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Kat66: should I reinstate or plough on drug free?


Kat66

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Hi all, and thank you for this site. After multiple attempts to taper over the last 5/6 years, some medically supervised, some not, I came off citalopram 10mg at the end of June this year with the intention of pushing through withdrawal come what may. I had been on 20mg until earlier this year and decreased straight to 10mg which I’d been on for about three months. Needless to say now I am now not having fun at all and am considering reinstating. My intention was to replace the SSRI with 5htp which I’ve been taking for a week at 50mg then 100mg. I still have some citalopram tablets left (I’ve asked my husband to hide them) so am wondering if I should crush them and weigh them or just go straight to the liquid version and do it that way. I have a history of depression and anxiety, but at the moment am in a mental state I do not recognise, it’s utterly bleak and strange, like everything around me looks the same but I am a stranger to myself and my surroundings. I’m not sure I can do this long term. I’m not suicidal but have had fleeting very dark thoughts. Thank you in advance for any advice/thoughts. X

Edited by arbor

History of depression and anxiety. Symptoms of PTSD. 1998-1999 Venlafaxine 2006-2007 Prozac.2013-15 Sertraline 50mg. 2015 cross-tapered to citalopram 20mg. 2015-2021 Citalopram 20mg (brief increase to 30mg for 2/3 months in 2019. 01/2021 Dropped from 20mg to 10mg, back up to 20mg til June. 25/6/21 stopped CT. Started 50mg 5htp after a week without citalopram in the hope this would balance out my serotonin levels. After 3 days increased to 100mg 5htp. 11/7/21 Stopped 5htp with the intention of reinstating citalopram at 1mg. 16/7/21 Reinstated cit at 1mg. 2/8/21 Increased dose to 2mg. 28/11/21 10% reduction to 1.8mg.

8/12/21 2mg 6/1/22 1.8mg 10/2/22 1.6mg 13/5/22 1.5mg 4/6/22 1.55mg 4/7/22 1.4mg 4/8/22 1.25mg 1/11/22 1.1mg 3/3/23 1mg 18/4/23 0.9mg 2/6/23 0.8mg 4/10/23 0.7mg 11/11/23 jumped off @0.7mg started on 5htp 200mg -400mg, L-Theanine, and L-tyrosine 200mg. 25/11/23 came off 5-htp, l-tyrosine and l-Theanine. 24/12/23 went on 7.5mg mirtazapine. 27/12/23 stopped mirtazapine & reinstated citalopram @.35mg. 1/1/24 increased to 0.5mg. PTSD diagnosis October 2023. 11/11/23 started EMDR therapy for PTSD. Multiple unsuccessful attempts to taper off citalopram. Vegan, otherwise healthy lifestyle. Other medications; tapering off combined HRT. Other supplements; magnesium glycinate, vegan omega3. Completely OFF caffeine (since July 21). Finding it difficult to completely give up alcohol but haven’t had any since 25/12/23. Main symptoms; crushing depression, anhedonia/emotional anesthesia, irritability, rage, anxiety/fear, intrusive thoughts, cognitive fog, inability to focus, restlessness and some insomnia

 

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  • arbor changed the title to Kat66: should I reinstate or plough on drug free?
  • Moderator Emeritus

Hello @Kat66

Welcome to SA.

 

I am so sorry you are feeling the distressing effects of withdrawal from the citalopram.  To be able to help you address this, we ask members to summarize their medication history in a signature – just drugs, doses, dates, and discontinuations & reinstatements in a list format.     

 

Account Settings – Create or Edit a signature.

 

The symptoms you describe unfortunately are not unusual as you can read from other members' descriptions throughout the site.  We recommend a slower taper in order to reduce the impact of going off these drugs, but many of us are not informed by our doctors just how slowly we need to go.   

Why taper by 10% of my dosage?

 

The symptoms can be unbelievably challenging, but the brain is able to heal, and I encourage you to acquaint yourself with the stories of people you have recovered.  These can help us to keep up our courage.  Here's a link to their stories:

Success stories: Recovery from psychiatric drug withdrawal

 

I too faced the question of whether to reinstate or forge ahead drug-free when I had discontinued too quickly.  Since timing is important for determining your next options, I encourage you to make your decision soon.  Here is some information that can help you understand this better.  Don't hesitate to ask more questions.

 

 About reinstating and stabilizing to stop withdrawal symptoms

 

Reinstatement is best done immediately upon appearance of symptoms. The more time that passes, the less likely it is to work. There is also the risk that it can worsen symptoms.  If you do make the choice to reinstate at a very low dose, then after you have stabilized, a slower, safer taper can be started.  Here are further links to help you.

The Brassmonkey Slide Method of Micro-tapering

 

The more information about how you are feeling (for instance, how you are sleeping? how is your stomach?) can help us help you decide how you'd like to proceed.

 

I also want to mention that 5-HTP can be problematic when your serotonin system is in disarray from the drugs and withdrawal.  I would suggest tapering off that, as it could be adding to your symptoms.

5-HTP (5-hydroxytryptophan) and l-tryptophan - Symptoms ...

 

Aside from a high quality fish oil and magnesium, we don't usually recommend supplements as they can be too disruptive when our systems are so sensitized.  Here are  links for info about those. It is suggested to add one at a time, and start with a low dose to see how it affects you. 

 

Magnesium

Omega 3 Fish Oil

 

This is your Introduction site where you can ask questions and connect with other members.

I'm glad you've found us.   And I also want to congratulate you on managing to get off Citalopram.  It takes an incredible amount of fortitude to get free of these drugs and their effects.  All my best to you.

Arbor

Zoloft: 1995 - 2015

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

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

Enalapril: 2010 - 2019

Lipitor: 2017 -2017

Metformin: 2000 - 2020

Liothyronine: 2007 - 2019

Levothyroxine: 2000 - 2022

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Hi Arbor, thanks for replying. My sleep is reasonably ok as is my stomach. Occasionally I may get the odd tummy gripe if I eat too much bread or something but it’s generally fairly strong. 
 

Since I’ve only been on 5Htp for a week I figured the longer I leave it to reinstate the less chance it has of working (as you suggested) so I haven’t tapered. I’m not sure how I would have tapered anyway as it’s only been 7 days. 
 

I’ve bought some 10ml eye dropper bottles with the intention of dissolving a 10mg tablet and taking 1mg of citalopram a day for 10 days (then repeat). Does that sound like a good plan to you? 

History of depression and anxiety. Symptoms of PTSD. 1998-1999 Venlafaxine 2006-2007 Prozac.2013-15 Sertraline 50mg. 2015 cross-tapered to citalopram 20mg. 2015-2021 Citalopram 20mg (brief increase to 30mg for 2/3 months in 2019. 01/2021 Dropped from 20mg to 10mg, back up to 20mg til June. 25/6/21 stopped CT. Started 50mg 5htp after a week without citalopram in the hope this would balance out my serotonin levels. After 3 days increased to 100mg 5htp. 11/7/21 Stopped 5htp with the intention of reinstating citalopram at 1mg. 16/7/21 Reinstated cit at 1mg. 2/8/21 Increased dose to 2mg. 28/11/21 10% reduction to 1.8mg.

8/12/21 2mg 6/1/22 1.8mg 10/2/22 1.6mg 13/5/22 1.5mg 4/6/22 1.55mg 4/7/22 1.4mg 4/8/22 1.25mg 1/11/22 1.1mg 3/3/23 1mg 18/4/23 0.9mg 2/6/23 0.8mg 4/10/23 0.7mg 11/11/23 jumped off @0.7mg started on 5htp 200mg -400mg, L-Theanine, and L-tyrosine 200mg. 25/11/23 came off 5-htp, l-tyrosine and l-Theanine. 24/12/23 went on 7.5mg mirtazapine. 27/12/23 stopped mirtazapine & reinstated citalopram @.35mg. 1/1/24 increased to 0.5mg. PTSD diagnosis October 2023. 11/11/23 started EMDR therapy for PTSD. Multiple unsuccessful attempts to taper off citalopram. Vegan, otherwise healthy lifestyle. Other medications; tapering off combined HRT. Other supplements; magnesium glycinate, vegan omega3. Completely OFF caffeine (since July 21). Finding it difficult to completely give up alcohol but haven’t had any since 25/12/23. Main symptoms; crushing depression, anhedonia/emotional anesthesia, irritability, rage, anxiety/fear, intrusive thoughts, cognitive fog, inability to focus, restlessness and some insomnia

 

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  • Moderator Emeritus
7 hours ago, Kat66 said:

I’ve bought some 10ml eye dropper bottles with the intention of dissolving a 10mg tablet and taking 1mg of citalopram a day for 10 days (then repeat). Does that sound like a good plan to you? 

This sounds good. It's good to reinstate low, to avoid kindling.  Please let us know how you feel after you reinstate.  It can take between a week to a couple of months for a reinstatement to get fully established.  If you feel significantly worse after you reinstate, I suggest you stop the reinstatement immediately.  A reinstatement won't take away all the withdrawal, but it should lessen it.  

 

Tips for Tapering Citalopram

 

About when in June did you stop the citalopram altogether?  If you don't remember the day, was it early, mid, or late June?  Please update your signature with this information, and the information about your reinstatement - thank you.  

 

@arbor has given you some very good information.  I hope it was helpful.  Do you have any questions? 

 

If it were me, I would just stop the 5htp since you've only been on it a few days.  The problem with supplements is that they are not controlled by the FDA, and they could vary in strength from bottle to bottle, and could contain other substances in there that could be harmful. These factors could cause nervous system destabilization.  I used to be on 5htp for years, and I weaned off of it about 7 months ago, and actually felt better after I got off of it.  

 

Please keep us posted, and hang in there.  This will eventually get better, assuming you take care of yourself and be gentle with your nervous system. 

