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Erell: struggling with paroxetine


Erell

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We never know the exact amount of fluoxetine to substitute in the Prozac switch. Could be a little more will stabilize you.

 

Given its long half-life, it will take at least a week for that increase in fluoxetine to take full effect. You may feel fluctuations for a while.

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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Hey lovely @Erell, Thinking of you, sending hugs.   ALL I want to say is this: it's three years since my personal nightmare began. June 2018 was when everything went to s**t. It's nearl

((((((((( @Erell ))))))))))) BIG CUDDLE from me to you    i know exactly how you feel. Every one of us going through this  or have been through this do.  @mstimcdescribes coping perfect

Dear Erell   The middle of my WD and recovery were the worst for me as well.   It seemed each day was no better than the one before and held no hope for a better tomorrow.  But ever so slowl

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18 hours ago, Altostrata said:

We never know the exact amount of fluoxetine to substitute in the Prozac switch. Could be a little more will stabilize you.

 

Given its long half-life, it will take at least a week for that increase in fluoxetine to take full effect. You may feel fluctuations for a while.

 

Yes, it is impossible to predict which amount will be sufficient to substitute. We can only make bets ;)

It was quite nice to hope that 5 or 6 mg would be sufficient, with a shorter taper after ! ;)

 

But in my case it didn't work, and that's ok. Now I have to hope patiently that 7mg will help with strong neuroemotions and makes me functionnal again.

 

There will be more bets next months while trying to get off Paroxetine and finding the 'best' Fluoxetine amount to do so.

I must confess it scares me.

I'm probably dealing with too much neuroemotions now to think clearly and with confidence. It's been 2.5 months since I started this switch, and I'm probably tired of my bumpy year.

Time only will say what will work.

 

And yes fluctuations is the right current word :D

 

But I also have to remember that I posted this only 20 days ago

" I'm doing way better :

 - reinstated 0.1mg Paroxetine 2 weeks ago, and after one week had moments while I felt almost symptomfree...! Can't tell how wonderful it was to realise that weird chemical anxiety had gone.

- I still have some chemical anxiety/dizziness, but very low, with some spikes. Actually, it feels like if Fluoxetine is progressively kicking in."

 

Remembering this post helps me to believe that my switch is working, and that I'm just facing an obstacle on the assured and close road to stabilisation ;)

 

 

I'm really grateful for your presence and opinions during this bumpy bridge. I feel my lack of knowledge and experience to take the best decisions during this long crossover, and interprete the process, so it is very valuable to benefit from your experience and dispassionate suggestions. 

Thank you ❤️

 

Edited by Erell

2006 : 20mg Paxil + Bromazepam

2008 : cold turkey of both

2010 : 20mg Paxil + Bromazepam

2014-June2017 : Switch from Bromazepam to Prazepam, taper to 0.

2018 to August 2019 : Paxil 20mg taper (3% every 15 days).

- 22 Aug 2019 updosed To 10mg (was at 8.4mg)

25th Sept 2019 To April 2020 : found SA, holding at 10mg Paxil. 

April 2020 : Paxil 10mg to Prozac 7mg bridge. Details topic/21457-

 

Current Supplements : magnesium citrate/ fish oil/ evening primrose oil 

 

Current medication :

* 1mg Diazepam (since 29 Aug 2020)

* Prozac : 6.92mg (23 Jun 2021)

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  • Mentor

Sorry to hear that you are struggling. 🙏It’s true we are all different and what works for one might not work for another. I know this journey is scary, I was also really afraid when I started my taper in January 2019. 
For what it’s worth in my experience tapering of Prozac was a much gentler ride, I think cause of its half life. You have come along way, and I will pray that you can stabilise soon, at least get some relief. 
My thoughts are with you Erell💖

Stay strong, don’t be hard on yourself, you are doing everything that you can. 

And please have faith in yourself.

I want to tell you that in my darkest moments I use to talk to myself out loud, encouragement words, like : you can do this, you will survive and so on. Be your own best friend🥰

Hugs to you💖

Prescribed Paxil 20 mg year 2000 for panic attacks.

Many attempts through out the years to quit.

2019 tapered from 20 mg to 10 mg. Got stuck there, decided to bridge with Fluoxetine. 
2020 March off Fluoxetine 

2020 Oct- nov started deteriorating, followed by severe crash. 2021 Reinstated fluoxetine by small amount, until I reach 9 mg

Tapering 10% every 4-6 weeks and longer holds if necessary 

12/5 2021- 8.5 21/5 8.0 15/6 7.5 20/6 7.2 changed to liquid tapering 10/7  7.0  19/7 6.5 

 

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Longroadhome
2 hours ago, Erell said:

 

Yes, it is impossible to predict which amount will be sufficient to substitute. We can only make bets ;)

It was quite nice to hope that 5 or 6 mg would be sufficient, with a shorter taper after ! ;)

 

But in my case it didn't work, and that's ok. Now I have to hope patiently that 7mg will help with strong neuroemotions and makes me functionnal again.

 

There will be more bets next months while trying to get off Paroxetine and finding the 'best' Fluoxetine amount to do so.

I must confess it scares me.

I'm probably dealing with too much neuroemotions now to think clearly and with confidence. It's been 2.5 months since I started this switch, and I'm probably tired of my bumpy year.

Time only will say what will work.

 

And yes fluctuations is the right current word :D

 

But I also have to remember that I posted this only 20 days ago

" I'm doing way better :

 - reinstated 0.1mg Paroxetine 2 weeks ago, and after one week had moments while I felt almost symptomfree...! Can't tell how wonderful it was to realise that weird chemical anxiety had gone.

- I still have some chemical anxiety/dizziness, but very low, with some spikes. Actually, it feels like if Fluoxetine is progressively kicking in."

 

Remembering this post helps me to believe that my switch is working, and that I'm just facing an obstacle on the assured and close road to stabilisation ;)

 

 

I'm really grateful for your presence and opinions during this bumpy bridge. I feel my lack of knowledge and experience to take the best decisions during this long crossover, and interprete the process, so it is very valuable to benefit from your experience and dispassionate suggestions. 

