Moderator Emeritus ChessieCat Posted August 18, 2019 Moderator Emeritus Share Posted August 18, 2019 Sleep problems - that awful withdrawal insomnia * NO LONGER ACTIVE on SA * MISSION ACCOMPLISHED: (6 year taper) 0mg Pristiq on 13th November 2021 ADs since ~1992: 25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq: 50mg 2012, 100mg beg 2013 (Serotonin Toxicity) Tapering from Oct 2015 - 13 Nov 2021 LAST DOSE 0.0025mg Post 0 updates start here My tapering program My Intro (goes to tapering graph) VIDEO: Antidepressant Withdrawal Syndrome and its Management Link to comment
DavidfromTexas Posted August 21, 2019 Author Share Posted August 21, 2019 SATURDAY AUG 17 (day 24) 12:00pm Woke up after finally being able to get a good 5-6 hours of sleep, after the struggle to get to sleep before 5am. 12:30pm Vitamin D3 4,000IU Ate late breakfast/lunch 6:45pm Ate dinner. Appetite seems to be returning to normal a bit. I am only 4 pounds lower than my usual average weight 1:15am Took 8 beads (1.33mg) duloxetine 1:30am Lying down to sleep. Unable to really fall asleep before 3:30/4:00. SUNDAY AUG 18 (day 25) 8:40am Woken up for church. No tremors. Vitamin D3 4,000 IU 11:30am Ate a full lunch 1:00pm Got home with a little uneasiness, which grew while watching a movie with the family 3:30 Feeling more at ease again 7:30pm Ate a lighter dinner 12:00am Started getting anxious after obsessive thoughts 12:40am Took 8 beads (1.33 mg) duloxetine 1:00am Lying down in bed. Anxiety grew. Unable to fall asleep until close to 3am. MONDAY AUG 19 (day 26) 11:00am Woke up. Vitamin D3 4,000 IU 12:00pm Had a light breakfast/lunch (cereal) before heading out for my appt 1:00pm Initial session with CBT therapist 3:30 Ate lunch 8:15pm Ate dinner 12:00am Took 8 beads (1.33mg) duloxetine 1:00am Went to bed. Fell asleep quicker TUESDAY AUG 20 (day 27) 10:30am Woke up. Woke up a couple times during the night as has always been normal for me, but fell back asleep quickly each time. It was much easier to fall asleep last night and I ended up getting 8-9 hours of sleep. 11:00am Vitamin D3 4,000 IU 11:15am Ate a tiny bit of cereal. No appetite 1:30pm Ate lunch. Still a lighter appetite 2:00pm Feeling down, so I got outside and did some dirty work cleaning the garage 7:30pm Ate dinner. Larger appetite 11:20pm Took 8 beads (1.33 mg) duloxetine 12:30pm Went to bed. Fell asleep after 30-45 minutes Additional notes: -Most days I have very minor tremors after getting out of bed in the morning. Mostly I think it is due to the room I’m sleeping in being cold because I sleep with the fan on high and I sleep underneath a sheet and a thin thermal layer. I believe I am still a hot sleeper like I have always been, but I do believe that the light tremors I get after getting out of bed are due mainly to the temperature in the room instead of anxiety. -I have started working on the lightest/easiest Exposures after my first CBT session. -As the days come and go, I have noticed that most of the issues I am dealing with at this point are obsessive in nature. I am still giving myself more time to take it as easy as possible, but I am doing a lot of thinking about what the plans might be for me starting a couple weeks from now, especially if I can start to make any amount of progress dealing with the OCD. -Possible withdrawal-related physical symptoms include a slightly lightened appetite, very mild light-headedness (which could also be due to me not eating quite as much as I usually do), varying difficulty falling asleep (but only if I am feeling particularly anxious), and very very mild tremors after getting out of bed (possibly mainly due to the cold room, and they are not always there.) ANTI-DEPRESSANTS (approximates): 2000--2009/10. Zoloft, mid-high dosage. Alprazolam, as needed, rarely. 2009/10--2016/17. Cymbalta, 90 mg Early 2017--Mid-2017. Cymbalta, 60 mg Mid-2017--Jan 2018. Cymbalta, 30--60 mg, reduced in 30 mg increments w/o physical w/d symptoms, possibly some emotional w/d symptoms. Mar 2018--Early 2019. Back on Cymbalta, fluctuating dosages from 30 to 90mg. Reduced from 60 to 30, then from 30 to 0 again, this time WITH very light physical w/d symptoms. Back to 30mg. Early 2019--April 2019. Cymbalta, 30mg. Down from 30 to 0. Physical w/d symptoms again. Back to 30mg. May 2019. Cymbalta 30 mg. Down to 20 mid-month. Started taking every other day in final week of the month. Jun 2019. Cymbalta 10-ish mg. Started “eyeballing” about half of the beads in the capsule. Taking every other day, then at mid-month every 4 days. July 2, 2019. Took last dose of “eyeballed” 5-ish mg. July 24, 2019. Took first reinstatement dose of 2mg. Dropped down to 1mg (6 beads) the very next day. Aug 6, 2019. Up-dose to 1.33 mg. Aug 30, 2019. Up-dose to 1.5 mg. SUPPLEMENTS Vitamin D3 4,000 IU/day Link to comment
