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clayface: Anxiety and obssesive disorder - clomipramine and paroxetine


clayface

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Hi everyone. It has been more or less complicated on the last weeks and I decided to wonder for help on the web, and finally came here. I'm from Argentina, 29 years old (about to turn 30), have a history of mental disease so to speak, and a big genetic charge i suppose, as most of my family members (mother, father and grandmother) have their own mental issues.

 

On my 20's i started having anxiety crisis situations and became obssesed on this happening again, so i was diagnosed with a generalized anxiety and obssesive-compulsive disorded. As a child i remember having random, weird and troubling thoughts... but it was a few years ago that i became obsessed with the things i saw that were necessary to live, so one day it ocurred to me "what would happen if you have a anxiety crisis whenever you eat or try to sleep".

 

This changed my life forever, and from that day over i have thought about it everytime i eat or get to bed. This let to a few nights without sleeping at all, and to digestive problems, gases, diarrhea and the unstopable sensation that there's something wrong on my stomach.

 

I thought i would never be able to eat or sleep again, and that i would die of starvation or physical weakness. None of this happened and with the help of medication (clomipramire first with a lot of ugly side effects and then paroxetine much more confortable) and phycological therapy i managed to go on with my life and followed a "normal" life patron.

 

If i have to rate my treatment, i would say that by the time i was on clomipramine i had a 30% recover status and then with paroxetine around 50%. The thoughts were never gone, but they turned manageable and i was able to achieve some goals i set (traveling abroad, i went to the United States with my couple and we had a very good time there).

 

Then, seeing that i was on a expectable state and having resigned the thought of being on a fully recovered status, i talked with my doctor and we decided to stop taking paroxetine (which i toke for 1 year) and see what happened. The first months were ok, as if i continue taking it, but then i started to feel as i felt on the beginning as those thoughts gather streght again.

 

Now a day i'm trying to hang on, have talked to my doctor and he indicated to start taking paroxetine again... but he doesn't know until when, he said "if you feel better with it, take it for as long as you need it, we'll see then". So i'm at the dilema of start taking something that i know will surely make feel more relieved but not the way i would really like to be, all of this knowing that this treatment (since the clomipramire) have started around 4 years ago and i thought i would see more concrete results.

 

But then i remember this is not a flue, and the mind is not a simple matter of treat. What would you recomend me to do? Have you ever heard of such obsessive thoughts? I have no compulsions at all... just the repetitive idea of dying for stressing when i do those things...

Edited by tezza
Added paragraph breaks for readability

1999: Depression diagnosed at 15 years old. Fluoxetine 20mg for a month. Stopped it all from one day to another.

2003: OCD diagnosed. Clomipramine 75mg and Clonazepam 1mg. Toke the medication for two weeks and then left it because of horrible Clomipramine side effects.

2004: appendicitis surgery. Diazepam 10mg for a month in order to relax and sleep.

2008: decided to treat OCD again. Clomipramine 75mg for three months with psychological therapy. Stopped Clomipramine in a week reducing the dose to half.

2010: started to feel bad again. Paroxetine 20mg and Clonazepam 1mg as SOS when feeling overwhelmed. Stopped paroxetine after 8 months, again in one week reducing the dose to half.

2012 mar-may: big crisis. Tried Paroxetine for a few days, then switched to Fluoxetine for a month. Pregabalin 250mg for sleeping with no effect at all. Quetapine 75mg. Hell on earth with this combination. Left it all.

2012 after may: went back to Paroxetine 20mg and Clonazepam 1mb as SOS. Stayed on this for 2 years until a few weeks ago, when I decided to take half the dose.

2014 oct: problem sleeping. Zolpidem 10mg at night. Currently off SSRI.

2015 jan: Sertraline 50mg - clonazepam 2mg and zolpidem 10mg for sleeping.

