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LiaJ: overwhelmed by deluge of information, mirtazapine tapering, ? updose


LiaJ

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Hello everyone. 
 

Nearly six years into my WD experience, I am still experiencing severe insomnia. I’m wondering if this is related to WD anymore or another reason (hormonal). I just turned 40 years old. 
My sleep has been wildly unpredictable and at times has been great, ok, or just plain terrible. Currently my sleep is so bad I’m feeling suicidal and desperate. 
 

I’ve been reading online about Quviviq, which is a newer insomnia drug that theoretically has no impact on the CNS. I’m very nearly going to call my doctor on Monday and ask for an Rx. Never in my WD experience have I thought about introducing another pill until now.

 

Of course, Im very curious about whether anyone here has tried it and what your experience has been. 
 

Thank you.

2005-2009 Various ADs and maybe some random Ativan, nothing long-term

2009 Started Celexa 10 mg

2012 Symptoms of depression worsened when I quit drinking, started a course of Viibryd (10 mg), Buspar (5 mg), Xanax

2013 Hospitalized, added Lamictal in the hospital (quit Lamictal cold turkey in 2014)

2014 Switched back to Celexa from Viibryd

2015 Quit Buspar cold turkey

2016 Cut down to 5 mg of Celexa (all seemingly without issues)

June-August 2017 tapered off Celexa

October 2017 Hospitalized for insomnia (quit sleeping entirely)

reinstated w/ Trintellix 5mg (stopped in 1/18) and 7.5 mg of Mirtazapine

Mirtazapine (in mgs) 2/18 5,  6/19 3.5, 9/25/19 3.2, 2/24/20 2.9, 3/2020 2.85, 6/20/20 2.5, 10/3/20 2.3, 11/30/20 2.1, 1/1/21 1.95 3/19/21 1.86 9/1/21 1.65 11/30 1.5 mgs 3/1/22 1.41 mgs 6/28/22 1.37 mgs 10/22 1.20 mgs

Daily supplements: 470 mgs magnesium, Miralax, 640 Omega complex, probiotic, testosterone 2 gms, progesterone 12.5 mgs

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  • Moderator
11 hours ago, LiaJ said:

Hello everyone. 
 

Nearly six years into my WD experience, I am still experiencing severe insomnia. I’m wondering if this is related to WD anymore or another reason (hormonal). I just turned 40 years old. 
My sleep has been wildly unpredictable and at times has been great, ok, or just plain terrible. Currently my sleep is so bad I’m feeling suicidal and desperate. 
 

I’ve been reading online about Quviviq, which is a newer insomnia drug that theoretically has no impact on the CNS. I’m very nearly going to call my doctor on Monday and ask for an Rx. Never in my WD experience have I thought about introducing another pill until now.

 

Of course, Im very curious about whether anyone here has tried it and what your experience has been. 
 

Thank you.

@LiaJ

On SA we do not promote, review, encourage people to take drugs. If you want to get on drugs you need to discuss your questions with your doctor. 

 

We find that introducing drugs or other psychoactive substances in withdrawal usually sets people back and makes things worse. Experiment at your own risk. But do read the thread on hypersensitivity and kindling one this forum - it's one of the first threads above.

 

OMW

"Nothing so small as a moment is insurmountable, and moments are all that we have. You have survived every trial and tribulation that life has thrown at you up until this very instant. When future troubles come—and they will come—a version of you will be born into that moment that can conquer them, too." - Kevin Koenig 

 

I am not a doctor and this should not be considered medical advice. You can use the information and recommendations provided in whatever way you want and all decisions on your treatment are yours. 

 

In the next few weeks I do not have a lot of capacity to respond to questions. If you need a quick answer pls tag or ask other moderators who may want to be tagged. 

