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Cheeky: on Paxil for 23 years needing advice


Cheeky

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  • Moderator Emeritus

I would keep tapering the Seroquel now.  Staying on it long term could make it harder to get off later.  It would be good to get it out of the way now, as the Paxil will likely be more difficult and take a lot longer to get off.  Did you taper down using your one-eighths cuts?  That's more or less how I did it.  Perhaps keep going with that and just slow it down if you find it getting more difficult.

2001–2002 paroxetine

2003  citalopram

2004-2008  paroxetine (various failed tapers) 
2008  paroxetine slow taper down to

2016  Aug off paroxetine
2016  citalopram May 20mg  Oct 15mg … slow taper down
2018  citalopram 13 Feb 4.6mg 15 Mar 4.4mg 29 Apr 4.2mg 6 Jul 4.1mg 17 Aug 4.0mg  18 Nov 3.8mg
2019  15 Mar 3.6mg  21 May 3.4mg  26 Dec 3.2mg 

2020  19 Feb 3.0mg 19 Jul 2.9mg 16 Sep 2.8mg 25 Oct 2.7mg 23 Oct 2.6mg 24 Dec 2.5mg

2021   29 Aug 2.4mg   15 Nov 2.3mg

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Thanks, I started with 1/8 and was alright so the last few tappers I've been doing at 1/4 and have been feeling really good , I'm going to stay with that for at least 6 weeks then do another 1/4. When I start Paxil

It will be different I will do 10% taper for 6 weeks , then when I get to half the dose il will do 5% tapper every 6 weeks. I think the slower with Paxil the better as I've been in it for so long .

  • 1995 started Paxil 20mg slowly increasing to 50mg 2014 I decided to tapper myself not knowing how too and crashed , DR added 50mg of Seroquel

  • Through the years made many mistakes tapering

  • Started Tapering Both drugs at the same time 7.5% per month Paxil 9% Seroquel doing daily micro-taper 

  • Guided by Mark Horowitz

  • 31/3/24 Paxil 10.31mg

  • 31/3/24 Seroquel 9.9mg

 

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I need your help, its been 4 weeks since my last tapper and the last couple of days i have had waves of anietxty and its starting to woreally worry me. Its like hot and cold flushes and tingling, dread and im getting abit scared of being in that place when the doctor was playing around with my mediction. I dont no what to do ? I was thinking of just riding this out for the next 4 weeks til I taper again. Will I eventually stablize when my body id used to this decrease. Its a very tough time at home at the moment and I think mayby just stay on my curent dose till things seattle down. I really need your advice

  • 1995 started Paxil 20mg slowly increasing to 50mg 2014 I decided to tapper myself not knowing how too and crashed , DR added 50mg of Seroquel

  • Through the years made many mistakes tapering

  • Started Tapering Both drugs at the same time 7.5% per month Paxil 9% Seroquel doing daily micro-taper 

  • Guided by Mark Horowitz

  • 31/3/24 Paxil 10.31mg

  • 31/3/24 Seroquel 9.9mg

 

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  • Moderator Emeritus

Cheeky , holding where you are sounds like the thing to do. Stress can trigger waves , or aggravate symptoms ,

and when things are rocky it's not the time to decrease.

I do hope things settle for you soon.

 

xxx

 

.

1987-1997 pertofran , prothiaden , Prozac 1997-2002 Zoloft 2002-2004 effexor 2004-2010 Lexapro 40mg

2010-2012Cymbalta 120mg

Sept. 2012 -decreased 90mg in 6months. Care taken over by Dr Lucire in March 2013 , decreased last 30mg at 2mg per week over 3 months. July 21 , 2013- last dose of Cymbalta

Protracted withdrawal syndrome kicked in badly Jan.2014 Unrelenting akathisia until May 2014. Voluntary hosp. admission. Cocktail of Seroquel, Ativan and mirtazapine and I was well enough to go home after 14 days. Stopped all hosp. meds in next few months.

July 2014 felt v.depressed - couldn't stop crying. Started pristiq 50mg. Felt improvement within days and continued to improve, so stayed on 50mg for 8 months.

Began taper 28 Feb. 2015. Pristiq 50mg down to 45mg. Had one month of w/d symptoms. Started CES therapy in March. No w/d symptoms down to 30mg.

October 2015 , taking 25mg Pristiq. Capsules compounded with slow-release additive.