Thank you ❤️

 

You chose the only route you could because of Paxil liquid not being available to you. 
Once you have stabilised on the dose required it will be easier to taper from because of it’s longer half life 

hang in there thinking of you 

LRH 
 

October 2004 Paxil 20mg - October 2018, 14 years

Nov 2018 Pregabalin - 2x50 mg a day to help with Paxil WD

August 2019 Pregabalin - 2 x 25mg a day 

April 2020 Pregabalin - 45mg, May 40mg, June 35mg, beg July 30mg, end July 25mg, Aug 24mg 

June 2021   Pregabalin - 14mg,

October 2018 Paxil - 20 mg, November 15mg, December 10mg  

February 2019 Paxil- 7.5mg crashed, February 8.5mg, Nov 8mg 

March 2020 Paxil - 7.2mg, April 6.5mg, May 5.9mg, June 5.4mg, July 4.8mg, December 4.5mg 

January 2021 Paxil - 4mg, February 3.6mg, March 3.2mg, April 2.9mg

 

these dates are approximate 

 

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  • Administrator

How are you feeling with that slight increase?

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.

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  • Moderator
4 hours ago, Altostrata said:

How are you feeling with that slight increase?

 

- Doom feelings and SI surges have faded and are now mild. 

- High anxiety/dread may have faded slightly, hard to tell. Very intense all day.

- Cortisol rushes still strong(night and morning).

 

Waiting for Fluoxetine to ramp up ;)

Edited by Erell

2006 : 20mg Paxil + Bromazepam

2008 : cold turkey of both

2010 : 20mg Paxil + Bromazepam

2014-June2017 : Switch from Bromazepam to Prazepam, taper to 0.

2018 to August 2019 : Paxil 20mg taper (3% every 15 days).

- 22 Aug 2019 updosed To 10mg (was at 8.4mg)

25th Sept 2019 To April 2020 : found SA, holding at 10mg Paxil. 

April 2020 : Paxil 10mg to Prozac 7mg bridge. Details topic/21457-

 

Current Supplements : magnesium citrate/ fish oil/ evening primrose oil 

 

Current medication :

* 1mg Diazepam (since 29 Aug 2020)

* Prozac : 6.92mg (23 Jun 2021)

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  • Administrator

Good signs.

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.

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  • Mentor
Cocopuffz17
18 hours ago, Erell said:

 

- Doom feelings and SI surges have faded and are now mild. 

- High anxiety/dread may have faded slightly, hard to tell. Very intense all day.

- Cortisol rushes still strong(night and morning).

 

Waiting for Fluoxetine to ramp up ;)

Hang in there ! You got this and will get through this :) 

I follow The Plant Paradox lifestyle by Dr.Gundry. This lifestyle has given me my life back and I feel better than I have ever felt in my life. It has enabled me to finally get off of this medication and truly live my life. Nutrition is the key to health!!!!! 

2008 to 2019  - 20 mg Paroxetine

Attempted 2 CT's around the 5-6 year mark. Were absolutely terrible and reinstated. Was never explained by the doctor the seriousness of the short half life of this drug. 

2017 - Attempted a tapered discontinuation of this drug and reinstated after being unsuccessful.

2019 - Feb. 12 - After a three month taper I am off of paroxetine. The 3 months were terrible, awful withdrawal feelings. I followed the doctors guidelines for the reduction of this drug and now know it was way too fast. 
2019 - Oct. 12 - 8 months off paroxetine. 75% improvement since coming off the drug. Definitely have had tons of challenges along the way. Let’s go!!!! 

2021 - Feb. 12 - 24 months off paroxetine. I have minor challenges now. Tinnitus/Headaches are still around but are reduced by a massive amount. 

 

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12 hours ago, Cocopuffz17 said:

Hang in there ! You got this and will get through this :) 

Thank you ❤️

 

Really appreciate your support dear folks ❤️

 

After 2 weeks forcing myself, I didn't manage to go to work this morning, because of unmanageable crying spells and inability to focus (yesterday I did only mistakes at work because all my strenght was focused on trying to behave). I can't function or work currently, symptoms are too intense (mostly dread /impending doom feelings / uncontrollable crying spells and SI / strong nauseas/ cortisol rushes/ racing thoughts).

Trying to find a dr that will accept to prescribe some time off.

 

While in crisis, I'm quite obsessed by the idea of finding some hope and reassurance.

And I still feel quite lost about understanding what's happening, what I can reasonably expect next couple of months.

I re-read threads from people who did a Prozac bridge. 

And there are people who managed to ;) Reading the testimonies, it appears that my mistake may have been to try a too low Fluoxetine amount.

People who did successfull bridges attempted higher equivalencies : for example 10mg Paxil ---> 10mg Fluoxetine.

 

It's only been 4 days since I increased to 7mg, so I have to wait to see if it helps.

 

I'm not complaining or regretting : I did the best I could, making researches and following careful advices.

I'm just hit by the fear of a long PAWS from Paxil, and dealing with so intense dark feelings.

 

I also use a lot of nondrug coping skills : mindfullness, listening to sweet music, relaxation session, talking positive out loud, trying to change the channel by doing acitivities (cleaning, gentle walks, ...).

 

But while falling down in a very dark place, I read a lot your nice words and want to thank you and let you know how much your support is valuable atm ❤️

 

Let's hope for brighter days,

 

One day I will be better and dance ☀️

 

 

Edited by Erell

2006 : 20mg Paxil + Bromazepam

2008 : cold turkey of both

2010 : 20mg Paxil + Bromazepam

2014-June2017 : Switch from Bromazepam to Prazepam, taper to 0.

2018 to August 2019 : Paxil 20mg taper (3% every 15 days).

- 22 Aug 2019 updosed To 10mg (was at 8.4mg)

25th Sept 2019 To April 2020 : found SA, holding at 10mg Paxil. 

April 2020 : Paxil 10mg to Prozac 7mg bridge. Details topic/21457-

 

Current Supplements : magnesium citrate/ fish oil/ evening primrose oil 

 

Current medication :

* 1mg Diazepam (since 29 Aug 2020)

* Prozac : 6.92mg (23 Jun 2021)

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sunnysideup69

Brighter days are coming, @Erell.

I think it's good if you can get some time off, trying to put on a 'face' at work is stressful when symptoms are high.

Sending hugs and support.