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  • Moderator Emeritus

Hello and welcome to the forums, perhaps you could tell us more about when you finished the Paroxetine and how fast you came off it? it's possible that you're feeling withdrawals from coming off this too fast, also withdrawing from antidepressants too fast and being in withdrawal can lead to obsessive thoughts/anxiety being amplified. If you can tell us more about how you came off the Paroxetine we might be able to give you some thoughts about whether it's worth reinstating some to alleviate your horrible feelings and to taper off slowly and safely.

 

Also, it might be worth looking through the "Symptoms and Self Care" section on here for ideas about coping with your obsessive thoughts and anxieties.

 

You will find lots of support here.

*** 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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  • Moderator Emeritus

Welcome to the forum, Clayface. You'll find lots of solid information and gentle, friendly support here.

 

It sounds to me like you may have gone off paroxetine (Paxil) very quickly, and the symptoms you're experiencing are withdrawal syndrome rather than something that's wrong with yourself. Paxil is one of the strongest of all antidepressants and difficult to discontinue. It should be tapered off in small amounts, no more than 10% of the current dosage over many months. Here's a discussion about tapering off antidepressants that may be informative:

 

Tapering

 

If you do go back on paroxetine, it would be wise to start with a very small amount and see how it affects you. It looks like you've been off of it for several months, so your system is probably sensitized to the drug and reinstating may do more harm than good. If possible, get the paroxetine in a liquid form so you can take tiny amounts. If you can't get it in a liquid, here's how to make your own:

 

How to Make A Liquid from Tablets or Capsules

 

I'm sorry that you're feeling so badly. There are lots of helpful ideas in the 'Symptoms and self care' discussion if you feel up to doing some reading.

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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I indeed left paroxetine quite quick, i was taking 20mg a day. I started taking just half the pill (10mg) and in a week i stopped taking it at all. I didn't know it was so important to planify a controlled quiting.

The weird thing is that only the first week when i was leaving the pill i felt kind of dizzy and that was it, the next three months i felt well, i even travelled on vacations and i was fine (at least as fine as i got to feel when i was under the pill). But now after these months i have started to have those ideas strengthen. I feel kind of disappointed with the treatment overall, because i feel i never got to reach a real recover from what is happening to me, and as son as i leave the pill it's just a matter of time for the things to get to the start point.

I just wish i could understand what is happening on my head and why i feel this way, i have never read people having the kind of obsessive thoughs that i have and that's why i feel like being put on a diagnosis instead of doing some exhaustive analysis in order to clarify all the situations that could be leading me to this.

1999: Depression diagnosed at 15 years old. Fluoxetine 20mg for a month. Stopped it all from one day to another.

2003: OCD diagnosed. Clomipramine 75mg and Clonazepam 1mg. Toke the medication for two weeks and then left it because of horrible Clomipramine side effects.

2004: appendicitis surgery. Diazepam 10mg for a month in order to relax and sleep.

2008: decided to treat OCD again. Clomipramine 75mg for three months with psychological therapy. Stopped Clomipramine in a week reducing the dose to half.

2010: started to feel bad again. Paroxetine 20mg and Clonazepam 1mg as SOS when feeling overwhelmed. Stopped paroxetine after 8 months, again in one week reducing the dose to half.

2012 mar-may: big crisis. Tried Paroxetine for a few days, then switched to Fluoxetine for a month. Pregabalin 250mg for sleeping with no effect at all. Quetapine 75mg. Hell on earth with this combination. Left it all.

2012 after may: went back to Paroxetine 20mg and Clonazepam 1mb as SOS. Stayed on this for 2 years until a few weeks ago, when I decided to take half the dose.

2014 oct: problem sleeping. Zolpidem 10mg at night. Currently off SSRI.

2015 jan: Sertraline 50mg - clonazepam 2mg and zolpidem 10mg for sleeping.

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  • 1 year later...

