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Ryan2020: Tapering Advice


Ryan2020

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Recently went from 10MG to 5MG lexapro after being in 10mg for probabaly close to a year. I am experiencing increased anxiety and what I know to be depersonalization. I have no idea how long this will last but I am wondering if I should reinstate to 7.5 MG to alleviate symptoms of just wait it out. 

2019: Sertraline 50 MG (3 months)- 100MG (3 months) - 75MG (5 months)

2020: Sertraline 100 MG (2 months)  - 75MG (3 months)

2020/2021: Lexapro Cross-Taper from 75MG Sertraline to 15MG Lexapro. (4/5 months) 

2021: Lexapro 15MG - 10MG (6 months)

2022(To Date): Lexapro 10MG - 5MG- 7.5MG (reinstatement 6/4/2022). Adderall XR 15MG (2months). 

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  • Frogie changed the title to Ryan2020:Tapering Advice

Ryan2020 Tapering / Reinstatement Advice

 

Hello everyone, I posted before but I feel like I did not give that much information. I initially started on 50 MG of Zoloft around 2019 and moved around from 50-75-100mg. I did that for about a year and eventually switched to lexapro. I cross tapered and was eventually on 15mg lexapro for maybe 6 months and then have been on 10mg for the rest of the time. 3 weeks ago I went from 10-5mg. I also started prescription adderall 15MG after playing with 15/20MG extended release. 10 to 5 MG hit me HARD. I had physical withdrawl for a few days and extreme fatigue for 2 weeks. At this point I feel cognitive decline, anxiety, emotional blunting and depersonalization. I feel so out of it and disconnected. This is the worst I've ever felt in tapering my dose. I'm afraid of what is to come in the future and if I should reinstate to 7.5 MG to alleviate my symptoms. I feel as I am in crisis mode about my life in the immediate and extended future. 

 

Edited by ChessieCat
added Intro topic title before merging with intro topic

2019: Sertraline 50 MG (3 months)- 100MG (3 months) - 75MG (5 months)

2020: Sertraline 100 MG (2 months)  - 75MG (3 months)

2020/2021: Lexapro Cross-Taper from 75MG Sertraline to 15MG Lexapro. (4/5 months) 

2021: Lexapro 15MG - 10MG (6 months)

2022(To Date): Lexapro 10MG - 5MG- 7.5MG (reinstatement 6/4/2022). Adderall XR 15MG (2months). 

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  • ChessieCat changed the title to Ryan2020: Tapering Advice

The best description is the "elevated mood" I feel like I'm high and then at times depersonalized. I just don't know if it is too early to tell what will happen 

2019: Sertraline 50 MG (3 months)- 100MG (3 months) - 75MG (5 months)

2020: Sertraline 100 MG (2 months)  - 75MG (3 months)

2020/2021: Lexapro Cross-Taper from 75MG Sertraline to 15MG Lexapro. (4/5 months) 

2021: Lexapro 15MG - 10MG (6 months)

2022(To Date): Lexapro 10MG - 5MG- 7.5MG (reinstatement 6/4/2022). Adderall XR 15MG (2months). 

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  • Moderator

Dear Ryan, pls complete your drug signature so we can advise you care. It makes sense to updose to 7.5 mg now.

 

What happened with the ADHD medicine - what does 'played with it' mean. Be specific with dates for that as well.

 

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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Hello, I will update my drug signature. I spoke with my psych and today I did go back to 7.5mg and as of now I feel super cold lol. With the ADHD meds I was determining if 20MG or 15MG was better suited and I determined 15MG was my preference. How long should I wait to determine if up-dosing has done anything positive? I'm also trying not to become too bogged down with all of posts on here as it has become compulsive. I just want to safely taper of these meds. 

2019: Sertraline 50 MG (3 months)- 100MG (3 months) - 75MG (5 months)

2020: Sertraline 100 MG (2 months)  - 75MG (3 months)

2020/2021: Lexapro Cross-Taper from 75MG Sertraline to 15MG Lexapro. (4/5 months) 

2021: Lexapro 15MG - 10MG (6 months)

2022(To Date): Lexapro 10MG - 5MG- 7.5MG (reinstatement 6/4/2022). Adderall XR 15MG (2months). 

