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marie2015: the feeling of going crazy


marie2015

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hello all,

 

I am in desperate need for support. I think I am in serious trouble with remeron withdrawal. I took 30mg for 3 months to help with postpartum depression. Since it was not working and my doctor wanted to change me to another antidepressant, I went to 15mg last december. To make a long story short I had a complete nervous break down (depression 10 times worse, feeling of going crazy, dry retching and nausea all the time). I thought (and my doctor thought) that it was a worsening of my original depression. I was put in the hospital, put on a new antidepressant and tranquilizers and after a month, I felt almost normal again and returned home.

 

The thing is, my doctor told me to stop the Remeron in a week (!!!) since it was not helping and I was now a little bit more stable on the new AD. I decided to do a taper, a lot slower than he suggested. I went from 15 mg to around 11mg (3/4 of a 15mg pill) and after a couple of days I started having the same exact feelings as this december : the horrible panic attacks, the complete desperation, the feeling of going crazy. So now I am going the math and I am starting to think that this problem in december was not my depression but withdrawal from Remeron and that I am experiencing the same thing again.

 

My question to you I suppose is about the "going crazy thing". I now know from reading a little bit on the forum that I have to do a slower taper. My problem is that I just CAN NOT DEAL with this feeling that I am going crazy. It is the worse feeling in the world and I am beginning to question my sanity again. The last time I did that was last december, 2 weeks after going from 30 to 15 mg of Remeron. I was convinced I was going psychotic and I am convinced again now. I just don't understand how somebody can live with that feeling and not kill themselves. I am not suicidal but I am VERY VERY afraid and I just hope somebody has works of wisdom for me because I am really in pain right now.

1997-2004 Paxil

2007-2014 Celexa

2014-15 : Seroquel, Remeron, Ativan, Zyprexa, Imovane and Clomipramine

2015-2020 Clomipramine

November 2017 -November 2018 : from 100 mg to 5mg : no major withdrawal
July 2018 :  2.5mg : bad withdrawal, had to return to 5mg

 

 

 

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Is it a feeling of anxiety and/or inner tension? Or thoughts that aren't congruent with reality? Back in 2006, I was really having disordered thoughts, craziness. But I was happy...it was other people who were worried. Often the "This is so awful I feel like I have to kill myself," often combined with physical restlessness, is akathisia. It is the worst. It is caused by a drug or withdrawing from it. Maybe you could explain the feeling more?

1st round Prozac 1989/90, clear depression symptoms. 2nd round Prozac started 1999 when admitted to dr. I was tired. Prozac pooped out, switch to Cymbalta 3/2006. Diagnosed with bipolar disorder due to mania 6/2006--then I was taken abruptly off Cymbalta and didn't know I had SSRI withdrawal. Lots of meds for my intractable "bipolar" symptoms.

Zyprexa started about 9/06, mostly 5mg. Tapered 4/12 through12/29/12

Wellbutrin. XL 300 mg started 1/07, tapered 1/18/13 through 7/8/13

Oxazepam mostly continuously since 6/06, 30mg since 12/12, tapered 1.17.14 through 8.26.15

11/06 Lithium 600mg twice daily, 2.2.14 400mg TID DIY liquid, 2.12.14 1150mg, 3.2.14 1100mg, 3.18.14 1075mg, 4/14 updose to 1100mg, 6.1.14 900 mg capsules 7.8.14 810mg, 8.17.14 725mg, 8.24.24 700mg...10.22.14 487.5mg, 3.9.15 475mg, 4.1.15 462.5mg 4.21.15 450mg 8.11.15 375mg, 11.28.15 362.5mg, back to 375mg four days later, 3.4.16 updose to 475 (too much going on to risk trouble)

9/4/13 Toprol-XL 25mg daily for sudden hypertension, tapered 11.12.13 through 5.3.14, last 10 days or so switched to atenolol

7.4.14 Started Walsh Protocol

56 years old

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Good morning, Marie, you are EXACTLY right. For now, take a few slow deep breaths. Some of the moderators will be here shortly to go over proper withdrawal techniques with you. I was on remeron for eleven years, tapered off in two years ( not slow enough), and am still paying the price 3 1/2 years later. As I understand it, you haven't been on these drugs very long. With the right regimen for withdrawal and plenty of patience, you will be all right! You are so fortunate you found this site after such a short time on these poisons. I'm pretty sure the moderators will have you go back in remeron for a while to get stabilized and then withdraw from there.

