ciasim: citalopram up and down in short time - severe withdrawal symptoms

[Shep]

Ciasim, just an FYI that I tweaked your signature a bit to make it easier to read, placing Ativan on its own line and adding March 11 as another day you took Oxazepam.

 

[ciasim]

15 hours ago, Altostrata said:

ciasim, I moved your posts here, since you have asked it before and it's been answered in this topic. Please do not repeat the same question in other places on the site. If you need reassurance again, read this topic from the beginning.

 

That is exactly how to handle this, well done. Please remind yourself to do it every morning and every time you start to worry.

 

 

Did your symptoms change 20 minutes after taking 150mg quetiapine? How often does this happen?

 Hard to tell, In hindsight I cant really se a pattern. No. 

Quote

 

Please do NOT copy and paste symptom patterns from one hour to another or one day to another. We need to know about significant changes in the pattern. You appear to be reporting that it doesn't change, yet it clearly does change from day to day.

 

You might consider that 300mg quetiapine, which is a considerable dose, might have been too high for you and was causing symptoms like derealisation and depersonalization. They don't call it an "antipsychotic" for nothing. It changes the way you think and feel.

Can you explain more what this means: "Feeling of legs walking themselves"?

 

@Altostrata @Shep its been 7 day since I reduced Quetiapine 300 mg ER to 150 mg ER. 

The last 3 days symptoms of derealisation, being really zoned out, not quite there and feeling jittery have ramped up a lot.  A week ago I could at least sit in sofa and be somewhat focused on computer, no I feel zoned out,  brain feels weird and cant even relax sittning in sofa. What do you think, is it worth waiting out? Will it only become worse? Having a hard time to cope. Cant hardly do anything. 

My best guess is that Quetiapine was already messing up a very destabilized CNS when it was introudced, increasing the destabilization, and now taking it away I am destabilizing CNS again. 

Have people recovered from several destabilizations of CNS? I feel most symptoms I read about is emotional, most of mine are "neurological" - like - being unstable, unfocused, outzoned, derealisation - making it hard for me to function outside the sofa. 

The feelings of legs waling by themselves - @Altostrata is a feeling of not being in control over movement, I do have it, but if feels like I am electrified and being run my a motor. They are not actually moving by themselves,  but it feels like it. I think this has lessened a bit over the last days, 

How would you proceed? 

 

 

[ciasim]

On 3/13/2020 at 1:43 PM, Colonial said:

That is great advice!

I know its hard for you to think and remember back right now, but it seems that you were getting worse after going on the Quetapin.

That is the reason why you  made such a higher percentage cut, if Your having a paradoxical reaction.   That is when you do that.

If you have already been down to the lower dose since the 9th and you haven't had any real psychosis symptoms yet that's good do not focus on that.

 

It's very hard to understand your last medication line in your signature, perhaps you could put the drug, dose and dates in parenthesis so its easier for others to see the changes?

I don't want to see someone give you wrong advice based on not understanding when your drugs changed.

 

Thanks Colonial, I will se if I can make my signature more readable. Thank you 

[ciasim]

@Altostrata

@Shep

 

A friend of mine, who also been through withdrawals asked me if I have thought about cold turkey quetiapine- to get rid of it once and for all. I sure would like to - but from what I've learned that wouldn't be wise, would it? 

[Colonial]

5 hours ago, ciasim said:

Have people recovered from several destabilizations of CNS? I feel most symptoms I read about is emotional, most of mine are "neurological" - like - being unstable, unfocused, outzoned, derealisation - making it hard for me to function outside the sofa. 

Yes, you keep asking this, so maybe you want to write it down in large letters on an 8 by 10 sheet of paper and tape it next to your bed.

"Most people recover from several destabilization's"  then, you will see it a few times a day and remember.

 

Your "neurological" symptoms are very common: unfocused, outzoned, derealization, and they can be from almost all psych medications.

I think you are unfairly blaming the 300 to 150 drop for all of them, when it's just the reality of everything happening.

It's going to take a while for them to stop.

Worrying about the decisions that you have made will just delay your healing.

The drop from 300-150 was well founded and based on solid principles.  Your ok.

