Lookinup's intro: please help

[Lookinup]

Probiotic is Probiota Histaminx. I take the Cod Liver Oil for the Omega’s.

[Altostrata]

On 9/10/2019 at 6:38 PM, Mirtazapine said:

Symptoms are tingling of hands and legs at random times, usually accompanied by anxiety.  Not predictable throughout the day.  Need to continue taper of Prozac and get rid of it.  Have been on 5 mg for two weeks.  What do you suggest for next taper?  Took 10 mg for 6-1/2 weeks then began taper.  Thank you!

 

Have not felt better after taking dose.  I am a member of the Mirtazapine Withdrawal Group.  It is suggested that reinstating can bring on withdrawal symptoms and put you back to square one.  Feel congestion in nose and ear of and on.  

 

Reinstating TOO MUCH mirtazapine can cause problems.

 

Please correct your signature, it says you returned to 10mg Prozac.

 

Did you feel better when you reduced Prozac?

 

Does the congestion in nose and ear happen at any particular times of day?

 

On 9/10/2019 at 6:41 PM, Mirtazapine said:

Probiotic is Probiota Histaminx. I take the Cod Liver Oil for the Omega’s.

 

How is this supposed to help congestion in nose and ear?

[Lookinup]

No, did not feel any better after reducing Prozac.

Fullness in nasal passage and ear seems to come on randomly.

I I will change signature.

This Friday is two weeks on 5 mg.  What is your suggestion for moving forward?

Thank you very much for your involvement with my “case.”

[Altostrata]

Please correct your signature re Prozac.

 

What time of day do you take Prozac? If in the evening, I'd move earlier by an hour a day until you're taking it in the morning. It may be keeping you awake.

 

My guess is you should reinstate a tiny amount of mirtazapine, such as 1mg, and go off Prozac. This topic explains how to titrate mirtazapine Tips for tapering off Remeron (mirtazapine)

 

Your choice which to do first. If you added mirtazapine, it might help you sleep even though you're taking Prozac. Then you can taper off Prozac.

 

Or, you can reduce Prozac and then add 1mg mirtazapine. Since you've been taking some amount of Prozac since mid-July, we have to assume you are at risk for withdrawal; you'll need to taper by 10% per month, see Tips for tapering off Prozac (fluoxetine)

 

Still don't understand why you're taking a probiotic and cod liver oil for nasal congestion. Please explain.

[Lookinup]

Taking probiotic targeted at reducing histamine.  Cod liver oil is for the omegas.  Thank you for your advice.  So, when do I start .5 Prozac reduction?  Have been on 5 mg. For two weeks this Friday.  I switched the Prozac to a.m.  

[Carmie]

Hi Mirtazapine, 

 

Welcome to SA from me too. Getting tingling in your body is very common in withdrawals. I get it too. Anxiety is a symptom most people get when going through withdrawals, it’s chemically induced. 

 

As Alto asked, could you please change your signature. Number 5 there says that you couldn’t stand the stimulation of 20mg so you went down to 10mg. You are now at 5mg though, so could you please add that to your number 5. Thanks a lot. 

 

Please do not taper the Prozac yet. You dropped by 50% only two weeks ago, is that correct? If you taper even by 0.5mg you will destabilise yourself even more. It is recommended to taper by no more than 10% a month. If it was me, I wouldn’t be tapering again for at least two months or even longer. You may find that such a big drop will catch up with you later on. This has happened to me in the past before I knew how to taper properly. I then had to stop tapering for many, many months and I went through such severe withdrawals.

 

Please do things slowly, Sending hugs🤗

Edited September 11, 2019 by Carmie
Typo

[Lookinup]

Thank you.  I will follow your suggestion and stay on the 5 mg for awhile before tapering again.  I am still feeling the withdrawals from the Mirtazapine and don’t need any more!

[Lookinup]

Is it still recommended to reinstate at 1 mg. To stabilize sleep after 3-1/2 months off?  Thank you.

