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KAR's paxil withdrawal


Kar

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Hi All

Over the past almost two years have reduced from 40mg paxil to 25/27.5mg paxil.

 

What I mean by that is currently I am alternating between 25mg and 27.5mg every other day in effort to slowly get to 25mg.  This means Monday I take 25mg, Tuesday I take 27.5mg, Wednesday I take 25mg and so on.  This is my second attempt to get down to 25mg.  If possible, I'd like to get down to 20mg.  If not, then so be it.

Have been on paxil close to 20 years, on 40mg the second ten years.

Current withdrawal symptoms are what seems to be a lot of muscular back pain, also joint pain, general aches and pains, fatigue, depression and anxiety, hot and cold.  All except the back pain are consistent with what I've experienced before as withdrawals.  This time also I am extremely sensitive to the cold.  Feel cold a lot of the time.

 

Also since I started withdrawing, I've had quite severe food sensitivities emerge.  I am sensitive to salicylates, amines and glutamates.  These cause eczema and also swelling on my face if I eat too much of them.  I am under a dietician's guidance with respect to diet.

 

Regards
K

March 2013-June 2015 reduced from 40mg to 18.5mg paxil. In mid June 2015, switched to Zoloft 50mg. (was on paxil approx 20 years)

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  • Moderator Emeritus

Hi kar,

 

Welcome to SA and congratulations on the progress you have made so far.  Well done.

 

We don't advocate alternate doses as you have described.   Our philosophy is based on providing your system with a stable platform for it to wean itself off its adaptations to the presence of drugs in the system.

 

I would encourage you to read this thread and then perhaps come back and discuss some more or ask questions.  http://survivingantidepressants.org/index.php?/topic/6632-the-rule-of-3kis-keep-it-simple-keep-it-slow-keep-it-stable/

 

Once again, 

 

Welcome to SA

 

Dalsaan

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

Was on 1.6 ml as at 19 March 2014.

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

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

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

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

 

DRUG FREE - as at 1st May 2017

 

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

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Thanks Dalsaan for your quick reply.

 

I have had a quick read of the link but will have a slower read later.

 

The approach recommended by my doctor was as follows:

* week one - reduce dosage by one on day per week until stable

* week two - reduce dosage on two days per week (non consecutive) until stable

* week three - reduce dosage on three non-consecutive days per week until stable

and so on until you are taking the new lower level every day.

 

This is the method I have used to reduce from 40mg to my current point where I am on alternate doses as detailed in my first post.

I will read the information on your site and consider switch to 25mg every day.

Thanks again.

 

regards

k

March 2013-June 2015 reduced from 40mg to 18.5mg paxil. In mid June 2015, switched to Zoloft 50mg. (was on paxil approx 20 years)

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  • Moderator Emeritus

Hi Kar,

 

We also recommend a percent reduction, 5-10% of your previous dose, rather than a set/same drop each time.

 

I think your current strategy becomes more risky for withdrawal the lower you go.   This thread explains why - http://survivingantidepressants.org/index.php?/topic/6036-why-taper-paper-demonstrates-importance-of-gradual-change-in-plasma-concentration/

 

dropping 5 mg off a 50mg starting dose is not the same as dropping 5mg from 25 to 20

 

D

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

Was on 1.6 ml as at 19 March 2014.

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

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

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

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

 

DRUG FREE - as at 1st May 2017

 

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

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Thanks Daslaan.  That is what I have been doing - 10% or less each time I've reduced.  Thanks.

March 2013-June 2015 reduced from 40mg to 18.5mg paxil. In mid June 2015, switched to Zoloft 50mg. (was on paxil approx 20 years)

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  • Moderator Emeritus

Hi Kar,

 

That's great. If you've struggled to get past this point previously you might want to consider reducing your percentage to 5 percent or explore a micro taper There is some discussion on that here http://survivingantidepressants.org/index.php?/topic/2878-micro-taper-instead-of-10-or-5-decreases/

 

There are options if you struggle

 

Dalsaan

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

Was on 1.6 ml as at 19 March 2014.