DavidfromTexas Posted August 29, 2019 Author Share Posted August 29, 2019 WEDNESDAY AUG 21 (day 28) 8:00am Woke up. Slightly anxious with ruminating thoughts. Unable to really go back to sleep. 9:45am Vitamin D3 4,000 IU. Still have an uneasiness under the surface from the ruminations. 12:00pm Ate lunch, medium appetite. Still uneasy, and it seems to be growing. 6:30pm Finally started easing up a little 7:00pm Started feeling a little bit of the depersonalization sensation I felt in the past as a kid. Up until now it has been more of a lightheaded feeling, whereas now it’s become a little more intense and I feel more distant 8:30pm Ate dinner. The distanced sensation has started to fade 11:15pm Took 8 beads (1.33mg) duloxetine 12:45am Went to bed after lying on the couch in the dark for an hour to get sleepy THURSDAY AUG 22 (day 29) 10:00am Woke up 11:00am Got out of bed. It was my first night using the weighted blanket I got. Was a little hot, so I didn’t use it most of the night until morning. 11:15am Vitamin D3 4,000 IU 12:00pm CBT session. Left feeling much more at ease. 2:30pm Ate lunch 7:30pm Ate dinner 11:15pm Took 8 beads (1.33mg) duloxetine 1:15am Went to bed FRIDAY AUG 23 (day 30) 10:00am Woke up 10:15am Vitamin D3 4,000 IU 11:45am Ate lunch 7:00pm Ate dinner 11:15pm Took 8 beads (1.33mg) duloxetine 11:30pm Went to bed SATURDAY AUG 24 (day 31) 6:15am Woke up, on purpose 6:30am Light breakfast 8:00am Vitamin D3 4,000 IU 8:15am Second breakfast snack 2:15pm Lunch 7:45pm Dinner 11:15pm Took 8 beads (1.33mg) duloxetine 2:30am Went to bed SUNDAY AUG 25 (day 32) 9:45am Woke up 10:20am Vitamin D3 4,000 IU 10:30am Light Breakfast 1:00pm Lunch 5:30 Dinner 12:45am Took 8 beads (1.33mg) duloxetine, got stuck out later than I had planned for. 2:30am Went to bed MONDAY AUG 26 (day 33) 9:30am Woke up, lay in bed for another hour or so. A little underlying sadness/loneliness, but I wouldn’t say anxiety. I think it’s from waking up alone in an empty house after waking up next to somebody for 5 years. When I am feeling better anxiety/OCD-wise, my mind’s focus seems to shift to missing my ex and the companionship I no longer have. Which I guess could also be due to my Obsessive tendencies. I feel like I’d rather be around others ALL the time. I am hoping the loneliness is something that will ease up for me as I get to feeling better on the anxiety and OCD side of things. 11:30am Vitamin D3 4,000 IU 12:00pm Light breakfast/lunch 1:00pm CBT session 3:00pm Lunch 7:30pm Dinner 12:15am Took 8 beads (1.33mg) duloxetine 2:00am Went to bed TUESDAY AUG 27 (day 34) 9:30am Woke up. Briefly went back to sleep a couple times. 11:00am Got out of bed. Vitamin D3 4,000 IU 11:30am Ate small breakfast/lunch Noticing a strange pulsing vibration in my left thigh, almost feels like a muscle twitching deeper inside my leg that I cannot see or feel with my hand. It’s coming in pulses almost like a heartbeat, but then will stop and come back intermittently. 2:00pm Had a snack, saving appetite for dinner at the baseball game tonight. 3:00pm Started reading the Akathisia thread on the forums to see if my leg issue sounded similar to anything on there. Still not sure, but letting it go for now. 7:00pm Dinner at the game 12:00am Took 8 beads (1.33mg) duloxetine 2:00am Went to bed WEDNESDAY AUG 28 (day 35) 10:30am Got out of bed after lying there for a while. Vitamin D3 4,000 IU 11:00am Light breakfast 3:00pm Big Lunch 9:30pm Snacks 12:00am Took 8 beads (1.33mg) duloxetine 3:00am Went to bed I now have a constant feeling (of varying degree) of what I have been calling “light-headedness”, but I believe it is actually a very mild version of the depersonalization feeling, because it is constant at varying degrees and I do not have dizziness or other symptoms related to light-headedness, besides getting vertigo sometimes after maybe standing up too fast. I have not been that nervous about the depersonalization sensation because I have felt this feeling before as a kid, probably after trying medications or switching to find one that worked, but I am hoping (like everything else) that it does not get much worse. I find myself getting nervous about what symptoms might hit me as time wears on. I’m now nearing the 2-month mark after taking my last ~5-ish mg dose on July 2nd (after tapering too fast and then alternating days), and I am now 5 weeks into my reinstatement attempt. Even with the slight physical symptoms considered, the last 6 or 7 days I have actually felt a good bit better, mostly mentally. My appetite is pretty much back to normal. My mind has not been terrorizing me as much as it was before my CBT session last Thursday. Honestly, I’m not sure what to think about it. I’m not getting too excited about anything, progress or not. In the absence of some of the anxiety/OCD issues, I have noticed I begin feeling the loneliness more that was there before. I also still have a slight lingering bleak feeling but it’s mainly about the loneliness and uncertainty of the additional symptoms that could possibly hit me soon, as well as other life ponderings/decisions. But the living day-to-day has become a bit easier. Hoping this is not just a long window, but instead maybe a sign that my main issue has been my natural OCD, and that being able to restructure my ways of thinking is in-fact having a huge impact. Who knows. ANTI-DEPRESSANTS (approximates): 2000--2009/10. Zoloft, mid-high dosage. Alprazolam, as needed, rarely. 