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SeekingMeaning: tapered sertraline over 9mo and been free 1mo. Struggling tapering olanzapine.


SeekingMeaning

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Hi all, just joined today.

 

In 2015 I had a major psychotic episode managed with lorazepam and olanzapine initially. In my zombie state they also started me on sertraline where I had previously resisted SSRI since a bad reaction to seroxat in 1995. 

 

For 5 years I tolerated side effects of long term combined sertraline 200mg and olanzapine 2.5mg having been browbeaten into the medical view that my lifelong depression required lifelong medication.

 

9 months ago I felt I was getting no benefit from sertraline and was sleeping my life away I was so sedated. I dropped to 150mg sertraline having been told by my psychiatrist that lots of people went up and down as their illness required.  I was not trying to stop at that stage and did not realise that the following 5 months of suicidal despair and vivid, obscenely violent nightmares that traumatised my days were probably withdrawal symptoms.

 

I am sorry, I have to pause there, I still get very tired writing this kind of thing. I will return.

1995 severe abreaction to Seroxat took one tablet and refused further meds. I paid for private psychotherapy. 

2013 till Feb 2021 Omeprazole as required for reflux. 

2015 had major psychotic episode managed with lorazepam and 20mg daily of olanzapine, unknown amount of zopiclone, I was totally out of it and no one made any notes of what I took.

After seeing psychiatrist for first time I was put on sertraline, stopped lorazepam and reduced olanzapine to 2.5mg daily.  Limited improvement with sertraline led to increasing dose to 200mg daily sustained till March 2020.

January 2019 started Magnesium 500mg, CoQ10 30mg, SuperB complex, primarily looking for Riboflavin based on recommendations for Migraine treatment.  So successful I hardly ever took any over 2020 just occasionally to treat my extreme fatigue.

March 2020 reduced sertraline to 150mg to see if side effects reduced and based on psychiatrist having led me to believe patients often increase and decrease dose as required.

August 2020 life threatening depression and vivid, vile nightmares prompted psychotherapist to suggest I read David Healy. On basis of that I began tapering sertraline and took last dose in Jan 2021. Feeling huge improvement in wellbeing off sertraline. NB now reinstated at 1.25mg daily.

Jan 2021 Tried simply not taking my 2.5mg olanzapine and had intolerable withdrawal. GP prescribed oral suspension but due to her warnings of expense I rushed the tapering to try to get it done in one bottle.

Mar 2021 feeling too ill with insomnia and agitation.  Reinstated 2.5mg Olanzapine per day and sertraline 1.25mg per day

Jul 2021 2.5mg Olanzapine, 1.15mg Sertraline, fish oil, magnesium

Oct 2021 2.5mg Olanzapine, 1mg Sertraline, fish oil, magnesium

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  • Moderator

Hello

 

And welcome on SA. 

 

This site is run entirely by volunteer Administrators and Moderators, all have been through or going through withdrawal.

There are no commercial interests or influences  involved.

 

Oh and thank you for your signature : it will help us give you the most accurate advice we can, and allow us to see your history at a glance.

 

On 2/23/2021 at 9:30 AM, SeekingMeaning said:

I am sorry, I have to pause there, I still get very tired writing this kind of thing. I will return.

 

It's ok, no pressure. I'm going to give you some links to help you understand what is happening : take your time to read them and feel free to ask questions if needeed :)

 

First, let me say that what you've been through while dropping Sertraline sounds like very common withdrawal symptoms : unfortunately, doctors don't seem to realise how powerful these drugs can be, and don't recognise withdrawal syndrome.
We usually advise our members to do very slow tapers, and to not drop more than 10% every 4 weeks.
This might help you understand : 

how-psychiatric-drugs-remodel-your-brain

 

-> About your Sertraline taper

- How did you drop Sertraline ? (pace, percentages)

- At which dose did you jump to 0 ?

 

-> Your signature says that you now take a quarter of a 2.5mg tablet of Olanzapine : are you holding since February 2020 or did you mean February 2021 ?

Your body went through a lot this year : I wouldn't drop Olanzapine for a while and give time to your Central Nervous System to stabilise (and recover from Sertraline withdrawal).

These threads might interest you

 

why-taper-by-10-of-my-dosage

 

and 

 

tips-for-tapering-off-zyprexa-olanzapine

 

Again, welcome :) 

 

2006 : 20mg Paxil+Bromazepam. 2008 : cold turkey of both. 2010 : Reinstatement 20mg Paxil + Bromazepam.

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

2018 to August 2019 : Paxil 20mg taper (3% every 15 days). 22 Aug 2019 updose 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

Current medication :

* Diazepam  : 0.85mg (15 Aug 2022) / 0.95 mg (24 April 2022) / 1mg Diazepam (since 29 Aug 2020)

* Prozac : 6.24mg (18 July 22) / 6.44mg (22 May 22) / 6.64mg (4 Nov 21) / 6.72mg (8 oct 21) / 6.8 mg (15 Sept 21)6.88mg (14 Aug 21)/ 6.92mg (23 Jun 21)

 

I am not a professional, I don't give medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

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1 hour ago, Erell said:

 

 

 

-> About your Sertraline taper

- How did you drop Sertraline ? (pace, percentages)

- At which dose did you jump to 0 ?

Thank you for the warm and friendly welcome.  The internet is rife with a deluge of information and it's nice to find a calm site with genuinely useful guidance given that the medics seem to have so little grasp of the realities of these drugs and their side effects.

 

I recently filled in a side effect form for the site that collates them so will copy paste their report

 

 

Change 

Year 

Month 

Day 

Dose 

Unit 

Frequency

Started 

2015 

Feb 

Select 

200 

mg 

1 x per day


 

Suspect drug dose/frequency changes 

Change 

Year 

Month 

Day 

Dose 

Unit 

Frequency

Decreased dose 

2020 

Mar 

14 

150 

mg 

1 x per day

Decreased dose 

2020 

Oct 

15 

125 

mg 

1 x per day

Decreased dose 

2020 

Nov 

10 

100 

mg 

1 x per day

Decreased dose 

2020 

Dec 

28 

75 

mg 

1 x per day

Decreased dose 

2021 

Jan 

50 

mg 

1 x per day

Decreased dose 

2021 

Jan 

17 

mg 

1 x per day

 

I have to say that from that date in October where I dropped my dose to 125mg I have had exponential improvement in quality of life even though at first I had a monumental headache.  I have zest and energy for life for the first time since starting the drugs.  Since December I have been able to read a book for the first time in five years (I was always an avid reader right back to childhood, it is significant that the loss of this skill did not worry me more, because I really didn't care about anything much), this week I was able to listen to music for the first time since 2015.  Most significant of all in some ways though was to get a return  of genitourinary sensation for the first time in five years.  Like the reading, lack of feeling for sex didn't seem significant in a world where I wanted nothing and cared for nothing but there is something sinister about not even being able to feel yourself passing urine, especially if you're a middle-aged woman!

 

I see from reading more since I may have got off lightly with the speed of my decrease.  Also my husband is trying to come off his sertraline and has just had to go back up to original dose due to severity of his withdrawal symptoms.  It was actually his experience that led me to sign on here, I could see I needed to support him in tapering more effectively than I had done.

 

 

1 hour ago, Erell said:

 

-> Your signature says that you now take a quarter of a 2.5mg tablet of Olanzapine : are you holding since February 2020 or did you mean February 2021 ?

My mistake, I have edited my signature, it's Feb 2021.

 

My olanzapine reduction has been ill-informed and crazy but inspired by my improved well being from getting off sertraline I went at it with a bit too much enthusiasm to be drug free completely.

 

2015 till 27.1.21 taking 2.5mg daily

6.2.21 4.5ml of 2.5mg/5ml suspension

7.2.21 4ml

8.2.21 3.5ml

9.2.21 3ml

10.2.21 2.5ml

12.2.21 2ml

18.2.21 1.5ml

19.2.21 1.25ml

 

The longer gaps in dropping were as I started to experience insomnia, extreme anxiety which I would more describe as an ingrained sense of dread.  Each time that passed I dropped a bit more.

 

As I say, lesson learned, now I'm at equivalent to quarter tablet and easy to get by just renewing my prescription and splitting tablets I shall sustain this dose for some time now.  Fingers crossed I do not get hit by any of the other delayed signs of withdrawal I've only heard of since visiting this site.  Ignorance was bliss!

 

1 hour ago, Erell said:


Your body went through a lot this year : I wouldn't drop Olanzapine for a while and give time to your Central Nervous System to stabilise (and recover from Sertraline withdrawal).

 

Thank you, I can't tell you how much it means to have someone acknowledge that what I have done is monumental and not just some 'here are some smarties for you to take as and when you need them' which was how I felt the GP and psychiatrist were treating them.

 

Apologies, it's a long time since I frequented bulletin boards/forums, my use of the editor system is very rusty.  I hope I got the quotations inserted in the right places.  I hate how the drugs have robbed me of so much of my natural intelligence and ease of use of technology... or is that my age creeping up on me... who knows.

1995 severe abreaction to Seroxat took one tablet and refused further meds. I paid for private psychotherapy. 

2013 till Feb 2021 Omeprazole as required for reflux. 