March 2016 , 21mg

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Thanks fresh, I was feeling so good the last couple of months. I started a diet about a week ago and for the last month havering been wearing nicotine patches as I started smoking

After 6 years, so I'm not sure what is doing what. If I stay at this dose for the next few months , will I eventually stable out ?

  • 1995 started Paxil 20mg slowly increasing to 50mg 2014 I decided to tapper myself not knowing how too and crashed , DR added 50mg of Seroquel

  • Through the years made many mistakes tapering

  • Started Tapering Both drugs at the same time 7.5% per month Paxil 9% Seroquel doing daily micro-taper 

  • Guided by Mark Horowitz

  • 31/3/24 Paxil 10.31mg

  • 31/3/24 Seroquel 9.9mg

 

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I don't know but it is worth considering a reaction to the nicotine patch and wd... just a thought. 

peace

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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Last time I quit smoking I used Champix and it worked great but I don't want to do that now as I don't want another medication in my system, what do you think ? You take it only for 2 months

  • 1995 started Paxil 20mg slowly increasing to 50mg 2014 I decided to tapper myself not knowing how too and crashed , DR added 50mg of Seroquel

  • Through the years made many mistakes tapering

  • Started Tapering Both drugs at the same time 7.5% per month Paxil 9% Seroquel doing daily micro-taper 

  • Guided by Mark Horowitz

  • 31/3/24 Paxil 10.31mg

  • 31/3/24 Seroquel 9.9mg

 

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I would say NO if your asking me.  I had a friend none Ad user who changed completely on that drug and there was a post about it from a long time person on the other wd site I think her husband took it.  

 

Since you already have neurotramitter issues I think your further ahead to use the gum or nothing I am not even sure about the gum to tell you the truth but you may not have been asking me. 

 

I have seen one man use the smoking stop drug.. not sure it was called that in the old day I am sure it was zyban... then.  He did ok with it his wife got sick and could not take it .. my boss at the same time used it and lets just say she was very cranky... she stopped taking it too.. thankfully. At the time it seemed to me and the women involved that women had a hard time with stop smoking drugs... but that was just the 3 people I seen try it. 

 

I am sure other people know more about this than I do.. lets see what they say. 

peace

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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Thanks fresh

  • 1995 started Paxil 20mg slowly increasing to 50mg 2014 I decided to tapper myself not knowing how too and crashed , DR added 50mg of Seroquel

  • Through the years made many mistakes tapering

  • Started Tapering Both drugs at the same time 7.5% per month Paxil 9% Seroquel doing daily micro-taper 

  • Guided by Mark Horowitz

  • 31/3/24 Paxil 10.31mg

  • 31/3/24 Seroquel 9.9mg

 

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  • Moderator Emeritus

Another piece to the puzzle Cheeky. When did you last use champix?

 

The top two drugs involved in violent cimes according to the FDA are ad's and , you guessed it , champix.

 

That may well have contributed to your problems in the past - stay well away.

 

It should settle , I agree with btdt about discontinuing use of nicotine patches.

 

I'm more interested in the fact that you weren't doing so well at the time you started smoking. I'm assuming you started again because you were more stressed and the chemicals in ciggies can bring relief.

 

I know how impatient you are to be finished with the meds , but patience will pay off in the

long run. Did you ever do acupuncture? Remember the doctor around the corner from you will

bulk-bill you.

 

:)

 

.

1987-1997 pertofran , prothiaden , Prozac 1997-2002 Zoloft 2002-2004 effexor 2004-2010 Lexapro 40mg

2010-2012Cymbalta 120mg

Sept. 2012 -decreased 90mg in 6months. Care taken over by Dr Lucire in March 2013 , decreased last 30mg at 2mg per week over 3 months. July 21 , 2013- last dose of Cymbalta

Protracted withdrawal syndrome kicked in badly Jan.2014 Unrelenting akathisia until May 2014. Voluntary hosp. admission. Cocktail of Seroquel, Ativan and mirtazapine and I was well enough to go home after 14 days. Stopped all hosp. meds in next few months.

July 2014 felt v.depressed - couldn't stop crying. Started pristiq 50mg. Felt improvement within days and continued to improve, so stayed on 50mg for 8 months.

