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Akathisia solutions


Annabee

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Hello!I am wondering if you know anything about akahisia.I've read a lot of people that have had it while ON the offending meds but then it went away when the med was stopped.I got it from taking Latuda for 3 weeks and when I stopped the drug it persisted on.My psych insists it should be gone by now as the drug is out of my system.I feel it 24/7; the inner agitation,trembling,vibrations,I feel I need to constantly pace, can't sit down or do anything for a period of time,like I stuck my finger in an electrical socket.It is very hard to describe but it is much more than anxiety.It is an inner torture/restlessness.I have been dealing with it med free for 3 weeks but my primary doctor just prescribed hydroxyzine 25 mg to take the edge off.Its not helping much and I just pray I don't have permanent brain damage and this will reside soon.

Edited by ChessieCat
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This is SA's discussion:  akathisia-vs-restlessness-anxiety-agitation

* NO LONGER ACTIVE on SA *

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

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

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  • 5 years later...

Hey everybody, I just wanted to create this thread since many of us struggle with akathisia, from light to severe and it would be nice to have a thread where all helpful things could be put together.

 

I remember for light akathisia ice cold showers helped me alleviate it.

 

For the past year I have been struggling with severe akathisia and nothing seemed to help apart from benzos which is why I ended up on a high dose and multi-drugged.

Yesterday I was in such bad shape again bec it broke through that I went to the doctor and he gave me a beta-blocker Nebivolol. I wasnt very optimistic since I already tried Propranolol to no avail but within half an hour I felt normal.

I know it is a med more which is not great but at least no psych med and I keep thinking if I only knew this a year ago I wouldnt be poly drugged right now so I wanted to spread the message.

Hope it helps someone

 

Love, Neon

2010-2020: Venlafaxine (between 37.5mg and 225mg (CT twice from low doses 2018, 2020) and Trazodone (between 25 and 50mg, CTd twice without problems)

April 2021: Crash with OCD, anxiety, akathisia after taking benzo and microdosing mushrooms

11th June-2nd July(3 weeks total): Seroquel 150mg, Seroquel XR 50mg, Trazodone 150mg, Zoldem 10mg

July 2nd-Feb 15: Venlafaxine between 37,5 and 75mg, Olanzapine between 2,5 and 5mg

August 22nd: introduce 0.5mg Lorazepam (0.25 10am, 0.25 7pm) December 7th: stop morning dose Lorazepam without problems

January 10: Reduce evening dose from 0.2mg to 0,15, cant sleep and take 1.5mg Lorazepam, plus forgot to take my Venlafaxine that day

--> severe crash with suicidal akathisia

go up with Lorazepam to 4mgs, starting 4mgs on March 28th

February 15th: increase Venlafaxine to 93,75, tried 150 with bad reaction, slight increase seemed to settle the akathisia a bit

June 14 lose sleep, return of akathisia in full force 20th June increase Lorazepam to 5mg 

current medication: Venlafaxine 93,75mg (8am) Olanzapine 3mg (9:30pm), Lorazepam 5mg taken 4x daily at 8-12-17-21:30 o'clock

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See also:

 

 

 

 

 

1996-2018 - misc. polypharmacy, incl. SSRIs, SNRIs, neuroleptics, lithium, benzos, stimulants, antihistamines, etc. (approx. 30+ drugs)

2012-2018 - 10mg lexapro/escitalopram (20mg?)    Jan. 2018 - 10mg -> 5mg, then from 5mg -> 2.5mg, then 0mg  -->  July 2018 - 0mg

2017(?)-2020 - vyvanse/lisdexamfetamine 60-70mg    2020-2021 - 70mg down to 0mg  -->  July 2021 - 0mg

March-April 2021 - vortioxetine 5-10mg (approx. 7 weeks total; CT)  -->  April 28th, 2021 - 0mg

August 2021 - 2mg melatonin   August 1, 2022 - 1mg melatonin   March 31, 2023 - 0mg melatonin

2024 supplements update: electrolyte blend in water sipped throughout the day; 1 tsp fish oil blend w/ morning meal (incl. vit. A+D+E); calcium; vitamin C+zinc

 

Courage is fear that has said its prayers.  - Karle Wilson Baker

love and justice are not two. without inner change, there can be no outer change; without collective change, no change matters.  - Rev. angel Kyodo williams

Holding multiple truths. Knowing that everyone has their own accurate view of the way things are.  - text on homemade banner at Afiya house

 

I am not a medical professional; this is not medical advice. 

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Thanks @Ariel for putting all the already available information together 🙂 

2010-2020: Venlafaxine (between 37.5mg and 225mg (CT twice from low doses 2018, 2020) and Trazodone (between 25 and 50mg, CTd twice without problems)

April 2021: Crash with OCD, anxiety, akathisia after taking benzo and microdosing mushrooms

11th June-2nd July(3 weeks total): Seroquel 150mg, Seroquel XR 50mg, Trazodone 150mg, Zoldem 10mg

July 2nd-Feb 15: Venlafaxine between 37,5 and 75mg, Olanzapine between 2,5 and 5mg

August 22nd: introduce 0.5mg Lorazepam (0.25 10am, 0.25 7pm) December 7th: stop morning dose Lorazepam without problems

January 10: Reduce evening dose from 0.2mg to 0,15, cant sleep and take 1.5mg Lorazepam, plus forgot to take my Venlafaxine that day

--> severe crash with suicidal akathisia

go up with Lorazepam to 4mgs, starting 4mgs on March 28th

February 15th: increase Venlafaxine to 93,75, tried 150 with bad reaction, slight increase seemed to settle the akathisia a bit

June 14 lose sleep, return of akathisia in full force 20th June increase Lorazepam to 5mg 

current medication: Venlafaxine 93,75mg (8am) Olanzapine 3mg (9:30pm), Lorazepam 5mg taken 4x daily at 8-12-17-21:30 o'clock

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This is a post about vitb6 and akathisia:

https://www.madinamerica.com/2018/01/vitamin-b6-effective-reducing-antipsychotic-induced-akathisia/

I really don't understand why nobody has found this before...

