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Lostinwonderland

Lostinwonderland: looking for help and answers

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Lostinwonderland

So back in January Of 2020 I was put on celexa 40mg for anxiety, well on the 11th day I had some sort of reaction. I was walking into wal mart and everything went dreamlike And has stayed that way, I also haven’t had an appetite Since, I have had also light sensitivity, Anhedonia, Apathy,no desire, no motivation, digestive issues, Brain fog, headaches, cognitive impairment, memory loss, severe derealization that never goes away, tremors, leg pain, hearing problems, can’t eat certain foods or ill start shaking and get brain fog worse, not so great sleep, I took celexa 40mg for 11 days and stopped cold turkey on February 7 then on April 18 I went on Zoloft 50mg for one month and also stopped cold turkey. Afterwards I haven’t been on a single drug. I still have derealization and can’t stand it, I can’t feel the days or seasons anymore, I can’t feel much I feel detached and dead on the inside. I don’t enjoy anything, music, tv, just nothing, stomach never growls nor I never crave food. I’m nonfunctional I can’t work and I was a supervisor at the same job for 3 years. Is all this permanent. It’s been 7-8 months since celexa and derealization, 


January -February celexa 40mg for 11 days. Adverse reaction cold turkey

April-May Zoloft for 30 days cold turkey. 

No further meds since then

Symptoms 

No appetite

Dpdr

Vision impairment 

Cognitive impairment

Severe memory lost

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Gridley

Welcome to SA, Lostinwonderland.

 

You had an adverse reaction to the Celexa, which means that the drug is basically poison to your system.  Some people's nervous system simply can't tolerate psychiatric drugs.   The symptoms you describe are very typical of an adverse reaction.  

 

It is not permanent.  You will heal, but unfortunately we can't predict how long it will take.  Everyone is different. Healing is a slow process, often frustratingly slow, but over time you will gradually recover your functions and the symptom will fade.  Time is the cure.  This link give a good explanation of the healing process:

 

Brain Remodelling 

 

What was your reaction to the Zoloft during the month you were on it?

 

 

We don't recommend a lot of supplements on SA, as many members report being sensitive to them due to our over-reactive nervous systems, but two supplements that we do recommend are magnesium and omega 3 (fish oil). Many people find these to be calming to the nervous system. 

 

Magnesium, nature's calcium channel blocker 

 

Omega-3 fatty acids (fish oil) 

 

Add in one at a time and at a low dose in case you do experience problems.

 

This is your Introduction topic, where you can ask questions and connect with other members.  We're glad you found your way here.

 

 

 


Gridley Introduction

 

Lexapro 20 mg since 2004.  Began taper using Brassmonkey slide 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  

Current from Sept.23, 2020 at 0.05mg

Taper is 99.75% complete.

 

Lorazepam 1 mg 1986-1991 CT, resumed a few months later. CT 2000.  1 mg 2011-2016.  Sept, 2016 increased to 0.5 X 3 in split dose. Sept. 2019 increased to 0.625 X 3 after crossover to new brand

 

Imipramine 75 mg daily since 1986.  Jan. 2016 began every 3-weeks 10% taper, down to 15mg.  Aug 2016, discovered SA, updosed to 25mg and holding.  Taper is 66% complete.  

  

Supplements: omega, vitamins C, E and D3, magnesium glycinate, probiotic, melatonin .33mg


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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Lostinwonderland

My reaction to Zoloft was tremors, vision problems, And severe memory loss, dementia like , really bad anxiety and just stronger symptoms of what the celexa did. When I stopped ct I was bedridden for about two months. I had never took a psych drug before and was started off on 40mg of celexa which Was probably not good. The brainfog has lifted a lot but that’s about the only system that has left. 


January -February celexa 40mg for 11 days. Adverse reaction cold turkey

April-May Zoloft for 30 days cold turkey. 

