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Exercise intolerance inducing withdrawal symptoms?


shelby

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I'm finding it more difficult to exercise especially since my dizziness has gotten worse. Any Suggestions?

40 year old male - First panic attack in May 2012

May 2012 Atenolol (beta blocker)25mg, Ativan 2mg
August 2012 Rapid taper ativan, started zoloft 25mg
Dec 2012... rapid taper zoloft,
January 2013 Xanax 1mg for 1 month
February 2013 Klonopin 1mg
April 2013 to May 2013 Rapid Taper Klonopin to 0.5mg
June 10th 2013 jumped from 0.5 Kpin and Atenolol 25mg
July 2013 two days of Ativan 1mg b/c of hospital visit
September 2013 started Effexor 75mg (this was a mistake i think)
July 2014 to October 2014 tapered off Effexor...

July 2015 - Reinstated zoloft 50mg

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  • 5 years later...

I know for many exercise causes problems. My pattern seems to be I feel great post exercise (bike ride for 45mins) then later on in the day I develop withdrawal symptoms that deteriorate even worse when I take my usual tapering dose. As exercise increasing serotonin could it be that we are sort of kindling ourselves with natural serotonin rises and drops?, is that possible ?

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4703784/

15yrs on sertraline 50mg. 2018-Valium 2.5mg for 7mths. Feb 2019- CT off Valium. April 2019- reduced Sertraline to 25mg over a week!-  stabilised at 36mg. Oct 2019- 36mg. Nov 2019- 35.7mg. Dec 2019- 35.4mg. Severe WD sxs so held for 12 months. 1st Feb 21 dropped 35.1mg.  1st March 2021 34.8mg. 1st april 2021- 34.5mg.

wd sxs so 26/4 increased dose back to 34.8mg- held. 10/21 Gradually increased dose to 35.1mg try ease sxs. 

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  • 3 months later...

Yeah I really miss being in my body and doing rigorous exercise. Now if I do anything strenuous, I feel good right after, but the next day and days after I feel awful. I hate it!!!! The doctors prescribing me these drugs would say to just eat right and exercise to lose weight, weight that I have gain from these drugs which they do not believe.

 

I use to be a lean fit person, now I have gained weight, and started to have lower back pain. I exercise (lightly and what I can do best) and eat right, but the weight does not budge. I know I just have to get off these poisons for my body to get back to what it was pre med. 

 

 

Jan 2012 started 50mg Zoloft for mild depression.        2014 increased Zoloft to 100mg 

2015 poop out of Zoloft. Started  Lexapro. Bad start effects, only a month on it. Then onto Effexor a month, bad start up effects. Then Prozac, had bad start up effects (serotonin syndrome).  Added anti-psychotic Risperadal, too strong, drooling from the mouth. 

2016 on different SSRIs, do not remember, on Effexor for about 1 month, quit cold turkey 2017. Lasted 2 months.

April 2017 back on Zoloft 200mg.    May 2019 switched to Lexapro 30mg.   Oct 2019 switched to Paxil 40mg

September 2020 on Lexapro 20mg and Paxil 9mg. 

December 2020 Lexapro 20mg  Paxil 8.82 (Tapering Paxil first by 2% drops every 4-6 weeks or until I feel stable to decrease)

Jan 2021 Lexapro 20mg Paxil 8.6mg

Mar 2021 Lexapro 18mg Paxil 8.8mg

May 2021 Prozac Bridge Attempt.

June 2021 Successfully eliminated Lexapro. Currently holding @ 8mg Prozac & 8.82mg Paxil. Waiting to adjust, and stabilize, then will proceed to cut Paxil.

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  • 9 months later...

Seems like I have this problem as well, weight training have increased my withdrawal a lot.

Zoloft, November 2019.  I worked up to 50 mg and stayed there until 1 year later. I tapered for 3 months, which should consider to be cold turkey.
Tapering schedule:
Month 1: 37.5 mg

Month 2: 25 mg

Month 3: 12.5 mg

Month 4(Half the month): 6.75 mg
Month 4(Other half): 0 mg December 9, 2020

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  • 6 months later...


I’m wondering if my exercise intolerance is because of a quick taper or does this happen to everyone? 
I was tapered off WWellbutrin  and Lexapro  over a month, then reinstated Wellbutrin . at 1/4 dose then  tapered again. Severe withdrawal then reinstated Lexapro  at 1.25mg. Now, after 7 weeks on 0.75 mg Lex.
If I do any exercise I get severely depressed for at least a week. Very angry, irritable, severe fatigue. It used to be worse in the heat. I would mountain bike all weekend and for 2-3 weeks be in severe withdrawal and bed ridden . Now in the winter I xc ski for an hour and I am wrecked for a week. Still too unstable to work. Started this journey nearly 9 months ago.
So,,, does this happen to everyone or just with fast taper?