Hi everybody. It's been a long time. I decided to stop taking paroxetine and i've been taking it for almost 2 years. The problem is i did it very fast: i was at 25mb and reduced the dose to half a pill for a week or so, then for a few more days to quarter a pill until i ran out of medication, and that was it. I lost my job a few months ago and I'm really trying to save some money for my daily expenses.

I started feeling dizzy the firsts days, and the classics brain zaps everyone describes. That was tolerable for me... the thing is, since last saturday, i have been unable to sleep (practically, sleep at all). I go to bed and I simply can't fall sleep. Of course, my physician told me it was unwise to stop the medication like that, and prescribed 10mg zolpidem at night. He also said that if this continues it would be better reinstate paroxetine and see how it goes, or switch it to sertraline (my diagnose is OCD).

I have to recognize that once i tried quiting paroxetine even faster, and 3 months later it was hell. I lived a month strugling very hard with a lot of symptoms...

What advice could you give me? I'm also looking forward to learn about natural medications that can be helpful in this process. By the other hand, what happens if one continues to take a SSRI, say, for the rest of life. Could it be bad?

Thank you very much,

 

1999: Depression diagnosed at 15 years old. Fluoxetine 20mg for a month. Stopped it all from one day to another.

2003: OCD diagnosed. Clomipramine 75mg and Clonazepam 1mg. Toke the medication for two weeks and then left it because of horrible Clomipramine side effects.

2004: appendicitis surgery. Diazepam 10mg for a month in order to relax and sleep.

2008: decided to treat OCD again. Clomipramine 75mg for three months with psychological therapy. Stopped Clomipramine in a week reducing the dose to half.

2010: started to feel bad again. Paroxetine 20mg and Clonazepam 1mg as SOS when feeling overwhelmed. Stopped paroxetine after 8 months, again in one week reducing the dose to half.

2012 mar-may: big crisis. Tried Paroxetine for a few days, then switched to Fluoxetine for a month. Pregabalin 250mg for sleeping with no effect at all. Quetapine 75mg. Hell on earth with this combination. Left it all.

2012 after may: went back to Paroxetine 20mg and Clonazepam 1mb as SOS. Stayed on this for 2 years until a few weeks ago, when I decided to take half the dose.

2014 oct: problem sleeping. Zolpidem 10mg at night. Currently off SSRI.

2015 jan: Sertraline 50mg - clonazepam 2mg and zolpidem 10mg for sleeping.

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Hey there!

Welcome. I'm sorry you are struggling.

Alto or one of the others will be along shortly. They will be able to advise you further. Hang in there. In the mean time, look around the site. There is some really good information here.

2005-Zoloft bad reaction.....2006-Lexepro......2012-Upped Lexepro.......2013-Upped Lexepro......2/2014- Attempted Taper Lexepro...2/2014- Updosed Lexepro.......3/2014-Ativan.....5/2014- CT switch from Lexpro to Effexor.....

5/2014-7/2014-Tapered Ativan from 1mg to .25mg.....6/2014-Bad reaction to Effexor........7/2014- Rapid taper Effexor every other day......7/5/2014- Off Effexor.......7/2014-12/2014 - Ativan .25mg.......12/25/2014 -Taper Ativan by 4% due to paradoxical reaction .24mg...11/18/2015-Taper Ativan 1% CURRENTLY ON: .2376mg Ativan taken in 6 .0396mg doses.

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  • Moderator Emeritus

Hi clayface, welcome to the forum. I'm sorry you're struggling with WD symptoms.

 

It sounds like you've been here before. If so, you'll know that your taper was way too fast. In my experience, if it didn't work for you in the past, it's not likely to work for you again. The withdrawal experience generally gets worse each time people do it, not better.

 

My advice would be to reinstate immediately to something like 10-15 mg, to stop the withdrawal; stabilize for a while; then taper at a safe, conservative pace. I know you're wanting to save money, but I think you can get paroxetine really cheap at Wal-Mart (like four bucks or something). And going through another bout of withdrawal now or three months out or (most likely) both is not going to make it easier to find a new job and get your life together. In fact I would say that right now is probably a very BAD time to be coming off meds, better to wait until things are less stressful.

