BfromNJ: mirtazapine taper

[Altostrata]

Were you on other drugs prior to Prozac in November 2018?

 

What was the breakdown in November 2018? Why did you go into the hospital?

 

Why did you go back into the hospital February 19, 2019?

 

You were put on gabapentin last November, then went off, then went back on -- when? After you started taking it again, what effect did it have on you?

[BfromNJ]

49 minutes ago, Altostrata said:

Were you on other drugs prior to Prozac in November 2018?

 

What was the breakdown in November 2018? Why did you go into the hospital?

 

Why did you go back into the hospital February 19, 2019?

 

You were put on gabapentin last November, then went off, then went back on -- when? After you started taking it again, what effect did it have on you?

 

49 minutes ago, Altostrata said:

Were you on other drugs prior to Prozac in November 2018?

 

What was the breakdown in November 2018? Why did you go into the hospital?

 

Why did you go back into the hospital February 19, 2019?

 

You were put on gabapentin last November, then went off, then went back on -- when? After you started taking it again, what effect did it have on you?

Prior to the Prozac, the doctor gave me Zoloft, which only took for like two days around 11/3.  I had weird intrustive chanting thing with that.  And before that, in September, Lexapro for like 4 days? 

 

In November, I was not sleeping, and was having severe anxiety.  this may all have been hormonal. I am estrogen dominant, come to find out.  I went inpatient because I just couldn't take it anymore.  I was on gabapentin from 11/24-12/8/18, 30 mg.  I had an intrusive suicidal thought and it frightenened me, also felt a bit low on it.   I tend to be very nervous with meds becsause I am sensitive. 

 

I am back on gabapentin, this time 600 mg from 2/20/19 to present.   honestly hard to tell what effect it has on me, I am not as anxious so I suppose it does help with that, but it may be contributing to the side effects I have.  it does seems to make me spacey and have a headache. 

 

  I went back in hospital on 2/15 because I had a meltdown, only way to describe it.  pacing, extreme anxiety, just freaking out (partly due to the ringing in my ears that was so bad).  I was tapering too quickly off mirt. at this time, this may have been what did it all. 

 

its very hard with three meds to know what is doing what.  I hate that I went down this road again.  im grateful for everyones help here.  I know im not alone. 

[Altostrata]

Why did you take Lexapro for only 4 days? What was your original issue?

 

When you went on Zoloft, you had an adverse reaction, and then you stopped it?

 

In November 2018, did your sleep problems start when you were taking Prozac or shortly after you went off it?

 

What happened in February 2019 to cause you to go to the hospital?

 

How is your sleep now?

 

 

[BfromNJ]

Lexapro for anxiety and depression.  This was the time of the start of my perimenopause.  

 

Yes for the zoloft adverse reaction. 

 

My sleep problems started before taking prozac.  I am sleeping now because of seroquel I suppose.  I knocks me out.  Without it I can't because of the ringing and way my head feels

[BfromNJ]

I sometimes have trouble determining where my symptoms come from, say the gabapentin or luvox.  Or both.  But what u said makes sense that its luvox.  How long do side effects take to show up after taking something? 

[Altostrata]

You appear to be a person who cannot tolerate SSRIs such as Prozac, Lexapro, Zoloft, and Luvox.

 

My guess is, from the start, the problems that have been sending you to the hospital are adverse reactions to these drugs. See Immediate adverse reactions to SSRIs? How long for recovery?

 

If I were you, I'd reduce the Luvox. Since you've been taking it a short while and are most likely having side effects from it, I would reduce it by 25% to start. Luvox comes in a liquid for titration. See

 

Tips for tapering off Luvox (fluvoxamine)

 

Please let us know how you're doing.

[BfromNJ]

53 minutes ago, Altostrata said:

You appear to be a person who cannot tolerate SSRIs such as Prozac, Lexapro, Zoloft, and Luvox.

 

My guess is, from the start, the problems that have been sending you to the hospital are adverse reactions to these drugs. See Immediate adverse reactions to SSRIs? How long for recovery?