Edited by getofflex

Please do not private message me.  Only tag me for urgent questions about tapering and reinstating - thank you.  

 

***Please note this is not medical advice.  Discuss any decisions about your medical care with a doctor who understands psych meds and how to withdraw from them, if you can find one.

 

Lexapro   Started Apr 15 2010 - 10 mg;  started taper August 2017, recent taper info: Apr 2 '20  0.18 mg; Jul 16  0.17 mg, Aug 23  0.16 mg, Oct 7  0.15 mg, Nov 8 - 0.14, Jan 16 '21 - 0.13, Feb 7 - 0.12, Feb 22 - 0.11, Mar 26 - 0.10, May 21 - 0.09, June 15 - 0.08 Aug 16 - 0.07, Oct 6 - 0.06, Nov 21 0.05, Dec. 17 0.04, Jan 14 '22 0.03, Feb 19 0.02, Apr 18 0.01, May 15 0.005,  Jul 8, 0.00.  Psych Drug Free as of July 8, 2022!!  Woohoo!!!

other meds: Levothyroxine 75 mg

magnesium in small amounts at 4 AM, before bed

suppl AM: fish oil, flax oil, vit C, vit E, multivitamin, zinc

suppl 8 PM: magnesium 350 mg, extended release vitamin C, melatonin 2 mg

 

Paxil 2002 - 2010, switched to Lexapro 2010 

Trazodone 50 mg. 2002 - 2019, fast tapered in 2019 

Xanax 0.5 mg as needed 2002 - 2019, up to 3x weekly 

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Thanks getofflex

I stopped the citalopram on Friday 25th June.

 

Questions;

Are horrible rage, irritation, and agitation (the inability to settle to anything) recognised symptoms of withdrawal?

Should I keep to 1mg until things settle down? Intuitively it seems like such a small dose wouldn't make a difference but I guess it does?

Does the fact I'm on HRT (cliovance) make any difference to anything? (I've added this to my signature)

 

I actually started feeling a little better on 100mg of 5HTP, but to be honest I don't know my a$$ from my elbow at the moment so I may have been imagining it.

 

History of depression and anxiety. Symptoms of PTSD. 1998-1999 Venlafaxine 2006-2007 Prozac.2013-15 Sertraline 50mg. 2015 cross-tapered to citalopram 20mg. 2015-2021 Citalopram 20mg (brief increase to 30mg for 2/3 months in 2019. 01/2021 Dropped from 20mg to 10mg, back up to 20mg til June. 25/6/21 stopped CT. Started 50mg 5htp after a week without citalopram in the hope this would balance out my serotonin levels. After 3 days increased to 100mg 5htp. 11/7/21 Stopped 5htp with the intention of reinstating citalopram at 1mg. 16/7/21 Reinstated cit at 1mg. 2/8/21 Increased dose to 2mg. 28/11/21 10% reduction to 1.8mg.

8/12/21 2mg 6/1/22 1.8mg 10/2/22 1.6mg 13/5/22 1.5mg 4/6/22 1.55mg 4/7/22 1.4mg 4/8/22 1.25mg 1/11/22 1.1mg 3/3/23 1mg 18/4/23 0.9mg 2/6/23 0.8mg 4/10/23 0.7mg 11/11/23 jumped off @0.7mg started on 5htp 200mg -400mg, L-Theanine, and L-tyrosine 200mg. 25/11/23 came off 5-htp, l-tyrosine and l-Theanine. 24/12/23 went on 7.5mg mirtazapine. 27/12/23 stopped mirtazapine & reinstated citalopram @.35mg. 1/1/24 increased to 0.5mg. PTSD diagnosis October 2023. 11/11/23 started EMDR therapy for PTSD. Multiple unsuccessful attempts to taper off citalopram. Vegan, otherwise healthy lifestyle. Other medications; tapering off combined HRT. Other supplements; magnesium glycinate, vegan omega3. Completely OFF caffeine (since July 21). Finding it difficult to completely give up alcohol but haven’t had any since 25/12/23. Main symptoms; crushing depression, anhedonia/emotional anesthesia, irritability, rage, anxiety/fear, intrusive thoughts, cognitive fog, inability to focus, restlessness and some insomnia

 

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  • Moderator Emeritus
38 minutes ago, Kat66 said:

Are horrible rage, irritation, and agitation (the inability to settle to anything) recognised symptoms of withdrawal?

Most definitely.  I had these symptoms myself in early withdrawal.  Much of this is just our nervous systems being in a state of chaos.  We call this neuro emotions. 

 

Neuro Emotions

 

A lot of my anger was from ruminating thoughts.  Here are some links to help: 

 

Dealing with Emotional Spirals

 

For restlessness and agitation, this link may help: 

 

Restlessness, Agitation, Akathisia, etc.

 

41 minutes ago, Kat66 said:

Should I keep to 1mg until things settle down? Intuitively it seems like such a small dose wouldn't make a difference but I guess it does?

Yes, I suggest you stay at 1 mg (unless it makes you significantly worse) for at least a month or 2, if not longer.   The lower doses still have a powerful effect on our nervous systems, because even at the lower doses, there is still a high rate of receptor occupancy.  That means that very low doses have a significant impact on our nervous system.  This link explains about that.  Check out the chart - it is a good visual of just how much these drugs affect us even at very low doses.  

 

SERT Transporter Occupancy Studies

 

Also, it is very important to keep things stable.  This link explains details about that: 

 

Keep It Simple, Slow, and Stable

 

47 minutes ago, Kat66 said:

I actually started feeling a little better on 100mg of 5HTP, but to be honest I don't know my a$$ from my elbow at the moment so I may have been imagining it.

🤣

 

I see.  If it were me, I would at least drop to a lower dose of the 5HTP (50, or 25 mg) , since you are reinstating the citalopram.  Did you read the link on 5htp that Arbor gave you above?  It can be problematic, as she said.  As the link says "large doses of 5-HTP should be avoided as it can result in the formation of excessively high levels of serotonin in tissues other than the brain, resulting in significant adverse reactions."   Also "5-HTP should not be taken concurrently with anti- depressants except under the supervision of a physician, because 5-HTP increases the activity of these drugs."  

 

I'm not familiar with how HRT affects AD WD.  Here is a thread where other members talk about that: 

 

Hormone Replacement Therapy

 

 

Please do not private message me.  Only tag me for urgent questions about tapering and reinstating - thank you.  

 

***Please note this is not medical advice.  Discuss any decisions about your medical care with a doctor who understands psych meds and how to withdraw from them, if you can find one.

 

Lexapro   Started Apr 15 2010 - 10 mg;  started taper August 2017, recent taper info: Apr 2 '20  0.18 mg; Jul 16  0.17 mg, Aug 23  0.16 mg, Oct 7  0.15 mg, Nov 8 - 0.14, Jan 16 '21 - 0.13, Feb 7 - 0.12, Feb 22 - 0.11, Mar 26 - 0.10, May 21 - 0.09, June 15 - 0.08 Aug 16 - 0.07, Oct 6 - 0.06, Nov 21 0.05, Dec. 17 0.04, Jan 14 '22 0.03, Feb 19 0.02, Apr 18 0.01, May 15 0.005,  Jul 8, 0.00.  Psych Drug Free as of July 8, 2022!!  Woohoo!!!

other meds: Levothyroxine 75 mg

magnesium in small amounts at 4 AM, before bed

suppl AM: fish oil, flax oil, vit C, vit E, multivitamin, zinc

suppl 8 PM: magnesium 350 mg, extended release vitamin C, melatonin 2 mg

 

Paxil 2002 - 2010, switched to Lexapro 2010 

Trazodone 50 mg. 2002 - 2019, fast tapered in 2019 

Xanax 0.5 mg as needed 2002 - 2019, up to 3x weekly 

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Thanks again getofflex for taking the time to reply so comprehensively to my message, and I'll most definitely check out the links you posted.

 

Can I ask a few questions please? Firstly though, I don't have physical restlessness as such, it's just that I cannot focus on any task for more than a few minutes, so it feels like mental restlessness if you will.

So my first question is, inability to focus for more than a short time, does that sound like withdrawal? Also, is a feeling of being totally disconnected from everything/everyone around you part of WD?

Also, how long should I ideally stay on 1mg before starting to taper? 

 

What you said and what I read about much higher doses of ADs being prescribed than are needed made me so angry (like everything else at the moment LOL)...makes me wonder if big pharma deliberately recommend higher doses so you'll keep taking the drug. Conspiracy alert!

 

x

 

History of depression and anxiety. Symptoms of PTSD. 1998-1999 Venlafaxine 2006-2007 Prozac.2013-15 Sertraline 50mg. 2015 cross-tapered to citalopram 20mg. 2015-2021 Citalopram 20mg (brief increase to 30mg for 2/3 months in 2019. 01/2021 Dropped from 20mg to 10mg, back up to 20mg til June. 25/6/21 stopped CT. Started 50mg 5htp after a week without citalopram in the hope this would balance out my serotonin levels. After 3 days increased to 100mg 5htp. 11/7/21 Stopped 5htp with the intention of reinstating citalopram at 1mg. 16/7/21 Reinstated cit at 1mg. 2/8/21 Increased dose to 2mg. 28/11/21 10% reduction to 1.8mg.