 

Aug  2000 - July 2003 (ct, 4-6 wk wd) , citalopram 20 mg,  xanax prn, wellbutrin for a few months, trazodone prn 

Dec 2004 - July 2018 citalopram 20 mg, xanax prn (rarely used)

Aug 2018 - citalopram 40 mg (self titrated up)

September 2018 - January 2019 tapered citalopram - 40/30/20/10/5 no issues until a week after reaching 0

Feb 2019 0.25 xanax - 0.5/day (3 weeks) over to klonopin 0.25 once a day to manage severe wd

March 6, reinstated citalopram 2.5 mg (liquid), klonopin 0.25 mg for sleep 2-3 times a week

Apr 1st citalopram 2.0 mg (liquid), klonopin 0.25 once a week (off by 4/14/19- no tapering)

citalopram (liquid) 4/14/19 -1.8 mg, 5/8/19 - 1.6 mg,  7/27/19 -1.5 mg,  8/15/19 - 1.35, 2/21/21 - 1.1 (smaller drops in between), 6/20/21 - 1.03 mg, 8/7/21- 1.025, 8/11/21 - 1.02, 8/15/21 - 1.015, 9/3/21 - 0.925 (fingers crossed!), 10/8/21 - 0.9, 10/18/21 - 0.875, 12/31/21 - 0.85, 1/7/22 - 0.825, 1/14/22 - 0.8, 1/22/22 - 0.785, 8/18/22 - 0.59, 12/15/2022 - 0.48, 2/15/22 - 0.43, 25/07/23 - 0.25 (mistake), 6/08/23 - 0.33mg

 

Supplements: magnesium citrate and bi-glycinate

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11 hours ago, Onmyway said:

@LiaJ

On SA we do not promote, review, encourage people to take drugs. If you want to get on drugs you need to discuss your questions with your doctor. 

 

We find that introducing drugs or other psychoactive substances in withdrawal usually sets people back and makes things worse. Experiment at your own risk. But do read the thread on hypersensitivity and kindling one this forum - it's one of the first threads above.

 

OMW

Thank you for letting me know. I've posted topics and questions lately in this forum that no one cares to respond to. It seems that the only way a moderator will respond to a post is if it contains content unsuitable for discussion on this site. It's very frustrating and disheartening to only hear feedback when you're being scolded for posting something that is deemed inappropriate for discussion. 

2005-2009 Various ADs and maybe some random Ativan, nothing long-term

2009 Started Celexa 10 mg

2012 Symptoms of depression worsened when I quit drinking, started a course of Viibryd (10 mg), Buspar (5 mg), Xanax

2013 Hospitalized, added Lamictal in the hospital (quit Lamictal cold turkey in 2014)

2014 Switched back to Celexa from Viibryd

2015 Quit Buspar cold turkey

2016 Cut down to 5 mg of Celexa (all seemingly without issues)

June-August 2017 tapered off Celexa

October 2017 Hospitalized for insomnia (quit sleeping entirely)

reinstated w/ Trintellix 5mg (stopped in 1/18) and 7.5 mg of Mirtazapine

Mirtazapine (in mgs) 2/18 5,  6/19 3.5, 9/25/19 3.2, 2/24/20 2.9, 3/2020 2.85, 6/20/20 2.5, 10/3/20 2.3, 11/30/20 2.1, 1/1/21 1.95 3/19/21 1.86 9/1/21 1.65 11/30 1.5 mgs 3/1/22 1.41 mgs 6/28/22 1.37 mgs 10/22 1.20 mgs

Daily supplements: 470 mgs magnesium, Miralax, 640 Omega complex, probiotic, testosterone 2 gms, progesterone 12.5 mgs

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  • Moderator

@LiaJ

your post above has been answered by @manymoretodays. If you post on your own thread we are notified, however, we do not normally monitor closely the other threads. 

 

Having said that, this is a forum run by volunteers about getting off of drugs and we are assisting thousands of injured people. I see that you have received a lot of attention and assistance from moderators over the years. We do not assist people with getting on other drugs. 

 

Regular members do sometimes come and offer words of support as well and some have done so for you as well. However, when I look at your history I don't see you engaging with other members or trying to help anyone other than yourself. 

 

No one is obligated to offer you any assistance and you have received plenty of support over the years. Maybe time to give something back yourself? 

OMW

 

 

"Nothing so small as a moment is insurmountable, and moments are all that we have. You have survived every trial and tribulation that life has thrown at you up until this very instant. When future troubles come—and they will come—a version of you will be born into that moment that can conquer them, too." - Kevin Koenig 

 

I am not a doctor and this should not be considered medical advice. You can use the information and recommendations provided in whatever way you want and all decisions on your treatment are yours. 

