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Mattie: tapering off Pristiq


Mattie

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5 hours ago, Mattie said:

I’m in a panic!! I accidentally doubled my dose last night!! Will this hurt me and set me back? How could I have been so careless ugggh!!😭

 

And oops......it happens Mattie.  You'll just have to ride it out.  It may or may not cause much disruption to your healing now.  How is today going?

 

4 hours ago, Mattie said:

When you take so many antidepressants in a short period of time as I have, are the withdrawals from the current medication you are tapering off of or all the antidepressants you’ve taken in the last couple years?

 

A little bit of both.  The protracted WD that you are already in, and then new WD symptoms perhaps on top of that.  Expect the Windows and Waves pattern of stabilization.

 

And.......fortunate, in that you might feel some further stabilization as you get into splitting your Pristique dose soon.  Hopefully, you won't suffer symptoms all day, until evening anymore.  So, keep us posted/updated as you get that going.

 

And tips in the way of non-drug coping you can begin to practice,  that may help you with that "worse than it ever felt before" symptom of anxiety/fears.  WD anxiety is often very different from what ever symptoms you first encountered when going on meds/drugs.  Just know it won't last forever either, with current intensities.

Symptoms and Self Care forum

Non-drug techniques to cope with emotional symptoms

and there is all kinds of good stuff with links to indexed in the first post ^

More anxiety specific:

https://www.survivingantidepressants.org/topic/13669-ways-to-cope-with-daily-anxiety/

 

*https://www.survivingantidepressants.org/topic/10964-the-dr-claire-weekes-method-of-recovering-from-a-sensitized-nervous-system/

 

https://www.survivingantidepressants.org/topic/6122-relaxation-exercises-guided-meditations-calming-videos-sleep-hypnosis/?/topic/6122-good-links-for-anxietyworry/?hl=%2Bmindful%2B%2Bmeditation

 

L, P, H, and G,

mmt

 

 

2022 May- continuing with limited activity on site, just something I need to do right now

Started with psycho meds/psychiatric care circa 1988.  In retrospect, and on contemplation, situational overwhelm.

Rounding up to 30 years of medications(30 medication trials, poly-pharmacy maximum was 3 at one time).

5/28/2015-off Adderal salts 2.5mg. (I had been on that since hospital 10/2014)

12/2015---just holding, holding, holding, with trileptal/oxcarb at 75 mg. 1/2 tab at hs.  My last psycho med ever!  Tapered @ 10% every 4 weeks, sometimes 2 weeks to

2016 Dec 16 medication free!!

Longer signature post here, with current supplements.

Herb and alcohol free since 5/15/2016.  And.....I quit smoking 11/2021.  Can you say Hallelujah?(took me long enough)💜

None of my posts are intended as medical advice.  Please discuss any decisions about your medical care with a knowledgeable medical provider. manymoretodays

 

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Many more todays, thanks for your response, I already feel so horrible all morning that it didn’t make much of a difference although my fear and anxiety was worse today, my depression is horrible everyday, I have to use extreme mindfulness to get through till late afternoon, it’s 3pm now and the wave is less intense but I felt drugged all day long from the extra dose, I started reading the different self help etc on this site every evening that I get a window. So grateful for this group, it’s very lonely to go through this since family and friends can’t truly understand and having you all makes it more bearable, thanks again 😊

1998-2019Prozac 10mg

2020 slow taper to 4.25 mg crashed.7/2=10mg Prozac.7/7=4mg Prozac +5mg trintellix.7/11=2mg pro+5mg trin .7/20=10mg Prozac.7/23=10mg Prozac+2mg abilify 7/25 20mg Prozac +2mg abilify 8/5 drop abilify 8/12=10mg Prozac 8/23 15mg Prozac 9/9 10mg Prozac +15 mg Wellbutrin 9/25=10mg Prozac +25mg pamelor 11/16=10mg Prozac +20mg pamelor 12/21= 20 mg pamelor +Prozac 10mg every other day

2021/ 1/20 = pamelor 20mg dropped Prozac 10mg.1/24 reinstated 10 mg Prozac +pamelor 20mg 1/28 =5mg Prozac +20 mg pamelor 2/28 10 mg Prozac + 25 mg pamelor 3/29 pamelor 10mg +Prozac 10mg 4/2 pamelor 20 mg + Prozac 10mg 5/17 Prozac 10mg + pamelor 10 mg 6/24 10mg Prozac only. 8/21 Prozac 20mg 11/20 Prozac 30mg

2022/ 1/22 pristiq 25mg, 2/16 pristiq 20 mg, June 11 to18 mg

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  • Administrator
On 9/19/2022 at 5:55 PM, Mattie said:

also is it normal to feel lightheaded and loopy all the time especially when my anxiety kicks in?