No further meds since then

Symptoms 

No appetite

Dpdr

Vision impairment 

Cognitive impairment

Severe memory lost

Share this post


Link to post
Gridley
1 hour ago, Lostinwonderland said:

My reaction to Zoloft was tremors, vision problems, And severe memory loss, dementia like , really bad anxiety and just stronger symptoms of what the celexa did

So you had an adverse reaction as with the celexa, except even stronger.  As I said, your system doesn't do well with these psychiatric drugs.  Time, as I wrote, is the cure.  Try to have patience and be kind to yourself, meaning take it easy.  Avoid stress as much as is possible. Some other suggestions: eat a healthy diet, avoid caffeine, alcohol, sugar, gentle exercise like a 30 minute walk in nature (as opposed to strenuous exercise which can be too much for your sensitized system.  Try to distract yourself--Youtube, music, meditation, whatever works for you.  Take it one day at a time.  When things are really bad, take it one minute at a time.  

 

Take a look at these non-drug techniques to cope with withdrawal/adverse reaction and see which you think might be helpful to you.

 

Non-drug techniques to cope

 

 

 

 


Gridley Introduction

 

Lexapro 20 mg since 2004.  Began taper using Brassmonkey slide 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  

Current from Sept.23, 2020 at 0.05mg

Taper is 99.75% complete.

 

Lorazepam 1 mg 1986-1991 CT, resumed a few months later. CT 2000.  1 mg 2011-2016.  Sept, 2016 increased to 0.5 X 3 in split dose. Sept. 2019 increased to 0.625 X 3 after crossover to new brand

 

Imipramine 75 mg daily since 1986.  Jan. 2016 began every 3-weeks 10% taper, down to 15mg.  Aug 2016, discovered SA, updosed to 25mg and holding.  Taper is 66% complete.  

  

Supplements: omega, vitamins C, E and D3, magnesium glycinate, probiotic, melatonin .33mg


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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Lostinwonderland

So exactly happens to brain in an adverse reaction?

 


January -February celexa 40mg for 11 days. Adverse reaction cold turkey

April-May Zoloft for 30 days cold turkey. 

No further meds since then

Symptoms 

No appetite

Dpdr

Vision impairment 

Cognitive impairment

Severe memory lost

Share this post


Link to post
ChessieCat

Being very patient.  I'll get there - slowly.  ETA mid 2021

ADs:  25 years - 1 unknown, Prozac (caused muscle weakness), Zoloft/sertraline; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after)

Pristiq:  50mg 2012, 100mg beg 2013 (mild Serotonin Toxicity)

Began tapering Oct 2015  Current from 17 Oct 2020:  Pristiq 0.56 mg (compounded + liquid)

My tapering program

My Intro (goes to my tapering graph)

My website - includes my brief history + links to videos & information on the web

PLEASE NOTE:  I am not a medical professional.  I provide information and make suggestions.

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Gridley
22 minutes ago, Lostinwonderland said:

So exactly happens to brain in an adverse reaction?

 

 

Basically, if your system isn't compatible with psychiatric drugs, your body tries to reject them and in so doing throws itself into chaos.  That means your system becomes very sensitized.  The body's natural ability to bring itself back into balance (homeostasis) kicks into gear and start you on the journey back to normalcy, but this healing process takes time.

 

 

 

 


Gridley Introduction

 

Lexapro 20 mg since 2004.  Began taper using Brassmonkey slide 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  

Current from Sept.23, 2020 at 0.05mg

Taper is 99.75% complete.

 

Lorazepam 1 mg 1986-1991 CT, resumed a few months later. CT 2000.  1 mg 2011-2016.  Sept, 2016 increased to 0.5 X 3 in split dose. Sept. 2019 increased to 0.625 X 3 after crossover to new brand

 

Imipramine 75 mg daily since 1986.  Jan. 2016 began every 3-weeks 10% taper, down to 15mg.  Aug 2016, discovered SA, updosed to 25mg and holding.  Taper is 66% complete.  