[ChessieCat]

Off what?

 

What are you currently taking?

[Lookinup]

Off Mirtazapine.  Currently still taking .5 klonopin and 5 mg prozac.  Still feeling effects from Mirtazapine..  Thanks.

[Lookinup]

How do I know if I am in Klonopin tolerance withdrawal or Mirtzapine withdrawal.  If Klonopin, do I need to get started with taper?

[Altostrata]

What is your current drug schedule and symptom pattern, including sleep? How has it changed since you moved Prozac to the morning?

[Lookinup]

Four and half months off Mirtazapine.  Wondering if going back to 1 mg. Would have a positive or negative effect.  Having horrific withdrawals. CTd at about 1.8 mg.

 

[Lookinup]

I am feeling the withdrawal effects from coming off Remeron in June and was started on Prozac.  Taking 5 mg. A day and need to get off as it is too stimulating for me.  Can I begin a very slow taper 5% a month while feeling this way?  Thank you!

[Altostrata]

Please post your questions about your particular situation here in your Introductions topic. We need to know the background that's in this topic. Also, please answer questions from the staff, such as

 

On 10/16/2019 at 6:02 PM, Altostrata said:

What is your current drug schedule and symptom pattern, including sleep? How has it changed since you moved Prozac to the morning?

 

[Lookinup]

On 10/21/2019 at 5:24 PM, Altostrata said:

Please post your questions about your particular situation here in your Introductions topic. We need to know the background that's in this topic. Also, please answer questions from the staff, such as

 

 

It has not a helped a bit.  All day feel wired and anxious. There is no sleep without Ambien, which I have taken for the past four months.  It is a horrible drug and doesn’t give me many hours.  Lucky if I can get back to sleep when wake up for a few more hours.  I need to unwind and am finding it hard to do that.  I have liquid Prozac, but don’t know if it is a good time to start.  I really

feel it I could sleep, my w/d symptoms would not be as horrendous.  Any suggestions would be greatly appreciated.  Don’t know how I got that name.  Thought I put it in under topic!  Thank you for reaching out to me.. I need some help with this for sure! I have the liquid form of Prozac, but don’t know if I should start feeling this way.

 

[Lookinup]

On 10/21/2019 at 6:00 PM, Mirtazapine said:

It has not a helped a bit.  All day feel wired and anxious. There is no sleep without Ambien, which I have taken for the past four months.  It is a horrible drug and doesn’t give me many hours.  Lucky if I can get back to sleep when wake up for a few more hours.  I need to unwind and am finding it hard to do that.  I have liquid Prozac, but don’t know if it is a good time to start.  I really

feel it I could sleep, my w/d symptoms would not be as horrendous.  Any suggestions would be greatly appreciated.  Don’t know how I got that name.  Thought I put it in under topic!  Thank you for reaching out to me.. I need some help with this for sure! I have the liquid form of Prozac, but don’t know if I should start feeling this way.

 

Wish I had tried the 1 mg. reinstatement of Remeron a few months ago to try to stabilize sleep.

[Altostrata]

On 10/16/2019 at 3:02 PM, Altostrata said:

What is your current drug schedule and symptom pattern, including sleep? How has it changed since you moved Prozac to the morning?

 

Schedule means times of day that you take their drugs and their dosages. Have your symptoms gotten worse since you've been taking Ambien?

 

Please keep daily notes of times of day you take your drugs, their dosages, and your symptoms throughout the day. You can post 24 hours of notes at a time in this topic, with a simple list format with time of day on the left and notation (symptom or drug and dosage) on the right.

[Lookinup]

37 minutes ago, Altostrata said:

 

Schedule means times of day that you take their drugs and their dosages. Have your symptoms gotten worse since you've been taking Ambien?

 

Please keep daily notes of times of day you take your drugs, their dosages, and your symptoms throughout the day. You can post 24 hours of notes at a time in this topic, with a simple list format with time of day on the left and notation (symptom or drug and dosage) on the right.

