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Do withdrawal symptoms always show up right away? Delayed onset

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LittleFire

Hi all, seems that it is not so strange the delayed symptoms, I'm quite sure that I have them after 6 months of dropping, during that time I was just feeling great and the bam. I was also seriously thinking it's the relapse, but it feels different. All this strange headache and lack of coordination, confusion, insomnia of course.

 

I hope the symptoms will get milder soon. 1 week on withdrawal symptoms now.

 

Wish you all the best


Drug story:

2015 Dec Cipralex 10mg, 
2016 Jan Cipralex changed to 20 mg,
2016 Mar added Mirtazapin 30 mg,
2016 Aug cut of the meds, Mirtazapin cold turkey, Cipralex not sure.
2017 Aug came back to Mirtazapin 30 mg,
2017 Sep Cipralex 10 mg and changed to Venlafaxin 75 mg, Mirtazapin increased to 45 mg,
2017 Nov hospital (mistake!), because they changed Mirtazapin to Agomelatin, couldn't sleep for 3 nights, got seriously scared. Returned back to Mirtazapin 45mg. Had neuroleptics, don't know why (Haloperidol then changed to Aripiprazol). Cannot clarify the doze. Venlafaxin changed to Setralin then back to Venlafaxin to 225 mg.
2018 01 reduced and quit Venlafaxin also Aripiprazol under doctor instruction.
2018 05 quit Mirtazapin in 1 month under doctor instruction.

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FarmGirlWorks

I don't remember much as I was also doing things like quitting drinking cold turkey, getting Lasik/PRK, traveling too much... it just seemed like I was getting more and more anxious and felt low-level DP/DR.


  • Prozac | late 2004-mid-2005 | CT WD in a couple months, mostly emotional
  • Sertraline 50-100mg | 11/2011-3/2014, 10/2014-3/2017
  • Sertraline fast taper March 2017, 4 weeks, OFF sertraline April 1, 2017
  • Quit alcohol May 20, 2017, quit coffee October 2017, quit cannabis 😩 July 2018
  • Magnesium powder, fish oil, estradiol, kombucha, gluten/dairy/histamine-lite
  • Lifestyle changes: AA, kundalini practice

 

"If you've seen a monster, even if it's horrible, that's evidence of divinity." – Damien Echols

 

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Fonz

Although I experienced withdrawal while tapering after I jumped off withdrawal started sneaking in bad at around 6 months out. I'm now at 13 months off and it's at the highest level yet.

 

It's nice to read that delayed WD is a known phenomena.

 

 

 

Fonz


Took 5mg Lexapro (Cipralex) for 14 years.

Did 8 Month taper, jumped off December 2017.

 

Took Clonazepam for 10 years. Went through Benzodiazepine Protracted withdrawal. I am five years out but still not fully recovered. I was bedridden for the first two years.

 

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LittleFire

The delayed WD symptoms, which were very feelable, lasted for me around 3 weeks. I still feel kind of tinnitus and if something emotional or triggering happens, I can't sleep well at night. For sure my nervous system is sensitized still after all this crap, on and of meds for 2,5 years.

 

I'm thinking that my WD was easier than many people here because I was on them for short time and my body probably is more capable of dealing with. It's different for everyone.

 

Now it is 8 months I'm off meds completely after the fast taper. Feeling really ok!


Drug story:

2015 Dec Cipralex 10mg, 
2016 Jan Cipralex changed to 20 mg,
2016 Mar added Mirtazapin 30 mg,
2016 Aug cut of the meds, Mirtazapin cold turkey, Cipralex not sure.
2017 Aug came back to Mirtazapin 30 mg,
2017 Sep Cipralex 10 mg and changed to Venlafaxin 75 mg, Mirtazapin increased to 45 mg,
2017 Nov hospital (mistake!), because they changed Mirtazapin to Agomelatin, couldn't sleep for 3 nights, got seriously scared. Returned back to Mirtazapin 45mg. Had neuroleptics, don't know why (Haloperidol then changed to Aripiprazol). Cannot clarify the doze. Venlafaxin changed to Setralin then back to Venlafaxin to 225 mg.
2018 01 reduced and quit Venlafaxin also Aripiprazol under doctor instruction.
2018 05 quit Mirtazapin in 1 month under doctor instruction.

