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Auto immune diseases triggered by SSRI withdrawal? Mast cell activation?


NoMeaning25

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https://www.mastzellaktivierung.info/en/therapy_medicaments.html#incompatible

 

Here is one, and with 2 mins of google u find more, ssris are absolutley intolerable on mcas, im wondered youre speaking so much about histamine etc and you do not know the fact that ssris are incompatible? 

 

They killed me with this medicaments, saw my doc this week and she told me that i ll not survive longtime in this state, thats why i say they killed me.

April 2018 ciprofloxacine

Trazodone 50mg ,Escitalopram 50mg

Mirtazapine, Brintelix,Wellbutrin, duloxetin

2019 100mg sertraline,december 2020 ct sertraline and get back after 3 weeks on 100, too much,

psych set me from 150mg trazodone to 200mg

taking a small dose to taper, september 2020 clinic did not let me take my small dose and set me on 0 and without my knowledge they changed trazodone xr to normal

After 2 weeks in clinic back to 1mg sertraline and 200mg trazodone xr

Actually:

0.9mg sertraline since 6.july 2021

200mg trazodone xr

September 2020 1x temesta

Juli & august 2 temesta

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If you look at the sole citation for the SSRI entry, you will see it does not support SSRIs being "incompatible" with mast cell disorder. I don't know what the page authors were thinking.

 

On the contrary, other authorities recommend treating mast cell disorder with antidepressants:

 

Selective Serotonin Reuptake Inhibitors Suppress Mast Cell Function

Tamara Haque, John J. Ryan

The Journal of Immunology May 1, 2018, 200 (1 Supplement) 105.8; https://www.jimmunol.org/content/200/1_Supplement/105.8

 

Theoharides TC, Tsilioni I, Ren H. Recent advances in our understanding of mast cell activation - or should it be mast cell mediator disorders?. Expert Rev Clin Immunol. 2019;15(6):639-656. doi:10.1080/1744666X.2019.1596800 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7003574/

 

Little is known about mast cell disorders and there is irrational belief that antidepressants are good for everything, so I am dubious about both claims: That antidepressants cause mast cells disorder OR antidepressants are good treatment for mast cell disorders.

 

After years of coping with a MCAS-related condition and having gone through the literature thoroughly, my belief is that just about anything can precipitate a mast cell condition and nobody knows what works for reversing it.

 

Please do your homework before making assertions on this site that other people might take as health-related facts.

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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Anyway, i read the opposite if them what youre posting, all medicaments are trigger for mcas. Easy i do not have the force to discuss, good that u found a turnaround forr thid case, whish i could find one too.

April 2018 ciprofloxacine

Trazodone 50mg ,Escitalopram 50mg

Mirtazapine, Brintelix,Wellbutrin, duloxetin

2019 100mg sertraline,december 2020 ct sertraline and get back after 3 weeks on 100, too much,

psych set me from 150mg trazodone to 200mg

taking a small dose to taper, september 2020 clinic did not let me take my small dose and set me on 0 and without my knowledge they changed trazodone xr to normal

After 2 weeks in clinic back to 1mg sertraline and 200mg trazodone xr

Actually:

0.9mg sertraline since 6.july 2021

200mg trazodone xr

September 2020 1x temesta

Juli & august 2 temesta

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On 7/17/2018 at 2:46 PM, tryingtosurvive said:

I am now 4 years after CT and 3 years after tapered of the last reinstatement. The 1,5 after tapered of last reinstatement I had immense anxiety, vit D lifted the depression but the anxiety stayed and 1 year after last dose I fell ill in severe mast cell activation during trip to Asia ...Since then I suffer from severe histamine intolerance and it has gotten systemical wandered from somach and lungs to include nerves , vascular and muscelosceletal system now my issues are muscle cramps, crepitus joint pain and laxative joints have had joint luxations, tired and weak the infection Dr suggested ME/CFS  ! Faiting and palpatiations... This despite taking mast cell stabilizing supplements and if needed antihistamines...

WTF! the SSRI (Prozac) has damaged me and my mast cells  for god??????  The issues started already on prozac but sadly since they put me on this **** by default since I felt bad as a teenager then told me to stay on the drug I was on the **** for 14 years WD was worse then I have seen shows ppl coming of heroine...

but thought I made it to the other side but apparantely not free from it since it is still hurting me ??