 

So, don't panic ( easier said than done!) and wait for help. You'll be okay!

I started withdrawing off remeron in August of 2009, with the help of a holistic physician.The reason for the withdrawal was a year or two of off and on nausea, deterioration in my thinking, and more depression. It took me a full year to work from 135 mg down to 45mg. At that point, more drops were causing more depression. Unfortuately, the nervousness that I was also feeling for the last year continued with the 45 mg. Thirty one days ago, I stopped the remeron. I am still feeling the nervousness every day and the last week, I am feeling what I think is depression but not sure. In bed in the morning, I'm already dreading another day feeling this way. I am intensely unsure of myself and find it very hard to do anything. I was a practicing veterinarian for 29 years until I found I could not practice anymore. First of all I couldn't think, or remember, and I had absolutely no confidence in anything I did. These were things I did with relative ease for twenty+ years. So, this feeling of no confidence has been during the time I was on the AD(the last 2 years) and today. I take no other medication other than my blood pressure meds. I tried supplements with my holistic dr. but they seemed to make the intense nervousness even more intense. Anyway, I truly feel stuck.

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Thank you for your answers. The feeling is that I am going to have a breakdown at any moment. It is like the most unbearable emotionnal pain I have ever felt. Imagine everybody you love dies and than multiply by 100 and this is how I am feeling. I never felt like this before. I am shaking from the terror.  It is just like the world has turned into a nightmare. I just can not imagine that I will survive for another hour and certainly not another day. I just feel like begging a doctor to put me to sleep so I don't have to feel the pain.

 

And the worse is that I can not calm myself by saying "it will pass" because I think that :

1-If this pain is my depression, HOW ON EARTH am I going to be able to go through that? I must be the most crazy person alive

or

2-if the pain is withdrawal only from going from 15 to 11 mg, how will I be able to quit? In what kind of nightmare have I step into?

 

It is almost impossible to gain perspective when I feel this way. Just yesterday, I was out shopping, I watched some friends episodes, I was laughing, I thought I had my depression and meds under control, that I would slowly get better. Now I just feel that I have died and somebody sent me to hell.

1997-2004 Paxil

2007-2014 Celexa

2014-15 : Seroquel, Remeron, Ativan, Zyprexa, Imovane and Clomipramine

2015-2020 Clomipramine

November 2017 -November 2018 : from 100 mg to 5mg : no major withdrawal
July 2018 :  2.5mg : bad withdrawal, had to return to 5mg

 

 

 

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How are you doing? Are you still on the 11 mg? Maybe you should go back up to 15. How long has it been since you were on 30 mg? Maybe you should go back up to 30 if it wasn't too long ago. I think it's more likely you should go up to 15.

 

Can you please post the dates of everything happening? (Read on if you don't have the patience right now)

 

-When your postpartum depression started

-When you started taking Remeron and how much

-When you reduced from 30 mg to 15 mg Remeron

-When you entered the hospital and when you got out

-What new drugs you were put on, the dosages, and when you started them

-When you changed from 15 mg to 11 mg Remeron

-What you're currently taking

 

This should all also go in your Intro post and much of it should go in your signature, but you can worry about that later.

 

I think these links will help you:

http://www.dbtselfhelp.com/html/radical_acceptance_text.html

http://www.dbtselfhelp.com/html/mindfulness_video_text.html

 

These may help you: http://www.dbtselfhelp.com/html/crisis_survival_video_text.html

http://www.dbtselfhelp.com/html/improve_moment_text.html

 

Post if you have any questions.

 

Are you in therapy? Do you have a psychiatrist you can speak to?

 

Your post reminds me of how I felt three days after I went from 1 mg Risperdal to 0 (it was too big of a jump). I had a breakdown, I felt like brain damage was happening, I was very scared, I was shaking, and I sort of shut down and was sort of catatonic. I also became very quiet. The thing that helped me cope at that time until I decided to reinstate (I didn't want to reinstate the drug) was to try to feel what I was feeling. When I felt scared, it wasn't so bad. By this I mean I did not try to suppress or avoid my fear. I felt it. I felt scared. I experienced being scared. Doing this was exhausting, but it did help me feel better in the moment. 

 

Right now if I was you if you're still feeling this way I would be blowing up my psychiatrist's and psychologist's phones if I have them and getting them in touch and figuring out what you're going to do. Was the Remeron damaging/ hurting you, or was it just not working and you were still depressed?