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Rossho
On 6/29/2015 at 8:31 PM, RockSie said:

Hi Mikey,

 

here I am. My ct withdrawals started 9-11 month off citalopram and the second time 5-6 month off.

Ii roxie, did your citalpram withdrawal ever get better after the late onset? Hope you are well... 


Stilnox january 2014 - may 2014 10-20mg a day

Stilnox august 2016 one month use 10 mg a day 

Xanax 2 weeks september 2016 1.5 - 3 mg a day, viscious withdrawal.

Valium reinstated October 2017 - march 2018. Fast tapered.

Risperdal october 2017 to present 1.5 mg.

Celexa December 2017 to present 20 mg

 

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Rossho
On 11/24/2018 at 6:17 AM, Jansin said:

I was on Zoloft for four years, starting in late 2013 and ending in late 2017 when I CTed. 
 

Nothing happened to me, not for the first three weeks, not for the first five months after. I just slowly became more and more depressed as 2018 began and went on and also noticed some short term memory problems, but nothing debilitating.

Until finally in September I wake up one day and notice my vision was different, and then health anxiety soon followed after that, then crying episodes came into play very soon after.

 

Then in October I noticed the ringing in my ears is a bit louder than usual

 

But to this day I barely have any symptoms, and honestly after all that I have read on this site: The lack of symptoms is honestly starting to concern me.

Is there anyone else here that only experienced mental symptoms? Or anyone else that CTed without any immediate reaction? 

Jansin have you seemingly recovered from your withdrawal now after the delayed onset? 


Stilnox january 2014 - may 2014 10-20mg a day

Stilnox august 2016 one month use 10 mg a day 

Xanax 2 weeks september 2016 1.5 - 3 mg a day, viscious withdrawal.

Valium reinstated October 2017 - march 2018. Fast tapered.

Risperdal october 2017 to present 1.5 mg.

Celexa December 2017 to present 20 mg

 

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Rossho
On 11/24/2018 at 8:18 AM, FarmGirlWorks said:

I almost CT'd from Zoloft (4 week "taper") and what you said above kind of tracks with my first 5-6 months. Increasing depression week by week until month 6 or so and then I've had cog fog, akathisia, extreme anxiety, leaky eyes, light sensitivity, head pressure, debilitating headaches. I had tinnitus before from a head surgery but it has gotten worse in WD. I see that you were able to reinstate so perhaps that has waylaid any physical symptoms. Everybody's recovery is different. That is great though that you were able to reinstate which, as I understand it, can arrest WD symptoms while your CNS heals.

Did you reinstate farm girl? Or did you stick it out? Did it get better? 


Stilnox january 2014 - may 2014 10-20mg a day

Stilnox august 2016 one month use 10 mg a day 

Xanax 2 weeks september 2016 1.5 - 3 mg a day, viscious withdrawal.

Valium reinstated October 2017 - march 2018. Fast tapered.

Risperdal october 2017 to present 1.5 mg.

Celexa December 2017 to present 20 mg

 

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Jansin
1 minute ago, Rossho said:

Jansin have you seemingly recovered from your withdrawal now after the delayed onset? 


No recovery, I'm just in a gradual state of fog, feels like my brain isnt working quite right, no creativity, always so tired, cant think straight, can barely form sentences, and I feel very little emotion at all. Feeling very depressed and hopeless at this point.

I also have visual disturbance and tinnitus. 


ADs: 4 years

Sertraline (Zoloft): 2013 to late 2017, 100mg CT. Then September 6th to 20th(2018): 25mg for a week then 50mg, CT.

November 6th, 2018 reinstatement: sertraline 1mg

 

November 17th, 2018 : sertraline 2mg

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FarmGirlWorks
15 hours ago, Jansin said:

No recovery, I'm just in a gradual state of fog, feels like my brain isn't working quite right, no creativity, always so tired, cant think straight, can barely form sentences, and I feel very little emotion at all. Feeling very depressed and hopeless at this point.