Began taper 28 Feb. 2015. Pristiq 50mg down to 45mg. Had one month of w/d symptoms. Started CES therapy in March. No w/d symptoms down to 30mg.

October 2015 , taking 25mg Pristiq. Capsules compounded with slow-release additive.

March 2016 , 21mg

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Yeah your right, I had the occasional cigarette with a friend and it just eventuated , I felt at the time I was entitled to have one and didn't realize I was going to start up again. I hate myself for it. I remember not having a problem at the time on if or of but I don't remember how I was after a couple of months.

  • 1995 started Paxil 20mg slowly increasing to 50mg 2014 I decided to tapper myself not knowing how too and crashed , DR added 50mg of Seroquel

  • Through the years made many mistakes tapering

  • Started Tapering Both drugs at the same time 7.5% per month Paxil 9% Seroquel doing daily micro-taper 

  • Guided by Mark Horowitz

  • 31/3/24 Paxil 10.31mg

  • 31/3/24 Seroquel 9.9mg

 

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Thanks btdt for your advice aswell. Its just an extremly stressful time at the moment and im not going to tapper again for a few months time. today has been not the best day and it been coming in waves. one minute im okay and the next im crying, then aggitated all feeling today. I just hop to ride it out and stablize soon

  • 1995 started Paxil 20mg slowly increasing to 50mg 2014 I decided to tapper myself not knowing how too and crashed , DR added 50mg of Seroquel

  • Through the years made many mistakes tapering

  • Started Tapering Both drugs at the same time 7.5% per month Paxil 9% Seroquel doing daily micro-taper 

  • Guided by Mark Horowitz

  • 31/3/24 Paxil 10.31mg

  • 31/3/24 Seroquel 9.9mg

 

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  • 3 months later...

Okay people I need advice now if that's okay

I started my tapper at the beginning of the year , I haven't tapered 40mg of Paxil yet as I wanted to get of the Seraquel first as I was only put on it because I basically went cold turkey of Paxil after 20 years and crashed badly.

I have gone from 50mg of Seraquel to 25mg in 1/4 cuts. I have been pretty good considering I had only had a bad week after each cut. It's been 4 months and I haven't tappered at all , as it has been extremely stressful at home / work and I wont to give my brain a break.

Just the last couple of days I've been feeling the anxiety creep in, the common feeling like tingling in arms, agitated and now a little panicky. I try to

Stay focus and tell myself ride it out , but I feel i need a little support. Can withdrawal happen after 4 months.

  • 1995 started Paxil 20mg slowly increasing to 50mg 2014 I decided to tapper myself not knowing how too and crashed , DR added 50mg of Seroquel

  • Through the years made many mistakes tapering

  • Started Tapering Both drugs at the same time 7.5% per month Paxil 9% Seroquel doing daily micro-taper 

  • Guided by Mark Horowitz

  • 31/3/24 Paxil 10.31mg

  • 31/3/24 Seroquel 9.9mg

 

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  • Moderator Emeritus

Hi Cheeky ,  if it were an ssri , the answer is yes , you could be having a delayed withdrawal reaction.

 

I don't know if that applies to seroquel.  But it does sound like you're having a little wave.

 

It's going to pass Cheeky , hang in there.

 

:)

1987-1997 pertofran , prothiaden , Prozac 1997-2002 Zoloft 2002-2004 effexor 2004-2010 Lexapro 40mg

2010-2012Cymbalta 120mg

Sept. 2012 -decreased 90mg in 6months. Care taken over by Dr Lucire in March 2013 , decreased last 30mg at 2mg per week over 3 months. July 21 , 2013- last dose of Cymbalta

Protracted withdrawal syndrome kicked in badly Jan.2014 Unrelenting akathisia until May 2014. Voluntary hosp. admission. Cocktail of Seroquel, Ativan and mirtazapine and I was well enough to go home after 14 days. Stopped all hosp. meds in next few months.

July 2014 felt v.depressed - couldn't stop crying. Started pristiq 50mg. Felt improvement within days and continued to improve, so stayed on 50mg for 8 months.

Began taper 28 Feb. 2015. Pristiq 50mg down to 45mg. Had one month of w/d symptoms. Started CES therapy in March. No w/d symptoms down to 30mg.

October 2015 , taking 25mg Pristiq. Capsules compounded with slow-release additive.

March 2016 , 21mg

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thanks cheeky for your input, i just wont to pass.Hope it does soon.