 

We suggest reducing by no more than 10% of the current dose every 4 weeks, this reduces the risk of withdrawal symptoms arising.  Please read through this post which will explain why:

 

http://survivinganti...0-of-my-dosage/

 

 

Please see:  Keep it simple. Keep it slow. Keep it stable

 

Reinstatement of a small amount of the drug can often work well to alleviate withdrawal symptoms.  According to medical knowledge, reinstatement is the only way to alleviate withdrawal symptoms.  Reinstatement is best done immediately upon appearance of withdrawal symptoms. The more time that passes, the less likely it is to work.  Here is some information about reinstatement to help you decide if its something you would like to try:

 

http://survivinganti...rawal-symptoms/

 

I'd highly recommend reading Anatomy of an Epidemic by Robert Whitaker, to get a sense of the long-term outcomes on ADs. Psych meds can be pretty perilous over the long term and in my opinion should only be used for short times and very cautiously, if at all. I know that I myself, after 20 years on these meds, am amazed now, as I am getting myself back, at how much they took away from me: my mind, my emotions, my original personality, my ability to connect with people, my overall love of life. Plus the effects on my physical health.

 

Other resources you may find helpful are Your Drug may be you Problem by Dr. Peter Breggin and Council for Evidence Based Psychiatry

 

Also, please put your drug and withdrawal history in your signature.  Putting a short version of your drug history in your signature helps people understand your context, it appears below each of your posts.  Here are instructions for how to do it:

 

http://survivinganti...your-signature/

 

It looks like you've been here before. I'm not very good at combining threads, but hopefully one of the mods who is good at that will come along soon and hook this up to your original thread. That way we'll have all your history together, which is much better for us as far as knowing what advice to give.

 

Welcome back, although I'm sorry you had to come back for less than happy reasons.

 

Please stay in touch and let us know what you decide.

 

Please stay in touch and let us know how you are doing.

 

Once you get back to us with more details about your drug history and situation, we will be in a better position to offer support and suggestions.

 

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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  • Administrator

Merged clayface's Intro topics.

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

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

All postings © copyrighted.

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Thank you for merging, it didn’t occur to me to write on my previous post.

I will try to update my medication history right now. By the way, I’m in Argentina. Waltmart here doesn’t sell medication. However, I have the chance to get some generic paroxetine at a lower price. The thing is I need to get a prescription, and since I’m currently unemployed I have no medical care… I will call my doctor because he said he was going to give me the prescription just in case I didn’t feel ok, and he forgot last time I met with him, when he prescribed the hypnotic.

Honestly, it doesn’t sound good to feel hooked up on something like this… but I truly don’t want to go where I was a few years ago on my last attempt to quit the medication. Now that I think of it I don’t know exactly why I decided to quit a few weeks ago… I guess I just wanted to give me the chance to see if I can have a regular life without it.

I will keep you posted. I forgot to say last crisis motivated me, with the help of a psychologist, to go back to the university and retake my psychology studies. I have advanced quite a lot and I have started to investigate on third generation cognitive therapy, I’m currently reading a book by Stephen Hayes called “Get off your mind and into your life” and I find it very useful.

Something else: If I take fish oil and / or magnesium, could it help with withdrawal?

Thank you very much.

1999: Depression diagnosed at 15 years old. Fluoxetine 20mg for a month. Stopped it all from one day to another.

2003: OCD diagnosed. Clomipramine 75mg and Clonazepam 1mg. Toke the medication for two weeks and then left it because of horrible Clomipramine side effects.

2004: appendicitis surgery. Diazepam 10mg for a month in order to relax and sleep.

2008: decided to treat OCD again. Clomipramine 75mg for three months with psychological therapy. Stopped Clomipramine in a week reducing the dose to half.