2015 had major psychotic episode managed with lorazepam and 20mg daily of olanzapine, unknown amount of zopiclone, I was totally out of it and no one made any notes of what I took.

After seeing psychiatrist for first time I was put on sertraline, stopped lorazepam and reduced olanzapine to 2.5mg daily.  Limited improvement with sertraline led to increasing dose to 200mg daily sustained till March 2020.

January 2019 started Magnesium 500mg, CoQ10 30mg, SuperB complex, primarily looking for Riboflavin based on recommendations for Migraine treatment.  So successful I hardly ever took any over 2020 just occasionally to treat my extreme fatigue.

March 2020 reduced sertraline to 150mg to see if side effects reduced and based on psychiatrist having led me to believe patients often increase and decrease dose as required.

August 2020 life threatening depression and vivid, vile nightmares prompted psychotherapist to suggest I read David Healy. On basis of that I began tapering sertraline and took last dose in Jan 2021. Feeling huge improvement in wellbeing off sertraline. NB now reinstated at 1.25mg daily.

Jan 2021 Tried simply not taking my 2.5mg olanzapine and had intolerable withdrawal. GP prescribed oral suspension but due to her warnings of expense I rushed the tapering to try to get it done in one bottle.

Mar 2021 feeling too ill with insomnia and agitation.  Reinstated 2.5mg Olanzapine per day and sertraline 1.25mg per day

Jul 2021 2.5mg Olanzapine, 1.15mg Sertraline, fish oil, magnesium

Oct 2021 2.5mg Olanzapine, 1mg Sertraline, fish oil, magnesium

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I had a bit of a shock yesterday after reading the article about correlation between drugs and severe covid.  Seeing Olanzapine listed as a culprit set me off on track to investigate why and whoa, suddenly a chronic symptom I didn't even realise was caused by my drugs made sense.  Since my psychotic episode in 2015 I have nightly woken up choking and coughing.  Same happens if I snooze in the day.  I didn't realise Olanzapine caused laryngeal and pharyngeal dystonia that can lead to difficulties swallowing and a tendency to aspirate.  I briefly wondered if this was worrying enough to spur me onto finish the withdrawal but on balance, as I've lived with this for five years I guess a few more months will not hugely affect me.  I do worry about the growing wheeze I have when I exercise and whuether there is any longterm respiratory damage from my nightly choking episodes.  A supplementary bit of info is that I've always been a drooler, especially at night but that I lately have found myself drooling in the daytime.  Quite an embarassing thing as I tend not to sense it till it runs right down my chin!

1995 severe abreaction to Seroxat took one tablet and refused further meds. I paid for private psychotherapy. 

2013 till Feb 2021 Omeprazole as required for reflux. 

2015 had major psychotic episode managed with lorazepam and 20mg daily of olanzapine, unknown amount of zopiclone, I was totally out of it and no one made any notes of what I took.

After seeing psychiatrist for first time I was put on sertraline, stopped lorazepam and reduced olanzapine to 2.5mg daily.  Limited improvement with sertraline led to increasing dose to 200mg daily sustained till March 2020.

January 2019 started Magnesium 500mg, CoQ10 30mg, SuperB complex, primarily looking for Riboflavin based on recommendations for Migraine treatment.  So successful I hardly ever took any over 2020 just occasionally to treat my extreme fatigue.

March 2020 reduced sertraline to 150mg to see if side effects reduced and based on psychiatrist having led me to believe patients often increase and decrease dose as required.

August 2020 life threatening depression and vivid, vile nightmares prompted psychotherapist to suggest I read David Healy. On basis of that I began tapering sertraline and took last dose in Jan 2021. Feeling huge improvement in wellbeing off sertraline. NB now reinstated at 1.25mg daily.

Jan 2021 Tried simply not taking my 2.5mg olanzapine and had intolerable withdrawal. GP prescribed oral suspension but due to her warnings of expense I rushed the tapering to try to get it done in one bottle.

Mar 2021 feeling too ill with insomnia and agitation.  Reinstated 2.5mg Olanzapine per day and sertraline 1.25mg per day

Jul 2021 2.5mg Olanzapine, 1.15mg Sertraline, fish oil, magnesium

Oct 2021 2.5mg Olanzapine, 1mg Sertraline, fish oil, magnesium

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  • Administrator

Hello, SeekingMeaning.

 

Is a quarter-tablet of olanzapine 2.5mg? Please let us know how you're doing on the reduced amount. (It's helpful for us if you refer to dosage in milligrams of active ingredient, rather than 1/4 tablet.)

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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Hi Altostrata, great site you have created.

 

Sorry for confusing statement.  My tablets are 2.5 mg each so a quarter tablet is 1.25mg.  My initial focus of quarter tablet was borne of the thought I could just easily dose myself with a pill cutter but the tiny tablets refuse to break into equal quarters.  I have just ordered a set of 0.001g scales to help me used crushed tablet accurately.  

 

Having left my dose alone at 1.25mg for the last week I am more comfortable from the unpleasant withdrawal experiences I was having with Olanzapine.  I am also now well into the WD symtpoms of the sertraline.  However, there is a context to my experience such that I have had all these symptoms before in various forms for many years and compared to the horror of same sorts of symptoms while actually ON sertaline and it robbing me of most of my coping resources this is nowhere near as negative experience.

 

I am currently getting a lot of abdominal discomfort which is no huge surprise  I had IBS before I started Sertraline.  The Sertaline made it worse.  It's just par for the course that I now have GI disturbance from stopping the Sertaline too.  I'm finding my appetite changing too.  For such a long time the love of my life has been my own home made muesli but suddenly it just feels like cardboard in my mouth.

I'm getting bouts of severe fatigue but again, in context, I have had chronic fatigue since 1995 and have learned to manage my life and it's limited energy budget without having to give it a lot of thought.  The fact that for the first time in five years I can hold attention to read a book or listen to a meditation without falling asleep is a huge plus for me compared to my time on Sertraline.  Managing fatigue is much more interesting if I can engage in things that hold my attention whilst lying down.  That said, sometimes the fatigue leads me to just find any stimulation unbearable and then I have to put in ear plugs, wear an eyeguard and hope for sleep.

 

While cutting down the olanzapine actively my emotions were in a terrible state.  I felt very 'not me' and quite frightened by it.  That has stabilised again now though leaves me very fearful of restarting reductions in the future.  I shall try much smaller reductions and much more gently next time.

 

Something I read about withdrawal from olanzapine really clicked for me and I notice it very much now.  I clock watch avidly for my next dose.  When I was on 2.5mg a day I was the same but didn't really draw much conclusion from it.  I just knew that the peace of mind that magic tablet gave me was something I looked forward to with the same air I imagine someone who drinks wine would view a glass of wine of an evening.  Now I realise that it is actually more sinister than that, it is a real dependence I have formed and I get very edgy for a few hours leading up to the time of my next dose.  

 

I am getting really intense spells of cold.  I already have Reynauds syndrome but this is much more intense and even if I wrap myself up in bed with all my clothes on I am sometimes unable to generate any heat in my body.

 

While I was on the drugs I noticed my balance had deteriorated very badly so I am actively, each day, working on exercises to improve my balance and glad to say that this is being effective.  I have a wobble cushion and I go into a meditative state as it takes all my focus to be able to stand on one leg on my wobble cushion and then to make any movements sets the whole wobble off again.  When I was a child I took my nimblefootedness for granted and it is a quality I am determined not to let go of without a fight.

1995 severe abreaction to Seroxat took one tablet and refused further meds. I paid for private psychotherapy. 

2013 till Feb 2021 Omeprazole as required for reflux. 

2015 had major psychotic episode managed with lorazepam and 20mg daily of olanzapine, unknown amount of zopiclone, I was totally out of it and no one made any notes of what I took.

After seeing psychiatrist for first time I was put on sertraline, stopped lorazepam and reduced olanzapine to 2.5mg daily.  Limited improvement with sertraline led to increasing dose to 200mg daily sustained till March 2020.

January 2019 started Magnesium 500mg, CoQ10 30mg, SuperB complex, primarily looking for Riboflavin based on recommendations for Migraine treatment.  So successful I hardly ever took any over 2020 just occasionally to treat my extreme fatigue.

March 2020 reduced sertraline to 150mg to see if side effects reduced and based on psychiatrist having led me to believe patients often increase and decrease dose as required.

August 2020 life threatening depression and vivid, vile nightmares prompted psychotherapist to suggest I read David Healy. On basis of that I began tapering sertraline and took last dose in Jan 2021. Feeling huge improvement in wellbeing off sertraline. NB now reinstated at 1.25mg daily.

Jan 2021 Tried simply not taking my 2.5mg olanzapine and had intolerable withdrawal. GP prescribed oral suspension but due to her warnings of expense I rushed the tapering to try to get it done in one bottle.

Mar 2021 feeling too ill with insomnia and agitation.  Reinstated 2.5mg Olanzapine per day and sertraline 1.25mg per day

Jul 2021 2.5mg Olanzapine, 1.15mg Sertraline, fish oil, magnesium

Oct 2021 2.5mg Olanzapine, 1mg Sertraline, fish oil, magnesium

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I am notoriously bad at calculations, fortunately I know to check and recheck before I act. My dose is actually 0.6mg. After another night like the ones where I reduced dose I am ditching my liquid suspension in case it's losing potency.  Will be grinding pill tonight. With the animals we always mixed ground pill with a knob of butter. Everyone here seems to use liquid/water even for low solubility drugs. Does anyone mix with food?