I just think You need time to stabilize BEFORE You reduce further. No one can say what would happen if you went off it completely.

But I think the odds are it would make you worse since your still not stablized.

 

 

[Altostrata]

5 hours ago, ciasim said:

The feelings of legs waling by themselves - @Altostrata is a feeling of not being in control over movement, I do have it, but if feels like I am electrified and being run my a motor. They are not actually moving by themselves,  but it feels like it. I think this has lessened a bit over the last days, 

 

My guess is that was an adverse effect (paradoxical activation) of too much quetiapine, ciasim. That has improved with reduction of quetiapine. How is your sleep now?

 

I'm going to be honest, your tendency to describe every small thing in catastrophic terms makes it difficult to sort what your symptom pattern means. Please step back and describe your symptoms without amplification of your worrying.

 

Yes, you have derealization, etc. You are still taking a drug cocktail that would cause many people to feel foggy. Please do NOT take a benzo to address derealization, etc. -- it will make you feel more foggy, plus possibly bring on activation when it wears off.

 

We need to see your daily symptom pattern every day. We cannot answer questions about a symptom without seeing how it fits into a symptom pattern.

 

If we thought you should cold-turkey quetiapine, we'd suggest it. That would make counseling a lot easier.

[ciasim]

27 minutes ago, Colonial said:

Yes, you keep asking this, so maybe you want to write it down in large letters on an 8 by 10 sheet of paper and tape it next to your bed.

"Most people recover from several destabilization's"  then, you will see it a few times a day and remember.

 

Your "neurological" symptoms are very common: unfocused, outzoned, derealization, and they can be from almost all psych medications.

I think you are unfairly blaming the 300 to 150 drop for all of them, when it's just the reality of everything happening.

It's going to take a while for them to stop.

Worrying about the decisions that you have made will just delay your healing.

The drop from 300-150 was well founded and based on solid principles.  Your ok.

I just think You need time to stabilize BEFORE You reduce further. No one can say what would happen if you went off it completely.

But I think the odds are it would make you worse since your still not stablized.

 

 

@Colonial

 

Thank you so much for replying and also thank you so much for your patience with my repetitive questions. 

 

 

[ciasim]

30 minutes ago, Altostrata said:

 

My guess is that was an adverse effect (paradoxical activation) of too much quetiapine, ciasim. That has improved with reduction of quetiapine. How is your sleep now?

 

I'm going to be honest, your tendency to describe every small thing in catastrophic terms makes it difficult to sort what your symptom pattern means. Please step back and describe your symptoms without amplification of your worrying.

 

Yes, you have derealization, etc. You are still taking a drug cocktail that would cause many people to feel foggy. Please do NOT take a benzo to address derealization, etc. -- it will make you feel more foggy, plus possibly bring on activation when it wears off.

 

We need to see your daily symptom pattern every day. We cannot answer questions about a symptom without seeing how it fits into a symptom pattern.

 

If we thought you should cold-turkey quetiapine, we'd suggest it. That would make counseling a lot easier.

 

@Altostratamy sleep is good. No changes there. 

 

Thanks,  I will try to be more distinct when describing symptoms. 

[Colonial]

Your welcome, its what I did.

When I read something that was good news for me, I wrote it down in a notebook, so all the stuff I needed to keep reminding myself was all in one place.

Then I'd read it every day or so.

I felt bad, too, when  I accidentally asked something already answered, so that's the tool I came up with. 😏

[ciasim]

Thank you, Colonial 😊

[ciasim]

@Altostrata

@Shep

 

My last 24 hours 

 

March 16

09.00 wake up. Have slept all night. I am slightly less anxious than yesterday morning.
Go upp. I am feeling more detached, spaced out and unreal. These symptoms have ramped up since yesterday. Feeling very zoned out. 

• 11.00 take 75mg sertraline


13.00 feeling spaces out, "out of it" , detached. These symptoms have really became worse the last two days. The days before I could focus when sitting in sofa. Now it's hard. Mouth shivering 5/10
Ears ringing 5/10


22.15 pm take 150 mg quetiapine

24.00 fall asleep

17 march

Wake up 8.00
Slightly anxious.