  • 1995 started Paxil 20mg slowly increasing to 50mg 2014 I decided to tapper myself not knowing how too and crashed , DR added 50mg of Seroquel

  • Through the years made many mistakes tapering

  • Started Tapering Both drugs at the same time 7.5% per month Paxil 9% Seroquel doing daily micro-taper 

  • Guided by Mark Horowitz

  • 31/3/24 Paxil 10.31mg

  • 31/3/24 Seroquel 9.9mg

 

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  • Moderator Emeritus

Hi Cheeky,

If you have been holding at 25mg of Seroquel for 4 months and have experienced increased anxiety for just the last few days, my guess is that its something else. You wrote that you have been under a lot of stress at home and work, could it be this do you think?

 

Is there any way you could reduce some of this stress?

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

My Introduction Thread

Full Drug and Withdrawal History

Brief Summary

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

2 month 'taper' off Lexapro 2010

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

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

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

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

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

Supplements which have helped: Vitamin C, Magnesium, Taurine

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

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

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

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

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

VIDEO: Where did the chemical imbalance theory come from?



VIDEO: How are psychiatric diagnoses made?



VIDEO: Why do psychiatric drugs have withdrawal syndromes?



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

VIDEO: Dr. Claire Weekes

 

 

 

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Yeah I will try not to do so much, but can stress trigger withdrawal .when I tappered the Seraquel I didn't do the 10% cuts I decreased by 5mg a time. So could it be that it's creeping up on me.

I've never had these feelings except in withdrawal. Yesterday I had ringing in my ears and pressure in my head, brain fog and felt very tired. Should I just stay were I am and when I feel better and stable start my Paxil tapper.

  • 1995 started Paxil 20mg slowly increasing to 50mg 2014 I decided to tapper myself not knowing how too and crashed , DR added 50mg of Seroquel

  • Through the years made many mistakes tapering

  • Started Tapering Both drugs at the same time 7.5% per month Paxil 9% Seroquel doing daily micro-taper 

  • Guided by Mark Horowitz

  • 31/3/24 Paxil 10.31mg

  • 31/3/24 Seroquel 9.9mg

 

Link to comment

Hang in there! I know it is so hard so I am praying for strength for you!

40 years old and have been on 20 mg of Paxil for the last 19 years. Multiple unsuccessful attempts to quit over the years.01/2015 Was tapering using liquid Paxil. MD has prescribed 1 ml = 2mg taper every two weeks or once withdrawal symptoms at that dose subside. Reduced from 20 to 10 mg using this method and at 10 mg severe withdrawal set in. 1.5 months of pure hell. Found SA, learned what was happening, and reinstated to 20 mg. After a month of severe symptoms recovered with the reinstatement. Fish oil - Multi Vitamin - Pro-biotic, amino-acid/B Vitamin supplement every day. Magnesium as needed.08/09/15 - 18 mg - 09/08/15 - 16.4 mg - 10/10/15 - 15 mg - 01/02/16 - 13.6 mg 02/15/16 - 12.0 mg - Bad symptom flare up 40 days into drop - Dizziness, panic/anxiety, overheating (esp at night), low appetite, headache, insomnia with bizarre dreams, internal shaking. 04/16/16 - 11mg - 7/17/16 - 10 mg holding.....

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Jlynn thank, it's a awful

Thing to have to go through. I just have to push through it and hope I see light at the tunnel.

  • 1995 started Paxil 20mg slowly increasing to 50mg 2014 I decided to tapper myself not knowing how too and crashed , DR added 50mg of Seroquel

  • Through the years made many mistakes tapering

  • Started Tapering Both drugs at the same time 7.5% per month Paxil 9% Seroquel doing daily micro-taper 

  • Guided by Mark Horowitz

  • 31/3/24 Paxil 10.31mg

  • 31/3/24 Seroquel 9.9mg

 

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  • 4 weeks later...

Need help, I reduced my Seraquel from 50mg to 25mg in around 4 months . Is that too quickly. I've had a couple of weeks good then the aniexty kicks in witch leads to me being worried and anxious . I'm waiting for this to go and get stable again . Is this normal?