1995 severe abreaction to Seroxat took one tablet and refused further meds. I paid for private psychotherapy. 

2013 till Feb 2021 Omeprazole as required for reflux. 

2015 had major psychotic episode managed with lorazepam and 20mg daily of olanzapine, unknown amount of zopiclone, I was totally out of it and no one made any notes of what I took.

After seeing psychiatrist for first time I was put on sertraline, stopped lorazepam and reduced olanzapine to 2.5mg daily.  Limited improvement with sertraline led to increasing dose to 200mg daily sustained till March 2020.

January 2019 started Magnesium 500mg, CoQ10 30mg, SuperB complex, primarily looking for Riboflavin based on recommendations for Migraine treatment.  So successful I hardly ever took any over 2020 just occasionally to treat my extreme fatigue.

March 2020 reduced sertraline to 150mg to see if side effects reduced and based on psychiatrist having led me to believe patients often increase and decrease dose as required.

August 2020 life threatening depression and vivid, vile nightmares prompted psychotherapist to suggest I read David Healy. On basis of that I began tapering sertraline and took last dose in Jan 2021. Feeling huge improvement in wellbeing off sertraline. NB now reinstated at 1.25mg daily.

Jan 2021 Tried simply not taking my 2.5mg olanzapine and had intolerable withdrawal. GP prescribed oral suspension but due to her warnings of expense I rushed the tapering to try to get it done in one bottle.

Mar 2021 feeling too ill with insomnia and agitation.  Reinstated 2.5mg Olanzapine per day and sertraline 1.25mg per day

Jul 2021 2.5mg Olanzapine, 1.15mg Sertraline, fish oil, magnesium

Oct 2021 2.5mg Olanzapine, 1mg Sertraline, fish oil, magnesium

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On 3/2/2021 at 11:31 PM, SeekingMeaning said:

I am notoriously bad at calculations, fortunately I know to check and recheck before I act. My dose is actually 0.6mg. After another night like the ones where I reduced dose I am ditching my liquid suspension in case it's losing potency.  Will be grinding pill tonight. With the animals we always mixed ground pill with a knob of butter. Everyone here seems to use liquid/water even for low solubility drugs. Does anyone mix with food?

Be careful tapering any anti-psychotic after dropping a drug previously. I did a dual taper with Seroquel and it was very grueling. I tapered off of Zoloft as well

March-2017-Dec-2017 ativanCT /reinstated ativan 1mg tapered 2 months/June 2017-April 2018 zyprexa 10mg switched to seroquel 200-300mg in april 2018/dec-2017-present zoloft 100mg/ quit seroquel 200-300mg cold turkey May 6 2018 reinstated seroquel 100mg around May 25 2018 since then tapered to 50mg zoloft and 50 mg of seroquel presently other medications Testosterone cypionate 2oomg every 4 days

UPDATE -August 20 2018--october 20 2018 tapered off Testosterone/Nov 7 2018 --Dec 20 2018 Lamictal micro dose 2.50mg 1 1/2 weeks then reduced to 1.25 then fast tapered as it became paridoxial.nausea- racing thoughts- agitation and insomnia.

August 28 2018 to Present Cannabis indica micro dose PM bedtime only.

Presently Seroquel 37.5 mg bedtime /Zoloft 47mg morning

May 2018-Present Multivitamin/ Bcomplex/Vit C 1000MG/B12 1000MCG/Fish oils 2grams/

Jan 2019-Trace mineral liquid low dose

Update dec 2019 -29mg of zoloft tapering/Seroquel 37.5 holding/1 or 2  ativan 1mg a month as needed if that.

Black seed oil-caprylic acid-/b complex/b12/multi/D/E/melatonin

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Thanks RusTW.  I think I am still only just starting to comprehend how big a deal it was to come off the Sertraline.  So little is made of it by the medics and the general public.  Going to try and be more respectful of my CNS now I've been absorbing some of the lessons from this site.

1995 severe abreaction to Seroxat took one tablet and refused further meds. I paid for private psychotherapy. 

2013 till Feb 2021 Omeprazole as required for reflux. 

2015 had major psychotic episode managed with lorazepam and 20mg daily of olanzapine, unknown amount of zopiclone, I was totally out of it and no one made any notes of what I took.

After seeing psychiatrist for first time I was put on sertraline, stopped lorazepam and reduced olanzapine to 2.5mg daily.  Limited improvement with sertraline led to increasing dose to 200mg daily sustained till March 2020.

January 2019 started Magnesium 500mg, CoQ10 30mg, SuperB complex, primarily looking for Riboflavin based on recommendations for Migraine treatment.  So successful I hardly ever took any over 2020 just occasionally to treat my extreme fatigue.

March 2020 reduced sertraline to 150mg to see if side effects reduced and based on psychiatrist having led me to believe patients often increase and decrease dose as required.

August 2020 life threatening depression and vivid, vile nightmares prompted psychotherapist to suggest I read David Healy. On basis of that I began tapering sertraline and took last dose in Jan 2021. Feeling huge improvement in wellbeing off sertraline. NB now reinstated at 1.25mg daily.

Jan 2021 Tried simply not taking my 2.5mg olanzapine and had intolerable withdrawal. GP prescribed oral suspension but due to her warnings of expense I rushed the tapering to try to get it done in one bottle.

Mar 2021 feeling too ill with insomnia and agitation.  Reinstated 2.5mg Olanzapine per day and sertraline 1.25mg per day

Jul 2021 2.5mg Olanzapine, 1.15mg Sertraline, fish oil, magnesium

Oct 2021 2.5mg Olanzapine, 1mg Sertraline, fish oil, magnesium

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Further to my post about choking since being on olanzapine (only just realised it WAS that as I had previously thought I had been choking since my psychosis in 2015 which of course was when I started olanzapine).  I've been on 0.6mg steady since the 19th Feb and I don't think I've choked once at night.  Progress!

 

I am still in a lot of GI pain and off most foods/poor appetite for the time being.  

 

I had a very bad night the night before last but last night I commissioned my new weighing scales, used a tablet rather than suspension and noticed a marked difference in how I felt.  I don't think the suspension ever agreed with me for some reason.  As soon as it got into my system I felt woozy and over drugged even at low doses.  

 

I did also make some conscious choices to do things that soothe the para sympathetic system pre bed, rather than the night before where I had been browsing this site in the evening.  It's a great site but it is heart-rending hearing how awfully so many are suffering.

1995 severe abreaction to Seroxat took one tablet and refused further meds. I paid for private psychotherapy. 

2013 till Feb 2021 Omeprazole as required for reflux. 

2015 had major psychotic episode managed with lorazepam and 20mg daily of olanzapine, unknown amount of zopiclone, I was totally out of it and no one made any notes of what I took.

After seeing psychiatrist for first time I was put on sertraline, stopped lorazepam and reduced olanzapine to 2.5mg daily.  Limited improvement with sertraline led to increasing dose to 200mg daily sustained till March 2020.

January 2019 started Magnesium 500mg, CoQ10 30mg, SuperB complex, primarily looking for Riboflavin based on recommendations for Migraine treatment.  So successful I hardly ever took any over 2020 just occasionally to treat my extreme fatigue.

March 2020 reduced sertraline to 150mg to see if side effects reduced and based on psychiatrist having led me to believe patients often increase and decrease dose as required.

August 2020 life threatening depression and vivid, vile nightmares prompted psychotherapist to suggest I read David Healy. On basis of that I began tapering sertraline and took last dose in Jan 2021. Feeling huge improvement in wellbeing off sertraline. NB now reinstated at 1.25mg daily.

Jan 2021 Tried simply not taking my 2.5mg olanzapine and had intolerable withdrawal. GP prescribed oral suspension but due to her warnings of expense I rushed the tapering to try to get it done in one bottle.

Mar 2021 feeling too ill with insomnia and agitation.  Reinstated 2.5mg Olanzapine per day and sertraline 1.25mg per day

Jul 2021 2.5mg Olanzapine, 1.15mg Sertraline, fish oil, magnesium

Oct 2021 2.5mg Olanzapine, 1mg Sertraline, fish oil, magnesium

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My agitation has been getting more and more unbearable, harder to stay in a wise and nurturing place with it.  Yesterday I was in such a bad state I took my 0.6mg olanzapine a little earlier and felt immediate relief.  Yet the agitation returned within only an hour and I could not bear it.  It felt like my brain had become inflamed and needed more help.  I took another 0.3mg and again a little more comfort for a few hours.  My worst time is as I drop off to sleep.  I startle awake and in that just woken state the full limbic terror response kicks in before my cognitive and meditative skills can kick in and I'm a mess.  I'd already decided before lying down that if this happened I'd take another 0.3mg, I'd saved my leftover suspension with that in mind.  I didn't have an awful night though not hugely restful compared to how I used to before starting WD.  