 

In the next few weeks I do not have a lot of capacity to respond to questions. If you need a quick answer pls tag or ask other moderators who may want to be tagged. 

 

Aug  2000 - July 2003 (ct, 4-6 wk wd) , citalopram 20 mg,  xanax prn, wellbutrin for a few months, trazodone prn 

Dec 2004 - July 2018 citalopram 20 mg, xanax prn (rarely used)

Aug 2018 - citalopram 40 mg (self titrated up)

September 2018 - January 2019 tapered citalopram - 40/30/20/10/5 no issues until a week after reaching 0

Feb 2019 0.25 xanax - 0.5/day (3 weeks) over to klonopin 0.25 once a day to manage severe wd

March 6, reinstated citalopram 2.5 mg (liquid), klonopin 0.25 mg for sleep 2-3 times a week

Apr 1st citalopram 2.0 mg (liquid), klonopin 0.25 once a week (off by 4/14/19- no tapering)

citalopram (liquid) 4/14/19 -1.8 mg, 5/8/19 - 1.6 mg,  7/27/19 -1.5 mg,  8/15/19 - 1.35, 2/21/21 - 1.1 (smaller drops in between), 6/20/21 - 1.03 mg, 8/7/21- 1.025, 8/11/21 - 1.02, 8/15/21 - 1.015, 9/3/21 - 0.925 (fingers crossed!), 10/8/21 - 0.9, 10/18/21 - 0.875, 12/31/21 - 0.85, 1/7/22 - 0.825, 1/14/22 - 0.8, 1/22/22 - 0.785, 8/18/22 - 0.59, 12/15/2022 - 0.48, 2/15/22 - 0.43, 25/07/23 - 0.25 (mistake), 6/08/23 - 0.33mg

 

Supplements: magnesium citrate and bi-glycinate

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On 2/12/2023 at 7:37 AM, Onmyway said:

@LiaJ

your post above has been answered by @manymoretodays. If you post on your own thread we are notified, however, we do not normally monitor closely the other threads. 

 

Having said that, this is a forum run by volunteers about getting off of drugs and we are assisting thousands of injured people. I see that you have received a lot of attention and assistance from moderators over the years. We do not assist people with getting on other drugs. 

 

Regular members do sometimes come and offer words of support as well and some have done so for you as well. However, when I look at your history I don't see you engaging with other members or trying to help anyone other than yourself. 

 

No one is obligated to offer you any assistance and you have received plenty of support over the years. Maybe time to give something back yourself? 

OMW

 

 

Give something back?

 

That’s pretty judgemental of you to say, particularly since you don’t know anything about me. 

 

When I became ill and housebound in the early stage of my withdrawal I enrolled in graduate school to study clinical mental health counseling, inspired by my experience coming of psychotropic medication. Now that I’m a licensed, practicing psychotherapist, all I do ALL DAY LONG is hold space for others who are struggling.
 

There have been discussions regarding the use of lamictal, for instance, to reduce withdrawal symptoms. Numerous individuals have had questions about potential drug interactions with drugs they’re currently taking and have been encouraged to take from their medical providers. Numerous threads address the consequences of using antibiotics in WD, and supplements. 
 

It seems a bit hypocritical to accost me for being curious about a sleeping pill. I know this forum isn’t one that encourages individuals to take drugs yet everyone in this forum has thought about using medications and supplements while seeking relief from their suffering. Numerous others have in fact instated medication therapies when symptoms become too intolerable to bear.
 

We're all on a journey, trying like hell to heal and not a single one of us has the same story. 

One final thought, if you think I’ve reached “veteran status” in my WD journey and believe I should be more active in this forum helping others along, I’ll happily accept the opportunity. 