 

If I were you, I'd reduce the Luvox. Since you've been taking it a short while and are most likely having side effects from it, I would reduce it by 25% to start. Luvox comes in a liquid for titration. See

 

Tips for tapering off Luvox (fluvoxamine)

 

Please let us know how you're doing.

I was on prozac a few years back with no issues but I guess we can change ?  Especially with hormones involved.  So 25% still monthly?  I called pharmacy they said no liquid.  I have my scale I can crush. 

[Altostrata]

You said you were on Prozac for 9 days? Then a "breakdown"? What was that, and why did you go off Prozac?

 

Please list all the antidepressants you've been on, approximate length of time you took each, and why you went off.

 

Look carefully at your Luvox package. Is it extended-release? You can make a liquid only from immediate-release Luvox.

 

 

[BfromNJ]

6 hours ago, Altostrata said:

You said you were on Prozac for 9 days? Then a "breakdown"? What was that, and why did you go off Prozac?

 

Please list all the antidepressants you've been on, approximate length of time you took each, and why you went off.

 

Look carefully at your Luvox package. Is it extended-release? You can make a liquid only from immediate-release Luvox.

 

 

I was feeling hopeless, extreme anxiety, very depressed and I did not feel safe.  I  put my meds in my signature but I did not list prior prozac as it was a few years ago.  I will add it.

 

And my luvox is not cr it is regular. I'm so unsure of making a liquid bc my brain is so shot.  Lol.  

[BfromNJ]

8 hours ago, Altostrata said:

You said you were on Prozac for 9 days? Then a "breakdown"? What was that, and why did you go off Prozac?

 

Please list all the antidepressants you've been on, approximate length of time you took each, and why you went off.

 

Look carefully at your Luvox package. Is it extended-release? You can make a liquid only from immediate-release Luvox.

 

 

I was feeling hopeless, extreme anxiety, very depressed and I did not feel safe.  I  put my meds in my signature but I did not list prior prozac as it was a few years ago.  I will add it.

 

And my luvox is not cr it is regular. I'm so unsure of making a liquid bc my brain is so shot.  Lol.  

[BfromNJ]

I do believe my gabapentin is too high, but I cannot do anything about that yet until the luvox is resolved.  This is just a bad day for me.  I have anxiety and depersonalization I believe.  This is horrible.  I guess I'm in a wave.  

[Altostrata]

If your Luvox is immediate-release, you can make a liquid from it and if you wish, reduce it as we discussed before.

 

Please clarify your drug chronology in your signature as I am very confused about what your drug situation was before your hospitalizations.

 

Please understand that to go off psychiatric drugs, you will need to find non-drug ways to cope with symptoms, including withdrawal symptoms.  If you go to the hospital, you'll be back on drugs again.

[BfromNJ]

13 hours ago, Altostrata said:

If your Luvox is immediate-release, you can make a liquid from it and if you wish, reduce it as we discussed before.

 

Please clarify your drug chronology in your signature as I am very confused about what your drug situation was before your hospitalizations.

 

Please understand that to go off psychiatric drugs, you will need to find non-drug ways to cope with symptoms, including withdrawal symptoms.  If you go to the hospital, you'll be back on drugs again.

I redid my signature as best as I could.   I hope its clearer.  My head is fuzzy.  And yes my luvox is immediate release, but I already bought a scale so I'm going that route.  I did good today with the scale

 

[BfromNJ]

Hello @Altostrata.   Just wondering if I still do 30 days with the luvox taper of 25% ?   Since I'm doing a higher percent due to adverse reaction, do I also speed up the time or should I remain cautious?  

[Shep]

BfromNJ, it takes 4 days to register a change in dose. Please let us know how you're doing over the coming days. 

 

I would remain cautious. Let's make sure you're dealing more with an adverse reaction than with withdrawal. Even if it's a bit of both, you'll want to taper at a speed that your nervous system can tolerate. 

[BfromNJ]

10 minutes ago, Shep said:

BfromNJ, it takes 4 days to register a change in dose. Please let us know how you're doing over the coming days. 

 

I would remain cautious. Let's make sure you're dealing more with an adverse reaction than with withdrawal. Even if it's a bit of both, you'll want to taper at a speed that your nervous system can tolerate. 

