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goonie: advice on tapering sertraline / Zoloft and lamotrigine / Lamictal


goonie

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Sorry to bother everyone, I guess I have another couple of questions. 

 

1)  Am I in withdrawal or has my nervous system just become destabilized after attempting to taper?  Since I'm on my same dose, I'm assuming I just destabilized my nervous system, but I am seeing withdrawal mentioned so I'm confused. 

 

2)  What are my options if nothing improves after another month or so?

 

 

Current symptoms:

Hypersensitivity, dizzy, sleep issues, vision problems, cognitive issues, agitation, pacing, crying

 

No longer symptoms:

Leg twitching, hypnic jerks, muscle tension, total insomnia

Completed 2.5 years hell benzo taper on 2/27/2015 after 7 years prescribed daily use.

Current:
Zoloft 23.6mg/day (since 2006 starting at 100mg, tapered to 37.5mg in 2013) -- currently water tapering .05mg/day

Lamotrigine 25mg/day (since 2020)

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Hi Goonie,  I always look at it as the withdrawal process destabilizes your nervous system and not in a linear fashion.

 

My wd pattern has changed recently.  With my first medication, I would cut, feel terrible and then stabilize.  

 

But with this medication and the dosage I am at, I have a few good days, then a few bad days.  It's very up and down and initially it threw me.   I don't like it but it's what is happening with this particular period of wd.    Are you noticing this as well?  It doesn't necessarily mean anything is wrong  perhaps a new pattern.

 

It's also part of wd to ruminate on the future, again something I do well.    Since you won't know till you get there, is it possible to focus on the fact that you are improving incrementally?  I do believe there are posts on this site with options on what to do if you continue to struggle and moderators to advise you. 

 

The rebound anxiety that wd creates is difficult but I recommend looking at  https://baylissa.com/symptoms-a-to-z-list/ 

 

HIbari

9/2013-4/2014:  After moms death, was prescribed a series of meds for short periods of time that didn't work. Zoloft, Lexapro,  Nortriptyline, Liquid Prozac, Cymbalta. 

1/2014-9/2014. Clonzapam: Given Lamictal, stopped Clonzapam at .125mgs  

1/2015-4 2017 Remeron: 41.25 -0.025mgs

7/2015-11/2018 Lamictal: 200mgs-0.05 mgs Had paradoxical reaction to Lamictal wd, broke my heart to take a benzo but wasn't sleeping. 

3/28/2019 -2/5/ 2021  Clonazapam: 0.625mgs-.00115 Med Free 

July 27th, 2022**Severe Setback due to surgery/ anesthesia. 

9/7/22-10/4/22 Trazadone 50-100mgs for sleep, 10/13/22-11/13/22 Trazadone 1 mg to stabilize

10/4/22-11/20/22 Remeron 7.5mgs (for sleep doesn't work) 11/20/22 7.3 - 12/31/22 6.3 

2023: 1/18/23 6.1 - 6/6/23 3.6  6/16 3.4  6/28 3.0 7/12 2.7  7/28 2.5 8/11 2.2 8/23 2.0  9/5 1.8  9/16 1.6  9/30 1.4  10/13 1.2  10/26 1.0  11/9 0.8  11/22 0.6  12/6 0.4  12/23 0.2.

2024 1/4/24  Remeron/Mirtazapine free 

Additional Support:  Armour Thyroid 75mgs, Magnesium Glycinate 300-500mgs,  L-theanine 

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  • Mentor

Goonie, There are really great questions.

2 hours ago, goonie said:

1)  Am I in withdrawal or has my nervous system just become destabilized after attempting to taper?  Since I'm on my same dose, I'm assuming I just destabilized my nervous system, but I am seeing withdrawal mentioned so I'm confused. 

I never know the answer to this. I just refer to my problems as "withdrawal symptoms". By adding the word symptoms I feel it doesn't pin point anything because I don't really know, but it lets others on this site I am in distress.  It will be interesting to see what a mod says.

 

 

 

I am not a health professional in any way.  I do not give medical advice.   Discuss any decisions about your medical care with a professional medical practitioner.

