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CopingMechanism: Overcoming Tardive Dysphoria – where the hell do I go from here?


CopingMechanism

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I'm sorry, I hate to be a bummer, but if you've got insomnia, I really recommend removing ALL sources of caffeine ANY time of day. Because of your history of withdrawal, all bets are off as far as how things work in your body, so even something that's been okay in the past might not be okay now.

 

I suppose a decaf black tea might be okay, but even that has a small amount of caffeine. 

 

I can relate--I've had to give up even my daily decaf pot of tea lately due to insomnia from tapering Valium. I miss it!

Started on Prozac and Xanax in 1992 for PTSD after an assault. One drug led to more, the usual story. Got sicker and sicker, but believed I needed the drugs for my "underlying disease". Long story...lost everything. Life savings, home, physical and mental health, relationships, friendships, ability to work, everything. Amitryptiline, Prozac, bupropion, buspirone, flurazepam, diazepam, alprazolam, Paxil, citalopram, lamotrigine, gabapentin...probably more I've forgotten. 

Started multidrug taper in Feb 2010.  Doing a very slow microtaper, down to low doses now and feeling SO much better, getting my old personality and my brain back! Able to work full time, have a full social life, and cope with stress better than ever. Not perfect, but much better. After 23 lost years. Big Pharma has a lot to answer for. And "medicine for profit" is just not a great idea.

 

Feb 15 2010:  300 mg Neurontin  200 Lamictal   10 Celexa      0.65 Xanax   and 5 mg Ambien 

Feb 10 2014:   62 Lamictal    1.1 Celexa         0.135 Xanax    1.8 Valium

Feb 10 2015:   50 Lamictal      0.875 Celexa    0.11 Xanax      1.5 Valium

Feb 15 2016:   47.5 Lamictal   0.75 Celexa      0.0875 Xanax    1.42 Valium    

2/12/20             12                       0.045               0.007                   1 

May 2021            7                       0.01                  0.0037                1

Feb 2022            6                      0!!!                     0.00167               0.98                2.5 mg Ambien

Oct 2022       4.5 mg Lamictal    (off Celexa, off Xanax)   0.95 Valium    Ambien, 1/4 to 1/2 of a 5 mg tablet 

 

I'm not a doctor. Any advice I give is just my civilian opinion.

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Just reading this page, don't have your full background. I just had an interesting L-theanine experience...my husband called me manic, pdoc said the right word was agitated. It somehow increases both GABA and dopamine. People without ADHD are going to have sleep problems with increasing their dopamine at night (even some with ADHD probably would...assuming it exists).

 

I have been googling all these nutrient things a lot, and even am going to fly to a clinic...a big risk. My take right now is that if you don't have access to bloodwork and someone to make sense of it, your best bet is a Joel Fuhrman book, the End of Dieting is the latest (although I am not vegan). Someone else advised the Page Diet, which is similar.

 

Diet is a huge problem for me as I can only eat what my stomach can handle and anything too bulky, fatty or fibrous makes the Gastroparesis symptoms flare.

 

I'll check out Joel Fuhrman and the Page Diet and see what I can implement.

 

Regrettably, I have very limited funds so will not be able to see a naturopath or something similar.

 

There are so many variables and causess of symptoms that I can rarely tell whether a supplement is helping or hindering, unfortunatley.

April 09 - Begin Celexa (20mg) after chronic anxiety/panic state triggered by accidental anti-histamine OD
November 09 - Switch to Cymbalta (40mg). Severley agitated throughout 'treatment'.
June 2010 - Come off Cymbalta. 2 week taper
June 2010 to September 2010 - Drug Free. Agitation lessens but is replaced with chronic fatigue.
October 2010 - Begin Zoloft. Immediate mental breakdown ensues.
Decemeber 2010 to December 2011 - Lexapro 5mg (two week taper)
January to April 2011 - Lithium 600mg. T
July to December 2011 - Amitryptyline 25 mg for sleep.
Decemeber 2011 to present - 'Tardive dysphoria', 'anxiety', Insomnia, CFS/ME, Gastroparesis hell.

Current drugs: (all taken at midnight)5mg diazepam, 0.2mg clonidine, 5mg Melatonin (Insomnia is most severe symptom and need support)

Supps (am) :Olive leaf extract, Coq10, Vit C, Quercitin. Vit D. Supps (pm) (all taken at midnight), Mag malate, Seriphos, L-Theanine. Milk Peptide

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I'm sorry, I hate to be a bummer, but if you've got insomnia, I really recommend removing ALL sources of caffeine ANY time of day. Because of your history of withdrawal, all bets are off as far as how things work in your body, so even something that's been okay in the past might not be okay now.

 

I suppose a decaf black tea might be okay, but even that has a small amount of caffeine. 