8/12/21 2mg 6/1/22 1.8mg 10/2/22 1.6mg 13/5/22 1.5mg 4/6/22 1.55mg 4/7/22 1.4mg 4/8/22 1.25mg 1/11/22 1.1mg 3/3/23 1mg 18/4/23 0.9mg 2/6/23 0.8mg 4/10/23 0.7mg 11/11/23 jumped off @0.7mg started on 5htp 200mg -400mg, L-Theanine, and L-tyrosine 200mg. 25/11/23 came off 5-htp, l-tyrosine and l-Theanine. 24/12/23 went on 7.5mg mirtazapine. 27/12/23 stopped mirtazapine & reinstated citalopram @.35mg. 1/1/24 increased to 0.5mg. PTSD diagnosis October 2023. 11/11/23 started EMDR therapy for PTSD. Multiple unsuccessful attempts to taper off citalopram. Vegan, otherwise healthy lifestyle. Other medications; tapering off combined HRT. Other supplements; magnesium glycinate, vegan omega3. Completely OFF caffeine (since July 21). Finding it difficult to completely give up alcohol but haven’t had any since 25/12/23. Main symptoms; crushing depression, anhedonia/emotional anesthesia, irritability, rage, anxiety/fear, intrusive thoughts, cognitive fog, inability to focus, restlessness and some insomnia

 

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  • Moderator Emeritus
6 hours ago, Kat66 said:

So my first question is, inability to focus for more than a short time, does that sound like withdrawal?

Yes, definitely.  I've had the same symptom.  I believe it is part of brain fog, which is a hallmark symptom of WD. 

 

Brain Fog, Etc.

 

6 hours ago, Kat66 said:

Also, is a feeling of being totally disconnected from everything/everyone around you part of WD?

Absolutely.  We call this depersonalization/derealization.  In the link below, go to about the 10th post, where Altostrata defines it. 

 

Derealization Depersonalization

 

6 hours ago, Kat66 said:

Also, how long should I ideally stay on 1mg before starting to taper?

Until you stabilize.  There is no set time. Since you jumped off Citalopram 10 mg to zero back in late June, I would suggest you stay on the 1mg dose for at least 2 or 3 months, and give your system a chance to heal and settle down.  It will make you future tapering easier and more comfortable.  This link tells you how to determine if you are stable: 

 

Stability

 

6 hours ago, Kat66 said:

What you said and what I read about much higher doses of ADs being prescribed than are needed made me so angry (like everything else at the moment LOL)...makes me wonder if big pharma deliberately recommend higher doses so you'll keep taking the drug. Conspiracy alert!

I feel the same way!  It's all about money and greed, unfortunately.  

Please do not private message me.  Only tag me for urgent questions about tapering and reinstating - thank you.  

 

***Please note this is not medical advice.  Discuss any decisions about your medical care with a doctor who understands psych meds and how to withdraw from them, if you can find one.

 

Lexapro   Started Apr 15 2010 - 10 mg;  started taper August 2017, recent taper info: Apr 2 '20  0.18 mg; Jul 16  0.17 mg, Aug 23  0.16 mg, Oct 7  0.15 mg, Nov 8 - 0.14, Jan 16 '21 - 0.13, Feb 7 - 0.12, Feb 22 - 0.11, Mar 26 - 0.10, May 21 - 0.09, June 15 - 0.08 Aug 16 - 0.07, Oct 6 - 0.06, Nov 21 0.05, Dec. 17 0.04, Jan 14 '22 0.03, Feb 19 0.02, Apr 18 0.01, May 15 0.005,  Jul 8, 0.00.  Psych Drug Free as of July 8, 2022!!  Woohoo!!!

other meds: Levothyroxine 75 mg

magnesium in small amounts at 4 AM, before bed

suppl AM: fish oil, flax oil, vit C, vit E, multivitamin, zinc

suppl 8 PM: magnesium 350 mg, extended release vitamin C, melatonin 2 mg

 

Paxil 2002 - 2010, switched to Lexapro 2010 

Trazodone 50 mg. 2002 - 2019, fast tapered in 2019 

Xanax 0.5 mg as needed 2002 - 2019, up to 3x weekly 

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Thanks getofflex, is it all part of WD to feel like you can only cope with small amounts of stimulus, ie, only small amounts of any one task, housework, talking to people etc. All I want to to is be quiet and move slowly and gently…

History of depression and anxiety. Symptoms of PTSD. 1998-1999 Venlafaxine 2006-2007 Prozac.2013-15 Sertraline 50mg. 2015 cross-tapered to citalopram 20mg. 2015-2021 Citalopram 20mg (brief increase to 30mg for 2/3 months in 2019. 01/2021 Dropped from 20mg to 10mg, back up to 20mg til June. 25/6/21 stopped CT. Started 50mg 5htp after a week without citalopram in the hope this would balance out my serotonin levels. After 3 days increased to 100mg 5htp. 11/7/21 Stopped 5htp with the intention of reinstating citalopram at 1mg. 16/7/21 Reinstated cit at 1mg. 2/8/21 Increased dose to 2mg. 28/11/21 10% reduction to 1.8mg.

8/12/21 2mg 6/1/22 1.8mg 10/2/22 1.6mg 13/5/22 1.5mg 4/6/22 1.55mg 4/7/22 1.4mg 4/8/22 1.25mg 1/11/22 1.1mg 3/3/23 1mg 18/4/23 0.9mg 2/6/23 0.8mg 4/10/23 0.7mg 11/11/23 jumped off @0.7mg started on 5htp 200mg -400mg, L-Theanine, and L-tyrosine 200mg. 25/11/23 came off 5-htp, l-tyrosine and l-Theanine. 24/12/23 went on 7.5mg mirtazapine. 27/12/23 stopped mirtazapine & reinstated citalopram @.35mg. 1/1/24 increased to 0.5mg. PTSD diagnosis October 2023. 11/11/23 started EMDR therapy for PTSD. Multiple unsuccessful attempts to taper off citalopram. Vegan, otherwise healthy lifestyle. Other medications; tapering off combined HRT. Other supplements; magnesium glycinate, vegan omega3. Completely OFF caffeine (since July 21). Finding it difficult to completely give up alcohol but haven’t had any since 25/12/23. Main symptoms; crushing depression, anhedonia/emotional anesthesia, irritability, rage, anxiety/fear, intrusive thoughts, cognitive fog, inability to focus, restlessness and some insomnia

 

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  • Moderator Emeritus

Yes that is very common in withdrawal. I found it helpful to slow down and reduce my activity during WD.  I realize not everyone has that luxury.  

Please do not private message me.  Only tag me for urgent questions about tapering and reinstating - thank you.  

 

***Please note this is not medical advice.  Discuss any decisions about your medical care with a doctor who understands psych meds and how to withdraw from them, if you can find one.

 

Lexapro   Started Apr 15 2010 - 10 mg;  started taper August 2017, recent taper info: Apr 2 '20  0.18 mg; Jul 16  0.17 mg, Aug 23  0.16 mg, Oct 7  0.15 mg, Nov 8 - 0.14, Jan 16 '21 - 0.13, Feb 7 - 0.12, Feb 22 - 0.11, Mar 26 - 0.10, May 21 - 0.09, June 15 - 0.08 Aug 16 - 0.07, Oct 6 - 0.06, Nov 21 0.05, Dec. 17 0.04, Jan 14 '22 0.03, Feb 19 0.02, Apr 18 0.01, May 15 0.005,  Jul 8, 0.00.  Psych Drug Free as of July 8, 2022!!  Woohoo!!!

other meds: Levothyroxine 75 mg

magnesium in small amounts at 4 AM, before bed

suppl AM: fish oil, flax oil, vit C, vit E, multivitamin, zinc

suppl 8 PM: magnesium 350 mg, extended release vitamin C, melatonin 2 mg

 

Paxil 2002 - 2010, switched to Lexapro 2010 

Trazodone 50 mg. 2002 - 2019, fast tapered in 2019 

Xanax 0.5 mg as needed 2002 - 2019, up to 3x weekly 

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It’s a real relief to know all these symptoms aren’t just in my imagination. I find it annoyingly easy to get almost obsessed with symptoms and sometimes even tell myself off because I’m faking the symptoms to get attention! 
 

Have you recovered now? Is there somewhere I can read your story of recovery? X

History of depression and anxiety. Symptoms of PTSD. 1998-1999 Venlafaxine 2006-2007 Prozac.2013-15 Sertraline 50mg. 2015 cross-tapered to citalopram 20mg. 2015-2021 Citalopram 20mg (brief increase to 30mg for 2/3 months in 2019. 01/2021 Dropped from 20mg to 10mg, back up to 20mg til June. 25/6/21 stopped CT. Started 50mg 5htp after a week without citalopram in the hope this would balance out my serotonin levels. After 3 days increased to 100mg 5htp. 11/7/21 Stopped 5htp with the intention of reinstating citalopram at 1mg. 16/7/21 Reinstated cit at 1mg. 2/8/21 Increased dose to 2mg. 28/11/21 10% reduction to 1.8mg.

8/12/21 2mg 6/1/22 1.8mg 10/2/22 1.6mg 13/5/22 1.5mg 4/6/22 1.55mg 4/7/22 1.4mg 4/8/22 1.25mg 1/11/22 1.1mg 3/3/23 1mg 18/4/23 0.9mg 2/6/23 0.8mg 4/10/23 0.7mg 11/11/23 jumped off @0.7mg started on 5htp 200mg -400mg, L-Theanine, and L-tyrosine 200mg. 25/11/23 came off 5-htp, l-tyrosine and l-Theanine. 24/12/23 went on 7.5mg mirtazapine. 27/12/23 stopped mirtazapine & reinstated citalopram @.35mg. 1/1/24 increased to 0.5mg. PTSD diagnosis October 2023. 11/11/23 started EMDR therapy for PTSD. Multiple unsuccessful attempts to taper off citalopram. Vegan, otherwise healthy lifestyle. Other medications; tapering off combined HRT. Other supplements; magnesium glycinate, vegan omega3. Completely OFF caffeine (since July 21). Finding it difficult to completely give up alcohol but haven’t had any since 25/12/23. Main symptoms; crushing depression, anhedonia/emotional anesthesia, irritability, rage, anxiety/fear, intrusive thoughts, cognitive fog, inability to focus, restlessness and some insomnia

 

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  • Moderator Emeritus

There is a link to my intro topic on the lower left.  I haven't yet fully recovered, but I've come a long way from where I was in early recovery. I have faith that I will continue to recover based on reading the success stories. 

