Shashal: Zoloft after finished tapering off benzo

[Catwoman35]

Hi Shashal, I am sorry to read you are struggling also. I know feeling anxious and panicky is the last thing you want right now, but try not to fight it. Anxiety cannot kill you and it cannot last forever. I hope someone more knowledgeable can give you advice about reinstating.

[Shashal]

3 hours ago, Catwoman35 said:

Hi Shashal, I am sorry to read you are struggling also. I know feeling anxious and panicky is the last thing you want right now, but try not to fight it. Anxiety cannot kill you and it cannot last forever. I hope someone more knowledgeable can give you advice about reinstating.

 

Thank you dear,

 

we will survive 🤗

[Shashal]

Hi friends,

 

Here is an update, as my anxious get out off control plus I’m terrifying the wd of benzo, so my doctor advise me to back to Zoloft.

 

But finally I find the clue.

 

After ten hours when I took the 25mg Zoloft (which I took 100mg 16 months ago), I felt  sudden muscle pains, akathisia and headache which seems like I got too much serotonin in my brain, and the symptoms just the same like the “benzo wd” which I believed before.

 

I always believe that the symptoms was from benzo wd because I’m still in tapering I never thought that was the Zoloft.

 

Before I was on Zoloft I only have anxious and head pressure symptoms for the wd, but after I took 100mg Zoloft, the wd changed to severe muscle issue. I think the benzo in my blood just covered the adverse effects for the Zoloft, during my benzo tapper I felt benzo wd + Zoloft adverse effects, what a nightmare...

 

Don’t know if anyone have the same experience like me.

[Catwoman35]

Hi Shashal,

I am not sure if I understood you well. You think Zoloft was causing your withdrawal before? I am sorry if I misunderstood, I thought it was benzos you had a problem with.

[Shashal]

15 hours ago, Catwoman35 said:

Hi Shashal,

I am not sure if I understood you well. You think Zoloft was causing your withdrawal before? I am sorry if I misunderstood, I thought it was benzos you had a problem with.

Hi Catwoman,

 

I mean the symptoms I experienced before which I thought was benzo wd, but after I reinstated 25mg Zoloft I suddenly felt the same as before, so I think it’s Zoloft adverse effects for me not the benzo wd, I realize I just wrong and put me on Zoloft and suffered so long 😂 

 

I think the symptoms was caused by too much serotonin for me.

[Shashal]

Hi friends,

 

After I realized reinstatement of 25mg Zoloft is too high, and my doctor said I should try Cymbalta (duloxetine) for anxious, I opened the capsule and dropped off half of the beads then took it at 12pm, and at around 6pm I still experienced a bad adverse side effects.

 

So I tried 5mg Zoloft in the next day, and the side effects is tolerable and that day I just felt very relief and symptoms free, but today I took another 5mg Zoloft, I experienced another bad adverse effects, so should I try 2mg tomorrow? Any thoughts? Thank you

[Altostrata]

On 4/11/2021 at 1:42 AM, Shashal said:

So I tried 5mg Zoloft in the next day, and the side effects is tolerable and that day I just felt very relief and symptoms free, but today I took another 5mg Zoloft, I experienced another bad adverse effects, so should I try 2mg tomorrow?

 

What are the bad effects? How do you feel now?

[Shashal]

41 minutes ago, Altostrata said:

 

What are the bad effects? How do you feel now?

 

Hi Altostrata,

 

thank you for your reply, my bad effects are kind of kindling or serotonin syndrome like symptoms, after hours I took Zoloft I felt suddenly hot flashes, head pressure,  diarrhea, sweating.

 

Then my doctor asked me to take Tandospirone (similar like Buspirone) instead as I cannot tolerate any kind of SSRIs now, at beginning I felt nothing helped, but after I took 12mg trazodone before sleep it cause the serotonin syndrome again so I have to take 0.2mg Xanax to “treat” for that and whole night with zero sleep.

 

The funny thing is, after that night I feel totally normal at following day, until I got sleep and woke up with anxious again.

 

Now I stop taking trazodone only took Tandospirone 10mg x 3, and 2mg Zoloft in the morning now seems better and I haven’t got too much anxious from yesterday, but still woke up early with body shaking and little anxious.

