said:

7:00 a.m. Up took 7.5 mg. Lexapro (5 mg. pill/2.5 mg. liquid)

9:00 a.m.  Anxiety, breathless, heavy chest

 

If you see a pattern where your symptoms get worse every day after taking Lexapro, you're taking too much Lexapro.

 

If I were you, I'd reduce to 5mg tablet, 2mg liquid and keep daily notes for at least a week to see if symptoms decrease. Please post your notes in this topic.

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mdwstrx

Thank you for replying Alto

 

The x axis = dates and y axis = severity of both symptoms and insomnia on my perceived scale of 1-10.  So the orange line is showing insomnia currently was about 0.5 on scale of 1-10 where I was getting almost 8 hrs sleep.  The actual sleep hrs are written below the dates on the x axis.

 

I think the symptoms are just bad in the morning period.  I wake feeling that way and first thing I do is take the meds.  Then sit down to log symptoms on the computer.  I notice I tend to feel some better by mid morning.  Should I still reduce to 2 mg. liquid.  Hoping that doesn't destabilize further (paranoid :().  The windows and wave patterns are apparent on the chart.  No sign of stability yet short of the windows.  They seem to be the same length as the waves which are becoming a little less severe on my scale of 1-10. 

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Altostrata

It looks to me like you're taking too much Lexapro, that's why you feel worse after you take it. This is an adverse effect issue, not a stabilization issue.

 

41 minutes ago, Altostrata said:

If I were you, I'd reduce to 5mg tablet, 2mg liquid and keep daily notes for at least a week to see if symptoms decrease. Please post your notes in this topic.

 

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mdwstrx

I see.  So bear with me pls.  If I reduce, I won't risk stabilizing or prolong it?  And do you think the reinstatement is working? 🙏

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Altostrata

My guess is you'll feel better at a lower dose and stabilize. I wouldn't suggest a reduction otherwise.

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mdwstrx

Alto, thank you.  It makes me want to cry that you take the time to help me and so many others.  God bless.   

I'll reduce and keep notes.

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Happy2Heal
22 hours ago, mdwstrx said:

Then sit down to log symptoms on the computer.

I used to get on the computer first off too but when I was having morning dread and anxiety, what helped the most was to do something more active, like light housework or esp getting out of the house for a walk, if weather permitted, or

what I usually did 3 times a week was walk to the bus stop for the free shopper's shuttle. It picked up the same group of ppl at different elderly housing units around the city so it's like a social thing too.

it was a good distraction, plus I got out and in the sun, when it was out, that is, which really helps a lot! and the little gentle walking was soothing to me.

 

 

just an idea.

as you go along, you'll pick up more and more non drug coping ideas and be less tempted to find the solution in a pill of any kind, be it a prescription or a supplement

:)

 

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mdwstrx

Thanks Happy. Those are good suggestions for warmer weather!  Today is 14 F outside and we've had a ton of snow recently.  I live in a rural area but do take my little dog for walks.  I tried to maintain my morning sports routine with friends since it was a great social outlet but sadly, I was finding the waves were interfering.  I felt so much better on the days when I got out to do that even though it was a struggle to overcome the a.m. anxiety.  Its been a couple weeks and I hope to resume next week if I can drag myself out again.  I'm definitely having cabin fever in w/d but so very thankful I have a 'cabin'.  So many don't.  :( 

 

 

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mdwstrx

Sunday, January 20, 2019   7 hrs. of sleep

·         Early a.m. woke once, back to sleep.

·         5:30 anxiety woke me.  Anxiety is raging this morning. Short of breath, heavy chest

·         6:15 a.m. Up took 7 mg. Lexapro (5 mg. tablet/2 mg. liquid) First day of reduction.  Had a small cup of caffeinated coffee by habit.  Mistake.  Ramped up anxiety even more.  Pounding heart, short of breath, heavy chest.

·         10:00 a.m. Anxiety is abating somewhat.  Upper body/head feels like a throbbing thumb that’s been hit with a hammer. Not painful but the throbbing is there.

·         12:00 p.m.  Anxiety faded into a general feeling of unease. However, it’s easily triggered back to the anxious, nervous, sick feeling by news or bad thoughts.

·         3:00 p.m. Feel the heavy chest, breathlessness in background.

·         10:00 bed

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Tom37

Sorry to hear a bit of a rough day.

 

Good luck on the reduction. May create a few bumps in the road but hopefully will end up with everything settling down. 

 

 

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mdwstrx

Thanks!  Yes, we shall see how it goes.  🙏

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Happy2Heal
3 hours ago, mdwstrx said:

Thanks Happy. Those are good suggestions for warmer weather!  Today is 14 F outside and we've had a ton of snow recently.  I live in a rural area but do take my little dog for walks.  I tried to maintain my morning sports routine with friends since it was a great social outlet but sadly, I was finding the waves were interfering.  I felt so much better on the days when I got out to do that even though it was a struggle to overcome the a.m. anxiety.  Its been a couple weeks and I hope to resume next week if I can drag myself out again.  I'm definitely having cabin fever in w/d but so very thankful I have a 'cabin'.  So many don't.  :( 

 

 

 

Oh yeh I understand cabin fever, we've got snow and freezing rain on top of that, and now brutal winds, so the temps will go down to minus 20 or something tonight and tomorrow, then a wee bit less cold on Tuesday.