The thing is, I feel terrible this morning.  Still as if my brain is inflamed and I'm on the edge of unbearable all the time.  I'm so tempted to just give up the reduction in olanzapine for now and take the full 2.5mg again while I get used to no sertraline for a few months.  I'm torn between wanting to ease the 'inflamed mind' feeling I have now before it kindles into something more resistant and the advice in the reintatement topic to try reinstating a lower dose over a week to see if it's enough.

1995 severe abreaction to Seroxat took one tablet and refused further meds. I paid for private psychotherapy. 

2013 till Feb 2021 Omeprazole as required for reflux. 

2015 had major psychotic episode managed with lorazepam and 20mg daily of olanzapine, unknown amount of zopiclone, I was totally out of it and no one made any notes of what I took.

After seeing psychiatrist for first time I was put on sertraline, stopped lorazepam and reduced olanzapine to 2.5mg daily.  Limited improvement with sertraline led to increasing dose to 200mg daily sustained till March 2020.

January 2019 started Magnesium 500mg, CoQ10 30mg, SuperB complex, primarily looking for Riboflavin based on recommendations for Migraine treatment.  So successful I hardly ever took any over 2020 just occasionally to treat my extreme fatigue.

March 2020 reduced sertraline to 150mg to see if side effects reduced and based on psychiatrist having led me to believe patients often increase and decrease dose as required.

August 2020 life threatening depression and vivid, vile nightmares prompted psychotherapist to suggest I read David Healy. On basis of that I began tapering sertraline and took last dose in Jan 2021. Feeling huge improvement in wellbeing off sertraline. NB now reinstated at 1.25mg daily.

Jan 2021 Tried simply not taking my 2.5mg olanzapine and had intolerable withdrawal. GP prescribed oral suspension but due to her warnings of expense I rushed the tapering to try to get it done in one bottle.

Mar 2021 feeling too ill with insomnia and agitation.  Reinstated 2.5mg Olanzapine per day and sertraline 1.25mg per day

Jul 2021 2.5mg Olanzapine, 1.15mg Sertraline, fish oil, magnesium

Oct 2021 2.5mg Olanzapine, 1mg Sertraline, fish oil, magnesium

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Might be wise to try re-instatement of a small amount to see if that works first. You might need to give it a couple of weeks to see the benefit. When I re-instated 2.5mg from 1.8 (3/4 tablet) it took 3 days for my sleep to return and then it would periodically go bad again every so often for a few days at a time but I did start feeling more stable and sometimes good within a month. I dropped sertraline from 18.75 and olanzapine from 5 to 2.5 at the same time and periodically still have a few bad days here and there a year later. It gives the brain a lot to sort out. However in between I feel much better than I did on the higher dose of olanzapine and without the sertraline so it is worth it in the long run but it might be worth you updosing in the mean time to allow your brain to catch-up and stabilise a bit.

 

Sept 2018 - Nov 2018 200mg sertraline, 7.5mg olanzapine. 

Nov 2018 - Jan 2018 200mg sertraline, 30mg mirtazapine, 7.5mg olanzapine.

Jan 2019 - mid Feb 2019 reduced sertraline from 200 - 50mg, 7.5mg olanzapine, 30mg mirtazapine.

Feb 2019- Jun 2019 30mg mirtazapine, 50mg sertraline, 7.5mg olanzapine.

Jun 2019 - Oct 2019 30mg mirtazapine, 50mg sertraline, 5mg olanzapine.

Oct 2019 - Nov 2019 37.gmg sertraline, 39mg mirtazapine, 5mg olanzapine.

Nov 2019 -Dec 2019 25mg sertraline, 30mg mirtazapine, 5mg olanzapine. Jan 2020 18.75mg sertraline, 5mg olanzapine, 30mg mirtazapine. Feb 2020 0mg sertraline, 2.5mg olanzapine, 30mg mirtazapine. May 2020 1.8mg olanzapine, 30mg mirtazapine. Aug 2020 2.5mg olanzapine, 30mg mirtazapine. Stabilised for 9 months @2.5mg olanzapine, 30mg mirtazapine. May2021 started slow taper from olanzapine, 5% previous dose per month. Oct 2021 1.875mg olanzapine, 30mg mirtazapine.

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Thank you BadMedicine, and for your response in your own thread (sorry not quite sure of etiquette about where to reply to things).  By 10am yesterday I was in such a mess I reasoned taking another 1.25 mg was just like having the other half of the night before's dose and returning to my original 2.5mg per day.  I took that and within an hour was stabilising noticeably.  During the course of the day I began to feel almost human and by the time I'd had my evening dose my appetite for my dinner was back to normal and my food was tasty rather than something I was forcing down like medicine.  My sleep was only slightly edgy once and I was able to recover from that panic using parasympathetic stimulation exercises and go back to sleep.  This morning I feel 'myself' for the first time in weeks and had not realised how bad I was feeling till I'm through it now.  Thankfully Olanzapine is the drug I don't mind sticking with.  It was the Sertraline I was having such negative side effects from so if I have to stay on this to stabilise I'm ok with that.  I can function normally (for me) at this level.  I will try again but not till I'm sure I'm through the WD process from the Sertraline and with a veeeeerrrry slow taper that I hope my mind will barely notice!

1995 severe abreaction to Seroxat took one tablet and refused further meds. I paid for private psychotherapy. 

2013 till Feb 2021 Omeprazole as required for reflux. 

2015 had major psychotic episode managed with lorazepam and 20mg daily of olanzapine, unknown amount of zopiclone, I was totally out of it and no one made any notes of what I took.

After seeing psychiatrist for first time I was put on sertraline, stopped lorazepam and reduced olanzapine to 2.5mg daily.  Limited improvement with sertraline led to increasing dose to 200mg daily sustained till March 2020.

January 2019 started Magnesium 500mg, CoQ10 30mg, SuperB complex, primarily looking for Riboflavin based on recommendations for Migraine treatment.  So successful I hardly ever took any over 2020 just occasionally to treat my extreme fatigue.

March 2020 reduced sertraline to 150mg to see if side effects reduced and based on psychiatrist having led me to believe patients often increase and decrease dose as required.

August 2020 life threatening depression and vivid, vile nightmares prompted psychotherapist to suggest I read David Healy. On basis of that I began tapering sertraline and took last dose in Jan 2021. Feeling huge improvement in wellbeing off sertraline. NB now reinstated at 1.25mg daily.

Jan 2021 Tried simply not taking my 2.5mg olanzapine and had intolerable withdrawal. GP prescribed oral suspension but due to her warnings of expense I rushed the tapering to try to get it done in one bottle.

Mar 2021 feeling too ill with insomnia and agitation.  Reinstated 2.5mg Olanzapine per day and sertraline 1.25mg per day

Jul 2021 2.5mg Olanzapine, 1.15mg Sertraline, fish oil, magnesium

Oct 2021 2.5mg Olanzapine, 1mg Sertraline, fish oil, magnesium

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  • Moderator
On 3/13/2021 at 9:58 AM, SeekingMeaning said:

  This morning I feel 'myself' for the first time in weeks and had not realised how bad I was feeling till I'm through it now.  

I'm so glad to read that you feel so much better.

Your body went through a lot this year, and you stopped Sertraline very recently. If you're feeling better with 2.5mg Olanzapine and feel like you can stabilise on it, it's ok.
Give time to your body to rest and heal, enjoy the relief, and if one day you decide to taper Olanzapine and feel ready for it, you know you'll find all infos and support here :)

Sending hugs (if you like them ! )

2006 : 20mg Paxil+Bromazepam. 2008 : cold turkey of both. 2010 : Reinstatement 20mg Paxil + Bromazepam.

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

2018 to August 2019 : Paxil 20mg taper (3% every 15 days). 22 Aug 2019 updose 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

Current medication :

* Diazepam  : 0.85mg (15 Aug 2022) / 0.95 mg (24 April 2022) / 1mg Diazepam (since 29 Aug 2020)

* Prozac : 6.24mg (18 July 22) / 6.44mg (22 May 22) / 6.64mg (4 Nov 21) / 6.72mg (8 oct 21) / 6.8 mg (15 Sept 21)6.88mg (14 Aug 21)/ 6.92mg (23 Jun 21)

 

I am not a professional, I don't give medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

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The wise amongst you would probably have seen this coming from my first post but today I have decided to reinstate Sertraline.  The wellbeing from returning the olanzapine to full dose was shortlived and very fragile.  I'm obsessing about anxiety that I could be heading for really bad withdrawal if I don't act now to reverse the stupidly rapid final dose reduction I made.  Well, not stupid really.  I was acting without the knowledge I've gleaned since joining this site and based on how easily the medics implied these tablets could be just stopped when their job was done.

I've reinstated at 1/40th final dose (50mg) so 1.25mg based on the fact that my primary withdrawal symptom is agitation anxiety and insomnia.  Seemed best to start very low.  A few weeks ago I'd have seen this as failure but I've acclimatised to seeing this as a step in self=care I need to take.  Wish me luck. xx

1995 severe abreaction to Seroxat took one tablet and refused further meds. I paid for private psychotherapy. 

2013 till Feb 2021 Omeprazole as required for reflux. 

2015 had major psychotic episode managed with lorazepam and 20mg daily of olanzapine, unknown amount of zopiclone, I was totally out of it and no one made any notes of what I took.