January 2008 to April 2015 Citalopram 20mg to 5mg, reducing in 50 per cent leaps. Jumped off at 5mg

March 2016 used MDMA triggered setback

April 2016 Citalopram 10mg October 2016 cut to 5mg, May 2017 cut to 2.5mg

May 2018 used MDMA triggered setback

June 2018 Citalopram 2.5mg up to 10mg, then back to 5mg

July/ August 2018 7.5mg, then 10mg

June 2019 updosed to 20mg Citalopram

August 2019 cold switch to Venlafaxine 75mg XR

Supplements; 1100mg fish oil daily; also 100mg Magnesium Glycinate. Tried Vagifem 10mcg from mid May 2021 to mid June 2021; caused depression, so stopped.

 

 

 

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Hi  Erell

 

Good job to not regret and have hope. So important for getting better. 

 

Fingers crosses. Don't stop to be positive even if you have difficulties. What a beautiful message of hope and you're right. 

 

I want to dance too. One day we will dance my dear. 

 

Kisses

 

 

 

2018 : 29 July xanax 0,125x 2 12 Aug 0,25 x 2  28 Aug clotiazépam 5x2 4 Oct Prazepam : 5-5-7,5 to 3,5-3,5-6,5 25 oct 10x3 21 nov 9,5 x3/ Now Taper 2% / 21days = 19 may 2019 7,32x3/ Now 5%/8 days =10 july 5,145 x3 /Now 2% / 21 days = 27 sept 4,75x3/ Now 1%/21 days = nov 4,70 x3 dec 4,65x3 jan 2020 4,60x3 feb 4,50x3 march 4,45x3 april 4,385x3 may 4,32x3 

 

2018 : 29 Aug Venlafaxine 75mg XR 19 sept 37,5mg 4 oct 75mg18 oct bridge sertraline 1 nov Sertraline 50mg slow taper until mi April 2019= 25mg

15 July Escitalopram 5mg 20 Ju 4mg 22 Ju 3,25mg 23 ju 2,5mg  25 ju 2,25mg 8 Aug 2 mg 16 Aug 1,75mg 20 Aug 1,50mg 12 sept 1,25mg 24 sept 1,38mg 28 sept 1,50mg 8 Jan 1, 60mg

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Longroadhome

Erell

do not despair and beat yourself up. 

you did the right thing by changing because of liquid form of Paxil not being available to you . I would have done exactly the same In your shoes. 
hang in there 

it will get better. You could very well turn a corner tomorrow that’s how strange WD is.
have you read Baylissa Frederick books ? They are so good and she is so reassuring that we all recover from WD. believe in this because it is true. If you get the opportunity you can book a phone appointment with Baylissa. She has dealt with many many MANY people going through WD from all around the world  And is so reassuring . She also has a website Bloom In Wellness which I highly recommend. 
 
thinking of you 

LRH 

 

October 2004 Paxil 20mg - October 2018, 14 years

Nov 2018 Pregabalin - 2x50 mg a day to help with Paxil WD

August 2019 Pregabalin - 2 x 25mg a day 

April 2020 Pregabalin - 45mg, May 40mg, June 35mg, beg July 30mg, end July 25mg, Aug 24mg 

June 2021   Pregabalin - 14mg,

October 2018 Paxil - 20 mg, November 15mg, December 10mg  

February 2019 Paxil- 7.5mg crashed, February 8.5mg, Nov 8mg 

March 2020 Paxil - 7.2mg, April 6.5mg, May 5.9mg, June 5.4mg, July 4.8mg, December 4.5mg 

January 2021 Paxil - 4mg, February 3.6mg, March 3.2mg, April 2.9mg

 

these dates are approximate 

 

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13 hours ago, Longroadhome said:

have you read Baylissa Frederick books ? They are so good and she is so reassuring that we all recover from WD.

This is so true!! I’ve just read her book, « With hope in my heart » and it gave me so much hope! I highly recommend it. 
There is two quotes from her book that I’m repeating myself when I’m feeling down: « This too shall pass » and my favorite one, « The usual Outcome of withdrawal is recovery ». 

The last one is my new mantra! 

Take care of you, dear Errel!

 

Hugs to you from Montréal!

À bientôt!

 

2008-2019: various ADs at various doses, initially for anxiety related insomnia.

2015: C/T Paxil - GP switch me to Mirtazapine and Pristiq. 2018: Switched Pristiq to Venlafaxine (For tapering)

2019-01: Stopped Venlafaxine after a 10 months taper. Updosed Mirtazapine to 45mg.

Summer 2019: Fast taper of Mirtazapine. Sept 2019, down to 30mg, hit bad W/D symptoms, so updosed to 45mg.

Tried escitalopram 10mg, C/T after 4 weeks. Tried Buspar, C/T after 5 days.

Jan 2020: Second mirtazapine weaning attempt, but end of january, big wave of symptoms, back to 45mg Mirtazapine.

Feb 2020: 50mg quetiapineXR, CT after 1 week. 21 Feb 2020, found SA and staying on 45mg Mirtazapine, waiting for stabilization.

Quetiapine 25mg  PRN since may 2019, March 2020 stopped.

Mirtazapine taper, from 45mg:  2020-10-21 43.88mg, 10-28 42.75mg, 11-04 41.63mg, 11-11 40.5mg, 11-24 41.6mg, 12-03 42.20mg, updose 2021–01-15 to 42,7 and holding.

Ativan prn since jan 2021. Became accidentally dep. March 2021.
2021-03-21 Ativan 0,29mg / 2021-03-28 0.28mg/ 2021-04-08 0.27mg/ 2021-04-26 0.25mg

Supplements: Magnesium Glycinate, Omega-3, D vit, Probiotic.

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Bonjour @Erell - I am sending you the warmth of the sun, the scents of lavender fields, and the sweet song of the cigales! And the gentlest hug! 

2008-2016 - Lexapro 10 mg, tapered to 2.5 mg over one year then CT without issues
Feb 2 - July 24, 2019 - restarted Lexapro 5 mg for insomnia

July 25 - Nov 19, 2019 - Lexapro 10 mg, resulted in increased anxiety and depression
Nov 20 - Dec 11, 2019 - 3-week FT from Lexapro 10 mg to 7.5 mg to 5 mg to 0
Dec 12, 2019 - Feb 4, 2020 - drug-free and feeling good until horrible WD hit
Feb 5 - Feb 16, 2020 - Paxil 10 mg, adverse reaction
Feb 18, 2020 - reinstated Lexapro 5 mg

Nov 22 - Dec 12, 2020 - transition from pill to homemade liquid

Dec 13, 2020 - 4.7 mg; Jan 3, 2021 - 4.5 mg; Jan 24 - 4.3 mg; Feb 14 - 4.2 mg; March 7 - 4.1 mg

 

daily meditation 10-40 minutes, yoga 30 minutes; CBT & ACT therapy

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  • Mentor

Dear Erell, believe that this will pass.