 

I can relate--I've had to give up even my daily decaf pot of tea lately due to insomnia from tapering Valium. I miss it!

 

Yeah, I find a hot decaff tea or decaff coffee really comforting.

 

Sucks that it's another thing I'm going to have to let go off.

April 09 - Begin Celexa (20mg) after chronic anxiety/panic state triggered by accidental anti-histamine OD
November 09 - Switch to Cymbalta (40mg). Severley agitated throughout 'treatment'.
June 2010 - Come off Cymbalta. 2 week taper
June 2010 to September 2010 - Drug Free. Agitation lessens but is replaced with chronic fatigue.
October 2010 - Begin Zoloft. Immediate mental breakdown ensues.
Decemeber 2010 to December 2011 - Lexapro 5mg (two week taper)
January to April 2011 - Lithium 600mg. T
July to December 2011 - Amitryptyline 25 mg for sleep.
Decemeber 2011 to present - 'Tardive dysphoria', 'anxiety', Insomnia, CFS/ME, Gastroparesis hell.

Current drugs: (all taken at midnight)5mg diazepam, 0.2mg clonidine, 5mg Melatonin (Insomnia is most severe symptom and need support)

Supps (am) :Olive leaf extract, Coq10, Vit C, Quercitin. Vit D. Supps (pm) (all taken at midnight), Mag malate, Seriphos, L-Theanine. Milk Peptide

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  • 4 months later...

How are you CM?

2008 - Doctors appointment with stress induced anxiety led to Citalopram prescription.

Severe adverse reaction

Mirtazapine prescribed - adverse reaction but told to stay on.

Poop out - December 2013

15mg

Currently on 13.5mg,

April 12mg

May 10th - 11mg

June 10th - 10mg

July 8th - 9mg

September - 0mg

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  • 1 year later...

Hey CM, I've just read through your entire thread and I'm really curious as to how you're getting on these days?

A convenient link to my introduction post

 

2003 Paroxetine (20mg I think) daily for 5 months due to extreme anxiety before final exams and stopped cold turkey. From 2003 onwards I have suffered with extreme anxiety, akathisia, severe muscle tension & digestive problems whenever off I'm off anti-depressants.

2007 Clonazepam (unsure of dose) - took approximately 100 tablets to try and self medicate for anxiety.

2007-09 Amitryptyline 10mg - was advised to take this "as and when needed" for anxiety.

April/May 2011 Diazepam 2mg - 2 week course followed by complete inability to sleep upon finishing so started Citalopram 40mg and I was able to sleep again.

Mid 2012 Diazepam 10mg - took approximately 100 tablets.

Mid 2012 Started Citalopram taper - 5mg reductions every month or two, severe withdrawal symptoms throughout taper.

Apr 2013 Completely off Citalopram and continued to have severe withdrawal.

Oct 2013 Completely fell to pieces mentally and alongside had a whole host of debilitating physical symptoms too. I went to the doctors who performed whole batteries of tests but had no idea what was wrong with me. They tried me on Sertraline and Amitryptyline to which I had terrible reactions which made symptoms worse. Eventually got put on Nortryptyline 25mg, which I tolerated and over 3 months withdrawal symptoms started to abate.

Mid 2014 discovered survivingantidepressants.org and hallelujah! I knew what was wrong with me - slow taper FTW!

Late 2014 & 2015 Reduced Nortryptyline 22.5mg & 20mg respectively in November & December of 2014. In 2015 Tapered Nortryptyline from 20mg to 10 mg in 2mg increments. Withdrawal symptoms with each dose reduction are debilitating but in a much different way to Citalopram.

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Hello everyone, I first got started on Celexa in May 09 after my mind slipped into an inescapable panic state induced by an accidental overdose of the anti-histamine diphenhydramine. I should of know way back then, after a few weeks, then I should of stayed away from all drugs and given my brain a chance to calm down and repair itself on it’s own, but I was truly, truely frightened that I had down some serious damage or I was on my way to the depths of psychosis.

 

So I went to my GP got diagnosed with anxiety disorder. I switched to Cymabalta in November 09 after a personal event triggered an intensification of agitated depression which had never really left despite treatment with Celexa. Sticking with Cymbalta was, again, an irrevocably stupid decision - but I had faith in the psychiatrist who was prescribing me these things. Suicidal ideation was commonplace both in an experiential context and in circumstantial context – my anxiety was so severe I just wanted out and I was astounded to what life had been reduced to.

 

On cymbalta I felt tired but wired with a generalised irritability and massive cravings for sugar, which when I gave in and ate only triggered an intensification of irritability. I look back during this period and I’m struck with just how bizarre and Kafkaesque the whole experience was. Why the hell didn’t I get of the ******* thing earlier? I weaned off Cymbalta in in June 2010. However, the suicidal panic now morphed into a suicidal malaise and all-consumng tiredness, severe anhedonia, and an inability to concentrate - which has stuck with me since.