After seeing psychiatrist for first time I was put on sertraline, stopped lorazepam and reduced olanzapine to 2.5mg daily.  Limited improvement with sertraline led to increasing dose to 200mg daily sustained till March 2020.

January 2019 started Magnesium 500mg, CoQ10 30mg, SuperB complex, primarily looking for Riboflavin based on recommendations for Migraine treatment.  So successful I hardly ever took any over 2020 just occasionally to treat my extreme fatigue.

March 2020 reduced sertraline to 150mg to see if side effects reduced and based on psychiatrist having led me to believe patients often increase and decrease dose as required.

August 2020 life threatening depression and vivid, vile nightmares prompted psychotherapist to suggest I read David Healy. On basis of that I began tapering sertraline and took last dose in Jan 2021. Feeling huge improvement in wellbeing off sertraline. NB now reinstated at 1.25mg daily.

Jan 2021 Tried simply not taking my 2.5mg olanzapine and had intolerable withdrawal. GP prescribed oral suspension but due to her warnings of expense I rushed the tapering to try to get it done in one bottle.

Mar 2021 feeling too ill with insomnia and agitation.  Reinstated 2.5mg Olanzapine per day and sertraline 1.25mg per day

Jul 2021 2.5mg Olanzapine, 1.15mg Sertraline, fish oil, magnesium

Oct 2021 2.5mg Olanzapine, 1mg Sertraline, fish oil, magnesium

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  • Moderator
23 minutes ago, SeekingMeaning said:

've reinstated at 1/40th final dose (50mg) so 1.25mg based on the fact that my primary withdrawal symptom is agitation anxiety and insomnia.  Seemed best to start very low.  A few weeks ago I'd have seen this as failure but I've acclimatised to seeing this as a step in self=care I need to take.  Wish me luck. xx

It is wise of you not to judge yourself or view this as failure. You know your situation better than anyone and should do what you need to do to care for yourself.

 

It's very good that you reinstated at a very low dose, which is exactly what we recommend.  Too much can overwhelm your system, which is sensitized from dose changes of the two drugs.  You are well within the time frame (3 months after your last dose) when reinstatement most predictably works.  It takes four days for the reinstated dose to reach full strength in your blood dream and a few more days to register in the brain, so be patient and give the 1.25mg a chance to work.  In judging the effect of the reinstatement, please keep in mind that the purpose of reinstatement isn't to eliminate withdrawal symptoms completely (though it does for some) but rather to bring them down to a tolerable level.

 

This link will give you some information about reinstatement:

 

About reinstating and stabilizing to reduce withdrawal symptoms. -- at least the first page of the topic

 

 

 

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 to 1.875mg 1986-2020, two CT's and reinstatements

Nov. 2020, 7-week Ativan-Valium crossover to 18.75mg Valium

Feb. 2021, begin 10%/4 week taper.   

March 22, 2022: hold at 4.8mg and shift to Imipramine taper

Aug. 5, 2022: shift to Valium taper.  

Current dose as of Aug. 5, 2022: 4.3mg

Taper is 77% complete.

 

Imipramine 75 mg daily since 1986.  Jan-Sept 2016 tapered to 16mg.  

Held until Aug 2021, tapered for 4 weeks to 14.4mg

March 22, 2022: Begin 10%/4 week taper.  Current dose as of Aug. 5: 9.5mg 

Aug. 5, 2022: hold at 9.5 and shift to Valium taper

Taper is 87% complete.  

  

Supplements: omega-3, 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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  • Moderator

Hello @SeekingMeaning

 

How are you doing with your reinstatement?

 

Hoping you enjoy the sun today ☀️

2006 : 20mg Paxil+Bromazepam. 2008 : cold turkey of both. 2010 : Reinstatement 20mg Paxil + Bromazepam.

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

2018 to August 2019 : Paxil 20mg taper (3% every 15 days). 22 Aug 2019 updose 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

Current medication :

* Diazepam  : 0.85mg (15 Aug 2022) / 0.95 mg (24 April 2022) / 1mg Diazepam (since 29 Aug 2020)

* Prozac : 6.24mg (18 July 22) / 6.44mg (22 May 22) / 6.64mg (4 Nov 21) / 6.72mg (8 oct 21) / 6.8 mg (15 Sept 21)6.88mg (14 Aug 21)/ 6.92mg (23 Jun 21)

 

I am not a professional, I don't give medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

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Thank you to Gridley for your prompt encouragement.  I was in quite a mess by the time I was trying to decide what to do so it was very heartening to hear you saying I probably hadn't left it too late to reinstate (which I was really afraid of).  I was unable to tell whether I was just creating massive health anxiety by having read the stories on this site of how bad things can get.  I kept wanting to believe I would be one of those people the medics are so quick to refer to as the normal ones who can just stop the meds without problems.  Sigh.  Anyway, looking back at my thought processes at the weekend it occurred to me that it doesn't matter if a person who casually plays chicken with traffic on the street scares themselves by reading stories of people who have survived car accidents.  If the end result is that the person stops playing chicken with the traffic it's neither here nor there if they  might have been lucky and missed an accident.  I am pleased I listened to the stories here and people have so generously shared their experiences so that I was able to avert my own accident (hopefully, still early days I know).

 

So far so good.  The reinstatement has regained me some balance.  I am at the point where I now recognise what my husband says sometimes 'I can feel the drugs working' as in I can sense how I would be without them and can tell they are muting that dark place that is just a missed dose away.  I particularly sense it as I'm coming up to each next dose.

 

I'm still having disrupted sleep but when it is not accompanied by blind terror and dread as it has been recently I find it quite tolerable.  So it was also useful to read that tolerable is what I'm aiming for rather than absence of side effect.  I'm perhaps in the lucky position at the moment to have the best of both worlds.  I am more able to function than when I was dosed to the eyeballs a year ago and more able to function than I was in the latter weeks when I had destabilised my system by coming off both drugs too fast.  

I'm using my time now to build resources, doing lots of training on the parasympathetic stimulating exercises and establishing some hitherto unsensed levels of autonomic regulation during meditation periods.  Up to now, autonomic regulation has always felt like a state of someone describing sight to someone blind.  I had so little experience of it I did not know what it felt like or how to attain it.  I feel like someone engaged in physical training ready for some big upcoming event...  still very much focussed on the end goal of getting off the meds entirely.

 

@Erellthank you so much for asking after me and I have indeed been out in the sunshine.  I hope you are also being blessed with sunny spells. xx

1995 severe abreaction to Seroxat took one tablet and refused further meds. I paid for private psychotherapy. 

2013 till Feb 2021 Omeprazole as required for reflux. 

2015 had major psychotic episode managed with lorazepam and 20mg daily of olanzapine, unknown amount of zopiclone, I was totally out of it and no one made any notes of what I took.

After seeing psychiatrist for first time I was put on sertraline, stopped lorazepam and reduced olanzapine to 2.5mg daily.  Limited improvement with sertraline led to increasing dose to 200mg daily sustained till March 2020.

January 2019 started Magnesium 500mg, CoQ10 30mg, SuperB complex, primarily looking for Riboflavin based on recommendations for Migraine treatment.  So successful I hardly ever took any over 2020 just occasionally to treat my extreme fatigue.

March 2020 reduced sertraline to 150mg to see if side effects reduced and based on psychiatrist having led me to believe patients often increase and decrease dose as required.

August 2020 life threatening depression and vivid, vile nightmares prompted psychotherapist to suggest I read David Healy. On basis of that I began tapering sertraline and took last dose in Jan 2021. Feeling huge improvement in wellbeing off sertraline. NB now reinstated at 1.25mg daily.

Jan 2021 Tried simply not taking my 2.5mg olanzapine and had intolerable withdrawal. GP prescribed oral suspension but due to her warnings of expense I rushed the tapering to try to get it done in one bottle.

Mar 2021 feeling too ill with insomnia and agitation.  Reinstated 2.5mg Olanzapine per day and sertraline 1.25mg per day

Jul 2021 2.5mg Olanzapine, 1.15mg Sertraline, fish oil, magnesium

Oct 2021 2.5mg Olanzapine, 1mg Sertraline, fish oil, magnesium

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  • 2 weeks later...

Apart from one severe wobble when I ate something with sugar and set off insomnia and panic again I am relatively stable.  My sleep is disrupted but with my current regime of 1.25mg sertraline and 2.5mg of olanzapine I am not being kept awake in hyperalert terror states.

 

I'm using my stabilising time to read around as much as I can on here and trying to make sense of my experiences with both new vision and feeling permission to explore the spiritual emergence view of my experience I have always leaned towards but which was stamped on soundly by the orthodox medics.

I'd like to ask some questions but perhaps need some backstory too.

 

First question

 

Looking for a time frame for when to make more reductions to my meds.  I recognise I've given my CNS major trauma and having experienced that brief month of severe WD before I reinstated I very much do not want to go there again.  I can see that my current tolerable state is thanks to the drugs and am treating them with great respect.  So is the objective to wait until I have unbroken sleep for a few months?  Should I simply set myself a limit of at least 3 months?  At least 6 months? 