Investigating possible SIBO/candida and lyme as other causes but from what I understand SSRI can very well sadly be the cause of triggering mast cell activation disorder - right ? and then that MCAS sets of a cascade of symptoms all over in the bodies all system ... 😕

@tryingtosurviveHi there! I have a vast amount of stomach problems from tapering off lexapro including histmaine intolerance, SIBO, candida etc and have to eat low histamine, low fodmap, low inflammatory foods. I was woondering what your main diet consisted of? Also, since we are sensitive to supplements and treatments, what did you do to naturally lower your histamine issues besides just diet? I'm in a hypersensitive state now, I was thinking I could wait a year and then come treat my issues. But I get nervous the longer I let them sit the mroe damage my body will have or maybe if I let my CNS heal, the issues will heal as well? I also have ovarian cysts and hormone imbalances due to the histamine intolerance I believe. I eat just wild caught fish thats flash frozen in a pressure cooker and steamed green vegetables usually. However I'm having a hard time kicking peanut butter because I'm hungry and need a snack food. I was thinking of trying to eat small amounts of starchy veggies like turnips, sweet potatoes but in a limited amt due to fodmaps. Ive been on low fodmap for awhile but still cant tolerate large amts of fodmaps. 

-2014: Lexapro/escitalopram 10 mg, 2015-2021: Lexapro/escitalopram 20 mg

-10/2020-3/2021: decreased 20 mg to 15 mg, 1 mg a month

-4/2021: decreased to 10 mg, held for 11 days, 4/2021: decreased to 5 mg, held for 8 days

-4/2021: 3-6 days cold turkey lexapro, withdrawal symptoms so reinstated 2.5 mg 

-omeprazole taper: 9/2021 cut 25%, 10/20/21 25% cut, 12/1/21 25%, 12/28/21 25% cut, (9/36 beads of 40 mg)

-11/2020 omeprazole 20 mg, 3/2021: omeprazole 40 mg,

-Nordic Naturals Ultimate omega 3 fish pill: 1280 mg

-montelukast: 10 mg dailyzyrtec: 10 mg daily 

-3/20/2021-7/25: mesalamine 1.2 GM, 3 times a day - dropped

-birth control: Trilinyah 2014- 2/1/2021 quit cold turkey middle of pack 

7/16/2021-8/1/2021 Quicksilver Liposomal multivitamin liquid: biotin, zinc, Vitamins A, C, D E, K, Niacin,, Thiomine, Riboflavin,Vitamin B6, B12, 7/16/2021- 8/25/2021 - boswelia complex (tumeric. ginger, celery) - 2 a day - dropped

7/16/2021 - probiophage probiotic - dropped 

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  • 3 months later...

Mast cell activation syndrome

 

Happy new year to every one.

I am almost sure that antidepressant withdrawal is caused by mast cell activation syndrome. Antidepressants were made from antihistamine and they block histamine receptors and affect the mast cells. When the drug is stopped the mast cells  get crazy. Any opinion on this issue?? 

 

Edited by ChessieCat
added topic title before merging with existing topic

My drug history:

Cipralex 10mg for two months from February 2015 to April 2015. Tapered for one month 

Cipralex 20mg for six months from February 2016 to August 2016. Tapered for 5 weeks.

From October 2016 till fourth of April 2018 I am drug free.

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  • 2 weeks later...
On 12/31/2021 at 12:57 PM, Ibnabu said:

I am almost sure that antidepressant withdrawal is caused by mast cell activation syndrome. Antidepressants were made from antihistamine and they block histamine receptors and affect the mast cells. When the drug is stopped the mast cells  get crazy. Any opinion on this issue?? 

 

 

This came up in the anhedonia thread, read the last few post:

I posted my opinion there but also want to know what you think. We were discussing immune responses and gut health. Also the similarities that WD shares with long covid. But that also begs the question. Wouldn't everyone in WD have to have mast cell activation?