2009/10--2016/17. Cymbalta, 90 mg Early 2017--Mid-2017. Cymbalta, 60 mg Mid-2017--Jan 2018. Cymbalta, 30--60 mg, reduced in 30 mg increments w/o physical w/d symptoms, possibly some emotional w/d symptoms. Mar 2018--Early 2019. Back on Cymbalta, fluctuating dosages from 30 to 90mg. Reduced from 60 to 30, then from 30 to 0 again, this time WITH very light physical w/d symptoms. Back to 30mg. Early 2019--April 2019. Cymbalta, 30mg. Down from 30 to 0. Physical w/d symptoms again. Back to 30mg. May 2019. Cymbalta 30 mg. Down to 20 mid-month. Started taking every other day in final week of the month. Jun 2019. Cymbalta 10-ish mg. Started “eyeballing” about half of the beads in the capsule. Taking every other day, then at mid-month every 4 days. July 2, 2019. Took last dose of “eyeballed” 5-ish mg. July 24, 2019. Took first reinstatement dose of 2mg. Dropped down to 1mg (6 beads) the very next day. Aug 6, 2019. Up-dose to 1.33 mg. Aug 30, 2019. Up-dose to 1.5 mg. SUPPLEMENTS Vitamin D3 4,000 IU/day Link to comment
DavidfromTexas Posted September 13, 2019 Author Share Posted September 13, 2019 (edited) THURSDAY AUG 29 (day 36) 11:00am Got out of bed after lying awake for a half hour. Vitamin D3 4,000 IU 11:30am Light breakfast 3:30pm Lunch 8:30pm Dinner 11:30pm Took 8 beads (1.33mg) duloxetine 2:00am Went to sleep FRIDAY AUG 30 (day 37) 10:00am Woke up and lay in bed for a while. My body is waking me up around the same time everyday no matter what time I go to sleep. So I guess I’ll try to go to sleep earlier and see how early I wake up. 11:00am Vitamin D3 4,000 IU 12:30pm Big lunch 6:30pm Dinner 11:00pm 1.5 mg Duloxetine 11:15pm Went to bed, fell asleep after a while SATURDAY AUG 31 (day 38) 9:00am Got out of bed. Vitamin D3 4,000 IU 9:15am Light breakfast 1:30pm Light lunch 6:00pm Dinner 11:00pm 1.5 mg Duloxetine 11:30am Went to bed 12:15am Unable to sleep, feeling some tightness in my chest. Still being bothered by a lot of thoughts about the future and trying to decide the path to take all day SUNDAY SEPT 1 (day 39) 8:45am Woken up for church Vitamin D3 4,000 IU 12:30pm Lunch 6:00pm Dinner 10:30pm 1.5mg duloxetine 12:00am Went to bed MONDAY SEPT 2 (day 40) 10:00am Got out of bed Vitamin D3 4,000 IU 10:30am Light breakfast 2:15pm Lunch 7:30pm Dinner 10:45pm 1.5 mg duloxetine 12:30am Went to bed TUESDAY SEPT 3 (day 41) 8:45am Woke up. Vitamin D3 4,000 IU 12:00pm Lunch 7:30pm Dinner 10:30pm 1.5mg Duloxetine 12:00am Went to sleep WEDNESDAY SEPT 4 (day 42) 9:00am Woke up for good 9:30am Vitamin D3 4,000 IU 10:00am Light breakfast 1:30pm Lunch 6:30pm Dinner 11:00pm 1.5mg duloxetine 12:50am Went to bed THURSDAY SEPT 5 (day 43) 8:45am Woke up, mind racing, struggled to get back to sleep 10:20am Finally just got out of bed Vitamin D3 4,000 IU 10:45am Breakfast 11:00am The racing mind this morning has seemed to cause some anxiety for me. I am also feeling a decent amount of light-headedness/depersonalization/I’m still not sure. 4:30pm Snack 6:30pm Dinner 11:00pm 1.5mg duloxetine 12:50am Went to bed. But didn’t fall asleep for at least an hour. FRIDAY SEPT 6 (day 44) 9:30am Woke up. Had trouble sleeping during the night, woke up frequently and couldn’t go back to sleep for a while. Maybe due to being nervous about going back to LA. 10:40am Vitamin D3 4,000 IU 11:00am Breakfast 6:30pm Dinner 11:40pm 1.5mg Duloxetine 11:45pm Went to bed Ended up rescheduling my flight back to LA for a week from tomorrow. SATURDAY SEPT 7 (day 45) 10:00am Got out of bed Vitamin D3 4,000 IU 10:15am Light Breakfast 1:00pm Lunch 7:00pm Dinner 12:00am 1.5 mg duloxetine 1:00am Went to bed Been feeling more at ease again, probably because I was probably just anxious about going back. SUNDAY SEPT 8 (day 46) 9:30am Got out of bed Vitamin D3 4,000 IU 10:00am Light breakfast 1:00pm Lunch 6:00pm Dinner 12:30am 1.5 mg duloxetine 1:00am Went to bed MONDAY SEPT 9 (day 47) 10:00am Got out of bed Vitamin D3 4,000 IU 10:30am Light breakfast 2:45 pm Lunch 6:30pm Dinner 12:00am 1.5 mg duloxetine Went to bed TUESDAY SEPT 10 (day 48) 10:00am Got out of bed Vitamin D3 4,000 IU 1:00pm Lunch 7:00pm Dinner Feeling anxious after being triggered by an article I read. I have also been feeling down about the state of my life for most