Please do not private message me.  Only tag me for urgent questions about tapering and reinstating - thank you.  

 

***Please note this is not medical advice.  Discuss any decisions about your medical care with a doctor who understands psych meds and how to withdraw from them, if you can find one.

 

Lexapro   Started Apr 15 2010 - 10 mg;  started taper August 2017, recent taper info: Apr 2 '20  0.18 mg; Jul 16  0.17 mg, Aug 23  0.16 mg, Oct 7  0.15 mg, Nov 8 - 0.14, Jan 16 '21 - 0.13, Feb 7 - 0.12, Feb 22 - 0.11, Mar 26 - 0.10, May 21 - 0.09, June 15 - 0.08 Aug 16 - 0.07, Oct 6 - 0.06, Nov 21 0.05, Dec. 17 0.04, Jan 14 '22 0.03, Feb 19 0.02, Apr 18 0.01, May 15 0.005,  Jul 8, 0.00.  Psych Drug Free as of July 8, 2022!!  Woohoo!!!

other meds: Levothyroxine 75 mg

magnesium in small amounts at 4 AM, before bed

suppl AM: fish oil, flax oil, vit C, vit E, multivitamin, zinc

suppl 8 PM: magnesium 350 mg, extended release vitamin C, melatonin 2 mg

 

Paxil 2002 - 2010, switched to Lexapro 2010 

Trazodone 50 mg. 2002 - 2019, fast tapered in 2019 

Xanax 0.5 mg as needed 2002 - 2019, up to 3x weekly 

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  • 2 weeks later...

So…. I’ve been on 1mg citalopram for a week. I don’t know if it’s having any effect, my mood has ranged from irritable to rage, indifference to everything with the odd burst of energy. I’ve managed to reinstate my exercise programme and my fitness is returning gradually. Should I just carry on for a while longer on 1mg or increase? I’m not getting much joy out of life as things stand.

History of depression and anxiety. Symptoms of PTSD. 1998-1999 Venlafaxine 2006-2007 Prozac.2013-15 Sertraline 50mg. 2015 cross-tapered to citalopram 20mg. 2015-2021 Citalopram 20mg (brief increase to 30mg for 2/3 months in 2019. 01/2021 Dropped from 20mg to 10mg, back up to 20mg til June. 25/6/21 stopped CT. Started 50mg 5htp after a week without citalopram in the hope this would balance out my serotonin levels. After 3 days increased to 100mg 5htp. 11/7/21 Stopped 5htp with the intention of reinstating citalopram at 1mg. 16/7/21 Reinstated cit at 1mg. 2/8/21 Increased dose to 2mg. 28/11/21 10% reduction to 1.8mg.

8/12/21 2mg 6/1/22 1.8mg 10/2/22 1.6mg 13/5/22 1.5mg 4/6/22 1.55mg 4/7/22 1.4mg 4/8/22 1.25mg 1/11/22 1.1mg 3/3/23 1mg 18/4/23 0.9mg 2/6/23 0.8mg 4/10/23 0.7mg 11/11/23 jumped off @0.7mg started on 5htp 200mg -400mg, L-Theanine, and L-tyrosine 200mg. 25/11/23 came off 5-htp, l-tyrosine and l-Theanine. 24/12/23 went on 7.5mg mirtazapine. 27/12/23 stopped mirtazapine & reinstated citalopram @.35mg. 1/1/24 increased to 0.5mg. PTSD diagnosis October 2023. 11/11/23 started EMDR therapy for PTSD. Multiple unsuccessful attempts to taper off citalopram. Vegan, otherwise healthy lifestyle. Other medications; tapering off combined HRT. Other supplements; magnesium glycinate, vegan omega3. Completely OFF caffeine (since July 21). Finding it difficult to completely give up alcohol but haven’t had any since 25/12/23. Main symptoms; crushing depression, anhedonia/emotional anesthesia, irritability, rage, anxiety/fear, intrusive thoughts, cognitive fog, inability to focus, restlessness and some insomnia

 

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  • Moderator Emeritus

It takes a bare minimum of a week to start feeling the effect of a reinstatement, and often it takes longer.  It can take up to a month or two for a reinstatement to settle.  I would give it some time.  I don't suggest that you change your dose.  Pleaser read this link for an explanation of why not: 

 

Considerations About Stability Stop Jumping Around

 

I suggest you take it slow and easy with the exercise.  Exercise can often aggravate WD symptoms because it causes our bodies to produce cortisol and adrenaline, which can trigger anxiety, insomnia, restlessness, etc.  A reinstatement won't take away the symptoms, but it should decrease their severity.  It can take many months to years for the nervous system to fully heal from the effects of these drugs, so time and patience are paramount.  

Please do not private message me.  Only tag me for urgent questions about tapering and reinstating - thank you.  

 

***Please note this is not medical advice.  Discuss any decisions about your medical care with a doctor who understands psych meds and how to withdraw from them, if you can find one.

 

Lexapro   Started Apr 15 2010 - 10 mg;  started taper August 2017, recent taper info: Apr 2 '20  0.18 mg; Jul 16  0.17 mg, Aug 23  0.16 mg, Oct 7  0.15 mg, Nov 8 - 0.14, Jan 16 '21 - 0.13, Feb 7 - 0.12, Feb 22 - 0.11, Mar 26 - 0.10, May 21 - 0.09, June 15 - 0.08 Aug 16 - 0.07, Oct 6 - 0.06, Nov 21 0.05, Dec. 17 0.04, Jan 14 '22 0.03, Feb 19 0.02, Apr 18 0.01, May 15 0.005,  Jul 8, 0.00.  Psych Drug Free as of July 8, 2022!!  Woohoo!!!

other meds: Levothyroxine 75 mg

magnesium in small amounts at 4 AM, before bed

suppl AM: fish oil, flax oil, vit C, vit E, multivitamin, zinc

suppl 8 PM: magnesium 350 mg, extended release vitamin C, melatonin 2 mg

 

Paxil 2002 - 2010, switched to Lexapro 2010 

Trazodone 50 mg. 2002 - 2019, fast tapered in 2019 

Xanax 0.5 mg as needed 2002 - 2019, up to 3x weekly 

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Thanks, as always, Lex, for your valuable advice, it's very much appreciated! x

History of depression and anxiety. Symptoms of PTSD. 1998-1999 Venlafaxine 2006-2007 Prozac.2013-15 Sertraline 50mg. 2015 cross-tapered to citalopram 20mg. 2015-2021 Citalopram 20mg (brief increase to 30mg for 2/3 months in 2019. 01/2021 Dropped from 20mg to 10mg, back up to 20mg til June. 25/6/21 stopped CT. Started 50mg 5htp after a week without citalopram in the hope this would balance out my serotonin levels. After 3 days increased to 100mg 5htp. 11/7/21 Stopped 5htp with the intention of reinstating citalopram at 1mg. 16/7/21 Reinstated cit at 1mg. 2/8/21 Increased dose to 2mg. 28/11/21 10% reduction to 1.8mg.

8/12/21 2mg 6/1/22 1.8mg 10/2/22 1.6mg 13/5/22 1.5mg 4/6/22 1.55mg 4/7/22 1.4mg 4/8/22 1.25mg 1/11/22 1.1mg 3/3/23 1mg 18/4/23 0.9mg 2/6/23 0.8mg 4/10/23 0.7mg 11/11/23 jumped off @0.7mg started on 5htp 200mg -400mg, L-Theanine, and L-tyrosine 200mg. 25/11/23 came off 5-htp, l-tyrosine and l-Theanine. 24/12/23 went on 7.5mg mirtazapine. 27/12/23 stopped mirtazapine & reinstated citalopram @.35mg. 1/1/24 increased to 0.5mg. PTSD diagnosis October 2023. 11/11/23 started EMDR therapy for PTSD. Multiple unsuccessful attempts to taper off citalopram. Vegan, otherwise healthy lifestyle. Other medications; tapering off combined HRT. Other supplements; magnesium glycinate, vegan omega3. Completely OFF caffeine (since July 21). Finding it difficult to completely give up alcohol but haven’t had any since 25/12/23. Main symptoms; crushing depression, anhedonia/emotional anesthesia, irritability, rage, anxiety/fear, intrusive thoughts, cognitive fog, inability to focus, restlessness and some insomnia

 

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So today, after not the best night’s sleep, myself and my husband went out for lunch and a walk with our dogs. Relaxing low key day out right? Everything felt like an insurmountable problem, from the quality of the food, to where we were going to walk. It all felt ‘too much’, the result being that when we got home at 2.30pm I went straight to bed, totally knackered! I mean, what the heck? Is this sort of thing all part of the WD merry go round? I’m guessing yes!

History of depression and anxiety. Symptoms of PTSD. 1998-1999 Venlafaxine 2006-2007 Prozac.2013-15 Sertraline 50mg. 2015 cross-tapered to citalopram 20mg. 2015-2021 Citalopram 20mg (brief increase to 30mg for 2/3 months in 2019. 01/2021 Dropped from 20mg to 10mg, back up to 20mg til June. 25/6/21 stopped CT. Started 50mg 5htp after a week without citalopram in the hope this would balance out my serotonin levels. After 3 days increased to 100mg 5htp. 11/7/21 Stopped 5htp with the intention of reinstating citalopram at 1mg. 16/7/21 Reinstated cit at 1mg. 2/8/21 Increased dose to 2mg. 28/11/21 10% reduction to 1.8mg.

