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Surgery and anesthesia


alexjuice

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Hi sunnydays

 

In had oral surgery for dental implants last July.  I held the dose of my SSRI, benzo and gabapentin for about 3 months before the procedure to ensure I was stable.  I was given twlight sedation.  I have posted the link to the thread I created on it below - it identifies the drugs used. 

 

Note that I missed a dose of gabapentin while recovering from the surgery and did experience some anxiety.  I'm pretty sure my reaction was due to missing a dose of meds.  Other than that I didn't have any ill-effects from the sedation.

 

I had no difficulty through the procedure and recovered quickly from the missed dose of gabapentin.  I have my new crowns and have had no ill-effects.

 

http://survivingantidepressants.org/index.php?/topic/4615-oral-surgery-during-multi-med-taper

 

There was relatively little pain and i didn't need the heavy-duty pain killers for more than a day.  I also didn't need the steroids for swelling.

 

I'll try to answer any questions you have.

2007 @ 375 mg Effexor - 11/29/2011 - 43.75 mg Effexor (regular) & .625 mg Xanax

200 mg Gabapentin 2/27/21 - 194.5 mg, 5/28/21 - 183 mg, 8/2/21 - 170 mg, 11/28/21 - 150 mg, 4/19/22 - 122 mg; 8//7/22 - 100 mg; 12/17 - 75mg; 8/17 - 45 mg; 10/16 40 mg
Xanax taper: 3/11/12 - 0.9375 mg, 3/25/12 - 0.875 mg, 4/6/12 - 0.8125 mg, 4/18/12 - 0.75 ; 10/16 40mg;

1/16 0.6875 mg; at some point 0.625 mg
Effexor taper: 1/29/12 - 40.625 mg, 4/29/12 - 39.875 mg, 5/11/12 - Switched to liquid Effexor, 5/25/12 - 38 mg, 7/6/12 - 35 mg, 8/17/12 - 32 mg, 9/14/12 - 30 mg, 10/19/12 - 28 mg, 11/9/12 - 26 mg, 11/30/12 - 24 mg, 01/14/13 - 22 mg. 02/25/13 - 20.8 mg, 03/18/13 - 19.2 mg, 4/15/13 - 17.6 mg, 8/10/13 - 16.4 mg, 9/7/13 - 15.2 mg, 10/19/13 - 14 mg, 1/15/14 - 13.2 mg, 3/1/2014 - 12.6 mg, 5/4/14 - 12 mg, 8/1/14 - 11.4 mg, 8/29/14 - 10.8 mg; 10/14/14 - 10.2 mg; 12/15/14 - 10 mg, 1/11/15 - 9.5 mg, 2/8/15 - 9 mg, 3/21/15 - 8.5 mg, 5/1/15 - 8 mg, 6/9/15 - 7.5 mg, 7/8/15 - 7 mg, 8/22/15 - 6.5 mg, 10/4/15 - 6 mg; 1/1/16 - 5.6 mg; 2/6/16 - 5.2 mg; 4/9 - 4.8 mg; 7/7 4.5 mg; 10/7 4.25 mg; 11/4 4.0 mg; 11/25 3.8 mg; 4/24 3.6 mg; 5/27 3.4 mg; 7/8 3.2 mg ... 10/18 2.8 mg; 1/18 2.6 mg; 4/7 2.4 mg; 5/26 2.15mg; 8/18 1.85 mg; 10/7 1.7 mg; 12/1 1.45 mg; 3/2 1.2 mg; 5/4 0.90 mg; 6/1 0.80 mg; 6/22 0.65 mg; 08/03 0.50 mg, 08/10 0.45 mg, 10/05 0.325 mg, 11/23 0.2 mg, 12/14 0.15 mg, 12/21 0.125 mg, 02/28 0.03125 mg, 2/15 0.015625 mg, 2/29/20 0.00 mg - OFF Effexor


I am not a medical professional - this is not medical advice. My suggestions are based on personal experience, reading, observation and anecdotal information posted by other sufferers

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Thank you so much Karma!! That's great to hear the experience had no ill effects on you!

 

The tooth needing to be removed is starting to cause some pain (it's an injured tooth caused by an accident from when I was very little and only now causing problems) so I don't think I'll be able to put the surgery off for long. I was told it will be a fast procedure so hopefully not having a large amount of meds and fluids will help.

 

If anymore questions come up I'll be sure to ask you. Thanks a bunch :)

-Lexapro (5 or 10mg, can't remember) 2 years age 17-19 for "light social anxiety" ended late 2006. No issues coming off.

- 2008 Effexor XR 75mg after health induced Panic Attack. 21yo. Upon first dose extreme adverse reaction (sadness, crying spells, extreme physical agitation/anxiety) did eventually stabilize. Stayed on 3 months then tapered off very fast but no issue WDing.

Lexapro 20mg 6/2009 - 2/2014 due to PPD and unsuccessful WD attempts.

-Sep. 2013 stable and still doing fine on Lexapro but lost insurance so Dr CT switch from Lex 20mg to Celexa 40mg (supposed equivalent) claiming it's the "same drug just cheaper". My body didn't like the switch almost instantly, and I felt acute WD from Lex within days of the switch. Was unaware it was WD and adverse affect from the switch. Gave it 2 weeks to settle and stabilize. By end of 2 weeks I was falling completely apart mentally and emotionally. Pharmacist said I could switch back to Lexapro 20mg safely. Again, "it's the same drug"

-Oct. 2.5 weeks after med switch, switched back to Lexapro 20mg thinking everything would go back to normal. Woke up next morning to instant cortisol overload anxiety, physical and mental agitation to extreme levels, could not think, feel, do anything normally. Akathisia. Knew it had to be some kind of adverse reaction to the switch, but had no idea what to do other than continue taking it and hoping to stabilize. Proceeded to experience the worst 3-4 weeks of my life before finally stabilizing slowly.

-Nov. despite stabilizing for the most part, could feel something wasn't right, was not returning to old self, had moments of emotional amnesia with things I love most. Life stressor occurred and I crashed. Total poop-out in a moment and instant panic and adverse effects, depression, anxiety, mental exhaustion, physical fatigue.