Your brain and body is repairing itself for a new you.

Imagine the feeling of a drug free life. No filter anymore. You will be able to look at the world in a new light. Have deeper connection with people, and feel your surroundings in a way it will take your breath away.
Imagine how good it will feel. All the hard work and suffering will pay off, in a way that will amaze you. See yourself whole, and the warm sun shining on your face in the future. This journey will make you stronger in the end, and you will look back someday and see, if you can survive this, well then you can accomplish anything

Hugs to you💖

Prescribed Paxil 20 mg year 2000 for panic attacks.

Many attempts through out the years to quit.

2019 tapered from 20 mg to 10 mg. Got stuck there, decided to bridge with Fluoxetine. 
2020 March off Fluoxetine 

2020 Oct- nov started deteriorating, followed by severe crash. 2021 Reinstated fluoxetine by small amount, until I reach 9 mg

Tapering 10% every 4-6 weeks and longer holds if necessary 

12/5 2021- 8.5 21/5 8.0 15/6 7.5 20/6 7.2 changed to liquid tapering 10/7  7.0  19/7 6.5 

 

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  • Moderator

Hello dears, 

 

and thank you for you sweet support ❤️ I really appreciate it and it helps me to hang on.

 

Baylissa Frderick books are not translated in French. But I sometimes read her website ;)

 

I'm absolutely certain that we all do heal, that's what helps me to hang on.

I read a lot Success Stories these days ;)

And I love visualising how good will life feel when I'll be drug free and healed ! I know I'll be able to deal with common emotions after this journey. 

I know it will get better ❤️

 

It's just very hard to hang on with strong neuroemotions and racing dark thoughts. And it has consequences on daily life : risk of loosing your job, financial issues, ... .

But you already know that.
Trying to build a safety plan (intesne SI) (grateful for the ressources I found in Sympomes and selfcare topic ❤️ )

Strong apathy, DR and DP (didn't recognise myself in the mirror this morning).

 

I'm a bit exhausted I think : I've struggled years to taper slowly benzos, then careful  Paroxetine taper.

And after a big crash, put a lot of hope in Prozac bridge. 

And now I'm crashing badly again.

Just could use some easier times, and I hope Fluoxetine updose will soon offer me this.

 

As always, This too shall pass ☀️

Edited by Erell

2006 : 20mg Paxil + Bromazepam

2008 : cold turkey of both

2010 : 20mg Paxil + Bromazepam

2014-June2017 : Switch from Bromazepam to Prazepam, taper to 0.

2018 to August 2019 : Paxil 20mg taper (3% every 15 days).

- 22 Aug 2019 updosed To 10mg (was at 8.4mg)

25th Sept 2019 To April 2020 : found SA, holding at 10mg Paxil. 

April 2020 : Paxil 10mg to Prozac 7mg bridge. Details topic/21457-

 

Current Supplements : magnesium citrate/ fish oil/ evening primrose oil 

 

Current medication :

* 1mg Diazepam (since 29 Aug 2020)

* Prozac : 6.92mg (23 Jun 2021)

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  • Moderator

Just a little gift from Brittany to thank you for your support ❤️

 

20200703_103120.jpg

Edited by Erell

2006 : 20mg Paxil + Bromazepam

2008 : cold turkey of both

2010 : 20mg Paxil + Bromazepam

2014-June2017 : Switch from Bromazepam to Prazepam, taper to 0.

2018 to August 2019 : Paxil 20mg taper (3% every 15 days).

- 22 Aug 2019 updosed To 10mg (was at 8.4mg)

25th Sept 2019 To April 2020 : found SA, holding at 10mg Paxil. 

April 2020 : Paxil 10mg to Prozac 7mg bridge. Details topic/21457-

 

Current Supplements : magnesium citrate/ fish oil/ evening primrose oil 

 

Current medication :

* 1mg Diazepam (since 29 Aug 2020)

* Prozac : 6.92mg (23 Jun 2021)

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  • Moderator
37 minutes ago, Erell said:

Just a little gift

Thank you, Erell.  You live in a beautiful country.

Gridley Introduction

 

Lexapro 20 mg since 2004.  Begin Brassmonkey Slide Taper Jan. 2017.   

End 2017 year 1 of taper at 9.25mg 

End 2018 year 2 of taper at 4.1mg

End 2019 year 3 of taper at 1.0mg  

Oct. 30, 2020  Jump to zero from 0.025mg.  Current dose: 0.000mg

3 year, 10 month taper is 100% complete.

 

Ativan 1 mg 1986-1991 CT, soon reinstated.  CT 2000. RI 1 mg 2011-2016.  Sept. 2016  0.625mg X 3

Nov.27, 2020, 7-week Ativan-Valium crossover + change to one 18.75mg dose, w/1 month hold.

Feb. 9, 2021, begin 10% every 4 weeks taper.  Current dose as of July 13: 10.0mgai.  Taper is 46% complete.

 

Imipramine 75 mg daily since 1986.  Jan. 2016 began every 3-weeks 10% taper, down to 16mgai (44mgpw).  Aug 2016, discovered SA, holding at 16mg.  Taper is 78% complete.  

  

Supplements: omega, vitamins C, E and D3, magnesium glycinate, probiotic, zinc, melatonin .3mg.


I am not a medical professional and this is not medical advice, but simply information based on my own experience, as well as other members who have survived these drugs.

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On 7/2/2020 at 2:10 PM, Erell said:

Hello dears, 

 

and thank you for you sweet support ❤️ I really appreciate it and it helps me to hang on.

 

Baylissa Frderick books are not translated in French. But I sometimes read her website ;)

 

I'm absolutely certain that we all do heal, that's what helps me to hang on.

I read a lot Success Stories these days ;)

And I love visualising how good will life feel when I'll be drug free and healed ! I know I'll be able to deal with common emotions after this journey. 

I know it will get better ❤️

 

It's just very hard to hang on with strong neuroemotions and racing dark thoughts. And it has consequences on daily life : risk of loosing your job, financial issues, ... .