Hello.  Today is day two.  I have increased anxiety and dizzyness (or do hard to tell sometimes) and just now hot all over.  But I may just be worried about the taper in general.  I'm scared after reading how hard luvox is to come off of.  Also, scared since I came off of mirt. In Feb so quick.  I'm just plain scared.  Lol.    So I should give it two more days right for body to register it?  If it's too much of a jump after all I can always slow it down to 10% right?  

[Altostrata]

Those sound like symptoms you had before?

 

Please keep daily notes of times of day you take your drugs, their dosages, and your symptoms. You can post them in this topic with a simple list format with time of day on the left and notation (symptom, drug and dosage) on the right.

[Shep]

This is the format Alto is referring to: 

 

On 9/27/2016 at 2:49 PM, Altostrata said:

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. We ask this because there may be something we can do to reduce the symptoms.

 

What we need to see for every single day over several days is what symptoms you get before and after you take your drugs. If you're not taking any drugs and have withdrawal symptoms, we still need to see your symptom pattern throughout the day:

 

The time of day, dosage, and severity of symptoms are essential information. Include

 

- Time and dosage for all drugs taken throughout the day, psychiatric and non-psychiatric.

- Following each dose, note any symptoms. If you are having a reaction to the drug, it may take hours for a symptom to show up -- that's why we ask you to keep notes all day long.

- If you're not taking any drugs, your symptoms throughout the day.

- Your sleep pattern. Since so many drugs disturb sleep, if you find you're waking in the middle of the night, it could be from a drug you took earlier in the evening. If you're not taking any drugs, there may be ways you can improve your sleep.

And so forth. A diary, in chronological order, looking something like this:
 
6 a.m. Woke with anxiety
8 a.m. Took 2.5mg Lexapro
10 a.m. Stomach is upset
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. Feel a bit better
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. Feeling dizzy
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 but got back to sleep

[Shep]

10 minutes ago, BfromNJ said:

I have increased anxiety and dizzyness (or do hard to tell sometimes) and just now hot all over.  But I may just be worried about the taper in general.  I'm scared after reading how hard luvox is to come off of.  Also, scared since I came off of mirt. In Feb so quick.  I'm just plain scared. 

 

Please stop reading scary stories. 

 

Some ways of not feeding the wolves of fear:

 

Dealing With Emotional Spirals

 

"Change the channel" -- dealing with cognitive symptoms

 

A great breathing technique:

 

4-7-8 Breathing Exercise by GoZen video (3.5 minutes)

 

Try the breathing technique and then read the "dealing with emotional spirals" thread. 

 

 

[RichT]

BfromNJ,

 

I’m sorry to hear you’re feeling scared, it’s a horrible feeling. It will come to an end! 

 

Something I have found very helpful with fear is to get some moderate exercise, especially if you can do it outside.

 

sending you good wishes

 

R

[BfromNJ]

2 hours ago, Shep said:

BfromNJ, it takes 4 days to register a change in dose. Please let us know how you're doing over the coming days. 

 

I would remain cautious. Let's make sure you're dealing more with an adverse reaction than with withdrawal. Even if it's a bit of both, you'll want to taper at a speed that your nervous system can tolerate. 

So does that mean I won't feel the effects of drop until after 4 days?  

[Shep]

11 hours ago, BfromNJ said:

So does that mean I won't feel the effects of drop until after 4 days?  

 

You may feel it sooner or later because 25% of the drug is leaving your system, but 4 days is a general gage of when the nervous system fully realizes a change. It can be a bit bumpy. 

 

Please do have a read of the links I posted in my last post. It's important that you not go into an anxious state due to anticipatory anxiety, but simply let this happens as it happens.

 

Remember to breathe. To take a walk outside every day, if you are able. To stretch your muscles. To eat nutritious meals that are low in sugar and high in protein throughout the day. And to drink plenty of water throughout the day. 

 

All of this is important. 

[BfromNJ]

12 minutes ago, Shep said:

 

You may feel it sooner or later because 25% of the drug is leaving your system, but 4 days is a general gage of when the nervous system fully realizes a change. It can be a bit bumpy. 