  • 1995 started Paxil 20mg slowly increasing to 50mg 2014 I decided to tapper myself not knowing how too and crashed , DR added 50mg of Seroquel

  • Through the years made many mistakes tapering

  • Started Tapering Both drugs at the same time 7.5% per month Paxil 9% Seroquel doing daily micro-taper 

  • Guided by Mark Horowitz

  • 31/3/24 Paxil 10.31mg

  • 31/3/24 Seroquel 9.9mg

 

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this is a totally normal reaction to that exact reduction. I did this myself and it was brutal. So, I reinstated and tapered off more slowly.

 

I have been off Seroquel for 3 weeks and am experiencing waves of extreme depression and anxiety. I have spent about 2 years tapering off of 37.5 milligrams.

 

generally, 10% reductions are recomended.

 

however, Peter Breggin advises that if tardive dyskinesias have started, (movement disorders) one should taper off as quickly as possible. I am a dancer and found these dyskinesias intolerable so I went faster than 10% at the end.

2002: "Situational depression" 2002-2010:Prozac.Birth Control.2011 Short trials: Paxil, Celexa, Lexipro, Wellbutrin, Xanax, Ativan- Gee, Doc never mentioned protracted AD wd syndrome. Imagine that. 2011-2015. Lamictal. Seroquel. Remiron. 2012: "Complex post traumatic stress disorder." Fast taper of Remiron jumped off June 2013. Slow tapers ever since of Seroquel & Lamictal.  crippling muscle spasms. crying fits. panic attacks. akathisia. nerve twitches. the jitters. the heebie jeebies. de-personal/realization. numbness. tingling. fatigue. lethargy. nightmares.insomnia. weird images. eye pain.vertigo. dizziness. brain zaps. and on and on and on. withdrawal? side effects? which drug? impossible to know. Stopped Seroquel October 2015.  Stopped Lamictal  March 2016. Had more severe muscle/joint spasms that paralyzed me for 3 days at a time, last episode was March 2017.Going back to work as of February 2018 after 14 years off full-time work due to the crippling effects of psych meds. Check out Robert Whittaker "Anatomy of an Epidemic" for  his breakdown of the rates of mental disability  since the introduction of Prozac into the human population. Best solutions for me: Social support via AA meetings. Acupuncture. Meditation. Dance. Nature. Yoga. Social support online with psych med survivor community. Nutrition. Exercise. More outdoor time. Go sit in the sunshine for 5 minutes. Touch a tree. Breathe deeply.

 

 

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  • Administrator

Hello, Cheeky. I moved your posts to your Intro topic. Please put your updates here.

 

You may be going too fast. See Why taper by 10% of my dosage?

 

You may wish to hold on tapering for a bit, to let your system settle down.

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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Hi everyone,

I just won't to ask a question.

Is it called poop out when someone is on a dose and they get symptoms again and there not aware of withdrawal .

Example : if someone is takeing 20mg of ciprmil an antidepressant for 14 years and it starts to not work so the doctor increases there dose again, then they feel better, is that poop out and another question "

What if someone has been takeing an antidepressant for 20 years and are at the maximum dose , dose it ever stop working ?

Sorry for the questions I'm just wondering for friends of mine

  • 1995 started Paxil 20mg slowly increasing to 50mg 2014 I decided to tapper myself not knowing how too and crashed , DR added 50mg of Seroquel

  • Through the years made many mistakes tapering

  • Started Tapering Both drugs at the same time 7.5% per month Paxil 9% Seroquel doing daily micro-taper 

  • Guided by Mark Horowitz

  • 31/3/24 Paxil 10.31mg

  • 31/3/24 Seroquel 9.9mg

 

Link to comment
  • Moderator

Hi Cheeky--  Poopout is the slang term for tolerance.  Which is your body starting to tolerate the amount of drug it's getting and not reacting to it.  The usual course of action is to increase the dose and try to fool the body into accepting that everything is better. The first updose usually works somewhat, but not as well as the original worked.  Further updoses have even less affect and the symptoms really start to take hold. From what I've seen and experienced the original does is good for about 10 years max, the first updose for about 3 years and and second updose has very little affect.

 

I was on paxil for 19 years before I started to taper. Ten years at 20mg, 5 years at 30mg and 4 years at 40mg.  By the end of 19 years I was a total mess, the drug was providing no positive affect at all and instead caused a lot of problems.

 

Hope that helps.