But you already know that.
Trying to build a safety plan (intesne SI) (grateful for the ressources I found in Sympomes and selfcare topic ❤️ )

Strong apathy, DR and DP (didn't recognise myself in the mirror this morning).

 

I'm a bit exhausted I think : I've struggled years to taper slowly benzos, then careful  Paroxetine taper.

And after a big crash, put a lot of hope in Prozac bridge. 

And now I'm crashing badly again.

Just could use some easier times, and I hope Fluoxetine updose will soon offer me this.

 

As always, This too shall pass ☀️

How inspiring your post is erell❤, I liked your words alot. This is the best thing I read today.

I also like your hope that fluoxetine bridge will work but what is better than this and that, is your strength erell; you are strong and will never be down ❤.

 

i wasn't on a certain drug all the period. i took many drugs many times and for no very long period but to simplify.

--fluvoxamine maleate100 mg + amisulpride 200mg------started july 2012 and total taper in february 2015 ( 9 months without drugs then)

--sertraline 100mg -------started november 2015 and total taper (withoud reduction slowly) in november 2016( 4 months withoud drugs then).

--sertraline 100mg + quetiabine 25mg ( started in mars 2016 and for 7 months) then fluvoxamine maleate 100mg again for another 7months and after that a something like to use every drug for 14 days and for about 1.5 years.

--my last drug was trintellix 10 mg ( used it in 12/2018and total taper in 4/2019).

symptomts i have now ( bad concentration and problems in short and long memory+ bad depersonalization).

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  • Moderator

Prozac bridge update : 

- crashed badly after a drop from 0.1mg Paroxetine to 0.06mg Paroxetine

- updosed Fluoxetine to 7mg a week ago

 

Since the Fluoxetine updose

 

- symptoms this last 2 weeks have been hard ( anxiety-dread / cortisol rushes / depression-suicidal). 

- since 3 days : anxiety-dread and agoraphobia are much lower (❤️). Depression/despair/SI are still very hard to bear but I have some moments calmer.

+ since 3 days, evenings are a bit calmer than the rest of the day. 

It's like if during the day I'm utterly unable to feel hope, pleasure, colours, but in the evenings I can feel some tiny bits.

 

I'm off work now for a month.

Also gonna spend some days to my parents house in order to protect myself from SI surges.

During the days I try to fill my mind with beauty and good humour (watching the seaside, watching comedies). I'm not really able to feel beauty or to laugh, but I try to feed my spirit.

I also practice mindfullness, but must confess that it is hard to stay in the present when the present is violent.

 

I have moments while I feel tempted with an updose to 8mg Fluoxetine.

 

I dont believe anymore in the imbalance theory, but considering that my body works with SSRI since 10-15 years, I wonder if my violent depressed symptoms come from a lack of serotonin recapture.

Or if I'm mistaken and this is just a matter of a destabilised CNS and a much more complex process.

In which case, an updose to 8mg could be a mistake because of a risk of kindling.

 

@Altostrata : doest it make sense ? Or does it sound like I'm still too influenced by psychiatry lies ?

(no emergency of course, just willing to learn)

 

 

Everybody, take care ❤️

2006 : 20mg Paxil + Bromazepam

2008 : cold turkey of both

2010 : 20mg Paxil + Bromazepam

2014-June2017 : Switch from Bromazepam to Prazepam, taper to 0.

2018 to August 2019 : Paxil 20mg taper (3% every 15 days).

- 22 Aug 2019 updosed To 10mg (was at 8.4mg)

25th Sept 2019 To April 2020 : found SA, holding at 10mg Paxil. 

April 2020 : Paxil 10mg to Prozac 7mg bridge. Details topic/21457-

 

Current Supplements : magnesium citrate/ fish oil/ evening primrose oil 

 

Current medication :

* 1mg Diazepam (since 29 Aug 2020)

* Prozac : 6.92mg (23 Jun 2021)

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  • Administrator
Altostrata
8 hours ago, Erell said:

I wonder if my violent depressed symptoms come from a lack of serotonin recapture.

 

Nope. This doesn't happen.

 

The additional 1mg is gradually taking effect. It takes at least a week for it to fully register. Let's watch it for a while more. It could be another small increase, such as 0.5mg, will work.

Edited by Erell

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.

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  • Moderator
17 minutes ago, Altostrata said:

 

Nope. This doesn't happen

 

It seems that I still have unpatienting work to do.

It really is a process to deconstruct beliefs !

 

 Unfortunately, lots of books or references mentionned on SA are not translated in French (like "anatomy of an epidemic").

 

I'm glad I met you and survivors and glad I have an opportunity to put into questions all I've been told since I'm a teenager.

 

Thank you ☀️

 

2006 : 20mg Paxil + Bromazepam

2008 : cold turkey of both

2010 : 20mg Paxil + Bromazepam

2014-June2017 : Switch from Bromazepam to Prazepam, taper to 0.

2018 to August 2019 : Paxil 20mg taper (3% every 15 days).

- 22 Aug 2019 updosed To 10mg (was at 8.4mg)

25th Sept 2019 To April 2020 : found SA, holding at 10mg Paxil. 

April 2020 : Paxil 10mg to Prozac 7mg bridge. Details topic/21457-

 

Current Supplements : magnesium citrate/ fish oil/ evening primrose oil 

 

Current medication :

* 1mg Diazepam (since 29 Aug 2020)

* Prozac : 6.92mg (23 Jun 2021)

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Longroadhome
17 minutes ago, Erell said:

 

It seems that I still have unpatienting work to do.

It really is a process to deconstruct beliefs !

 

 Unfortunately, lots of books or references mentionned on SA are not translated in French (like "anatomy of an epidemic").

 

I'm glad I met you and survivors and glad I have an opportunity to put into questions all I've been told since I'm a teenager.

