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The Windows and Waves Pattern of Stabilization


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On 4/3/2024 at 12:50 AM, Ashpashley23 said:

 

What if we have yet to experience any windows? What if we don’t follow this pattern?

 

I’m getting toward 14 months off all meds and have not had any windows yet, nor have any symptoms fallen off yet. 
 

Anyone else not have windows and still healed?

 


It is important to note that windows does not necessarily mean periods of time with no symptoms, it can also mean your symptoms calm down for a while before ramping up again.

 

I don’t get any true windows, I haven’t had 0 symptom moments ever.

 

What I do have is symptoms calming down for certain periods of time, though I’m not sure if that isn’t just my baseline improving between waves.

December 2021 - Metoclopramide started. Akathisia symptoms start; Metoclopramide gets changed to PRN.

March 2022 - Akathisia diagnosed; Metoclopramide stopped; Propranolol 10mg x twice a day. Biperiden PRN (0.5mg to 1mg).

April 2022 - Tandospirone 30mg (10mg 3x day), Quetiapine 25mg (only taken once, immediate adr). Mirtazapine 7.5mg. . Discontinued Propranolol.

May 2022 - Mirtazapine upped to 15mg. Tandospirone cut to 2x 10mg. Low dose Depakote for the month; 100 to 200 to 100 to 0. Mirtazapine cut back to 11.75mg (3/4 of a 15mg pill).
June 2022 - Mirtazapine updose to 15mg. Tandospirone, Biperiden discontinued. Klonopin started PRN (0.5mg). 
September 2022 - Akathisia slowly starts improving, WD/ADR normal sets in in mid September. Hold for 4 months.
March 2023 - Off mirtazapine; no Klonopin for 5 months either! Started quercetin (250mg x 2) to soften the histamine rebound.

May 2023 - Stopped quercetin and changed from magnesium carbonate to oxide - reacted badly. Reverted back to carbonate. 
June 2023 - Added fish oil.
Current regimen: CALM Magnesium (Carbonate into Citrate) 175mg x2; Vitamin E 268mg x2; Fish oil (100mg Omega3; EPA 30mg; DHA 37mg)x2
Intro thread: 
https://www.survivingantidepressants.org/topic/27095-portuguesesea-metoclopramide-akathisia-and-mirtazapine/

 

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4 hours ago, PortugueseSea said:


It is important to note that windows does not necessarily mean periods of time with no symptoms, it can also mean your symptoms calm down for a while before ramping up again.

 

I don’t get any true windows, I haven’t had 0 symptom moments ever.

 

What I do have is symptoms calming down for certain periods of time, though I’m not sure if that isn’t just my baseline improving between waves.


I’m the same. At first I thought a window would mean feeling 100% better, the sun shining, and happily singing with the birds.

 

In reality it’s more like feeling ‘less bad’. Sometimes the improvements are so subtle, I only notice I was feeling a bit better when another wave arrives.

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.

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Although it is far less common, some people have little to no waves and the improvement is more linear and gradual over time, but most have the waves and windows, but not necessarily any at the beginning.

Slowly the constant bad starts to fragment into small bits of less bad, that is the windows and that's exactly it, it's just less bad that the very bad.

Over time the less bad becomes a little less bad again and the bad waves a little shorter and not as intense, but you can still have just as bad and sometimes new and even worse waves come in.

These I would call setbacks and are normal part of the recovery but do look like starting all over again. I am currently going though a rather large patch of these and it is pure hell, but right now I am climbing up into a window again and so far it's not as good as ones I was commonly having.  Symptoms often morph into something new during a setback or an unusual combo of ones you have before but not together.

And yes, windows can indeed be 100% or close to that, I have had many close to 100% myself again last year before I got off the last med, but many months after I successfully CT the first med.

There is no expected pattern in the short term ( during tapering and the several months and couple of years post CT) when there is poly pharmacy involved.

Multiple drugs complicates WD far more than usual because most commonly multi drugs are normally working on completely different biological mechanisms (classes of drugs). It's kinda analogous to having a flat tire on your car, it can't drive but multiple drugs is like having a flat tire, and a busted transmission. Both stop the car together and on their own, but fixing one or the other is not enough and there is more effort, resources and time required to drive again.

