Bailey Posted February 16 Share Posted February 16 On 2/14/2024 at 11:57 AM, jon1 said: I can’t tolerate fish oil either, it makes me agitated within a few hours. That said, I replaced it with a can of sardines a few times a week, which has loads of it. Plus heaps of other healthy nutrients. I have no problems with that at all. It does seem that in withdrawal, getting nutrients the natural way (food, sunshine) is fine, but anything involving man-made supplements causes an issue. That's what I'm doing right now, too -- sardines, salmon, canned salmon, tuna. I can absorb nutrients in food but am quite sensitive to supplements. 1 1994 Zoloft 1996 Effexor XR 1996-2012 Prozac and Klonipin 2012: physician took me off Prozac rapidly. Severe (unrecognized) withdrawal. Went inpatient and was poly-drugged -- rapid changes of SSRIs, antipsychotics and benzodiazepines. 2012 Paxil 40mg 2012 Xanax XR 6mg 2019 Xanax XR .5mg (tapered down to this level since being prescribed in 2012) 2014-2022 Gabapentin (tapered down to zero from 1800mg) May 2023 HRT - estriol, estradiol, testosterone, progesterone. Dec. 8, 2023 - stopped progesterone pill (started having awful reactions); inconsistent with estrogen and testosterone combined cream in confusion of severe withdrawal symptoms. Dec. 14, 2023: Estrogen/testosterone cream: Back on about 1/4 amount I was taking previously of estrogen and testosterone cream (1.5 pumps out of 4 -- full amount seemed to ignite some kind of fire in my hyper sensitive state); did not resume progesterone (b/c of bad reactions after taking in WD) December 2022: Paxil 40 to 30mg (went OK); May 2023: Paxil 30 to 20 mg (went OK); Oct. 14, 2023: Paxil 15mg; Oct. 21, 2023: Paxil 10mg Nov. 9, 2023: tried reinstating to 20mg but reacted very badly (kindling?) November 18, 2023: 7.5ml (15mg equivalent) *switch to manufacturer's liquid, Novatium* Conventional psych doc switched me to 7.5ml liquid b/c tiny pills were splitting unevenly - further destabilization by both switching to liquid and changing dose at same time. November 2023 - present: *severe* withdrawal symptoms, akathisia Dec. 6 - manufacturer change on alprazolam er (further destabilization?). Normal mfr very difficult to find now. Jan 6 2024 - stopped coffee and all forms of caffeine. Eliminated dairy, processed foods, sugar. Gluten intolerant so no gluten. Low fodmap diet for gut issues, daily leafy greens, a lot of protein to avoid blood sugar spikes after meals and also for akathisia. Feb 27 2024 - doc had me stop hormone cream. FDA-required formulation had changed and she was worried about my transition to something new. She also said that the estrogen/testosterone hormones are activating. I had already dropped a good bit in dose early in withdrawal (Dec 14 2023 above) b/c it got lost in the chaos of early withdrawal. March 2024 - doctor having me try propranolol for akathisia. First as needed starting around Mar 7 and then daily starting around Mar 23. (aka very bad in morning especially) Apr 2 2024 - stopped propranolol. Think it was interefering with sleep and causing other side effects. May keep on as prn. Link to comment Share on other sites More sharing options...
Administrator Altostrata Posted February 16 Author Administrator Share Posted February 16 As explained repeatedly earlier in this topic, omega-3 fish oil is usually beneficials but some people may not be able to tolerate it. It's best to start at a very low dose and build up. For withdrawal, an effective dosage is 3000-4000mg EPA + DHA per day. Since most fish oil might contain only 600mg total of the omega-3 fatty acids EPA + DHA per capsule (the rest of the oil in the capsule doesn't do anything), a good dosage of omega-3 fish oil is usually 6 capsules per day (2 capsules at each meal), or 3600mg. Thus, you could take one capsule as a test dose to see how you do. If you don't like the effect, you might store the omega-3 fish oil in the refrigerator and try it again later, when you might be less sensitive to it. 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. Link to comment Share on other sites More sharing options...
Daniel1269 Posted February 16 Share Posted February 16 On 2/14/2024 at 12:48 PM, Daniel1269 said: @Altostrata, Hi, My fish oil already contains mixed tocopherols in it, is it still necessary to supplement with vitamin e? (Fish oil manufacturer is ZipVit) Thanks. @Altostrata, what are your thoughts on the quoted post please? Many Thanks. Sertraline 50mg 10/23 - 27/02/24 , 45mg 27/02/24 , 40.5mg 25/03/24, 36.45mg 12/04/24 Omeprazole 40mg - 09/23 - 01/11/23 - 40/20mg/20mg - 31/01/24 0mg 01/02/24 Supplements: Vit D3: 1000 IU - Nov 23 to Present 4000mg Fish Oil (2200mg EPA +DHA) - 26/02/24 -Present Link to comment Share on other sites More sharing options...