10.30 go up
Derealisation, feeling spaced out , unfocused, dreamworld these symptoms have ramped up the last three days

11.00 75 mg sertraline

13.00
Derealisation, feeling spaced out , unfocused, dreamworld these symptoms have ramped up the last three days .

14.00 same as above
And Ears ringing loudly
Anxious, feel unstable jittery


16.30 ears ringing, feeling outspaced
Mouth shivering 6/10


21.00 ears ringing loudly
Electrical spine feeling 5/10
feeling zoned out// unreal 6/10
Mouth shivering 5/10
Anxiety low tonight
Burning hands
Fouls smell in nose

22.00 150 mg quetiapine


23.00 feeling of electrical spine " driving my movement" 6/10
Feeling outzoned, strange, derealisation 
Foul chemical smell in nose 7/10


12.00 shaking hands

feeling of electrical spine " driving my movement" 8/10
Feeling outzoned, strange, derealisation 6/10
Foul chemical smell in nose 6/10

12.00 pm eyesight blurry
Feeling electrical in body 7/10
Feeling of legs walking by themselves 6/10
01.30 go to bed

03.00 fall asleep

9.00 wake up
Slightly anxious

11.00 am take 75 mg sertraline

13.00 feeling spaces our, not really here, a strange feeling in brain. Disconnected.

15.00 detached, zombie feeling, anxious

16.00 detached , zombie feeling,
Feeling anxious . Ears ringing

17.00 force my self to a walk with partner. Cant go by myself in this state.
Derealisation 8/10 , feeling disoriented, spaced out 8/10 . Go into shop, derealisation, desorientation bad.

18.00 Ringing in ears 6/10

 disconnected, zoned out
Slightly anxious. Disoriented

19.00 internal shaky limbs anxious in body. Disconnected, zoned out

19.30 take magnesium


20.00 internal shaking
Ears ringing
Disconnected, zoned out
Legs walking by them selves feeling 6/10
Anxious in body


21.00 diconnected, zoned out
Chemical smell in nose
Legs walking by themselves 6/10
Electrical spine 6/10


10.00 take 150 mg quetiapine ER


My own thoughts:

Derealisarion and desorientarion has ramper up last 4 days. Body anxiety, shivers and shakiness. Electrical spine and legs walking by them selfie feeling worse this last day.
I feel half human half robot, can't function well outside sofa.

Feel scared and despairing
 

 

[Altostrata]

2 hours ago, ciasim said:

10.00 take 150 mg quetiapine ER

 

Did you forget to take quetiapine at night? What happened after this?

 

We need to know how you feel before you take sertraline and after you take sertraline. Before you take quetiapine and after you take quetiapine.

 

Your notes indicate you don't feel any different before and after sertraline. Is that so?

[ciasim]

12 hours ago, Altostrata said:

 

Did you forget to take quetiapine at night? What happened after this?

@Altostrata

 

Sorry, 10 pm. 

Went to bed 12.00 

Symptoms about the same. Derealisation a little bit less at evenings. 

Quote

 

We need to know how you feel before you take sertraline and after you take sertraline. Before you take quetiapine and after you take quetiapine.

 

Your notes indicate you don't feel any different before and after sertraline. Is that so?

Hard to tell, but not significantly.

 

Today derealisation disorientation ramped up even more than last two days. Cant walk by self outside house.

This make me worried. 

[Altostrata]

3 hours ago, ciasim said:

Cant walk by self outside house.

 

Why could you not walk outside?

[ciasim]

8 minutes ago, Altostrata said:

 

Why could you not walk outside?

Well my feet are moving but  it is scary to walk outside by myself in this condition. It's like walking in a dreamworld  and things seem lucid, distant and I feel disoriented. I CAN walk, but it's a horrifying experience, feel like a zombie walking around, or like a person with some kind if brain damage, not grasping reality. Things in eyesight come of as jumpy, unreal, changing all the time. Hard to put in words. Constant derealisation, looking from inside and outside at the same time. 

[Altostrata]

Please stop worrying about being a zombie and think of yourself as a body that needs exercise. Get out and walk around your house and your garden if you have one. Gentle movement helps your body to regulate its functioning.

