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SurvivingAntidepressants.org mentions and honors

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Altostrata

ADMIN NOTE Additions from earlier postings on this site

 

2011 SurvivingAntidepressants.org in Christopher Lane's Psych Today blog

 

Belaise, 2012 Patient Online Report of Selective Serotonin Reuptake Inhibitor-Induced Persistent Postwithdrawal Anxiety and Mood Disorders

 


 

SurvivingAntidepressants.org has been nominated for a 2012 Best in Show: Community Award in this year's WEGO Health Activist Awards (www.facebook.com/wegohealth).

 

Thank you to whoever did the nominating. And thank you to our moderators and members who make this community what it is -- the best darn withdrawal site on the Web.

Edited by Altostrata
Added admin note

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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alexjuice

That's terrific news!


"Well my ship's been split to splinters and it's sinking fast
I'm drowning in the poison, got no future, got no past
But my heart is not weary, it's light and it's free
I've got nothing but affection for all those who sailed with me.

Everybody's moving, if they ain't already there
Everybody's got to move somewhere
Stick with me baby, stick with me anyhow
Things should start to get interesting right about now."

- Zimmerman

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jr1985

Yey! That's great news! :-)


2003-2011: Paroxetine,Citalopram,Effexor; Aug/Sept 2011: Effexor to Mirtazapine; Oct 2011: C/T Mirtazapine back to Effexor; Nov/Dec 2011: Fast Tapered Effexor - w/d hell; Feb 2012: Reinstated Effexor 37.5mg; June 2012: Dropped to 35.6mg; Jan 2016: Propranolol 2.5mg per day for general anxiety; Feb 2016: Finasteride 0.25mg per week to slow hair loss; 18th May - 8th June 2019: Started Vyvanse 7.5mg and increased by 7.5mg weekly to 30mg (lowest “therapeutic” dose for adults).; 21st June 2019 - 12th July: Cross tapered from venlafaxine brand Rodomel to Efexor (1/4 > 1/2 > 3/4 weekly before ditching Rodomel); 13th July 2019: Cut Vyvanse dose to 15mg; 15th July 2019: Akathisia returned after years of being free; 16th July 2019: Went back up to Vyvanse 30mg

Supplements: Omega-3, Vitamin D, Zinc, Phosphatidylserine 

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caro123

Well deserved a big thank you to everyone who moderates and contributes !! :rolleyes:


1995 Post Natal Dep - Zoloft ?dose (as well as 5mg valium and sleeping tablet) Quit after a couple of months.

1998 PND - Effexor-xr 150mg. Tried reducing but failed due to heightened anxiety. Quit cold turkey when pregnant with 3rd child.

2003 PND again on Effexor-xr 150mg. Numerous times tried to wean.

2006 75mg.

2010 Weaned off too fast as per dr recom 75mg every 2nd day etc. was Effexor-xr free for 3 months. Reinstated 75mg

1/6/12 = 72 mg

2/7/12 = 69 mg

16/7/12 = 67.5 mg

1/8/12 = 60 mg

19/8;12 = 52.5 mg

4/9/12 = 45mg

2/10/12 = 37.5 mg

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UnfoldingSky

More than earned for sure! Having been on various drug withdrawal sites I feel this one is the best...Good job everyone!


I am not a medical professional and nothing I say is a medical opinion or meant to be medical advice, please seek a competent and trusted medical professional to consult for all medical decisions.

 

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Sparrow

Congratulations! A well-deserved honor.

 

Sparrow


2009-2011: tapered off Trazodone, Namenda, Lamictal, Dextroamphetamine, Zyprexa; cold-turkeyed Pristiq; reduced Lexapro dose 50%.
On clonazepam since 2004, 0.5 - 1.0 mg daily PRN. Three failed (too rapid) partial tapers, 2010 - 2011.
Dec. 2011 - March 2013: Tapered off 0.5 mg clonazepam (Klonopin)

August 2013: Switched to liquid escitalopram (Lexapro) and began tapering from 10 mg.