 

Next I think I should stop taking Zoloft and only Tandospirone is ok?  Thank you🤗

 

[Altostrata]

3 minutes ago, Shashal said:

Now I stop taking trazodone only took Tandospirone 10mg x 3, and 2mg Zoloft in the morning now seems better and I haven’t got too much anxious from yesterday, but still woke up early with body shaking and little anxious.

 

Next I think I should stop taking Zoloft and only Tandospirone is ok?  Thank you

 

When did you start taking tandospirone? What effect do you feel from it?

[Shashal]

6 minutes ago, Altostrata said:

 

When did you start taking tandospirone? What effect do you feel from it?

 

I started it at April 11, nothing bad effects and not calm down as benzo, but it is less anxious now don’t know if it works or because I stop taking trazodone.

[Altostrata]

19 hours ago, Shashal said:

Now I stop taking trazodone only took Tandospirone 10mg x 3, and 2mg Zoloft in the morning now seems better and I haven’t got too much anxious from yesterday, but still woke up early with body shaking and little anxious.

 

If you're feeling better on this combination, I'd stay with it for a while so your nervous system can stabilize. Later, you will taper Zoloft by tiny amounts and then the tandospirone.

 

Please update your signature with the recent Zoloft and tandospirone information.

[Shashal]

Hello SA,

 

Now I’m feeling better with less anxious most of the days.

 

But the weird thing is if I slept well last night, I will feel anxious after I woke up and last for entire day, but if I had a poor sleep night I will have a anxious free day. So now I’m looping in an anxious day then a normal day...

 

1mg Zoloft is still strong enough for me, hours later after I took it, I felt hypertonia, tinnitus and head pressure and last to evening but without anxious. If I try 0.5mg Zoloft I felt nothing and still got anxious.

 

 I will keep tracking and thank you for supporting me so much.

[Altostrata]

On 4/21/2021 at 2:17 AM, Shashal said:

1mg Zoloft is still strong enough for me, hours later after I took it, I felt hypertonia, tinnitus and head pressure and last to evening but without anxious. If I try 0.5mg Zoloft I felt nothing and still got anxious.

 

You might want to try 0.75mg.

[Shashal]

9 hours ago, Altostrata said:

 

You might want to try 0.75mg.

 

Thanks for your great and wise advice Altostrata,

 

yesterday I tried 0.75mg Zoloft and experienced extremely fatigued and tight muscle, so today I tried 0.5mg again, only sleepiness 3 hours after dosing, and felt ok until now.

 

I got good sleeps from 12am - 7am and woke up with shaking body, and anxious during early morning, the anxious is not as strong as beginning.

 

Now I believed this time is still a withdrawal from Zoloft or Benzo after 16 months off after I read some stories from SA who were suffering with a severe setback.

 

Here is the clue and timeline I remembered which might caused this setback and should avoid in the future:

 

Mar. 9 Cardio training which I haven't had for almost 2 years.

During March, I felt some tiny brain zap and not feeling well after I woke up, I think that was not a good sign...

 

Mar. 16 Benign paroxysmal positional vertigo (BPPV) before I took a flight, felt sick all day but recovered after sleep.

CT creatine for workout supplement which I used for months before my travel, I found someone said they have withdrawal symptoms after they stop using it.

 

Mar.20 Took the ride of roller coaster 2 times with nervousness

 

Mar. 21 - 28 Got enteritis and prescribed with antibiotic - Cefaclor

I found a huge number of studies that antibiotic may cause the anxious and depression problems because they destroyed the balance of probiotics to mess up our brain-gut axis,

and lots of friends in SA reported they got setback from taking the antibiotic

So I added the probiotics supplements during my setback especially the lactobacillus helveticus and bifidobacterium longum not sure if they helped

 

Mar.29 BPPV again before bed, got insomnia and muscle twitch, that was totally felt not good and terrified of relapse.

Took Merislon (Betastastine mesylate) 3days after that, and followed the BPPV self treatment video to get recovered.

 

Apr.3  Setback with endless anxious 1hour later after I eat a black tea ice cream (contain caffeine I think)...

 

and I used 1/4 Trazodone on and off to aid sleep during these days and stop it after I took the Tandospirone

 

Now I‘m taking 10mg Tandospirone (Similar to Buspirone) 3 times a day and 0.5mg Zoloft

 

Supplements: GABA, melatonin, probiotics, oryzanol, complex vitamin B and fish oil.