 

Thank you ☀️

 

Erell 

I know you will get through this why? 
because you have courage and determination and the commitment to come succeed 

onward and upward My friend 

October 2004 Paxil 20mg - October 2018, 14 years

Nov 2018 Pregabalin - 2x50 mg a day to help with Paxil WD

August 2019 Pregabalin - 2 x 25mg a day 

April 2020 Pregabalin - 45mg, May 40mg, June 35mg, beg July 30mg, end July 25mg, Aug 24mg 

June 2021   Pregabalin - 14mg,

October 2018 Paxil - 20 mg, November 15mg, December 10mg  

February 2019 Paxil- 7.5mg crashed, February 8.5mg, Nov 8mg 

March 2020 Paxil - 7.2mg, April 6.5mg, May 5.9mg, June 5.4mg, July 4.8mg, December 4.5mg 

January 2021 Paxil - 4mg, February 3.6mg, March 3.2mg, April 2.9mg

 

these dates are approximate 

 

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sunnysideup69

@Erell, hello, dropping by to give you a hug. 

 

I also find it's quite tricky, the whole depatienting process....almost every time I have a dip, I worry about whether it's my 'underlying condition coming back.' I think that has been hammered into my head by various GPs for so long that it's a hard thought to shake.

 

Just very grateful to have found this place ❤️

January 2008 to April 2015 Citalopram 20mg to 5mg, reducing in 50 per cent leaps. Jumped off at 5mg

March 2016 used MDMA triggered setback

April 2016 Citalopram 10mg October 2016 cut to 5mg, May 2017 cut to 2.5mg

May 2018 used MDMA triggered setback

June 2018 Citalopram 2.5mg up to 10mg, then back to 5mg

July/ August 2018 7.5mg, then 10mg

June 2019 updosed to 20mg Citalopram

August 2019 cold switch to Venlafaxine 75mg XR

Supplements; 1100mg fish oil daily; also 100mg Magnesium Glycinate. Tried Vagifem 10mcg from mid May 2021 to mid June 2021; caused depression, so stopped.

 

 

 

Link to post
On 7/4/2020 at 1:18 PM, Erell said:

I'm off work now for a month.

Also gonna spend some days to my parents house in order to protect myself from SI surges.

During the days I try to fill my mind with beauty and good humour (watching the seaside, watching comedies). I'm not really able to feel beauty or to laugh, but I try to feed my spirit.

I also practice mindfullness, but must confess that it is hard to stay in the present when the present is violent.

 

Bonjour @Erell! I am thinking of you and also sending hugs 🤗 🤗! You are doing all the right things to take care of yourself right now, and I am glad you have your parents by your side. And you remind me to look around and feed my spirit with beauty. Bisous!

2008-2016 - Lexapro 10 mg, tapered to 2.5 mg over one year then CT without issues
Feb 2 - July 24, 2019 - restarted Lexapro 5 mg for insomnia

July 25 - Nov 19, 2019 - Lexapro 10 mg, resulted in increased anxiety and depression
Nov 20 - Dec 11, 2019 - 3-week FT from Lexapro 10 mg to 7.5 mg to 5 mg to 0
Dec 12, 2019 - Feb 4, 2020 - drug-free and feeling good until horrible WD hit
Feb 5 - Feb 16, 2020 - Paxil 10 mg, adverse reaction
Feb 18, 2020 - reinstated Lexapro 5 mg

Nov 22 - Dec 12, 2020 - transition from pill to homemade liquid

Dec 13, 2020 - 4.7 mg; Jan 3, 2021 - 4.5 mg; Jan 24 - 4.3 mg; Feb 14 - 4.2 mg; March 7 - 4.1 mg

 

daily meditation 10-40 minutes, yoga 30 minutes; CBT & ACT therapy

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Hi, Erell,  I’m glad you have a safe place to be.  That is so important.  Hang in there.  You are doing great.

Rosetta

https://www.survivingantidepressants.org/topic/16629-rosetta-ct-may-2011-too-fast-taper-feb-2017/?page=25

2001-2011 Celexa 10 mg raised to 40 mg then 60 mg over this time period

May 2011 OB Doctor's Cold switch Celexa 60 mg to 10 mg Zoloft sertraline (baby born)

2012-2016 - Doctors raised dose of Zoloft up to 150 mg

2016 - Xanax prescribed - as needed - 0.5 mg about every 3 days (bad reaction)

2016 - Stopped Xanax

Late 2016- Began (too fast) taper of Zoloft

Early 2017 - Trazodone prescribed for bedtime (doseage unknown)

Feb 2017 - Completed taper/stopped Trazodone

Drug free since Feb 2017

2017 - Unisom otc very rarely for sleep

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  • Moderator

@Longroadhome, @Cigale, @sunnysideup69, @Rosetta : Thank you, I love reading your kind words of support, you're so nice ❤️

 

1 hour ago, Rosetta said:

 I’m glad you have a safe place to be. 

 

This echoes with some thinking have been having this week : about how WD is an equilibrium teacher.

 

For example : my parents house is not always a safe place. They trust psychiatry and deny WD. It's sometimes hard to handle their speeches or their reproach.

However, they do love me, and while struggling with intense SI, it is safer for me to be with people than to stay alone.

Nothing is perfect, I have to find an equilibrium in order to take care of myself.

 

Same with activities : I garden to change the Channel, it helps me to cope with depressed feelings. 

However, if I garden too much, I'm often agitated in the evening and anxiety ramp up.

So, gardening is not good or wrong, it's all about equilibrium.

 

This is a huge life lesson for me : nothing is perfect, even if I've always tried to be Perfect (leading me to drugs).

 

And even in WD, I can work to try to find the best equilibrium in order to take care of myself.

So, instead of just waiting for the day I'll be healed and everything will be Perfect, I can try to practice this equilibrium idea and learn to love myself.

 

Well, I don't know if my thoughts are understandable with my convoluted English, but as these thoughts are helping me a bit I thought I could try to share :)

 

Take care ☀️

2006 : 20mg Paxil + Bromazepam

2008 : cold turkey of both

2010 : 20mg Paxil + Bromazepam

2014-June2017 : Switch from Bromazepam to Prazepam, taper to 0.

2018 to August 2019 : Paxil 20mg taper (3% every 15 days).

- 22 Aug 2019 updosed To 10mg (was at 8.4mg)

25th Sept 2019 To April 2020 : found SA, holding at 10mg Paxil. 

April 2020 : Paxil 10mg to Prozac 7mg bridge. Details topic/21457-

 

Current Supplements : magnesium citrate/ fish oil/ evening primrose oil 

 

Current medication :

* 1mg Diazepam (since 29 Aug 2020)

* Prozac : 6.92mg (23 Jun 2021)

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1 hour ago, Erell said:

@Longroadhome, @Cigale, @sunnysideup69, @Rosetta : Thank you, I love reading your kind words of support, you're so nice ❤️

 

 

This echoes with some thinking have been having this week : about how WD is an equilibrium teacher.