Saw a GP who told me Lex was struggling to handle stress in life, needed to augment with Seroquel 25mg. Energy began to return, but depression worsened, began having suicidal mood swings, feelings like life was unbearable.

-December found SA and began Seroquel taper after taking it for a month. Felt signs of relief after just few days.

-Jan. 15th 2014 took last seroquel and began Prozac bridge. Complete Feb. 25th. Felt a couple weeks of WD from Lex, but otherwise stabilized.

-April 9th began 10% Homemade liquid Prozac taper. 40mg down to 36mg.

-Aug. 5th now down to 27.5mg. Feeling better than I did at 40mg.

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  • 4 weeks later...

Im having alot of problems lately, especially right sided Pelvic/stomach pain. Ultrasound shows nothing, the pain never goes away and radiates to my back. The doctor wants to do a Laparoscopy to see what the problem is, it could be any of the following:

 

Cysts on ovaries

Ovarian mass/cancer

Endometriosis

IBS

Obstruction

Pelvic Inflammatory Disease

Infected Pouch of Douglas

Chronic appendicitis (Difficult to diagnose)

I think the list is endless

 

If things dont improve fast i need to go for the procedure. I am terrified. i cant explain how terrified i am. Please if anyone underwent smilar operations or any operations in severe protracted withdrawal, i would love encouragement.

 

Ive heard Propofol is safest. What is a safe benzo to take with it? I see they list ketamine but i would never touch that stuff.

 

I know Punabara went for a laparoscopy with an epidural and was fine. I am really scared. I have severe DR/DP im so scared i dont wake up or i dont know who i am or something.

 

Please i would seriously appreciate it if anyone has some knowledge regarding anesthesia in severe protracted withdrawal

 

Thank you

Was on Citalopram 20mg since Feb 2008 - switched to Paxil 20mg in August 2010

Tapered way too fast in April 2012 by skipping days. Taper completed in 6 weeks

Tried prozac 20mg for 3 days - felt spaced out, not better.

Tried 30mg Cymbalta for 2 days. SEVERE ADVERSE REACTION

Antidepressant free since 14 August 2012

Birth control on and off during this time - Last taken 18 June 2017 - Morning after pill 

Started mainly using 0.5mg Xanax beginning 2016 for severe panic attacks and anxiety due to trauma

Xanax on and off never more than 0.5mg at a time, never taking it 3 days in a row - used sparingly 

 

6 Years antidepressant free - Still in severe withdrawal with over 60 symptoms

Severe setback started May 2018 with no let up to date. Developed many new symptoms like tremors, inner vibrations, insomnia, visual distortions and dr/dp are 100x worse, i have severe sensitivity to movement, My dizziness and vertigo got worse and it now feels like im constantly rocking on a boat, my anxiety is sky high, suicidal idiation is back, i feel extremely brain damaged 

 

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Hi Olivia,

 

Yup, I have heard good things about Propofol as it is very quick acting.  In other words, when the procedure is over, you will wake up very quickly from it.

 

I am not sure what qualifies as a safe benzo.  It is quite common to give versed which allegedly relaxes the person ahead of time and make them forget what happened.  If I had gone through with my Septoplasty, i would have refused the med before having general anesthesia becauuse there had been several incidents of reported reactions which hadn't happened with other meds.  I just felt with my guided imagery recordings that I was going to listen to, that it wouldn't have been necessary.

 

You might want to find out what your anesthesia options are and go with the least invasive one like an epidural.  I have read that usually, (not always) that the least invasive options have less complications.

 

Finally, I would strongly urge you to ask for a meeting with an anesthesiologist ahead of time so you can get your concerns addressed.   I would ask for a listing of all the drugs they plan on using so you can look them up and make sure you don't have any concerns.   They might balk at that initially but just assure them that you aren't out to play gotcha and simply want to be a well informed patient.

 

Best of luck.

Drug cocktail 1995 - 2010
Started taper of Adderall, Wellbutrin XL, Remeron, and Doxepin in 2006
Finished taper on June 10, 2010

Temazepam on a PRN basis approximately twice a month - 2014 to 2016

Beginning in 2017 - Consumption increased to about two times per week

April 2017 - Increased to taking it full time for insomnia

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Do i need a benzo though? Cant i just go for the propofol?

 

Thanks for the suggestions. Will definately take it up with the anesthesiologist. Maybe i don't have to go for the procedure, going back on monday to ask for more testing.

Was on Citalopram 20mg since Feb 2008 - switched to Paxil 20mg in August 2010

Tapered way too fast in April 2012 by skipping days. Taper completed in 6 weeks

Tried prozac 20mg for 3 days - felt spaced out, not better.

Tried 30mg Cymbalta for 2 days. SEVERE ADVERSE REACTION

Antidepressant free since 14 August 2012

Birth control on and off during this time - Last taken 18 June 2017 - Morning after pill 

Started mainly using 0.5mg Xanax beginning 2016 for severe panic attacks and anxiety due to trauma

Xanax on and off never more than 0.5mg at a time, never taking it 3 days in a row - used sparingly 

 

6 Years antidepressant free - Still in severe withdrawal with over 60 symptoms

Severe setback started May 2018 with no let up to date. Developed many new symptoms like tremors, inner vibrations, insomnia, visual distortions and dr/dp are 100x worse, i have severe sensitivity to movement, My dizziness and vertigo got worse and it now feels like im constantly rocking on a boat, my anxiety is sky high, suicidal idiation is back, i feel extremely brain damaged 

 

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If you feel you can be calm while waiting in preop for your procedure, not it isn;t necessary.   But if you feel you need one, personally, I would go with Valium.  

 

Of course, keep in mind I am not a doctor so check with your medical team.  Also, keep in mind I haven't looked at your drug history so my advice could be totally off base.

 

As an FYI, if I had been put under, I would have had propofol and Fentanyl, which is given for pain when someone is put under.

 

Hopefully, this will all be moot and you don't need the procedure.

 

CS

Drug cocktail 1995 - 2010
Started taper of Adderall, Wellbutrin XL, Remeron, and Doxepin in 2006
Finished taper on June 10, 2010

Temazepam on a PRN basis approximately twice a month - 2014 to 2016

Beginning in 2017 - Consumption increased to about two times per week

April 2017 - Increased to taking it full time for insomnia

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  • Administrator

Get local anesthesia if possible. But it sounds like they might want you unconscious. Ask more questions and tell them you want to minimize drugs.