 

I am concerned that your tendency to extreme worry is causing you to report worries as drug-induced symptoms. We need you to separate worries from real symptoms. If you keep combining your worries -- which you may learn to manage -- with drug-induced symptoms, we are not getting good information so we can help you.

 

We cannot help you if you allow your fears and fantasies to make your symptoms worse.

 

We want to know about symptoms related to the drugs, not your fears and fantasies. You will need to work hard to learn the difference between the two immediately. You might consult a psychotherapist to coach you in methods to manage your fears and fantasies.

 

Amplifying fears and fantasies in your head is probably a life-long habit of mind. You will need to stop this if you want to live on minimal psychiatric drugs.

[ciasim]

3 hours ago, Altostrata said:

Please stop worrying about being a zombie and think of yourself as a body that needs exercise. Get out and walk around your house and your garden if you have one. Gentle movement helps your body to regulate its functioning.

 

I am concerned that your tendency to extreme worry is causing you to report worries as drug-induced symptoms. We need you to separate worries from real symptoms. If you keep combining your worries -- which you may learn to manage -- with drug-induced symptoms, we are not getting good information so we can help you.

 

We cannot help you if you allow your fears and fantasies to make your symptoms worse.

 

We want to know about symptoms related to the drugs, not your fears and fantasies. You will need to work hard to learn the difference between the two immediately. You might consult a psychotherapist to coach you in methods to manage your fears and fantasies.

 

Amplifying fears and fantasies in your head is probably a life-long habit of mind. You will need to stop this if you want to live on minimal psychiatric drugs.

@altostrata 

 Thanks. 

I see what you mean.

I will try to separate worry from symptoms.

But I wouldn't say I am exaggerating symptoms because of worry

Just Derealisation is not really describing my existence very well, that's  maybe why I am really try to paint a picture because I cant find the right expression or word for what's happening. 

What word or expression can I use in my journaling I order to be more concise and less elaborate?

 

I feel derealisation is not grasping the experience fully. Its severe derealisation and inability to perceive things around me correctly, like perception and movement/coordination is out of sync - its like a haze and rollercoaster plus derealisation at the same time. 

Sorry, cant find better way to describe it.

 

I understand your request,  could you please give me some advice on how to describe it more concise and less emotional?  just feel the experience of derealisation is not fully describing what is happening. Just derealisation would be a relief.

 

Thank you 

 

[Colonial]

47 minutes ago, ciasim said:

I feel derealisation is not grasping the experience fully. Its severe derealisation and inability to perceive things around me correctly, like perception and movement/coordination is out of sync -

 

47 minutes ago, ciasim said:

 

I understand your request,  could you please give me some advice on how to describe it more concise and less emotional?

 

You just started well, with:  "inability to perceive things correctly around Me".  And that is different than derealization per se.

How You perceive things outside of Yourself is different than how your experiencing You own self.

Now, just be more precise on how its manifesting.

 

For example, for Me, I had trouble with "depth perception", things would "seem" either closer or further away than I knew them to Be.

And as per the coordination, sometimes it seemed like things were moving, or that when I looked at my hands, I perceived my left hand was on my right arm and vice versa.

 

Those are helpful ways to describe how Your perceiving things differently.  Just leave the panic words out, or how the issue makes You "feel".

Obviously all those things were upsetting TO me, but you have to separate whats happening from how you feel about it when you report it.

 

Hope that helps.

Oh, I see You are in Sweden.  What language is Your native tongue?

 

 

[Altostrata]

I understand you feel odd. What I don't want to hear about is how you''re worried about feeling odd. As I've explained multiple times, you've made a lot of drug changes, the drugs all affect how you feel, and you're currently taking drugs that would make a lot of people feel odd. Your feeling of being drugged should be not alarming. This is what happens when you take drugs.

 

Do not report your worrying as a drug-induced symptom. You are responsible for telling the difference.

[Shep]

12 hours ago, ciasim said:

I understand your request,  could you please give me some advice on how to describe it more concise and less emotional?  just feel the experience of derealisation is not fully describing what is happening. Just derealisation would be a relief.