 

 

 

 

 

 

[Shashal]

Hello @Altostrata

 

I had took 0.5mg Zoloft for 3 days, and today I still felt it's too strong for me, I took 0.5mg Zoloft at 9am, and at around 2pm I started feeling muscle pain and shoulder tight, shaking, heart pounding, can I take 0.25mg tomorrow? And when can I tapper this tinny dosage or just jump at 0.25mg?

 

I don't know if Zoloft works, my anxious got better now, not sure if it's related to Tandospirone, or maybe I just don't need Zoloft at all?

 

Thank you Alto and any one can help 🤗

[Altostrata]

Many people get bad symptoms after taking antibiotics.

 

What is your daily drug schedule (time o'clock) for each drug, with dosages?

 

If you find you get a bad reaction after taking 1mg Zoloft, you might reduce it to 0.5mg. You can taper it later.

 

It's always difficult to figure out what to do when you change 2 drugs at once, as you did on April 4 -- reinstating both Zoloft and tandospirone.

[Shashal]

1 hour ago, Altostrata said:

Many people get bad symptoms after taking antibiotics.

 

What is your daily drug schedule (time o'clock) for each drug, with dosages?

 

If you find you get a bad reaction after taking 1mg Zoloft, you might reduce it to 0.5mg. You can taper it later.

 

It's always difficult to figure out what to do when you change 2 drugs at once, as you did on April 4 -- reinstating both Zoloft and tandospirone.

Thank you @Altostrata,

 

here is my daily drug schedule from April 28,

 

9:00 10mg Tandospirone 0.25mg Zoloft
16:00 10mg Tandospirone

23:00 10mg Tandospirone

 

and my dosage for Zoloft is

 

4.6 25mg (too high)

4.7/4.8 0mg

4.9/4.10 5mg

4.11/4.12 1mg

4.13/4.14/4.15 2mg

4.16 1mg

4.17/4.18/4.19 0mg

4.20 1mg

4.21 0.5mg

4.22 0mg

4.23/4.24 0.75mg

4.25/4.26/4.27 0.5mg

4.28 0.25mg

 

my anxiety got mild and controllable, sleep got well from 4.24, don’t know if I should keep a low dose of Zoloft or I don’t need them at all.

[Kalmar]

23 hours ago, Shashal said:

round 2pm I started feeling muscle pain and shoulder tight, shaking, heart pounding

It can be anxiety or not? It's very similar symptoms so hard to tell it is from Zoloft or it's anxiety or low panic attack.

[Shashal]

32 minutes ago, Kalmar said:

It can be anxiety or not? It's very similar symptoms so hard to tell it is from Zoloft or it's anxiety or low panic attack.

Hi Kalmar,
 

I believe it’s not anxiety or panic attack because it’s different feeling hard to describe, just like a sudden adverse reaction without mental fear, kind of stimulated, mini serotonin syndrome…

[Shashal]

Quick update here,

 

as I took 0.25mg Zoloft today, I started to feel anxious again in the afternoon, don’t know if it’s related to Zoloft…

 

I will up dose a little but less than 0.5mg and see what happens… 

[Altostrata]

 

13 hours ago, Shashal said:

4.20 1mg

4.21 0.5mg

4.22 0mg

4.23/4.24 0.75mg

4.25/4.26/4.27 0.5mg

4.28 0.25mg

 

Over the last 8 days, you've made 7 changes in dosage. Passing symptoms like shoulder tightness or anxiety might be random or due to something else. Please stop changing your dosage. What you're doing only confuses the picture and makes daily notes meaningless. We cannot help you if you continue to do this.

 

13 hours ago, Shashal said:

my anxiety got mild and controllable, sleep got well from 4.24

 

If I were you, I would have left well enough alone. You need to give a dosage change more than a few days to see its full effect.

 

We're not about treating your symptoms with drugs here. Please see a doctor for that. What we want to see is an overall average improvement in withdrawal symptoms. If your sleep improved, that's a good sign. 

 

It may take some time for gradual stabilization. You will need to be patient. Please hold at one dose for 10 days and let us know how you're doing.

[Shashal]

4 hours ago, Altostrata said:

It may take some time for gradual stabilization. You will need to be patient. Please hold at one dose for 10 days and let us know how you're doing.

 

 Thanks Alto,

 

 I will hold at 0.4mg for a while 🤗

[Shashal]

Dear SA,

 

It’s been 4.5 months from my antibiotic setback, and 20 months off the 1st round of benzo and AD. I can see the improvements from these days, 6 weeks without significant symptoms and almost 85% healed from this setback until I hit by a big wave these days.