 

NEW INFORMATION FOR GABAPENTIN TAPER

April 29, 2022 900 mg to 800 mg (11%), May 29, 2022 800 to 700 mg (12.5%), June 20, 2022 700 to 650mg (8%), July 20, 2022 650 to 575 (12%), August 20,  575 to 500 (13%),  Sept 20, 2020 500 to 475mg (5%) Nov 7, 2022 475 to 425 (11%), Nov 21, 2022 500mg

Medications: Gabapentin, Prednisone 1.5mg a day, Cortisol Inhaler daily. 

HISTORY FOR ZOLOFT TAPER

Feb. 2016 to June 2016  - Was on 150mg Zoloft.  Put on Gabapentin at 900mg a day in 2016 due to antidepressant withdrawal. 

Quit Zoloft (Sertraline) June  2016,  reinstated 50mg of Zoloft July 2016.  From July 2016  to October 2016 went from 50 mg down 2.3 mg. I up-dosed in November 2016 to 12.5 mg. Held there until January 2017 when I started a much slower taper.

STARTING SENSIBLE  ZOLOFT TAPERING USING GUIDELINES FROM THIS SITE

Dec. 10 2016  - switched to Liquid Zoloft (Sertraline) @ 12.5 mg.   Jan. 4, 2020 1.875 mg (6.3%). Jan. 25, 2020 1.75 mgFeb. 29, 2020 1.625mg (7.10%).  Apr. 4, 2020 1.5 mg.  May 9, 2020 1.375 mg.  June 6, 2020 1.25 mg. (9.10%).  July 4, 2020 1.125 mg. (10%).  August 15, 2020 1.0 mg.  Oct 24, 2020 .875 mg.  Nov. 28, 2020 .75mgJan 16, 2021 .685mg (8.7%).  Feb 13, 2021 .62mg. March 12, 2021 .56mg.  May 1, 2021 .375mg.  May 29, 2021 .25mg. June 26, 2021 .0125mg. July 25, 2021 .065mg. August 22, 2021 .048mg.  October 2, 2021 .043mg.  October 10, 2021 .038mg.  October 23, 2021 .035mg.  October 30, 2021 .032mg.  Nov. 13, 2021 .030 mg.  Dec 4, 2021 .0285 mg.  Dec 11, 2021 .0265 mg. Dec 18, 2021 .0246 mg. Dec 25, 2021 .023mg. Jan 1, 2022. 0 mg. OFF COMPLETELY

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  • Moderator Emeritus
11 hours ago, goonie said:

I have a journal which I note the positive things (as well as everything else).

 

I was thinking that having a separate one for just positive things would mean that you could look at it when you are having difficulties and not have to sift through the other things to find it.

 

11 hours ago, goonie said:

I know it takes practice,

 

Yes, it does.  The idea of setting an alarm and doing it throughout the day is to form a new habit.  I personally find the set breathing pattern too fast and prefer to just sit with my eyes closed (with my eyes "looking" down) and concentrate on my mid riff, just above my navel.  I breathe at my own pace not to a set pattern.

 

You might find that to begin with you feel agitated and think it isn't working.  Whenever you feel you want to get up, just stay for a little bit longer (just a couple more breaths) and then stop.  Don't try and force yourself to continue because it will just make you feel worse.  If you continue to do this hopefully you will find that each time you practise that you are able to do it for longer.

 

I understand that this can be difficult but each time you do this it will hopefully become just that little bit easier.  Try and think positively about what you are doing, something like I am going to sit down a try and give my brain a bit of rest and peace to help it heal.

* NO LONGER ACTIVE on SA *

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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  • 3 weeks later...

Still not doing well.  I increased my dose yesterday from 37.5 to 50 in the hopes that will help.  I am second guessing myself now.  

 

Can someone let me know if this was right or if I should go back?

 

Please respond soon if possible...

Completed 2.5 years hell benzo taper on 2/27/2015 after 7 years prescribed daily use.

Current:
Zoloft 23.6mg/day (since 2006 starting at 100mg, tapered to 37.5mg in 2013) -- currently water tapering .05mg/day

Lamotrigine 25mg/day (since 2020)

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Goonie, sorry to see you are still struggling.  If it were me, I would go back to no more than 37.5.  It is what you were stable at for a long time.  Going to 50 would mean that you would have more of this c*** to taper and you can see how hard it is.  I know you did it because you were desperate for relief.