 

I got put on Zoloft in Oct’10, 4 months after my last drug, and after a visit to a GP where I told me him I was suicidal and planning to go through with it. He sort of shrugged and just told me to go back on a med. The Zoloft induced both akathisa and a “despair beyond despair” at my situation. I flew out to Thailand with the intention of having a last hurrah and then taking myself down to one of the gun ranges and putting a .357 round into my frontal lobe. (Guns aren't readily available in the UK) I flew home when my parents found out where I was, despite my (I thought) well-constructed plan to deceive and explained to them the extent of which I was struggling.

 

We sought the services of a psychiatrist whom I thought was progressive and looking at the bigger picture. By now, I was mostly concerned with the brain fog and chronic fatigue - which prevented me from most activities which might have led to an improvement with my lot in life - which led me to conclude my problem was neuro-endocrine based. I agreed to a low-dose of Lexapro, some compounded thyroid hormone and about 20 different supplements to treat any bodily pathologies. Despite this ambitious protocol, there was very little change in mood.

 

I tried to stay working but got overwhelmed again and my suicidal ideation reached a zenith. I flew back out to Asia with my father, this time to Cambodia but to join a volunteer project building houses. I figured a dose of 3rd poverty might take my mind….off my mind. This time I also agreed to start lithium. It was a humbling experience for sure but I was still weak, foggy, anxious and depressed. I also felt intensely guilty at being in my depressed state amongst so much poverty and in a country with the worst auto-genocide in history. I also picked up a stomach infection which led to post-infectious gastroparesis which I have been struggling with since.

 

Early in 2011 I discontinued the lithium, at the time we hadn’t worked out the stomach problem and where concerned the lithium could be causing the GI stuff. I continued with Lexapro in the AM and 25mg amitrypltine to get me off to sleep in the PM. Life was just a haze punctuated by bouts of panic and despair. My ability to work and socialise properly had all but disappeared by now, so I got used to life being what it was. At the beginning of 2012 I decided to take a break from AD’s, they didn’t seem to have improved my lot in life much, maybe coming off them would do some good. This was when my concern, finally, about TD started - I continued to feel like absolute ****. What if the drugs were the problem all along?. It wasn’t until a few months ago that the epiphany really took hold and I realised the full horror of what I subjected myself to. I realised the whole thing was being exacerbated by the very treatment that authority deemed to be of help.

 

Back when I came off Cymbalta in 2010 I just assumed this was my depression anxiety ramping up and the exhaustion was a natural extension, but now I was still horrendously depressed and the other **** kicked in. I curse myself that I didn’t see the connection the first time round and have spent another 2.5 years on psych drugs….. Note, I tried a few drugs of now more than about two weeks duration in 2012. Again this was before the idea of drug-induced harm became cemented in my mind.

 

My last drug ingestion was Tianeptine in November.

 

My question to anyone who has any suggestions and or experiences is in my title – what the hell do I do now? I’m a complete invalid. Living at home with a parent at 25, unable to enjoy much of anything at all, I can’t lose myself in a movie like I did years ago, my mind is just inexplicably turned inward and focused on it’s own arid desolation and fogginess. Reading is a significantly challenging endeavour and writing is difficult (it’s taken me about a week to knock this up into something coherent and semi-legible).

 

I’m just having such trouble formulating a strategy which might give me a chance of getting well again. Just reading this site has given me a bit of hope in that people can get their lives back on track. There’s people here that appear to have got off far harsher drugs and had been on them for longer periods, so I need to keep a perspective of sorts, I’m just terrified at this stage that I’m past the point of no return and that putting what was a fragile brain/mind to begin with in drugs might just have been…… Any help or words of wisdom are appreciated. Thanks for reading. Jack

 

Hi, I hope you are still around because you and I have the exact same problem. The biggest problem in my life has been insomnia for a number of years. It all started 7 years ago when I did a few things; I stopped taking all my meds (celexa, wellbutrin, and lamictal), I stopped binge drinking, and I started doing coke. At some point within a short period of time, my insomnia started and never ended. I got back on another antidepressant about 3 weeks to a month after stopping all of them and I've been on antidepressants ever since. My depression, anxiety, and insomnia have just gotten worse. I can barely function. Did you get better? Did you ever have a drinking problem by chance?

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  • 3 months later...

Hi CM, are you still here? My emotional status is about the same as yours... I was just hoping to hear some news from you, maybe some progress? Apparently some of us just hit the jackpot with these emotional symptoms..