 

Please do have a read of the links I posted in my last post. It's important that you not go into an anxious state due to anticipatory anxiety, but simply let this happens as it happens.

 

Remember to breathe. To take a walk outside every day, if you are able. To stretch your muscles. To eat nutritious meals that are low in sugar and high in protein throughout the day. And to drink plenty of water throughout the day. 

 

All of this is important. 

Thank you.  Im just scared because im doing 25%.  Have others on here done this amount and fared okay?  I would love to here from them if you have any idea.    if I feel its too much soon, can I go up and reduce by a lesser amount?  Or do I have to go back up to my original dose than do 10%.  I would hate to go back up again. Im trying really hard not to worry about it.   I tend to worry about the what ifs and worry that every little thing is now because of the meds.

[Altostrata]

Yes, if 25% seems too much for you, you can reduce by a smaller amount. How about 10%? Please be sure to keep notes.

[BfromNJ]

9 hours ago, Altostrata said:

Yes, if 25% seems too much for you, you can reduce by a smaller amount. How about 10%? Please be sure to keep notes.

So I've had a few nights of bad sleep.  Since taper.   But same day I started I also started a different manufacturer of my seroquel.   The reason for that was because I was cutting 50 mg in half and they were hard to get even.  So I asked doctor for 25 mg script.  When I filled it, it was diff. Manufacturer.  

 

But, I also have a boyfriend who has allergies and has been snoring and restless.  He has been going to bed same time as me and normally doesn't.  

 

Last night was worst and I was very agitated.   

 

I got 3 hours of sleep, but I'm not really tired.  When I awoke, my tinnitus was horrible.  I normally in morning I don't hear it at all.  It's usually the quiet time for it.  And its persisted.   

 

I'm not sure what to do?  Do I go back to old seroquel pills and try to cut more even?  Or grind and measure them instead?  Or is it from luvox taper?  

 

This is just very disheartening as I have normally no problem with seroquel knocking me out.  

 

I would greatly appreciate your input as well as Shep.   

 

I'm so upset as I was having such a good day yesterday and even day before.  Much more clear headed, less dp and I could swear  it was the lowered luvox.  Even this morning with the increased ringing and lack of sleep I still feel more clear and not tired. But that may be a bad thing because I should be tired.  

[BfromNJ]

On 4/6/2019 at 10:35 AM, Frogie said:

You put the little tray on the scale, then turn the scale on. It will read “0”. That’s what you use to put the powder in so you can transfer it to the capsule.

 

The average capsules would be .126 (since you round to 3 digits). The 75% would be .0945. Since the scale measures in 3 digits I would round up to .095. That’s what would go in the capsules.

 

I’m sure Brassmonkey will explain it better but that’s how I figured it out.

 

@brassmonkey:

 

Is this correct? I don’t want to give wrong information.

 

Thanks,

Frogie xx

 

 

 

On 3/29/2019 at 9:54 PM, Hannahe said:

Are their people here that are going through bad withdrawal that still have quite a bit of meds to get off of? How do you cope? 

 

On 4/6/2019 at 7:24 PM, Altostrata said:

If your Luvox is immediate-release, you can make a liquid from it and if you wish, reduce it as we discussed before.

 

Please clarify your drug chronology in your signature as I am very confused about what your drug situation was before your hospitalizations.

 

Please understand that to go off psychiatric drugs, you will need to find non-drug ways to cope with symptoms, including withdrawal symptoms.  If you go to the hospital, you'll be back on drugs again.

 

22 hours ago, ShiningLight said:

OK. The reason why I suggested that is it's easy to idealize another situation and then get there and realize it's different than you thought, especially if you're making medication changes. I wasn't saying to visit as a solution, but as a test to see what it might be like.

 

[BfromNJ]

1 hour ago, BfromNJ said:

So I've had a few nights of bad sleep.  Since taper.   But same day I started I also started a different manufacturer of my seroquel.   The reason for that was because I was cutting 50 mg in half and they were hard to get even.  So I asked doctor for 25 mg script.  When I filled it, it was diff. Manufacturer.  

