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Longroadhome: think I may be tapering Seroxat / Paxil too fast

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Longroadhome

It’s my first time posting so hello to everyone . I’m so glad I stumbled on this site I’ve been so scared not knowing what was going on with me .

ill try and make this as short as I can . In August of 2018 I hit what I believe to be called poop out (reaching tolerance)  from taking seroxat for 15 years straight . Anxiety started to creep into my days even though I was on 20mg and hadn’t had problems only minor in the past . A visit to the dr led to him increasing my dosage to 30mg. I didn’t feel happy about this and decreased back down within 3 weeks. I knew for me the answer was to taper off. In November 2018 i went to see a psychiatrist for advice on tapering as my dr hadn’t got a clue (too long to go into) . She said to drop 5mg see how I went for 4 weeks before dropping again . This seemed to go ok . In December 2018 she said to drop another 5mg again I felt ok. Don’t get my wrong I had lots of weird symptoms with some depression and anxiety but didn’t feel too bad  I put this down to the 50mg of pregabalin she said I should take three times daily (prescribed in November ) .  I take twice daily on the advice of my dr. 

In January she said to decrease by 2.5 mg which I have done. I am now taking 7.5mg daily . From reading things on this site I now know I am tapering tooooooo quickly and my body is now telling me this too as my symptoms are more pronounced and the depression is really setting in. I don’t know what to do for the best and was hoping for some advice here. Do I stay put and wait to get stable though I have read somewhere on this site that it can take up to 18 months to start to stabilise after poop out. Or do I increase tiny amounts  until I feel able to cope better with the symptoms? I am still working every day . 

my thoughts before finding this site were that I needed to get off seroxat because it had started to make me feel so much worse and that by keep taking it I’m poisoning my body and it will never head towards homeostasis while I’m still taking it no matter what dose.  

I would be so grateful for any advice . 

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SkyBlue

Hello and welcome to SA.

 

Yes, it sounds like you are tapering too fast. You are very wise to be listening to your body's messages (cries for help).

 

First things first, please fill out a brief "drug signature," listing your dosages and changes. Directions are here: https://www.survivingantidepressants.org/topic/18343-please-put-your-withdrawal-history-in-your-signature/

 

Like you, I also feel (know) that taking Paxil (seroxat) is poisoning my body, and the paradoxical fact of coming off safely means that we have to keep taking it and reducing by only small amounts, when everything in us wants the poison to be gone *now*. We will get there, and as you've seen from this site, tapering by 10% of current dose per month is the way the most people are able to be successful. 

 

Please fill out the drug signature, and we can talk about a possible reinstatement, which might give you relief from symptoms. 

 

Again, welcome. 

 

Edited by SkyBlue
added something

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SkyBlue

Please don't make any changes yet, but read the first page of this thread on reinstatement/updosing. It may be a good option for you, since your changes have been made so recently. https://www.survivingantidepressants.org/topic/7562-about-reinstating-and-stabilizing-to-reduce-withdrawal-symptoms/

 

 

Also, please keep notes on paper about your daily symptom pattern. This is helpful generally, but also can provide information, if you decide to try a small up-dose, to see how that's working. 

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Altostrata

Welcome, Longroadhome.

 

24 minutes ago, SkyBlue said:

Also, please keep notes on paper about your daily symptom pattern. This is helpful generally, but also can provide information, if you decide to try a small up-dose, to see how that's working. 

 

Yes, please post your daily symptom pattern with the times of day you take your drugs, their dosages, and any unusual symptoms. The low mood might be a side effect of the gabapentin your'e taking.

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Longroadhome

Thank you altostrata and Blue sky ill complete drug signature now . 

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Longroadhome

I have completed my drug signature . 

Is there another member that is reading my post that is going through or has gone through poop out / reached tolerance ? 

I would love to know how you are coping ? 

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SkyBlue

LR, you are very welcome. 