2010: started to feel bad again. Paroxetine 20mg and Clonazepam 1mg as SOS when feeling overwhelmed. Stopped paroxetine after 8 months, again in one week reducing the dose to half.

2012 mar-may: big crisis. Tried Paroxetine for a few days, then switched to Fluoxetine for a month. Pregabalin 250mg for sleeping with no effect at all. Quetapine 75mg. Hell on earth with this combination. Left it all.

2012 after may: went back to Paroxetine 20mg and Clonazepam 1mb as SOS. Stayed on this for 2 years until a few weeks ago, when I decided to take half the dose.

2014 oct: problem sleeping. Zolpidem 10mg at night. Currently off SSRI.

2015 jan: Sertraline 50mg - clonazepam 2mg and zolpidem 10mg for sleeping.

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Hi there, just to let you know that this is not getting any better... i'm having GI issues as well, plus sleeping is getting harder even with the hypnotic, and worst of all is this dread feeling. I think I will have to go back to paroxetine and see how it goes. Any suggestions on how to cope with this?

1999: Depression diagnosed at 15 years old. Fluoxetine 20mg for a month. Stopped it all from one day to another.

2003: OCD diagnosed. Clomipramine 75mg and Clonazepam 1mg. Toke the medication for two weeks and then left it because of horrible Clomipramine side effects.

2004: appendicitis surgery. Diazepam 10mg for a month in order to relax and sleep.

2008: decided to treat OCD again. Clomipramine 75mg for three months with psychological therapy. Stopped Clomipramine in a week reducing the dose to half.

2010: started to feel bad again. Paroxetine 20mg and Clonazepam 1mg as SOS when feeling overwhelmed. Stopped paroxetine after 8 months, again in one week reducing the dose to half.

2012 mar-may: big crisis. Tried Paroxetine for a few days, then switched to Fluoxetine for a month. Pregabalin 250mg for sleeping with no effect at all. Quetapine 75mg. Hell on earth with this combination. Left it all.

2012 after may: went back to Paroxetine 20mg and Clonazepam 1mb as SOS. Stayed on this for 2 years until a few weeks ago, when I decided to take half the dose.

2014 oct: problem sleeping. Zolpidem 10mg at night. Currently off SSRI.

2015 jan: Sertraline 50mg - clonazepam 2mg and zolpidem 10mg for sleeping.

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  • Moderator Emeritus

please read what Rhi wrote for you a few posts back. This is the best advice we can offer.

Current: 9/2022 Xanax 0.08, Lexapro 2

2020 Xanax 0.26 (down from 2 mg in 2013), Lexapro 2.85 mg (down from 5 mg 2013)

Amitriptyline (tricyclic AD) and clonazepam for 3 months to treat headache in 1996 
1999. - present Xanax prn up to 3 mg.
2000-2005 Prozac CT twice, 2005-2010 Zoloft CT 3 times, 2010-2013 Escitalopram 10 mg
went from 2.5 to zero on 7 Aug 2013, bad crash 40 days after
reinstated to 5 mg Escitalopram 4Oct 2013 and holding liquid Xanax every 5 hours
28 Jan 2014 Xanax 1.9, 18 Apr  2015 1 mg,  25 June 2015 Lex 4.8, 6 Aug Lexapro 4.6, 1 Jan 2016 0.64  Xanax     9 month hold