Late 2014-Early 2015 started Lovan SSRI for weakness, fatigue and severe SD. Severe side effects. CT

2015- multiple SSRIs and SNRI (type?) Anger and side effects. CT

2015- Agromelatine  6 months- No effects CT

2016- Present Moclobemide. Partial response without major side effects. 

2017- 2017- Added Sodium Valproate- No effects just hair loss. CT

2018- Antipsychotic. (type?) No effects. CT. 

2018- Latuda Antipsychotic. 6 months. No effects. CT. 

2019 Jan- Rexulti. Massive improvement no major side effects.  2mg dose.

September 2020- Sudden severe SD after a number of years of being mostly fine and jerky sleep/wake transitions + severe sleep paralysis, injuries to face during sleep, blunt emotions, brain fog, little motivation.

August 2021- Rexulti concluded as likely cause. Begin taper over 8 weeks. Delayed severe neurological (almost entirely autonomic) WD symptoms in late November 2021 after being symptom free. 

Reinstated and taper Rexulti @ 0.25mg Jan 2022, 0.125mg May, August 0.0625mg, November 26th 0.03125mg, Feb 27th 2023 0.0158mg, May 22nd 0.0mg. Finally!

Taper Moclobemide March 2022 from 300mg to 150mg, August 75mg (last reduction too harsh, moving to 10% per 3, 4 or 5 weeks) 12th Oct 22  67.5mg, 11th Nov 60.18mg, 11th Dec 53.65mg, 2nd Jan 2023 48.035mg, 23rd Jan 2023 42.8mg, 13th Feb 39.033mg, 20th March 34.85mg, April 19- May 17 rather rapid slide method from 31mg to 19mg (approx 10% weekly). Hold 19mg to May 31st, 17.5mg to 15th June, Split dosing 9mg x 2 twice daily 1 at 5pm and 1 at 7:30pm. Helped with the severity of the adverse reactions and can be mixed with next dosing to allow a slide period. July 11th,  9mg + 7.5mg. July 18th 2 x 7.5mg,  Aug 18th 7.5mg + 6mg, Aug 25th 6+6mg, Sep 23rd 5.25+5.25mg, Oct 27 CT. Drug free!

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2 hours ago, 6Eggs said:

Although it is far less common, some people have little to no waves and the improvement is more linear and gradual over time, but most have the waves and windows, but not necessarily any at the beginning.

Slowly the constant bad starts to fragment into small bits of less bad, that is the windows and that's exactly it, it's just less bad that the very bad.

Over time the less bad becomes a little less bad again and the bad waves a little shorter and not as intense, but you can still have just as bad and sometimes new and even worse waves come in.

These I would call setbacks and are normal part of the recovery but do look like starting all over again. I am currently going though a rather large patch of these and it is pure hell, but right now I am climbing up into a window again and so far it's not as good as ones I was commonly having.  Symptoms often morph into something new during a setback or an unusual combo of ones you have before but not together.

And yes, windows can indeed be 100% or close to that, I have had many close to 100% myself again last year before I got off the last med, but many months after I successfully CT the first med.

There is no expected pattern in the short term ( during tapering and the several months and couple of years post CT) when there is poly pharmacy involved.

Multiple drugs complicates WD far more than usual because most commonly multi drugs are normally working on completely different biological mechanisms (classes of drugs). It's kinda analogous to having a flat tire on your car, it can't drive but multiple drugs is like having a flat tire, and a busted transmission. Both stop the car together and on their own, but fixing one or the other is not enough and there is more effort, resources and time required to drive again.

Greetings. I had a great day on April 17th, 2024. While my wife was on a buh course. according to the account, I was able to walk it was about 5km at an intensive pace, I listened to music and jumped straight off the asphalt with the feeling that I had conquered this world and everything was under my control. At lunch we ate, lay down to rest and then went shopping. It was wonderful. We rode around the city at night in our favorite car, listened to music, the city glowed fabulously beautiful, we moved from store to store, buying clothes, I was completely in life, here and now. I had a moment when my wife was measuring things in the fitting room and I experienced a rise downstairs, my libido increased several times. And even in the evening, when we arrived home, everything was fine. 