8/12/21 2mg 6/1/22 1.8mg 10/2/22 1.6mg 13/5/22 1.5mg 4/6/22 1.55mg 4/7/22 1.4mg 4/8/22 1.25mg 1/11/22 1.1mg 3/3/23 1mg 18/4/23 0.9mg 2/6/23 0.8mg 4/10/23 0.7mg 11/11/23 jumped off @0.7mg started on 5htp 200mg -400mg, L-Theanine, and L-tyrosine 200mg. 25/11/23 came off 5-htp, l-tyrosine and l-Theanine. 24/12/23 went on 7.5mg mirtazapine. 27/12/23 stopped mirtazapine & reinstated citalopram @.35mg. 1/1/24 increased to 0.5mg. PTSD diagnosis October 2023. 11/11/23 started EMDR therapy for PTSD. Multiple unsuccessful attempts to taper off citalopram. Vegan, otherwise healthy lifestyle. Other medications; tapering off combined HRT. Other supplements; magnesium glycinate, vegan omega3. Completely OFF caffeine (since July 21). Finding it difficult to completely give up alcohol but haven’t had any since 25/12/23. Main symptoms; crushing depression, anhedonia/emotional anesthesia, irritability, rage, anxiety/fear, intrusive thoughts, cognitive fog, inability to focus, restlessness and some insomnia

 

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  • Moderator Emeritus

Yes, I'm afraid so.  Our nervous systems tend to be very sensitive during WD, and oftentimes stimulation and having to make decisions can feel overwhelming!  

 

How have you felt since the reinstatement a week ago?  Overall, do you feel better, worse, or the same?  

On 7/24/2021 at 5:23 PM, Kat66 said:

I’m not getting much joy out of life as things stand.

Unfortunately, joy and other positive emotions take a very long time to return, but the good news is, they will return.  My positive emotions are starting to return.  Hang in there, you are doing great, even if you don't feel great.  Your nervous system is working hard to heal itself. 

Please do not private message me.  Only tag me for urgent questions about tapering and reinstating - thank you.  

 

***Please note this is not medical advice.  Discuss any decisions about your medical care with a doctor who understands psych meds and how to withdraw from them, if you can find one.

 

Lexapro   Started Apr 15 2010 - 10 mg;  started taper August 2017, recent taper info: Apr 2 '20  0.18 mg; Jul 16  0.17 mg, Aug 23  0.16 mg, Oct 7  0.15 mg, Nov 8 - 0.14, Jan 16 '21 - 0.13, Feb 7 - 0.12, Feb 22 - 0.11, Mar 26 - 0.10, May 21 - 0.09, June 15 - 0.08 Aug 16 - 0.07, Oct 6 - 0.06, Nov 21 0.05, Dec. 17 0.04, Jan 14 '22 0.03, Feb 19 0.02, Apr 18 0.01, May 15 0.005,  Jul 8, 0.00.  Psych Drug Free as of July 8, 2022!!  Woohoo!!!

other meds: Levothyroxine 75 mg

magnesium in small amounts at 4 AM, before bed

suppl AM: fish oil, flax oil, vit C, vit E, multivitamin, zinc

suppl 8 PM: magnesium 350 mg, extended release vitamin C, melatonin 2 mg

 

Paxil 2002 - 2010, switched to Lexapro 2010 

Trazodone 50 mg. 2002 - 2019, fast tapered in 2019 

Xanax 0.5 mg as needed 2002 - 2019, up to 3x weekly 

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Overall I feel slightly worse. My brain feels exhausted as does my body. The walls feel like they’re closing in and there’s very little if anything that puts a smile on my face. I can’t focus an anything for more than a few minutes, all I can cope with is watching soaps, anything that demands thinking power is a no no. It feels like depression but weirdly worse if that makes sense. Everything annoys me. I pick fights with people. I don’t care about anything much, my feelings for my husband aren’t there, I just shuffle through each day waiting for bedtime so I can get a break. 

History of depression and anxiety. Symptoms of PTSD. 1998-1999 Venlafaxine 2006-2007 Prozac.2013-15 Sertraline 50mg. 2015 cross-tapered to citalopram 20mg. 2015-2021 Citalopram 20mg (brief increase to 30mg for 2/3 months in 2019. 01/2021 Dropped from 20mg to 10mg, back up to 20mg til June. 25/6/21 stopped CT. Started 50mg 5htp after a week without citalopram in the hope this would balance out my serotonin levels. After 3 days increased to 100mg 5htp. 11/7/21 Stopped 5htp with the intention of reinstating citalopram at 1mg. 16/7/21 Reinstated cit at 1mg. 2/8/21 Increased dose to 2mg. 28/11/21 10% reduction to 1.8mg.

8/12/21 2mg 6/1/22 1.8mg 10/2/22 1.6mg 13/5/22 1.5mg 4/6/22 1.55mg 4/7/22 1.4mg 4/8/22 1.25mg 1/11/22 1.1mg 3/3/23 1mg 18/4/23 0.9mg 2/6/23 0.8mg 4/10/23 0.7mg 11/11/23 jumped off @0.7mg started on 5htp 200mg -400mg, L-Theanine, and L-tyrosine 200mg. 25/11/23 came off 5-htp, l-tyrosine and l-Theanine. 24/12/23 went on 7.5mg mirtazapine. 27/12/23 stopped mirtazapine & reinstated citalopram @.35mg. 1/1/24 increased to 0.5mg. PTSD diagnosis October 2023. 11/11/23 started EMDR therapy for PTSD. Multiple unsuccessful attempts to taper off citalopram. Vegan, otherwise healthy lifestyle. Other medications; tapering off combined HRT. Other supplements; magnesium glycinate, vegan omega3. Completely OFF caffeine (since July 21). Finding it difficult to completely give up alcohol but haven’t had any since 25/12/23. Main symptoms; crushing depression, anhedonia/emotional anesthesia, irritability, rage, anxiety/fear, intrusive thoughts, cognitive fog, inability to focus, restlessness and some insomnia

 

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  • Administrator

Hello, @Kat66

 

The fatigue, disorientation, and inability to concentrate that you feel are all typical withdrawal symptoms. See What is withdrawal syndrome?

 

The Windows and Waves Pattern of Stabilization

 

"Is it always going to be like this?"

 

The importance of recognizing you're feeling good

 

What time of day (o'clock) do you take citalopram? How do you feel before and after you take it?

 

Has your symptom pattern changed since you started taking 1mg citalopram? What is your sleep pattern?

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

I take my citalopram in the morning with breakfast around 9am, I feel the same before and after I take it. 
 

My symptoms have got worse since I started on the 1mg, I’ve described them above. I do get sleep, but frequently wake, especially around 5am when I really have trouble getting back to sleep. 
 

Do you think I should keep going at 1mg even though things have got worse?

 

 Thanks for your reply. 

History of depression and anxiety. Symptoms of PTSD. 1998-1999 Venlafaxine 2006-2007 Prozac.2013-15 Sertraline 50mg. 2015 cross-tapered to citalopram 20mg. 2015-2021 Citalopram 20mg (brief increase to 30mg for 2/3 months in 2019. 01/2021 Dropped from 20mg to 10mg, back up to 20mg til June. 25/6/21 stopped CT. Started 50mg 5htp after a week without citalopram in the hope this would balance out my serotonin levels. After 3 days increased to 100mg 5htp. 11/7/21 Stopped 5htp with the intention of reinstating citalopram at 1mg. 16/7/21 Reinstated cit at 1mg. 2/8/21 Increased dose to 2mg. 28/11/21 10% reduction to 1.8mg.

8/12/21 2mg 6/1/22 1.8mg 10/2/22 1.6mg 13/5/22 1.5mg 4/6/22 1.55mg 4/7/22 1.4mg 4/8/22 1.25mg 1/11/22 1.1mg 3/3/23 1mg 18/4/23 0.9mg 2/6/23 0.8mg 4/10/23 0.7mg 11/11/23 jumped off @0.7mg started on 5htp 200mg -400mg, L-Theanine, and L-tyrosine 200mg. 25/11/23 came off 5-htp, l-tyrosine and l-Theanine. 24/12/23 went on 7.5mg mirtazapine. 27/12/23 stopped mirtazapine & reinstated citalopram @.35mg. 1/1/24 increased to 0.5mg. PTSD diagnosis October 2023. 11/11/23 started EMDR therapy for PTSD. Multiple unsuccessful attempts to taper off citalopram. Vegan, otherwise healthy lifestyle. Other medications; tapering off combined HRT. Other supplements; magnesium glycinate, vegan omega3. Completely OFF caffeine (since July 21). Finding it difficult to completely give up alcohol but haven’t had any since 25/12/23. Main symptoms; crushing depression, anhedonia/emotional anesthesia, irritability, rage, anxiety/fear, intrusive thoughts, cognitive fog, inability to focus, restlessness and some insomnia

 

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Hey Kat66,

I just wanted to say what your going through is completely normal . It’s a disgusting thing these drugs have done to us and if we all knew we would’ve never taken them. Your in the best hands here , the moderators and the people understand what your going through and  as they have experienced your situation themselves. Your not alone in this .

big hugs to you 🌈

1995 started Paxil 20mg slowly increasing to 50mg until 2014

-2014 I decided to tapper myself not knowing how too and crashed , DR added 50mg Seraquel

-2015 tried tapering again and crashed

 

Started Tapering Both drugs at the same time 6% per month doing daily micro-taper 

Guided by Mark Horowitz

24/09/23  14.47mg Seroquel.  16.19mg Paxil 

27/11/23.  12.13mg. Seroquel.   13.85mg Paxil

 

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I’m on 1mg citalopram reinstatement (two weeks) and am struggling with horrible symptoms. Has anyone tried theanine, lemon balm or magnesium or anything else that helps take the edge off? I do take magnesium but it doesn’t do anything…. Perhaps I’m taking the wrong type? I do drink alcohol to take the edge off but know this isn’t sustainable.