1992 -1995 Prozac 2 yrs, then Wellbutrin  
2015 Wellbutrin 300 mg + Ability + Pristiq 

2018 Psych CT off Pristiq and Ability 

2018 (November) unsuccessful attempt to withdraw from Pristiq and Wellbutrin. Went 

2019 Trintellix 2 months ( vomiting +++)

2019 off Trintellix, on SamE supplements

2019 Moclobebide 900 mg zombie 

2019 Wellbutrin 300 mg then Lexapro 10mg

2022( March) coached off both in 30 days 

2022 Sept. Reinstated 1.25 mg Lex, now on 0.75 mg Lex

 

 

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Hi @Terrie. I can partially relate to the topic. I am currently taking 1.75mg cipralex. I haven't had such a problem in about a year, but unfortunately I don't remember the dose, but after a while I noticed that I feel depressed after training. I still go to work out 1-2 times a week, but I absolutely do not overdo it. I don't push myself, it's more about movement. If I don't push myself, I've noticed that I don't have that depressed mood. best regards

 2023.01.27 1,6 mg 2023.01.29 1,5 mg 2023.02.27 1,35 mg 2023.03.30 1,2 mg 2023.04.18 1,1 mg 04,26 1,05 mg 2023.01.26 1,05 mg 2023.02.27 .27 .20. .21 0,8 mg 2023.07.14 0,65 mg 2023.08.20 0,45 mg 2023.09.20 0,25 mg 2023.11.14 000000000!!!!!

 

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I think the intolerance to exercise can happen even if people have tapered.

 

I took around 1 1/2 years to taper, but it was only about 5 months after I’d finished completely that the exercise issues started. Extreme irritability, tiredness and sometimes depression after exercise. Even if I felt fine straight after the workout.

 

I used to visit the gym 3 times a week for heavy workouts. Now I go 1-2 times a week and use much lighter weights but with more sets. Which my body seems to cope with a little better.

 

I use an Apple Watch to check my heart rate doesn’t get too high, and make sure I always finish my workout after a set amount of time, even if I’m still feeling fine. I always eat plenty of carbs before I go too, an empty stomach is a no-no, avoid going into a calorie deficit.

 

Another alternative is exercise bands. They offer a pretty good workout, and don’t appear to tax the system as much as weights.

 

More recently I’ve noticed every week I’d get extremely agitated and suffer insomnia from a Wednesday to Saturday, and it always stops on a Saturday afternoon.

 

It only occurred to me yesterday that on a Tuesday I go on a long and hilly ‘walk and talk’ with my therapist. It’s only been happening since I started that. So I’ll have to ask we skip the hills for now!

Oct 2018 - Jun 2020: 10 mg per day generic Escitalopram in pill form.

Jul 2020 - Aug 2020: Switched to 9 mg per day of Cipralex drops to aid tapering.

Sep 2020 - Oct 2020: Taper to 8 mg.

Nov 2020 - Dec 2020: Taper to 7 mg.

Jan 2021 - Feb 2021: Taper to 6 mg.

Mar 2021 - Apr 2021: Taper to 5 mg.

May 2021 - Jun 2021: Taper to 4 mg.

Jul 2021 - Sep 2021: Taper to 3 mg.

Sep 2021 - Jan 2022: Taper to 2 mg.

Jan 2022: Stopped taking altogether.

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  • 2 months later...

Hey Jon1, 

 

I am currently at 5mg of Lexapro and having some waves and windows of withdrawal.

Currently debating whether or not I should exercise at all in those heavy windows, sounds like walking and light exercise has been okay for you, have you tried running at all and keeping a stable pace? Just interested in if that has had an effect on you in anyway?

 

Thanks so much. 

I am not a medical professional - my advice is only based on my experience.

2016 - Lexapro 10mg, Klonapin as needed .5mg - Later Lexapro bumped to 20mg
2020 - (March) Lexapro cold Turkey attempt, reinstated 1 month Later along with Prozac. Tried Buspar, Zoloft and a couple other drugs that were added and removed within a 2 month period 2021 -  (Feb) 15mg -Taper off Lexapro 5mg per psychiatrist suggestion.

2021 -  (Feb) 10mg

2021 - (March) back to 20mg
2022 - Attempt Taper off Lexapro 2mg every 4 weeks (March 18mg, April 16mg, May 14mg, June 12mg, July 10mg, August 10mg hold, September 8mg,  October 8mg to 10mg, Nov 8mg, Dec 6mg, Jan 4mg)

2023 - January 4mg up to 5mg 

2023 - 10 percent brass monkey taper.

August 2023 COMPLETELY off medication.

JAN 2024 Currently in Waves and Windows of Withdrawal

Supplements: omega-3, magnesium glycinate

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12 hours ago, Jakeblack14 said:

Hey Jon1, 

 

I am currently at 5mg of Lexapro and having some waves and windows of withdrawal.