 

Your signature looks good. Can you please just add your dates/dose changes of Seroxat from November 2018 to the present? That will let us know your taper rate, etc., which is important. Thanks.

 

Yes, many of the members here had reached tolerance, the drug stopped "working" ("working" means different things for different people, and there is a question to whether these drugs "work" at all), and therefore decided to come off. This whole forum is full of people who are coping, struggling, but most importantly, healing. 

 

You might find it helpful to visit the Symptoms and Self-care section and maybe the Success Stories section. 

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Longroadhome

Thank you SkyBlue will do both 

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Longroadhome

What’s your story SkyBlue?

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Carmie

Hi longroadhome, 

 

Just wanted to welcome you to SA too. Please do a daily symptom log as Alto said. 

 

I’m glad you stumbled across this site too, it really is informative and you can get to know different ones going through the same thing so you don’t feel so alone. Unless someone has gone through withdrawals it’s hard to explain what they’re really like.

 

Wishing you all the best in your healing journey💚

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Longroadhome

Thank you Carmie it’s very reassuring to know I’m not alone because for the first three months that’s how it felt . Such strange scary symptoms and trying to explain this to my GP and close family when I didn’t know what was happening myself is not a good place to be. 

Anyway I first came across a website called Paxil Poopout and that helped me understand that I was suffering with Tolerance withdrawal   . Who’d ever think that tiny ‘Happy Pill’ I’d been taking for years on the DRs recommendation would end up causing such misery .   

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Longroadhome

does anyone know where I can purchase a syringe from for liquid seroxat  as the one I am using doesn’t give the measures I will need for future use . 

 

Also how do I go about finding a good private therapist that understands withdrawal from this drug/antidepressant. I live in the UK 🇬🇧

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Longroadhome
On 2/13/2019 at 4:18 PM, SkyBlue said:

LR, you are very welcome. 

 

Your signature looks good. Can you please just add your dates/dose changes of Seroxat from November 2018 to the present? That will let us know your taper rate, etc., which is important. Thanks.

 

Yes, many of the members here had reached tolerance, the drug stopped "working" ("working" means different things for different people, and there is a question to whether these drugs "work" at all), and therefore decided to come off. This whole forum is full of people who are coping, struggling, but most importantly, healing. 

 

You might find it helpful to visit the Symptoms and Self-care section and maybe the Success Stories section. 

Hi SkyBlue I have completed my drug signature with taper and dates. Hope I’ve done it correctly.

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SkyBlue

Please add the dosages you were taking from November until now, as that is important information.

 

Example: November 2018: 15mg Seroxat (Paxil)

December 2018: 12 mg Seroxat

etc. 

 

Additionally you may want to write "Paxil" (U.S. name) in parentheses, as some people won't be familiar with "Seroxat". This is optional, not required by any means. This is a worldwide site, not just U.S. : ) 

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Longroadhome
On 2/12/2019 at 10:45 PM, SkyBlue said:

Hello and welcome to SA.

 

Yes, it sounds like you are tapering too fast. You are very wise to be listening to your body's messages (cries for help).

 

First things first, please fill out a brief "drug signature," listing your dosages and changes. Directions are here: https://www.survivingantidepressants.org/topic/18343-please-put-your-withdrawal-history-in-your-signature/

 

Like you, I also feel (know) that taking Paxil (seroxat) is poisoning my body, and the paradoxical fact of coming off safely means that we have to keep taking it and reducing by only small amounts, when everything in us wants the poison to be gone *now*. We will get there, and as you've seen from this site, tapering by 10% of current dose per month is the way the most people are able to be successful. 

 

Please fill out the drug signature, and we can talk about a possible reinstatement, which might give you relief from symptoms. 

 

Again, welcome. 

 

Sorry I did complete previously but something went wrong pressing save . 

Have completed again .

i think from reading others posts this last decrease has been too big a reduction from 10mg to 7.5mg in January 2019 last month . Symptoms quite severe at the moment depression increased. 