 

It is also my opinion that you should not start tapering for another few (maybe many) months after you stabilize from this.  You have done a great job getting rid of two drugs, just give you body time to settle - what's another few months in the grand scheme of things.

 

I am trying to stabilize on my last discontinuance, and plan to stay put for maybe until year-end to start my trazodone taper.  I don't like that I will be on trazodone for that long without doing anything active, but I can't do crazy anymore and will hold for as long as I need to have a quality of life.

 

I know this is hard, I hope you will stabilize soon.  Best wishes.

PAST

Gabapentin:  about 6 months in 2015, 300-900 mg, cold turkeyed Sept 2015 (at same time dc'd Klonopin)

Klonopin: June 2014- Sept 2015; 1mg tapered over 6 mths, dc'd at 0.25mg, withdrawal hellish (perhaps because of concurrent dc of gabapentin)

Mirtazepine: Jumped off at 2.4 mg. (stable in 8 months).

Seroquel:  June 14 - July 24, 2016, 25 mg alternate nights; smaller doses for shorter periods. Total use about 3 months 

Lamictal: March 19, 2018 - 1 mg; March 23 - 1.25 mg; April 6 - 2mg. Discontinued at 2 mgJuly 1, 2018 due to Steven Johnson Syndrome.

 

CURRENT

Supplements: Vit D, turmeric

Naturethroid: 65 mcg for hypothyroidism

Trazodone: Oct 2015 - June 2016; 75 mg tapered over 2 mths, intense w/d after 3 weeks. Reinstatement: 07/25/16 - 25 mg; updosed 08/03/16 - 50 mg;  10/01/16-  62mg; 03/24/17 dropped to 50 mg (stable in 2.5 months)

                           Current psych meds: Trazodone 50 mg

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Thanks Survivor.  I'm not sure I want to taper Sertraline anymore.  I just want to get stable at some dose and stay there for a year or so until I can recommit to thinking about it.  I'm beginning to think I'm not able to and may well just be stuck on some dose.

 

I was reading this when I decided to try updosing:

https://rxisk.org/antidepressant-withdrawal-a-prozac-story/

 

Am I still able to go back down to 37.5mg after 2 doses at 50mg without issues?

 

Could @Altostrata and/or @ChessieCat also weigh in before I do something else stupid?

Completed 2.5 years hell benzo taper on 2/27/2015 after 7 years prescribed daily use.

Current:
Zoloft 23.6mg/day (since 2006 starting at 100mg, tapered to 37.5mg in 2013) -- currently water tapering .05mg/day

Lamotrigine 25mg/day (since 2020)

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Please if anyone else has any feedback for me before I dose tomorrow please share.

Completed 2.5 years hell benzo taper on 2/27/2015 after 7 years prescribed daily use.

Current:
Zoloft 23.6mg/day (since 2006 starting at 100mg, tapered to 37.5mg in 2013) -- currently water tapering .05mg/day

Lamotrigine 25mg/day (since 2020)

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Goonie, since it’s been only two days, I think you should be ok. There may be some fallout, but you will never know until you try. 

 

Another suggestion may be to take 40 instead of 50.

 

Just my thoughts until a mod weighs in ...

 

i think it is a great idea to wait for a year.

 

Take care.

PAST

Gabapentin:  about 6 months in 2015, 300-900 mg, cold turkeyed Sept 2015 (at same time dc'd Klonopin)

Klonopin: June 2014- Sept 2015; 1mg tapered over 6 mths, dc'd at 0.25mg, withdrawal hellish (perhaps because of concurrent dc of gabapentin)

Mirtazepine: Jumped off at 2.4 mg. (stable in 8 months).

Seroquel:  June 14 - July 24, 2016, 25 mg alternate nights; smaller doses for shorter periods. Total use about 3 months 

Lamictal: March 19, 2018 - 1 mg; March 23 - 1.25 mg; April 6 - 2mg. Discontinued at 2 mgJuly 1, 2018 due to Steven Johnson Syndrome.