 

Edited by kostakonkordia

Ad's since 2016 (I was 16 then...) (Escitalopram) 

Nov 2018 switch to venlafaxin 150mg

Nov 2019 to march 2020 tapered by 37,5mg to cero. (breakdown, minor w/d symptoms for a few days only panic attacks followed by deep depression came a month later duo to stress). 

Reinstated venla 150mg in Juli 2020.

Nov 2020 to April 2021 tapering by 15mg every month or so until I reached approximately 50 mg(no w/d symptoms) 

Since April 2021 tapered once by 5% and once by 10% of the last dose because I'm not stable enough for w/d. 

Current dose 50mg venlafaxin

No other medication. 

No supplements

Stopped smoking 29.12.2021

No alcohol 

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  • 2 weeks later...

Thank you kosta! I understand VitaminB is too stimulating for many in withdrawal but when you have akathisia everything is worth a try.

2010-2020: Venlafaxine (between 37.5mg and 225mg (CT twice from low doses 2018, 2020) and Trazodone (between 25 and 50mg, CTd twice without problems)

April 2021: Crash with OCD, anxiety, akathisia after taking benzo and microdosing mushrooms

11th June-2nd July(3 weeks total): Seroquel 150mg, Seroquel XR 50mg, Trazodone 150mg, Zoldem 10mg

July 2nd-Feb 15: Venlafaxine between 37,5 and 75mg, Olanzapine between 2,5 and 5mg

August 22nd: introduce 0.5mg Lorazepam (0.25 10am, 0.25 7pm) December 7th: stop morning dose Lorazepam without problems

January 10: Reduce evening dose from 0.2mg to 0,15, cant sleep and take 1.5mg Lorazepam, plus forgot to take my Venlafaxine that day

--> severe crash with suicidal akathisia

go up with Lorazepam to 4mgs, starting 4mgs on March 28th

February 15th: increase Venlafaxine to 93,75, tried 150 with bad reaction, slight increase seemed to settle the akathisia a bit

June 14 lose sleep, return of akathisia in full force 20th June increase Lorazepam to 5mg 

current medication: Venlafaxine 93,75mg (8am) Olanzapine 3mg (9:30pm), Lorazepam 5mg taken 4x daily at 8-12-17-21:30 o'clock

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  • 3 weeks later...

 

I also find cold water/plunge/showers/bathing helpful for all kinds of symptoms. 

One more thing I remembered. When I had akathisia I found it helpful to wear compression garments, for example exercise clothing (athleisure) with compression effect. It calmed me down. 

1996-2018 - misc. polypharmacy, incl. SSRIs, SNRIs, neuroleptics, lithium, benzos, stimulants, antihistamines, etc. (approx. 30+ drugs)

2012-2018 - 10mg lexapro/escitalopram (20mg?)    Jan. 2018 - 10mg -> 5mg, then from 5mg -> 2.5mg, then 0mg  -->  July 2018 - 0mg

2017(?)-2020 - vyvanse/lisdexamfetamine 60-70mg    2020-2021 - 70mg down to 0mg  -->  July 2021 - 0mg

March-April 2021 - vortioxetine 5-10mg (approx. 7 weeks total; CT)  -->  April 28th, 2021 - 0mg

August 2021 - 2mg melatonin   August 1, 2022 - 1mg melatonin   March 31, 2023 - 0mg melatonin

2024 supplements update: electrolyte blend in water sipped throughout the day; 1 tsp fish oil blend w/ morning meal (incl. vit. A+D+E); calcium; vitamin C+zinc

 

Courage is fear that has said its prayers.  - Karle Wilson Baker

love and justice are not two. without inner change, there can be no outer change; without collective change, no change matters.  - Rev. angel Kyodo williams

Holding multiple truths. Knowing that everyone has their own accurate view of the way things are.  - text on homemade banner at Afiya house

 

I am not a medical professional; this is not medical advice. 

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@Neon how are you?

I'm sorry you're going through this. I had episodes months ago and this week it started again. What helps me a little is acupuncture. If you know a qualified professional, it's worth a try.

Past meds:

  • 2013-2019 = 100mg Quetiapine
  • mar20 - aug20 = 50mg Quetiapine
  • aug20 - jun21 = 25mg Quetiapine + 5mg melatonin
  • jun21 - aug21 = 12,5mg Quetiapine + 5mg melatonin
  • aug21 = 6,25mg Quetiapine + 5mg melatonin
  • sep21 - oct21 =  5mg melatonin
  • oct21 - dec21 = 0,5mg Clonazepam + 5mg melatonin 
  • 25th dec 21 - 5th jan 22 = 5mg melatonin  
  • 5th jan 22 - 17th jan 22 = 0,3mg Clonazepam + 5mg melatonin + 12mg CBD full spectrum
  • 17th jan 22 - 19th fev 22 = 0,2mg Clonazepam + 5mg melatonin 
  • 19th fev 22 - 25th fev 22 = 12,5mg Quetiapine

Current meds:

  • 01st mar 22 = 50mg Pregablin (Lyrica) 
  •  50mg Pregablin = 30 mg 10:30 PM + 12,5mg 10:30 AM + 7,5 mg 5:00 AM
  • 23 mar = 6,25mg Quetiapine  /  31 mar = 5,0 mg / 11 apr - until now = 4,0 mg at 04:30AM
  • (Between 15 may - 20 may) 0,5 mg Quetiapine 03:30 AM 
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