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Edmunds: prolonged Wellbutrin withdrawal


Edmunds

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Thanks again to @Altostrata and @ChessieCat for your recent support.

 

I spoke to the integrative psychiatrist I've consulted with a few times. I would like to report to SA the conversation I had with him this morning. I would appreciate any comment on this conversation you would care to offer, though you may not wish to, which is fine. You have always been clear that members must make their own medical decisions.

 

This psychiatrist is entirely in agreement with my desire to stay off any new ADs and to taper slowly from the 2 mgs of liquid fluoxetine I'm currently taking. I told him that SA recommends only magnesium and omega-3 as supplements. I told him that I take them, plus D-3 and Inositol (the later recommended by him). He disagrees with the magnesium and omega-3 limitation. Rather he recommends that to help with my constant anxiety I should consider taking two supplements:

ashwaganda, especially for cortisol regulation, and 60 ml of CBD. (I tried CBD briefly a couple of years ago, though without effect one way or the other). I told him I am loathe to taking any substance, including supplements, that is just going to set my recovery back. He believes that that should not happen. He has consistently deferred to my wishes and takes a very different and much more flexible approach than any mainstream psych I've consulted in the past, all of whom have nothing on offer but ADs.

Fluoxetine 1997-2014, 2015, 10-40 mg (poop-out  April 2013).

Bupropion 2013-14, 4 mos. To 450 mg tapered to 0 in 3 wks no w/d trouble.

Lexapro 2014 30 mg Cymbalta 2014.

Neuro-Feedback 2015 May-Sept, no ADs 5 months, no significant benefit, rather increased anxiety during and after; Buspirone 2015 40 mg STOPPED after several months.

Venlafaxine Dec. 14, 2015 – May 23, 2019 150 mg.

Bupropion/Wellbutrin Mar 2017 – July 19, 2019 300 mg; Lorazepam 0.5 a few days only, stopped 08/31/2019

Fluoxetine/Prozac May 2019 – present, taper from 20 mg started 01-2020, linear 10% every 4 wks., tapered 6 to 4 mg 6-29-20, 4 to 2 mg 7-15-20,  2.0 to 1.8 mg 08-26-20), updose from 1.8 mg to 2.0 (11-16-20)

Naltrexone (for derealization) 10/27/20, STOPPED after 10 days; B12 1000 mg STOPPED 10-29-20; D3 2,000 mg; Omega 3; Magnesium Chelate, 250 mg; L-methylfolate (Deplin) 15 mg STOPPED 09/3/20; Inositol (pseudo B8) powder 4 tsp (water solution sipped throughout day), started 11-12-20; ashwaganda, 1/2 caplet started 01/14/21.

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Yes it would be best to try and avoid it.   SA strongly encourages members to learn and use non drug coping techniques to help get through tough times.   Understanding what is happ

My liquid Prozac taper is now down from 20 to 10 mg. I'm holding there for now. Thanks again for recent comments to @manymoretodays @Gridley and @Altostrata   I've been in something of

Looks like you might be calculating your 10% on the original dose of 20mg.  SA recommends tapering no more than 10% of the current dose followed by a hold of about 4 weeks.   This would mean

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We can't predict how you will react to ashwaganda or CBD. Suggest you sample them one at a time in very small amounts.

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

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@AltostrataThanks for your advice about ashwaganda and CBD. I will try the ashwaganda at 1/2 caplet per day. I will defer the CBD for how.

 

I must add thanks to you for helping organize and participating in the protracted withdrawal seminar this morning. It was excellent, and I look forward to the next session in March. Also, I shared the articles in Therapeutic Advances and Psychology Today with my integrative psychiatrist.

Fluoxetine 1997-2014, 2015, 10-40 mg (poop-out  April 2013).

Bupropion 2013-14, 4 mos. To 450 mg tapered to 0 in 3 wks no w/d trouble.

Lexapro 2014 30 mg Cymbalta 2014.

Neuro-Feedback 2015 May-Sept, no ADs 5 months, no significant benefit, rather increased anxiety during and after; Buspirone 2015 40 mg STOPPED after several months.

Venlafaxine Dec. 14, 2015 – May 23, 2019 150 mg.

Bupropion/Wellbutrin Mar 2017 – July 19, 2019 300 mg; Lorazepam 0.5 a few days only, stopped 08/31/2019

Fluoxetine/Prozac May 2019 – present, taper from 20 mg started 01-2020, linear 10% every 4 wks., tapered 6 to 4 mg 6-29-20, 4 to 2 mg 7-15-20,  2.0 to 1.8 mg 08-26-20), updose from 1.8 mg to 2.0 (11-16-20)

Naltrexone (for derealization) 10/27/20, STOPPED after 10 days; B12 1000 mg STOPPED 10-29-20; D3 2,000 mg; Omega 3; Magnesium Chelate, 250 mg; L-methylfolate (Deplin) 15 mg STOPPED 09/3/20; Inositol (pseudo B8) powder 4 tsp (water solution sipped throughout day), started 11-12-20; ashwaganda, 1/2 caplet started 01/14/21.

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