Current: Bupropion 450mg, Neurontin 800mg, Klonopin 0.5mg

History:

July 2020: started Cogentin 1mg, Lamictal 50mg, Zoloft 150mg, Zyprexa 5mg (+5mg as needed), Klonopin 0.5mg

November 2020: stopped all meds cold-turkey

February 2021: started Latuda 60mg, Lithium 300mg, Melatonin 5mg, Protonix 40mg, Topamax 25mg

2 weeks later: stopped Topamax, increased Lithium 900mg, started Klonopin 1mg, Lexapro 20mg, Neurontin 400mg

April 2021: started Bupropion 150mg, Revia ?mg

May 2021: stopped ReviaProtonixLexaproincreased Neurontin 800mg, started Celexa 10mg

August 2021: decreased Celexa 5mg (stopped Celexa 2 weeks later), increased Bupropion 300mg

September 2021: increased Latuda 80mg

October 2021: decreased Lithium 600mg for 4 daysLithium 300mg for 4 daysstopped LithiumLatuda

     increased Bupropion 450mg, started Remeron 15mg, decreased Remeron 7.5mg, stopped Remeron

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  • 1 month later...

I'm due to see a urologist about "Interstitial Cystitis (IC)/Painful bladder syndrome".

 

Its related to autoimmune disease as it has key "features" but isn't considered to be one?

Dose History: 19 Feb 2014 - Escitalopram 10mg daily June 2015 - Started taper, 5mg every other day July 2015 - 5mg every 2 days August 2015 - 5mg every 3 days September 2015 - 5mg every 4 days Sept 14th - Completed tapering, but at 7 weeks "drug free" I suffered serious WD symptoms as a consequence of "incorrect" tapering. Nov 25 2015 - Re-instated Cipralex @ 2.5mg daily. WD symptoms faded. Held at this dose and experienced "windows and waves". 12 Oct 2017 Reduced dose to 1.25mg. 13 Mar 2018 Reduced dose to 0.625mg (approx.). 16 April 2018 0mg. Windows and waves triggered by stress (IBS/reflux, headaches, sinus issues) Aug 2019 Mirena coil fitted 6 Jan 2020 MAJOR Wave hit 19 months following last dose (protracted WD).  Symptoms listed below Mar 2020 Mirena coil removal.

Therapy: Nov 15th 2016 Re-started therapy Jan 19th 2017 Started CBT Dec 2017 Started listening to Hypnotherapy CD (self-esteem). Nov 2019 Started couples therapy.

Supplements: "Bioglan" Biotic Balance Ultimate Flora 10 billion CFU, live Bacteria, Probiotic, suitable for Vegetarians, with Lactobacillus Acidophilus, Lactobacillus Rhamnosus, Bifidobacterium Longum"Pukka" Vitalise a unique blend of 30 energising botanicals.

Diet: 16 April 2018 Detox cleanse / anti-candida for 90 days. Jan 2020 Started "small plate" diet (i.e child size portions).

Exercise: Stretching, Yoga, Pilates, Spinning, Elliptical/upper body workout, walking.

Medical Test Results: 4 Jan 2017 Homeopathic Treatment starts 24 Feb 2017 Started weight loss program 24 Mar 2017 Naturopathic Treatment + anti-Candida diet started due to suspected Candida Related Complex (CRC). DETOXED for 7 weeks to "re-set" gut. April 2017 "Genova Diagnostics" Comprehensive Stool Analysis NEGATIVE; Full Blood Count (Normal) / Blood Cholesterol: 5.6 (Borderline) / Blood Sugar (Normal) / 28 Jun 2017 FSH 8.2 / 14 Nov 2017 FSH 17.7 Dec 2017 Blood Cholesterol: 3.9 (Normal) / Kidney Function (Normal) / Blood Sugar (Normal). December 2017 "Genova Diagnostics" Food panel allergy (bloodwork) analysis - a few "VERY LOW/VL" allergens; Mar 2018 "Genova Diagnostics" SIBO urine analysis: High Level of Yeast/fungal markers found in small intestine but NO SIBO.  April 2018 Thyroid (Normal) / Full Blood Count (Normal) / FSH (Normal). 16 April 2018 Started anti-Candida diet - 3 month protocol.   25 March 2020 All test results "Normal". CRP" 5 mg/L (normal range to 0-5 mg/L).

Symptoms:  Flu-like symptoms, anxiety, anhedonia, sinus headaches right-side (severe), IBS issues/reflux (severe)**, tinnitus, fatigue, inner tremor, nausea, chills/hot flushes, pounding heart, muscular issues including stiff left hip flexor, intense anger, PSSD (ongoing).  **Histhamine intolerance (suspected).