of the day. 11:45pm 1.5 mg duloxetine 1:30am Went to bed WEDNESDAY SEPT 11 (day 49) 10:30am Got out of bed. I was able to sleep pretty well, I think. My mind got tired by the end of the night and I was falling asleep so I guess that’s the trick when I’m having those issues. Stay up till I’m falling asleep. Vitamin D3 4,000 IU. 11:45am Light Lunch 12:00pm My mind is still tormenting me today. It feels as though it just won’t rest. That restless mind paired with the obsessive thoughts I’ve been being bombarded with feels like my mind wants to torment me and not let me feel at ease. 9:45pm Dinner 12:15am 1.5 mg duloxetine 12:20am Went to bed THURSDAY SEPT 12 (day 50) 10:00am Got out of bed Vitamin D3 4,000 IU 10:30am Light breakfast 3:00pm Lunch 5:45pm Light dinner 8:15pm More dinner 12:30am 1.5 mg duloxetine 2:00am Went to bed. Trying to stretch my days later to make the transition back to pacific time easier. I AM nervous about going back to LA. I’m not sure how much harder it’s going to be for me to handle the obsessions and anxiety being there without the extra comfort of knowing I am home where my support system is. The mental turmoil I have felt so far has mainly been obsessing over common OCD themes, and the anxiety that comes because of that obsessing, and the down/ slight depressive outlook that can come with OCD. Still feeling a bit of the “light-headedness”/“floaty” feeling, though I have gotten used to it being there. Edited September 13, 2019 by DavidfromTexas ANTI-DEPRESSANTS (approximates): 2000--2009/10. Zoloft, mid-high dosage. Alprazolam, as needed, rarely. 2009/10--2016/17. Cymbalta, 90 mg Early 2017--Mid-2017. Cymbalta, 60 mg Mid-2017--Jan 2018. Cymbalta, 30--60 mg, reduced in 30 mg increments w/o physical w/d symptoms, possibly some emotional w/d symptoms. Mar 2018--Early 2019. Back on Cymbalta, fluctuating dosages from 30 to 90mg. Reduced from 60 to 30, then from 30 to 0 again, this time WITH very light physical w/d symptoms. Back to 30mg. Early 2019--April 2019. Cymbalta, 30mg. Down from 30 to 0. Physical w/d symptoms again. Back to 30mg. May 2019. Cymbalta 30 mg. Down to 20 mid-month. Started taking every other day in final week of the month. Jun 2019. Cymbalta 10-ish mg. Started “eyeballing” about half of the beads in the capsule. Taking every other day, then at mid-month every 4 days. July 2, 2019. Took last dose of “eyeballed” 5-ish mg. July 24, 2019. Took first reinstatement dose of 2mg. Dropped down to 1mg (6 beads) the very next day. Aug 6, 2019. Up-dose to 1.33 mg. Aug 30, 2019. Up-dose to 1.5 mg. SUPPLEMENTS Vitamin D3 4,000 IU/day Link to comment
DavidfromTexas Posted September 20, 2019 Author Share Posted September 20, 2019 (edited) FRIDAY SEPT 13 (day 51) 9:30am Woke up. Would try to go back to sleep for an additional hour or so, but unsuccessfully. 11:00am Got out of bed. Vitamin D3 4,000 IU 11:15am Light Breakfast 2:00pm Lunch 6:00pm Dinner 1:00am 1.5 mg duloxetine 1:30am Went to bed SATURDAY SEPT 14 (day 52) 9:00am Got up 9:15am Breakfast 1:30pm Lunch Started getting anxious about going back to LA and anxious about flying. 5:20pm Flight back to LA 8:15pm (PT) Dinner 11:00pm (PT) 1.5 mg duloxetine 1:15am (PT) Went to bed SUNDAY SEPT 15 (day 53) 9:00am Woke up for good 12:00pm Vitamin D3 4,000 IU (forgot earlier) 1:45pm Lunch 6:15pm Dinner 10:45pm 1.5 mg duloxetine 12:20am Went to bed MONDAY SEPT 16 (day 54) 8:00am Woke up Vitamin D3 4,000 IU 10:30am Breakfast 6:00pm Dinner 10:45pm 1.5 mg duloxetine 12:30am Went to bed Had a little bit of health anxiety trouble today after a shot at the doctor's office resulted in a burst blood vessel and a small hematoma under the skin in a delicate area. Ended up going to an urgent care clinic TWICE later in the day just to make sure everything was alright. TUESDAY SEPT 17 (day 55) 9:45am Got out of bed. Slept only 2 hours all night, I was very anxious about my health. Been checking my temperature a lot for the last several hours to see if I was going to have an infection. Started feeling an intermittent abnormal sensation in my chest which was probably just due to anxiety from all of this. Vitamin D3 4,000 IU 10:45am Ended up going to the ER, I was nervous because I thought I was having abnormal heart activity of some kind. Plus I was unclear if I was at danger from an infection from the hematoma. All tests came back fine. 2:00pm Got back home and had to shower real well, wash and disinfect my clothes that I had worn to the hospital, and wipe out my car seat with alcohol. Ate lunch. 6:30pm Went back to an urgent care clinic after having a truly strange thing happen on my thigh where I felt a pinch and then saw some tiny spider veins show up and stay there. At least I thought I was seeing them appear. I’m not sure if maybe they were there already because my legs are hairy so I probably wouldn’t have normally noticed. 