January 2014: 4.5 mg escitalopram

March 2014: One year off benzos

May 2014: 3.0 mg escitalopram

June 2014: severe depression, updosed to 4.0 mg

Sept 1, 2014: 2.7 mg

Dec 7, 2014: Can't get below 2.5 mg without unbearable symptoms. Doing an extended hold (I hope)

March 2015: TWO YEARS POST-BENZO

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Jemima

FAR OUT!!! I'm thrilled silly! :D:D:D


Psychotropic drug history: Pristiq 50 mg. (mid-September 2010 through February 2011), Remeron (mid-September 2010 through January 2011), Lexapro 10 mg. (mid-February 2011 through mid-December 2011), Lorazepam (Ativan) 1 mg. as needed mid-September 2010 through early March 2012

"Never attribute to malice that which is adequately explained by stupidity." -Hanlon's Razor


Introduction: http://survivingantidepressants.org/index.php?/topic/1588-introducing-jemima/

 

Success Story: http://survivingantidepressants.org/index.php?/topic/6263-success-jemima-survives-lexapro-and-dr-dickhead-too/

Please note that I am not a medical professional and my advice is based on personal experience, reading, and anecdotal information posted by other sufferers.

 

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dalsaan

Well done Alto, you are a great activist

and congrats to other mods who contribute so much to the site

 

Dalsaan


Please note - I am not a medical practitioner and I do not give medical advice. I offer an opinion based on my own experiences, reading and discussion with others.On Effexor for 2 months at the start of 2005. Had extreme insomnia as an adverse reaction. Changed to mirtazapine. Have been trying to get off since mid 2008 with numerous failures including CTs and slow (but not slow enough tapers)Have slow tapered at 10 per cent or less for years. I have liquid mirtazapine made at a compounding chemist.

Was on 1.6 ml as at 19 March 2014.

Dropped to 1.5 ml 7 June 2014. Dropped to 1.4 in about September.

Dropped to 1.3 on 20 December 2014. Dropped to 1.2 in mid Jan 2015.

Dropped to 1 ml in late Feb 2015. I think my old medication had run out of puff so I tried 1ml when I got the new stuff and it seems to be going ok. Sleep has been good over the last week (as of 13/3/15).

Dropped to 1/2 ml 14/11/15 Fatigue still there as are memory and cognition problems. Sleep is patchy but liveable compared to what it has been in the past.

 

DRUG FREE - as at 1st May 2017

 

>My intro post is here - http://survivingantidepressants.org/index.php?/topic/2250-dalsaan

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strawberry17

Congratulations, this is well deserved Alto!


*** Please note this is not medical advice,discuss any decisions about your medical care with a knowledgeable medical practitioner***





http://prozacwithdrawal.blogspot.com/
Original drug was sertraline/Zoloft, switched to Prozac in 2007.
Tapering from 5mls liquid prozac since Feb 2008, got down to 0.85ml 23/09/2012, reinstated back to 1ml(4mg) 07/11/2012, didn't appear to work, upped to 1.05ml 17/11/2012, back down to 1ml 12/12/2012 didn't work, up to 1.30ml 16/3/2013 didn't work, bumped up to 2ml (8mg) 4/4/2013 didn't work, in July 2013 I reinstated Sertraline (Zoloft) 50mg, feeling better now. 

A few months down the line I switched to 5ml liquid Prozac and tapered down to a compromise dose of 3ml liquid Prozac and have stayed there ever since, no withdrawals and no emotional blunting/loss of libido.

 

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kerrip

Congratulations, it is totally deserved!


On 20 mg Celexa for 7 years for insomnia and GAD

Tapered from 20 mg to 0 from Aug 2011 to Dec 2nd 2011

Used Xanax intermittently over the past 7 years, and through WD.

Started 50 mgs Trazodone in June but am starting to taper off due to bad eye twitching, suspected Trazodone is the cause. Went to 25 mg in October and then 12.5 in December and then 0mg on Dec 20th.