  

Supplements: omega, vitamins C, E and D3, magnesium glycinate, probiotic, melatonin .33mg


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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ChessieCat

Being very patient.  I'll get there - slowly.  ETA mid 2021

ADs:  25 years - 1 unknown, Prozac (caused muscle weakness), Zoloft/sertraline; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after)

Pristiq:  50mg 2012, 100mg beg 2013 (mild Serotonin Toxicity)

Began tapering Oct 2015  Current from 17 Oct 2020:  Pristiq 0.56 mg (compounded + liquid)

My tapering program

My Intro (goes to my tapering graph)

My website - includes my brief history + links to videos & information on the web

PLEASE NOTE:  I am not a medical professional.  I provide information and make suggestions.

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Lostinwonderland

I'm glad the brain can fix itself, I know it does for a fact, my sister had laser surgery done to her brain for epilepsy am it took 3 years but she's back to herself. I explained to her every thing i was going through and she said she went through the same thing after surgery but we are two different cases but maybe the brain has a routine of healing itself not matter of what it is rather tumor,surgery or medications. That's why we all experience so many similar things i dont know just a weird thought


January -February celexa 40mg for 11 days. Adverse reaction cold turkey

April-May Zoloft for 30 days cold turkey. 

No further meds since then

Symptoms 

No appetite

Dpdr

Vision impairment 

Cognitive impairment

Severe memory lost

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ChessieCat

Recovery isn't linear.  It happens in a windows and waves pattern:

 

Windows and Waves Pattern of Stabilization

 

Video:  Healing From Antidepressants - Patterns of Recovery

 

SA strongly encourages members to learn and use non drug coping techniques to get through difficult periods.  It's also helpful to learn to accept the situation.  Doing this means that you don't add stress to the situation:

 

Acceptance

 

Non-drug techniques to cope

 

On 4/9/2020 at 10:31 AM, brassmonkey said:

 

AAF: Acknowledge, Accept, Float.  It's what you have to do when nothing else works, and can be a very powerful tool in coping with anxiety.  The neuroemotional anxiety many of us feel during WD is directly caused by the drugs and their chemical reactions in the brain.  Making it so there is nothing we can do about them.  They won't respond to other drugs, relaxation techniques and the like.  They do, however, react very well to being ignored.  That's the concept behind AAF.  Acknowledge, get to know the feeling involved, explore them.  Accept, These feelings are a part of you and they aren't going anywhere fast. Float, let the feeling float off as you get on with your life as best as you can.  It's a well documented fact that the more you feed in to anxiety the worse it gets.  What starts as generalized neuroemotinal anxiety can be easily blown into a full fledged panic attack just by thinking about it.

 

I often liken it to an unwanted house guest.  At first you talk to them, have conversations, communicate with them.  After a while you figure out that they aren't leaving and there is nothing you can do to get rid of them.  So you go on about your day, working around them until they get bored and leave.

 

It can take some practice, but AAF really does work.

 

 


Being very patient.  I'll get there - slowly.  ETA mid 2021

ADs:  25 years - 1 unknown, Prozac (caused muscle weakness), Zoloft/sertraline; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after)

Pristiq:  50mg 2012, 100mg beg 2013 (mild Serotonin Toxicity)

Began tapering Oct 2015  Current from 17 Oct 2020:  Pristiq 0.56 mg (compounded + liquid)

My tapering program

My Intro (goes to my tapering graph)

My website - includes my brief history + links to videos & information on the web

PLEASE NOTE:  I am not a medical professional.  I provide information and make suggestions.

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Lostinwonderland

Have y'all seen anyone else get dpdr from an adverse reaction, I have been looking and haven't found anyone

 


January -February celexa 40mg for 11 days. Adverse reaction cold turkey

April-May Zoloft for 30 days cold turkey. 

No further meds since then

Symptoms 

No appetite

Dpdr

Vision impairment 

Cognitive impairment

Severe memory lost

Share this post


Link to post
ChessieCat

A person who experiences an adverse reaction to a drug may experience similar symptoms to people who experience withdrawal symptoms.