 

Best wishes.

Was taking: 2 mg Risperdal

50 mg Lamictal

100 mg Zoloft

 

Currently taking:

0 mg Risperdal- finished 6/20/2015

0 mg Lamictal- finished 10/6/2015

0 mg Zoloft- finished ~March 2016

 

I am med-free!!

 

My intro thread: http://survivingantidepressants.org/index.php?/topic/7656-risperdrawlin-trying-to-come-off-all-psychiatric-medication-eventually/

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  • Moderator Emeritus

Welcome marie2015,

I moved your posts here to the introductions section, because they are related to your own situation specifically.  Please add information and updates about your changing circumstances, and ask questions here. You can use this thread as your ongoing journal to track progress and communicate with the community.

 

I'm sorry to hear that you are going through this, you may be having withdrawal symptoms from stopping Remeron too fast.   We suggest reducing by no more than 10% of the current dose every 4 weeks, this reduces the risk of withdrawal symptoms arising.  Please read through this which will explain why:

  

Why taper by 10% of my dosage?  (The general philosophy of gradual tapering)

 

When did you drop from 15mg to 11mg?  How were you feeling when you were taking 15mg?

 

  Please see:  Tips for tapering off Remeron (mirtazapine) http://survivinganti...on-mirtazapine/

 

But on the other hand, you may be having an interaction between Remeron and the other drugs you are taking.

What other drugs are you taking and what dose?

 

We need a little more information about your drug history.  Please put your drug and withdrawal history in your signature.  Putting a short version of your drug and tapering history in your signature helps people understand your context, it appears below each of your posts.  Here are instructions for how to do it:

 

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

 

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

 

Petunia.

 

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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  • Administrator

Welcome, marie.

 

....

 

The thing is, my doctor told me to stop the Remeron in a week (!!!) since it was not helping and I was now a little bit more stable on the new AD. I decided to do a taper, a lot slower than he suggested. I went from 15 mg to around 11mg (3/4 of a 15mg pill) and after a couple of days I started having the same exact feelings as this december : the horrible panic attacks, the complete desperation, the feeling of going crazy. So now I am going the math and I am starting to think that this problem in december was not my depression but withdrawal from Remeron and that I am experiencing the same thing again.

 

....

 

What exactly are you taking, and how much? Please put ALL the drugs you take in the Drug Interactions Checker http://www.drugs.com/drug_interactions.htmland post the results in this topic.

 

It sounds like you got severe withdrawal symptoms from your initial Remeron reduction -- not "a complete nervous break down." Doctors believe withdrawal symptoms are trivial and transitory, but this is not always true.

 

Please do what you can to remain calm, you will have to deal with these symptoms for a while, but they will get less intense. Remind yourself that you are feeling adverse drug effects, not going crazy.

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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Hello,

 

I'll try to answer a couple of questions. I am a little overwhelmed by all the answers. And I have limited time and energy (dealing with this withdrawal, the rest of my depression and a baby!)

 

-When your postpartum depression started... in august 2014 when by baby was 3 weeks old

-When you started taking Remeron and how much... I started in september. Tried it at 15 mg for 6 weeks, than got to 30mg and stayed there for around a month. I also try during that period paxil, ativan, zoloft, seroquel

-When you reduced from 30 mg to 15 mg Remeron : at the end fof november

-When you entered the hospital and when you got out... I was in the hospital from dec 13 to january 12

-What new drugs you were put on, the dosages, and when you started them. I am now taking ativan .5mg/day and clomipramine 125mg in addition to Remeron. and an occasionnal Imovane for sleep

-When you changed from 15 mg to 11 mg Remeron.. january 28

 

The worst day was 2 days ago when I posted. Since then, I have the depression but not as horrible as it was 2 days ago. I think I will stay at 11mg for a while and then start reducing 1mg every 4 weeks (or until I feel stable).

 

I also have bad ocd with my depression with does not make things better (I think the clomipramine is starting to help). The Remeron never did anything for me except make me eat and sleep.

 

One symptom I had when I went from 30 to 15mg was the dry retching (definetly a withdrawal symptom : never had that with ocd or depression before!!!). I don't have it this time.

 

thank you all for your support. This website is wonderful!