Major Life Events: 

Re-located to UK from Canada: Jan 2016

My father died: 5:05pm, Monday 5 Feb 2018 Last Lexapro dose: 16 April 2018 (its now been over a year since I quit ADs)  Moved house: Friday 23rd February 2018  "Divorced" toxic Mother: Monday 26 March 2018 Starting working again: 19 November 2018  Diagnosed with: 5th August 2021 PTSD/C-PTSD Diagnosed with: March 2022 Interstitial Cystitis (IC)/Painful bladder syndrome

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  • 5 months later...
On 3/7/2022 at 5:42 AM, Junglechicken said:

I'm due to see a urologist about "Interstitial Cystitis (IC)/Painful bladder syndrome".

 

Its related to autoimmune disease as it has key "features" but isn't considered to be one?


Did you end up having Interstitial cystitis? What are your symptoms 

April 2022- Only 1 celxa pill 10mg

had an adverse reaction & never took anymore again 

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  • 3 months later...

I just got tested for autoantibodies against protein G and had abnormally high levels on multiple receptors. What this means is that I have some kind of an autoimmune condition going on in my brain attacking certain receptors.  The receptors that had the highest values have been connected with cfs and anhedonia. Fatique and anhedonia are my worst symtoms. I am currently exploring this area and am trying to find ways to help this condition. There is some evidence that gut is the place that might start this chain of events leading  to this reaction so FMT might help. Also, there are some expensive treatments that purify your plasma from these autoantibodies, though am not sure how permanent the results are. Also, there is a drug BC007 (a one time injection) that eliminates the autoantibodies but it is still in development. The drug has had very good results with long covid sufferers. Autoimmunity diet might also help, just ordered a book about that.

Citalopram for OCD 2008-2012, Drug free 2012-2015, Citalopram for anxiety 2015-2016, Drug free 2016-2017 (pregnancy), Sertralin for OCD 10/2017-04/2019. Tried fast tapering in 2019 for second pregnancy, failed (depression started), reinstated, med did not work anymore. Used Ativan then for 4 moths an tapered down in a few weeks with no problem. Built tolerance and interdose wothdrawal early on Ativan even with 3/day dosing. Since that, depression meds have had no effect.

Until Jun/2021: escitalopram 20mg (monotherapy), Jun/2021-Jul/2021: escitalopram 20mg + bupropion 150mg

Jul/2021-Jul/2021: escitalopram 10mg + clomipramine 10-75mg (tried to switch escitalopram to clomipramine but too bad side effects), 

Jul/2021-Aug/2021: bupropion 150mg (reinstated in hospital) + escitalopram 15mg, Aug/2021-Sept/27/2021: bupropion 300mg (upped dose) + escitalopram 15mg 

Sept/27/2021-Sept/17/2021: Bupropion 150mg (lowered dose) + Trintellix 5-10mg (switched escitalopram to Trintellix)

Sept/17/2021-Dec/8/2021: Trintellix 20mg (dosage doubled after stopping Wellbutrin since Wellbutrin doubles Trintellix's blood concentration with doses 150-300mg)

Dec/8/2021 : Trintellix 18mg, August 2022: crash at 5,8 mg Trintellix, hospitalized

September 2022: Trintellix 20mg, Ativan 1mgx3, mirtazapine 7,5mg, October 2022: Stupid rapid taper attempt of Trintellix 20mg -> 10mg -> 7,5 mg.  Back up to 15mg 10/16/2022.

Trintellix: 12/12/2022 13,94 mg (-7%); 1/9/2023 13,0mg (-7%)

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  • 2 months later...
On 12/11/2022 at 7:28 PM, Finnishgirl said:

I just got tested for autoantibodies against protein G and had abnormally high levels on multiple receptors. What this means is that I have some kind of an autoimmune condition going on in my brain attacking certain receptors.  The receptors that had the highest values have been connected with cfs and anhedonia. Fatique and anhedonia are my worst symtoms. I am currently exploring this area and am trying to find ways to help this condition. There is some evidence that gut is the place that might start this chain of events leading  to this reaction so FMT might help. Also, there are some expensive treatments that purify your plasma from these autoantibodies, though am not sure how permanent the results are. Also, there is a drug BC007 (a one time injection) that eliminates the autoantibodies but it is still 

Hi Finnish, could I ask what tests did you order? And I sent you a private message, it would be super grateful if we could discuss there! Thank you so much!