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

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

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

 

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

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I would say that's poop out for your friend. I have a friend in the same boat, and now she's trying to switch from one version of the same med to the other but I don't know how that will work out. Im doubtful. Anyway my experience was that I had a lot less mileage with Effexor, I had to updose the first time after only 6 months, then I was lucky to get a year out of each successive updose, and there were many, and I finally crashed and burned at 5 years. I think Effexor is different in some ways though.

2 Timothy 1-7 For God hath not given us the spirit of fear; but of power, and of love, and of a sound mind.

Effexor 75mg to 262.5mg 2005-2010 for post partum depression

Started having poop out mid 2010, also switched generic brands, then crashed in Dec 2010 (anxiety/ "terror", intense DR, anhedonia, suicidal ideation, chills, insomnia, horrible intrusive thoughts, disorientation, ect)
Rapid "tapered" from 262.5mg Effexor in 3 months

Tried Celexa,Cipralex, then Paxil to deal with wd(this switching made things worse and added akathesia)

Found online support and started tapering Paxil 7 months after quitting Effexor (at this point was having small windows).

Paxil taper: dropped 10% every 4-8 weeks

Year 1 October 2011 to Nov 2012 20mg to 10mg

Year 2 March 2013 to Feb 2014 10mg to 4mg

Year 3 April 2014 to May 2015 4mg to 1.1mg

Year 4 June 2015 1.1mg , dropping by 10% until .5mg, after then dropped by 0.1mg every 5 weeks until 0.1mg.

Finished! Official last dose of 0.1mg on June 15/16

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That's very interesting, thanks. I worry about these two people as one is my sister who has been on ciprmil for 14 years and just recently upped her dose to 20mg and her husband was put on Paxil the same time I started 29 years ago( by the same happy pill doctor) 40mg.

They both believe everything the dr says and would never agree with the knowledge of this site. It saddens me that they are so gneive about this drugs.i would love to help them, but find it would be a waste of time .

  • 1995 started Paxil 20mg slowly increasing to 50mg 2014 I decided to tapper myself not knowing how too and crashed , DR added 50mg of Seroquel

  • Through the years made many mistakes tapering

  • Started Tapering Both drugs at the same time 7.5% per month Paxil 9% Seroquel doing daily micro-taper 

  • Guided by Mark Horowitz

  • 31/3/24 Paxil 10.31mg

  • 31/3/24 Seroquel 9.9mg

 

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I've been on paxil for 19 years and a few years ago tried my first taper by how the doctors tell you to. This many mg's for a week then another decrease in mg's another week and so on..

 

That did not work so I reinstated. . A few years after that I wasn't even trying to taper and I went into full blown withdraw.. never knew it was withdrawl until I started researching online.. I had switched getting my meds at a different pharmacy and they use a different manufacturer and that is what caused my withdrawl.. I went back to what I was using before and within a week I was feeling so much better..

 

Jan 2014 I started a taper of doing 1mg drops every 4-6 weeks (most being every 4 weeks) and didn't have any withdrawl symptoms until this past July when I crashed... got down to 30mg from 40.. had to reinstate back up to my original dose of 40..

 

My withdrawls are delayed so the next time I do a taper I will be going even slower.

 

I reinstated July 7... I'm feeling pretty good but I'm not going to taper yet..going to give my brain a few months to recover..

 

I know it will take me years to get off but that's ok.. I can't function while in withdrawl. Nice and slow wins the race..

 

We will do this and survive... it's just going to take a lot of time.. no need to hurry.. take all the time you need :-)

 

Hugs!

 

Been on Paxil since 96”-97”, 40mg tried 3 times to get off and didn’t work, started a very slow taper Jan 2016, have only dropped down by 3 mg.. on 37mg currently.. have very delayed withdrawals. Last drop was in July 2017.. still have waves and windows. 

 

Magnesium 200mg, foilc acid 1 mg, vitamin d3 5000iu, Blood pressure meds-Verapamil & Irbesartan... Smoke cbd flower once in awhile. 

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Thanks dreamspirit,

I was going to try the 2% tapper every 4 weeks, I'm just so scared to get it wrong. So you got down to

30mg in 19 months, it that correct

  • 1995 started Paxil 20mg slowly increasing to 50mg 2014 I decided to tapper myself not knowing how too and crashed , DR added 50mg of Seroquel

  • Through the years made many mistakes tapering

  • Started Tapering Both drugs at the same time 7.5% per month Paxil 9% Seroquel doing daily micro-taper 

  • Guided by Mark Horowitz

  • 31/3/24 Paxil 10.31mg

  • 31/3/24 Seroquel 9.9mg

 

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Yes, then I crashed.. I didn't have aNY withdrawl symptoms until then.. it caught up with me. .