8:00pm Dinner 10:30pm 1.5 mg duloxetine 11:00pm Went to bed WEDNESDAY SEPT 18 (day 56) 9:00am Woke up 10:15am Got out of bed Vitamin D3 4,000 IU 10:30am Early lunch 12:00pm Starting to get anxious again about health issues, my OCD is not letting up. 7:15pm I was at the airport about to fly back home because I was so anxious during the day that I didn’t know if I could handle being out here without my support. I left the airport after checking in because I started feeling a tiny sharp pain in the bladder area and some discomfort where the ureter tubes run through the body. Then started wondering if all the back soreness and discomfort I’ve felt for the last 2+ months could be a sign of kidney problems, especially if I started having issues show up in the rest of the urinary tract. I tried to get to an urgent care before they closed, but I didn’t make it in time. Maybe that’s a good thing. I may need to move back home indefinitely to help me get through the anxiety and at least until I have become skilled at handling my OCD and the resulting anxiety. Big decision to make soon. 9:15pm Back at the apartment. Ate dinner. 11:00pm 1.5 mg duloxetine 12:30am Went to bed I think my main problem is my actual OCD. I was non-functional like this when I was a kid and first had it pop up. I haven’t been like this much in the last 19 years because I was on medication and it really did help me. The only physical symptoms that are typical of withdrawal that I have felt are the “floatiness” (though that seems to have either dissipated lately or perhaps I’ve just become normalized to it, because I’m certainly less aware of it if it’s there), and MAYBE some tinnitus—but I don’t even really think it’s tinnitus because it’s not like the typical ringing ear you get with that discernible tone, what I have NOTICED hearing since sometime last night is almost like a really faint buzzing that seems to be in rhythm with my pulse. And I have had a slightly stuffy head and just the tiniest hint of burning eyes since I got back to LA, so I’m thinking it could be just a little allergy/hay fever reaction to coming back after being in a different environment and climate for a month. It sounds like it does sometimes when you have a really stuffy head or a fever (or both), and you can hear that kind of white noise sound that seems to fluctuate with your pulse. But before last night, I hadn’t noticed anything like that. ^^ Expanding on that and every little “new” thing I notice feels a lot like OCD. Maybe these things are completely normal and have been there all along but I am now noticing them because I am so hyper aware of everything because I’m afraid. THURSDAY SEPT 19 (day 57) 8:30am Woke up for good 10:00am Vitamin D3 4,000 IU 11:00am Light lunch 6:30pm Dinner 10:45pm 1.5 mg Duloxetine 11:00pm Late snacks 1:30am Went to bed Had a bit of a better day today. Was able to spend time during the day with my roommate, whereas I am usually home alone during the day, which has been an issue. I still had some thoughts and underlying anxiety about what the future holds for me—on a daily basis I have thoughts about withdrawal, and I am first and foremost worried about if and when symptoms are going to hit me, and how hard it will hit me. The worry over it may be getting more difficult as I am approaching the 3-month mark since my last “weaning” dose at the beginning of July, and I know that a lot of members on the forum have said things about withdrawal hitting them around the 3-month mark. So I’m scared about that. But the fact that I am so focused on and anxious about things I haven’t even felt yet, that I haven’t had too many of the physical symptoms that others have described, and that my main psychological issues to this point have fallen into several of the different areas that are extremely common and typical with OCD makes me think that my problem is in-fact mainly my OCD, and that I have been freaking out about every little feeling in my body or seemingly new sensation that pops up, possibly for no reason. I am scared of all the withdrawal symptoms I have read about on the site even before I have had them, and who knows how much of anything physical that I have felt could have been a result of all of my worrying about whether I was going to start feeling the symptoms others have described. I believe that is called psychosomatic or something like that, where your mind actually causes you to feel the things it’s focused on. This is how I had become as a kid before I ever started on the medicine. I just have a few different themes now compared to what I was mainly focused on back then. But the health anxiety is definitely the same. Edited September 20, 2019 by DavidfromTexas ANTI-DEPRESSANTS (approximates): 2000--2009/10. Zoloft, mid-high dosage. Alprazolam, as needed, rarely. 