 

 

Many, if not most, of us here have experienced dp/dr (depersonalization / derealization), so we know what you mean. Don't worry that we're not able to understand. It's a very common symptom on the site. Please see: 

 

Derealization or Depersonalization (DR and DP)

 

From the benzo.org site:

 

Derealisation & Depersonalisation

 

Mindfulness techniques can be helpful, as well as grounding techniques. Here are some grounding techniques to try:

 

Grounding Techniques

 

[ciasim]

I forgot if I took my sertraline 75mg at 11 am this morning, I dont think I took them, so I took 50 mg now.

How bad is that? 

Either taken 25 mg to little or 50 mg to much? 

[Sunnyday]

9 minutes ago, ciasim said:

I forgot if I took my sertraline 75mg at 11 am this morning, I dont think I took them, so I took 50 mg now.

How bad is that? 

Either taken 25 mg to little or 50 mg to much? 

Better if mod answers that kinda question but until then, whenever I wasn't sure if I had taken any of my drugs I did not take another one. I think the general advice is to skip that day if you're unsure. Hopefully a mod can confirm/deny.

[Colonial]

This late in the day, it is what it is. 

If You really can't "find" a memory after thinking well about it, you probably didn't take it, so taking the 50 was a good call.

Now you only missed 1/3rd of your dose for one day.

Don't stress too much about that, but in the future You can keep a chart, and make a check mark each time you take Your meds.

Forgetfulness is a big thing in the worst part of WD so that can be a big help.

 

[ciasim]

18 hours ago, Colonial said:

@Colonial

 

Thanks for your supportive and informative reply. 

I will now try to separate symptoms from how I feel about them. 

I am from Sweden, my first language is Swedish, English my second 🙂

18 hours ago, Colonial said:

 

You just started well, with:  "inability to perceive things correctly around Me".  And that is different than derealization per se.

How You perceive things outside of Yourself is different than how your experiencing You own self.

Now, just be more precise on how its manifesting.

 

For example, for Me, I had trouble with "depth perception", things would "seem" either closer or further away than I knew them to Be.

And as per the coordination, sometimes it seemed like things were moving, or that when I looked at my hands, I perceived my left hand was on my right arm and vice versa.

 

Those are helpful ways to describe how Your perceiving things differently.  Just leave the panic words out, or how the issue makes You "feel".

Obviously all those things were upsetting TO me, but you have to separate whats happening from how you feel about it when you report it.

 

Hope that helps.

Oh, I see You are in Sweden.  What language is Your native tongue?

 

 

 

[ciasim]

15 hours ago, Altostrata said:

I understand you feel odd. What I don't want to hear about is how you''re worried about feeling odd. As I've explained multiple times, you've made a lot of drug changes, the drugs all affect how you feel, and you're currently taking drugs that would make a lot of people feel odd. Your feeling of being drugged should be not alarming. This is what happens when you take drugs.

 

Do not report your worrying as a drug-induced symptom. You are responsible for telling the difference.

 

@Altostrata I understand. Will separate my worries of symptoms from actually symptoms. 

[Colonial]

1 minute ago, ciasim said:

I am from Sweden, my first language is Swedish, English my second

 

Okay. ❤️

I was just trying to "separate" if your inability to explain the symptoms had more to do with language, and struggling to find the right phrase in English to explain them, or if you normally explain facts with added emotion connected to it. 

[ciasim]

6 hours ago, Shep said:

 

Many, if not most, of us here have experienced dp/dr (depersonalization / derealization), so we know what you mean. Don't worry that we're not able to understand. It's a very common symptom on the site. Please see: 

 

Derealization or Depersonalization (DR and DP)

 

From the benzo.org site:

 

Derealisation & Depersonalisation

 

Mindfulness techniques can be helpful, as well as grounding techniques. Here are some grounding techniques to try:

 

Grounding Techniques

 

 

Thanks, I think I am  experiencing  derealisation and being dizzy at the same time.  As if I was thrown into a mixer and then somebody stops it and threw me out. 
Thanks for the links, I will look into them. 