 

On 9/21/2022 at 6:36 AM, Mattie said:

Sorry for all the questions but I feel you good people are all I have to hold on to my sanity, I forgot to mention I tried HRT for 19 days and I think it was making me feel worse so I got off of them, could that short duration on them be also why my withdrawals are so bad? I’m 101 days and can’t seem to stabilize even a bit. My last drop I would have bad days and a bit better days but this go around I feel no relief until around 7pm , I’m only existing 

 

@Mattie you have been taking a drug with a very short half-life once a day when you should have been taking it in split doses. You probably have had interdose withdrawal every day. Taking Pristiq in split doses 12 hours apart may reduce your symptoms.

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

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Thanks, that gives me hope! I had spoken to my Pharmacist a while back and he said they do add a time release and he said it covers 24 hrs so I assumed it did 

1998-2019Prozac 10mg

2020 slow taper to 4.25 mg crashed.7/2=10mg Prozac.7/7=4mg Prozac +5mg trintellix.7/11=2mg pro+5mg trin .7/20=10mg Prozac.7/23=10mg Prozac+2mg abilify 7/25 20mg Prozac +2mg abilify 8/5 drop abilify 8/12=10mg Prozac 8/23 15mg Prozac 9/9 10mg Prozac +15 mg Wellbutrin 9/25=10mg Prozac +25mg pamelor 11/16=10mg Prozac +20mg pamelor 12/21= 20 mg pamelor +Prozac 10mg every other day

2021/ 1/20 = pamelor 20mg dropped Prozac 10mg.1/24 reinstated 10 mg Prozac +pamelor 20mg 1/28 =5mg Prozac +20 mg pamelor 2/28 10 mg Prozac + 25 mg pamelor 3/29 pamelor 10mg +Prozac 10mg 4/2 pamelor 20 mg + Prozac 10mg 5/17 Prozac 10mg + pamelor 10 mg 6/24 10mg Prozac only. 8/21 Prozac 20mg 11/20 Prozac 30mg

2022/ 1/22 pristiq 25mg, 2/16 pristiq 20 mg, June 11 to18 mg

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  • Administrator

No, whatever they add does not cover 24 hours.

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

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Wow I’ve been tapering that way for over 7 months, so glad I joined this knowledgeable group, hope this helps me , fingers crossed! Thank you and the others for your responses , still waiting on psych for my new script, should hear by tomorrow 

1998-2019Prozac 10mg

2020 slow taper to 4.25 mg crashed.7/2=10mg Prozac.7/7=4mg Prozac +5mg trintellix.7/11=2mg pro+5mg trin .7/20=10mg Prozac.7/23=10mg Prozac+2mg abilify 7/25 20mg Prozac +2mg abilify 8/5 drop abilify 8/12=10mg Prozac 8/23 15mg Prozac 9/9 10mg Prozac +15 mg Wellbutrin 9/25=10mg Prozac +25mg pamelor 11/16=10mg Prozac +20mg pamelor 12/21= 20 mg pamelor +Prozac 10mg every other day

2021/ 1/20 = pamelor 20mg dropped Prozac 10mg.1/24 reinstated 10 mg Prozac +pamelor 20mg 1/28 =5mg Prozac +20 mg pamelor 2/28 10 mg Prozac + 25 mg pamelor 3/29 pamelor 10mg +Prozac 10mg 4/2 pamelor 20 mg + Prozac 10mg 5/17 Prozac 10mg + pamelor 10 mg 6/24 10mg Prozac only. 8/21 Prozac 20mg 11/20 Prozac 30mg

2022/ 1/22 pristiq 25mg, 2/16 pristiq 20 mg, June 11 to18 mg

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Will I eventually stabilize? Is 3 1/2 months a long time not to stabilize?