 

But, I also have a boyfriend who has allergies and has been snoring and restless.  He has been going to bed same time as me and normally doesn't.  

 

Last night was worst and I was very agitated.   

 

I got 3 hours of sleep, but I'm not really tired.  When I awoke, my tinnitus was horrible.   normally in morning I don't hear it at all.  It's usually the quiet time for it. and it has now not tapered down.  I had a few days where it has been very good.  now this.  

 

I'm not sure what to do?  Do I go back to old seroquel pills and try to cut more even?  Or grind and measure them instead?  Or is it from luvox taper?  My thought is to try my old Seroquel first before I mess with the luvox? 

 

This is just very disheartening as I have normally no problem with seroquel knocking me out.  

 

I would greatly appreciate your input as well as Shep.   

 

I'm so upset as I was having such a good day yesterday and even day before.  Much more clear headed, less dp and I could swear  it was the lowered luvox.  But it could have just been a window?       do I ride out the taper schedule as it is since its been only 3 days and try tonight to go back to my original Seroquel first?  

      I'm going to post my notes shortly.  

[BfromNJ]

Here are my notes from last few days since started taper.  Sorry if it's long.  

 

4/6
5:30- awoke but stayed in bed.  once awake can't ever fall back asleep.   had the weird pulsing/shaking feeling in head when I'm just laying there.  feels like my brain is loose .
8:00 out of bed - feel disconnected from surroundings, foggyheaded.  weird throat sensation is there.  bad dp this morning.
   8:30  - 200 mg gabapentin
10:30- somewhat better.  some anxiety this morning. buzzing in head.  
12:00- lunch
         - luvox 18.75 mg (start of taper)
  still ringing/buzzing, feeling very out of sorts. 
felt very strange in drugstore.   more dp?
2:30- 200 mg gabapentin. 
calmer as afternoon went on.  
4:00- weird sensation in head.  like a pulsing,  tight feeling/pressure feeling. makes me feel like I have to crack my neck all time.   headache. 
5:30- dinner
headache subsiding some by around 8.  more clear headed.  
9- gabapentin 200 mg
10- headache returning . headpresure returning.   ringing/buzzing. 
10:30- seroquel 25 mg (new manufacturer and actual 25 mg pill instead of splitting).

4/7-
7:30- out of bed.  pretty clear headed
7:45/8? - gabapentin - 200 mg .
8:20-  some buzzing in head/ears and weird throat sensation. bit of head pressure/ache/coming on.  
9:30- throat sensation increases,  as well as zinging/buzzing (this is worse with noise, so may be hyperacousis).  
12:00-  feel calmer now, but still some buzzing/ringing and internal shakeyness.  bad head ache coming on. 
     -  luvox 18.75 
increased dizzyness.  
feeling okay while sitting outside, but still very dizzy.  hard to tell dizzyness from dp.  more anxiety today than normal. 
2:30- gabapentin 200 mg & probiotic
5:30-  feeling hot all over.  this is new.  but I am perimenopausal.  
7:00- legs feeling funny.  sore , stiff and feel like I need to move them.  like agitated. 
-took nice walk outside . 
8:00- another hot feeling. 
legs still feeling funny.  heating pad helped
9:00- gabapentin 200 mg
10:00- seroquel 25 mg (different manufacture again)
- ear ringing did not seem as prominent when I went to sleep as it usually is.