 

Any advice would be welcome, thanks!

History of depression and anxiety. Symptoms of PTSD. 1998-1999 Venlafaxine 2006-2007 Prozac.2013-15 Sertraline 50mg. 2015 cross-tapered to citalopram 20mg. 2015-2021 Citalopram 20mg (brief increase to 30mg for 2/3 months in 2019. 01/2021 Dropped from 20mg to 10mg, back up to 20mg til June. 25/6/21 stopped CT. Started 50mg 5htp after a week without citalopram in the hope this would balance out my serotonin levels. After 3 days increased to 100mg 5htp. 11/7/21 Stopped 5htp with the intention of reinstating citalopram at 1mg. 16/7/21 Reinstated cit at 1mg. 2/8/21 Increased dose to 2mg. 28/11/21 10% reduction to 1.8mg.

8/12/21 2mg 6/1/22 1.8mg 10/2/22 1.6mg 13/5/22 1.5mg 4/6/22 1.55mg 4/7/22 1.4mg 4/8/22 1.25mg 1/11/22 1.1mg 3/3/23 1mg 18/4/23 0.9mg 2/6/23 0.8mg 4/10/23 0.7mg 11/11/23 jumped off @0.7mg started on 5htp 200mg -400mg, L-Theanine, and L-tyrosine 200mg. 25/11/23 came off 5-htp, l-tyrosine and l-Theanine. 24/12/23 went on 7.5mg mirtazapine. 27/12/23 stopped mirtazapine & reinstated citalopram @.35mg. 1/1/24 increased to 0.5mg. PTSD diagnosis October 2023. 11/11/23 started EMDR therapy for PTSD. Multiple unsuccessful attempts to taper off citalopram. Vegan, otherwise healthy lifestyle. Other medications; tapering off combined HRT. Other supplements; magnesium glycinate, vegan omega3. Completely OFF caffeine (since July 21). Finding it difficult to completely give up alcohol but haven’t had any since 25/12/23. Main symptoms; crushing depression, anhedonia/emotional anesthesia, irritability, rage, anxiety/fear, intrusive thoughts, cognitive fog, inability to focus, restlessness and some insomnia

 

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Hello Kat, unfortunately I found nothing helped me only time.  However, I did not reinstate.  The symptoms are horrible and you just want to do anything to take them away but I could not find anything to do that.  In the end I had to cut out alcohol, caffeine and exercise as they just made it worse and ride out the storm.  Not what you want to hear probably, but somebody else may have some tips that may help you.

 

 

Started venlafaxine December 2016. Started to wean off Effexor over 16 months period and I had no issues at all. Stopped June 2020.  Unfortunately, I was under chronic stress from 4 deaths (1 was my mother) in the family amongst other things  and sunk back down in October 2020.  Rather than accepting this was chronic stress and grief, I panicked and went to the GP.

 

October 2020 prescribed Vortioxetine 10mg for 1 month and then increased to 15 mg ups advice from GP on for 7 weeks in total.  Had suicidal thoughts and off the wall anxiety.  Changed to Lexapro in mid December 2020, slow titration from 2.5mg up to 10mg.  After 7 weeks again off the wall anxiety. I was advised to take 5mg for one week and stop as I want to go 'au natural'.  Last SSRI was 30 January 2021.  

 

I was also prescribed diazepam and Zopiclone through the 4 months of taking SSRis to 'manage' the side effects and also for the withdrawal.   I am probably withdrawing from all drugs.

 

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Thanks BooBoo, how long did it take you, are you recovered now?

History of depression and anxiety. Symptoms of PTSD. 1998-1999 Venlafaxine 2006-2007 Prozac.2013-15 Sertraline 50mg. 2015 cross-tapered to citalopram 20mg. 2015-2021 Citalopram 20mg (brief increase to 30mg for 2/3 months in 2019. 01/2021 Dropped from 20mg to 10mg, back up to 20mg til June. 25/6/21 stopped CT. Started 50mg 5htp after a week without citalopram in the hope this would balance out my serotonin levels. After 3 days increased to 100mg 5htp. 11/7/21 Stopped 5htp with the intention of reinstating citalopram at 1mg. 16/7/21 Reinstated cit at 1mg. 2/8/21 Increased dose to 2mg. 28/11/21 10% reduction to 1.8mg.

8/12/21 2mg 6/1/22 1.8mg 10/2/22 1.6mg 13/5/22 1.5mg 4/6/22 1.55mg 4/7/22 1.4mg 4/8/22 1.25mg 1/11/22 1.1mg 3/3/23 1mg 18/4/23 0.9mg 2/6/23 0.8mg 4/10/23 0.7mg 11/11/23 jumped off @0.7mg started on 5htp 200mg -400mg, L-Theanine, and L-tyrosine 200mg. 25/11/23 came off 5-htp, l-tyrosine and l-Theanine. 24/12/23 went on 7.5mg mirtazapine. 27/12/23 stopped mirtazapine & reinstated citalopram @.35mg. 1/1/24 increased to 0.5mg. PTSD diagnosis October 2023. 11/11/23 started EMDR therapy for PTSD. Multiple unsuccessful attempts to taper off citalopram. Vegan, otherwise healthy lifestyle. Other medications; tapering off combined HRT. Other supplements; magnesium glycinate, vegan omega3. Completely OFF caffeine (since July 21). Finding it difficult to completely give up alcohol but haven’t had any since 25/12/23. Main symptoms; crushing depression, anhedonia/emotional anesthesia, irritability, rage, anxiety/fear, intrusive thoughts, cognitive fog, inability to focus, restlessness and some insomnia

 

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Hello @Kat66, unfortunately I have not recovered yet, I am 6 months of lexapro and have started experiencing windows and waves for the last 2 months.  You are still very early and I was in crisis during the early days.  I am far from enjoying life fully now but I do have some windows but followed by waves which are very hard.  I am currently in a wave.  You will get there with the support on here.

 

 

Started venlafaxine December 2016. Started to wean off Effexor over 16 months period and I had no issues at all. Stopped June 2020.  Unfortunately, I was under chronic stress from 4 deaths (1 was my mother) in the family amongst other things  and sunk back down in October 2020.  Rather than accepting this was chronic stress and grief, I panicked and went to the GP.

 

October 2020 prescribed Vortioxetine 10mg for 1 month and then increased to 15 mg ups advice from GP on for 7 weeks in total.  Had suicidal thoughts and off the wall anxiety.  Changed to Lexapro in mid December 2020, slow titration from 2.5mg up to 10mg.  After 7 weeks again off the wall anxiety. I was advised to take 5mg for one week and stop as I want to go 'au natural'.  Last SSRI was 30 January 2021.  

 

I was also prescribed diazepam and Zopiclone through the 4 months of taking SSRis to 'manage' the side effects and also for the withdrawal.   I am probably withdrawing from all drugs.

 

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What helps you when you’re in a wave BooBoo? Do you mind me asking what being in crisis meant for you? I feel worse than I’ve ever felt before, even worse than ‘regular’ depression.

History of depression and anxiety. Symptoms of PTSD. 1998-1999 Venlafaxine 2006-2007 Prozac.2013-15 Sertraline 50mg. 2015 cross-tapered to citalopram 20mg. 2015-2021 Citalopram 20mg (brief increase to 30mg for 2/3 months in 2019. 01/2021 Dropped from 20mg to 10mg, back up to 20mg til June. 25/6/21 stopped CT. Started 50mg 5htp after a week without citalopram in the hope this would balance out my serotonin levels. After 3 days increased to 100mg 5htp. 11/7/21 Stopped 5htp with the intention of reinstating citalopram at 1mg. 16/7/21 Reinstated cit at 1mg. 2/8/21 Increased dose to 2mg. 28/11/21 10% reduction to 1.8mg.

8/12/21 2mg 6/1/22 1.8mg 10/2/22 1.6mg 13/5/22 1.5mg 4/6/22 1.55mg 4/7/22 1.4mg 4/8/22 1.25mg 1/11/22 1.1mg 3/3/23 1mg 18/4/23 0.9mg 2/6/23 0.8mg 4/10/23 0.7mg 11/11/23 jumped off @0.7mg started on 5htp 200mg -400mg, L-Theanine, and L-tyrosine 200mg. 25/11/23 came off 5-htp, l-tyrosine and l-Theanine. 24/12/23 went on 7.5mg mirtazapine. 27/12/23 stopped mirtazapine & reinstated citalopram @.35mg. 1/1/24 increased to 0.5mg. PTSD diagnosis October 2023. 11/11/23 started EMDR therapy for PTSD. Multiple unsuccessful attempts to taper off citalopram. Vegan, otherwise healthy lifestyle. Other medications; tapering off combined HRT. Other supplements; magnesium glycinate, vegan omega3. Completely OFF caffeine (since July 21). Finding it difficult to completely give up alcohol but haven’t had any since 25/12/23. Main symptoms; crushing depression, anhedonia/emotional anesthesia, irritability, rage, anxiety/fear, intrusive thoughts, cognitive fog, inability to focus, restlessness and some insomnia

 

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Thank you Cheeky that means a lot. It’s the lack of feeling towards my husband I find most upsetting, and the total lack of joy in life. It feels like it’ll never end. 