 

Been on Paxil since 96”-97”, 40mg tried 3 times to get off and didn’t work, started a very slow taper Jan 2016, have only dropped down by 3 mg.. on 37mg currently.. have very delayed withdrawals. Last drop was in July 2017.. still have waves and windows. 

 

Magnesium 200mg, foilc acid 1 mg, vitamin d3 5000iu, Blood pressure meds-Verapamil & Irbesartan... Smoke cbd flower once in awhile. 

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That's awful, I really hope that dosn't happen to me. I'm going to have to try it and see. I'm starting my tapper in January, new year new life

  • 1995 started Paxil 20mg slowly increasing to 50mg 2014 I decided to tapper myself not knowing how too and crashed , DR added 50mg of Seroquel

  • Through the years made many mistakes tapering

  • Started Tapering Both drugs at the same time 7.5% per month Paxil 9% Seroquel doing daily micro-taper 

  • Guided by Mark Horowitz

  • 31/3/24 Paxil 10.31mg

  • 31/3/24 Seroquel 9.9mg

 

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Okay everyone, I have decided to tapper the Seraquel first to get down to 10mg and then stay on that while I tapper of the paxil.

I have been doing 5mg cuts for the last 4 months and I feel now I have stabilized. I have just started a 10% cut of my 25mg of Seraquel for the last couple of nights, should thst be okay or am i going to fast. I am going to stsy at 22mg till after Christmas

  • 1995 started Paxil 20mg slowly increasing to 50mg 2014 I decided to tapper myself not knowing how too and crashed , DR added 50mg of Seroquel

  • Through the years made many mistakes tapering

  • Started Tapering Both drugs at the same time 7.5% per month Paxil 9% Seroquel doing daily micro-taper 

  • Guided by Mark Horowitz

  • 31/3/24 Paxil 10.31mg

  • 31/3/24 Seroquel 9.9mg

 

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  • 1 month later...

Hey everyone , I'm now down to

18.76 mg of Seraquel , I feel okay but I trashed myself on New Years Eve and this week I'm feeling abit off. I'm wondering if I should start the Paxil tapper when I get down to 12.5mg of Seraquel in a few weeks and just stay there for the year while I tapper Paxil.

Also I have decided to do what Brassmonkey did and do 2.5% drop for every week (4 weeks) then hold for

2 weeks.

I just worry about my outcome and wish I knew the answers. I have quit

Sugar from my diet and have been takeing fish oil and magnesium, I won't my body to be in optimal health.

Any suggestions would be great thanks

  • 1995 started Paxil 20mg slowly increasing to 50mg 2014 I decided to tapper myself not knowing how too and crashed , DR added 50mg of Seroquel

  • Through the years made many mistakes tapering

  • Started Tapering Both drugs at the same time 7.5% per month Paxil 9% Seroquel doing daily micro-taper 

  • Guided by Mark Horowitz

  • 31/3/24 Paxil 10.31mg

  • 31/3/24 Seroquel 9.9mg

 

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  • Moderator Emeritus

Personally, I'd just keep chipping away at the Seroquel until down to zero, then take a few months break before beginning an extremely slow Paxil taper.  I can understand wanting to keep the Seroquel on to help 'cushion' Paxil w/d, but if you taper slowly enough you may not need it.  Also, there may be the temptation to taper Paxil more quickly and then use increased Seroquel doses to cope with bad patches.  Also, the Paxil taper could take years, and I wouldn't want to stay on Seroquel that long.  But if you do decide to stay on it, at least you'll be on a low dose.

 

We all worry about our outcomes, and wish we knew all the answers!  There are no exact answers, everyone needs to figure out what works best for them, and that can be different for different people.  My best advice would be to listen to your body and let it get stable after each drop before starting the next drop.