 

I don’t have a clue why I got this wave so bad as I just got better and better. Maybe I pushed me too hard to start the exercises 1 and a half week ago or ate ice cream with pure black chocolate two days in row (I found some small waves started at the same time as I ate the same ice cream, don’t know if it was a coincidence), or I used the steroid spray (Fluticasone Propionate) twice few days ago, don’t know, maybe related to all of them.

[Shashal]

In May, I failed to reinstate the Zoloft as Alto advised that I got adverse effect, so I stopped and only took Tandospirone (Similar with Buspar), this kind of drugs has a very tricky thing that it has a delay onset of action, that means you have to wait 2-4 weeks to feel the effect, and also the adverse effects.

 

I cannot tolerance Zoloft anymore because after I took them even only 1mg I can feel the mild Serotonin Syndrome which made me muscle stiffness, restlessness, head pressure etc., and after 7 weeks taking the Tandospirone, I stared feeling the same symptoms. I did some research about the Tandospirone, it’s a class of 5-HT1A receptor partial agonist, it desensitized the 5-HT1A receptor after weeks and raises the serotonin level in brain, that can explain why I felt the same high serotonin symptoms after 7 weeks use. But when the 5-HT1A receptor desensitized, it has a continue effects after stop using it, I got agitation and insomnia even I dropped down the Tandospirone.

 

I tried to use 1mg of Cyproheptadine the treat this and it works! After I stopped using the Tandospirone, I felt better and better day by day.

 

After 18 days not using the Cyproheptadine, I reinstated 0.85mg of it during this wave, I found it works well with my insomnia and anxious. 

[Shashal]

Another very tricky supplement is lavender oil.

 

I found some positive reviews in SA for lavender oil to treat anxious, so I tried the brand name Sermind which contains 80mg Silexan lavender oil. I felt significant anti-anxiety effects after 20 mins I took it, I thought it might be the coincidence. But I felt the same next day. I thought I found the cure for the anxious that I had already have bad effects from Tandospirone.

 

I stop taking Tandospirone and took Sermind instead, it worked well in three days, for the fourth day, I stared to feel dry mouth, muscle pain, agitation, head pressure… Even one drop of it can trigger the symptoms in the day 7, the same symptoms of high serotonin! What the heck?!

 

Then I did the research for the Silexan lavender oil, I found lavender oil is affects on 5-HT1A receptor too. 

 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4360214/

 

So if you sensitive to any serotonergic drugs, or you have any serotonin toxicity symptoms, you may want to avoid lavender oil.

 

Other supplement I took:

 

Fish oil, Melatonin (somtimes), Ashwagandha, GABA, L-Theanine, vitamin B complex, probiotics, vitamin C 

 

Only L-Theanine sometimes works well to claim me down, but not always, and sometimes its relief the akathisia somehow.

[Shashal]

Just make an archive for my full signature here

——————————————————————————————————————————————————————

 

Dependence of 0.4mg Xanax night dose only within 8 weeks, felt unreasonable anxieties in afternoon. Tried twice C/T and failed with severe symptoms then reinstated and up-dosed then switched to 7.14mg Valium 6.27 7.14mg 7.4 5.92mg felt much better and got some windows  7.11 4.74mg 7.18 3.79mg 7.25 2.93mg got harder and slowed down a little 8.1 2.14mg felt good then speeded up 8.8 1.32mg speeded up too much now holding at 1.25mg felt bad but not bad as C/T  8.15 1.25mg felt a little improvement will try to continue my progress 8.22 0.79mg 8.28 0.5mg 8.29 Jumped (Never thought AD WD is a big deal so didn’t record the dosage for Trazodone )

 