1997-2004 Paxil

2007-2014 Celexa

2014-15 : Seroquel, Remeron, Ativan, Zyprexa, Imovane and Clomipramine

2015-2020 Clomipramine

November 2017 -November 2018 : from 100 mg to 5mg : no major withdrawal
July 2018 :  2.5mg : bad withdrawal, had to return to 5mg

 

 

 

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I just want to add : I am seeing a psychiatrist, my family doctor and a psychologist for therapy. I also have a nanny, my husband, several close friends and my parents. So I have a lot of support even if people don't seem to know a lot about withdrawal.

1997-2004 Paxil

2007-2014 Celexa

2014-15 : Seroquel, Remeron, Ativan, Zyprexa, Imovane and Clomipramine

2015-2020 Clomipramine

November 2017 -November 2018 : from 100 mg to 5mg : no major withdrawal
July 2018 :  2.5mg : bad withdrawal, had to return to 5mg

 

 

 

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  • Administrator

Yes, you had withdrawal syndrome and are still recovering from it.

 

Please put ALL the drugs you take in the Drug Interactions Checker http://www.drugs.com/drug_interactions.html and post the results in this topic.

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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Glad to hear things seem to be going better Marie!

Was taking: 2 mg Risperdal

50 mg Lamictal

100 mg Zoloft

 

Currently taking:

0 mg Risperdal- finished 6/20/2015

0 mg Lamictal- finished 10/6/2015

0 mg Zoloft- finished ~March 2016

 

I am med-free!!

 

My intro thread: http://survivingantidepressants.org/index.php?/topic/7656-risperdrawlin-trying-to-come-off-all-psychiatric-medication-eventually/

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Today it is so bad : anxiety through the roof and constant panic attacks from hell! (My regular panic attacks look like hiccups compared to these!!!!!) that I will go back to 15mg. I just hope I will feel better then. I am so desperate right now. How will I ever be able to quit this stuff? I never felt so bad in my life.

1997-2004 Paxil

2007-2014 Celexa

2014-15 : Seroquel, Remeron, Ativan, Zyprexa, Imovane and Clomipramine

2015-2020 Clomipramine

November 2017 -November 2018 : from 100 mg to 5mg : no major withdrawal
July 2018 :  2.5mg : bad withdrawal, had to return to 5mg

 

 

 

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  • Moderator Emeritus

Yes, you had withdrawal syndrome and are still recovering from it.

 

Please put ALL the drugs you take in the Drug Interactions Checker http://www.drugs.com/drug_interactions.html and post the results in this topic.

 

Hi Marie,

 

This is the second time Alto has asked you to do this.  She is concerned that a drug interaction is exacerbating and complicating your withdrawal.   

 

Can you please do this - check the interactions between your drug and cut and paste the answers into a post here.   It would be wise to do this before taking action to increase your dose.

 

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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Poor you Marie Sound like you've had a terrible time. I am withdrawing from remeron too and dnt think You're not going mad or having a breakdown it sounds like withdrawal. And all those drugs you tried (paxil etc) and the tranquilizers have probably made you worse top of the withdrawal and baby hormones. So try and reassure yourself you are not mad as you were okay before the drugs.

Take the moderators advice above about drug interactions. And have a read on here about tapering and stabilizing

Feb 2013 - started Mirtazapine 15 mg have CFS /ME

did 6 months of tapering to 0 mg

2 months drug Free awful withdrawal

May 2014 reinstated at 6 mg

August 2014 - 5 mg. October 2014 - 4 mg. November - 3.8 mg

December - 3.6 mg. Jan upped to 3.8 holding for a while

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There is no drug interaction. My psychiatrist would not prescribe 2 drugs that don't go together and even so, the pharmacist would have checked it!! But I will do what you ask and post it here.

1997-2004 Paxil

2007-2014 Celexa

2014-15 : Seroquel, Remeron, Ativan, Zyprexa, Imovane and Clomipramine

2015-2020 Clomipramine

November 2017 -November 2018 : from 100 mg to 5mg : no major withdrawal
July 2018 :  2.5mg : bad withdrawal, had to return to 5mg

 

 

 

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http://www.drugs.com/interactions-check.php?drug_list=702-0,1030-0,1488-899,1640-1015

 

there is 2 problems with what I take :

1) 2 drugs that act on serotonin so I could get serotonin syndrome. But many doctors do that : putting people on 2 antidepressants.