24 Sept 2016 4.5 Lex, 17 Oct 4.4 Lex (Nov 0.63 Xanax, Dec 0.625 Xanax), 1 Jan 2017 4.3 Lex, 24 Jan 4.2, 5 Feb 4.1, 24 Mar 4 mg, 10 Apr 3.9 mg, May 3.85, June 3.8, July 3.75, 22 July 3.7, 15 Aug 3.65, 17 Sept 3.6, 1 Jan 2018 3.55, 19 Jan 3.5, 16 Mar 3.4, 14 Apr 3.3, 23 May 3.2, 16 June 3.15, 15 Jul 3.1, 31 Jul 3, 21 Aug 2.9 26 Sept 2.85, 14 Nov Xan 0.61, 1 Dec 0.59, 19 Dec 0.58, 4 Jan 0.565, 6 Feb 0.55, 20 Feb 0.535, 1 Mar 0.505, 10 Mar 0.475, 14 Mar 0.45, 4 Apr 0.415, 13 Apr 0.37, 21 Apr 0.33, 29 Apr 0.29, 10 May 0.27, 17 May 0.25, 28 May 0.22, 19 June 0.22, 21 Jun updose to 0.24, 24 Jun updose to 0.26

Supplements: Omega 3 + Vit E, Vit C, D, magnesium, Taurine, probiotic 

I'm not a medical professional. Any advice I give is based on my own experience and reading. 

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  • 1 month later...

Hello there… I’m still here, finally my psychiatrist recommended that I start taking sertraline. I started at 25mg for 6 days and then got it up to 50mg. Since I’m still unemployed and finished my studies for the year, I have a lot of free time and I don’t know what to do with my days. Sertraline only gets my mouth dry and I have lots of thirst. Nor my depression or my OCD seem to have improved.

Since I left paroxetine about two months ago or so, I started to feel this doom feeling that is the worst part of what’s going on. Nothing seems to be interesting, and life seems like a torture almost every walking hour. I feel suicidal and when I remember situations that I believe were happy, I now see them as invalid or always ruined by something I was worried or thinking at that moment.

My mind is alerted all the time, and I still have problems sleeping.

My plans are going to another city, where this therapist has her office. She has been recommended by the International OCD foundation. I hope she’s willing to do ERP without putting me into another cocktail of medications.

Here in Argentina doctors are a lot more conservative that in the USA when prescribing medications. If I’m feeling this way just for taking a few psychiatric drugs for a few years, when I read the posts of other people and see what they had been going through with 10 or 15 different medications over several years, I can’t imagine what it would be like to feel that way.

I hope peace come to all of us. I will let you know if I have any new.

Thank you.

1999: Depression diagnosed at 15 years old. Fluoxetine 20mg for a month. Stopped it all from one day to another.

2003: OCD diagnosed. Clomipramine 75mg and Clonazepam 1mg. Toke the medication for two weeks and then left it because of horrible Clomipramine side effects.

2004: appendicitis surgery. Diazepam 10mg for a month in order to relax and sleep.

2008: decided to treat OCD again. Clomipramine 75mg for three months with psychological therapy. Stopped Clomipramine in a week reducing the dose to half.

2010: started to feel bad again. Paroxetine 20mg and Clonazepam 1mg as SOS when feeling overwhelmed. Stopped paroxetine after 8 months, again in one week reducing the dose to half.

2012 mar-may: big crisis. Tried Paroxetine for a few days, then switched to Fluoxetine for a month. Pregabalin 250mg for sleeping with no effect at all. Quetapine 75mg. Hell on earth with this combination. Left it all.

2012 after may: went back to Paroxetine 20mg and Clonazepam 1mb as SOS. Stayed on this for 2 years until a few weeks ago, when I decided to take half the dose.

2014 oct: problem sleeping. Zolpidem 10mg at night. Currently off SSRI.

2015 jan: Sertraline 50mg - clonazepam 2mg and zolpidem 10mg for sleeping.

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If you decide that Sertraline isn't helping, please taper very slowly.

 

Myself and a few other members on the forum have had a severe reaction upon withdrawing from Sertraline after only a few days/weeks on it.

 

I sincerely hope that you get some benefit from it.

 

I apologise if this comes across as scaremongering in some way, shape or form however I wish somebody had pointed this out to me.

 

Hope you're feeling better.