 

This is SA's topic:  derealization-or-depersonalization-dr-and-dp

 


Being very patient.  I'll get there - slowly.  ETA mid 2021

ADs:  25 years - 1 unknown, Prozac (caused muscle weakness), Zoloft/sertraline; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after)

Pristiq:  50mg 2012, 100mg beg 2013 (mild Serotonin Toxicity)

Began tapering Oct 2015  Current from 17 Oct 2020:  Pristiq 0.56 mg (compounded + liquid)

My tapering program

My Intro (goes to my tapering graph)

My website - includes my brief history + links to videos & information on the web

PLEASE NOTE:  I am not a medical professional.  I provide information and make suggestions.

Share this post


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Lostinwonderland

Thank you chessiecat 


January -February celexa 40mg for 11 days. Adverse reaction cold turkey

April-May Zoloft for 30 days cold turkey. 

No further meds since then

Symptoms 

No appetite

Dpdr

Vision impairment 

Cognitive impairment

Severe memory lost

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Lostinwonderland

Do colds or flu make symptoms worse? I've been sick for two days and see my symptoms are worse


January -February celexa 40mg for 11 days. Adverse reaction cold turkey

April-May Zoloft for 30 days cold turkey. 

No further meds since then

Symptoms 

No appetite

Dpdr

Vision impairment 

Cognitive impairment

Severe memory lost

Share this post


Link to post
ChessieCat

I've moved you post to the existing topic about waves and windows.  the-windows-and-waves-pattern-of-stabilization

 

Being sick adds stress to the body and yes it can make your withdrawal symptoms worse.

 

Please create your drug signature.  You may need to use a computer to do this.  Your drug signature allows the mods to see your drug history at a glance.

 

Instructions:  Withdrawal History Signature


Account Settings – Create or Edit a signature

 


Being very patient.  I'll get there - slowly.  ETA mid 2021

ADs:  25 years - 1 unknown, Prozac (caused muscle weakness), Zoloft/sertraline; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after)

Pristiq:  50mg 2012, 100mg beg 2013 (mild Serotonin Toxicity)

Began tapering Oct 2015  Current from 17 Oct 2020:  Pristiq 0.56 mg (compounded + liquid)

My tapering program

My Intro (goes to my tapering graph)

My website - includes my brief history + links to videos & information on the web

PLEASE NOTE:  I am not a medical professional.  I provide information and make suggestions.

Share this post


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Lostinwonderland
Posted (edited)

Back to work with sparks

 

So after 7-8 months( February 4)off celexa 40mg for 11 days then CT, and Off Zoloft 50mg for 3 months CT, stopped May 17th after taking it 30 days and bedridden almost since I have some how gotten a new job and started it, it's not easy at all considering all my symptoms have gotten worse since my cold a few days ago but I sorta , tiny tiny bit enjoy it, my derealization has gotten worse but I keep training, memory , cognitive function and vision have gotten worse but my drive is sparking. I'm finding myself competitive but not on the degree I was but is a trait I'm seeing spark too. I also notice difference spark of humor as well just sparks through but these sparks are kinda making me say hummmm . I also have sparks wherein playing a game this week not long because I get confused easily, I do notice my agitation is a lot higher than normal. Now keeping mind when I went to the interview for this job I was so nervous I was shaking, I got it and I started it a few days ago but no anxiety. Derealization though has gotten worse. Memory is so bad I still can direct my way around a small town I have lived in for awhile. Im also getting this stabbing sharp pain in my head in the same spot. I heard this to be called brain zaps maybe. Anywho I'm seeing sparks of things I lost since getting this job or maybe it's timing but it feels good to have these sparks of things  I thought was gone forever . 

 

Edited by ChessieCat
added topic title

January -February celexa 40mg for 11 days. Adverse reaction cold turkey

April-May Zoloft for 30 days cold turkey. 

No further meds since then

Symptoms 

No appetite

Dpdr

Vision impairment 

Cognitive impairment

Severe memory lost

Share this post


Link to post
ChessieCat

I've your new post to your Introduction topic.  This keeps your history in one place.  Only 1 Introduction topic per member.

 

As previously requested please create your drug signature.  It makes is easier for us to see your drug history at a glance and not have to read back through your posts to get the information we need to offer suggestions.