2) all the drugs I take have drowsiness as a side effect. Since I take low doses (and take only rarely Imovane) and don't take them all at the same time, it was never I problem for me

1997-2004 Paxil

2007-2014 Celexa

2014-15 : Seroquel, Remeron, Ativan, Zyprexa, Imovane and Clomipramine

2015-2020 Clomipramine

November 2017 -November 2018 : from 100 mg to 5mg : no major withdrawal
July 2018 :  2.5mg : bad withdrawal, had to return to 5mg

 

 

 

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  • 8 months later...

I started a new topic since the other was really old. Tell me if that's not ok.

 

I had a weird experience with Remeron withdrawal so I thought I would share.

 

I started taking 30 mg of Remeron in september 2014 for post partum depression and anxiety.( I was switched from celexa to Remeron because it seemed like the celexa was not working). Fast forward 3 months later and I was not better, only worse (paxil, zoloft and seroquel were also tried in addition to the Remeron with no effect). I decided to go down from 30 to 15 mg of Remeron since I was convinced that this drug was not helping and was maybe even hurting me. I started to have anxiety 10 times worse than what I ever had before in my life. This brought me to the psychiatric hospital where I stayed one month. I was put on other drugs (Ativan, Lamictal, Anafranil) but the Remeron was not stopped at my demand since I was afraid of the withdrawal (of course no doctor thought that withdrawal could be that bad).

 

I got better during the rest of the winter and then stopped the Lamictal and the Ativan. I tried to stop the Remeron at the same time as the Ativan but I experienced high anxiety so decided to wait. Finally, I began my "real" withdrawal from Remeron in may 2015. I was prepared for the worse given my history so far with that drug. But I went from 15 to 13 to 11 to 9 to 7 to 5 to 3 to 1 to 0 mg without big problems. I felt withdrawal symptoms (fatigue, dizziness, nausea, insomnia, headaches, anxiety, mood swings) but nothing to make me unfunctionnal and nothing unbearable. I did some cardio and a lot of yoga and walking so maybe that helped me.

 

I am now one month completely free from Remeron. I think that I am out of the woods with that drug. After a month, I suppose I am not going to have a big surprise in terms of withdrawal.

 

I suppose I am posting this to encourage people. You never know how things are going to work out. Less than a year ago I was in the hospital on 5 different psychiatric drugs, thinking that my life was over. I am now on only one, Anafranil (I plan to taper in a few months) and I feel good.

1997-2004 Paxil

2007-2014 Celexa

2014-15 : Seroquel, Remeron, Ativan, Zyprexa, Imovane and Clomipramine

2015-2020 Clomipramine

November 2017 -November 2018 : from 100 mg to 5mg : no major withdrawal
July 2018 :  2.5mg : bad withdrawal, had to return to 5mg

 

 

 

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  • Moderator Emeritus

Hi Marie

 

I merged your topics together. We have one thread per person in the introductions forum.

 

I'm glad to hear you are feeling ok after your taper. Sometimes withdrawal can be delayed but hopefully that won't be the case. You said you had some symptoms along the way. Have they all resolved now?

 

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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  • 2 years later...

Hello,

I have not posted here in a while. The last time was because of Remeron withdrawal when I was in post partum depression 3 years ago.

I am now trying to stop Clomipramine. I was on it for 3 years but I have been on various antidepressants (most of the time at low dosage) for most of the last 20 years.

 

I am trying to do a tapering schedule for my last 25 mg (I went from 100 mg to 25 mg in 3 months without big problems). Of course, my therapist, psychiatrist, family doctor, pharmacist and different internet sources (!) all have different opinions! Since I have been on antidepressants for a long time and I am sensitive to low doses I was planning on doing a really slow tapper (from 25 mg to zero in 9 months) but I am wondering if going too slow can be a problem. Do you guys have any ideas on that?

 

Thanks in advance!

1997-2004 Paxil

2007-2014 Celexa

2014-15 : Seroquel, Remeron, Ativan, Zyprexa, Imovane and Clomipramine

2015-2020 Clomipramine

November 2017 -November 2018 : from 100 mg to 5mg : no major withdrawal
July 2018 :  2.5mg : bad withdrawal, had to return to 5mg

 

 

 

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  • Moderator

Going from 25mg to 0 in 9 months is an extremely fast taper and very risky.  This is especially so since you say you are sensitive to lower doses.  The higher doses are easier to taper than the lower doses, and with the taper you are considering you could very well end up with some very unpleasant withdrawal symptoms.