 

CURRENT

Supplements: Vit D, turmeric

Naturethroid: 65 mcg for hypothyroidism

Trazodone: Oct 2015 - June 2016; 75 mg tapered over 2 mths, intense w/d after 3 weeks. Reinstatement: 07/25/16 - 25 mg; updosed 08/03/16 - 50 mg;  10/01/16-  62mg; 03/24/17 dropped to 50 mg (stable in 2.5 months)

                           Current psych meds: Trazodone 50 mg

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  • Administrator
20 hours ago, goonie said:

Am I still able to go back down to 37.5mg after 2 doses at 50mg without issues?

 

Yes, you can go back down to 37.5mg. Did anything change since you went up to 50mg?

 

15 hours ago, Survivor1 said:

Another suggestion may be to take 40 instead of 50.

 

Excellent suggestion from Survivor. Updosing can be small.

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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  • 1 year later...

Update since last year...

 

I'm alive.  I stabilized sometime around July/August and was kind of in and out of feeling good for several months (still am).  I got put back on Lamictal 75mg, and Saphris (5mg) for a short time, but managed to get off of those with not much of an issue though Saphris was problematic for awhile.  Don't mess with that one.  The Lamictal I was able to go from 75mg to 0mg in 2 months with few issues.  Last time it took 2 years.  I'm not sure why it was easier this time.

 

Last fall I was able to sell my house and purchase and move to a new house and was able to also take a trip out west.  SOMEHOW, I've been bitten by 3 ticks at the new house and all 3 got infected.  Each time I had to take 100mg doxycycline 2x daily for 10 days.  I think it was a combination of both the tick bite and doxycycline that made me feel sick for weeks each time.  I'm able to function for the most part, but not 100% by any means.  My vision is still off and I find it difficult to focus most of the time.  But then I'll have periods of hours/days where I'm fine.

 

I'm currently only on the 37.5mg sertraline.  I do not plan on tapering any time soon unless there is some revolutionary method that comes along that guarantees no issues.  Thanks for all your help back when I was in the thick of it.  I'll be in touch.  I really hope you all are making progress and are living life.

 

-Goonie

Completed 2.5 years hell benzo taper on 2/27/2015 after 7 years prescribed daily use.

Current:
Zoloft 23.6mg/day (since 2006 starting at 100mg, tapered to 37.5mg in 2013) -- currently water tapering .05mg/day

Lamotrigine 25mg/day (since 2020)

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  • ChessieCat changed the title to goonie: advice on tapering sertraline / Zoloft and lamotrigine / Lamictal
  • 3 months later...

Hey guys, I need your thoughts on something.

 

I seem to have destabilized yet nothing has changed.  I am only taking 37.5mg sertraline once daily at 10am.  About 12 days ago I started feeling "withdrawally" with some dizziness/brain shifting, sleep problems, hypersensitivity to light/sound, leg twitching, and agitation.  I figured maybe since I had recently started a new bottle I had gotten a bad batch (it's the same Cipla brand I've always used). 

 

So I've switched to brand name Zoloft (insurance is paying for it) so hopefully I can minimize any generic quality control crappiness in the future.  I've been on the brand name for about a week.  The only other thing I can think of is that I had started taking some vitamins in the morning a couple of weeks prior to things going south.  A multivitamin, Vitamin D, and Vitamin B12 which I was taking an hour before my dose.  I didn't think it would matter, but maybe it does?  I stopped taking all vitamins just in case.

 

I'm still sleeping okay and my brain isn't shifting as much and I've had some decent moments (even went to a movie a few nights ago and to the store last night).  But overall I've just been in bed in the dark waiting for it all to pass.

 

Any thoughts on what I should do or what might have happened?

Completed 2.5 years hell benzo taper on 2/27/2015 after 7 years prescribed daily use.

Current:
Zoloft 23.6mg/day (since 2006 starting at 100mg, tapered to 37.5mg in 2013) -- currently water tapering .05mg/day

Lamotrigine 25mg/day (since 2020)

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  • Moderator Emeritus
33 minutes ago, goonie said:

what might have happened?