 

Reinstated citalopram at 10 mgs on Nov 26th, then up to 20 mgs on Dec 3rd. Started kindling reaction on Dec 10th. Decided a very quick taper to 10 mgs for a 2 days and then 5mgs for a 2 more. Holding at 2.5 mg and beginning to stabilize. Reinstated trazodone to 12.5 mgs.

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Altostrata

Thanks, everyone, we'll see if anything comes of this. It's nice to be nominated, anyway. (Who did that?)


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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basildev

Congratulations!


July 2001 prescribed 20mg citalopram for depression;
On and off meds from 2003-2006.
February 2006 back on 20mg citalopram and stayed on it until my last attempt at tapering in September 2011.
By far the worst withdrawal symptoms ever. Reinstated to 20mg citalopram
October 2012 - found this forum!
Nov 2012 to Feb 2013 did 10% taper, got doen to 11mg - was going great until stressful situation. Cortisol levels hit the roof, hideous insomnia forced me to updose to 20mg.
March 2016 - close to 100% back to normal!



****** I am not a medical practitioner, any advice I give comes from my own experience or reading and is only my perspective ******

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peggy

what fantastic new!

congratulations Alto! - you deserve recognition for what you have achieved :)


Started in 2000 - On 150mg most of the time, (but up to 225mg at highest dose for 6 months in the beginning)
Reduced off easily first time - but got depressed (not too much anxiety) 6 months later
Back on effexor for another 9 months.
Reduced off again with no immediate w/d - suddenly got depressed and anxious ++ again 3 or 4 months later.
Back on effexor - this time for 3 years
Reduced off over a month - 6 weeks later terrible anxiety - back on.
Rinse and repeat 4 more times - each time the period before the anxiety comes back got shorter and shorter
Jan - July 2012 75mg down to 37.5mg;, 8/3/12 - 35mg. 8/25/12 - 32mg. 9/11- 28mg, 10/2 - 25mg, 10/29 - 22mg, 11/19 - 19.8mg; 12/11 - 17m,
1/1- 15.5mg; 1/22 -14mg, 2/7 14.9mg, 2/18 - 17.8mg - crashed big time: back to 75mg where i sat for 2 years....

4th  March 2015 - 67.5mg;   31st March - 60mg;  24th April - 53mg; 13th May - 48mg; 26th May - 45mg;  9th June - 41mg; 1 July- 37.5mg; 20 July - 34mg; 11 August - 31mg; 1st Sept - 28mg;  1st Dec - 25.8mg;  28th Dec - 23.2mg; 23rd Jan-21.9mg; Feb 7th- 21mg; March 1st - 20.1mg, March 30th - 18mg

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Altostrata


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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Altostrata

The community finalists are here http://blog.wegohealth.com/2013/02/21/haawards-finalists-best-in-show-community-award/

 

SA didn't win this year.

 

I have a feeling the subject is too far from the medical model.....


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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strawberry17

Never mind, we know this community is the best.


*** Please note this is not medical advice,discuss any decisions about your medical care with a knowledgeable medical practitioner***





http://prozacwithdrawal.blogspot.com/
Original drug was sertraline/Zoloft, switched to Prozac in 2007.
Tapering from 5mls liquid prozac since Feb 2008, got down to 0.85ml 23/09/2012, reinstated back to 1ml(4mg) 07/11/2012, didn't appear to work, upped to 1.05ml 17/11/2012, back down to 1ml 12/12/2012 didn't work, up to 1.30ml 16/3/2013 didn't work, bumped up to 2ml (8mg) 4/4/2013 didn't work, in July 2013 I reinstated Sertraline (Zoloft) 50mg, feeling better now. 

A few months down the line I switched to 5ml liquid Prozac and tapered down to a compromise dose of 3ml liquid Prozac and have stayed there ever since, no withdrawals and no emotional blunting/loss of libido.

 

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compsports

The community finalists are here http://blog.wegohealth.com/2013/02/21/haawards-finalists-best-in-show-community-award/

 

SA didn't win this year.

 

I have a feeling the subject is too far from the medical model.....