4/8- 
did not sleep well.. not sure if related to luvox lowering or boyfriend snoring and restless as he was sick.  
5 30- up.  not feeling too bad for not sleeping well.  some anxiety.  weird pulsing feeling in head.  ears seem plugged up.  legs feeling sort of restless in thighs like last night, this subsided.   
6:15 - breakfast 
       - 200 mg gabapentin & probiotic
7:15- shakey/loose/rumbling/pressure feeling in head (I have trouble explaining how this feels)  I can hear a crack sometimes.  a bit out of sorts now.  some nausea.   
8:00- at work. 
9:00- feeling better, but head feelings still there
10- feeling pretty good even with head symptoms. clear headed and more present.. 
noting some ear ringing. 
11:30- anxiety creeping in more.  worried about the taper/wd and fixated on when I'm going to feel really bad again.  catastrophizing.   
12: 00- luvox 18.75 mg (taper day 3)
felt funny around 1. increased ringing/buzzing.  dizzy and out of sorts.  head pressure and foggyness.  not as clear headed as earlier 
2:00- feeling a bit better, but headache coming on and pressure still there. 
2:30- gabapentin 200 mg
6:00- anxiety creeping in.  tingling through out body.  legs feel a bit restless.  internal shaking/tremor pressure feeling in head. 
still feeling more cleared headed though and more connected to my surroundings.  mood is good.
8:30- gabapentin 200 mg
9:30 - seroquel 25 mg (new manufacturer)
10- bed. not able to fall asleep.  again.  usually knocked out with seroquel. like I was wired.  boyfriend snoring, anticipating snoring? very agitated.   finally asleep around 1.  up at 4:45.  

4/9- 4:45 -woke up.  ear ringing is very bad.  very unusual for morning.  usually is none upon wakening.   worst I've had in while.  scared about it.  Wondering if it was from anxiety of boyfriend snoring, etc and lack of sleep?
6: 15 - breakfast
         - 200 mg gabapentin and probiotic.
8:00- work.   
ringing is still very bad.  feeling a bit disconnected from surroundings, but not as much as usual.  some dizzyness and pressure in head.  

 

[BfromNJ]

12 hours ago, Altostrata said:

Yes, if 25% seems too much for you, you can reduce by a smaller amount. How about 10%? Please be sure to keep notes.

Hi Alto. If I decide to slow down, will this further destabilize me?  Going down 25% for three days, then up to only a 10% reduction will not mess me up too much?  Im just so nervous because I stopped the mirt.  too quickly back in Febuary and I fear I may be destabilizing myself?  I am fearful that it was too soon after the mirt,  but I do know that the luvox is adversely affecting me and it must go, as even a few days of a lower dose I seem more clear hearded, even though I am struggling with sleep now and terrible tinnitus today (per my other entry).  

[Altostrata]

On 3/20/2019 at 8:14 PM, Altostrata said:

Hello, Bfrom.

 

When you go into the hospital for psychiatric reasons, you can count on coming out on a boatload of drugs.

 

It's unfortunate that you were tapering off mirtazapine for sleep and now you're on 3 drugs because of mirtazapine withdrawal.

 

Why are you taking Luvox? What is the gabapentin supposed to do for you? You had an adverse reaction to it before, correct?

 

Yes, Luvox would go first, as you want to maintain sleep with the other drugs (if they help sleep). Since you've been on it for more than a month, you are at risk for withdrawal symptoms. As it's been only 35 days, you might try a 25% reduction to start, but you'll have to put it up right away if you get withdrawal symptoms.

 

Read Tips for tapering off Luvox (fluvoxamine)

 

Please think carefully: Going off psychiatric drugs means you may need to carefully taper, possibly cope with withdrawal symptoms, and use non-drug techniques to deal with your life problems. Is this something you want to do? Do you want to unpatient yourself?

 

It looks like you reduce Luvox by 25% anyway, on April 6? It will take at least 4 days for the reduction to fully take effect.

 

It looks to me like you are having the same symptoms you  had before reducing Luvox. Has anything changed?

 

Yes, my guess is you are also suffering side effects from too much gabapentin as well.

 

Please also read Health anxiety, hypochondria, and obsession with symptoms  You're going to have to manage this if you want to go off drugs, or you'll be right back in the hospital.

 

[BfromNJ]

4 hours ago, BfromNJ said:

 

54 minutes ago, Altostrata said:

 

It looks like you reduce Luvox by 25% anyway, on April 6? It will take at least 4 days for the reduction to fully take effect.

 

It looks to me like you are having the same symptoms you  had before reducing Luvox. Has anything changed?

 

Yes, my guess is you are also suffering side effects from too much gabapentin as well.

 

Please also read Health anxiety, hypochondria, and obsession with symptoms  You're going to have to manage this if you want to go off drugs, or you'll be right back in the hospital.