 

What has probably happened is that your system got a bit destabilized when you switched from the generic to name brand.  When making any kind of switch (tablet to liquid, brand to brand) we recommend a gradual crossover of anywhere from 9 to 21 days to minimize shock to your system caused by the inevitable differences between the two brands. (For future reference, we recommend a crossover of 3/4 old, 1/4 new for 3 to 7 days, then 1/2, 1/2 for 3 to 7 days, then 14 old, 3/4 for 3 to 7 days, all new thereafter.)

 

Since you've already been on the name brand for a week, to minimize changes, I would just stick it out rather than go back and  try to re-do with a crossover.  I had a similar situation a few weeks ago when I switched from generic Lorazepam to name brand Ativan.  I didn't have enough of the old generic to do as gradual a crossover as I would've like and suffered ramped up symptoms for a couple of weeks, which then resolved.

 

The vitamins could also have contributed, so it's good you stopped them.  We don't recommend multivitamins because with so many ingredients, if problems develop, you won't know what's causing it.  I've read of members reacting badly to D and B vitamins.

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 of 18.75mg Valium 

End 2021  year 1 of Valium taper at 6mg

End 2022 year 2 of Valium taper at 2.75mg 

End 2023 year 3 of Valium taper at 1mg

Jan. 24, 2024: Hold at 1mg and shift to Imipramine taper.

Taper is 95% complete.

 

Imipramine 75 mg daily since 1986.  Jan.-Sept. 2016 tapered to 14.4mg  

March 22, 2022: Begin 10%/4 week taper

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

Jan. 24, 2024: Resume Imipramine taper.  Current dose as of Feb. 22: 7.6mg

Taper is 90% complete.  

  

Supplements: multiple, quercetin, omega-3, vitamins C, E and D3, magnesium glycinate, probiotics, zinc, melatonin .3mg, anti-candida, iron, serrapeptase, nattokinase


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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Thank you @Gridley for the reply.  I should have clarified that I did not switch to the brand name until AFTER these symptoms started happening in an effort to prevent any generic variances in the future.  I was assuming I got a bad generic batch or the vitamins had interfered with something.  Anyway, since switching to the brand name I have not gotten worse and very slowly better.  I think.

Completed 2.5 years hell benzo taper on 2/27/2015 after 7 years prescribed daily use.

Current:
Zoloft 23.6mg/day (since 2006 starting at 100mg, tapered to 37.5mg in 2013) -- currently water tapering .05mg/day

Lamotrigine 25mg/day (since 2020)

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  • 2 months later...

Hey @Altostrata, I have not changed anything (still only on 37.5mg sertraline), but for the last 3 months I'm sitting in what feels like sertraline withdrawal or some variation.  Dizziness, muscle twitching, sleep issues, anxiety, morning cortisol rushes.  I did switch to the brand name 2 weeks after the symptoms started happening in case my generic was off (nothing good/bad happened).  If you read back through this thread, I tried lowering my dose nearly 2 years ago by 2.5% and it went very bad and took me 5 months to get stable on my original dose again.  I would like to be able to taper off, but I'm not sure that is possible and I do not know what to do or how to proceed.  I had about 10 days in November where I was fine.  And sometimes at night I'm okay, but mostly I'm not functional.  Any insight?

Completed 2.5 years hell benzo taper on 2/27/2015 after 7 years prescribed daily use.

Current:
Zoloft 23.6mg/day (since 2006 starting at 100mg, tapered to 37.5mg in 2013) -- currently water tapering .05mg/day

Lamotrigine 25mg/day (since 2020)

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  • Administrator

Are you taking any other drugs?

 

Do your symptoms follow any daily pattern?  Please keep daily notes of times of day you take your drugs, their dosages, and your symptoms throughout the day. You can post 24 hours of notes at a time in this topic, in a simple list format with time of day on the left and notation (symptom or drug and dosage) on the right.

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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No other drugs other than an occasional benadryl which sometimes helps calm things.  Sometimes melatonin at night.

 

I will keep daily notes as you suggest.

Completed 2.5 years hell benzo taper on 2/27/2015 after 7 years prescribed daily use.