 

Bleep them. We know the truth.

 

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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Bellisimo

I really hope there will be more knowledgde soon within doctors so ppl in the future dont have to go thru this or atleast when going thru this, be believed and supported 100% in everyway bc this is just really bad

 

when im recovered fully imma seriously try infrom every person i know how bad it can be with these drugs


2007 - 2013: was on citalopram (tried to quit a few times, never worked, always went back on. max dose 40mg)

2012-2013: was tapering my citalopram all down to 2,5 mg then quit.
2013/aug: Took  my last pill 

W/D hit me bad after a few weeks off my medicine.

2014/August: 12 months off (much improved)

2015/April: 20months off. ( much improved, still some symtoms comes in waves, but not so intense.)

2015/june: 22months off. FELT different than before, all shakings suddenly stopped, feel much better. a fantastic feeling!

2016/Feb : 2 years and 6 months off, END of my suffering. I feel perfectly fine and back to normal. 
2018/Oct: Iam still feeling great. It is hard to believe my own story when I read back, what I went through!

 

 

 

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Lindyfreefromdrugs

I would have to agree. It is a nightmare.

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Altostrata

Thank you to Dr. Jim Phelps for adding a link to our Tapering section on his PsychEducation.org page about Stopping Antidepressants: http://psycheducation.org/antidepressants-in-bipolar-disorder-the-controversies/stopping-antidepressants-in-bipolar-disorder/


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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mammaP

That is a brilliant plug for SA, you must be so happy about this Alto, it You have worked so hard and to see this is great reward for all that work and validates everything that SA stands for.


**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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btdt

WARNING THIS WILL BE LONG
Had a car accident in 85
Codeine was the pain med when I was release from hosp continuous use till 89
Given PROZAC by a specialist to help with nerve pain in my leg 89-90 not sure which year
Was not told a thing about it being a psych med thought it was a pain killer no info about psych side effects I went nuts had hallucinations. As I had a head injury and was diagnosed with a concussion in 85 I was sent to a head injury clinic in 1990 five years after the accident. I don't think they knew I had been on prozac I did not think it a big deal and never did finish the bottle of pills. I had tests of course lots of them. Was put into a pain clinic and given amitriptyline which stopped the withdrawal but had many side effects. But I could sleep something I had not done in a very long time the pain lessened. My mother got cancer in 94 they switched my meds to Zoloft to help deal with this pressure as I was her main care giver she died in 96. I stopped zoloft in 96 had withdrawal was put on paxil went nutty quit it ct put on resperidol quit it ct had withdrawal was put on Effexor... 2years later celexa was added 20mg then increased to 40mg huge personality change went wild. Did too fast taper off Celexa 05 as I felt unwell for a long time prior... quit Effexor 150mg ct 07 found ****** 8 months into withdrawal learned some things was banned from there in 08 have kept learning since. there is really not enough room here to put my history but I have a lot of opinions about a lot of things especially any of the drugs mentioned above.
One thing I would like to add here is this tidbit ALL OPIATES INCREASE SEROTONIN it is not a huge jump to being in chronic pain to being put on an ssri/snri and opiates will affect your antidepressants and your thinking.

As I do not update much I will put my quit date Nov. 17 2007 I quit Effexor cold turkey. 

http://survivingantidepressants.org/index.php?/topic/1096-introducing-myself-btdt/

There is a crack in everything ..That's how the light gets in :)

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Altostrata

http://www.thefix.com/content/ssris-worth-risks?page=all

The Unhappy Side of Anti-Depressants

By Jeanene Swanson 06/03/14

 

....Go on a number of online forums, however, and you’ll find everything from benign to hellish, and short- to very long-term symptoms. A popular web site for SSRI discontinuation syndrome, called Surviving Antidepressants, offers peer support; the second most visited topic is how to quit, or taper, effectively. Says the administrator in an email, “There are hundreds of thousands of patient postings all over the Web about the difficulties of quitting psychiatric medication and benzos, even under a doctor’s supervision.” The administrator adds that there are dozens of sites like this, set up to help confused patients figure out how to best taper based on other people’s experiences....