2009/10--2016/17. Cymbalta, 90 mg Early 2017--Mid-2017. Cymbalta, 60 mg Mid-2017--Jan 2018. Cymbalta, 30--60 mg, reduced in 30 mg increments w/o physical w/d symptoms, possibly some emotional w/d symptoms. Mar 2018--Early 2019. Back on Cymbalta, fluctuating dosages from 30 to 90mg. Reduced from 60 to 30, then from 30 to 0 again, this time WITH very light physical w/d symptoms. Back to 30mg. Early 2019--April 2019. Cymbalta, 30mg. Down from 30 to 0. Physical w/d symptoms again. Back to 30mg. May 2019. Cymbalta 30 mg. Down to 20 mid-month. Started taking every other day in final week of the month. Jun 2019. Cymbalta 10-ish mg. Started “eyeballing” about half of the beads in the capsule. Taking every other day, then at mid-month every 4 days. July 2, 2019. Took last dose of “eyeballed” 5-ish mg. July 24, 2019. Took first reinstatement dose of 2mg. Dropped down to 1mg (6 beads) the very next day. Aug 6, 2019. Up-dose to 1.33 mg. Aug 30, 2019. Up-dose to 1.5 mg. SUPPLEMENTS Vitamin D3 4,000 IU/day Link to comment
DavidfromTexas Posted October 20, 2019 Author Share Posted October 20, 2019 FRIDAY SEPT 20 (day 58) 9:00am Woke up 9:45am Vitamin D3 4,000 IU 12:30pm Lunch 6:30pm Dinner 11:00pm 1.5 mg duloxetine 12:30am Went to bed SATURDAY SEPT 21 (day 59) 10:30 Got up Vitamin D3 4,000 IU 2:00pm Lunch 8:30 Dinner 11:00pm 1.5 mg duloxetine 2:30am Went to bed SUNDAY SEPT 22 (day 60) 9:30am Woke up Vitamin D3 4,000 IU 10:15am Church 12:30 Lunch 7:00pm Dinner 11:00pm 1.5 mg duloxetine 12:15am Went to bed MONDAY SEPT 23 (day 61) 8:30am Woke up 9:45am Vitamin D3 4,000 IU 10:15am Snack 2:00pm Lunch 7:00pm Dinner 11:45pm 1.5 mg duloxetine 1:15am Went to bed TUESDAY SEPT 24 (day 62) 9:15am Woke up 10:40am Vitamin D3 4,000 IU 12:15pm Light lunch. Lost appetite after one pb&j sandwich. That’s been happening sometimes randomly 7:15pm Dinner 10:45pm 1.5 mg duloxetine 1:30am Went to bed WEDNESDAY SEPT 25 (day 63) 9:30am Woke up. Woke up for an hour in the middle of the night with my mind racing. 10:00am Vitamin D3 4,000 IU 1:45pm Lunch 7:00pm Dinner 10:45pm 1.5 mg duloxetine 12:30 Went to bed THURSDAY SEPT 26 (day 64) 7:00am Woke up 7:45am Vitamin D3 4,000 IU 12:30pm Lunch 5:00pm Dinner 10:45pm 1.5 mg duloxetine 11:45pm Went to bed FRIDAY SEPT 27 (day 65) 7:00am Woke up 9:00am Vitamin D3 4,000 IU 12:45pm Lunch 9:15pm Dinner 11:00pm 1.5 mg duloxetine 3:00am Went to bed SATURDAY SEPT 28 (day 66) 8:00am Woke up 9:20am Vitamin D3 4,000 IU 10:30am Breakfast 6:00pm Dinner 11:20pm 1.5 mg duloxetine 1:30am Went to bed SUNDAY SEPT 29 (day 67) 8:00am Woke up 8:30am Vitamin D3 4,000 IU 1:30pm Lunch 7:00pm Dinner 12:00am 1.5 mg duloxetine 12:30am Went to bed MONDAY SEPT 30 (day 68) 8:00am Woke up Vitamin D3 4,000 IU 8:30am Breakfast 1:00pm Lunch 7:00pm Dinner 11:00pm 1.5 mg duloxetine 11:30 Went to bed TUESDAY OCT 1 (day 69) 5:30am Woke up 6:00am Vitamin D3 4,000 IU 6:30am Breakfast 1:00pm (MT) Lunch 7:00pm (CT) Dinner 12:30am Finally got back home after a 2 day drive 12:45am 1.5 mg duloxetine 2:00am Went to bed 3:00am Woke up with some queasiness for a little while WEDNESDAY OCT 2 (day 70) 9:00am Got out of bed 9:15am Vitamin D3 4,000 IU 1:00pm Lunch 7:15pm Dinner 8:45pm Started feeling a little of that queasiness again 12:00am 1.5 mg duloxetine 12:10am Went to bed THURSDAY OCT 3 (day 71) 9:00am Woke up 11:00am Got out of bed 11:15am Vitamin D3 4,000 IU 11:45am Light Breakfast 7:30pm Light dinner 11:15pm 1.5 mg duloxetine 12:00am Went to bed FRIDAY OCT 4 (day 72) 9:30am Woke up 11:30am Light breakfast 2:30pm Lunch 8:00pm Dinner 10:10pm 1.5 mg duloxetine 12:15am Went to bed SATURDAY OCT 5 (day 73) 10:00am Woke up for good 10:20am Vitamin D3 4,000 IU 10:45am Light Breakfast 7:15pm Dinner 10:00pm 1.5 mg duloxetine 2:00am Went to bed SUNDAY OCT 6 (day 74) 9:30am Woke up 11:45am Lunch 6:30pm Dinner 10:20pm 1.5 mg duloxetine 1:15am Went to bed MONDAY OCT 7 (day 75) 11:00am Woke up for good Vitamin D3 4,000 IU 11:30am Light Breakfast 6:00pm Dinner 10:00pm 1.5 mg duloxetine 2:30am Went to bed TUESDAY OCT 8 (day 76) 12:00pm Got up Vitamin D3 4,000 IU 12:15pm Light breakfast 3:15pm Light lunch 7:30pm Dinner 10:00pm 1.5 mg duloxetine 2:00am Went to bed WEDNESDAY OCT 9 (day 77) 12:00pm Got up Vitamin D3 4,000 IU 12:30pm Lunch 7:00pm Light dinner 11:30pm 1.5 mg duloxetine 2:00am Went to bed THURSDAY OCT 10 (day 78) 12:00pm Got up Vitamin D3 4,000 IU 12:15pm Breakfast 6:00pm Dinner 10:45pm 1.5 mg duloxetine 2:00am Went to bed FRIDAY OCT 11 (day 79) 12:30pm Got up 1:00pm Breakfast 3:30pm Lunch 7:00pm Dinner 10:15pm 1.5 mg duloxetine 2:00pm Went to bed SATURDAY OCT 12 (day 80) 12:00pm Got up Vitamin D3 4,000 IU 12:15pm Breakfast/Lunch 7:30pm Dinner 10:30pm 1.5 mg duloxetine 1:30am Went to bed SUNDAY OCT 13 (day 81) 11:00am Got up Vitamin D3 4,000 IU 11:30am Breakfast 6:45pm Dinner 10:00pm 1.5 mg Duloxetine 2:30am