 

On 8/24/2020 at 5:15 PM, ChessieCat said:

Please create your drug signature.  You may need to use a computer to do this.  Your drug signature allows the mods to see your drug history at a glance.

 

Instructions:  Withdrawal History Signature


Account Settings – Create or Edit a signature

 


Being very patient.  I'll get there - slowly.  ETA mid 2021

ADs:  25 years - 1 unknown, Prozac (caused muscle weakness), Zoloft/sertraline; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after)

Pristiq:  50mg 2012, 100mg beg 2013 (mild Serotonin Toxicity)

Began tapering Oct 2015  Current from 17 Oct 2020:  Pristiq 0.56 mg (compounded + liquid)

My tapering program

My Intro (goes to my tapering graph)

My website - includes my brief history + links to videos & information on the web

PLEASE NOTE:  I am not a medical professional.  I provide information and make suggestions.

Share this post


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Lostinwonderland

Is my signature correct?


January -February celexa 40mg for 11 days. Adverse reaction cold turkey

April-May Zoloft for 30 days cold turkey. 

No further meds since then

Symptoms 

No appetite

Dpdr

Vision impairment 

Cognitive impairment

Severe memory lost

Share this post


Link to post
Mirthazard

LostinWonderland, your reaction might be a coincidence with another problem that just happened while you were on celexa or not. Everything is possible these days. For example, your symptoms are similar to disseminated Lyme disease. Were you ever bitten by a tick? Or had a scratch from a cat? Or something with any animal? Be sure to check that out. If there is no connection perhaps celexa the problem.

 

https://lymediseaseassociation.org/blogs/presidents-blog/what-are-lyme-disease-symptoms-signs/

 

 

 

 


May - october 2017 - Mirtazapine from 7.5 - 12mg mg for insomnia

May - october 2017 Lyrica 100mg a day.

October-november 2017 - both mirt and Lyrica, or one of them went paradoxical, exteme vertigo after Lyrica. Cut down Lyrica to 3x25mg a day, same vertigo, CT Lyrica. Insomnia developed severe on 12 MG mirtazapine, reduced to 7.5, still insomnia, reduced to 3.75 still.insomnia. CT mirt. 

November 2017 - present burning feet, pins and needles, muscle spasms, myoclonus limbs, head, bugs crawling my head burning hands, left side worst. Ears cracking sensation.

May 2019 - put on gabapentin 100mg 4xday to counteract insomnia

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Lostinwonderland

It could be that or a ton of other things. Brain tumor, MS, anything affecting the brain but no tick bites and no cat scratches. So im still guessing celexa but I have notice a shooting stabbing pain in the same exact spot of my head and it hurts but only last a few seconds I just say well maybe I have a brain tumor. I had a CT scan done but no apparent tumor but the doctor did say the CT wouldn’t show that


January -February celexa 40mg for 11 days. Adverse reaction cold turkey

April-May Zoloft for 30 days cold turkey. 

No further meds since then

Symptoms 

No appetite

Dpdr

Vision impairment 

Cognitive impairment

Severe memory lost

Share this post


Link to post
ChessieCat
1 hour ago, Lostinwonderland said:

I have notice a shooting stabbing pain in the same exact spot of my head and it hurts but only last a few seconds I just say well maybe I have a brain tumor. I had a CT scan done but no apparent tumor but the doctor did say the CT wouldn’t show that

 

If you are still concerned about it I suggest that you get it investigated further.  If it turns out to be nothing then at least you will be able to cross that off your list of suspected causes.  And if it does happen to be something, then you can get something done about it, and sooner rather than later.

 

Seems silly to continue to worry about something if you can find out for sure.


Being very patient.  I'll get there - slowly.  ETA mid 2021

ADs:  25 years - 1 unknown, Prozac (caused muscle weakness), Zoloft/sertraline; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after)

Pristiq:  50mg 2012, 100mg beg 2013 (mild Serotonin Toxicity)

Began tapering Oct 2015  Current from 17 Oct 2020:  Pristiq 0.56 mg (compounded + liquid)

My tapering program

My Intro (goes to my tapering graph)

My website - includes my brief history + links to videos & information on the web

PLEASE NOTE:  I am not a medical professional.  I provide information and make suggestions.