History of depression and anxiety. Symptoms of PTSD. 1998-1999 Venlafaxine 2006-2007 Prozac.2013-15 Sertraline 50mg. 2015 cross-tapered to citalopram 20mg. 2015-2021 Citalopram 20mg (brief increase to 30mg for 2/3 months in 2019. 01/2021 Dropped from 20mg to 10mg, back up to 20mg til June. 25/6/21 stopped CT. Started 50mg 5htp after a week without citalopram in the hope this would balance out my serotonin levels. After 3 days increased to 100mg 5htp. 11/7/21 Stopped 5htp with the intention of reinstating citalopram at 1mg. 16/7/21 Reinstated cit at 1mg. 2/8/21 Increased dose to 2mg. 28/11/21 10% reduction to 1.8mg.

8/12/21 2mg 6/1/22 1.8mg 10/2/22 1.6mg 13/5/22 1.5mg 4/6/22 1.55mg 4/7/22 1.4mg 4/8/22 1.25mg 1/11/22 1.1mg 3/3/23 1mg 18/4/23 0.9mg 2/6/23 0.8mg 4/10/23 0.7mg 11/11/23 jumped off @0.7mg started on 5htp 200mg -400mg, L-Theanine, and L-tyrosine 200mg. 25/11/23 came off 5-htp, l-tyrosine and l-Theanine. 24/12/23 went on 7.5mg mirtazapine. 27/12/23 stopped mirtazapine & reinstated citalopram @.35mg. 1/1/24 increased to 0.5mg. PTSD diagnosis October 2023. 11/11/23 started EMDR therapy for PTSD. Multiple unsuccessful attempts to taper off citalopram. Vegan, otherwise healthy lifestyle. Other medications; tapering off combined HRT. Other supplements; magnesium glycinate, vegan omega3. Completely OFF caffeine (since July 21). Finding it difficult to completely give up alcohol but haven’t had any since 25/12/23. Main symptoms; crushing depression, anhedonia/emotional anesthesia, irritability, rage, anxiety/fear, intrusive thoughts, cognitive fog, inability to focus, restlessness and some insomnia

 

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Just now, Kat66 said:

Thank you Cheeky that means a lot. It’s the lack of feeling towards my husband I find most upsetting, and the total lack of joy in life. It feels like it’ll never end. 

Kat I completely understand. I’m married too and feel for my husband as well . I know it’s hard for them as they want us back, but we have to look after ourselves. If only they had a day in our shoes , then they would understand what we’re going through . They love us and we love them and I’m sure you would do anything for him  if he got sick. When you don’t feel good you tend to feel guilty , but don’t do that to yourself because it just makes things worst . We are all doing the best we can in these circumstances. It’s just so very hard . 

1995 started Paxil 20mg slowly increasing to 50mg until 2014

-2014 I decided to tapper myself not knowing how too and crashed , DR added 50mg Seraquel

-2015 tried tapering again and crashed

 

Started Tapering Both drugs at the same time 6% per month doing daily micro-taper 

Guided by Mark Horowitz

24/09/23  14.47mg Seroquel.  16.19mg Paxil 

27/11/23.  12.13mg. Seroquel.   13.85mg Paxil

 

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You’re right I do feel guilty, for not talking to him and keeping to myself, because I don’t have the energy to engage. But then I don’t have the energy to engage with anything or anyone. He’s very supportive and patient and just lets me do what I need to do. But I’m so angry and irritable all the time and he gets that full in the face. But I guess it’ll just take time so I mustn’t expect much from myself or life at the moment. 
Thanks Cheeky, it helps so much to know I’m not alone. It is a lonely place to be because it feels like it’s my fault for quitting and I’ve brought it on myself. 

History of depression and anxiety. Symptoms of PTSD. 1998-1999 Venlafaxine 2006-2007 Prozac.2013-15 Sertraline 50mg. 2015 cross-tapered to citalopram 20mg. 2015-2021 Citalopram 20mg (brief increase to 30mg for 2/3 months in 2019. 01/2021 Dropped from 20mg to 10mg, back up to 20mg til June. 25/6/21 stopped CT. Started 50mg 5htp after a week without citalopram in the hope this would balance out my serotonin levels. After 3 days increased to 100mg 5htp. 11/7/21 Stopped 5htp with the intention of reinstating citalopram at 1mg. 16/7/21 Reinstated cit at 1mg. 2/8/21 Increased dose to 2mg. 28/11/21 10% reduction to 1.8mg.

8/12/21 2mg 6/1/22 1.8mg 10/2/22 1.6mg 13/5/22 1.5mg 4/6/22 1.55mg 4/7/22 1.4mg 4/8/22 1.25mg 1/11/22 1.1mg 3/3/23 1mg 18/4/23 0.9mg 2/6/23 0.8mg 4/10/23 0.7mg 11/11/23 jumped off @0.7mg started on 5htp 200mg -400mg, L-Theanine, and L-tyrosine 200mg. 25/11/23 came off 5-htp, l-tyrosine and l-Theanine. 24/12/23 went on 7.5mg mirtazapine. 27/12/23 stopped mirtazapine & reinstated citalopram @.35mg. 1/1/24 increased to 0.5mg. PTSD diagnosis October 2023. 11/11/23 started EMDR therapy for PTSD. Multiple unsuccessful attempts to taper off citalopram. Vegan, otherwise healthy lifestyle. Other medications; tapering off combined HRT. Other supplements; magnesium glycinate, vegan omega3. Completely OFF caffeine (since July 21). Finding it difficult to completely give up alcohol but haven’t had any since 25/12/23. Main symptoms; crushing depression, anhedonia/emotional anesthesia, irritability, rage, anxiety/fear, intrusive thoughts, cognitive fog, inability to focus, restlessness and some insomnia

 

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  • Administrator

What symptoms have gotten worse, in what way? Was your sleep pattern affected in any way?

 

It may be you need more than 1mg citalopram. You might try 2mg and see what happens. Please let us know how you're doing.

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

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9 hours ago, Kat66 said:

You’re right I do feel guilty, for not talking to him and keeping to myself, because I don’t have the energy to engage. But then I don’t have the energy to engage with anything or anyone. He’s very supportive and patient and just lets me do what I need to do. But I’m so angry and irritable all the time and he gets that full in the face. But I guess it’ll just take time so I mustn’t expect much from myself or life at the moment. 
Thanks Cheeky, it helps so much to know I’m not alone. It is a lonely place to be because it feels like it’s my fault for quitting and I’ve brought it on myself. 

Hey Kat, 

you are definitely not alone , this is the hardest thing you will ever go through. . Your going to have so many different emotions that will come and you have to realise is your brain playing tricks with you . Keep reaching out, I’m here for you 🌈

1995 started Paxil 20mg slowly increasing to 50mg until 2014

-2014 I decided to tapper myself not knowing how too and crashed , DR added 50mg Seraquel

-2015 tried tapering again and crashed

 

Started Tapering Both drugs at the same time 6% per month doing daily micro-taper 

Guided by Mark Horowitz

24/09/23  14.47mg Seroquel.  16.19mg Paxil 

27/11/23.  12.13mg. Seroquel.   13.85mg Paxil

 

Link to comment

Thank you @Cheeky that means so much. And I’m starting to think you’re right, this is pretty much the hardest thing I’ve ever done. X

History of depression and anxiety. Symptoms of PTSD. 1998-1999 Venlafaxine 2006-2007 Prozac.2013-15 Sertraline 50mg. 2015 cross-tapered to citalopram 20mg. 2015-2021 Citalopram 20mg (brief increase to 30mg for 2/3 months in 2019. 01/2021 Dropped from 20mg to 10mg, back up to 20mg til June. 25/6/21 stopped CT. Started 50mg 5htp after a week without citalopram in the hope this would balance out my serotonin levels. After 3 days increased to 100mg 5htp. 11/7/21 Stopped 5htp with the intention of reinstating citalopram at 1mg. 16/7/21 Reinstated cit at 1mg. 2/8/21 Increased dose to 2mg. 28/11/21 10% reduction to 1.8mg.

8/12/21 2mg 6/1/22 1.8mg 10/2/22 1.6mg 13/5/22 1.5mg 4/6/22 1.55mg 4/7/22 1.4mg 4/8/22 1.25mg 1/11/22 1.1mg 3/3/23 1mg 18/4/23 0.9mg 2/6/23 0.8mg 4/10/23 0.7mg 11/11/23 jumped off @0.7mg started on 5htp 200mg -400mg, L-Theanine, and L-tyrosine 200mg. 25/11/23 came off 5-htp, l-tyrosine and l-Theanine. 24/12/23 went on 7.5mg mirtazapine. 27/12/23 stopped mirtazapine & reinstated citalopram @.35mg. 1/1/24 increased to 0.5mg. PTSD diagnosis October 2023. 11/11/23 started EMDR therapy for PTSD. Multiple unsuccessful attempts to taper off citalopram. Vegan, otherwise healthy lifestyle. Other medications; tapering off combined HRT. Other supplements; magnesium glycinate, vegan omega3. Completely OFF caffeine (since July 21). Finding it difficult to completely give up alcohol but haven’t had any since 25/12/23. Main symptoms; crushing depression, anhedonia/emotional anesthesia, irritability, rage, anxiety/fear, intrusive thoughts, cognitive fog, inability to focus, restlessness and some insomnia

 

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11 hours ago, Altostrata said:

What symptoms have gotten worse, in what way? Was your sleep pattern affected in any way?

 

It may be you need more than 1mg citalopram. You might try 2mg and see what happens. Please let us know how you're doing.