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

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

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

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

 

DRUG FREE - as at 1st May 2017

 

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

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Thanks Dalsaan.

March 2013-June 2015 reduced from 40mg to 18.5mg paxil. In mid June 2015, switched to Zoloft 50mg. (was on paxil approx 20 years)

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  • Moderator Emeritus

Hi Kar , welcome from Sydney.     This site has so much information from others who've been through this too.   All of us have been given incorrect or dangerous advise from doctors at some stage.  They don't seem to know better.

It sure sounds like you're having some withdrawal symptoms on your current protocol.    Would you consider sitting on 27.5mg every day until things stabilize?

That's what I would do.     Then you can work out the least disruptive way to go down from there.

Best  wishes ,   Fresh

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. This is actually my second attempt at getting to 25mg and so far it's been a lot less worse than the last attempt (Probably 6 months ago).

 

When the withdrawal symptoms eventually pass I often get improvements such as improved ability to think clearly.

 

I will persevere a bit longer. One positive is also that I am able to sleep a lot. So I can sleep through some of the worst symptoms! Just not helpful for working! ; )

March 2013-June 2015 reduced from 40mg to 18.5mg paxil. In mid June 2015, switched to Zoloft 50mg. (was on paxil approx 20 years)

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  • Moderator Emeritus

Wow , if you're able to work then it's not a good time to be battling withdrawals.    What do you think about the idea of the same dose every day , rather than alternating?

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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I have worked full time throughout my reductions.

 

I am seriously considering going to 25mg every day. But the approaches I have outlined above is how I have gotten to where I am now.

March 2013-June 2015 reduced from 40mg to 18.5mg paxil. In mid June 2015, switched to Zoloft 50mg. (was on paxil approx 20 years)

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  • Administrator

Welcome, KAR.

 

This topic contains more detail about titrating Paxil Tips for tapering off Paxil (paroxetine)

 

Since you are having some withdrawal-related symptoms, you may wish to hold off on tapering for a while and let your nervous 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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Thanks Altostrata. I have been reading that thread.

 

I always have withdrawal symptoms with reductions - it's a matter of degree. So far, these withdrawal symptoms are not as severe as previously. So I will persevere for a bit longer before making any further changes. They seem to be abating a little.

 

Thanks!

March 2013-June 2015 reduced from 40mg to 18.5mg paxil. In mid June 2015, switched to Zoloft 50mg. (was on paxil approx 20 years)

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  • Administrator

At this point, your system may be telling you to slow down and make even smaller reductions.

 

Are you using Paxil liquid?

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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My withdrawal symptoms have continued to reduce over the last few days.

 

Not onto liquid paxil yet but plan to get it.

 

Thanks

March 2013-June 2015 reduced from 40mg to 18.5mg paxil. In mid June 2015, switched to Zoloft 50mg. (was on paxil approx 20 years)

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  • Moderator Emeritus

Hi Kar , how are things going for you?

 

Good to hear you were improving at time of your last post.  ; )

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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Hi Fresh

Thanks for the post.

I'm feeling great.  This is consistent with my previous experiences of reducing my paxil dose - I go through a bit of a rough patch, but then I come out the other side and feel better than I have in years.  I am calmer, I think more clearly, and physically I feel great - lots of energy.

cheers

k

March 2013-June 2015 reduced from 40mg to 18.5mg paxil. In mid June 2015, switched to Zoloft 50mg. (was on paxil approx 20 years)

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  • 1 month later...

Hi Everyone

A brief update - I stablised at 23.5mg (i.e. feeling good).  So am about to commence another 1mg reduction to 22.5mg. 

 

My specialist has said that once I get to 20mg paxil, then I can switch to Zoloft (equivalent dosage).  She said get up one day and stop taking paxil and start taking the Zoloft and take two weeks off work.