 


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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Icandothis

I have to say that although I am really not too confident on how to post correctly, I must say that this is a wonderful site and it is my tool currently in assisting me in my journey tapering off medicine. :)


08/2014 10 mg 8/28/14 switched to liquid 2.5 timeline-9/6/14 2.30=9.2 ...10/03/14 2.07=8.28 ...11/1/14 1.9=7.611/3014 1.72=6.88 ... 12/26 1.54=6.16... 2/16 1.46=5.84 switch to 5% per 3 wks3/14/15 1.38=5.52 ... 4/4/15 1.30=5.2 ...4/25/15 1.24=4.965/16/15 1.18=4.72 ... 6/6/15 1.12=4.48...6/26/15 1.06=4.24 switch to 5%ish per two weeks7/15/15 1.0=4. 7/30/15 .96=3.84 8/13/15 .91=3.64 or .90=3.60 8/29/15 .86=3.44 9/12/15 .82= 3.28 9/26/15 .78=3.12 10/11/15 .74=2.96 10/25/15 .70=2.8 hit a wall been holding since12/26/15 2.5% decrease .68=2.72 1/9/16 .66=2.64 2/6/16 .63=2.52 3/3/16 ,60=2.4 3/26/16 57=2.28 4/30/16 .54=2.16mg 6/4/16 .52=2.08 8/5/16 updose .75=3.0. 9/6/16 1.00=4.0 5mg 2/10/17 6mg 2/17/17 8 mg 3/17/17 7mg ? 3/18/17 6mg 4/1/17 5mg @4/17 4.5mg=1.12 5/19/17 4 mg=1.00ml 7/15/17 .98=3.96

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powerback

well done much deserved .As im dealing with protracted withdrawl i am so thankfull i found this site ,especialy at the start of it when its so scary.keep up the amazing work


Alcohol free since February 2015 

1MG diazepam

4.5MG PROZAC.

 

 

 

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Altostrata

Thank you, and welcome.


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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JanCarol

I found Surviving Antidepressants listed as a reference in Katinka Blackford Newman, "The Pill that Steals Lives."

 

It's an excellent journalistic expose - for every story of her own that she tells, she also tells of others who have suffered worse, and explains the trends in prescribing and how these horrible events cascade into "mental illness."

 

Healy reviewed it for scientific accuracy.  It's a really excellent read - less scholarly than Whitaker, very accessible.

 

Surviving Antidepressants is listed as the 3rd reference for "Where to get Help."


"Easy, easy - just go easy and you'll finish." - Hawaiian Kapuna

 

Holding is hard work, holding is a blessing. Give your brain time to heal before you try again.

 

My suggestions are not medical advice, you are in charge of your own medical choices.

 

A lifetime of being prescribed antidepressants that caused problems (30 years in total). At age 35 flipped to "bipolar," but was not diagnosed for 5 years. Started my journey in Midwest United States. Crossed the Pacific for love and hope; currently living in Australia.   CT Seroquel 25 mg some time in 2013.   Tapered Reboxetine 4 mg Oct 2013 to Sept 2014 = GONE (3 years on Reboxetine).     Tapered Lithium 900 to 475 MG (alternating with the SNRI) Jan 2014 - Nov 2014, tapered Lithium 475 mg Jan 2015 -  Feb 2016 = GONE (10 years  on Lithium).  Many mistakes in dry cutting dosages were made.


The tedious thread (my intro):  JanCarol ☼ Reboxetine first, then Lithium

The happy thread (my success story):  JanCarol - Undiagnosed  Off all bipolar drugs

My own blog:  https://shamanexplorations.com/shamans-blog/

 

 

I have been psych drug FREE since 1 Feb 2016!

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Altostrata

!!!!!!

 

I didn't know SA had been mentioned in that book.


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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mammaP

Brilliant! I think I will buy that book it sounds good.