This is now where I need to put in back story.  My psychotic episode in 2015 made sense to me in terms of having been in the thrall of a yoga teacher who pursued her own goal of getting me to release chronic tension and ignored signs that I was not able to contain all that was being released.  When I started to question if I was approaching Kundalini psychosis she just shut me down and abandoned me.  But by then I was looping the loop.  I was barely sleeping and I was making series of moves that to my addled brain were keeping my energies held in as best I could.  The crisis got severe enough that the critical care team were called in who had no time for any Kundalini theories and just treated me as having insomnia and acute anxiety-induced psychosis.  Never mind that the anxiety was being brought on by my terror that I was coming apart at the seams due to the searing energies rushing through my system.  A month or so of Lorazepam and Olanzapine with some Zopiclone thrown in crashed me back to earth and made me sleep for forever.  I have lost six months of my life as the Lorazepam made my short term memory pack up.  2015 starts again for me around autumn having had the crisis in February.

 

While in this superdrugged state I was packed off to the outpatient psychiatrist who took the opportunity to treat my lifelong depression and anxiety with Sertraline.  I was not really in a fit state to give informed consent despite having refused SSRI's from the time they were first offered me in 1995.  Sertraline did not really help and the dose kept being increased.  I have the bizarre situation now of giving thanks for the severe social anxiety which made me stop going for any further psychiatric treatment and play the 'good patient' who was getting better.  Those traits are probably why I only have the two drugs to try to recover from rather than a whole gamut of things they tried if I'd owned up to the fact Sertraline was doing nothing for me.

 

So my reason for covering that part of my history in detail is that clearly, insomnia is a worry for me.  That my sleep is now disrupted scares me from ending up where I was in 2015.  On the other hand, I am way wiser than I was then.  I would not hand over control to any body therapist now and the only exercise regimes I follow are fully grounded, ordinary things like HIIT and weight training.  I treat my subtle energies with profound respect and if I'm tightly holding stuff in my body I know it's because of PTSD from childhood and shouldn't be messed with lightly by ignorant, however well-intentioned body workers.

 

Second question is what order to tackle coming off my drugs?  I read threads about SSRI's being activating and antipsychotics calming.  However my 200mg of Sertraline was heavily sedating rather than activating.  Having now read about pooping out I think that whatever benefit I may have had with Sertraline for the first two years the following three were in full tachyphylaxis mode.  Though it alarms me that Olanzapine is so toxic it actually has been the most 'useful' of the two drugs all along and once I dropped from 20 to 2.5 mg daily the metabolic disruption causing ravenous mind-bending hunger ceased.  When the time comes to go off Olanzapine I intend doing an incredibly slow, gentle taper with the hopes of not getting too deranged.  The last thing I want to risk is getting into the hands of the psychiatrists again and being started on anything else.  

  

1995 severe abreaction to Seroxat took one tablet and refused further meds. I paid for private psychotherapy. 

2013 till Feb 2021 Omeprazole as required for reflux. 

2015 had major psychotic episode managed with lorazepam and 20mg daily of olanzapine, unknown amount of zopiclone, I was totally out of it and no one made any notes of what I took.

After seeing psychiatrist for first time I was put on sertraline, stopped lorazepam and reduced olanzapine to 2.5mg daily.  Limited improvement with sertraline led to increasing dose to 200mg daily sustained till March 2020.

January 2019 started Magnesium 500mg, CoQ10 30mg, SuperB complex, primarily looking for Riboflavin based on recommendations for Migraine treatment.  So successful I hardly ever took any over 2020 just occasionally to treat my extreme fatigue.

March 2020 reduced sertraline to 150mg to see if side effects reduced and based on psychiatrist having led me to believe patients often increase and decrease dose as required.

August 2020 life threatening depression and vivid, vile nightmares prompted psychotherapist to suggest I read David Healy. On basis of that I began tapering sertraline and took last dose in Jan 2021. Feeling huge improvement in wellbeing off sertraline. NB now reinstated at 1.25mg daily.

Jan 2021 Tried simply not taking my 2.5mg olanzapine and had intolerable withdrawal. GP prescribed oral suspension but due to her warnings of expense I rushed the tapering to try to get it done in one bottle.

Mar 2021 feeling too ill with insomnia and agitation.  Reinstated 2.5mg Olanzapine per day and sertraline 1.25mg per day

Jul 2021 2.5mg Olanzapine, 1.15mg Sertraline, fish oil, magnesium

Oct 2021 2.5mg Olanzapine, 1mg Sertraline, fish oil, magnesium

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  • 3 weeks later...
  • Moderator

Hello @SeekingMeaning

 

How are you doing these days ?

Still feeling more stable with the reinstatements ?

 

I'm a bit foggy so please excuse me if my sentences are not very clear, but I'll try to suggest possible answers to your questions:

 

- I don't think there is a specific timeframe. Considering that you've been through a lot this year and are feeling some relief, what do you think about enjoying the relief and wait some months to give some rest to your cns and see if some symptoms can improve with the hold, like sleep ?

The thing is, you don't have to make a decision now : you can let 3 months pass and then reassess and see how you do.

And as insomnia is a worry, I would say it might be best to take the time to see if you can streghten your sleep and start a taper when you'll feel stronger.

If you feel like reinstatements are helping, i would give a chance to your CNS to stabilise and wait several months before making a change. 

 

I would also add that you have the right to decide what is best for you, and that's not necessarily tapering to 0. I know some people decide to stay on a low dose of the drug because they fear tje return of insomnia, or voices, and nobody can judge that.

There are also people who decide to stop thinking about tapering to 0 because it is too stressfull, and just celebrate every little reduction in their dose (and actually I think it is the best way to do a taper).

 

So, really, no pressure here : you have suffered a great deal this past years, take your time, no need to take decisions or set limit now ☺

 

- About which drug to taper first : again, no pressure to make a definitive decision.

Usually on SA we recommend to taper the most activating drug first.

If you feel like Olanzapine is helping more than Sertraline, then perhaps you'll decide to taper Sertraline first (after several months 😉).

There are people who lower the dose of one drug, then hold and start lowering another drug (be carefull of not tapering two drugs at the same time).

I really do think that there's no need to make definitive decision or put a timeframe : our bodies lead the game here and it's always time to reassess.

 

Don't know if it will help you, in any case I'm sending hugs 🤗

 

Ps : thank you, a lot, for the tips you shared on my thread. It really does help ❤

2006 : 20mg Paxil+Bromazepam. 2008 : cold turkey of both. 2010 : Reinstatement 20mg Paxil + Bromazepam.

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

2018 to August 2019 : Paxil 20mg taper (3% every 15 days). 22 Aug 2019 updose 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

Current medication :

* Diazepam  : 0.85mg (15 Aug 2022) / 0.95 mg (24 April 2022) / 1mg Diazepam (since 29 Aug 2020)

* Prozac : 6.24mg (18 July 22) / 6.44mg (22 May 22) / 6.64mg (4 Nov 21) / 6.72mg (8 oct 21) / 6.8 mg (15 Sept 21)6.88mg (14 Aug 21)/ 6.92mg (23 Jun 21)

 

I am not a professional, I don't give medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

Link to comment
  • 2 weeks later...

Thanks Erell, I appreciate your thoughts, especially knowing how hard a time you are having just now (((hugs))).

The reinstatement has largely been a success for me and I think overall you are right, it's important to relish the relative stability for a good while.  I still feel ill when I remember what it felt like in February and can't bear the thought of retriggering that state.  I had a very nasty nightmare yesterday and immediately had the panic of 'what if the vile nightmares are back, I could not bear that'.  But one step at a time eh.  I have had a month or so of quite severe fatigue which was not helped by receiving my first covid vaccination (though super grateful to have been given some immunity for sure so very worthwhile).  I can bear fatigue far better than the insomnia and nightmares though so don't make a big deal of that as a symptom.

I still haven't made up my mind which taper to do and when but as long as the answer is 'not now' I guess I can just let that question rest.  

1995 severe abreaction to Seroxat took one tablet and refused further meds. I paid for private psychotherapy. 

2013 till Feb 2021 Omeprazole as required for reflux. 

2015 had major psychotic episode managed with lorazepam and 20mg daily of olanzapine, unknown amount of zopiclone, I was totally out of it and no one made any notes of what I took.

After seeing psychiatrist for first time I was put on sertraline, stopped lorazepam and reduced olanzapine to 2.5mg daily.  Limited improvement with sertraline led to increasing dose to 200mg daily sustained till March 2020.

January 2019 started Magnesium 500mg, CoQ10 30mg, SuperB complex, primarily looking for Riboflavin based on recommendations for Migraine treatment.  So successful I hardly ever took any over 2020 just occasionally to treat my extreme fatigue.

March 2020 reduced sertraline to 150mg to see if side effects reduced and based on psychiatrist having led me to believe patients often increase and decrease dose as required.

August 2020 life threatening depression and vivid, vile nightmares prompted psychotherapist to suggest I read David Healy. On basis of that I began tapering sertraline and took last dose in Jan 2021. Feeling huge improvement in wellbeing off sertraline. NB now reinstated at 1.25mg daily.

Jan 2021 Tried simply not taking my 2.5mg olanzapine and had intolerable withdrawal. GP prescribed oral suspension but due to her warnings of expense I rushed the tapering to try to get it done in one bottle.