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SkyBlue

It might be a good idea to hold for a while, or consider a small increase in dose. 

 

The approach most of us find best is the 10% (or less!) method, described here: https://www.survivingantidepressants.org/topic/1024-why-taper-by-10-of-my-dosage/

 

You might also find this thread useful: 

 

On 2/12/2019 at 4:53 PM, SkyBlue said:

Please don't make any changes yet, but read the first page of this thread on reinstatement/updosing. It may be a good option for you, since your changes have been made so recently. https://www.survivingantidepressants.org/topic/7562-about-reinstating-and-stabilizing-to-reduce-withdrawal-symptoms/

 

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Longroadhome

thank you I really appreciate you taking the time to advice me ! 

Can you please advice me on the following :

 

1. I have decided to increase back up to 10mg as I have come from 20mg to 7.5mg of Paxil in 4months way too fast on the advise of my GP. Do you think this increase would be ok to try or is it too large ?

2. also I reached tolerance on my original dose of 20mg and was experiencing withdrawal symptoms so will this make it more difficult for me because of my bodies adverse reaction to the drug?

3. Is it true it takes longer to stabilise after reaching tolerance when decreasing an AD. 

4. Is it common to cope with depression as well as lots of other physical symptoms on each drop as this is what is happening to me with no relief whereas I read comments from others saying their symptoms disappear within days or a few weeks max?  

Thank you 😊 

Also at 10mg will the imbalance of neurotransmitters while still taking this medication start to repair ?  

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Longroadhome
On 2/12/2019 at 11:18 PM, Altostrata said:

Welcome, Longroadhome.

 

 

Yes, please post your daily symptom pattern with the times of day you take your drugs, their dosages, and any unusual symptoms. The low mood might be a side effect of the gabapentin your'e taking.

 

3 minutes ago, Longroadhome said:

thank you I really appreciate you taking the time to advice me ! 

Can you please advice me on the following :

 

1. I have decided to increase back up to 10mg as I have come from 20mg to 7.5mg of Paxil in 4months way too fast on the advise of my GP. Do you think this increase would be ok to try or is it too large ?

2. also I reached tolerance on my original dose of 20mg and was experiencing withdrawal symptoms so will this make it more difficult for me because of my bodies adverse reaction to the drug?

3. Is it true it takes longer to stabilise after reaching tolerance when decreasing an AD. 

4. Is it common to cope with depression as well as lots of other physical symptoms on each drop as this is what is happening to me with no relief whereas I read comments from others saying their symptoms disappear within days or a few weeks max?  

Thank you 😊 

 

On 2/12/2019 at 11:18 PM, Altostrata said:

Welcome, Longroadhome.

 

 

Yes, please post your daily symptom pattern with the times of day you take your drugs, their dosages, and any unusual symptoms. The low mood might be a side effect of the gabapentin your'e taking.

Altostrata what do you mean by posting a daily symptom pattern Is there an example I can use ? 

What would unusual symptoms be ? 

Thank you

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ChessieCat

 

Dr Joseph Glenmullen's Withdrawal Symptoms

 

An example:

 

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

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Longroadhome
5 hours ago, ChessieCat said:

 

Dr Joseph Glenmullen's Withdrawal Symptoms

 

An example:

 

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

 

5 hours ago, ChessieCat said:

 

Dr Joseph Glenmullen's Withdrawal Symptoms

 

An example:

 

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

Thank you 😊 

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Longroadhome
On 2/17/2019 at 7:36 PM, Longroadhome said:

thank you I really appreciate you taking the time to advice me ! 

Can you please advice me on the following :

 

1. I have decided to increase back up to 10mg as I have come from 20mg to 7.5mg of Paxil in 4months way too fast on the advise of my GP. Do you think this increase would be ok to try or is it too large ?

2. also I reached tolerance on my original dose of 20mg and was experiencing withdrawal symptoms so will this make it more difficult for me because of my bodies adverse reaction to the drug?