**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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Altostrata

SurvivingAntidepressants.org is prominently mentioned in two recent Psychiatric Times articles:
 

Quote

 

Online Communities for Drug Withdrawal: What Can We Learn?

Josef Witt-Doerring, MBBS

Daryl Shorter, MD

Thomas Kosten, MD

Apr 18, 2018

 

In this age of chat rooms and social media, an ever-growing number of psychiatric patients use the internet to find their treatment community online. Interactive forums, Youtube.com, and personal blogs are now connecting psychiatric patients in ways that were never before available. One treatment focus for these online communities is complicated withdrawal from psychiatric medications. This article discusses this phenomenon in relation to the well-established forums of benzodiazepine and antidepressant withdrawal.

 

Online forums, such as www.benzobuddies.org and www.survivingantidepressants.org, provide a platform for patients to support each other as they move through their withdrawal symptoms. These interactive sites feature different strategies for managing a wide range of withdrawal-related symptoms. Other sections provide inspiration for users through sharing stories about a successfully completed withdrawal experience. The traffic moving through these sites is mostly from within the US and is substantial: www.benzobuddies.org receives on average 250,000 hits a month and www.survivingantidepressants.org receives approximately 150,000 hits each month.1,2 It is interesting to note that the patient narratives from these websites are generating early clinical data that researchers are using to learn more about unexpectedly difficult withdrawal symptoms and syndromes.3

 

....

 

 


 

Quote

 

Antidepressant Withdrawal, Online Data, and a Bottom Line

James Phelps, MD

May 2, 2018

 

A recent article in the New York Times1 and another in the current print edition of Psychiatric Times2 express concern about antidepressant withdrawal syndrome. These articles raise the question: how many people who begin taking an antidepressant will have severe difficulties when they try to taper off?

 

Surprisingly, this has not been directly studied (per an hour’s negative search on PUB MED, consistent with work by a UCLA social psychologist3). Indirect data suggest the answer is "a lot."4,5 Several clinical trials underway will generate relevant data(eg, 6,7) but they are still not designed specifically to answer this crucial question.

 

For further insight, we can look at online communities referenced in the PT article. One of the most advanced of these is SurvivingAntidepressants.org. If testimonials might sway your opinion about the potential severity of antidepressant withdrawal difficulties, this site has hundreds.

 

Testimonials are easy to dismiss. But regardless of your opinion of testimonials as evidence, the posts at SurvivingAntidepressants.org make one thing clear: venlafaxine is among the most difficult of the antidepressants to discontinue. The large steps between dosage strengths require alternative intermediate strategies, but the large number of beads in each capsule make subdivision difficult (one member describes using a grass seed counter to count individual beads). See the Box for a representative post and notice that the author “is capable of differentiating their [sic] own symptoms," eg, insomnia, from withdrawal symptoms.

 

Other reasons

We have other reasons to avoid venlafaxine. Unlike SRIs, it can raise blood pressure, worsening hypertension, an all-too-common comorbidity with depression. Venlafaxine has also been found more likely to cause manic symptoms, in patients with bipolar disorder, than other antidepressant such as sertraline and bupropion.8 Since ruling out bipolarity is difficult, and since we have many alternatives to venlafaxine with just as much evidence for their efficacy, one can simply choose something else.

 

Paroxetine causes significantly more weight gain than other SRIs,9 so skip over that one too. Interestingly, paroxetine also appears disproportionately among patients searching for information about how to stop antidepressants.10

 

Citalopram can cause arrhythmias in patients with long QT syndrome11 so rather than putting patients through the hassle of serial electrocardiograms, skip over that one too.

 

Alternative antidepressants

This leaves fluoxetine, sertraline—and bupropion. According to a meta-analysis I reviewed in 2016,12 bupropion is nearly as effective for anxiety as are SRIs, counter to general beliefs. And compared with venlafaxine, it has a far lower propensity to induce manic symptoms.8

 

As published case reports13,14 and SurvivingAntidepressants.org posts show, stopping bupropion can cause withdrawal symptoms too. But on that website, the density of posts about bupropion is far lower than for venlafaxine (143 versus 2130—among posts numbering over 300,000), which certainly matches my clinical experience of difficulties with bupropion discontinuation: far fewer than with all other antidepressants.