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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I started a thread in symptoms and self-care where I discussed twilight sedation.  I used it when I got two dental implants last year.  This might be something to discuss with your surgeon.

 

"In this process they use a combination of midazolam, fentanyl and propofol.  Midazolam (versed) is called a dissociative, it keeps nerve sensations from reaching the brain.  Fentanyl is a potent, synthetic opioid analgesic with a rapid onset and short duration of action.  Propofol is a hypnotic/amnestic agent (puts you to sleep and causes you not to remember)."

 

For the dental surgery they also used a local, but since I was sedated they only had to use about half as much of the local as they would've if I hadn't been sedated.

 

I kept everything the same with my withdrawal for about 3 months prior to the procedure.  The only problem I had was some anxiety a few days after the surgery, but I believe it was due to missing a dose of gabapentin, rather than being due to the sedation.

 

Karma

2007 @ 375 mg Effexor - 11/29/2011 - 43.75 mg Effexor (regular) & .625 mg Xanax

200 mg Gabapentin 2/27/21 - 194.5 mg, 5/28/21 - 183 mg, 8/2/21 - 170 mg, 11/28/21 - 150 mg, 4/19/22 - 122 mg; 8//7/22 - 100 mg; 12/17 - 75mg; 8/17 - 45 mg; 10/16 40 mg
Xanax taper: 3/11/12 - 0.9375 mg, 3/25/12 - 0.875 mg, 4/6/12 - 0.8125 mg, 4/18/12 - 0.75 ; 10/16 40mg;

1/16 0.6875 mg; at some point 0.625 mg
Effexor taper: 1/29/12 - 40.625 mg, 4/29/12 - 39.875 mg, 5/11/12 - Switched to liquid Effexor, 5/25/12 - 38 mg, 7/6/12 - 35 mg, 8/17/12 - 32 mg, 9/14/12 - 30 mg, 10/19/12 - 28 mg, 11/9/12 - 26 mg, 11/30/12 - 24 mg, 01/14/13 - 22 mg. 02/25/13 - 20.8 mg, 03/18/13 - 19.2 mg, 4/15/13 - 17.6 mg, 8/10/13 - 16.4 mg, 9/7/13 - 15.2 mg, 10/19/13 - 14 mg, 1/15/14 - 13.2 mg, 3/1/2014 - 12.6 mg, 5/4/14 - 12 mg, 8/1/14 - 11.4 mg, 8/29/14 - 10.8 mg; 10/14/14 - 10.2 mg; 12/15/14 - 10 mg, 1/11/15 - 9.5 mg, 2/8/15 - 9 mg, 3/21/15 - 8.5 mg, 5/1/15 - 8 mg, 6/9/15 - 7.5 mg, 7/8/15 - 7 mg, 8/22/15 - 6.5 mg, 10/4/15 - 6 mg; 1/1/16 - 5.6 mg; 2/6/16 - 5.2 mg; 4/9 - 4.8 mg; 7/7 4.5 mg; 10/7 4.25 mg; 11/4 4.0 mg; 11/25 3.8 mg; 4/24 3.6 mg; 5/27 3.4 mg; 7/8 3.2 mg ... 10/18 2.8 mg; 1/18 2.6 mg; 4/7 2.4 mg; 5/26 2.15mg; 8/18 1.85 mg; 10/7 1.7 mg; 12/1 1.45 mg; 3/2 1.2 mg; 5/4 0.90 mg; 6/1 0.80 mg; 6/22 0.65 mg; 08/03 0.50 mg, 08/10 0.45 mg, 10/05 0.325 mg, 11/23 0.2 mg, 12/14 0.15 mg, 12/21 0.125 mg, 02/28 0.03125 mg, 2/15 0.015625 mg, 2/29/20 0.00 mg - OFF Effexor


I am not a medical professional - this is not medical advice. My suggestions are based on personal experience, reading, observation and anecdotal information posted by other sufferers

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  • 2 weeks later...

Thanks everyone.

 

I am scheduled for a sonar on the 30th, then ill know if i need the laparoscopy.

 

The thing is, i need a lumpectomy too. I have a breast lump that the doctos said i can remove because it is very painful. I want to do local, what is the safest local meds used?

Was on Citalopram 20mg since Feb 2008 - switched to Paxil 20mg in August 2010

Tapered way too fast in April 2012 by skipping days. Taper completed in 6 weeks

Tried prozac 20mg for 3 days - felt spaced out, not better.

Tried 30mg Cymbalta for 2 days. SEVERE ADVERSE REACTION

Antidepressant free since 14 August 2012

Birth control on and off during this time - Last taken 18 June 2017 - Morning after pill 

Started mainly using 0.5mg Xanax beginning 2016 for severe panic attacks and anxiety due to trauma

Xanax on and off never more than 0.5mg at a time, never taking it 3 days in a row - used sparingly 

 

6 Years antidepressant free - Still in severe withdrawal with over 60 symptoms

Severe setback started May 2018 with no let up to date. Developed many new symptoms like tremors, inner vibrations, insomnia, visual distortions and dr/dp are 100x worse, i have severe sensitivity to movement, My dizziness and vertigo got worse and it now feels like im constantly rocking on a boat, my anxiety is sky high, suicidal idiation is back, i feel extremely brain damaged 

 

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  • 4 months later...

Since I had my wisdom tooth removed after a ct scan of my mouth, I experienced a drop in libido and worening of symptoms including anxiety and ed. Is it just suggestion or something more? I'm in paxil withdrawal, now at 10 mg from 20 originary.

end of 2010, prescribed paxil 20mg

1 year off cold turkey  september 2011- september 2012 (nightmare) escitalopram for 4 months (didn't help).

RI september 2012 20mg

october 2013 crash reaching 10mg

10/31/2013 updose to 14mg

1/3/2014-13mg

2/23/2014-12mg

4/6/2014-11mg

august 2014-10mg

November-December 2014 Big mistake, skipping doses BIG Crash

January 2015- 12 mg

 

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can someone please help me on this?

end of 2010, prescribed paxil 20mg

1 year off cold turkey  september 2011- september 2012 (nightmare) escitalopram for 4 months (didn't help).