1998-2019Prozac 10mg

2020 slow taper to 4.25 mg crashed.7/2=10mg Prozac.7/7=4mg Prozac +5mg trintellix.7/11=2mg pro+5mg trin .7/20=10mg Prozac.7/23=10mg Prozac+2mg abilify 7/25 20mg Prozac +2mg abilify 8/5 drop abilify 8/12=10mg Prozac 8/23 15mg Prozac 9/9 10mg Prozac +15 mg Wellbutrin 9/25=10mg Prozac +25mg pamelor 11/16=10mg Prozac +20mg pamelor 12/21= 20 mg pamelor +Prozac 10mg every other day

2021/ 1/20 = pamelor 20mg dropped Prozac 10mg.1/24 reinstated 10 mg Prozac +pamelor 20mg 1/28 =5mg Prozac +20 mg pamelor 2/28 10 mg Prozac + 25 mg pamelor 3/29 pamelor 10mg +Prozac 10mg 4/2 pamelor 20 mg + Prozac 10mg 5/17 Prozac 10mg + pamelor 10 mg 6/24 10mg Prozac only. 8/21 Prozac 20mg 11/20 Prozac 30mg

2022/ 1/22 pristiq 25mg, 2/16 pristiq 20 mg, June 11 to18 mg

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  • Administrator
23 hours ago, Altostrata said:

you have been taking a drug with a very short half-life once a day when you should have been taking it in split doses. You probably have had interdose withdrawal every day.

 

You were destabilized every day, when the drug wore off. Your stabilization period will start when you are taking split doses.

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

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So because I have to take one of my doses 1 hr earlier everyday until I get to 12 hrs apart does that mean I won’t begin to stabilize for another 12 days? And how long after I get to an even split will it take to hopefully feel a difference? Thanks 

1998-2019Prozac 10mg

2020 slow taper to 4.25 mg crashed.7/2=10mg Prozac.7/7=4mg Prozac +5mg trintellix.7/11=2mg pro+5mg trin .7/20=10mg Prozac.7/23=10mg Prozac+2mg abilify 7/25 20mg Prozac +2mg abilify 8/5 drop abilify 8/12=10mg Prozac 8/23 15mg Prozac 9/9 10mg Prozac +15 mg Wellbutrin 9/25=10mg Prozac +25mg pamelor 11/16=10mg Prozac +20mg pamelor 12/21= 20 mg pamelor +Prozac 10mg every other day

2021/ 1/20 = pamelor 20mg dropped Prozac 10mg.1/24 reinstated 10 mg Prozac +pamelor 20mg 1/28 =5mg Prozac +20 mg pamelor 2/28 10 mg Prozac + 25 mg pamelor 3/29 pamelor 10mg +Prozac 10mg 4/2 pamelor 20 mg + Prozac 10mg 5/17 Prozac 10mg + pamelor 10 mg 6/24 10mg Prozac only. 8/21 Prozac 20mg 11/20 Prozac 30mg

2022/ 1/22 pristiq 25mg, 2/16 pristiq 20 mg, June 11 to18 mg

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  • Administrator

If you take the compounded Pristiq only once a day, you will not stabilize because you will get interdose withdrawal every day.

 

Dividing the dose should make you feel gradually better. Once you get to doses 12 hours apart, it will take about a week to get to steady-state.

 

I cannot predict how long it will take you to stabilize after that, but you should feel better than you feel now.

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

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Thank you so much 😊 

1998-2019Prozac 10mg

2020 slow taper to 4.25 mg crashed.7/2=10mg Prozac.7/7=4mg Prozac +5mg trintellix.7/11=2mg pro+5mg trin .7/20=10mg Prozac.7/23=10mg Prozac+2mg abilify 7/25 20mg Prozac +2mg abilify 8/5 drop abilify 8/12=10mg Prozac 8/23 15mg Prozac 9/9 10mg Prozac +15 mg Wellbutrin 9/25=10mg Prozac +25mg pamelor 11/16=10mg Prozac +20mg pamelor 12/21= 20 mg pamelor +Prozac 10mg every other day

2021/ 1/20 = pamelor 20mg dropped Prozac 10mg.1/24 reinstated 10 mg Prozac +pamelor 20mg 1/28 =5mg Prozac +20 mg pamelor 2/28 10 mg Prozac + 25 mg pamelor 3/29 pamelor 10mg +Prozac 10mg 4/2 pamelor 20 mg + Prozac 10mg 5/17 Prozac 10mg + pamelor 10 mg 6/24 10mg Prozac only. 8/21 Prozac 20mg 11/20 Prozac 30mg

2022/ 1/22 pristiq 25mg, 2/16 pristiq 20 mg, June 11 to18 mg

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I have not started my twice daily dose yet, still waiting for them to come in the mail however I did get a window of sorts yesterday for the first time in months but today I’m back in a wave ,I guess I should be hopeful that it will happen again soon especially after I start my twice daily dose 

