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Has anybody taken antifungal tablets while tapering from psych drugs?


lxjuice

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What was your experience in using any antifungal tablets except for terbinafine whilst tapering or just being sensitive to med changes? Which psych meds were you on? If your doctor made a temporary dose adjustment to your psych meds to account for the interaction with the antifungal, how did you find it?

 

Hopefully somebody has experience with this.

Dx: complex PTSD

Discontinuation/taper history: sertraline, trazodone, prazosin, mirtazapine, diazepam

Took 200mg quetiapine for 0.5 years and 150mg for 1.5 years until 01/2020. Now microtapering daily at an overall rate of 12.5mg/month.

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  • 2 weeks later...

I did, i took two kinds for an agressive candida and omg, i wish i hadnt. It got so much worse, the candida got worse, the wd, everything. Its 18 months since i took em.. And I regret it everyday. I still have candida on and off, not as bad. But i guess theres nothing to do but to wait it out.. Maybe its part of wd since i got it first like 2 months after CT Lexapro. 

 

Edited by ChessieCat
reformatted text

2008 - Setralin 150mg, CT after 1 year. 
2015 - Venlafaxin 150mg. CT after 1 month. 
2016 - Brintellix 100mg, CT after  2 years.
2018 

January - Mirtazapin 25 mg, CT after 1 month. 
Mars - Setralin 100 mg. CT after 1 month. 
August- Lexapro 5 mg. CT after 1 month, adverse reaction. Stopped all benzo, sleeping pills here too. 

2019 

January - Took fluconazol and itraconazol, strong reaction, like bein floxed. 

January - Used progesteronecream 200mg a day for 1 month. Severe reaction month 2 so i stopped (maybe built up cream in tissues?) 

April - Took plan-B, this messed me up the most. 

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@lxjuice

 

What fungal issue are you needing to treat?

* NO LONGER ACTIVE on SA *

MISSION ACCOMPLISHED:  (6 year taper)      0mg Pristiq  on 13th November 2021

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

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28 minutes ago, siwoue said:

I did, i took two kinds for an agressive candida and omg, i wish i hadnt. It got so much worse, the candida got worse, the wd, everything. Its 18 months since i took em.. And I regret it everyday. I still have candida on and off, not as bad. But i guess theres nothing to do but to wait it out.. Maybe its part of wd since i got it first like 2 months after CT Lexapro. 

 

Do you know which antifungal you took?

21 minutes ago, ChessieCat said:

@lxjuice

 

What fungal issue are you needing to treat?

Ringworm. Terbinafine is the obvious choice since it doesn't interact with anything I'm on but it's resistant. So we're left with the azoles which interact a lot with basically everything. I may just have to put up with it and hope another 6 months of cycling creams will get rid of it. Product insert for quetiapine says to reduce dose to a sixth when taking an azole.... Possibly the most imprecise science I've ever heard.

Dx: complex PTSD

Discontinuation/taper history: sertraline, trazodone, prazosin, mirtazapine, diazepam

Took 200mg quetiapine for 0.5 years and 150mg for 1.5 years until 01/2020. Now microtapering daily at an overall rate of 12.5mg/month.

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6 minutes ago, lxjuice said:

Do you know which antifungal you took?

Ringworm. Terbinafine is the obvious choice since it doesn't interact with anything I'm on but it's resistant. So we're left with the azoles which interact a lot with basically everything. I may just have to put up with it and hope another 6 months of cycling creams will get rid of it. Product insert for quetiapine says to reduce dose to a sixth when taking an azole.... Possibly the most imprecise science I've ever heard.

Hi! Yeah it was fluconazole and itraconazole. 

2008 - Setralin 150mg, CT after 1 year. 
2015 - Venlafaxin 150mg. CT after 1 month. 
2016 - Brintellix 100mg, CT after  2 years.
2018 

January - Mirtazapin 25 mg, CT after 1 month. 
Mars - Setralin 100 mg. CT after 1 month. 
August- Lexapro 5 mg. CT after 1 month, adverse reaction. Stopped all benzo, sleeping pills here too. 

2019 

January - Took fluconazol and itraconazol, strong reaction, like bein floxed. 

January - Used progesteronecream 200mg a day for 1 month. Severe reaction month 2 so i stopped (maybe built up cream in tissues?) 

April - Took plan-B, this messed me up the most. 

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10 hours ago, lxjuice said:

Ringworm

 

Ringworm can be treated by applying iodine.  My mum bred cats and that is what we used to get rid of them.

 

Edited by ChessieCat

* NO LONGER ACTIVE on SA *

MISSION ACCOMPLISHED:  (6 year taper)      0mg Pristiq  on 13th November 2021

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

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Interesting! I wouldn’t be surprised if antifungals exacerbated withdrawal symptoms. Awhile back I used a ketoconazole shampoo (topical antifungal) for dandruff and went through a bad wave soon after. Not sure if it was connected but I’ve stayed away from antifungals since. 
 

I agree with Chessie, I’d look into other remedies for the ringworm. Perhaps there are herbals like oregano you can take. 

Edited by composter

Apr 2018: Began 10 mg Amitriptyline (for headaches & insomnia from concussion).

Jul - Aug 2018: Fast taper to 5 mg and then 2.5 mg (too fast, hellish withdrawal at 2.5 mg). Sept 2018: Reinstated 10 mg (many symptoms improved). Oct 2018 - Apr 2019: Updosed & stabilized on 11 mg (2 waves at 3 and 5 months post-withdrawal). Apr 2019 - Apr 2020: Tapered 0.5-0.25 mg per month using compounded pills: 11 mg —> 6 mg. (2 waves at 12 and 16 months post-withdrawal.) Apr 2020 - present: Switched to a liquid taper at rate of 0.1 mg per month. Currently: 1.1 mg. No more waves. 

 

Supplements: Omega-3 fish oil, Vit B12, coenzyme Q10, Hawthorn extract (for tachycardia) Tools for insomnia/waves (as needed): Epsom salt foot soaks, 0.5 mg Melatonin, quality time, waves WILL PASS. Lifestyle: Eat real foods, mostly plants; sunlight, walking, yoga; symptom tracking on adapted Glenmullen chart.

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  • 1 year later...
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Hi @lxjuice How are you doing?

All my best to you,

Arbor

Zoloft: 1995 - 2015

Prozac: 2015 - 2018 (tapered from 40mg x day on July 31 to 30mg on August 31 to 20mg on September 31 to 10mg October 31 to 0mg on  December 15, 2018

Gabapentin: 2016 to 2019  (tapered from 300mg x day to 150mg on August 31, 2019 to 75mg on September 15 to 50mg on September 31 to 25ishmg on October 15 to 0mg on December 1, 2019

Enalapril: 2010 - 2019

Lipitor: 2017 -2017

Metformin: 2000 - 2020

Liothyronine: 2007 - 2019

Levothyroxine: 2000 - 2022

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