Share this post


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Lostinwonderland

I'm not worried about it, I notice some days it's good and some days it's bad i m guess it's brain zaps 


January -February celexa 40mg for 11 days. Adverse reaction cold turkey

April-May Zoloft for 30 days cold turkey. 

No further meds since then

Symptoms 

No appetite

Dpdr

Vision impairment 

Cognitive impairment

Severe memory lost

Share this post


Link to post
ChessieCat
On 8/18/2020 at 11:34 PM, Gridley said:

We don't recommend a lot of supplements on SA, as many members report being sensitive to them due to our over-reactive nervous systems, but two supplements that we do recommend are magnesium and omega 3 (fish oil). Many people find these to be calming to the nervous system. 

 

Magnesium, nature's calcium channel blocker 

 

Omega-3 fatty acids (fish oil) 

 

Add in one at a time and at a low dose in case you do experience problems.

 


Being very patient.  I'll get there - slowly.  ETA mid 2021

ADs:  25 years - 1 unknown, Prozac (caused muscle weakness), Zoloft/sertraline; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after)

Pristiq:  50mg 2012, 100mg beg 2013 (mild Serotonin Toxicity)

Began tapering Oct 2015  Current from 17 Oct 2020:  Pristiq 0.56 mg (compounded + liquid)

My tapering program

My Intro (goes to my tapering graph)

My website - includes my brief history + links to videos & information on the web

PLEASE NOTE:  I am not a medical professional.  I provide information and make suggestions.

Share this post


Link to post
Lostinwonderland

So I wanted to post some of my improvements. Since January I have showed slowed improvements but hey they still matter to me. I'm not bedridden no longer,yay! I'm back working yay! Still got dpdr  but I see that can take awhile to go away but it has improved, cognitive is a bit better  if on my wave days it's pretty bad lol vision isn't too better but I have seen days where it's better, brainfog  is so much better but I still have along way to go but I'm glad to see improvements it gives me hope 


January -February celexa 40mg for 11 days. Adverse reaction cold turkey

April-May Zoloft for 30 days cold turkey. 

No further meds since then

Symptoms 

No appetite

Dpdr

Vision impairment 

Cognitive impairment

Severe memory lost

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Altostrata

Good to hear @Lostinwonderland. No longer bedridden and back to work -- that's not small. Please continue to let us know how you're doing.

 

PS Please put the month and year to the events in your signature. 🙂


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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Lostinwonderland

Adverse reaction

 

Any success stories from adverse reactions? I seem I can’t find any

 

Edited by ChessieCat
added topic title

January -February celexa 40mg for 11 days. Adverse reaction cold turkey

April-May Zoloft for 30 days cold turkey. 

No further meds since then

Symptoms 

No appetite

Dpdr

Vision impairment 

Cognitive impairment

Severe memory lost

Share this post


Link to post
ChessieCat

This is the search results for adverse reaction in the Success Stories forum:

 

https://www.survivingantidepressants.org/search/?q=adverse reaction&quick=1&type=forums_topic&nodes=28

 

These are links to the results from clicking on the tags immediate adr and adverse reaction.  You will need to check these out yourself to see if the members reported any improvements:

 

https://www.survivingantidepressants.org/tags/immediate adr/

 

https://www.survivingantidepressants.org/tags/adverse reaction/


Being very patient.  I'll get there - slowly.  ETA mid 2021

ADs:  25 years - 1 unknown, Prozac (caused muscle weakness), Zoloft/sertraline; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after)

Pristiq:  50mg 2012, 100mg beg 2013 (mild Serotonin Toxicity)

Began tapering Oct 2015  Current from 17 Oct 2020:  Pristiq 0.56 mg (compounded + liquid)

My tapering program

My Intro (goes to my tapering graph)

My website - includes my brief history + links to videos & information on the web

PLEASE NOTE:  I am not a medical professional.  I provide information and make suggestions.

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