1998-2019Prozac 10mg

2020 slow taper to 4.25 mg crashed.7/2=10mg Prozac.7/7=4mg Prozac +5mg trintellix.7/11=2mg pro+5mg trin .7/20=10mg Prozac.7/23=10mg Prozac+2mg abilify 7/25 20mg Prozac +2mg abilify 8/5 drop abilify 8/12=10mg Prozac 8/23 15mg Prozac 9/9 10mg Prozac +15 mg Wellbutrin 9/25=10mg Prozac +25mg pamelor 11/16=10mg Prozac +20mg pamelor 12/21= 20 mg pamelor +Prozac 10mg every other day

2021/ 1/20 = pamelor 20mg dropped Prozac 10mg.1/24 reinstated 10 mg Prozac +pamelor 20mg 1/28 =5mg Prozac +20 mg pamelor 2/28 10 mg Prozac + 25 mg pamelor 3/29 pamelor 10mg +Prozac 10mg 4/2 pamelor 20 mg + Prozac 10mg 5/17 Prozac 10mg + pamelor 10 mg 6/24 10mg Prozac only. 8/21 Prozac 20mg 11/20 Prozac 30mg

2022/ 1/22 pristiq 25mg, 2/16 pristiq 20 mg, June 11 to18 mg

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Any thoughts on magnesium l threonate ,I read it was good for brain health of transmitters, plasticity, etc and crosses the blood brain barrier 

1998-2019Prozac 10mg

2020 slow taper to 4.25 mg crashed.7/2=10mg Prozac.7/7=4mg Prozac +5mg trintellix.7/11=2mg pro+5mg trin .7/20=10mg Prozac.7/23=10mg Prozac+2mg abilify 7/25 20mg Prozac +2mg abilify 8/5 drop abilify 8/12=10mg Prozac 8/23 15mg Prozac 9/9 10mg Prozac +15 mg Wellbutrin 9/25=10mg Prozac +25mg pamelor 11/16=10mg Prozac +20mg pamelor 12/21= 20 mg pamelor +Prozac 10mg every other day

2021/ 1/20 = pamelor 20mg dropped Prozac 10mg.1/24 reinstated 10 mg Prozac +pamelor 20mg 1/28 =5mg Prozac +20 mg pamelor 2/28 10 mg Prozac + 25 mg pamelor 3/29 pamelor 10mg +Prozac 10mg 4/2 pamelor 20 mg + Prozac 10mg 5/17 Prozac 10mg + pamelor 10 mg 6/24 10mg Prozac only. 8/21 Prozac 20mg 11/20 Prozac 30mg

2022/ 1/22 pristiq 25mg, 2/16 pristiq 20 mg, June 11 to18 mg

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  • Moderator Emeritus

Post #1 of this topic has information about different types of magnesium:

 

Magnesium

 

It is suggested to only make one change at a time and to start with a small dose to see how you react:

 

the-rule-of-3kis-keep-it-simple-keep-it-slow-keep-it-stable

Please DO NOT TAG me - thank you

PLEASE NOTE:  I am not a medical professional.  I provide information and make suggestions. 

  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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Thanks 

1998-2019Prozac 10mg

2020 slow taper to 4.25 mg crashed.7/2=10mg Prozac.7/7=4mg Prozac +5mg trintellix.7/11=2mg pro+5mg trin .7/20=10mg Prozac.7/23=10mg Prozac+2mg abilify 7/25 20mg Prozac +2mg abilify 8/5 drop abilify 8/12=10mg Prozac 8/23 15mg Prozac 9/9 10mg Prozac +15 mg Wellbutrin 9/25=10mg Prozac +25mg pamelor 11/16=10mg Prozac +20mg pamelor 12/21= 20 mg pamelor +Prozac 10mg every other day

2021/ 1/20 = pamelor 20mg dropped Prozac 10mg.1/24 reinstated 10 mg Prozac +pamelor 20mg 1/28 =5mg Prozac +20 mg pamelor 2/28 10 mg Prozac + 25 mg pamelor 3/29 pamelor 10mg +Prozac 10mg 4/2 pamelor 20 mg + Prozac 10mg 5/17 Prozac 10mg + pamelor 10 mg 6/24 10mg Prozac only. 8/21 Prozac 20mg 11/20 Prozac 30mg

2022/ 1/22 pristiq 25mg, 2/16 pristiq 20 mg, June 11 to18 mg

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I’m concerned that my compounding pharmacy had to consult with someone else to find out how to divide my dose, I’m extremely sensitive and I’m also concerned as I get lower they will only be able to do 1/2 mgs as the smallest amount, so I’m currently on 18 mg divided by 2 doses 9+9 so my next drop would have to be 17mg(  8.5x2) etc, what will I do when i get lower and lower? Should I have stayed on pristiq 25 and weight and fill my own? Feeling panicked!