 

My specialist is very experienced.  But I am interested in the experiences of others here on the website of changing drugs in this way.  If anyone can point me to individual threads I would be grateful.

Thanks.

Regards

KAR

March 2013-June 2015 reduced from 40mg to 18.5mg paxil. In mid June 2015, switched to Zoloft 50mg. (was on paxil approx 20 years)

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Why would she switch you while you are doing so well? Makes no sense you will have to deal with a cold turkey off 20 paxil and startup effects from Zoloft! Bridging rarely works and why do it if you are doing ok? Don't step onto the "merry go round".

Paxil start September 2003 due to Fluoroquinolone adverse reaction that I wish doc. knew what it was. 10mg. most of the time with a few short runs of 20mg. FAST tapered 3 times and finally hit poop out or a reaction to nsaid's in Nov.2013. Started a 10% taper Jan. 2014 and have been ok until Sept 14 and went through a short hell. Now plodding through and looking for the light with unrelenting insomnia and pain, fog, loss of interests....<p>12/20/14 - .8mg.

1/01/15 - .75 mg.

1/15/15 - .42 mg. better sleep now, hope it continues...

2/11-15 - .25 mg. doing really good!! 2 weeks feel 85% of old me!

3/17/15 .14 mg. Knee pain bad!

4/07/15 .05 mg. this is so small now that I am estimating and just licking it off palm small as a "." 

4/13/15 NOTHING !!!! Took my last little micro dose on 4/12/15. 

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When I read that I thought omg - to zoloft? Zoloft ime is a terrible drug and you would have the fallout of the paxil withdrawal to deal with. However, sometimes things do work for people but since your 'boat' so to speak is stable I would hate to see it rocked!

2000 - sertraline for job anxiety low confidence (17 years old) ..which turned the next 16 years into nightmare!

 

On/off sertraline severe withdrawals every time. 2014 - felt better as reduced dose of sertraline no more inner restlessness. Doctor rushed off again. Hit severe withdrawal. Lost the little I had in life. Couldn't get stable again on 12.5mg. Was switched to prozac. Had severe reaction to prozac..came off in November 2015 at 6mg as felt more confused and damaged on it..Even more withdrawal ..rage, depression, dyphoria, near constant suicidal ideation, self harm impulses, doom, concrete block in head, unable to do much of anything with this feeling in head..went back on 6mg of sertraline to see if would alleviate anything. It didn't..reduced from December to June 2016 came off at 2.5mg sertraline as was hospitalised for the severe rage, suicidal impulses, and put on 50mg lofepramine which in 2nd week reduced all symptoms but gave insomnia which still have..psych stopped lofepramine cold turkey..no increased withdrawal symptoms new symptoms from lofepramine except persistant insomnia which has as side effect.

 

Taking Ativan for 8 months for the severe rage self harm impulses 1-3 times a week (mostly 2 times a week) at .5mg. Two months (I'm unsure exactly when the interdose started to happen) ago interdose withdrawal seemed to happen..2 days I think after the Ativan.

 

 

Nightmare that could have been avoided!

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Hi!

I had a terrible time on zoloft. I would not change. They dont equal in doses either. 20 mg paxil= 50 mg zoloft.

I think it's better to stay with one drug.

All the best!

Current dose: 0! Free!  Quit June 2017.

2017: Last dose zoloft: 17 June 0,00065 mg 18 May 0, 001 mg 14 May 0,002 mg 9 May 0,003 mg 28 April 0,006 mg 19 April 0,009 mg 8 April 0,013 mg 25 March 0,019 mg 22 March 0,039 mg 18 March 0,052 mg 16 March 0,079 mg 4 March 0,086 1 March 0,099 mg 22 February 0,11 mg 15 February 0,13 mg 6 February 0,145 mg 24 January 0,15 mg 19 January 0,19 mg 10 January 0,20 mg 3 January

