Jump to content
goonie

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

Recommended Posts

goonie

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

Share this post


Link to post
Hibari

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

Share this post


Link to post
RachelSusan

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.

 

 

Share this post


Link to post
ChessieCat
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.

Share this post


Link to post
goonie

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...

Share this post


Link to post
Survivor1

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.

Share this post


Link to post
goonie

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?

Share this post


Link to post
goonie

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

Share this post


Link to post
Survivor1

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.

Share this post


Link to post
Altostrata
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.

Share this post


Link to post
goonie

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

Share this post


Link to post
goonie

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?

Share this post


Link to post
Gridley
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.

Share this post


Link to post
goonie

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.

Share this post


Link to post

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.

Guest
Reply to this topic...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

×
×
  • Create New...

Important Information

Terms of Use Privacy Policy