Ditto.  Well, except for the 'hopeless' part: I am going to recover sooner or later. I did not reinstate, was over six months before it got really bad and felt too risk averse to go for RI. It is at 23.5 months (not that I'm counting -- hahahaha) and I went thru a depression a couple weeks ago that was as bad as months 7-12. But DrugFreeProfessor's story about her daughter's recovery gives me hope. No (or very few?) windows and mainly a long wave until she recovered at 29 months. I really, really hope your RI goes well!

 

Edited by ChessieCat
changed @ DFP to link to her daughter's success story

  • Prozac | late 2004-mid-2005 | CT WD in a couple months, mostly emotional
  • Sertraline 50-100mg | 11/2011-3/2014, 10/2014-3/2017
  • Sertraline fast taper March 2017, 4 weeks, OFF sertraline April 1, 2017
  • Quit alcohol May 20, 2017, quit coffee October 2017, quit cannabis 😩 July 2018
  • Magnesium powder, fish oil, estradiol, kombucha, gluten/dairy/histamine-lite
  • Lifestyle changes: AA, kundalini practice

 

"If you've seen a monster, even if it's horrible, that's evidence of divinity." – Damien Echols

 

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sunnysideup69

It's really helpful reading this thread, although obviously I'm sad that you're all suffering. But you have totally explained something for me.

 

I jumped off from 5mg Citalopram to 0mg back in April 2015 and was getting recurrent obsessive thoughts and more anxiety by December. Began feeling worse. Moods all over the place.

I cut from 5mg to 2.5mg Citalopram in April 2017 and by December had become very easily stressed by anything, and highly intolerant of noise...any background noise was unbearably loud.

Admittedly I made the mistake of self medicating with non prescription substances shortly after both times, and that was the straw that broke the camel's back.

But the thin I've realised is that the distress was probably delayed withdrawal from cutting dosage too much.

 

Lightbulb moment.


January 2008 to April 2015 Citalopram 20mg to 5mg, reducing in 50 per cent leaps. Jumped off at 5mg

March 2016 used MDMA triggered setback

April 2016 Citalopram 10mg October 2016 cut to 5mg, May 2017 cut to 2.5mg

May 2018 used MDMA triggered setback

June 2018 Citalopram 2.5mg up to 10mg, then back to 5mg

July/ August 2018 7.5mg, then 10mg

June 2019 updosed to 20mg Citalopram

August 2019 cold switch to Venlafaxine 75mg XR

 

 

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VincentV
On 2/14/2013 at 3:22 AM, Altostrata said:

Symptoms are attributed to something else, such as the flu or situational stress.

 

This is interesting. I used to say my with drawal hit pretty squarely two months after my last dose but looking back more throughly over my journal tells me this isn't true. I first developed noticeable (noticeable enough for me to record week long waves) symptoms two weeks after my last dose. They just got worse, coming to a head 2 months after.  I wonder how many others peoples symptoms actually start much earlier than they realise. 


Citalopram. Briefly early twenties, no ill effects seemingly. Don't remember dose.

 

Sertraline on and off for ten years.  I was ignorant and started and stopped frequently. Doses of 50, 75 and 100. I can not recall/did not record dates prior to 2018.

 

JANUARY 2018: Last period of use was was 150mg of sertraline on 14/01/18  (which triggered extreme depression and anxiety that never settled, amongst other symptoms). I then tapered to 100mg in March (15/03/18), then down to 75mg in April(01/04/18) , 50mg later (11/04/18) 25mg in May  (16/05/18),  and was at 0mg in June (02/06/18).

 

Mirtazapine 15mg 01/08/18- 02/10/18, 15mg (6 weeks at 15mg the two week taper). - caused deeply unpleasant waves of extreme anxiety, depression, zombie state and mania.

 

Still on 40mg of Propranolol twice a day since April 2018. Supplements: Fish oil, Magnesium, Vit B6

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luvkids

 

 

On 1/18/2014 at 7:27 AM, mammaP said:

Haven't a clue Claudius! I would get symptoms if I missed or was late with a single dose,

and a bout of tummy trouble with D&V saw me being admitted to hospital twice with what I 

now know to be withdrawal when the effexor wasn't absorbed. One time they were convinced

I had a brain bleed and I had scans and lumbar puncture. All I needed was my 'fix' ! 