 

 

 

Please be aware that some times withdrawal symptoms don't appear immediately after a too-fast taper.  
 

At Surviving Antidepressants, it is recommended that a person taper by no more than 10% of their current dose with at least a four week hold in-between decreases.  The 10% taper recommendation is a harm reduction approach to going off psychiatric drugs.  Some people may have to taper at a more conservative rate as they are sensitive to even the smallest drops.  
 
Why taper by 10% of my dosage?
 
 
It is my strong recommendation that you reconsider the rate of your taper.
 
Could you please update your signature to reflect the dates and rate of your taper from 50mg to 25?
 
 
 

 

Edited by Gridley

Gridley Introduction

 

Lexapro 20 mg since 2004.  Begin Brassmonkey Slide Taper Jan. 2017.   

End 2017 year 1 of taper at 9.25mg 

End 2018 year 2 of taper at 4.1mg

End 2019 year 3 of taper at 1.0mg  

Oct. 30, 2020  Jump to zero from 0.025mg.  Current dose: 0.000mg

3 year, 10 month taper is 100% complete.

 

Ativan 1 mg to 1.875mg 1986-2020, two CT's and reinstatements

Nov. 2020, 7-week Ativan-Valium crossover to 18.75mg Valium

Feb. 2021, begin 10%/4 week taper.   

March 22, 2022: hold at 4.8mg and shift to Imipramine taper

Aug. 5, 2022: shift back to Valium taper.  

Current dose as of Oct. 20, 2022: 3.2mg

Taper is 83% complete.

 

Imipramine 75 mg daily since 1986.  Jan-Sept 2016 tapered to 16mg.  

Held until Aug 2021, tapered for 4 weeks to 14.4mg

March 22, 2022: Begin 10%/4 week taper.  Current dose as of Aug. 5: 9.5mg 

Aug. 5, 2022: hold at 9.5 and shift to Valium taper

Taper is 87% complete.  

  

Supplements: omega-3, vitamins C, E and D3, magnesium glycinate, probiotic, zinc, melatonin .3mg


I am not a medical professional and this is not medical advice but simply information based on my own experience, as well as other members who have survived these drugs.

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  • Moderator Emeritus

I've merged your new Intro topic with your original.  Each member has only 1 Intro topic where they can ask questions about their own situation and journal their progress.  It keeps your history in one place.  Please do not start any more Intro topics.  Thank you.

 

Please update your signature, using the following instructions.  Thank you.

 

We ask all members to create a drug signature.  Please update it whenever you make a change.  Please keep it nice and simple.  We only need details for the last 2 years.  Date, drug and dose only, no symptoms or diagnoses.  The other years can just be an overview.  

 

This is the preferred format which is helpful for the mods.  Thank you.

 

A request: Would you summarize your history in a signature - ALL drugs, doses, dates, and discontinuations & reinstatements, in the last 2 years particularly?

  • Please leave out symptoms and diagnoses.
  • list is easier to understand than one or multiple paragraphs. 

Please DO NOT TAG me - thank you

PLEASE NOTE:  I am not a medical professional.  I provide information and make suggestions. 

  MISSION ACCOMPLISHED:    (6 year taper)      0mg Pristiq      on 13th November 2021

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

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5 hours ago, Gridley said:

Going from 25mg to 0 in 9 months is an extremely fast taper and very risky.  This is especially so since you say you are sensitive to lower doses.  The higher doses are easier to taper than the lower doses, and with the taper you are considering you could very well end up with some very unpleasant withdrawal symptoms.

 

I don't know if you are famliar with Clomipramine but the usual dose is around 150-300 mg so 25 mg is already a very low dose. So I would not say 9 months to go from 25mg to zero is extremely fast. :rolleyes:

 

But I will review the links you posted (thank you!).  I thought I was familiar with withdrawal but it seems that you guys have a very slow approach. I am wondering if there is not a downside to it. And from what dose do you go to zero?

 

Edited by ChessieCat
Extracted response

1997-2004 Paxil

2007-2014 Celexa

2014-15 : Seroquel, Remeron, Ativan, Zyprexa, Imovane and Clomipramine

2015-2020 Clomipramine

November 2017 -November 2018 : from 100 mg to 5mg : no major withdrawal
July 2018 :  2.5mg : bad withdrawal, had to return to 5mg

 

 

 

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  • Moderator Emeritus

A slow taper is a harm reduction method.  The idea is to withdraw the drug slowly so that you only (hopefully) experience mild withdrawal symptoms and can continue to live your life as normally as possible.