 

yes Alto I did.  If you recall, both you and Shep suggested the 25% due to adverse reactions with the Luvox.  I was just nervous that it may be too much but afraid to back up. Should I tough it out?  What has changed is the lack of sleep, as I was sleeping well at least with the Seroquel.  and the increase in the tinnitus, I don't normally wake up with it, its very unusual.  also, im suddenly feeling very energetic despite lack of sleep.  but could this be due to the decrease in luvox, as this med is sedating?  Did you see my other post above about the Seroquel manufacturer change?  Can you read that one and let me know what you think? 

@

[Altostrata]

The change in quetiapine brand at the same time is a confounding factor.

 

One data point does not make a pattern. We have to see a set of daily reports to find a pattern.

 

When you were not able to sleep, was it because of ruminating? Were you worrying about the drug change? If so, you will need to manage this. Your habit of mind is working against you. See

 

Non-drug techniques to cope with emotional symptoms

 

Easing your way into meditation for a stressed-out nervous system

 

Music for self-care: calms hyperalertness, anxiety, aids relaxation and sleep

 

Shame, guilt, regret, and self-criticism

 

Ways to cope with daily anxiety

[BfromNJ]

26 minutes ago, Altostrata said:

The change in quetiapine brand at the same time is a confounding factor.

 

One data point does not make a pattern. We have to see a set of daily reports to find a pattern.

 

When you were not able to sleep, was it because of ruminating? Were you worrying about the drug change? If so, you will need to manage this. Your habit of mind is working against you. See

 

Non-drug techniques to cope with emotional symptoms

 

Easing your way into meditation for a stressed-out nervous system

 

Music for self-care: calms hyperalertness, anxiety, aids relaxation and sleep

 

Shame, guilt, regret, and self-criticism

 

Ways to cope with daily anxiety

Alto, I don't believe I was ruminating.  as I was feeling good after having two good days.  i don't normally just drift off to sleep, the Seroquel just plain knocks me out.  and the reason is because i have tinnitus so bad its hard to relax with it, so right now i need to rely on the Seroquel because i have not adapted to the tinnitus fully yet.    i know i had other factors, such as the boyfriend with the snoring, and usually i am asleep before him. but he went to sleep same time as me. even so, its weird that it did not knock me out.  and to also wake up with very bad tinnitus is very unusual for me.  I can go back to my other Seroquel and see if there is a difference. what do you think?  and should i stick with the 25% luvox taper right now?   Are we to expect a certain level of discomfort when dropping?  could this be why my tinnitus is worse and will it calm down as i adjust to the change?

[BfromNJ]

On 4/7/2019 at 5:27 PM, Shep said:

BfromNJ, it takes 4 days to register a change in dose. Please let us know how you're doing over the coming days. 

 

I would remain cautious. Let's make sure you're dealing more with an adverse reaction than with withdrawal. Even if it's a bit of both, you'll want to taper at a speed that your nervous system can tolerate. 

hi Shep. I am at day four now.  what do you mean by register?  do you mean settle down some ?  Can you take a look at my other posts of this morning?  Alto has as well .   having a rough time last night and today and i have the taper but also a change in manufacturer of my Seroquel.  Alto is also being helpful here.  Is there anyone else on here who did ok with a 25% reduction due to adverse reaction?

[BfromNJ]

@Shep

@Altostrata

 

should I decide I need to go slower than the 25%, do I need to go back up to my original dose? if so, for how long before I try to lower again?  id really hate to have to do that, since it may be that I am having an adverse reaction id hate to be on anything longer than necesary.  but if need be, I want to do it right. But I am fearful to once again go up in dose, since that is yet another change to my system. 

 

 few posts back, shep had said it did sound like I was also in mirt. withdraw still from February.  if that is the case, is this taper just adding fuel to the fire and should I have gone slower with the possible mirt. withdraw also coming into play? 

[Altostrata]

You had one rough night, and it might have been from other causes. We need to see more of your symptom pattern.

 

A reduction might be a little bumpy for a few days.

 

Did gabapentin aggravate your tinnitus?

 

Are you all out of your prior brand of Seroquel tablets?