Mar 2021 feeling too ill with insomnia and agitation.  Reinstated 2.5mg Olanzapine per day and sertraline 1.25mg per day

Jul 2021 2.5mg Olanzapine, 1.15mg Sertraline, fish oil, magnesium

Oct 2021 2.5mg Olanzapine, 1mg Sertraline, fish oil, magnesium

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  • 6 months later...

Just made another small reduction in sertraline dose and thought I'd pop in to update my info.  I've been holding pretty steady since the big crisis in March this year.  I feel so thankful I found this forum in time to reinstate to a safe dose and allow myself to recover functionality.

 

Overall life has been pleasant for the last few months, some waves and windows but the most significant improvements for me were the return of my ability to read books and the return of my enthusiasm for my spiritual life such that I've been able to be very active in participation with an online Sangha (Buddhist community).  I couldn't even have dreamt of those things while on high sertraline.

 

I long to get off the olanzapine but I feel almost PTSD type responses to how awful things got when I tried that in March even though I know now I did it far too fast and on top of the changes I'd made in sertraline.  Still, it is my objective to be off sertraline by spring 2022 and starting veeeeery slow taper of olanzapine probably no more than 2.5% per six weeks.

 

The method that's worked well for me with sertaline was to crush half a 50mg tablet each day, suspend it in water and quickly take my dose, disposing of remainder of fluid.  Then when I wanted to decrease dose by 10% I would suspend the tablet in 10%  more water but still take the same volume of suspension.  It made sense to my mathematically challenged brain anyway.  So I'm planning to do that with olanzapine too unless anyone has any warnings for me.

 

Thanks again for being here when my need of  you was so urgent.  As a side note, our GP advised a family member to reduce dose by going from 50mg sertraline to 25 mg alternate days.  Holds head in hands and determines not to seek any medical advice myself.

1995 severe abreaction to Seroxat took one tablet and refused further meds. I paid for private psychotherapy. 

2013 till Feb 2021 Omeprazole as required for reflux. 

2015 had major psychotic episode managed with lorazepam and 20mg daily of olanzapine, unknown amount of zopiclone, I was totally out of it and no one made any notes of what I took.

After seeing psychiatrist for first time I was put on sertraline, stopped lorazepam and reduced olanzapine to 2.5mg daily.  Limited improvement with sertraline led to increasing dose to 200mg daily sustained till March 2020.

January 2019 started Magnesium 500mg, CoQ10 30mg, SuperB complex, primarily looking for Riboflavin based on recommendations for Migraine treatment.  So successful I hardly ever took any over 2020 just occasionally to treat my extreme fatigue.

March 2020 reduced sertraline to 150mg to see if side effects reduced and based on psychiatrist having led me to believe patients often increase and decrease dose as required.

August 2020 life threatening depression and vivid, vile nightmares prompted psychotherapist to suggest I read David Healy. On basis of that I began tapering sertraline and took last dose in Jan 2021. Feeling huge improvement in wellbeing off sertraline. NB now reinstated at 1.25mg daily.

Jan 2021 Tried simply not taking my 2.5mg olanzapine and had intolerable withdrawal. GP prescribed oral suspension but due to her warnings of expense I rushed the tapering to try to get it done in one bottle.

Mar 2021 feeling too ill with insomnia and agitation.  Reinstated 2.5mg Olanzapine per day and sertraline 1.25mg per day

Jul 2021 2.5mg Olanzapine, 1.15mg Sertraline, fish oil, magnesium

Oct 2021 2.5mg Olanzapine, 1mg Sertraline, fish oil, magnesium

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Hi @SeekingMeaning. Really good news that you have stabilised and on a really low dose of sertraline. And great that you are noticing some of your old personality traits coming back now you are at lower doses.

 

With regards to the olanzapine. I tried to reduce too quickly initially and hit trouble. Insomnia, nausea, anxiety and anxiety eventually a return of some psychotic symptoms. I re- instated to 2.5mg and stabilised for 9 months. I have since been tapering at 5% of previous dose every 4 weeks. This has been relatively trouble free. I have not been completely free of withdrawal symptoms. I have some periods of elevated mood (I have never been bipolar so this is definitely a withdrawal symptom) and more recently some depression but sleep has remained good throughout. I am now at 1.875mg which is where I had problems before after dropping to this dose directly from 2.5mg. This time though I am stable, sleeping and absolutely no sign of any return of psychosis. In fact I feel better than I have done for years. What I am trying to say is that it is possible to reduce olanzapine comfortably. It just needs to be really slow. You will be able to do it when the time comes I am sure. 

Good luck with your continued sertraline tapering. I too was on sertraline and it was awful. I am so glad to be free of it. I’m sure you will get better and better the lower you go.

 

Sept 2018 - Nov 2018 200mg sertraline, 7.5mg olanzapine. 

Nov 2018 - Jan 2018 200mg sertraline, 30mg mirtazapine, 7.5mg olanzapine.

Jan 2019 - mid Feb 2019 reduced sertraline from 200 - 50mg, 7.5mg olanzapine, 30mg mirtazapine.

Feb 2019- Jun 2019 30mg mirtazapine, 50mg sertraline, 7.5mg olanzapine.

Jun 2019 - Oct 2019 30mg mirtazapine, 50mg sertraline, 5mg olanzapine.

Oct 2019 - Nov 2019 37.gmg sertraline, 39mg mirtazapine, 5mg olanzapine.

Nov 2019 -Dec 2019 25mg sertraline, 30mg mirtazapine, 5mg olanzapine. Jan 2020 18.75mg sertraline, 5mg olanzapine, 30mg mirtazapine. Feb 2020 0mg sertraline, 2.5mg olanzapine, 30mg mirtazapine. May 2020 1.8mg olanzapine, 30mg mirtazapine. Aug 2020 2.5mg olanzapine, 30mg mirtazapine. Stabilised for 9 months @2.5mg olanzapine, 30mg mirtazapine. May2021 started slow taper from olanzapine, 5% previous dose per month. Oct 2021 1.875mg olanzapine, 30mg mirtazapine.

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Thank you @BadMedicine your words of reassurance and encouragement are very precious to me.  If my first drop of 2.5% olanzapine goes without hitch I might be bold enough to try the 5% you managed, balancing risk of symptoms with wanting to get off as fast as I can as usual.  

I noticed from your signature that you stopped Sertraline at 18.75mg?  I'm guessing that was because you have mirtazapine acting as a cushion?  Still trying to figure out how low to take my sertraline before stopping completely as it's that stop which is making me delay the olanzapine taper.

1995 severe abreaction to Seroxat took one tablet and refused further meds. I paid for private psychotherapy. 

2013 till Feb 2021 Omeprazole as required for reflux. 

2015 had major psychotic episode managed with lorazepam and 20mg daily of olanzapine, unknown amount of zopiclone, I was totally out of it and no one made any notes of what I took.

After seeing psychiatrist for first time I was put on sertraline, stopped lorazepam and reduced olanzapine to 2.5mg daily.  Limited improvement with sertraline led to increasing dose to 200mg daily sustained till March 2020.

January 2019 started Magnesium 500mg, CoQ10 30mg, SuperB complex, primarily looking for Riboflavin based on recommendations for Migraine treatment.  So successful I hardly ever took any over 2020 just occasionally to treat my extreme fatigue.

March 2020 reduced sertraline to 150mg to see if side effects reduced and based on psychiatrist having led me to believe patients often increase and decrease dose as required.

August 2020 life threatening depression and vivid, vile nightmares prompted psychotherapist to suggest I read David Healy. On basis of that I began tapering sertraline and took last dose in Jan 2021. Feeling huge improvement in wellbeing off sertraline. NB now reinstated at 1.25mg daily.

Jan 2021 Tried simply not taking my 2.5mg olanzapine and had intolerable withdrawal. GP prescribed oral suspension but due to her warnings of expense I rushed the tapering to try to get it done in one bottle.

Mar 2021 feeling too ill with insomnia and agitation.  Reinstated 2.5mg Olanzapine per day and sertraline 1.25mg per day

Jul 2021 2.5mg Olanzapine, 1.15mg Sertraline, fish oil, magnesium

Oct 2021 2.5mg Olanzapine, 1mg Sertraline, fish oil, magnesium

Link to comment

I did stop sertraline at 18.75mg. I had to because I was an awful person on it. I also dropped the olanzapine from 5-2.5mg at the same time so I can’t differentiate which withdrawal symptoms were which. It wasn’t easy. I had an acute withdrawal reaction initially with crying, severe depression and suicidal thoughts. This did stop relatively quickly but I remained very flat for quite a long time although I didn’t have some of the severe symptoms that other people have. It was only when 3 months after dropping the sertraline and halving the olanzapine I tried to reduce olanzapine to 1.875mg I ran into trouble. The proverbial hit the fan with insomnia, nausea, anxiety and a labile  mood and eventually psychosis. I do think it was the cumulative effect of dropping the sertraline and significantly reducing olanzapine that led to the problem and I had to stabilise for 9 months. During this time once my sleep got better I felt OK most of the time but still had sporadic crying spells with depression and suicidal thoughts. They usually only lasted a couple of days and then I would be back to feeling OK for a week or two. The main problem I had was that sertraline had turned me into a very anxious and jealous person even of my sister who I have never been jealous of in my life. In fact I had always had a great relationship with her. It made it really difficult to talk to other people too. This has taken awhile to go and still hasn’t disappeared completely but is heaps better. My sister and her other half came to visit us recently and we had a fabulous time. Still some improvements needed in other parts of my life but it is so much better than when I was on high doses of the drug. 
 