 

Regards

December 2008 Prescribed 20mg citalopram (celexa) for depression and OCD.July 2013 stopped taking citalopram (celexa). November 2013 reinstated citalopram (celexa) following replapse at 20mg for 4 weeks, 40mg for 4 weeks and tapered off over 4 weeks as my condition had deteriorated. February 2014 started 20mg of fluoxetine (prozac). Didn't tolerate it and stopped 4 weeks later, experienced no withdrawal. May 2014 started 25mg of sertraline (zoloft), increased to 50mg after 1 week. Remained at 50mg for 4 weeks before increasing to 100mg at the request of my psychiatrist despite advising of suicidal ideation for an additional week before stopping. Advised to drop to 50mg for 3 days before withdrawing altogether. I did as advised and horrendous withdrawal ensued. 11th August 2014 commenced escitalopram (lexapro), weaned off end of October 2014. Commenced Clonazepam December 2014 0.5mg twice daily, switched to Diazepam 10mg twice daily with a view to tapering of the benzodiazepine altogether. Tapering schedule presently at a reduction of 1mg of Diazepam every 1-2 weeks depending upon side effects. So far experienced no severe physical side effects except worsening of PGAD symptoms upon reduction which does seem to improve within a few days of doing so. Presently taking no antidepressants however still experiencing mild agitation, severe depression and PGAD which is currently being treated by a physiotherapist.

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  • 2 weeks later...
  • Administrator

clayface, has sertraline helped your withdrawal symptoms at all?

 

Since it is making you thirsty with a dry mouth, my guess is the dosage is too high. If I were you, I'd reduce it very carefully by 10% a month and see if these adverse effects disappear.

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

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  • 3 weeks later...

Not at all, sertraline doesn’t seem to be working.

I can’t get my sleep right since I left paroxetine, and I also have GI issues (diarrhea three or four times a week).

My psychiatrist insist that we should give sertraline a few more days for it to produce the desired effect.

I’m only sleeping on 2mg clonazepam and 10mg zolpidem. In fact, My OCD didn’t seem to have improved with sertraline, when I try to get some rest my mind is full of running thoughts, and it’s been about 25 days now I’m on.

I need to get my life straight, I’m having jobs interviews and since I’m not sleeping properly it’s hard to give a good impression. I need to get to study too, and with my brain praying for help it’s really hard to find the will or to concentrate.

Also, since I left paroxetine I went down a few pounds. I think the diarrhea has something to do with it.

I don’t know why the hell my psychiatrist thought sertraline could be better than paroxetine. GlaxoSmithKline should be praised, as for me they seem to have developed something that cannot be left….

I have two options on the road:

1-      Follow my psychiatrist advice and go on with the sertraline, he’s surely going to increase the dose to 100mg next Monday when I see him. He also mentioned that he could add some aripiprazole, but there’s no way I’m taking an antipsychotic again.

 

2-      Follow the “family” doctor advice, leave sertraline and immediately start with 40mg paroxetine.

 

Maybe number 3 would be tamper it all and never try a psychiatric medication again. I don’t know if that would be achievable. Is there any story of OCD which successfully left medication?

Also, I want to do a full blood test to see what my overall physical condition is (the diarrhea, the sleep issue and the weight loss worries me).

Thank you.

1999: Depression diagnosed at 15 years old. Fluoxetine 20mg for a month. Stopped it all from one day to another.

2003: OCD diagnosed. Clomipramine 75mg and Clonazepam 1mg. Toke the medication for two weeks and then left it because of horrible Clomipramine side effects.

2004: appendicitis surgery. Diazepam 10mg for a month in order to relax and sleep.

2008: decided to treat OCD again. Clomipramine 75mg for three months with psychological therapy. Stopped Clomipramine in a week reducing the dose to half.

2010: started to feel bad again. Paroxetine 20mg and Clonazepam 1mg as SOS when feeling overwhelmed. Stopped paroxetine after 8 months, again in one week reducing the dose to half.