9.12 Still on 100mg Zoloft prescribed by doctor who denied I was in benzo withdrawal but only anxiety from June / 25mg-50mg Trazodone on and off for sleep 9.15 Stop taking Trazodone symptoms not steady  9.16 50mg Zoloft before bed 75mg Zoloft in the morning up-dosed 25mg Zoloft to see if can replace the Trazodone  9.17 Failed, back to 100mg Zoloft in the morning, 20mg Trazodone before sleep 9.22 Got little stabilized, 90mg Zoloft in the morning, 18mg Trazodone + reinstated 1mg Valium for sleep 9.29 80mg Zoloft + 18mg Trazodone + 0.9mg Valium, stabilized 10.6 72mg Zoloft + 18mg Trazodone + 0.8 Valium 10.13 64mg Zoloft + 18mg Trazodone + 0.7mg Valium, blood test got positive result of D-dimer, made extra test for blood clot but nothing found, don’t know if it’s Zoloft related 10.20 Zoloft 56mg + 16.5mg Trazodone + 0.7mg Valium, only little symptoms of tinnitus, wake up early, fatigue and muscle pain. 10.27 Zoloft 48mg + 16.5mg Trazodone + 0.7mg Valium 11.3 41mg Zoloft + 16.5mg Trazodone, stopped taking Valium 11.10 36mg Zoloft + 16mg Trazodone 11.17 29mg Zoloft + 16mg Trazodone 11.24 22mg Zoloft +15mg Trazodone, D-dimer level went to normal 

12.1 15mg Zoloft + 15mg Trazodone 12.8 10mg Zoloft + 15mg Trazodone 

 

2019.12.15 Jumped Zoloft at 4mg 2020.1.4 Jumped Trazodone at 5mg  2020.6.1 95% healed! 

 

2021.4.6 Reinstated 1mg Zoloft and 10mg x3 Tandospirone for anxiety setback from antibiotics 2021.4.25  0.5mg Zoloft and 10mg x3 Tandospirone 2021.5.7 Jumped Zoloft at 0.25mg as adverse effects  2021.6.2Tapered and jumped Tandospirone as mild serotonin syndrome Couldn’t take Seremind (Lavender oil) neither it could also cause the serotonin syndrome  2021.6.13 1mg Cyproheptadine before bed and got better and better 2021.8.13 Bad wave don’t know if triggered by chocolate ice cream 

[Shashal]

Dear SA,

 

after the three months wave I think it is not waves just the second round of my setback.

 

Normally my waves only lasts for 2-3 days when I felt almost normal since July, but this time for almost 3 months I never felt stabilized.

 

My symptoms cycling as:

Anxiety

Insomnia

Akathisia

Tremors

Cortisol spike

 

I think it is the delayed WD of Tandospirone. The Tandospirone raised my serotonin to a intolerable level for me by desensitized the 5-HT1A receptor after 7 weeks use, so I did a fast taper with no issue, and maybe I got the benefit of the high serotonin to help to desensitize my CNS (similar effects as an SSRI which I can’t tolerate anymore ) then I back to normal for weeks. With time goes by, my serotonin level dropped to normal (I tried to reinstated my last dose which made me can’t tolerate and it’s OK now without the same symptoms before) but my CNS is still sensitive, and by eating the trigger food chocolate, it set me back.

 

So 3 months is longer than recovered from my last setback, i’m now reacted to everything stimulating. May I ask for your advice if there is any options I can take?

 

Reinstatement a tiny dose of Tandospirone?

Try CBD oil, 5htp or any other supplements?

 

Another thing to report, I took 2mg seroquel for 4 times, every time it caused the akathisia in the morning and faded after hours, and then I had days of windows, very weird. But I’m scared to try more because akathisia is so terrible.

 

Sometimes when I over stimulated myself, the akathisia returned badly in the next day.

[Shashal]

Quote

Repeated nervous system injuries cause more and more intense symptoms -- a phenomenon called "kindling."

This is what I’m worried about, I got waves more intense after waves, is that mean every setbacks or waves will trigger more intense symptoms in the future?

 

I almost healed after an antibiotic setback after 3 months by reinstated Tandospirone (Similar class of Buspar), but I got mild serotonin syndrome after 8 weeks usage so I did a fast taper then symptoms almost gone. Then I got another setback or waves 6 weeks later triggered by food, and now another 3 months away seems no relief and get worse, don’t know what to do…

[Shashal]

Dear @Altostrata,

 

I need your kindly advise please, now I'm very sensitive to all serotonergic drugs and supplements, here are what I tried to get some relief:

 

1, Reinstated as little as 0.4 mg Tandospirone*(see information at bottom of post), it was fine in the beginning, it eased my anxious very soon and made me a little sleepy, but when I hold the dose for 2 -3 days, things getting worse as I start to feel the overstimulate effect, e.g., agitation, movements akathisia, brain fog, head pressure, muscle tension and insomnia 

 

2, Same effects for lavender oil I only took half drop as needed (one for a day max), but the different is it will not cause the muscle tension immediately as Tandospirone, but when it left my body, I will get muscle pain very much.