RI september 2012 20mg

october 2013 crash reaching 10mg

10/31/2013 updose to 14mg

1/3/2014-13mg

2/23/2014-12mg

4/6/2014-11mg

august 2014-10mg

November-December 2014 Big mistake, skipping doses BIG Crash

January 2015- 12 mg

 

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What meds have you taken related to the extraction?

1st round Prozac 1989/90, clear depression symptoms. 2nd round Prozac started 1999 when admitted to dr. I was tired. Prozac pooped out, switch to Cymbalta 3/2006. Diagnosed with bipolar disorder due to mania 6/2006--then I was taken abruptly off Cymbalta and didn't know I had SSRI withdrawal. Lots of meds for my intractable "bipolar" symptoms.

Zyprexa started about 9/06, mostly 5mg. Tapered 4/12 through12/29/12

Wellbutrin. XL 300 mg started 1/07, tapered 1/18/13 through 7/8/13

Oxazepam mostly continuously since 6/06, 30mg since 12/12, tapered 1.17.14 through 8.26.15

11/06 Lithium 600mg twice daily, 2.2.14 400mg TID DIY liquid, 2.12.14 1150mg, 3.2.14 1100mg, 3.18.14 1075mg, 4/14 updose to 1100mg, 6.1.14 900 mg capsules 7.8.14 810mg, 8.17.14 725mg, 8.24.24 700mg...10.22.14 487.5mg, 3.9.15 475mg, 4.1.15 462.5mg 4.21.15 450mg 8.11.15 375mg, 11.28.15 362.5mg, back to 375mg four days later, 3.4.16 updose to 475 (too much going on to risk trouble)

9/4/13 Toprol-XL 25mg daily for sudden hypertension, tapered 11.12.13 through 5.3.14, last 10 days or so switched to atenolol

7.4.14 Started Walsh Protocol

56 years old

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What meds have you taken related to the extraction?

bromazepam 10 drops, can an extraction of wsdom tooth cause an hormonal unbalance or something to general health?

The extraction has been at the end of June and in a wave since that moment, just don't know if it is withdrawal or something linked to the ct scan and extraction.

end of 2010, prescribed paxil 20mg

1 year off cold turkey  september 2011- september 2012 (nightmare) escitalopram for 4 months (didn't help).

RI september 2012 20mg

october 2013 crash reaching 10mg

10/31/2013 updose to 14mg

1/3/2014-13mg

2/23/2014-12mg

4/6/2014-11mg

august 2014-10mg

November-December 2014 Big mistake, skipping doses BIG Crash

January 2015- 12 mg

 

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Lex,

 

If they used an anesthetic or light sedation for the extraction, that may have effected your withdrawal symptoms.

Pristiq tapered over 8 months ending Spring 2011 after 18 years of polydrugging that began w/Zoloft for fatigue/general malaise (not mood). CURRENT: 1mg Klonopin qhs (SSRI bruxism), 75mg trazodone qhs, various hormonesLitigation for 11 years for Work-related injury, settled 2004. Involuntary medical retirement in 2001 (age 39). 2012 - brain MRI showing diffuse, chronic cerebrovascular damage/demyelination possibly vasculitis/cerebritis. Dx w/autoimmune polyendocrine failure.<p>2013 - Dx w/CNS Sjogren's Lupus (FANA antibodies first appeared in 1997 but missed by doc).

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still many months later?

end of 2010, prescribed paxil 20mg

1 year off cold turkey  september 2011- september 2012 (nightmare) escitalopram for 4 months (didn't help).

RI september 2012 20mg

october 2013 crash reaching 10mg

10/31/2013 updose to 14mg

1/3/2014-13mg

2/23/2014-12mg

4/6/2014-11mg

august 2014-10mg

November-December 2014 Big mistake, skipping doses BIG Crash

January 2015- 12 mg

 

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  • Moderator Emeritus

Yes, its possible, you might want to hold on your paxil tapering until your symptoms settle down again.

I'm not a doctor.  My comments are not medical advise. These are my opinions based on my own experience and what I've learned. Please discuss your situation with a medical practitioner who has knowledge of tapering and withdrawal...if you are lucky enough to find one.

My Introduction Thread

Full Drug and Withdrawal History

Brief Summary

Several SSRIs for 13 years starting 1997 (for mild to moderate partly situational anxiety) Xanax PRN ~ Various other drugs over the years for side effects

2 month 'taper' off Lexapro 2010

Short acute withdrawal, followed by 2 -3 months of improvement then delayed protracted withdrawal

DX ADHD followed by several years of stimulants and other drugs trying to manage increasing symptoms

Failed reinstatement of Lexapro and trial of Prozac (became suicidal)

May 2013 Found SA, learned about withdrawal, stopped taking drugs...healing begins.

Protracted withdrawal, with a very sensitized nervous system, slowly recovering as time passes

Supplements which have helped: Vitamin C, Magnesium, Taurine

Bad reactions: Many supplements but mostly fish oil and Vitamin D

June 2016 - Started daily juicing, mostly vegetables and lots of greens.

Aug 2016 - Oct 2016 Best window ever, felt almost completely recovered

Oct 2016 -Symptoms returned - bad days and less bad days.

April 2018 - No windows, but significant improvement, it feels like permanent full recovery is close.

VIDEO: Where did the chemical imbalance theory come from?



VIDEO: How are psychiatric diagnoses made?



VIDEO: Why do psychiatric drugs have withdrawal syndromes?



VIDEO: Can psychiatric drugs cause long-lasting negative effects?

VIDEO: Dr. Claire Weekes

 

 

 

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  • 1 month later...
  • Moderator Emeritus

This is interesting. I am scheduled for a hip replacement in February and worried about the drugs. I've been very

sensitive for years and had loads of surgeries for various things, most of them major ops. I tell them what affects

me and they are usually good but the last 2 or 3 times they gave me Patient controlled morphine and I didn't get on with

it at all. injections are better for me but that is a lot of work for the staff because there has to be 2 staff members to

administer the injections.  The trouble with the machine is that the patient has to press the button to get the drug, but

it knocks me out and makes me very sick, so I am not 'with it' enough to know to press the button. Then I am in pain and 

the small dose that is released isn't enough and they have to get a doctor to increase it or give me an injection anyway. 