Administrator Altostrata Posted February 17 Author Administrator Share Posted February 17 Hello, @Daniel1269 I am no longer involved in the day-to-day operation of this site. Please do not tag me to answer questions. My thoughts are: 1) Read this topic from the beginning. 2) Use common sense. 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. Link to comment Share on other sites More sharing options...
jon1 Posted February 18 Share Posted February 18 On 2/16/2024 at 3:19 PM, Bailey said: That's what I'm doing right now, too -- sardines, salmon, canned salmon, tuna. I can absorb nutrients in food but am quite sensitive to supplements. Another benefit is that oily fish is high in vitamin D (which I can’t tolerate in supplement form either). 1 Oct 2018 - Jun 2020: 10 mg per day generic Escitalopram in pill form. Jul 2020 - Aug 2020: Switched to 9 mg per day of Cipralex drops to aid tapering. Sep 2020 - Oct 2020: Taper to 8 mg. Nov 2020 - Dec 2020: Taper to 7 mg. Jan 2021 - Feb 2021: Taper to 6 mg. Mar 2021 - Apr 2021: Taper to 5 mg. May 2021 - Jun 2021: Taper to 4 mg. Jul 2021 - Sep 2021: Taper to 3 mg. Sep 2021 - Jan 2022: Taper to 2 mg. Jan 2022: Stopped taking altogether. Link to comment Share on other sites More sharing options...
Bailey Posted February 18 Share Posted February 18 9 hours ago, jon1 said: Another benefit is that oily fish is high in vitamin D (which I can’t tolerate in supplement form either). @jon1I didn't realize that and am really glad to know I'm getting some Vit. D in with the fish. I can't do any supplements right now. 1 1994 Zoloft 1996 Effexor XR 1996-2012 Prozac and Klonipin 2012: physician took me off Prozac rapidly. Severe (unrecognized) withdrawal. Went inpatient and was poly-drugged -- rapid changes of SSRIs, antipsychotics and benzodiazepines. 2012 Paxil 40mg 2012 Xanax XR 6mg 2019 Xanax XR .5mg (tapered down to this level since being prescribed in 2012) 2014-2022 Gabapentin (tapered down to zero from 1800mg) May 2023 HRT - estriol, estradiol, testosterone, progesterone. Dec. 8, 2023 - stopped progesterone pill (started having awful reactions); inconsistent with estrogen and testosterone combined cream in confusion of severe withdrawal symptoms. Dec. 14, 2023: Estrogen/testosterone cream: Back on about 1/4 amount I was taking previously of estrogen and testosterone cream (1.5 pumps out of 4 -- full amount seemed to ignite some kind of fire in my hyper sensitive state); did not resume progesterone (b/c of bad reactions after taking in WD) December 2022: Paxil 40 to 30mg (went OK); May 2023: Paxil 30 to 20 mg (went OK); Oct. 14, 2023: Paxil 15mg; Oct. 21, 2023: Paxil 10mg Nov. 9, 2023: tried reinstating to 20mg but reacted very badly (kindling?) November 18, 2023: 7.5ml (15mg equivalent) *switch to manufacturer's liquid, Novatium* Conventional psych doc switched me to 7.5ml liquid b/c tiny pills were splitting unevenly - further destabilization by both switching to liquid and changing dose at same time. November 2023 - present: *severe* withdrawal symptoms, akathisia Dec. 6 - manufacturer change on alprazolam er (further destabilization?). Normal mfr very difficult to find now. Jan 6 2024 - stopped coffee and all forms of caffeine. Eliminated dairy, processed foods, sugar. Gluten intolerant so no gluten. Low fodmap diet for gut issues, daily leafy greens, a lot of protein to avoid blood sugar spikes after meals and also for akathisia. Feb 27 2024 - doc had me stop hormone cream. FDA-required formulation had changed and she was worried about my transition to something new. She also said that the estrogen/testosterone hormones are activating. I had already dropped a good bit in dose early in withdrawal (Dec 14 2023 above) b/c it got lost in the chaos of early withdrawal. March 2024 - doctor having me try propranolol for akathisia. First as needed starting around Mar 7 and then daily starting around Mar 23. (aka very bad in morning especially) Apr 2 2024 - stopped propranolol. Think it was interefering with sleep and causing other side effects. May keep on as prn. Link to comment Share on other sites More sharing options...
jon1 Posted February 18 Share Posted February 18 1 hour ago, Bailey said: @jon1I didn't realize that and am really glad to know I'm getting some Vit. D in with the fish. I can't do any supplements right now. Apparently salmon is the best, a normal can of around 150g or so provides the entire day amount we need. Wild salmon (canned or fresh) contains the most. 1 Oct 2018 - Jun 2020: 10 mg per day generic Escitalopram in pill form. Jul 2020 - Aug 2020: Switched to 9 mg per day of Cipralex drops to aid tapering. Sep 2020 - Oct 2020: Taper to 8 mg. Nov 2020 - Dec 2020: Taper to 7 mg. Jan 2021 - Feb 2021: Taper to 6 mg. Mar 2021 - Apr 2021: Taper to 5 mg. May 2021 - Jun 2021: Taper to 4 mg. Jul 2021 - Sep 2021: Taper to 3 mg. Sep 2021 - Jan 2022: Taper to 2 mg. Jan 2022: Stopped taking altogether. Link to comment Share on other sites More sharing options...
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