Currently debating whether or not I should exercise at all in those heavy windows, sounds like walking and light exercise has been okay for you, have you tried running at all and keeping a stable pace? Just interested in if that has had an effect on you in anyway?

 

Thanks so much. 

 

Hey Jack,

 

I'd say all you can do is listen to your body. I was actually okay with exercise until around 5 months after I took my final dose when my energy levels fell off a cliff! After that my body went into a complete meltdown after doing a workout.

 

I've found I tend to get symptoms if I push my heart rate too high, so I need to keep it below certain levels. Also, I make sure I don't go into a calorie deficit. It seems like any form of exercise that stresses my body enough to release cortisol causes issues. So I stick to walking and very light band workouts for now.

 

There have been some improvements though (fingers crossed!), if I overdo it, my recovery time seems to be a bit quicker than it was, but at this point I haven't been able to increase the exercise I do to normal levels.

Oct 2018 - Jun 2020: 10 mg per day generic Escitalopram in pill form.

Jul 2020 - Aug 2020: Switched to 9 mg per day of Cipralex drops to aid tapering.

Sep 2020 - Oct 2020: Taper to 8 mg.

Nov 2020 - Dec 2020: Taper to 7 mg.

Jan 2021 - Feb 2021: Taper to 6 mg.

Mar 2021 - Apr 2021: Taper to 5 mg.

May 2021 - Jun 2021: Taper to 4 mg.

Jul 2021 - Sep 2021: Taper to 3 mg.

Sep 2021 - Jan 2022: Taper to 2 mg.

Jan 2022: Stopped taking altogether.

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Thanks so much, 

 

Good luck out there, I hope it continues to get better for you!

I ended up doing a 5k last night as exercise does not seem to induce a flight or fight response. 

Feeling okay today, we will see how the day progresses, mornings seem to be the hardest. 

I am not a medical professional - my advice is only based on my experience.

2016 - Lexapro 10mg, Klonapin as needed .5mg - Later Lexapro bumped to 20mg
2020 - (March) Lexapro cold Turkey attempt, reinstated 1 month Later along with Prozac. Tried Buspar, Zoloft and a couple other drugs that were added and removed within a 2 month period 2021 -  (Feb) 15mg -Taper off Lexapro 5mg per psychiatrist suggestion.

2021 -  (Feb) 10mg

2021 - (March) back to 20mg
2022 - Attempt Taper off Lexapro 2mg every 4 weeks (March 18mg, April 16mg, May 14mg, June 12mg, July 10mg, August 10mg hold, September 8mg,  October 8mg to 10mg, Nov 8mg, Dec 6mg, Jan 4mg)

2023 - January 4mg up to 5mg 

2023 - 10 percent brass monkey taper.

August 2023 COMPLETELY off medication.

JAN 2024 Currently in Waves and Windows of Withdrawal

Supplements: omega-3, magnesium glycinate

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  • 8 months later...

Hey guys,

 

 I used paroxetine for 8 years, and did a fast tapering for less than 3 months due to erroneous advice from my ex-psychiatrist. I intend not to go to one of those bastards ever again.

 Intolerance to physical exercise has been one of the most striking symptoms of my withdrawal process (I've been in this battle for 3.5 years).

 It started a few months after reaching dose zero. I used to do physical activities 5/6 times a week before withdrawal (weight training, jiu-jitsu, running). At the beginning of the withdrawal, I couldn't do anything at all. When I started any strength training, my body responded with a total lack of energy, I was unable to continue. I could barely walk to my house or to the subway due to the lack of power.

 

 Today, after 3.5 years, I can do light physical activity twice a week. A very light weight training session and a walk or very light run. If I force it, the next week I won't be able to do anything.

 Curious that @jon1 talked about calorie deficit. I came to the same conclusion ! If I go into a calorie deficit, the weakness/lack of energy is extreme.

 

 Other than that, I have fluctuations in energy throughout the day. I have some very tired moments throughout the day. My work is not tiring, and I have managed to sleep an average of 5/6 hours a night, and even so I am often tired and irritable.

- 2012-2019: Paroxetine (20-40 mg)

- Jan-Mar 2020: Fast-tapering. 3 months from 40 to 0 mg

- Apr 2020 - June 2022: No drugs. Severe hellish PAWS.

- June 2022 - Feb 2023: Tried St John's Wort, Lexapro, Luvox, 5 htp, Paroxetine reinstatement. All caused more side effects than benefits. I also tried Mindfullness and CBT, both didn't help.

- 2023: Magnesium L-Threonate 370 mg (first worthwhile sup), Omega 3 (1000DHA + 500EPA), vitamin c 500 mg and multivitamin. No alcohol.

Currently, overall improvement of 40% in symptoms.

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