The nursing staff get very annoyed sometimes but I really can't cope with the things!   I can't take paracetamol (tylenol),

anti inflammatories like ibuprofen, aspirin or codeine so am very limited. Morphine makes me sick but usually have 

anti nausea meds along with it.  I take tramadol at night but if I take it 3 or 4 times a day I am right out of it and trying

to cut down on the  dose at night!  Wow just typing it all out is making me wonder what is left to try.   :unsure: I don't want to take

regular high doses of tramadol, it is an SNRI and do not want to go there!  I think I need to speak to them about the morphine.

I know someone who has morphine and injects herself every morning with a slow release injection. Maybe they could do that.

It's only for a couple of days after surgery. 

 

Not sure about the anaesthetic, for my last 2 replacements (hip and knee) I had a spinal and a sedative but am not wanting the

benzo so maybe ask for propofol?

They routinely give temazepam for pre surgery, but I have refused them and been fine.  It's 4 years since I had any surgery and

I don't know if I will be affected now that I've been in withdrawal, although I am much better than I was. I've been drug sensitive

for 20 years since starting the psych drugs and they've usually been ok. The nurses are much worse than the doctors in my

experience, one even tried to bully me into taking paracetamol even when it was written in red on my notes that I can't take it! 

**I am not a medical professional, if in doubt please consult a doctor with withdrawal knowledge.

 

 

Different drugs occasionally (mostly benzos) 1976 - 1981 (no problem)

1993 - 2002 in and out of hospital. every type of drug + ECT. Staring with seroxat

2002  effexor. 

Tapered  March 2012 to March 2013, ending with 5 beads.

Withdrawal April 2013 . Reinstated 5 beads reduced to 4 beads May 2013

Restarted taper  Nov 2013  

OFF EFFEXOR Feb 2015    :D 

Tapered atenolol and omeprazole Dec 2013 - May 2014

 

Tapering tramadol, Feb 2015 100mg , March 2015 50mg  

 July 2017 30mg.  May 15 2018 25mg

Taking fish oil, magnesium, B12, folic acid, bilberry eyebright for eye pressure. 

 

My story http://survivingantidepressants.org/index.php?/topic/4199-hello-mammap-checking-in/page-33

 

Lesson learned, slow down taper at lower doses. Taper no more than 10% of CURRENT dose if possible

 

 

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  • 3 months later...

Has anyone undergone general anesthesia while tapering? Did you make any adjustments? Did it affect your taper? Thanks. 

started Xanax in 2014 (summer?)

finished trazodone taper in March

started tapering Xanax in March

max dosage was 2mg

down to 1.5mg divided into 4 fairly even doses

trying dividing X into 6 doses

using liquid form of X

 

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I was put under for a minor procedure and they used propofol.  Everything went fine.  No effect.

Withdrew from 20mg Lexapro and 4mg Klonopin.  Currently 22+ months free of all psych meds and still recovering.  Lexapro was not a problem, but man that Klonopin.

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  • Moderator Emeritus

Has anyone undergone general anesthesia while tapering? Did you make any adjustments? Did it affect your taper? Thanks. 

 

I asked to speak with the anesthesiologist before the procedure, and when he learned I was concerned about taking a benzo due to withdrawal issues, he agreed not to use these and only gave me propofol which I tolerated to good effect.

 

There are a number of posts on the forum about this.  I'm wondering if you used the search feature?

As always, LISTEN TO YOUR BODY! A proud supporter of the 10% (or slower) rule.

 

Requip - 3/16 ZERO  Total time on 25 years.

 

Lyrica: 8/15 ZERO Total time on 7 or 8 yrs.

BENZO FREE 10/13 (started tapering 7/10)  Total time on 25 years.

 

Read my intro thread here, and check the about me section.  "No matter how cynical you get, it's almost impossible to keep up." Lily Tomlin

 

 

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Hi CS... yes, the instructions on how to use Google are on the link.  That's what I use.. very effective.  See below:

 

"Use Google!!!
Google has a way to search this site, or any site. You can do this even if you're not a member of SurvivingAntidepressants.org.

Open Google search and in the search box type this:

site:survivingantidepressants.org 5-HTP

and you will get all the references to 5-HTP on this site.

You can substitute any word or terms for the term in red (or any site for the URL in blue -- no space between site: and the URL)"

 

I like using the search feature as it's a way to keep relevant info on threads that are chock full of good info.  More than I can give in one post. :)  Yep.. Google is better.  Thanks for the pickup.

As always, LISTEN TO YOUR BODY! A proud supporter of the 10% (or slower) rule.

 

Requip - 3/16 ZERO  Total time on 25 years.

 

Lyrica: 8/15 ZERO Total time on 7 or 8 yrs.

BENZO FREE 10/13 (started tapering 7/10)  Total time on 25 years.

 

Read my intro thread here, and check the about me section.  "No matter how cynical you get, it's almost impossible to keep up." Lily Tomlin

 

 

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  • 8 months later...

It's not about me, I am asking for a Bulgarian friend about a year out suffering from withdrawal from tricyclics (Anafranil). She doesn't take ADs anymore, only Clonazepam to endure the WD. She doesn't speak English and doesn't want to try and come on here, she doesn't trust forums and I'm not sure she understands her situation very well. I met her on an anxiety group - the only other member apart from me who has WD. 

She needs to have gynecological surgery, but from what I understood, it's not an emergency, it would be a planned operation, but they told her it's best to happen soon.

How dangerous is anesthesia (full anesthesia) when one is in WD? Has anyone had surgery and anesthesia while in WD and what was your experience? 