 

For example : my parents house is not always a safe place. They trust psychiatry and deny WD. It's sometimes hard to handle their speeches or their reproach.

However, they do love me, and while struggling with intense SI, it is safer for me to be with people than to stay alone.

Nothing is perfect, I have to find an equilibrium in order to take care of myself.

 

Same with activities : I garden to change the Channel, it helps me to cope with depressed feelings. 

However, if I garden too much, I'm often agitated in the evening and anxiety ramp up.

So, gardening is not good or wrong, it's all about equilibrium.

 

This is a huge life lesson for me : nothing is perfect, even if I've always tried to be Perfect (leading me to drugs).

 

And even in WD, I can work to try to find the best equilibrium in order to take care of myself.

So, instead of just waiting for the day I'll be healed and everything will be Perfect, I can try to practice this equilibrium idea and learn to love myself.

 

Well, I don't know if my thoughts are understandable with my convoluted English, but as these thoughts are helping me a bit I thought I could try to share :)

 

Take care ☀️

Hi, you're right, totally right. 

 

Nice words. 

 

Courage. ❤️

 

2018 : 29 July xanax 0,125x 2 12 Aug 0,25 x 2  28 Aug clotiazépam 5x2 4 Oct Prazepam : 5-5-7,5 to 3,5-3,5-6,5 25 oct 10x3 21 nov 9,5 x3/ Now Taper 2% / 21days = 19 may 2019 7,32x3/ Now 5%/8 days =10 july 5,145 x3 /Now 2% / 21 days = 27 sept 4,75x3/ Now 1%/21 days = nov 4,70 x3 dec 4,65x3 jan 2020 4,60x3 feb 4,50x3 march 4,45x3 april 4,385x3 may 4,32x3 

 

2018 : 29 Aug Venlafaxine 75mg XR 19 sept 37,5mg 4 oct 75mg18 oct bridge sertraline 1 nov Sertraline 50mg slow taper until mi April 2019= 25mg

15 July Escitalopram 5mg 20 Ju 4mg 22 Ju 3,25mg 23 ju 2,5mg  25 ju 2,25mg 8 Aug 2 mg 16 Aug 1,75mg 20 Aug 1,50mg 12 sept 1,25mg 24 sept 1,38mg 28 sept 1,50mg 8 Jan 1, 60mg

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  • Mentor
3 hours ago, Erell said:

They trust psychiatry and deny WD. It's sometimes hard to handle their speeches or their reproach.

I know exactly how you feel. I have experienced that for years from family and friends. 
What I do now is that  I don’t express my feelings on the issue. First because it only frustrates me and angers me, and second I trust my own gut first and foremost. 
Stay true to yourself, your instinct is the true one. 
You are doing great Erell

Hugs from Reykjavík 🥰

Prescribed Paxil 20 mg year 2000 for panic attacks.

Many attempts through out the years to quit.

2019 tapered from 20 mg to 10 mg. Got stuck there, decided to bridge with Fluoxetine. 
2020 March off Fluoxetine 

2020 Oct- nov started deteriorating, followed by severe crash. 2021 Reinstated fluoxetine by small amount, until I reach 9 mg

Tapering 10% every 4-6 weeks and longer holds if necessary 

12/5 2021- 8.5 21/5 8.0 15/6 7.5 20/6 7.2 changed to liquid tapering 10/7  7.0  19/7 6.5 

 

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@Erell You are so right about the equilibrium/balance being important. I try for that, too. My husband always says, "All things in moderation." Not too much, not too little. Not too high, not too low. Just find the balance. Despite the problems you are having with medication, your mental attitude is right on. Best wishes!

Celexa - 20 mg May 2015 - March 2016 (Felt quite good)..... Celexa taper from May 2016 - Nov 2016.....Completely off by Nov. 2016.

Depression and Anxiety returned June 2017

July, 2017: Zoloft = 25 mg;  Aug. 2017 = 37.5 mg; Nov. 2017 = 50 mg thru Jan. 23, 2018.

Jan. 2018 - May 6, 2019 = taper Zoloft from 50 mg to 12.5 mg.  Aug. 11, 2019 - felt so bad that I reinstated at 25mg. Hold at this dose until Feb. 3, 2020

Feb. 4, 2020 = reduce dose to 21.875 mg. Hold for 10 weeks. April 14, 2020 = 18.75 mg. Hold for 10 weeks.  

June10, 2020 - start cycle of 2 weeks to taper slowly from old dose to new dose, then hold at new dose for 6 weeks.

June 23, 2020  = 16.666 mg.........August 26, 2020 = 14.75 mg ....... October 28, 2020 = 13.15 mg

2021: Jan. 1 = 11.85 mg....Feb. 26 = 10.5 mg....April 23 = 9.3 mg....June 12 = 8.33 mg

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  • Moderator

 

On 7/4/2020 at 9:12 PM, Altostrata said:

 

he additional 1mg is gradually taking effect. It takes at least a week for it to fully register. Let's watch it for a while more. 

 

Two weeks after updosing Fluoxetine from 6mg to 7mg.

 

Improvments

 

- Strong DR/DP faded

- Nauseas disappeared

- Fewer surges to "escape", and they are less intense

- Fewer SI, and they are less intense

- less crying spells, less despair

- More able to feel some hope or some pleasure at moments

- Strong brain fog sometimes fade

Symptoms still hard :

 

- Cortisol rushes (2-3 during the night and one in the mornin)

- Broken sleep, awake in terror

- high anxiety, sometimes easier in the evening

- difficulty to swallow (related to high anxiety - fear of choking)

 

On 7/4/2020 at 9:12 PM, Altostrata said:

 

It could be another small increase, such as 0.5mg, will work.

 

I have to decide if I updose next week. 
I hesitate : on one hand my CNS probably needs some stability, on the other hand I need to find a Fluoxetine dose that might help with Paxil WD symptoms.

Tricky choice ! 

In French we say "la nuit porte conseil" ;)

(sleeping on the issue)

 

Take care ❤️

 

 

2006 : 20mg Paxil + Bromazepam

2008 : cold turkey of both

2010 : 20mg Paxil + Bromazepam

2014-June2017 : Switch from Bromazepam to Prazepam, taper to 0.