 

Conclusion

Before starting any antidepressant, share with the patient the potential for difficult withdrawal when stopping it. This is tricky—because we don’t know how often people have horrendous experiences that are truly a result of the discontinuation. The folks at SurvivingAntidepressants.org think that we who prescribe antidepressants grossly underestimate the latent risk they carry. At minimum, they would tell us loudly: stop starting venlafaxine.

 

5

 

I would say: Stop prescribing Effexor, Pristiq, Paxil, and Cymbalta -- to start.

 

Dr. Phelps's article also contains a quote from this post by our beloved mammaP:

 

 


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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SkyBlue
2 hours ago, Altostrata said:

SurvivingAntidepressants.org is prominently mentioned in two recent Psychiatric Times articles:

 

I would say: Stop prescribing Effexor, Pristiq, Paxil, and Cymbalta -- to start.

 

 

Awesome~! !!! 


Current: 2019: 0.04 mg Paxil!! This is real. Soon, after taking Paxil my entire adult life, I will be free.

Long story short: After 18 years on Paxil, "tapered" almost completely off over a month, at doctor's advice in July 2015.

Self-care includes magnesium, reasonable exercise, mindfulness, this forum and nutrition/eating enough food.

Also on 100 mg Zoloft unfortunately!! (which I now will have the knowledge to taper properly)

-------------------------------------------------------------------------------------------

Longer version: On Paxil since 1996--anxiety & depression caused by (undiagnosed) under-eating / eating disorder.

Doctor kept increasing dose, up to 60 mg; it never really helped but said it really was the best "med" for me.

Rapid doctor-led "taper" July 2015, down to 5 mg, with Zoloft as a "cross-taper" = Essentially a cold turkey. 

Severe withdrawal but didn't know it; believed it was my "underlying condition," and kept tapering, 5mg to 4 to 3  to 2 to 1.  

Feb 2016: Found SA! As of June 2016, tapering from 1mg at rate of 5-10% per month, Brassmonkey Slide! 

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Frogie

Congrats Altrostra!

 

Take care,

Frogie xx


PREVIOUS medications and discontinuations: Have been on medications since 1996. 

 Valium, Gabapentin, Lamictal and Prilosec from 2000 to 2015 with a fast taper by a psychiatrist.

 Liquid Lexapro Nov, 2016 to 31-March, 2019 Lexapro free!!! (total Lexapro taper was 4 years-started with pill form)

---CURRENT MEDICATIONS:Supplements:Milk Thistle, Metamucil, Magnesium Citrate, Vitamin D3

 Xanax 1mg three times a day June, 2000 to 19-September, 2020 Went from .150 grams (average weight of 1 Xanax) three times a day to .003 grams three times a day.

19-September, 2020 Xanax free!!!

 

 

I am not a medical professional. The suggestions I make are based on personal experience.

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FarmGirlWorks

Super kudos on this!


  • Prozac | late 2004-mid-2005 | CT WD in a couple months, mostly emotional
  • Sertraline 50-100mg | 11/2011-3/2014, 10/2014-3/2017
  • Sertraline fast taper March 2017, 4 weeks, OFF sertraline April 1, 2017
  • Quit alcohol May 20, 2017, quit coffee October 2017, quit cannabis 😩 July 2018
  • Magnesium powder, fish oil, estradiol, kombucha, gluten/dairy/histamine-lite
  • Lifestyle changes: AA, kundalini practice

 

"If you've seen a monster, even if it's horrible, that's evidence of divinity." – Damien Echols

 

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manymoretodays

Let's not forget Lexapro/escitalopram as well.......just saying.  Full disclosure of effectiveness as well.  Alternatives offered from the start............ 

And yeah......................................!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

 

Way to go Alto though!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!  Woohoo, making history and change and, and, and...........thrilled!!