Biggest problem right now is sleep.  I will work on the list.  I guess it is too late to try the 1 mg. ???

[Altostrata]

It's possible you are experiencing adverse effects from Klonopin. That is why I am asking for more information, such as your drug schedule.

[Lookinup]

That is exactly what I am afraid of. You are very perceptive.  I take .5 at night.  Will do the list as soon as possible.  I am quite concerned about this. Was waiting to feel better to start long, slow taper.  Than you so much for your input. 

[Lookinup]

The drug list is up to date.  How do put in times?

[Altostrata]

Just list them in a post, like this:

 

Quote

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

 

[Lookinup]

Okay, thanks.  I will try to recall:

 

9:00. Took Klonopin. Some twitches about 1/2 hour before.

8:00-10:30 Tried relaxing using meditations

8:30 Took Magnesium 300 mg.

10:30. Took Propanolol 10 mg. (Thyroid on hyper side)

11;00 Took Ambien - Asleep in about 1/2 hour.

2;15. Woke and didn’t go back to sleep. Stayed in bed.

5:30 a.m. felt little more twitching

8:00 Took Prozac

9:00-11:00 some dp

9:30 Took Propanolol

3:00 Took. Propanolol

8:00 Took Propanolol

Can feel when it is time to Propanolol.  Wondering if it is the nature of dependency or panic attacks coming on.  Calms things down

8:00 - feeling twitching in hand

Exhausted and anxious all day!

 

 

 

 

 

[Lookinup]

Symptoms:  

Exhausted

Panicky throughout day

Some DP

Neck tension at times

Cold nose

fullness in left ear

twitches throughout body from time to time and as noted in timeline of today.

tingling/numbness on bottom of foot

tingling hands from time to time

 

[Lookinup]

Lost weight (10lbs) over past 4 months despite keeping up with all meals.

[Altostrata]

On 10/21/2019 at 8:04 PM, Mirtazapine said:

(Thyroid on hyper side)

 

What does this mean?

 

How often do you take Ambien? When did you start it? Please include ALL current drugs in your signature.

 

Please include drug dosages in daily notes.

[Lookinup]

Had thyroidectomy due to benign nodules.  Thyroid hormone levels were on hyper side and needed dose reduction of meds.  Dr. working on regulating that.  

[Altostrata]

When was the last time your thyroid drugs were reduced? What was the effect?

 

On 10/21/2019 at 5:04 PM, Lookinup said:

9:00. Took Klonopin. Some twitches about 1/2 hour before.

8:00-10:30 Tried relaxing using meditations

8:30 Took Magnesium 300 mg.

10:30. Took Propanolol 10 mg. (Thyroid on hyper side)

11;00 Took Ambien - Asleep in about 1/2 hour.

2;15. Woke and didn’t go back to sleep. Stayed in bed.

5:30 a.m. felt little more twitching

8:00 Took Prozac

9:00-11:00 some dp

9:30 Took Propanolol

3:00 Took. Propanolol

8:00 Took Propanolol

Can feel when it is time to Propanolol.  Wondering if it is the nature of dependency or panic attacks coming on.  Calms things down

8:00 - feeling twitching in hand

Exhausted and anxious all day!

 

Please include ALL drugs, including thyroid drugs, in your daily notes.

 

Quote

9:00. Took Klonopin. Some twitches about 1/2 hour before.

 

Is this 9 p.m.? Please keep your notes in chronological order, at least 24 hours at a time is most helpful.

 

It appears you are waking up when zolpidem starts to wear off (half-life 1.5 hours). How often do you take Ambien? When did you start it? Please include ALL current drugs in your signature.

 

Quote

 

9:30 Took Propanolol

3:00 Took. Propanolol

8:00 Took Propanolol

Can feel when it is time to Propanolol.  Wondering if it is the nature of dependency or panic attacks coming on.  Calms things down

 

 

Please explain more about the symptoms you feel when "it is time to take Propanolol."