2016: 0,98 to 0,22 mg; 2015: 2,35 to 1,01 mg; 2014: 4,9 to 2,5 mg; 2013: 9,1 to 5,1 mg; 2012: 15,7 to 9,7 mg; 2011: Started on 25 mg - then 50 mg- dropped to 25- to 12.5 mg - back to 25 mg - after 18.75 mg started tiny tapering to 16.6 mg

Started on 25 mg Zoloft in March 2011 due to stressrelated tinnitus that gave me panicattacks. Had a terrible reaction to Zoloft from start, but was told to "hold on". After four months I was stuck. Therefore the long taper. Crazy, I know... Super sensitive to drops and have dropped by 4-6 % from the previous dose.

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Hi Everyone

Thanks for sharing your experiences and views.

 

The reason for switching to Zoloft is because it is safer than paxil for pregnancy according to my specialist.

 

I also don't have a lot of time because I only 18 months off turning 40.  Originally I had thought I would have to wean completely off paxil but my specialist said I could switch from paxil to Zoloft once I hit 20mg of paxil.

 

If you know of anyone who has switched from paxil to zoloft, I'd be grateful if you could let me know and I'll read their thread.

THanks.

 

regards

k

March 2013-June 2015 reduced from 40mg to 18.5mg paxil. In mid June 2015, switched to Zoloft 50mg. (was on paxil approx 20 years)

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  • Administrator

Kar, if I were you, I would double-check your specialist's statement about all psychiatric drugs.

 

I don't believe Zoloft is any safer for pregnancy. They're all about the same risk.

 

Switching to another SSRI always incurs the risk of nervous system destabilization. We recommend switching to another drug as only a last resort, if you have difficulty reducing the first drug.

 

I am sorry you are faced with these choices while pregnant.

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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Thanks Alostrata.  

 

The specialist went through in great detail the risks associated with paxil as compared to zoloft in pregnancy (the exact conditions that are at increased risk for the both the mother and the baby, the percentages of those increased risks, the studies on which these statistics are based and the and the limitations of these studies).  The risks were higher for paxil than zoloft.  On the basis of the conditions that are risks to mother and baby, my partner and I decided to attempt to switch to Zoloft.

 

Also, just fyi, I'm not pregnant.  We are trying to do these changes, and if we can do them, then we will attempt to have a child.  If I'm not up to the changes, then we probably won't have a child.

 

I'm still interested in anyone's experiences of switching from paxil to zoloft.  Searching the net I've found some horror stories, but also stories of people who changed without any problems.

Thanks.

 

regards

Kar

March 2013-June 2015 reduced from 40mg to 18.5mg paxil. In mid June 2015, switched to Zoloft 50mg. (was on paxil approx 20 years)

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I would use Google to read up on Zoloft pregnancy risks compared with Paxil. Read it with your own eyes.

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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  • 2 weeks later...

Hi All

I seem to be experiencing the return of severe PMS with my paxil reductions.  Is this familiar to anyone?

Any suggetions on things that might help?  (In the past I've tried the pill, evening primrose oil - neither made any difference).

 

cheers

kar

March 2013-June 2015 reduced from 40mg to 18.5mg paxil. In mid June 2015, switched to Zoloft 50mg. (was on paxil approx 20 years)

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Hi All

Past the PMS.

 

Ongoing withdrawal symptoms of: almost constant generalised anxiety, lots of depressive thoughts, very pessimistic, grumpy, I feel scared a lot of the time - of all sorts of things (scared of getting out of bed, scared of having to interact with people, scared of going to work, scared of driving the car), obsessed with food and just want to eat eat eat all the time (have put on a bit of weight).

 

This is the first time I have experienced the food obsession and eating more. I also haven't had the constant anxiety as a withdrawal symptom before. 

 

I've been at 22.5mg paxil for three weeks now. 