[Altostrata]

5 hours ago, ciasim said:

I forgot if I took my sertraline 75mg at 11 am this morning, I dont think I took them, so I took 50 mg now.

How bad is that? 

Either taken 25 mg to little or 50 mg to much? 

 

When you take drugs inconsistently, it probably will make your symptom pattern inconsistent. This will last at least several days. You may or may not feel significant symptoms.

 

Please continue to post daily symptom notes, 24 hours at a time.

[ciasim]

@Altostrata

@Shep

 

Here is the last 24 hours journal. 

Today symptom has ramped up significantly. I feel very damaged 😔

 

19 March

09.30 wake up, slept all night

11.15 take 75mg sertraline

12.00 take a walk with partner , cant go by my self, derealisation, feeling outspaced and very disconnected from surroundings. Its def worse than previous days


3pm

Derealisation still the same, but is more manageable when sitting down.

5 pm go to shop with partner. Feel constantly cut of from reality. Disorientated. A bit better than the walk by lunchtime though

6pm
Derealisation, and feeling strangely cut of but less than lunchtime


20.00
Derealisation, feeling zombie like but less thank lunchtime. A bit shakey limbs.
Mouth shivering involuntary 3/10
Happy for a less anxious evening than yesterday

21.00
Derealisation has lessened a bit. 5/10
Spine like electrical chord 5/10
Legs walking themself 3/10

22:15 150 mg quetiapine
Derealisation 5/10
Spine like electrical chord 5/10
Legs walking themself 3/10

23.00 pm derealisation 5/10
Legs walking themself feeling 3/10


12.00 pm go to sleep

March 20

09.00 woke up. Feel ok in body. Not anxious

11.00 go up, get confused if I took sertraline 75 mg. I am quite sure I didnt , so took 50 mg, just in case - hope this doesn't mess things up badly? I have now arranged the pills so it wont happen again.

12.00 anxiety in body 6/10
Derealisation 6/10
Detached, zoned out 6/10

13.00
Jumpy and anxious in body
Derealisation 6/10
Detached, zoned out 6/10

13.30 took 500 mg magnesium

14.00 went for walk with partner
Derealisation 7/10
Detached, zoned out 7/10
Dizzy 5/10
Body anxiety less now, 2/10


16.00
Derealisation 7/10
Detached 6/10
Mouth shivering
Shaky in body, body anxiety increased  5/10

17.00
Derealisation 6/10
Detached, feeling zoned out 6/10
Shaky in body, body anxiety 5/10


19.00 pm
Feeling of spine being electrical 6/10
Feeling of legs walking bythemselfes 6/10
Derealisarion 6/10
Body anxiety 6/10


21.00
Shaky body , inner tremors 6/10
Derealisation 7/10
Feelinf zoned out 7/10
Mouth shivering involuntary 6/10
Feeling of walking on a boat 6/10
Feeling of spine being electrical 8/10
Feeling of legs walking bythemselfes 8/10
Feel electrical buzz in limbs 7/10

 

 

10.15 quetiapine 150 mg

23.00 pm go to bed

Yesterday evening was one of the best in a while, where all symptoms was fairly manageable, more low key.
This last evening symptoms have ramped up a lot. Shaky, electrical spine feeling, feelings of legs walking by them self, intensified. 

 

Is there hope for me, sorry for going on,  feel very damaged

 

I was kindled already in november on citalopram, doctors put me back on, then of again  and then on to sertraline and then quetapine upon that. Have you seen people severly kindled heal? Losing hope.

 

[Altostrata]

When did you take quetiapine on March 20? (Is that the correct date? It's 3:14 p.m. March 20 in California.)

 

Please do not forget to include WHEN YOU TAKE YOUR DRUGS in your daily notes. I need to know what the quetiapine is doing.

 

11 minutes ago, ciasim said:

Yesterday evening was one of the best in a while, where all symptoms was fairly manageable, more low key.
This last evening symptoms have ramped up a lot. Shaky, electrical spine feeling, walking on boat, feelings of legs walking bythem self, greatly intensified.

 

What evening was "yesterday evening" and which evening is "this last evening"? Are you posting in the early morning of March 21?

