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Daranco: Stomach issues


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Hello!  I am 69 years old and have been trying to taper down from a 75 mm dose of doxepin.  I have been on it since March 2021.  Prior to anxiety issues then I had been on 50 mg Zoloft (still am) and 25 mg of doxepin for over 25 years.  I was in the hospital from 2/1 2022 until 2/4 for critically low sodium caused by months of psyllium use and drinking too much water and Miralax use.  My psychiatrist is out of town until Friday 2/18.  I only have 25 mg tablets. I went down to 50 mgs Sat. Feb. 5 until now. I have switched to sporadic ducolax or stool softener.  I wonder if the tapering is too much as I have terrible withdrawal symptoms, lack of sleep, nausea, etc.  I have not tried senna. Do you have any suggestions?  Thank you!

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  • ChessieCat changed the title to Daranco: Stomach issues
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Dear @Daranco, welcome to SA. 

Can you please help us understand your drug history by filling your drug signature following the instructions here:

How to List Drug History in Signature - Introductions and updates - Surviving Antidepressants

When you tell us your tapering history with exact dates if possible for the last couple of months we can try to help you better. 


We recommend not tapering by more than 10% a month in order to avoid withdrawal symptoms. 

Why taper by 10% of my dosage? - Tapering - Surviving Antidepressants

Why taper? SERT transporter occupancy studies show importance of gradual change in plasma concentration - Tapering - Surviving Antidepressants


It might be useful for you to increase your dosage but by how much will depend on when you lowered your dose which we can see from the drug signature. 

About reinstating and stabilizing to reduce withdrawal symptoms - Symptoms and self-care - Surviving Antidepressants


Here are some links to help you understand withdrawal 

Are We There Yet? How Long Is Withdrawal Going To Take? - Tapering - Surviving Antidepressants

The Windows and Waves Pattern of Stabilization - Symptoms and self-care - Surviving Antidepressants

What is happening in your brain? - Symptoms and self-care - Surviving Antidepressants

How psychiatric drugs remodel your brain - Symptoms and self-care - Surviving Antidepressants

Important topics about symptoms, including sleep problems - Symptoms and self-care - Surviving Antidepressants


Hope you feel better soon and we'll be back to help when you answer the questions above. 


"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. 


If you would like to get a response from me directly please type @Onmyway some place in your message so I get notified of your post. I am not able to follow all of the threads all the time.


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


Supplements: magnesium citrate and bi-glycinate

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