2012 mar-may: big crisis. Tried Paroxetine for a few days, then switched to Fluoxetine for a month. Pregabalin 250mg for sleeping with no effect at all. Quetapine 75mg. Hell on earth with this combination. Left it all.

2012 after may: went back to Paroxetine 20mg and Clonazepam 1mb as SOS. Stayed on this for 2 years until a few weeks ago, when I decided to take half the dose.

2014 oct: problem sleeping. Zolpidem 10mg at night. Currently off SSRI.

2015 jan: Sertraline 50mg - clonazepam 2mg and zolpidem 10mg for sleeping.

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Yes my aunt was on cocktail of meds for years with ocd. She is off all meds now and doing fine.

Prozac 1999-2009 quit semi cold turkey.

 

2012 Placed on Seroquel 25 mg, Tranxene (Clorezepate) 3.75 mg 3x a day, Remeron 30 mg for anxiety/akathesia.

 

Weaned off Seroquel and Tranxene .to Remeron 15 Mg.

In May 2014 tried quitting Remeron at its lowest dose. Had severe withdrawals.Reinstated Remeron at 30 mg by doctor. August 5 2014 entered hospital. Doctor pulled the Remeron and bridged it to Pamelor (Nortriptyline) 40mg and Zyprexa 2.5mg.After removing the Remeron all my bad symptoms went away and I am stable.

 

9/11/14 - 7.5 mg tranxene, 40mg Pamelor, Zyprexa 2.5mg

12/29/14 -  20mg Pamelor, 1/6/15,  7/31/15 3.5mg, 8/10/15 3.2 mg, 9/15/15 2.2mg, 10/15/15 1.8mg

(Feb 2016 - 1.4mg Pamelor only -  OFF OF TRANXENE AND ZYPREXA SINCE DEC 2014 BENZO FREE Since 2014. Nortrityline (Pamelor) .8mg Aug 2016

March 2017 DRUG FREE

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25 days and no sign of improvement? I think it's unlikely that you will see any benefit from sertraline at this stage, just my opinion.

 

I wouldn't switch back to paroxetine. Even though you have only been taking sertraline for a short time I would strongly advise you follow alostrata's advice and wean yourself off responsibly and slowly.

 

Good luck and yes OCD can definitely be controlled without the aid of medication, I did it myself from the age of 7 to 24. I commenced AD's for depression and regret it immensely.

December 2008 Prescribed 20mg citalopram (celexa) for depression and OCD.July 2013 stopped taking citalopram (celexa). November 2013 reinstated citalopram (celexa) following replapse at 20mg for 4 weeks, 40mg for 4 weeks and tapered off over 4 weeks as my condition had deteriorated. February 2014 started 20mg of fluoxetine (prozac). Didn't tolerate it and stopped 4 weeks later, experienced no withdrawal. May 2014 started 25mg of sertraline (zoloft), increased to 50mg after 1 week. Remained at 50mg for 4 weeks before increasing to 100mg at the request of my psychiatrist despite advising of suicidal ideation for an additional week before stopping. Advised to drop to 50mg for 3 days before withdrawing altogether. I did as advised and horrendous withdrawal ensued. 11th August 2014 commenced escitalopram (lexapro), weaned off end of October 2014. Commenced Clonazepam December 2014 0.5mg twice daily, switched to Diazepam 10mg twice daily with a view to tapering of the benzodiazepine altogether. Tapering schedule presently at a reduction of 1mg of Diazepam every 1-2 weeks depending upon side effects. So far experienced no severe physical side effects except worsening of PGAD symptoms upon reduction which does seem to improve within a few days of doing so. Presently taking no antidepressants however still experiencing mild agitation, severe depression and PGAD which is currently being treated by a physiotherapist.

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  • 2 weeks later...
  • Administrator

clayface, what is your daily symptom pattern? It helps to keep notes on paper to track it.

 

It may be the Zoloft is too activating for you at the present dosage.

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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