 

SA recommends tapering by no more than 10% of the previous dose followed by a hold at that dose for about 4 weeks to allow the brain to adapt to not getting as much of the drug.  This is because psychiatric drugs create a physiological dependence, not physical like caffeine or nicotine.

 

Patience is needed to get off these drugs.  We suggest throwing out the calendar and listening to your body and your symptoms.  If after 4 weeks you don't feel stable, are unwell or life circumstances are a bit more stressful than usual (for example the Christmas period, winter time, or job change) it is better to stay at that dose for a bit longer until things settle down.

 

I'm going to give you lots of links to check out.  Please don't feel overwhelmed, just work your way through them one at a time as you feel able.

 

Why taper by 10% of my dosage?

 

When to end the taper and jump to zero?

 

Dr Joseph Glenmullen's Withdrawal Symptoms

 

Windows and Waves Pattern of Stabilization

 

How do you talk to a doctor about tapering and withdrawal?


What should I expect from my doctor about withdrawal symptoms?

 

Brain Remodelling


Video:  Healing From Antidepressants - Patterns of Recovery

 

Keep it Simple, Slow and Stable


Keep Notes on Paper

 

Rate Symptoms Daily to Check Patterns and Progress

Tapering Calculator - Online

 

The only supplements which SA recommends are Magnesium and Omega-3 Fish Oil.  Try a small amount one at a time to see how you react.  It is best to make only 1 change at a time.  It is also better not to start taking a complex vitamin because if you experience issues you will not know what exactly is causing it.  B vitamins can be stimulating especially B6.  hypersensitive-to-b-vitamin-or-b-vitamin-complex  If trying anything new, start with a small amount to see how you react and build up to the recommended amount.  

 

Even with a careful and slow taper you will most likely experience times of discomfort.  It is best to learn and use Non-drug techniques to cope

 

There are many existing topics and discussions on this site.  You can use the site search function on the main page of the site at the top right, or use a search engine and include survivingantidepressants.org in your search string.

 

As I said, lots of information, but I really want you to have what you need so you can have a successful taper.

 

This is your own Intro topic where you can ask questions and journal your progress.  We suggest that members visit each others Intro topics so that can support and encourage each other.

 

Please DO NOT TAG me - thank you

PLEASE NOTE:  I am not a medical professional.  I provide information and make suggestions. 

  MISSION ACCOMPLISHED:    (6 year taper)      0mg Pristiq      on 13th November 2021

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

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  • Moderator

We recommend that you jump off to zero at no higher than .5mg and preferably lower if you can.

 

When to end the taper and jump to zero?

 

Since 25mg is already a low dose, all the more reason to go slowly.

 

 

 

 

Gridley Introduction

 

Lexapro 20 mg since 2004.  Begin Brassmonkey Slide Taper Jan. 2017.   

End 2017 year 1 of taper at 9.25mg 

End 2018 year 2 of taper at 4.1mg

End 2019 year 3 of taper at 1.0mg  

Oct. 30, 2020  Jump to zero from 0.025mg.  Current dose: 0.000mg

3 year, 10 month taper is 100% complete.

 

Ativan 1 mg to 1.875mg 1986-2020, two CT's and reinstatements

Nov. 2020, 7-week Ativan-Valium crossover to 18.75mg Valium

Feb. 2021, begin 10%/4 week taper.   

March 22, 2022: hold at 4.8mg and shift to Imipramine taper

Aug. 5, 2022: shift back to Valium taper.  

Current dose as of Oct. 20, 2022: 3.2mg

Taper is 83% complete.

 

Imipramine 75 mg daily since 1986.  Jan-Sept 2016 tapered to 16mg.  

Held until Aug 2021, tapered for 4 weeks to 14.4mg

March 22, 2022: Begin 10%/4 week taper.  Current dose as of Aug. 5: 9.5mg 

Aug. 5, 2022: hold at 9.5 and shift to Valium taper

Taper is 87% complete.  

  

Supplements: omega-3, vitamins C, E and D3, magnesium glycinate, probiotic, zinc, melatonin .3mg


I am not a medical professional and this is not medical advice but simply information based on my own experience, as well as other members who have survived these drugs.

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