I've been indoors since Friday night and I'm already climbing the walls, lol

I have to go out Tuesday but I'm praying I can get a ride because walking will be tough, with the ice on the ground and the winds still whipping around.

 

oh you've got dogs, that's nice! pets make life so much more enjoyable, I think. I have two gerbils, pretty easy care pets, but usually I have rats. I foster the rats for a rescue. they're domestic rats, very clear and cute, nothing like wild rats. ;)

 

I hope you can resume your morning sports routine with friends and I hope the weather cooperates so that walks with your dogs aren't too difficult.

I keep telling myself, it's just a few short weeks til spring (yes I am lying to myself, hahha, I think it's more like 8 or 9 weeks til spring but who's counting?!?)

 


 

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Tom37

I get cabin fever too but lucky for me our winters down here are very mild compared to yours. I did though live in London for years and the endless cold weather and darkness use to drive me up the wall!

 

Hope you start getting to a point where you can get out and be social again. But I know when feeling horrible it can be the last thing you want to do....but is good for you.

 

 

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mdwstrx

Thanks for the encouragement above!  I did get out today and it felt great!   Living in NZ and London sounds cool.  I would think NZ is preferred. :)  

 

Today seemed to be a better day and I am hoping it's a result of the 0.5 Escitalopram reduction recommended by Alto.  Praying that it continues to improve.  

 

 Monday, January 21, 2019    6.5 hrs. of sleep

·         Early a.m. woke once, back to sleep.

·         3:30 Short of breath, heavy chest, felt like band around chest

·         6:15 a.m. Up took 7 mg. Lexapro (5 mg. pill/2 mg. liquid) Anxiety is a little less this morning. Feeling some achiness in arms and upper chest. Hands are a little sweaty and a little numb tingling in feet.

·         8:30 a.m. Showering and moving around has helped the above sx a bit. Still feel the tight chest and short of breath.

·         11:00 a.m. Got out with friends and played sports.  Felt good during play but could feel breathlessness.  Feeling good afterwards so far. Slight headache but barely.

·         3:30 p.m. A better day today though there are some symptoms in background.  Slight headache, some very slight neuralgia in limbs.  An occasional wave of not feeling right and some hot flushing.

·         6:00 p.m. same sx above.

·         10:00 pm bed

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mdwstrx

Hello. I recently ordered Natural factors omega 3 epa 400 mg/Dha 200 mg fish oil and waiting for that to arrive.  I‘vê been taking a silver centrum multi vitamin the last two days and have been taking magnesium citrate since this all began. I just realized I hadn’t disclosed this. 

 

Are these supplements ok to take?  I read on a post somewhere that the silver centrum vitamin was helpful and I know SA recommends the magnesium and fish oil. Thanks!

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Tom37

Good work on getting out today. Hopefully you can keep it up.

 

Yes lucky to be able to call NZ home. Very fortunate to have the lifestyle we do down here. London was an awesome time but does wear you out after a while. 

 

Cheers

 

 

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mdwstrx

Tuesday, January 22, 2019    6 hrs. of sleep

·         Early a.m. woke once, back to sleep.

·         3:30 a.m.  low anxiety– tossed and turned

·         6:00 a.m. Up took 7 mg. Lexapro (5 mg. pill/2 mg. liquidday 4 of reduction from 7.5mg

·         7:00 a.m. Anxiety is up. Breathless, nauseous, loose stool.

·         10:00 a.m. Anxiety is staying constant. Short of breath. 

·         12:00 p.m. same

·         1:00 p.m. grocery shopping and running errands – if not for anxiety, feel ok.

·         4:00 p.m.  anxiety has died down mostly.

·         10:00 p.m. bed

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Tom37

Don’t get discouraged on the anxiety as any change in dose can increase symptoms for a bit.....or could just be one of those wd days.

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Happy2Heal

sorry things must be rough with the anxiety now but it's gonna get better

 

gentle hugs for you

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mdwstrx

Hi Happy,  Thanks for stopping by.  The anxiety is worse in the morning. By this time in the evening,  it’s pretty well died down. So for now I’m fairly comfortable thankfully.  Hoping these are still going well for you! 

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mdwstrx

 Wednesday, January 23, 2019   8 hrs. of sleep (plus dozed on sofa for 1hr before bed)

·         Took first fish oil soft gel night before at 8:30 p.m. (really good result for sleep)

·         Early a.m. Woke once, back to sleep.