I suffer from depression, anxiety, pure-o ocd, and panic attacks since 2004. Been on multiple different psychiatric drugs since 2006. Never had a significant WD problem before, only brain zaps for a month and then I'd be fine...............Been on Cipralex (escitalopram) 15 mg and Fluanxol (flupentixol) 1 mg since Sep 2014. Stopped taking the Cipralex after a fast 20-day taper.Took the last 5 mg Cipralex on Feb 5th, 2015. Then took Seroxat (paroxetine) 10 mg for a week, and stopped it too. Severe WD started suddenly on Feb 16th. RI 5 mg Cipralex on Feb 18th, 2015. RI worked and was relatively stable for a while................April 7 - decreased Fluanxol from 1 mg to 0.5 mg and took it at this dose for a week. - BIG MISTAKE; April 13 - WD starts creeping in; April 14 - RI full dose of Fluanxol 1 mg => severe muscle twitching and jerking when trying to relax and fall asleep, overwhelming sense of doom, dread, terror, and horror, insomnia, hoping to stabilize.
Tried doing a 10% cut off Fluanxol in the end of May for a few days, but quickly updosed to full dose because the twitching returned.
Experiencing waves and windows in the following months.
Unsuccessful brief taper attempt of Fluanxol by 5% on November 1st. Symptoms hit the next day. Too scared to continue tapering, reinstate full dose.
Severe crash in November after stupidly trying a barbiturate on November 9th. Grave mistake. Sense of unshakable inescapable internal torture, like my soul is in hell being tortured, terror/horror/dread/doom (probably akathisia?) that gets especially bad when trying to relax and fall asleep, muscles twitch, jerk and move on their own, shaking, insomnia, can't eat, confusion, disorientation, brain not working normally. Never felt so bad in my entire life. Never experiment with other meds while in WD! Praying to God I stabilize and get back to my baseline.
December - things getting even worse.

January - unbearable suffering

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Hi Blue,

 

I had a septoplasty in March.    Even though I am not in withdrawal, due to horrific sleep problems which have resulted in cognitive issues, I was very worried about having the surgery.   I did great.

 

One thing that I feel was helpful was that I met with an anesthesiology resident ahead of time who was very understanding about my concerns and said that medications would be greatly minimized.  Obviously, whatever they did, it worked greatly.

 

Not sure how things work in Bulgaria but would your friend be able to meet with someone from Anesthesia ahead of time to go over her history and express her concerns?  This is discouraged in the US as the anesthesia department will insist on the patient waiting until seeing the anesthesiologist right before surgery.  Frankly, I think that is a horrible way of doing things and I refuse to wait.   Fortunately, by being persistent, I have gotten what I need.

 

Finally, you also might want to search the archives on this forum as I think there have been other posters who have had surgery either while in WD or not too far removed from it.

 

Best of luck to your friend.

Drug cocktail 1995 - 2010
Started taper of Adderall, Wellbutrin XL, Remeron, and Doxepin in 2006
Finished taper on June 10, 2010

Temazepam on a PRN basis approximately twice a month - 2014 to 2016

Beginning in 2017 - Consumption increased to about two times per week

April 2017 - Increased to taking it full time for insomnia

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  • 2 years later...

Before I C/T off of Wellbutrin my TMJ dislocated from grinding my teeth in my sleep. I've tried to holdback having surgery on it until I'm through withdrawal and more on my way to recovery. But it's started giving me a lot of pain and I don't think that I can wait any longer. I have to be put under anesthesia for this particular surgery. So I'm wanting to know if anyone else has had to have surgery in withdrawal, and if so did it causes a wave or a major set back in recovery? I'm 9 and a half months post C/T and still struggling horribly everyday. Any advice or feedback is appreciated!

  1. Started Wellbutrin 75 mg IR the end of 2015.
  2. Tried quitting cold turkey in June 30th- July 3rd 2017.
  3. Had severe withdrawals.
  4. Was placed on Wellbutrin 100mg SR so I could taper without withdrawal.
  5. Stabilized on 100mg SR for most of the month of July.
  6. Started tapering on July 17th,  2017.
  7. Completed taper on August 8th, 2017.
  8. Currently experiencing severe withdrawal.
  • Symptoms- Currently experiencing anhedonia, depersonalization/derealization, concentration/memory issues, chronic congestion, chronic dry eyes, dry skin, dislocated TMJ joint from teeth grinding during C/T withdrawal, waves of depression, anxiety, nausea, morning cortisol spikes, insomnia, agitation, food sensitivities, no tolerance for caffeine and chronic fatigue, burning muscle pain in upper and lower back and occasional tinninitus.
  • Supplements- Omega-3 fish oil supplement twice daily, 100 mg of magnesium once daily. 
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  • Administrator

Merged similar topics.

 

Hellbutrin, use search in a forum before starting a topic. You're making unnecessary work for the staff.

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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  • 3 months later...

My handsaw got away from me a few days ago and cut my thumb.  It didn't look that bad, but it became stiff and I lost some range of motion, which hasn't improved.  I just saw a doctor and was told that the tendon has been severed and will require surgery, otherwise the thumb will continue to curl inward as the tendon recedes.  I'm taking the next two days off of work to research this, but I'm pretty sure I'm not going to go through with the surgery.  I've healed a lot these past couple of years, but I'm afraid of what the medication might do to me.  I know it isn't nearly as big of a deal as what you all are going through and what I went through a couple of years ago, but I'm pretty distraught over this.  The anesthesiologist is going to call me later today.  I'll grill him for every available option along with the benefits and drawbacks to each.  Maybe I'll figure something out.

- 2002-2015: Zyprexa (Olanzapine), between 2.5mg to 5mg

- 9/15-2/16: Started a taper that jumped up and down quickly for five months.  Got really sick.  Took Xanax sporadically throughout taper.  Stopping taking Xanax in January 2016.

- 2/14/16: Increased dose to 3.75mg and held for two months, quickly got better at first and then slowly continued to get better after that

- Apr/16: 3.375mg, May/16: 3.03mg, Jun-Jul/16: 2.73mg, Aug-Sept/16: 2.5mg, Oct/16: 2.25mg, Nov/16: 2.03mg, Dec/16-Jan/17: 1.82mg, Feb/17: 1.64mg, Mar/17: 1.48mg, Apr/17: 1.33mg, May-Sept/17: 1.20mg, Oct/17: 1.08mg, Nov/17: 0.97mg, Dec/17: 0.87mg, Jan/17: 0.78mg, Feb/17: 0.71mg, Mar/17: 0.64mg, Apr/17: 0.57mg, May/17: 0.51mg

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22 minutes ago, Evoldnahturt said:

My handsaw got away from me a few days ago and cut my thumb.  It didn't look that bad, but it became stiff and I lost some range of motion, which hasn't improved.  I just saw a doctor and was told that the tendon has been severed and will require surgery, otherwise the thumb will continue to curl inward as the tendon recedes.  I'm taking the next two days off of work to research this, but I'm pretty sure I'm not going to go through with the surgery.  I've healed a lot these past couple of years, but I'm afraid of what the medication might do to me.  I know it isn't nearly as big of a deal as what you all are going through and what I went through a couple of years ago, but I'm pretty distraught over this.  The anesthesiologist is going to call me later today.  I'll grill him for every available option along with the benefits and drawbacks to each.  Maybe I'll figure something out.