Went to bed MONDAY OCT 14 (day 82) 12:00pm Got up Vitamin D3 4,000 IU 12:30pm Lunch 7:30pm Dinner 11:00pm 1.5 mg Duloxetine 1:30am Went to bed TUESDAY OCT 15 (day 83) 11:45am Got up Vitamin D3 4,000 IU 12:00pm Lunch 7:30pm Dinner 10:15pm 1.5 mg Duloxetine 1:30am Went to bed WEDNESDAY OCT 16 (day 84) 12:00pm Got up Vitamin D3 4,000 IU 12:15pm Lunch 6:15pm Dinner 10:10pm 1.5 mg duloxetine 1:45am Went to bed THURSDAY OCT 17 (day 85) 12:00pm Got up Vitamin D3 4,000 IU 12:45pm Lunch 6:30pm Dinner 10:00pm 1.5 mg Duloxetine 2:00am Went to bed FRIDAY OCT 18 (day 86) 11:45am Got up Vitamin D3 4,000 IU 12:15pm Lunch 6:45pm Dinner 12:20am 1.5 mg duloxetine 3:00am Went to bed SATURDAY OCT 19 (day 87) 10:30am Got up Vitamin D3 4,000 IU 10:45am Breakfast 3:30pm Lunch 7:15pm Dinner 12:15am 1.5 mg duloxetine 3:00am Went to bed -Occasional ringing ears, but not bad. -I believe my allergies all around have gotten worse since stopping my regular higher dosage, felt in my head, throat, and skin. ANTI-DEPRESSANTS (approximates): 2000--2009/10. Zoloft, mid-high dosage. Alprazolam, as needed, rarely. 2009/10--2016/17. Cymbalta, 90 mg Early 2017--Mid-2017. Cymbalta, 60 mg Mid-2017--Jan 2018. Cymbalta, 30--60 mg, reduced in 30 mg increments w/o physical w/d symptoms, possibly some emotional w/d symptoms. Mar 2018--Early 2019. Back on Cymbalta, fluctuating dosages from 30 to 90mg. Reduced from 60 to 30, then from 30 to 0 again, this time WITH very light physical w/d symptoms. Back to 30mg. Early 2019--April 2019. Cymbalta, 30mg. Down from 30 to 0. Physical w/d symptoms again. Back to 30mg. May 2019. Cymbalta 30 mg. Down to 20 mid-month. Started taking every other day in final week of the month. Jun 2019. Cymbalta 10-ish mg. Started “eyeballing” about half of the beads in the capsule. Taking every other day, then at mid-month every 4 days. July 2, 2019. Took last dose of “eyeballed” 5-ish mg. July 24, 2019. Took first reinstatement dose of 2mg. Dropped down to 1mg (6 beads) the very next day. Aug 6, 2019. Up-dose to 1.33 mg. Aug 30, 2019. Up-dose to 1.5 mg. SUPPLEMENTS Vitamin D3 4,000 IU/day Link to comment
Administrator Altostrata Posted October 20, 2019 Administrator Share Posted October 20, 2019 So you don't seem to have any other withdrawal-related symptoms throughout the day? Your pattern looks very stable. How's your sleep? Are you having occasional sleeplessness? How often? This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner. "It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein All postings © copyrighted. Link to comment
DavidfromTexas Posted October 21, 2019 Author Share Posted October 21, 2019 I have been having to urinate more frequently for a few weeks now...I’m not sure if that’s an issue that anybody else has dealt with, but I’ll be checking with the Doctor about that in a couple weeks to rule out any other causes. Other than that and the two I mentioned in the previous post, that’s pretty much it right now. I’m still dealing with the OCD issues, but I’m pretty sure that’s just how my brain naturally works because those are the issues I started having years ago that led to getting on medicine in the first place. I don’t believe I’m experiencing anything that I would call sleeplessness, I always wake up a couple times during the night, but I did while on the meds as well. Most of the time it’s to use the restroom, but even if I just wake up for no reason I am usually able to get back to sleep pretty quickly. My length of sleep has actually gotten longer since a few weeks ago when I couldn’t sleep past 7-8 hours. Overall, I haven’t had that much of a sleep issue during this whole process. ANTI-DEPRESSANTS (approximates): 2000--2009/10. Zoloft, mid-high dosage. Alprazolam, as needed, rarely. 2009/10--2016/17. Cymbalta, 90 mg Early 2017--Mid-2017. Cymbalta, 60 mg Mid-2017--Jan 2018. Cymbalta, 30--60 mg, reduced in 30 mg increments w/o physical w/d symptoms, possibly some emotional w/d symptoms. Mar 2018--Early 2019. Back on Cymbalta, fluctuating dosages from 30 to 90mg. Reduced from 60 to 30, then from 30 to 0 again, this time WITH very light physical w/d symptoms. Back to 30mg. Early 2019--April 2019. Cymbalta, 30mg. Down from 30 to 0. Physical w/d symptoms again. Back to 30mg. May 2019. Cymbalta 30 mg. Down to 20 mid-month. Started taking every other day in final week of the month. Jun 2019. Cymbalta 10-ish mg. Started “eyeballing” about half of the beads in the capsule. Taking every other day, then at mid-month every 4 days. July 2, 2019. Took last dose of “eyeballed” 5-ish mg. July 24, 2019. Took first reinstatement dose of 2mg. Dropped down to 1mg (6 beads) the very next day. Aug 6, 2019. Up-dose to 1.33 mg. Aug 30, 2019. Up-dose to 1.5 mg. SUPPLEMENTS Vitamin D3 4,000 IU/day Link to comment