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Hi @Ryan2020

welcome to SA. Sorry to hear you are having difficulties. You are in a great place with fantastic moderators. 
Sending good vibes your way! 
Ninabird

PREVIOUS

2018 Ativan 1mg Oct-Jan (CT), 2019 Effexor 75mg, Klonopin .25mg, Trazadone 75mg, Bridge to Prozac (?dose), 2020 Taper off all, 2021 Zoloft (?dose), Jan-May (CT @ Hospital), Remeron (?dose) Trazadone 75mg, Propanolol (?dose), Klonopin .50mg, Buspar (?dose),

2021 Prozac (?dose), Trazadone 75mg, Klonopin 2 times a day, 2021 August fast taper Trazadone  Prozac fast taper in August. August Lexapro 10mg

2022 January  Lexapro to 25mg, February FT to 10mg Lexapro over 6 weeks, Klonopin .25mg 2 times a day, May Effexor 35mg, June bridge from Effexor to 30mg Cymbalta. Held on Lexapro until November.

supplements  2023  Jan Probiotics stopped taking after two weeks ADR April 1k Iu Vitamin D W/ K stopped after a few days ADR. March 50mg Mag glycinate stopped after a week ADR

January 2023added an additional .25 mg Klonopin (.25 mg three times a day)

CURRENT

1/23-Present Klonopin .75mg divided into .25mg 3 times a day. 6:30am, 12:00pm, 6:30pm 

1/23Present Lexapro .101 mgpw - 8.08 mgai 8:00am

1/23-Present Estradiol .50mg 8:00am

1/23-Present 30mg Cymbalta 12:30pm

6/23 to present Holding no changes 7/4 reduced Lexapro to 7.92mg 7/31 7.84mg 8/7 7.76mg 7/14 7.60mg 10/1 7.44mg 10/28 7.36mg 2/1 7.12mg 2/14 7.04mg 3/5/24 6.88mg 3/12 6.80mg

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  • Moderator
2 hours ago, Ryan2020 said:

Hello, I will update my drug signature. I spoke with my psych and today I did go back to 7.5mg and as of now I feel super cold lol. With the ADHD meds I was determining if 20MG or 15MG was better suited and I determined 15MG was my preference. How long should I wait to determine if up-dosing has done anything positive? I'm also trying not to become too bogged down with all of posts on here as it has become compulsive. I just want to safely taper of these meds. 

A change takes about a week to register in the brain. I'd give it a couple of weeks to reach its potential after that. 

 

I can't see your signature to give you better advice.

 

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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How do I go about adding my signature ?

2019: Sertraline 50 MG (3 months)- 100MG (3 months) - 75MG (5 months)

2020: Sertraline 100 MG (2 months)  - 75MG (3 months)

2020/2021: Lexapro Cross-Taper from 75MG Sertraline to 15MG Lexapro. (4/5 months) 

2021: Lexapro 15MG - 10MG (6 months)

2022(To Date): Lexapro 10MG - 5MG- 7.5MG (reinstatement 6/4/2022). Adderall XR 15MG (2months). 

Link to comment

@Onmyway I added one 

2019: Sertraline 50 MG (3 months)- 100MG (3 months) - 75MG (5 months)

2020: Sertraline 100 MG (2 months)  - 75MG (3 months)

2020/2021: Lexapro Cross-Taper from 75MG Sertraline to 15MG Lexapro. (4/5 months) 

2021: Lexapro 15MG - 10MG (6 months)

2022(To Date): Lexapro 10MG - 5MG- 7.5MG (reinstatement 6/4/2022). Adderall XR 15MG (2months). 

Link to comment

I have re-instated to 7.5mg if Lexapro. At what point do I attempt to reinstate back to 10mg or even 9mg? I mostly just feel high throughout the day. Bad anxiety. Jaw is tight and sometimes some burning sensations in my body 

2019: Sertraline 50 MG (3 months)- 100MG (3 months) - 75MG (5 months)

2020: Sertraline 100 MG (2 months)  - 75MG (3 months)

2020/2021: Lexapro Cross-Taper from 75MG Sertraline to 15MG Lexapro. (4/5 months) 

2021: Lexapro 15MG - 10MG (6 months)

2022(To Date): Lexapro 10MG - 5MG- 7.5MG (reinstatement 6/4/2022). Adderall XR 15MG (2months). 

Link to comment

I also take 10 MG adderall daily with weekdays usually adding in the extra 5 MG for busy work days. I am prescribed 15MG. I also currently use 3MG zyn nicotine pouches as I just quit vaping 

2019: Sertraline 50 MG (3 months)- 100MG (3 months) - 75MG (5 months)

2020: Sertraline 100 MG (2 months)  - 75MG (3 months)

2020/2021: Lexapro Cross-Taper from 75MG Sertraline to 15MG Lexapro. (4/5 months) 

2021: Lexapro 15MG - 10MG (6 months)

2022(To Date): Lexapro 10MG - 5MG- 7.5MG (reinstatement 6/4/2022). Adderall XR 15MG (2months). 

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