Every symptom has worsened @Altostrata, the anxiety, anger, irritability and anhedonia in particular. They’ve become more intense. Like industrial strength symptoms, worse than what I was prescribed citalopram for. My sleep pattern remains unaffected really, just broken. I wake up every morning tired. I’m willing to increase to 2mg, my only reservation is that I’ve read on here that if your symptoms worsen upon reinstatement it’s not a great idea to continue, that’s all. I may have misunderstood of course. Thanks again for this valuable resource of knowledge and people x

History of depression and anxiety. Symptoms of PTSD. 1998-1999 Venlafaxine 2006-2007 Prozac.2013-15 Sertraline 50mg. 2015 cross-tapered to citalopram 20mg. 2015-2021 Citalopram 20mg (brief increase to 30mg for 2/3 months in 2019. 01/2021 Dropped from 20mg to 10mg, back up to 20mg til June. 25/6/21 stopped CT. Started 50mg 5htp after a week without citalopram in the hope this would balance out my serotonin levels. After 3 days increased to 100mg 5htp. 11/7/21 Stopped 5htp with the intention of reinstating citalopram at 1mg. 16/7/21 Reinstated cit at 1mg. 2/8/21 Increased dose to 2mg. 28/11/21 10% reduction to 1.8mg.

8/12/21 2mg 6/1/22 1.8mg 10/2/22 1.6mg 13/5/22 1.5mg 4/6/22 1.55mg 4/7/22 1.4mg 4/8/22 1.25mg 1/11/22 1.1mg 3/3/23 1mg 18/4/23 0.9mg 2/6/23 0.8mg 4/10/23 0.7mg 11/11/23 jumped off @0.7mg started on 5htp 200mg -400mg, L-Theanine, and L-tyrosine 200mg. 25/11/23 came off 5-htp, l-tyrosine and l-Theanine. 24/12/23 went on 7.5mg mirtazapine. 27/12/23 stopped mirtazapine & reinstated citalopram @.35mg. 1/1/24 increased to 0.5mg. PTSD diagnosis October 2023. 11/11/23 started EMDR therapy for PTSD. Multiple unsuccessful attempts to taper off citalopram. Vegan, otherwise healthy lifestyle. Other medications; tapering off combined HRT. Other supplements; magnesium glycinate, vegan omega3. Completely OFF caffeine (since July 21). Finding it difficult to completely give up alcohol but haven’t had any since 25/12/23. Main symptoms; crushing depression, anhedonia/emotional anesthesia, irritability, rage, anxiety/fear, intrusive thoughts, cognitive fog, inability to focus, restlessness and some insomnia

 

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2 hours ago, Kat66 said:

Thank you @Cheeky that means so much. And I’m starting to think you’re right, this is pretty much the hardest thing I’ve ever done. X

Your going to be alright, just realise what your going through is just withdrawals and you are still the same person .  

1995 started Paxil 20mg slowly increasing to 50mg until 2014

-2014 I decided to tapper myself not knowing how too and crashed , DR added 50mg Seraquel

-2015 tried tapering again and crashed

 

Started Tapering Both drugs at the same time 6% per month doing daily micro-taper 

Guided by Mark Horowitz

24/09/23  14.47mg Seroquel.  16.19mg Paxil 

27/11/23.  12.13mg. Seroquel.   13.85mg Paxil

 

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  • Mentor

@Kat66  Hi,  Welcome to SA.  I am so  happy you found us.  This can be a very confusing and scary time when you don't understand what is happening to you. It  is reassuring to find help and understanding.   There is so much information here on SA it can be overwhelming but I do encourage you to look through it.   

On 7/16/2021 at 2:39 AM, Kat66 said:

It’s a real relief to know all these symptoms aren’t just in my imagination. I find it annoyingly easy to get almost obsessed with symptoms and sometimes even tell myself off because I’m faking the symptoms to get attention! 

I find I have to keep telling myself that I an in a drug W/D and it has nothing to do with me on a personal level.  It does not define me.  Be kind to yourself.  Self care and compassion are a must on this journey.

 

 The Symptoms & Self-Care forum is a great place to learn about the weird and unsettling symptoms that can happen in W/D.  Unexplained fear was a big on for me, found out on the forum that it was common in W/D. Ruminating   obsessing, OCD, rage, any neuro emotion you can think of and then morph it by 10.  Also every kind of physical symptom under the sun.  Other members share what coping skills that worked for them. 

 

I really recommend  Meditation.  I never thought I would meditate, but then W/D happened and I needed to find good coping skills. I feel it has been very helpful for me.

You will find that your thoughts will start to get out of control, your brain is not functioning with much common sense.

Meditation is a good tool to help you learn not to engage with your thoughts, just accept them as thoughts and redirect yourself back to the present and the reality outside of your mind.

 

On 7/14/2021 at 10:09 AM, Kat66 said:

Also, is a feeling of being totally disconnected from everything/everyone around you part of WD?

This can be very unsettling.  Sometimes I feel like I am in the world but on a different plain then everyone else, I feel disconnected from people and everything around me.  These drugs really changed our brains and now it has to fix it's self UGH.   So just tell yourself  when this is happening my brain is working and healing

 

On 7/15/2021 at 1:56 PM, Kat66 said:

is it all part of WD to feel like you can only cope with small amounts of stimulus, ie, only small amounts of any one task, housework, talking to people etc. All I want to to is be quiet and move slowly and gently…

Yes it is easy to get over stimulated.  It is very hard for me to be around people, I can't always stay up on the conversation, it's like my mind can't keep up with the words, let alone try and talk back.  It is getting better, but if I push myself I start to have a melt down.

 

Keep posting and reaching out.  It is reassuring to know that you are not alone. 

https://www.survivingantidepressants.org/topic/24894-greatful-is-this-withdrawal-or-to-many-med-changes-at-once/

1995? Prozac,  tried several Paxil, Serzone, St John's Wart back to Prozac and Trazodone ct:d Traz

 Lexapro. Tried to stop Crash in 2015  Kindled   Hospitalized, Vybrid, Seroquel, Effexor, Abilify  Pristiq, Wellbutrin-- 2016  ended back on   Prozac and Lamictal 200mg

5/2020  thru 12/2020 taper from 20mg  Prozac  down to 3mg.  Crashed  12/13/2020 Zoloft 50mg 1/29ct  1/29/2021 Seroquel 50mg ct  2/12/2021 Wellbutrin 75mg.  Became hypo manic 2/1  6ct Trazodone 50mg 4/25  25mg 2/5/ 2021 Lamictal 150mg.  2/24  100mg   4/9  75mg   4/21 37.5 

2/16/2021 Seroquel 50xr  3/3 100mg  3/17  150mg  side effects ct   4/3 2021 Lexapro 5mg  4/14  7.5mg  4/30 10mg  5/10  7.5mg 

2021/ 5/16  5mg Lexapro   37.5 Lamictal   25mg trazadone,   xanax  .0625mg  3x a day   

Lexapro  Sept/01/2021  4.90mg>  Sept/25  4.75mg>   Oct/19 4.69mg > Nov/14 4.2mg    Jan/30/2022-- All liquid  4.2mg  (2.20mg at 8am & 2mg at 4pm) 2/17 4mg>  2/24  3.8mg  slow taper to  Aug/12/2022 2.04mg  2023> 2mg,  1.90mg, 1.80mg, 1.70mg, 1.5mg, 1.4mg, 1.3mg 1.2mg, 1.1mg, 1mg, 0.9mg, 0.8mg, 0.7mg 0.65mg, 0.6mg, 0.55mg, 0.5mg, 0.45mg, 0.4mg, 0.35mg, 0.3mg, 0.25,mg, 0.1mg

Lamictal  taper   from July 2022 to Oct 2022  0

 Trazodone..2023.>down to 14mg, 7mg, 6mg  July 2023   0

Xanax  0.0625 3 x a day,  2023>  0.042 3x a day

Supplements  Magnesium glycinate, Omega 3, D3, vitamin c , zinc, NAC 

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Thank you @Cheeky it does sometimes feel as if I’m changing fundamentally as a personality. I don’t feel like the same person I used to be. But then that could probably be said for a lot of us over the last 18 months or so, with the pandemic. 

History of depression and anxiety. Symptoms of PTSD. 1998-1999 Venlafaxine 2006-2007 Prozac.2013-15 Sertraline 50mg. 2015 cross-tapered to citalopram 20mg. 2015-2021 Citalopram 20mg (brief increase to 30mg for 2/3 months in 2019. 01/2021 Dropped from 20mg to 10mg, back up to 20mg til June. 25/6/21 stopped CT. Started 50mg 5htp after a week without citalopram in the hope this would balance out my serotonin levels. After 3 days increased to 100mg 5htp. 11/7/21 Stopped 5htp with the intention of reinstating citalopram at 1mg. 16/7/21 Reinstated cit at 1mg. 2/8/21 Increased dose to 2mg. 28/11/21 10% reduction to 1.8mg.

8/12/21 2mg 6/1/22 1.8mg 10/2/22 1.6mg 13/5/22 1.5mg 4/6/22 1.55mg 4/7/22 1.4mg 4/8/22 1.25mg 1/11/22 1.1mg 3/3/23 1mg 18/4/23 0.9mg 2/6/23 0.8mg 4/10/23 0.7mg 11/11/23 jumped off @0.7mg started on 5htp 200mg -400mg, L-Theanine, and L-tyrosine 200mg. 25/11/23 came off 5-htp, l-tyrosine and l-Theanine. 24/12/23 went on 7.5mg mirtazapine. 27/12/23 stopped mirtazapine & reinstated citalopram @.35mg. 1/1/24 increased to 0.5mg. PTSD diagnosis October 2023. 11/11/23 started EMDR therapy for PTSD. Multiple unsuccessful attempts to taper off citalopram. Vegan, otherwise healthy lifestyle. Other medications; tapering off combined HRT. Other supplements; magnesium glycinate, vegan omega3. Completely OFF caffeine (since July 21). Finding it difficult to completely give up alcohol but haven’t had any since 25/12/23. Main symptoms; crushing depression, anhedonia/emotional anesthesia, irritability, rage, anxiety/fear, intrusive thoughts, cognitive fog, inability to focus, restlessness and some insomnia

 

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