 

I'll see how things go over the next week days. (When my withdrawal symptoms lift they often do so quite suddenly and then I feel fantastic - mentally 'normal' and physically lots of energy and strength).  But am considering going back up to 23mg for some relief.  (In the past, going back up has brought me relief - and then when I try to go down again, it is usually easier than the first attempt).

 

Thanks.

 

regards

kar

March 2013-June 2015 reduced from 40mg to 18.5mg paxil. In mid June 2015, switched to Zoloft 50mg. (was on paxil approx 20 years)

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  • Moderator Emeritus

I seem to be experiencing the return of severe PMS with my paxil reductions.  Is this familiar to anyone?

 

Any suggetions on things that might help?  (In the past I've tried the pill, evening primrose oil - neither made any difference).

 

I've had success with vitex capsules, however responses to herbs and supplements vary hugely between individuals, so YMMV.

 

I've been at 22.5mg paxil for three weeks now. 

 

I'll see how things go over the next week days. (When my withdrawal symptoms lift they often do so quite suddenly and then I feel fantastic - mentally 'normal' and physically lots of energy and strength).  But am considering going back up to 23mg for some relief.  (In the past, going back up has brought me relief - and then when I try to go down again, it is usually easier than the first attempt).

 

I'd probably stick it out another few weeks at the current dose.  I'd only updose if things got really unbearable.  If withdrawal symptoms after each drop are so bad you feel like you need to updose to get relief, you might consider doing smaller drops, which should make it a bit easier.

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 Songbird.

March 2013-June 2015 reduced from 40mg to 18.5mg paxil. In mid June 2015, switched to Zoloft 50mg. (was on paxil approx 20 years)

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I would not switch to zoloft either. As alto said all new SSRIs have about the same risks. I encourage you to send an e-mail to Dr. David Healy about the matter, he is a specialist in SSRIs and their risks. I've heard he responds rather quickly to patient e-mails.

 

Good luck!

2008-2014: various doses of Sertraline between 25-150mg. Put on it initially for very mild anxiety.

Occasionnally Xanax 0.25mg, maybe twice a month.

Summer 2014: much too rapid taper off Sertraline (had no clue about withdrawal) from 25mg to nothing in about two months.

September 2014: last Sertraline pill.
End november 2014: begin WD symptoms (severe headaches, nausea, dizziness, lightheadedness, zaps, head/face/ear pressure, severe debilitating anxiety and insomnia, muscle pains and spasm,..) 

Begin february 2015: had developed what I now know is akathisia, arrived at the psych ER severly sleep deprived. Put on a drug regimen consisting of: Sertraline 25mg, Trazolan 100 mg for sleep and Temesta 2,5 when needed.

Had a severe adverse reaction to the Sertraline reinstatement and became acutely suicidal within days. Akathisia and all physical symptoms became worse. Doctor pushed the doses further up until I, in a moment of lucidity, found a psychiatrist who believed me when I said I was in WD.

Mid march 2015: off all psych meds. Suicidal thoughts diminshed greatly, insomnia got somewhat better but akathisia is still relentless and physical symptoms quite debilitating. At least drugs are out of my system and healing can finally commence.

I avoid coffee, alcohol and exercise and am not taking any supplements whatsoever. I am just leaving my body and brain to be.

 

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Thanks Silverstar.

 

So I had a break in my depression, anxiety and other withdrawal symptoms and felt really good for a few days.

 

However, now I'm completely exhausted again and emotionally wrought. Also had a diarrohea episode.  Not sure if these are withdrawals, or I've just caught a bug.

But I sleep and sleep and sleep and sleep and sleep!  It's quite amazing.  On weekends I typically sleep 12 hours per day.  On weekdays, 10 hours.

regards

k

March 2013-June 2015 reduced from 40mg to 18.5mg paxil. In mid June 2015, switched to Zoloft 50mg. (was on paxil approx 20 years)

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I did a CT not realizing I would have WD, and anyway, even now 17 months out I'll have flu-like symptoms that typically involve stomach issues and bejng reallllllly cold.