 

As explained earlier, when you take your drugs inconsistently, your symptom pattern is affected. Making a mistake in your sertraline dosage may make you feel worse for some days.

 

You need to cope the best you can with the drug effects. This is your own mind talking to you:

 

14 minutes ago, ciasim said:

Is there hope for me, sorry for going on,  feel very damaged

 

I need you to report your symptom pattern without this kind of commentary from you telling yourself to feel bad.

 

As explained many times, you will get through this bad patch with the drugs. Please be aware that the staff may lose patience with questions asked over and over.

[ciasim]

4 minutes ago, Altostrata said:

When did you take quetiapine on March 20? (Is that the correct date? It's 3:14 p.m. March 20 in California.)

 

Sorry @Altostrata, I forgot to write when I took quetapine. Took it 1,5 hour ago, I have updated the journal above. 

 

 

 

4 minutes ago, Altostrata said:

Please do not forget to include WHEN YOU TAKE YOUR DRUGS in your daily notes. I need to know what the quetiapine is doing.

 

 

What evening was "yesterday evening" and which evening is "this last evening"? Are you posting in the early morning of March 21?

 

Yesterday evening was Thursday the 19th

I am posting late night Friday 20th.

Have just gone to bed.( as said in journal, 23 pm)

4 minutes ago, Altostrata said:

 

As explained earlier, when you take your drugs inconsistently, your symptom pattern is affected. Making a mistake in your sertraline dosage may make you feel worse for some days.

 

You need to cope the best you can with the drug effects. This is your own mind talking to you:

 

 

I need you to report your symptom pattern without this kind of commentary from you telling yourself to feel bad.

 

As explained many times, you will get through this bad patch with the drugs. Please be aware that the staff may lose patience with questions asked over and over.

 

I understand. Juat really traumatized and scared. 

 

Thank you @Altostrata

[Altostrata]

Please try to relax and get sleep tonight. When you start to get afraid, keep reminding yourself "I will get through this bad patch."

[ciasim]

Thank you, Altostrata, I will. 

[ciasim]

@Altostrataand @Shep

 

A question: since all symptoms ramped up considerably yesterday afternoon and evening, is it possible it could be of the dosage mishap of sertraline or is that too early? / impossible?

I woke up 06.30 today , fell asleep around 2.30 which is much less sleep than I usually get. I usually sleep 8 hours without interruptions

 I also feel more activated than usual when waking this morning.

 

I have a theory: I actually took the sertraline 75 mg dosage yesterday and when taking 50 mg to find a middle way, it thereby almost doubled my dosage? 

 

Is it unbelievable that this could explain such  increase in symptoms ?  It could or course be the other way around, but thinking of the activated symptoms and the less sleep it could be to much sertraline?

 

In that case I am thinking of only taking 25 mg today, wit the possibilty to even out things? 

That would at it worst mean that I would have missed one dosage? ( 25 mg to less yesterday and 50 mg less today), and I saw that one mentioned in a thread above that the recommendation is rather skip dosage then to take more? 

 

What are your standard recommendation it someone forgot if they took the meds  - skip that one or take just in case? 

 

 

What do you think? 

[Hanna72]

Hi @ciasim

I was wondering, how is your diet?

What has helped me tremendously is a lifestyle change in food intake.

I had to take alcohol, coffee out and I put lots of healthy fats in my diet. Also walking every day. 
That has played a big role in my recovery. It’s hard, but so worth it👍 
Hope you will stabilise soon, and my prayers go out to you🙏

[Shep]

4 hours ago, ciasim said:

In that case I am thinking of only taking 25 mg today, wit the possibilty to even out things? 

That would at it worst mean that I would have missed one dosage? ( 25 mg to less yesterday and 50 mg less today), and I saw that one mentioned in a thread above that the recommendation is rather skip dosage then to take more? 

 

What are your standard recommendation it someone forgot if they took the meds  - skip that one or take just in case? 

 

Please don't try to fix this by changing another day's dose. 

 

Continue moving forward. 

 

You may want to get a daily pill box and set a reminder on your cell phone so you remember to take each dose. 

 

Most people make a mistake during their taper. Your nervous system will settle down in a few days.