<p>*January 2008 started citalopram for generalized anxiety (moderate depressive episode-they said). Dosage was 40-60 mg most of the time* 2011 first time I tried to get off meds, tapered possibly too fast. Everything went well for about a month, but then started to feel awful and started taking them again. Hadn't heard about ssri withdrawal.* 2012-13 year of psychotherapy, second time to get off meds. Still hadn't heard of withdrawal. After a while (maybe about two months?) started to feel so depressed that went to a doctor.* 2013 switch to Venlafaxine, because felt so tired on Citalopram and had gained weight. Was on 150-300mg, but 150 for the most of the time.* summer 2014 started tapering - June 2015 completely off* Occasionally taken mirtazapine/oxazepam/quetiapin for sleeping* 12/2015-02/2016 Had the mother of all waves!!*

*07/2016 reinstated venlafaxine on a 12,5 mg dose. (Took 6 days to drag me out of that hell I was living in.) Gradually upped the dose.

*Now, 11/2016 I'm on 75 mg venlafaxine. The saga continues...

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Hey Catzilla,

 

I, too, wonder how coping mechanism is getting on these days...

 

After months of feeling emotionally blank, lacklustre and unmotivated to the point of struggling to get out of bed I can report that I have had a fantastic week where I feel as though I have a purpose in life and that things will get better....

 

Whether this is short or long term, I care not, because I'm just enjoying the moment. But I hope this will give you some hope for future windows and recovery!

 

Cheers

A convenient link to my introduction post

 

2003 Paroxetine (20mg I think) daily for 5 months due to extreme anxiety before final exams and stopped cold turkey. From 2003 onwards I have suffered with extreme anxiety, akathisia, severe muscle tension & digestive problems whenever off I'm off anti-depressants.

2007 Clonazepam (unsure of dose) - took approximately 100 tablets to try and self medicate for anxiety.

2007-09 Amitryptyline 10mg - was advised to take this "as and when needed" for anxiety.

April/May 2011 Diazepam 2mg - 2 week course followed by complete inability to sleep upon finishing so started Citalopram 40mg and I was able to sleep again.

Mid 2012 Diazepam 10mg - took approximately 100 tablets.

Mid 2012 Started Citalopram taper - 5mg reductions every month or two, severe withdrawal symptoms throughout taper.

Apr 2013 Completely off Citalopram and continued to have severe withdrawal.

Oct 2013 Completely fell to pieces mentally and alongside had a whole host of debilitating physical symptoms too. I went to the doctors who performed whole batteries of tests but had no idea what was wrong with me. They tried me on Sertraline and Amitryptyline to which I had terrible reactions which made symptoms worse. Eventually got put on Nortryptyline 25mg, which I tolerated and over 3 months withdrawal symptoms started to abate.

Mid 2014 discovered survivingantidepressants.org and hallelujah! I knew what was wrong with me - slow taper FTW!

Late 2014 & 2015 Reduced Nortryptyline 22.5mg & 20mg respectively in November & December of 2014. In 2015 Tapered Nortryptyline from 20mg to 10 mg in 2mg increments. Withdrawal symptoms with each dose reduction are debilitating but in a much different way to Citalopram.

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  • 2 years later...

Hi Jack, how are you doing these days? Looks like you have not been back to the site in a long time.

- 2003 to 2015: celexa, 20 mg, ~12 years

- 2015: easy switch off celexa and onto cymbalta, 30mg

     (over a decade of fantastic years in here, with one anxiety/depressive episode brought on by a breakup, which I got through with therapy, tools, etc)

- 2017: Nov/December: tapered off cymbalta, 20mg --> 0, over 1.5 mo. in conjunction with my (former) psychiatrist. Zero date: 12/15/17

     (I was just sort of curious to try being off meds after so many (great) years. I wondered the degree to which meds may have been affecting my sex drive/orgasm/access to deeper emotions. After going off was ok for about 3 mo... then: horrible anxiety, panic attacks (first time in 14 years and way stronger than I ever had before), agitation, suicidal depression, crushing physical sensation, anhedonia, dp/dr, emotional numbness. Horrible.)

- 2018, July 21: Tried going back on celexa, 5mg

    (HORRIBLE adverse reaction, discontinued after 10 days, stopped 7/31/18, thought I would need to be hospitalized)

- 2018, Aug 3: Tried remeron, got up to 15mg for 14 days, then tapered back down to 3.5 mg/d (super sedating, couldn't think and could feel even less)

- 2018, Sept 7 - Oct: Restarted Cymbalta, ~4mg (sept 9, stopped the 3.5 mg of remeron). Went up to 13 mg Cymbalta, then right back down to 4.5mg.

    (Now see it as withdrawal and am wanting to get off and heal.)

 

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