This Is a very tricky situation indeed E,it must of been a nice new saw ,I use power tools and hand tools myself  .Even cooking in the kitchen can bring dangers to me these days that never were before .

You have a  valid fear of what mite happen but what use is your hand if it curls up and you've much less use of it .

Just be careful your fear doesn't become a phobia of surgery  but its different after what we go through all the same . 

Your doing the best you can in the fact of researching and informing yourself of everything .it should reduce some stress and anxiety . 

Hopefully the mods can give you information to enhance your decision .

Take care . 

Alcohol free since February 2015 

1MG diazepam

4.5MG PROZAC.

 

 

 

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  • Moderator

Many of our other members have had procedures while in ADWD and have had very little problems with the drugs.  A good discussion with the anesthesiologist should help settle matters.  It's really important that you consider what partial  loss of your hand will mean to you, that is a life long commitment that could be hard to live with in the future.  I'm a very creative person and have lived by what my hands can do all my life.  They are a real part of my personal identity and any loss in their respect would be devastating.  Any reaction to the drugs would last a very short time comparatively. It may be unpleasant at the time but you'll get over it. Your hand won't "just heal on it's own" but needs proper attention so it can heal right.

20 years on Paxil starting at 20mg and working up to 40mg. Sept 2011 started 10% every 6 weeks taper (2.5% every week for 4 weeks then hold for 2 additional weeks), currently at 7.9mg. Oct 2011 CTed 15oz vodka a night, to only drinking 2 beers most nights, totally sober Feb 2013.

Since I wrote this I have continued to decrease my dose by 10% every 6 weeks (2.5% every week for 4 weeks and then hold for an additional 2 weeks). I added in an extra 6 week hold when I hit 10mg to let things settle out even more. When I hit 3mgpw it became hard to split the drop into 4 parts so I switched to dropping 1mgpw (pill weight) every week for 3 weeks and then holding for another 3 weeks.  The 3 + 3 schedule turned out to be too harsh so I cut back to dropping 1mgpw every 4 weeks which is working better.

Final Dose 0.016mg.     Current dose 0.000mg 04-15-2017

 

"It's also important not to become angry, no matter how difficult life is, because you can loose all hope if you can't laugh at yourself and at life in general."  Stephen Hawking

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I had the surgery yesterday.  Other than the fact that my thumb is swollen af in the cast because I didn't take antibiotics, I feel just fine!  I still think I might be screwed if I need to take pain pills within the next several years, but I at least seem to be able to handle a surgery involving lidocaine and propofol.  Thank you for your words of wisdom.  They were appreciated!

- 2002-2015: Zyprexa (Olanzapine), between 2.5mg to 5mg

- 9/15-2/16: Started a taper that jumped up and down quickly for five months.  Got really sick.  Took Xanax sporadically throughout taper.  Stopping taking Xanax in January 2016.

- 2/14/16: Increased dose to 3.75mg and held for two months, quickly got better at first and then slowly continued to get better after that

- Apr/16: 3.375mg, May/16: 3.03mg, Jun-Jul/16: 2.73mg, Aug-Sept/16: 2.5mg, Oct/16: 2.25mg, Nov/16: 2.03mg, Dec/16-Jan/17: 1.82mg, Feb/17: 1.64mg, Mar/17: 1.48mg, Apr/17: 1.33mg, May-Sept/17: 1.20mg, Oct/17: 1.08mg, Nov/17: 0.97mg, Dec/17: 0.87mg, Jan/17: 0.78mg, Feb/17: 0.71mg, Mar/17: 0.64mg, Apr/17: 0.57mg, May/17: 0.51mg

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  • 7 months later...

I had major surgery recently and was under anesthesia for almost 5 hours. The day after surgery I began having severe anxiety, that lasted almost 2 weeks. Nonstop sobbing; anxious feelings of being alone, abandoned, lost; it was like a living nightmare and focused on feelings from childhood trauma. I'd wake up in the morning with stomach cramps and diarrhea from the anxiety and was a complete mess. Even though I knew I had family and people around me now who love me, I couldn't make myself FEEL that and believe it. It was very strange. 
In reading and talking to a nurse friend, I found that anesthesia affects the brain and can cause this in many people. My GYN said I could take extra doses of my antidepressant (which I didn't, because I'm tapering down on it and didn't want to mess with that.) I started taking supplements to help get the anesthesia out of my body/brain, and after almost 2 hellish weeks, I'm slowly getting back to normal. 
Just wonder if others have experienced this. 
 

Effexor XR 75 mg, Halcion .25 mg- Oct 2018
Lexapro 20 mg, Xanax .5 mg- 2008
Paxil, Xanax 2000
cod liver oil, magnesium

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  • 8 months later...
On 3/12/2019 at 10:48 AM, PeaceLily said:

I had major surgery recently and was under anesthesia for almost 5 hours. The day after surgery I began having severe anxiety, that lasted almost 2 weeks. Nonstop sobbing; anxious feelings of being alone, abandoned, lost; it was like a living nightmare and focused on feelings from childhood trauma. I'd wake up in the morning with stomach cramps and diarrhea from the anxiety and was a complete mess. Even though I knew I had family and people around me now who love me, I couldn't make myself FEEL that and believe it. It was very strange. 
In reading and talking to a nurse friend, I found that anesthesia affects the brain and can cause this in many people. My GYN said I could take extra doses of my antidepressant (which I didn't, because I'm tapering down on it and didn't want to mess with that.) I started taking supplements to help get the anesthesia out of my body/brain, and after almost 2 hellish weeks, I'm slowly getting back to normal. 
Just wonder if others have experienced this. 
 

I've been researching because I need to get gallbladder surgery, and your experience isn't uncommon. I hope you are doing better. 