As for when you can drop the sertraline I’m afraid I don’t have the answer for you. I just wanted to share my experience. Do you notice withdrawal symptoms when you make reductions? If not then you may be able to stop at a higher dose than recommended. I think on here they suggest going down to fractions of a mg. 

 

Sept 2018 - Nov 2018 200mg sertraline, 7.5mg olanzapine. 

Nov 2018 - Jan 2018 200mg sertraline, 30mg mirtazapine, 7.5mg olanzapine.

Jan 2019 - mid Feb 2019 reduced sertraline from 200 - 50mg, 7.5mg olanzapine, 30mg mirtazapine.

Feb 2019- Jun 2019 30mg mirtazapine, 50mg sertraline, 7.5mg olanzapine.

Jun 2019 - Oct 2019 30mg mirtazapine, 50mg sertraline, 5mg olanzapine.

Oct 2019 - Nov 2019 37.gmg sertraline, 39mg mirtazapine, 5mg olanzapine.

Nov 2019 -Dec 2019 25mg sertraline, 30mg mirtazapine, 5mg olanzapine. Jan 2020 18.75mg sertraline, 5mg olanzapine, 30mg mirtazapine. Feb 2020 0mg sertraline, 2.5mg olanzapine, 30mg mirtazapine. May 2020 1.8mg olanzapine, 30mg mirtazapine. Aug 2020 2.5mg olanzapine, 30mg mirtazapine. Stabilised for 9 months @2.5mg olanzapine, 30mg mirtazapine. May2021 started slow taper from olanzapine, 5% previous dose per month. Oct 2021 1.875mg olanzapine, 30mg mirtazapine.

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  • ChessieCat changed the title to SeekingMeaning: tapered sertraline over 9mo and been free 1mo. Struggling tapering olanzapine.
On 10/31/2021 at 6:23 PM, BadMedicine said:


 

As for when you can drop the sertraline I’m afraid I don’t have the answer for you. I just wanted to share my experience. Do you notice withdrawal symptoms when you make reductions? If not then you may be able to stop at a higher dose than recommended. I think on here they suggest going down to fractions of a mg. 

I'm so glad you found improvements off the Sertraline too.  It's got such deep rooted invasive effects that I doubt the docs would ever believe in.  I was listening to music yesterday and suddenly remembered that I'd been triggered to panic attacks by music for the whole five years on Sertraline.

So my miniscule taper of two weeks ago is affecting me more than I expected.  Getting some insomnia,  quite bad senses of dread and anxiety that I wasn't having while stable prior to the taper.  Also a return of some suicidal ideation but only in the sense of intrusive thoughts rather than as a feeling of despair so they're quite easy to ignore.  But I'd been kind of hoping I'd be able to see no impact of dropping a small dose and look forward to getting free of it sooner rather than later.  Hey ho, it'll come in time.

1995 severe abreaction to Seroxat took one tablet and refused further meds. I paid for private psychotherapy. 

2013 till Feb 2021 Omeprazole as required for reflux. 

2015 had major psychotic episode managed with lorazepam and 20mg daily of olanzapine, unknown amount of zopiclone, I was totally out of it and no one made any notes of what I took.

After seeing psychiatrist for first time I was put on sertraline, stopped lorazepam and reduced olanzapine to 2.5mg daily.  Limited improvement with sertraline led to increasing dose to 200mg daily sustained till March 2020.

January 2019 started Magnesium 500mg, CoQ10 30mg, SuperB complex, primarily looking for Riboflavin based on recommendations for Migraine treatment.  So successful I hardly ever took any over 2020 just occasionally to treat my extreme fatigue.

March 2020 reduced sertraline to 150mg to see if side effects reduced and based on psychiatrist having led me to believe patients often increase and decrease dose as required.

August 2020 life threatening depression and vivid, vile nightmares prompted psychotherapist to suggest I read David Healy. On basis of that I began tapering sertraline and took last dose in Jan 2021. Feeling huge improvement in wellbeing off sertraline. NB now reinstated at 1.25mg daily.

Jan 2021 Tried simply not taking my 2.5mg olanzapine and had intolerable withdrawal. GP prescribed oral suspension but due to her warnings of expense I rushed the tapering to try to get it done in one bottle.

Mar 2021 feeling too ill with insomnia and agitation.  Reinstated 2.5mg Olanzapine per day and sertraline 1.25mg per day

Jul 2021 2.5mg Olanzapine, 1.15mg Sertraline, fish oil, magnesium

Oct 2021 2.5mg Olanzapine, 1mg Sertraline, fish oil, magnesium

Link to comment
  • 2 months later...

I'm looking for advice about going for major abdominal surgery this week.  I've told my surgeon and anaesthetist about my sensitivity and discontinuation syndrome but I had the impression neither had heard of it nor took it terribly seriously.  Maybe it's because I'm self-diagnosed as my GP has a terrible attitude to withdrawal and I don't discuss it with her in case I get my prescription stopped CT.

 

Anyway, I know for sure I will get premed, probably fentanyl, anaesthetic and then will be on pain meds and anti emetics for the day post surgery.  It's the antiemetics that worry me most as I know they can be pretty psychotropic.  Anyone with any experience of this got any advice?  I obviously want the drugs as I think the risk of sickness following abdo surgery is significant.  It's just whether I should request something or not to have anything specific.

1995 severe abreaction to Seroxat took one tablet and refused further meds. I paid for private psychotherapy. 

2013 till Feb 2021 Omeprazole as required for reflux. 

2015 had major psychotic episode managed with lorazepam and 20mg daily of olanzapine, unknown amount of zopiclone, I was totally out of it and no one made any notes of what I took.

After seeing psychiatrist for first time I was put on sertraline, stopped lorazepam and reduced olanzapine to 2.5mg daily.  Limited improvement with sertraline led to increasing dose to 200mg daily sustained till March 2020.

January 2019 started Magnesium 500mg, CoQ10 30mg, SuperB complex, primarily looking for Riboflavin based on recommendations for Migraine treatment.  So successful I hardly ever took any over 2020 just occasionally to treat my extreme fatigue.

March 2020 reduced sertraline to 150mg to see if side effects reduced and based on psychiatrist having led me to believe patients often increase and decrease dose as required.

August 2020 life threatening depression and vivid, vile nightmares prompted psychotherapist to suggest I read David Healy. On basis of that I began tapering sertraline and took last dose in Jan 2021. Feeling huge improvement in wellbeing off sertraline. NB now reinstated at 1.25mg daily.

Jan 2021 Tried simply not taking my 2.5mg olanzapine and had intolerable withdrawal. GP prescribed oral suspension but due to her warnings of expense I rushed the tapering to try to get it done in one bottle.

Mar 2021 feeling too ill with insomnia and agitation.  Reinstated 2.5mg Olanzapine per day and sertraline 1.25mg per day

Jul 2021 2.5mg Olanzapine, 1.15mg Sertraline, fish oil, magnesium

Oct 2021 2.5mg Olanzapine, 1mg Sertraline, fish oil, magnesium

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  • Moderator Emeritus

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

 

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

Woohoo!!!  Finally off Pristiq    Post 0 updates start here

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

My full tapering program     My Intro (goes to my tapering graph)    My website

PLEASE NOTE:  I am not a medical professional.  I provide information and make suggestions.  Please DO NOT TAG me - thank you.

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Hi @SeekingMeaning

 

Wishing you all the best for your surgery and healing x

Sertraline (Lustral):  2014. Sept 50mg. Oct 100mg. Dec 150mg. 2015-2019. 150mg. 2019  Apr-May 0mg. Beg May 150mg. End May 100mg. Late June 125mg. Late Aug 100mg. 2020 Jan 75mg. April 50mg.

2022  50mg. 1Jan 45mg. 1Feb 40.5mg. Water T24Feb 39.5mg. 3Mar 38.5mg. 18Mar 38mg. 25Mar 37.5mg. 22Apr 37mg. 5May 36.5mg. 18May 36mg. 1Jun 35.3mg. 15Jun 34.5mg.  30Jun 34mg. 15Jul 33.5mg. 22Jul 33mg. 5Aug 32.5mg

Promethazine:  2016 25mg. 2022  25mg. 26Jan 22.5mg. 3Apr 20mg.  17Jun 18mg. 20Jun 16.25mg

Desogestrel:  2014 -  present:  75mcg

Supplements: Introduced gradually between April and June 2022.  Magnesium. 400mcg  Folic acid.  400mcg. Vitamin D. 10mcg.  Multivit/min. 1 tab

 

 Omeprazole.:  2016 20mg. 2022  20mg.  15Jan 15mg. 9Feb 10mg. 25Feb 6.5mg. 15Mar 3mg. 3Apr 1.5mg.  15Apr 0mg 🎉

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