2001–2002 paroxetine

2003  citalopram

2004-2008  paroxetine (various failed tapers) 
2008  paroxetine slow taper down to

2016  Aug off paroxetine
2016  citalopram May 20mg  Oct 15mg … slow taper down
2018  citalopram 13 Feb 4.6mg 15 Mar 4.4mg 29 Apr 4.2mg 6 Jul 4.1mg 17 Aug 4.0mg  18 Nov 3.8mg
2019  15 Mar 3.6mg  21 May 3.4mg  26 Dec 3.2mg 

2020  19 Feb 3.0mg 19 Jul 2.9mg 16 Sep 2.8mg 25 Oct 2.7mg 23 Oct 2.6mg 24 Dec 2.5mg

2021   29 Aug 2.4mg   15 Nov 2.3mg

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Thankyou Petunia for your wise advise, I will get off the Seraquel first, one drug is better them two . How have you been going on your tapper?

  • 1995 started Paxil 20mg slowly increasing to 50mg 2014 I decided to tapper myself not knowing how too and crashed , DR added 50mg of Seroquel

  • Through the years made many mistakes tapering

  • Started Tapering Both drugs at the same time 7.5% per month Paxil 9% Seroquel doing daily micro-taper 

  • Guided by Mark Horowitz

  • 31/3/24 Paxil 10.31mg

  • 31/3/24 Seroquel 9.9mg

 

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  • 1 month later...
  • Moderator Emeritus

Hi Cheeky ,   good to hear things are going well for you.

 

Re paxil taper from 40mg:   your first drop of 10% will be to 36mg.

Using 20mg tablets , you'll take 1 plus 3/4 (35mg).

 

To get an extra 1mg:

Take 2 of the extra 1/4 tablets i.e. 2 x 5mg.

Dissolve in 10mls of water ( I use an essential oil bottle and a 10ml syringe).  

Now , each 1ml of solution contains 1mg of medicine. 

This will keep for 10 days in the fridge , then you make a new batch.

A 3ml syringe fits easily into the bottle.

 

If you decide to try a 5% cut first , follow the same instructions , but take 3ml of liquid (38mg total).

 

See   

How to make a liquid from tablets or capsules

and

Tips for tapering off Paxil (paroxetine)

and

 

Combining tablets or capsules with liquid to taper

and

 

Chicken's Liquid Taper Video

 

 

;)

1987-1997 pertofran , prothiaden , Prozac 1997-2002 Zoloft 2002-2004 effexor 2004-2010 Lexapro 40mg

2010-2012Cymbalta 120mg

Sept. 2012 -decreased 90mg in 6months. Care taken over by Dr Lucire in March 2013 , decreased last 30mg at 2mg per week over 3 months. July 21 , 2013- last dose of Cymbalta

Protracted withdrawal syndrome kicked in badly Jan.2014 Unrelenting akathisia until May 2014. Voluntary hosp. admission. Cocktail of Seroquel, Ativan and mirtazapine and I was well enough to go home after 14 days. Stopped all hosp. meds in next few months.

July 2014 felt v.depressed - couldn't stop crying. Started pristiq 50mg. Felt improvement within days and continued to improve, so stayed on 50mg for 8 months.

Began taper 28 Feb. 2015. Pristiq 50mg down to 45mg. Had one month of w/d symptoms. Started CES therapy in March. No w/d symptoms down to 30mg.

October 2015 , taking 25mg Pristiq. Capsules compounded with slow-release additive.

March 2016 , 21mg

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  • 1 month later...

Hey everyone. I've been on 12.5 mg of seraquel for the last 5 weeks and feeling all over the place, irritable a bit anxious mainly in the morning till around 3pm better a nights but feeling like I'm coming down with the flu. I'm just wondering is this normal after 5weeks and I'm still confused as to weather I should start the Paxil tapper next or keep on tapering Seraquel. I just worry the longer im on Paxil the harder it's going to be to get off. I also have a question , will I have more energy the less I take of Paxil , I feel it's a sedating drug as I always feel tired .since coming down on Seraquel I have way more energy but I still need my sleep during the day . Any help would be appreciated thanks

  • 1995 started Paxil 20mg slowly increasing to 50mg 2014 I decided to tapper myself not knowing how too and crashed , DR added 50mg of Seroquel

  • Through the years made many mistakes tapering

  • Started Tapering Both drugs at the same time 7.5% per month Paxil 9% Seroquel doing daily micro-taper 

  • Guided by Mark Horowitz

  • 31/3/24 Paxil 10.31mg

  • 31/3/24 Seroquel 9.9mg

 

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