 

3, CBD (Broad spectrum without THC), it relaxed me very much (I think it was too much), the anxious gone and slept very well in the first week, then the same thing happened, woke up early with agitation, movements akathisia, then very anxious or extremely fatigue during the day with the muscle pain, so I stopped.

 

4. Then I tried 5mg 5HTP in the morning, made me muscle tension and the symptoms go away in the evening, and I woke up with agitation the next morning. I tried 3mg the next day, nothing helped with my anxious, so I tried another tiny dose of Tandospirone, then muscle tension, head pressure then my nose just closed.

 

5. I think all these unstable is due to the short half-life, so I tried 0.2mg Lexapro in the morning, around 2 o’clock muscle tension, head pressure very strong, and it goes away in evening, then I felt muscle pins and needle. I woke up early with anxious and burning muscle. Then I tried 0.04mg Lexapro next day, still strong muscle tension and it lasted all night made me cannot sleep.

 

Now I’m taking fish oil, magnesium, ashwagandha, L-Theanine, 1mg Melatonin, GABA, B-complex

 

0.5mg Valium, 1mg Lamictal

 

So would you please give your advice for me? Thank you Alto

 

* Tandospirone is an anxiolytic and antidepressant drug ... It is a member of the azapirone class of drugs and is closely related to other azapirones like buspirone and gepirone.Wikipedia

 

 

Edited December 2, 2021 by ChessieCat
added information of drug

[Altostrata]

What do you want help with? It was you who decided to take tandospirone.

[Shashal]

4 minutes ago, Altostrata said:

What do you want help with? It was you who decided to take tandospirone.

 

Sorry Alto, I thought Tandospirone had helped me someway.

 

I hope there is something can keep my serotonin not drop too much as I can feel sensitive when it drops down, or anxiety, fatigue…

 

And dose 1mg Lamictal good or bad for my situation?

 

Thanks a lot!

[Altostrata]

The serotonin depletion theory is nonsense.

 

On 4/28/2021 at 3:22 PM, Altostrata said:

We're not about treating your symptoms with drugs here. Please see a doctor for that. What we want to see is an overall average improvement in withdrawal symptoms. If your sleep improved, that's a good sign. 

 

We're still not about treating your symptoms with drugs. If you want to take more drugs, please see a doctor.

[Shashal]

22 minutes ago, Altostrata said:

The serotonin depletion theory is nonsense.

 

 

We're still not about treating your symptoms with drugs. If you want to take more drugs, please see a doctor.

 

Thank you Alto,

 

I'm not want to take more drugs, because I think I have the delayed onset withdrawal from Tandospirone.

[Altostrata]

You're not taking any drugs now? How about just letting your nervous system settle down, without trying to fix it? See

 

The Windows and Waves Pattern of Stabilization

 

Are We There Yet? How Long is Withdrawal Going to Take?

 

"Is it always going to be like this?"

 

[Shashal]

Thank you Alto, 

 

I will try to settle my CNS by themselves ❤️

[Shashal]

Two months ago I started to take Curcumin Elite, I started to experience more frequently muscle tension, insomnia, tingling, akathisia and agitation, I just thought that was something else until I stop all my meds and found after I dosing the curcumin, I start to have muscle tension and jaw pain.

 

I’m severely sensitivity to serotonergic meds, even 0.001mg SSRI will give me muscle tension and blurred vision. I think I have some dopaminergic problem but the 18F AV133 PETCT showed a normal dopamine reuptake result. I can’t take lavender essential oil (Silexan) either which acts on 5HT1a receptor.

 

And now I screwed up, I tried to stop taking it but 4 days later I started to have withdrawal from it! Muscle tension, head pressure, withdraw anxiety, akathisia, agitation… When I took it back I still have adverse effects. So whether I reinstate it or not I feel the same bad at all!

 

MAOIs can increase both serotonin and dopamine, so that’s why I didn’t feel muscle tension at the first place I took it, just some random time I think there is some imbalance from my serotonin and dopamine, but if the serotonin is raise quickly than dopamine I will have the muscle tension. And when I withdraw from it, my dopamine system is more sensitive to the drop level of it, so muscle tension again…

 

Now I don’t know what to do right now, anyone have any advice for me?