2021/2 - 2021/5: Xanax 1mg, zopiclone 3.75mg; 2021/5 - 2021/8: Xanax 1mg, zopiclone 3.75mg, venlafaxine 225mg; 2021/8 - 2021/11: Clonazapem 2mg, venlafaxine 225mg, rexulti 2mg, mirtazapine 30mg, zopiclone 3.75mg; 2021/11 - 2021/12: Clonazapem 2mg, venlafaxine 225mg, rexulti 2mg

Crashed, mirtazapine WD(didn't know at that time)

2022/1 - 2022/3: Clonazapem 2mg, venlafaxine 225mg, bupropion 300mg; 2022/4 - 2022/5:Clonazapem 1mg, venlafaxine 187.5mg, trazodone 100mg

2022/5 - 2022/8/15: Clonazepam 0.5mg(wean off), trazodone 100mg, lexapro 20mg(cross taper), rexulti 3mg

Crashed, suspect to be benzo WD

2022/8/16 - 2022/9/7: Clonazepam  0.5mg, venlafaxine 150mg(side effect this time), rexulti 3mg, trazodone 100mg, seroquel 25mg; 2022/9/8 - 2022/10/1: Clonazepam 1mg, trintellix 20mg(cross taper), rexulti 3mg, trazodone 50mg, seroquel 25mg; 2022/10/2 - 2022/11/8: Clonazepam 1mg, trintellix 10mg, trazodone 25mg

Crashed since 10/9

2022/11/9 - 2022/11/15: Clonazepam 1mg, trintellix 5mg; 2022/11/16 - 2022/12/2: Clonazepam 1mg, trintellix 5mg, dayvigo 5mg; 2022/12/3 - 2022/12/21: Clonazapem 1mg, trintellix 5mg, dayvigo 2.5mg

Fly back to China from Canada, 13hrs jet lag triggered severe wave til today.

2022/12/22 - 2023/3/21: Clonazepam 1mg, trintellix 5mg, dayvigo 5mg

2023/3/21 - now: Clonazepam 1mg, trintellix 10mg, dayvigo 5mg

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  • 3 months later...

I was just diagnosed with hashimoto 6 month into withdrawal/reinstatement (in April). My question is do you treat the autoimmune disease or wait to see if your body repairs itself after withdrawal? 

August 2018 50mg Zoloft for PPD

November 2021 stopped taking Zoloft

October 2022 back on 50mg Zoloft

December 29th 2022 upped to 100mg Zoloft (horrible adverse reaction) 

January 8th 2023 Ct off Zoloft (by hospital) 

1/9/23 100mg 3x daily gabapentin 2/9/2023 taper off gabapentin 

March 2023 -current .5mg Ativan daily 

May 2023 .5mg am and .5mg pm Ativan 

4/25/23-reinstated 1.5mg liquid Zoloft

7/8 10mg liquid Zoloft 

8/1 started Ativan taper 0.067mg daily 

 

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  • 5 months later...
On 12/11/2022 at 1:28 PM, Finnishgirl said:

I just got tested for autoantibodies against protein G and had abnormally high levels on multiple receptors. What this means is that I have some kind of an autoimmune condition going on in my brain attacking certain receptors.  The receptors that had the highest values have been connected with cfs and anhedonia. Fatique and anhedonia are my worst symtoms. I am currently exploring this area and am trying to find ways to help this condition. There is some evidence that gut is the place that might start this chain of events leading  to this reaction so FMT might help. Also, there are some expensive treatments that purify your plasma from these autoantibodies, though am not sure how permanent the results are. Also, there is a drug BC007 (a one time injection) that eliminates the autoantibodies but it is still in development. The drug has had very good results with long covid sufferers. Autoimmunity diet might also help, just ordered a book about that.

Hey, any update about this? What happened?

Venlafaxine 75mg, 150mg, 225mg December 2020 - March 2021

Sertraline 50mg, 100mg March 2021 - April 2021

Escitalopram 10mg, 20 mg April 2021 - May 2021

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