Jump to content

blenny: feeling scared and frustrated


Recommended Posts

My psychiatrist told me I'd be fine to taper by cutting my 10mg Lexapro to 5mg for one week, and then stopping.

 

I'd vaguely heard that a slow taper is better (but had no idea how slow) so I did a 6 week taper myself, cutting the pills into 3/4 for 2 weeks, 1/2 for 2 weeks, then 1/4 for 2 weeks. Thought I was going above and beyond in terms of caution ūüėē

 

Here I am about 6 weeks after fully tapering. I sob multiple times a day at nothing. I'm also so angry and irritable that I'm scared of my own temper and what I might do. I've never felt like that before in my life.

 

Overall, I'm sad, scared, lost. Worried I've been off too long to start it up again. Also not sure how to approach this with my psychiatrist. I'm so scared she's gonna say these couldn't possibly be withdrawal symptoms -- just by Googling, the party line seems to be that withdrawal doesn't last over a couple weeks.

2011-2013: Prozac 20mg, Wellbutrin 150mg (no withdrawal symptoms after brief taper)

2015-2017: Prozac 20mg (no withdrawal symptoms after brief taper)

2018-May 2022: Lexapro 10mg (decided not to go w/ Prozac b/c of sweating)

     Jan 2022: Added Wellbutrin 300mg (for fatigue)

     March 2022: Added Buspar 15mg combined with Melatonin 4mg (for cog symptoms)

     April-May 2022: 6 week taper off Lexapro (as of June 2022, experiencing severe withdrawal 

          symptoms)

 

Current meds (as of June 2022): Wellbutrin, Buspar+Melatonin

Link to comment
  • ChessieCat changed the title to blenny: feeling scared and frustrated
  • Moderator

Dear @blenny

welcome to SA. I am so sorry that you are struggling with withdrawal. 

A reinstatement is still an option for you but it would be at a very low dose - you can try something like 0.5mg. Reinstatement is risky as our systems are sensitive in withdrawal so that is why we recommend starting at a low dose. If things go wrong you can stop it. Have a look at the thread below and let us know what you think. 

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

 

You can see how to get small doses from this thread. 

https://www.survivingantidepressants.org/topic/406-tips-for-tapering-off-escitalopram-lexapro/

 

Here are some tips on how to talk to your doctor. 

How to talk to a doctor about tapering and withdrawal? What to expect. - Tapering - Surviving Antidepressants and here are some links to studies that show the importance of gradual tapering. 

https://www.survivingantidepressants.org/topic/23454-print-out-leaflet-guidance-on-stopping-antidepressants-by-royal-college/

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

 

You don't really need a psychiatrist to prescribe you these medicines, you can have your primary care physician do that for you. Some of our members do not even inform their doctors that they are lowering their doses. This is not ideal but in some cases people have found it necessary to just go on their own. 

 

What are you taking melatonin for? 4mg is a large dose - the recommended dose for sleeping is about 0.3mg too much can lead to paradoxical symptoms. 

 

Pls let us know what you decide to do with reinstatement. 

omw

 

 

 

I am not a doctor and this should not be considered medical advice. You can use the information 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, 

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

 

Supplements: magnesium citrate and bi-glycinate

 

Link to comment
On 6/21/2022 at 1:15 AM, Onmyway said:

 

You can see how to get small doses from this thread. 

https://www.survivingantidepressants.org/topic/406-tips-for-tapering-off-escitalopram-lexapro/

 

 

Thank you! This looks super helpful.

 

On 6/21/2022 at 1:15 AM, Onmyway said:

What are you taking melatonin for? 4mg is a large dose - the recommended dose for sleeping is about 0.3mg too much can lead to paradoxical symptoms.

 

A few studies have looked at buspar and melatonin in combination as an antidepressant. They have found 15mg buspar + 3mg extended-release melatonin to relieve cognitive symptoms of depression w/ minimal side effects. I have pretty bad cognitive symptoms -- poor memory, poor attention, brain fuzziness. That's why my psych recommended this protocol. My local grocery store only had 4mg rather than 3mg of the extended-release, hence 4mg.

 

citations for those curious:

Fava, M., Targum, S. D., Nierenberg, A. A., Bleicher, L. S., Carter, T. A., Wedel, P. C., ... & Barlow, C. (2012). An exploratory study of combination buspirone and melatonin SR in major depressive disorder (MDD): a possible role for neurogenesis in drug discovery. Journal of psychiatric research, 46(12), 1553-1563.
 
Targum, S. D., Wedel, P. C., & Fava, M. (2015). Changes in cognitive symptoms after a buspirone‚Äďmelatonin combination treatment for major depressive disorder. Journal of Psychiatric Research, 68, 392-396.

2011-2013: Prozac 20mg, Wellbutrin 150mg (no withdrawal symptoms after brief taper)

2015-2017: Prozac 20mg (no withdrawal symptoms after brief taper)

2018-May 2022: Lexapro 10mg (decided not to go w/ Prozac b/c of sweating)

     Jan 2022: Added Wellbutrin 300mg (for fatigue)

     March 2022: Added Buspar 15mg combined with Melatonin 4mg (for cog symptoms)

     April-May 2022: 6 week taper off Lexapro (as of June 2022, experiencing severe withdrawal 

          symptoms)

 

Current meds (as of June 2022): Wellbutrin, Buspar+Melatonin

Link to comment

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
×
×
  • Create New...

Important Information

Terms of Use Privacy Policy