Current:
Zoloft 23.6mg/day (since 2006 starting at 100mg, tapered to 37.5mg in 2013) -- currently water tapering .05mg/day

Lamotrigine 25mg/day (since 2020)

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12/28

4am -- woke up unable to go back to sleep

5am -- panic and anxiety about situation leg muscle twitching

9am -- sertraline 37.5mg

10am -- lots of electricity and pacing, still twitching, dizziness

1pm -- mentally calmer now watch movie Clue with kids but still twitching and electricity and dizzy

2:45pm -- take 1 25mg benadryl to try and calm things further

4pm -- a little sleepy but still over stimulated feel out of it with dr but almost fell asleep which was nice.  Twitching lessened.

6pm -- arms burning went to lie down.

8pm -- 1mg melatonin and bed

 

Slept ok woke up a couple of times in panic especially at 4 am with twitching and burning skin

Completed 2.5 years hell benzo taper on 2/27/2015 after 7 years prescribed daily use.

Current:
Zoloft 23.6mg/day (since 2006 starting at 100mg, tapered to 37.5mg in 2013) -- currently water tapering .05mg/day

Lamotrigine 25mg/day (since 2020)

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12/29

4am -- woke up in panic

5am -- fell back asleep

7am -- panic

9am -- sertraline 37.5mg

10am -- lots of electricity and twitching, anxiety, burning skin

11am -- mentally calmer but still twitching

12:30pm -- shower and lunch dizzy and buzzing

1pm -- lie down twitching

3:30pm -- anxiety after reading about sertraline skin burning still twitching in legs

4:30pm -- things calmer now twitching lessened.

6pm -- wife and kids at home but cannot engage as too stimulating.  ate dinner.

8pm -- 1mg melatonin and bed

 

Sleep was terrible.  Maybe 2 hours total. Taking melatonin the twitching eases up considerably for an hour or so.  Wish I could take it all day. Taking a benadryl will sometimes put me back to almost normal for 3 or so hours.

Completed 2.5 years hell benzo taper on 2/27/2015 after 7 years prescribed daily use.

Current:
Zoloft 23.6mg/day (since 2006 starting at 100mg, tapered to 37.5mg in 2013) -- currently water tapering .05mg/day

Lamotrigine 25mg/day (since 2020)

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  • 3 years later...

Need some advice.  Over the past couple of years I've tapered Zoloft (name brand) from 37.5mg to currently 23.6mg using a daily water titration very successfully with very few very minor hiccups.  I'm currently using the 25mg brand name Zoloft tablets to do this and I'm a bit concerned now because none of the pharmacies around here can get it anymore.  They are all backordered as if the manufacturer stopped making the 25mg pills.  I'm a bit hesitant to go back to a generic as it seems (although throughout the years I never had any issues) I had one major issue back in 2019 with getting a bad batch (I'm guessing as nothing else changed).  So my question is... is there some other way to get the brand name 25mg Zoloft that I don't know of or if I have to switch to generic, what's the best way to do that and what's the most trusted generic manufacturer?  I've got about 12 days left of the name brand.

 

Thanks guys!

Completed 2.5 years hell benzo taper on 2/27/2015 after 7 years prescribed daily use.

Current:
Zoloft 23.6mg/day (since 2006 starting at 100mg, tapered to 37.5mg in 2013) -- currently water tapering .05mg/day

Lamotrigine 25mg/day (since 2020)

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I'm gonna simplify my above questions.

  1. I'm on 23.6 mg of Zoloft using water titration using 25mg tablets.  The brand name pills are on backorder everywhere so I'm forced to switch to the 25mg sertraline Cipla generics.  I have about 10 Zoloft left.  What is the best way to make this switch from Zoloft to sertraline?
  2. As I'm switching from brand name to generic, should I go back up from 23.6mg Zoloft to 25mg generic sertraline to eliminate any water titration uncertainties with the generic and just hold on the whole 25mg sertraline pill for a few months before starting again?

I'm "fairly" stable at the moment and have been for the last couple of years, but am also worried as I'm extremely sensitive to any changes.

Completed 2.5 years hell benzo taper on 2/27/2015 after 7 years prescribed daily use.

Current:
Zoloft 23.6mg/day (since 2006 starting at 100mg, tapered to 37.5mg in 2013) -- currently water tapering .05mg/day

Lamotrigine 25mg/day (since 2020)

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