 

*Currently at 8.2-8.5 mg of my 10mg pill of Paxil (they actually weigh 12.5mg) 

january 2023 I began reducing my med again. I was a 9mg weight for years, I went to 8.9 in January, went to 8.6mg in February, and in March 2023 I went down to 8.5-8.2 mg ( my scale varies, so I stick within that .3 range because of that) 

*No other supplements or vitamins 

*Taper schedule in the pdf 

Blank.pdf

 

https://docs.google.com/document/d/1-5vShtJtwAOGA30OxIP87steLmMdFzD29F0fzAPD564

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  • 5 months later...

I have been on a waiting list for double jaw surgery for a long time; before adr to sertraline. I am wondering if the anaesthetic may affect me differently now? Should I be prepared to feel more unwell after surgery than I would have before? I plan on telling the people relevant about this but I don't think they would change how they would treat me. 

 

Has anyone else had to have surgery under general anaesthetic and did it make your symptoms become worse or cause any other issues? Thanks

January 2018 - 50mg sertraline for only 2 days, had adverse reaction.

On 0 psych drugs now.

Took a very long time for symptoms to go away, got better mentally 100% in April 2020.

Turns out also had low vitamin d, low calcium and low thyroid in August 2020.

Treated with colecalciferol and now all physical symptoms gone. Possibly overlap between this issue & sertraline symptoms?

May 2021 Still taking colecalciferol, all physical symptoms gone. Unsure if this will return if I stop vit D for long time ?

Now consider myself fully healed.

Other medication: 5mg certirizine for allergic rhinitis once a day or when needed, cut down from 10mg just in case that was causing issue too since i've taken for over 8 years now.

FULLY RECOVERED NOW 🙂

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  • 3 weeks later...

I just had laparascopic surgery for my endometriosis on Tuesday. Here is everything I was given... mostly. Besides obvious things like fluids etc. 

 

bupivacaine/epiNEPHrine - local anesthetic
ceFAZolin (ANCEF, KEFZOL) - antibiotics
HYDROmorphone (DILAUDID) - pain medication
hydrOXYzine pamoate (VISTARIL) - antihistamine 
midazolam (VERSED) Inj 1 mg - sedative 
sodium & potassium bicarbonate (ALKA SELTZER GOLD) - to prevent reflux 

 

Surgery went well and I had no adverse reactions to anything. As many of us are, I was very nervous going in, but this wasn't a surgery I could just put off. My pre-op nurse was absolutely amazing and called the pharmacist everytime her or I had questions about medications for me. The anesthesiologist was also very understanding and assured me that he wouldn't touch medications, or a family of medications, that I was weary about. I told him absolutely no antiemetics like reglan or compazine as I've experienced extreme akathisia (from a Lexapro AR and these antiemetics have horrible track record, especially for akathisia) and absolutely no fluoroquinolones. As you can see, none of that was used.  

 

Just thought this might be helpful for some.

Celexa 10mg: 2007 to June 2018, stopped CT

No meds: June 2018 to December 2018

PROTRACTED WD-- major depressive episode for 2+ weeks

Lexapro 10mg: December 12, 2018 to January 19, 2019, severe adverse reaction

Celexa 10mg: January 20, 2019

June 24, 2019: 9mg

July 22, 2019: 8.5mg

Jan 8, 2020: 8mg

Aug 25, 2020: 7.2mg

 

Supplements: Magnesium, Fish Oil

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  • ChessieCat changed the title to Surgery and anesthesia
  • 1 year later...

Has anybody done surgery and took the usual anesthesia combination: propofol, fentanyl, and sevoflourine? I want to know about this combination.
 

 

2010-2016 Cipralex 25mg

October 31, 2015: Started tapering

March 29, 2016: 0 mg Cipralex 

2016: severe withdrawal symptoms.

 

 

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On 6/13/2020 at 12:38 AM, puthappinessfirst said:

I just had laparascopic surgery for my endometriosis on Tuesday. Here is everything I was given... mostly. Besides obvious things like fluids etc. 

 

bupivacaine/epiNEPHrine - local anesthetic
ceFAZolin (ANCEF, KEFZOL) - antibiotics
HYDROmorphone (DILAUDID) - pain medication
hydrOXYzine pamoate (VISTARIL) - antihistamine 
midazolam (VERSED) Inj 1 mg - sedative 
sodium & potassium bicarbonate (ALKA SELTZER GOLD) - to prevent reflux 

 

Surgery went well and I had no adverse reactions to anything. As many of us are, I was very nervous going in, but this wasn't a surgery I could just put off. My pre-op nurse was absolutely amazing and called the pharmacist everytime her or I had questions about medications for me. The anesthesiologist was also very understanding and assured me that he wouldn't touch medications, or a family of medications, that I was weary about. I told him absolutely no antiemetics like reglan or compazine as I've experienced extreme akathisia (from a Lexapro AR and these antiemetics have horrible track record, especially for akathisia) and absolutely no fluoroquinolones. As you can see, none of that was used.  

 

Just thought this might be helpful for some.

How do you feel now?

2010-2016 Cipralex 25mg

October 31, 2015: Started tapering

March 29, 2016: 0 mg Cipralex 

2016: severe withdrawal symptoms.

 

 

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  • 1 month later...

 

I had an adverse reaction two months to a local anesthetic eye drops called Benoxinate (Oxybuprocaine), during an eye examination. The ophthalmologist used it to check eye pressure, it seems to me that people on withdrawal, who have PSSD, or particularly susceptible to drugs, have worse reactions from local anesthetics. Another guy had a bad reaction always from anesthetic drops to check his eyes, and another girl from the anesthesia used by the dentist. I believe there are fewer problems with general anesthesia, but I'm not sure.

   
   

 

   

 

2001, Amisulpride (deniban) - 3 months, I taper in some weeks

2001, Seroquel, 4 weeks - quit cold turkey, 2001. Efexxor,  one pill adverse reaction

2002. Amitryptaline (mutabon mite) - 4 months, I taper really faster in some weeks

around more 10 years drug free

4 December 2013, 7 drops of citalopram , adverse reaction

December    2013, Italian supplement called serenplus with tryptophan, 9 pills adverse reaction, quit cold turkey.

After December 2013, Im drug free.

 

 

 

 

 

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