Paxil 20mg from 1998-2011 

Paxil 40mg from 2011-2012 while experiencing poopout

October 2013 quit cold turkey

Oct-mid Nov 2013 great window

Late November WD nightmare 

Windows and waves pattern 

Now: 28 months cold turkey...doing decent learning to deal with the windows/waves pattern fighting it every step of the way. 

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  • Moderator Emeritus
However, now I'm completely exhausted again and emotionally wrought. Also had a diarrohea episode.  Not sure if these are withdrawals, or I've just caught a bug.

But I sleep and sleep and sleep and sleep and sleep!  It's quite amazing.  On weekends I typically sleep 12 hours per day.  On weekdays, 10 hours.

 

All fairly normal stuff for withdrawal.  Don't worry about the sleep, sleep is a good thing.

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 Songbird and Coldturkmama for sharing your experiences and thoughts.  Much appreciated.

I have that feeling really really really cold thing too!  It's always an indicator to me I'm in withdrawals!

 

cheers

March 2013-June 2015 reduced from 40mg to 18.5mg paxil. In mid June 2015, switched to Zoloft 50mg. (was on paxil approx 20 years)

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Hi Kar! I can identify with wanting to sleep so much and also the worsening of the PMS symptoms. I probably sleep almost 10 hours a night, sometimes interrupted, and still do not want to get up. I think that will change when our doses get lower, but maybe our bodies really need that extra rest for healing? I don't know. And I was extremely irritable, angry and resentful for several days about a week before my cycle this time, which is unusual. I will have to better manage that next time, my poor so and husband!

 

Oh, I had a bad experience with trying to switch to Zoloft in January, which is how I found SA. You can look at my signature, but I don't recommend it. And I had successfully switched ADs before with very little trouble, but I could tell as soon as I was completely off the Paxil that Zoloft was not going to work for me. I'll be following your thread to see how you are doing. I am holding at 10 mg for now after a too fast taper from 40 mg. Best wishes to you, hang in there!

2005-2009, Lexapro 10 - 20 mg, CT WD w/severe depression and anxiety:  2010-2015, Paxil, 30 - 40 mg, tapered off at 10 mg/week, moderate anxiety and depression:  2010-2015, Clonozapam 0.25 mg, as needed for anxiety and sleep:  1/10/2015, Zoloft 25 mg, tried to increase to 50 and 75, but nausea and dizziness:  2/13/2015, Paxil 5 mg, added back after 2 weeks at zero to reduce WD:  2/28/2015, Paxil 10 mg, increased from 5 mg to reduce WD, HOLDING:  3/04/2015, Zoloft discontinued (reduced to ~12.5 mg on 2/19, ~6.25 mg on 2/26, then zero):  4/26/2015, Paxil starting 10% taper (no scale so was inadvertently at 20% taper, yikes!):  4/30/2015, Paxil 10 mg, reinstated (WD disappeared between August 2015 and May 2016)

5/02/2016, Started 10% taper, reinstated to 10 mg on 5/11/16:  4/29/2017, Last dose of Paxil (working with holistic psychiatrist, lots of supplements to aid WD):  Primary symptoms: apathy, demotivation, anhedonia, fatigue, stress intolerance, moderate social anxiety

7/1/2018 Finally feeling like myself again, success!!! Praise God! Even with the stress of relocating recently, I am feeling pretty good most of the time now. Granted, I eat healthy, I exercise, I don't drink caffeine or alcohol and I try hard find a healthy balance of quiet and social times. Hang in there and keep the faith, you can do it too!

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  • 4 weeks later...

I stabilised for a bit and so have dropped another 1.5mg.

 

Interestingly, often in the first week of a drop I feel a lot better MENTALLY (though wobbly physically). Often takes a week before I get mental withdrawal symptoms.

March 2013-June 2015 reduced from 40mg to 18.5mg paxil. In mid June 2015, switched to Zoloft 50mg. (was on paxil approx 20 years)

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