3. Is it true it takes longer to stabilise after reaching tolerance when decreasing an AD. 

4. Is it common to cope with depression as well as lots of other physical symptoms on each drop as this is what is happening to me with no relief whereas I read comments from others saying their symptoms disappear within days or a few weeks max?  

Thank you 😊 

Also at 10mg will the imbalance of neurotransmitters while still taking this medication start to repair ?  

SkyBlue would it be possible for you or another moderator to go through my questions please would really appreciate thank you 

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Longroadhome
On 2/23/2019 at 9:59 PM, Gridley said:

 

Yes, we do recover even after years of medication.  Read Brassmonkey's thread.  He was on Paxil for many, many years and is well on the road to recovery.  I'm still a work in progress, but I have been on Imipramine for over 30 years and Lexapro for 15 years, am currently tapering and making definite progress.  The brain has amazing capacities to heal.  See also the success stories of Hppy2Heal, Hudgens and Pug.

Thank you Gridley . I need to ask someone in the know about reaching tolerance and tapering .ive asked questions but had no reply from moderators ?

would brass monkey be the one or yourself . I’ve tapered too fast on doctors instructions from Paxil / seroxat from 20mg in October 2018 to 15mg in November to 10mg in December and 7.5mg from January where I have stayed until now due to quite severe  withdrawal symptoms setting in . It’s been 7 weeks now and it’s not stabilising should I go back to 10mg or wait it out . 

any advice would be gratefully received I’m at a loss and the window for re in statement is getting shorter. 

 

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Gridley

Brassmonkey is on holiday and doesn't have reliable Internet.

 

I'd suggest you reinstate 1 mg (up to 8.5mg) and see if that provides some relief.  I wouldn't go all the way back up to 10mg because in the time since December your brain has made adjustments to the lower dose, and your system may not be able to handle 10mg.  It's always better with reinstatement to start with a small increase so as not to overwhelm your system.  You can always increase a bit more (always by a small amount) if the 1 mg increase doesn't help.  Remember that the goal of reinstatement is not to eliminate withdrawal symptoms entirely but rather to make them tolerable.

 

Reinstatement works most predictably within three months of the last dose, so you are still within the window.  Please read:

 

About reinstating and stabilizing to reduce withdrawal symptoms. -- at least the first page of the topic
 
 It takes about 4 days for a dose change to get to get to full state in the blood and a bit longer for it to register in the brain.

 

Once you have stabilized, which can take several months, you can begin a slow 10% every four weeks taper.  

 

Edited by Gridley

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Longroadhome
10 minutes ago, Gridley said:

Brassmonkey is on holiday and doesn't have reliable Internet.

 

I'd suggest you reinstate 1 mg (up to 8.5mg) and see if that provides some relief.  I wouldn't go all the way back up to 10mg because in the time since December your brain has made adjustments to the lower dose, and your system may not be able to handle 10mg.  It's always better with reinstatement to start with a small increase so as not to overwhelm your system.  You can always increase a bit more (always by a small amount) if the 1 mg increase doesn't help.  Remember that the goal of reinstatement is not to eliminate withdrawal symptoms entirely but rather to make them tolerable.

 

Reinstatement works most predictably within three months of the last dose, so you are still within the window.  Please read:

 

About reinstating and stabilizing to reduce withdrawal symptoms. -- at least the first page of the topic
 
 It takes about 4 days for a dose change to get to get to full state in the blood and a bit longer for it to register in the brain.

 

Once you have stabilized, which can take several months, you can begin a slow 10% every four weeks taper.  

 

Thank you Gridley . So I may not know if tapering has worked for several months in which case should I stay at the same dose would stability eventually happen ? 

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Gridley
3 hours ago, Longroadhome said:

Thank you Gridley . So I may not know if tapering has worked for several months in which case should I stay at the same dose would stability eventually happen ? 