·         4:00 a.m.  Woke, very low anxiety – back to sleep quickly

·         6:30 a.m.  Able to lie in bed peacefully, slight chest discomfort, a little short of breath

·         7:00 a.m.  Up took 7 mg. Lexapro (5 mg. pill/2 mg. liquid) day 4 of reduction from 7.5mg – cereal and decaf coffee.

·         8:00 a.m.  Feeling a little short of breath, chest discomfort, a little buzz.

·         10:30 a.m. Still a little breathless, sx are dying down.  Apprehensive.

·         12:30 p.m. Sx are mostly in background, they’re present but very slight. Such as buzzy, heavy chest, occasional aches.

·         4:30 p.m.  Sx are back a bit. Short of breath and chest discomfort.  Still not myself- general malaise.

·         8:30 p.m. fish oil caplet

·         10:00 p.m. bed

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mdwstrx

Hello.  Wondering if Alto or mods can weigh in on the symptom of being short of breath.  I'm beginning to get a bit concerned. Going back over notes, breathlessness has been with me for more than a month but I don't recall it feeling like something was in my lungs like it does now.  It's not on the list of symptoms but others have noted they had it when I do a search.  Any thoughts would be appreciated.  Thanks.

 

Thursday, January 24, 2019   6 hrs. of sleep

·         Early a.m. Woke once, back to sleep.

·         4:00 a.m.  Woke, low anxiety, chest discomfort, if breath deep

·         6:30 a.m.  Up took 7 mg. Lexapro (5 mg. pill/2 mg. liquid) day 4 of reduction from 7.5mg – cereal and decaf coffee.

·         8:30 a.m. Fish oil soft-gel. Played sports.  Felt good until end with a bit of headache and breathing discomfort

·         11:30 a.m.  lunch - feel good

·         2:30 p.m. Feeling food except for short of breath.

·         5:00 p.m. feeling anxious and short of breath.  Getting concerned about breathing.  The overall feeling of tension and burning came back this evening. 

·         10:00 pm bed

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Tom37

Sorry to hear about the breathing problem. Probably just another wd issue as there are so many it is ridiculous but the mods can give you more information and I guess if need be a quick trip to gp could rule anything else out.

 

For me I clearly know everything I’m dealing with is wd. Try not to worry about it as just makes this whole ordeal worse. 

 

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Carmie

Hi md, 

 

So sorry to hear about the breathlessness, it’s an awful feeling. I’ve had it due to lung problems, not because of withdrawals. What helped me was serrapeptase and nattokinese. They are enzymes. I’m not sure if it will affect your withdrawals, but I’ve never had a problem with these supplements. They’ve worked amazingly well. I get the high strength serrapeptase from iherb. 

 

They have helped people with asthma, COPD, and all sorts of other lung issues. 

 

Sending hugs🤗

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mdwstrx

Thanks Tom, Carmie and Chessie.  This site is so helpful.  Very few people understand.  I sure didn't beforehand.  It's so helpful to have people on here who support and encourage one another.  💕  Thankfully, for whatever reason, the breathing difficulties hasn't been near as bad today.  Praying it stays that way!  Hoping you three and others here have a good night and peaceful tomorrows.  

 

Friday, January 25, 2019   7.5 hrs. of sleep

·         Early a.m. Woke once, back to sleep.

·         4:00 a.m.  Woke, feeling well, within a few minutes, the low anxiety and chest discomfort returned.  Was able to sleep a little more.

·         6:30 a.m.  Up took 7 mg. Lexapro (5 mg. pill/2 mg. liquid) day 5 of reduction from 7.5mg – cereal and decaf coffee.  Feeling better but nervous. The chest discomfort and breathing difficulty is slight. Hot flushing.

·         9:00 a.m. Played sports.  Felt good during play as it distracts.

·         11:30 a.m.  lunch – still feel ok

·         5:00 p.m.  Feeling a little tense and achy.

·         6:30 p.m.  Feel ok just not good. Thankfully the breathing issue has remained in background most of day.

·         10:00 pm bed -Fish oil soft-gel.

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mdwstrx

Saturday, January 26, 2019    6.5 hrs. of sleep

·         Early a.m. Woke once, back to sleep.

·         4:00 a.m.  Woke, feeling well, within a few minutes, the low anxiety and chest discomfort flooded in. 

·         6:30 a.m.  Up took 7 mg. Lexapro (5 mg. pill/2 mg. liquid) day 6 of reduction from 7.5mg - Yogurt and decaf coffee.  Feeling nervous.  The chest discomfort and breathing difficulty is slight. Heart palpitations. 

·         8:00 a.m. heart palpitations, breathless.

·         11:00 a.m. slight headache, tense, slight burning in arms.

·         2:00 p.m. a little achy with headache. 

·         5:00 p.m. out to shop and to a family get together. Distracted from symptoms. Did ok.

·         9:00 p.m. relaxed and did mindfulness

·         11:00 p.m. bed

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