 

Oh and mammaP too!  ❤️

Edited by manymoretodays

Started with psycho meds circa 1988 I think 27 or 28 total.

AD's, antpsychotics, antiseizure mood stabilizers. Lithium, lamictal ,benzos, and stimulants. Some med. for narcolepsy once(Provigil,) Gabapentin........probably more.  Ask me?......I probably was on it.  Haphazard W/D's by Dr. recommend or uneducated self.

10/2014- off Lexapro--had been on highest dose 10 mg. then 5 mg. for a couple of years, went from 5 mg. to 3 mg. liquid and then CT in hospital(voluntary).  I got out of the hospital on a combination of low dose adderal salts x1/day and trileptal 150mg. x2/day.

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!

 

3/21/2016---I did some unwise updosing of trileptal/oxcarbazepine with some stressful stuff......doubled the above dose x2 during this last wave but began liquifying again and on approximately 68mg. starting today.  11/12//2016 24 mg. oxcarbazepine  12/9/2016 off oxcarbazepine/trileptal!!!! :) optimistic  2016 December 9- completely off all medications!!!!!

Omega3's,EPA +DHA= 1800 mg/day. Magnesium complex, orally, diluted in a liter of H2O(that I can shake up.....it usually dissolves more completely as the water gets down to room temperature) and/or Epsom salt baths prn.   Vit. C, D3, and E.  B12, melatonin tapered to 1mg., and bioidentical hormones sublingually.  Trace mineral drops.  L-lysine.  L-methylfolate=400 mcg plus daily spinach. Totally ready for a good long window to hit soon and getting better strings of full days and partial days along the way.  Definite improvement overall since I first arrived on the SA survivor ship.  Herb and alcohol free since 5/15/2016.  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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mammaP

WOW, I had no idea I was quoted! Thanks Alto. :wub:


**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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Snowyowl16

Wow! This is great news!

Congratulations Alto!

Snowy


Start citalopram late 2004 20 mg/d, tapered to 10 mg 1xd on for several years

Citalopram 5 mg 1xd, occasional attempt to taper; off citalopram 4 months Aug. 2016

Venlafaxine 37.5 mg 2 months Nov, Dec 2016 stopped ct and change to citalopram 10 mg/d severe withdrawal with daily nausea 

Citalopram 20mg/day April 2017 - Feb 21, 2018, Citalopram 15 mg/day Feb. 21 - 3/3/2018

Citalopram 20 mg/day 3/4/18, Citalopram 18 mg 1xd 3/5 - 4/1,

Citalopram 17 mg 4/2, 16.6 mg 4/16, 16.2 mg 4/23, 16 mg 5/14, 15.8 mg 5/18, 15.6 mg 5/22, 15.4 mg 5/29, 15.2 mg 6/5, 15 mg 6/12,

14.6 mg 7/21, 14.2 mg 7/28, 14 mg 8/4, 13.6mg 8/18, 13.2 mg 8/25, 13 mg 9/1, 12.6 mg 9/22, 9/25 13 mg, 11/9 12.8 mg, back to 13 mg after a few days. 1/9/19 12.8 mg, 1/14 12.6 mg, 1/20 12.4 mg, 1/27 12.2mg, 2/4 12 mg, 2/24 11.8 ,3/1 11.6, 3/6 11.4, 3/11 11.2, 3/14 11, by 4/28 10 mg.

Nov. 1 9.8 mg, Nov 8 9.6 mg, Nov 22 9.5 mg, slow taper down to 9 mg 1/27/2020. Slow taper down to 8 mg Sept 1 2020.

 

Supplements/other: multivitamin, vitamin d 2000 u 1xd,, melatonin 1.5 mg 1xd prn, magnesium, Propranolol 10 mg 3xd April 2015 Propranolol Sr 60 mg/day Feb. 2016 (?), alprazolam 0.125 mg prn  (rarely taken) approx. <2 yrs 

ranitidine 150 mg 2xd 3/26- stopped 5/29, prn currently. Change to famotidine 20 mg 1 to 2/day.

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