 

2005-2009 Various ADs and maybe some random Ativan, nothing long-term

2009 Started Celexa 10 mg

2012 Symptoms of depression worsened when I quit drinking, started a course of Viibryd (10 mg), Buspar (5 mg), Xanax

2013 Hospitalized, added Lamictal in the hospital (quit Lamictal cold turkey in 2014)

2014 Switched back to Celexa from Viibryd

2015 Quit Buspar cold turkey

2016 Cut down to 5 mg of Celexa (all seemingly without issues)

June-August 2017 tapered off Celexa

October 2017 Hospitalized for insomnia (quit sleeping entirely)

reinstated w/ Trintellix 5mg (stopped in 1/18) and 7.5 mg of Mirtazapine

Mirtazapine (in mgs) 2/18 5,  6/19 3.5, 9/25/19 3.2, 2/24/20 2.9, 3/2020 2.85, 6/20/20 2.5, 10/3/20 2.3, 11/30/20 2.1, 1/1/21 1.95 3/19/21 1.86 9/1/21 1.65 11/30 1.5 mgs 3/1/22 1.41 mgs 6/28/22 1.37 mgs 10/22 1.20 mgs

Daily supplements: 470 mgs magnesium, Miralax, 640 Omega complex, probiotic, testosterone 2 gms, progesterone 12.5 mgs

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  • Moderator

Hi @LiaJ

You are right, I don't know you or your profession, I only know your posts here. You made a comment complaining how nobody paid attention to your posts despite numerous people helping you along. I suggested that you look at the imbalance on your thread - how so many people have showed up for you here while your haven't really extended that courtesy to others. 

 

While people have shared experiences with the drugs they are taking sometimes to treat their withdrawal we do not promote or review psychotropic drugs or encourage people to take psychotropic drugs outside of reinstatement because we know the dangers. You will note that the lamictal thread is someone giving their experience with it and is full of caution.  We are not preventing you from asking questions about a drug. I just informed you that moderators do not provide assistance with a potential/ongoing drug treatment outside of withdrawal and tapering after you complained about lack of assistance. 

 

On 2/12/2023 at 12:36 AM, Onmyway said:

On SA we do not promote, review, encourage people to take drugs. If you want to get on drugs you need to discuss your questions with your doctor.

 

 

You are welcome to choose what to do with your body. We will not assist you in potentially harming yourself.

 

1 hour ago, LiaJ said:

One final thought, if you think I’ve reached “veteran status” in my WD journey and believe I should be more active in this forum helping others along, I’ll happily accept the opportunity

 

The opportunity to help others is not granted by us or restricted - all you need to do is stop by someone's thread and offer encouraging words.

 

OMW

Edited by Onmyway

"Nothing so small as a moment is insurmountable, and moments are all that we have. You have survived every trial and tribulation that life has thrown at you up until this very instant. When future troubles come—and they will come—a version of you will be born into that moment that can conquer them, too." - Kevin Koenig 

 

I am not a doctor and this should not be considered medical advice. You can use the information and recommendations provided in whatever way you want and all decisions on your treatment are yours. 

 

In the next few weeks I do not have a lot of capacity to respond to questions. If you need a quick answer pls tag or ask other moderators who may want to be tagged. 

 

Aug  2000 - July 2003 (ct, 4-6 wk wd) , citalopram 20 mg,  xanax prn, wellbutrin for a few months, trazodone prn 

Dec 2004 - July 2018 citalopram 20 mg, xanax prn (rarely used)

Aug 2018 - citalopram 40 mg (self titrated up)

September 2018 - January 2019 tapered citalopram - 40/30/20/10/5 no issues until a week after reaching 0

Feb 2019 0.25 xanax - 0.5/day (3 weeks) over to klonopin 0.25 once a day to manage severe wd

March 6, reinstated citalopram 2.5 mg (liquid), klonopin 0.25 mg for sleep 2-3 times a week

Apr 1st citalopram 2.0 mg (liquid), klonopin 0.25 once a week (off by 4/14/19- no tapering)

citalopram (liquid) 4/14/19 -1.8 mg, 5/8/19 - 1.6 mg,  7/27/19 -1.5 mg,  8/15/19 - 1.35, 2/21/21 - 1.1 (smaller drops in between), 6/20/21 - 1.03 mg, 8/7/21- 1.025, 8/11/21 - 1.02, 8/15/21 - 1.015, 9/3/21 - 0.925 (fingers crossed!), 10/8/21 - 0.9, 10/18/21 - 0.875, 12/31/21 - 0.85, 1/7/22 - 0.825, 1/14/22 - 0.8, 1/22/22 - 0.785, 8/18/22 - 0.59, 12/15/2022 - 0.48, 2/15/22 - 0.43, 25/07/23 - 0.25 (mistake), 6/08/23 - 0.33mg

 

Supplements: magnesium citrate and bi-glycinate

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