 

Then I started to taper and it went very well, very smooth with little discomfort over about a year.

Then stopped at just 5 beads. I forgot one day and didn't feel a thing so thought I must be ready. 

 

4/5 weeks later I was hit by horrendous withdrawal, ended up here and took 7 months to stabilise again.

 

Everyone seems to be different, no 'normal' where withdrawal is concerned! I am just glad I found SA and

wish I'd found it before my taper. I didn't cut by 10% of the current dose, just stuck to the same reduction

thinking it was right. We live and learn! 

So what did you do during that 7 months to stabilize?  I am going thru Paxil withdrawal after being completely off and doing fine for 3 months.  Any suggestions?


Paxil, 20 mg. daily for last 20 years

Began tapering October 2018.  Took last dose May 2019.

Xanax .25 mg used rarely, just for insomnia.  Maybe took it once a month (or less) over past 10 years.

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Sani
On 1/18/2014 at 4:36 PM, Claudius said:

As we know, the leaflets, for as far they offer any information about withdrawal, mostly state that WD starts within one or a few days after stopping the daily intake. For some people this appears to be true, on this and other support sites I read many testimonies from people who get sick after missing even one dose.

But also there are many stories of WD hitting much later, weeks or even months.

 

For me, when quitting Paxil cold turkey from 10 mg, I felt perfectly fine for exactly 6 weeks when suddenly the brain zaps started and I became very ill within a few minutes. Most attempts went this way, and it was this time delay which made that it took years before I finally realized that is was withdrawal anyway.

 

Paxil is notorious for its short half-life and even the doctors who do recognize withdrawal mosty tell that Paxil withdrawal will hit pretty soon after quitting because of this short half-life.

But it didn't for me, and I know several people for which it took 2-4 weeks, my own 6 weeks appear to be on the long side.

 

What made it increasingly complicated, I tried one time to cut my dose by splitting the half tablet, and one other time to alternate between a half and a quarter tablet.

We know now that this is a very bad scheme, but what I still do not understand is that on those cases, I got sick WITHIN ONE DAY instead of after 6 weeks! I would rather tend to believe that WD would hit later because the body still receives the drug, albeit in a lower quantity, so the "buffer" which causes the delay in WD symptoms would last a longer time and the delay time for the start of WD symptoms should be longer instead of much shorter!

 

My own explanation would be that alternating throws the brain in chaos immediately, while quitting cold turkey gave a delay of 6 weeks. This however does not explain why OI got sick immedaitely after taking a quarter tablet (5 mg) daily instead of my normal dose of 10 mg.  A poosible reason could be that dividing the half tablet casues too much deviation in dosages because the half tablet has no splitting line anymore on it.

 

Of course, now 6 years after quitting is does not make any difference for me anymore but I still wonder what kind of strange mechanisms are invovled here.

Any ideas?

 

 

True. I started having withdrawal after 10 weeks. And I took a longer half life Lexapro. Docs didn't believe me n I face laughed saying how is it possible after so my months. But I feel withdrawal happens not only when the drug leaves ur system, but when the brain tries it best to work totally without the drug. The first time that I withdraw cold turkey (from 5mg to 0), my symtoms started in 2 weeks and were much intense unbearable... But when I tapered (took four months) and jumped from 1mg to zero, my withdrawal started really late and they were pretty mild and Managable. Even I'm not sure how the mechanism works


May 2018: 10mg Lexapro (once a day), and etizolaam 0.5 mg with proponolol 20mg twice a day

July 2018: got completely of etizolaam and proponol by weaning and using only once per day in June

October 2018: tapered Lexapro to 5mg using klonopin 0.25 mg as needed to reduce withdrawal symtoms

December 2018: quit Lexapro 5mg cold turkey and has to reinstate in three weeks used etizolaam to reduce symtoms as needed

March 2019: quit etizolaam 0.5mg cold turkey

September 2019: last does of Lexapro

November 2019: took klonopin 0.25 mg as needed to over come withdrawal symtoms sometimes 0.5mg. maximum dose of 0.75 mg per week

 

 

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