 

You should know sooner than several months if the reinstatement worked.  You may get relief within a few days of the reinstatement.  If it's not enough, you should know within 7-10 days and you can reinstate a little bit more.  The several months I was talking about refers to the time you should hold once you've arrived at a reinstatement dose that gives you relief.  Reinstatement doesn't always work but it's the only known way to reduce withdrawal symptoms.

 

If you choose to hold where you are and wait it out, you should eventually stabilize but there's no way to know how long that will take.  Whether you choose to reinstate depends to a large extent on how tolerable the withdrawal symptoms you have now are.

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Longroadhome
7 hours ago, Gridley said:

Brassmonkey is on holiday and doesn't have reliable Internet.

 

I'd suggest you reinstate 1 mg (up to 8.5mg) and see if that provides some relief.  I wouldn't go all the way back up to 10mg because in the time since December your brain has made adjustments to the lower dose, and your system may not be able to handle 10mg.  It's always better with reinstatement to start with a small increase so as not to overwhelm your system.  You can always increase a bit more (always by a small amount) if the 1 mg increase doesn't help.  Remember that the goal of reinstatement is not to eliminate withdrawal symptoms entirely but rather to make them tolerable.

 

Reinstatement works most predictably within three months of the last dose, so you are still within the window.  Please read:

 

About reinstating and stabilizing to reduce withdrawal symptoms. -- at least the first page of the topic
 
 It takes about 4 days for a dose change to get to get to full state in the blood and a bit longer for it to register in the brain.

 

Once you have stabilized, which can take several months, you can begin a slow 10% every four weeks taper.  

 

Thank you Gridley . So I may not know if tapering has worked for several months in which case should I stay at the same dose would stability eventually happen ? 

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Longroadhome

G can I re in state with a 5mg tablet of Paxil and the rest Paxil liquid to a total

of 8.5mg ? 1mg higher than I have been in since Nov .

is it ok to mix tablet with liquid form ?  

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ChessieCat

Yes it is okay to take tablet and oral solution to get your dose.

 

6 hours ago, Gridley said:

 

You may get relief within a few days of the reinstatement.  If it's not enough, you should know within 7-10 days and you can reinstate a little bit more.

 

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Longroadhome

Thank you for reply both 

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Tom37

Just replying to your question on the other page......Aching joints and bones (mostly resolved), body had this horrible out of sync feeling (resolved) going cold then hot, about 50 different types of headaches or weird heads, dry mouth (resolved), in waves get horrible feeling like I’m ill with flu, a restlessness feeling,  weird nausea (minor), arm and leg jolts (minor), minor anxiety like in pit of stomach for a day, then emotionally I get neuro fear, tearful, irritable and anger.....sleep has been effected.....probably more that I have forgotten as been so many come and go.

 

Hope your doing ok.

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Carmie

Hi longroadhome, 

 

How are you doing?💚

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Longroadhome

Hi I all can a moderator please help me. My history has been recorded to view. My question is I reduced  my seroxat (Paxil) too quickly on the advice of my GP starting  from 20mg in November 2018  to 15mg to 10mg to   7.5mg (changed to liquid Paxil at this time measure equivalent to 7.5mg)  So a reduction of 12.5mg in three months. This brought on quite severe withdrawal in Jan waited it out and on the advice of Gridley and looking at documentation on this site I increased by 1mg to 8.5mg  (this is when I discovered I’d actually been taking 7mg instead of 7.5mg I’d been measuring wrong) anyway I have put myself up to 4.25ml equivalent to 8.5mg. This was 11 days ago  . I’m not feeling any steadier however I am managing . I have 3 questions 

1. Can I wait it out on this dose and will I eventually stabilise ? 

1. I hit poop out in August of last year hence the taper . Will I still be healing while I’m waiting to stabilise despite poop out ? 

3. When can I continue my taper? 

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Longroadhome

If anyone else has had the same problem I’d be grateful to hear from you . Thank you . 

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Longroadhome

Ps how do I update my profile info it doesn’t seem to be letting me?  

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