1998-2019Prozac 10mg

2020 slow taper to 4.25 mg crashed.7/2=10mg Prozac.7/7=4mg Prozac +5mg trintellix.7/11=2mg pro+5mg trin .7/20=10mg Prozac.7/23=10mg Prozac+2mg abilify 7/25 20mg Prozac +2mg abilify 8/5 drop abilify 8/12=10mg Prozac 8/23 15mg Prozac 9/9 10mg Prozac +15 mg Wellbutrin 9/25=10mg Prozac +25mg pamelor 11/16=10mg Prozac +20mg pamelor 12/21= 20 mg pamelor +Prozac 10mg every other day

2021/ 1/20 = pamelor 20mg dropped Prozac 10mg.1/24 reinstated 10 mg Prozac +pamelor 20mg 1/28 =5mg Prozac +20 mg pamelor 2/28 10 mg Prozac + 25 mg pamelor 3/29 pamelor 10mg +Prozac 10mg 4/2 pamelor 20 mg + Prozac 10mg 5/17 Prozac 10mg + pamelor 10 mg 6/24 10mg Prozac only. 8/21 Prozac 20mg 11/20 Prozac 30mg

2022/ 1/22 pristiq 25mg, 2/16 pristiq 20 mg, June 11 to18 mg

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  • Moderator Emeritus

When it comes to getting what we need to do a careful taper we sometimes have to do some extra work.

 

If a pharmacy does not know how to compound the drug they can contact the compounding association in your country.  My compounder was able to make 0.125mg capsules.  He said they can make any dose required however below 0.125mg it takes a lot of time and therefore the cost goes up.

 

Please have a look at this topic, especially Post #1 which includes information on how the prescription needs to be written (in the USA):

 

getting-compound-custom-dosages-at-compounding-pharmacies-us-uk-canada-and-elsewhere

 

There was an SA member whose pharmacist told them that the drug they were taking could not be compounded (and I know that it could be) so I contacted the association directly and got the following response:

 

getting-compound-custom-dosages-comment=416313

 

Please DO NOT TAG me - thank you

PLEASE NOTE:  I am not a medical professional.  I provide information and make suggestions. 

  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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  • Administrator

Ordinarily, a compounding pharmacy can make up any dosage for a capsule.

 

A decrease of 1mg from 18mg is only 5.5%, reducing by 1mg at a time might be a tolerable taper that's 10% or less until you get under 10mg.

 

Even if the smallest capsule they can make is 0.5mg, you would not have to decrease from 18mg to 17mg per day, you can decrease to 17.5mg per day, less than a 3% decrease. Your doctor should write a prescription for split doses, such as "9mg in the morning and 8.5mg in the evening".

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

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@altostra, thanks, that eases my mind, I would have never thought of that, thankful for your help 

1998-2019Prozac 10mg

2020 slow taper to 4.25 mg crashed.7/2=10mg Prozac.7/7=4mg Prozac +5mg trintellix.7/11=2mg pro+5mg trin .7/20=10mg Prozac.7/23=10mg Prozac+2mg abilify 7/25 20mg Prozac +2mg abilify 8/5 drop abilify 8/12=10mg Prozac 8/23 15mg Prozac 9/9 10mg Prozac +15 mg Wellbutrin 9/25=10mg Prozac +25mg pamelor 11/16=10mg Prozac +20mg pamelor 12/21= 20 mg pamelor +Prozac 10mg every other day

2021/ 1/20 = pamelor 20mg dropped Prozac 10mg.1/24 reinstated 10 mg Prozac +pamelor 20mg 1/28 =5mg Prozac +20 mg pamelor 2/28 10 mg Prozac + 25 mg pamelor 3/29 pamelor 10mg +Prozac 10mg 4/2 pamelor 20 mg + Prozac 10mg 5/17 Prozac 10mg + pamelor 10 mg 6/24 10mg Prozac only. 8/21 Prozac 20mg 11/20 Prozac 30mg

2022/ 1/22 pristiq 25mg, 2/16 pristiq 20 mg, June 11 to18 mg

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