2018 to August 2019 : Paxil 20mg taper (3% every 15 days).

- 22 Aug 2019 updosed To 10mg (was at 8.4mg)

25th Sept 2019 To April 2020 : found SA, holding at 10mg Paxil. 

April 2020 : Paxil 10mg to Prozac 7mg bridge. Details topic/21457-

 

Current Supplements : magnesium citrate/ fish oil/ evening primrose oil 

 

Current medication :

* 1mg Diazepam (since 29 Aug 2020)

* Prozac : 6.92mg (23 Jun 2021)

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  • Administrator

You might wait another week or so, could be Prozac increase is still ramping up.

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.

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4 hours ago, Erell said:

 

 

Two weeks after updosing Fluoxetine from 6mg to 7mg.

 

Improvments

 

- Strong DR/DP faded

- Nauseas disappeared

- Fewer surges to "escape", and they are less intense

- Fewer SI, and they are less intense

- less crying spells, less despair

- More able to feel some hope or some pleasure at moments

- Strong brain fog sometimes fade

Symptoms still hard :

 

- Cortisol rushes (2-3 during the night and one in the mornin)

- Broken sleep, awake in terror

- high anxiety, sometimes easier in the evening

- difficulty to swallow (related to high anxiety - fear of choking)

 

 

I have to decide if I updose next week. 
I hesitate : on one hand my CNS probably needs some stability, on the other hand I need to find a Fluoxetine dose that might help with Paxil WD symptoms.

Tricky choice ! 

In French we say "la nuit porte conseil" ;)

(sleeping on the issue)

 

Take care ❤️

 

 

Dear erell, 

I suggest u dont up dose fluoxetine and wait for the problem of swallow to fade.

This was a very common problem to me but what made it totally easier was avoiding some foods and focusing on having some other foods.

When I felt it was very bad and iam afraid of a panick attack, I used to eat Avocado, this fruit is highly calming for CNS for me.

Again and as I estimate the problem erell; focusing on food/ diet can help u avoid updosing.

Good night for u.

i wasn't on a certain drug all the period. i took many drugs many times and for no very long period but to simplify.

--fluvoxamine maleate100 mg + amisulpride 200mg------started july 2012 and total taper in february 2015 ( 9 months without drugs then)

--sertraline 100mg -------started november 2015 and total taper (withoud reduction slowly) in november 2016( 4 months withoud drugs then).

--sertraline 100mg + quetiabine 25mg ( started in mars 2016 and for 7 months) then fluvoxamine maleate 100mg again for another 7months and after that a something like to use every drug for 14 days and for about 1.5 years.

--my last drug was trintellix 10 mg ( used it in 12/2018and total taper in 4/2019).

symptomts i have now ( bad concentration and problems in short and long memory+ bad depersonalization).

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  • Moderator

Hello,

Thank you Alto, and Mustafa.

 

Actually Mustafa I don't think about an updose because of swallowing issues.

I consider an updose in order to try find a Fluoxetine dose that might help to alleviate Paxil WD symptoms (which are debilitating atm, I'm not functionnal and housebound).

 

I've read a lot about reinstatement/updosing on SA, but being in a crossover between drugs makes it confusing.

It seems that I made a failed switch.

 

My fear is that I may not take enough Fluoxetine to make a successfull bridge.

This fear leads me to consider updoses.

But I also know that too much changes can destabilise further.

 

There is no good answer , it's a matter of guesses ;)

 

Anyway, I'm gonna follow Altostrata suggestion : my breasts are painfull today so I might be in PMS, could be interesting to wait and see how I'll feel after my periods.

 

 

 

Take care ❤

Edited by Erell

2006 : 20mg Paxil + Bromazepam

2008 : cold turkey of both

2010 : 20mg Paxil + Bromazepam

2014-June2017 : Switch from Bromazepam to Prazepam, taper to 0.

2018 to August 2019 : Paxil 20mg taper (3% every 15 days).

- 22 Aug 2019 updosed To 10mg (was at 8.4mg)

25th Sept 2019 To April 2020 : found SA, holding at 10mg Paxil. 

April 2020 : Paxil 10mg to Prozac 7mg bridge. Details topic/21457-

 

Current Supplements : magnesium citrate/ fish oil/ evening primrose oil 

 

Current medication :

* 1mg Diazepam (since 29 Aug 2020)

* Prozac : 6.92mg (23 Jun 2021)

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  • Administrator

No, your switch to Prozac did not fail, there's every evidence it will work. You just need to find the right Prozac dosage.

 

Estimating how much Prozac to substitute is always tricky.

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.

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  • Moderator Emeritus

Sending you healing thoughts today!

2016 - Zoloft 50 mg for klonopin w/d

Approx. Nov 2017 - successful taper of klonopin; Approx. Jan. 2018 - rapid taper Zoloft over 2 wks - no w/d symptoms; May 2018 - Reinstate 50 mg Zoloft per doctor; Aug 2018 - Rapid taper Zoloft over 3-4 weeks - no w/d symptoms for 1 mo.; Late Oct 2018 - pdoc rx'd 5mg lexapro -took for 1 wk; Early Nov 2018 - Reinstate 25 mg Zoloft; updose to 37.5 on Nov 28, 2018; Nov 30 2018 - returned to 25mg Zoloft upon mod. advice; Dec 9 - Dec10 2018 - 12.5mg zoloft liquid+12.5mg zoloft pill; Dec 11 2018 - 25mg zoloft all liquid; Feb 14 2019 - updosed to 26.25 mg liquid; Mar 6 2019 - updosed to 26.88 mg liquid - new symptoms; Mar 13 2019 - back down to 26.25 mg per mod suggestion

Dose Changes: Dec 2 2019 - 5% to 25mg; Jan 14 2020 - 10% to 22.5 (increase in sxs all month); Mar 10-15? 2020,  accidental updose to 25mg; Mar 22 2020 - back down to 22.5mg; Apr 12 2020 - 2.5% to 21.94mg; Apr 19 2020 - 2.5% to 21.375mg (symptom increase); May 17 2020 - 2.5% to 20.625mg; May 24 2020 - 2.5% to 20.1mg - Jun 14 2020 - noticed uptick in symptoms settled 2 days later - July 10 2020 - onset of wave

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