SDOE Posted November 5, 2019 Share Posted November 5, 2019 On 10/20/2019 at 8:56 PM, DavidfromTexas said: I have been having to urinate more frequently for a few weeks now. At one point during my withdrawals, it seemed as though I was frequently waking in the middle of the night to urinate. I started limiting the amount of liquids I consume after 6pm. I have chronic insomnia and I still wake up but it doesn't seem to be related to the urge to urinate, at least not as often. If you google Duloxetine and overactive bladder, you will find Cymbalta is used to treat it. -2005 -2016 60mg Cymbalta 11/2016 abrupt drop to 30mg. Insomnia started (about 2x a week.) 6/29/2017 started aggressive taper. Dosage:6/29 25mg,7/7 20mg,7/10 15mg,7/1713mg,7/18 10 mg,7/22 8mg,7/31 7.5mg,8/1 6.25mg. At 6.25mg insomnia every night (waking 2-4am.) 8/2017 began up dosing 8/9 7.5mg,8/16 10mg. Late 2017 new taper from 25mg. Approx 10% reduction per mos (mini-tablets.) 10mg sleep would not stabilize. Cont'd taper meds running out. Jan 2019 stopped taper at 2.5mg. Using only supplements. Morning 500mg tyrosine, 100mg L-theanine, 600mg NAC. After breakfast 1000mg fish oil, 5mg iron, 2000IU D3, B complex, 500mg ginseng, 50mg ginkgo, probiotics & 50mg zinc. Bedtime 1000mg tryptophan, 500mg gaba, 3mg time released melatonin, 325mg magnesium powder, & 100mg progesterone. Feb 2019 brain zaps gone. Still have chronic insomnia & anxiety at times. March 2019-Purchased Alpha Stim May 2019-sleep still inconsistent. October 2019- (Morning) L-Tyrosine, Super B complex, 5mg ferritin,fish oil, vit c, (Evening)200mg progesterone, 1mg Natrol Time Release Melatonin, 325mg Calm magnesium, glycine powder. Alpha Stim only seems to help with anxiety not insomnia. Usually wake up nightly average of 2 hours. *Using 25mg Benadryl or 12.5mg Doxylamine Succinate occasionally Link to comment
cathnz Posted February 23, 2020 Share Posted February 23, 2020 On 8/11/2019 at 6:10 AM, Dejavu said: Remember these? I don't know how else to tell you that you're doing more harm to yourself by engaging in "what ifs?" and casting around for new things to worry about. You must get this anxiety under control. Your life will be immensely easier when you do. Have you even read the links Chessie has sent you about non-drug coping techniques? It doesn't seem as though you have. I would highly recommend you also seek a therapist who practices CBT or DBT in your area. Also, neurofeedback or biofeedback might help. I did 12 sessions of biofeedback and I feel it helped me immensely. Please read those links. Chessie sent them to you for a very good reason. @Dejavu I'm interested in biofeedback as a non drug approach to my anxiety. I've had many cbt sessions over the years, my physchologist is currently working on mindfulness with me, I've read Claire Weekes (love her) , but there's something missing from my coping arsenal. My depression and anxiety is as bad as ever. My physchologist suggested I look into finding a way to do biofeedback. There's noone I can find where I live that is a practioner, but I see you can buy your own devices. Can you please tell me a bit more about your experience with it? Aug 2004 - Dec 2006: Aropax ( 20mg - 30mg). Aug 2007: Fluoxetine (for 3 weeks). Sept 07 - July 12: Lexapro ( 10mg - 20mg). Pooped out July 12. Titrated down off Lexapro over 3 weeks and switched to Paroxetine (with Xanax to cover switch for 2 weeks). Aug 2012 - Aug 2019: Paroxetine (titrated up to 20mg in first few weeks,, dose reduced to 15mg . for 7 years until it 'pooped out'. 4th Aug 2019 - Reduced dose of paroxetine to 10mg (for 1 day) - under phychiatrists directions. Last dose of paroxetine. 5th Aug 2019 - Switch to 15mg Mirtazapine. 5th Aug - 15th Aug 2019 - 15mg Mirtazapine plus intermitent use of Lorazapm (0.25- 0.5 . Also used 12.5mg Quetiapine for 3 nights for sleep. 23rd Aug 2019 - Ended up in crisis team. Mirtazapine increased to 30mg. Diazapam 10mg twice daily. 30th Aug 2019 - Mirtazapine 30mg + Diazapam reduced to 7.5mg twice daily 6th Sept 2019 - Mirtazapine 30mg + Diazapam reduced to 5mg twice daily 13th Sept 2019 - Mirtazapine increased to 45mg. Diazapam increased back up to 10mg twice daily. 20th Sept - 29th Sept 2019: Mirtazapine 45mg. Diazapam being reduced from 10mg down to 0mg this week (in 2mg increments couple of days). 30th Sept - Thursday 3rd Oct 2019: Mirtazapine 45mg. WORST ANXIETY EVER. Akathisia. Couldn't stay still. Suicidal idealization. Friday 4th October - present: Reduced from 45mg to 30mg (straight drop to alleviate akathisia - reduction definitely helped alot but still not gone completely) , Vit B6, Curcumin, Magnesium (no adverse effects from adding these supplements - have helped akathisia somewhat). * Everything done from 23rd August under care of outpatient crisis team management. Untitled document.docx Link to comment
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