 

@Shep will consult -- you may be experiencing interdose withdrawal from Klonopin. Your experience with mirtazapine withdrawal may have upset your long-time adaptation to the drug.

 

[Lookinup]

When it is time to take the. Propanolol, I can feel twitches, shakiness and increased heart rate, like adrenaline surge.  Thank you for your help with this.  Yes, Mirt withdrawal could have destabilized things.  Please help with direction.  

[Shep]

Lookinup, you had requested information on updating your signature to include Ambien in your PM. I'm going to place this here in your thread so you'll have easier access to it when you need it again. A direct link to your signature is here:

 

Account - Settings - Create or Update Your Signature

 

A request - please add the year after the months in your signature. It's confusing because 2017 is the only year you wrote. 

[Lookinup]

Need to leave Klonopin alone right now but just wondering how do you approach a taper when both Ambien and Klonopin are on board?  Need to leave Klonopin alone for now.  Thank you.

[Rhiannon]

You can taper the Ambien while keeping the Klonopin where it is, I don't see a problem with that. Is that what you are wanting to do? I don't think it's a problem as long as you do a safe taper.

 

There is a specific benzo area for members here on the board, in the Members Only section. If you have more questions about Klonopin that might be a good place to check out.

 

You've had a lot of med changes since March it sounds like, so it's probably a good idea to keep things stable for a while. If you taper the Ambien, I would suggest taking it slow, like 10% a month and see how that goes. Some people can come off Ambien pretty easily but in the context of lots of recent med changes and sleep issues, and that cut to 7.5 in August, I would highly recommend making your next cut smaller and just see how you do. 

 

It's always better to start small and then speed up as tolerated, than to go too fast and hit the wall and have to spend a long time picking up the pieces before you can get going again.

[Lookinup]

Hello,

I have had some drug changes since March. One was the addition of Prozac after going off Remeron due to the horrific anxiety..  Dr.thought this would help!  I am. 5 months off Remeron and still have crippling anxiety. Also taking .5 Klonopin and realize it could be tolerance withdrawal.  Prozac is 5 mg.

Thank you.

[Altostrata]

Lookinup, please pay attention to this topic and answer questions from the staff.

 

Put all your questions about your drug situation in this topic, we need the history here to understand the context for your questions.

 

This is your last set of daily notes:

 

On 10/21/2019 at 5:04 PM, Lookinup said:

Okay, thanks.  I will try to recall:

 

9:00. Took Klonopin. Some twitches about 1/2 hour before.

8:00-10:30 Tried relaxing using meditations

8:30 Took Magnesium 300 mg.

10:30. Took Propanolol 10 mg. (Thyroid on hyper side)

11;00 Took Ambien - Asleep in about 1/2 hour.

2;15. Woke and didn’t go back to sleep. Stayed in bed.

5:30 a.m. felt little more twitching

8:00 Took Prozac

9:00-11:00 some dp

9:30 Took Propanolol

3:00 Took. Propanolol

8:00 Took Propanolol

Can feel when it is time to Propanolol.  Wondering if it is the nature of dependency or panic attacks coming on.  Calms things down

8:00 - feeling twitching in hand

Exhausted and anxious all day!

 

 

 

We need to see at least 24 hours of notes every day to get an idea of how your drugs are affecting you.

 

Are you taking your drugs on a regular schedule every day?

 

How do you feel when you get out of bed in the morning? What are your symptoms after you take Prozac every morning and throughout the day?

[Lookinup]

3;30 woke up from “Ambien” sleep.  Horrible sleep on Ambien.  Lucky if I can get back to sleep

6:00 Took thyroid med

8:00 Took Prozac

9:00 to about 12:00 brain fog

10:00 Took Propanolol

12:00 to about 4:30 p.m. On an off panic like anxiety

 

Need to get better sleep!