The morning came, I woke up very early and immediately hit the alarm, it is bearable, I can control it. But she still steals all the good feelings. I went on my next wave, which lasted all day yesterday.

I have a feeling that the withdrawal symptoms are very similar to bipolar disorder. On the day I felt good, it was so pronounced that sometimes I envied myself.

 2015 г. - 21 января 2022 г. ксанакс(алпразолам(ксанакс)) 0,5 мг +/-   

2015- 21.10.05(10.05.2021) Ципралекс 10 мг (снят с учета ?CT)

2022 - Добавлен тразадон 22.02.22 Отказался от тразадона 16.04.22.22.16 Габапентин для сна, очень редко. 300мг на 1 месяц 2 таблетки

2022 г. - конец апреля или май, возобновление приема ципралекса (эсциталопрама) 20 мг (хотим снизить дозу ципралекса до 10 мг) 7 августа - снижение дозы эсциталопрама 18 мг

21.08.2222 г. я снизил дозу Ципралекса до 16,2мг.

2015 г. - 21 января 2022 г. ксанакс (алпразолам (ксанакс)) 0,5 мг +/-   

2015- 21.10.21(10.05.2021) Ципралекс 10 мг (снят с производства ?CT)

2022 - Добавлен тразадон 22.02.22 Отказался от тразадона 16.04.22.22.16 Габапентин для сна, очень редко. 300мг на 1 месяц 2 таблетки

2022 г. - конец апреля или май, возобновление приема ципралекса 20 мг (хочу снизить дозу ципралекса до 10 мг) 7 августа - снижение дозы эсциталопрама 18 мг 21 августа - 16,2 мг, 28 августа - 15 мг

Переведено с помощью www.DeepL.com. Прежде чем переводить, просмотрите этот пост как «оригинал».

Я отказался от всех психотропных таблеток. 04.12.2023 перескочила с дозы 1мг.

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9 hours ago, Tolk90 said:

I have a feeling that the withdrawal symptoms are very similar to bipolar disorder. On the day I felt good, it was so pronounced that sometimes I envied myself.

This is definitely reflects my experience. What I've gone through for the past 6 months mimics the symptoms of bipolar minus the mania. Although I sometimes wonder if my windows are in fact manifestations of hypomania. My depressive states also vary not only in intensity but in specific manifestations. Sometimes, they feel like "classic" depression with lots of crying spells and high emotional sensitivity. These episodes are a relief compared to my worst days, which are characterized by a deep and unrelenting despair, psychomotor disturbances and physical slowness causing me to walk like a zombie, and almost the total opposite of the emotional sensitivity in my "classic" depression state: a profound numbness where absolutely nothing can provoke even the smallest emotional reponse in me. 

2001 - 2019: On and off of numerous SSRIs and stimulants including Prozac, Concerta, Adderall, and others.

Jan 2020 (unsure of date) - Apr 2022: Escitalopram 20mg

Apr 18, 2022: Reduced Escitalopram to 10mg + Adderall XR 20mg (only M-F) || May, 23 2022: Reduced Escitalopram to 5mg + Adderall XR 20mg (only M-F)
Jun 10, 2022: Reinstated Escitalopram at 10mg + Adderall XR 20mg (only M-F) || July 18, 2022: Reduced Escitalopram to 5mg + Adderall XR 20mg (only M-F)
Sep 2022: Removed Escitalopram + removed Adderrall || Mar 8 - Apr 26, 2023:Amitriptyline 10mg (only taken 3 times, 3rd gave me a bizarre seizure-like reaction)
Apr 28, 2023: Reinstated Escitalopram at 10mg || Jun 6, 2023: Reinstated Escitalopram at 20mg
July 4, 2023: Dropped Escitalopram to 10mg || July 19, 2023: Dropped Escitalopram to 5mg
Aug 3, 2023: Dropped Escitalopram to ~2.5mg (imprecise handcut dose) || Aug 17, 2023: Dropped Escitalopram to ~1.25mg(imprecise handcut dose)
Sep 6 - Sep 7, 2023: Escitalopram ~1.25mg(imprecise handcut dose), Adderall XR 20mg || Sep 8, 2023: Removed Escitalopram, continued Adderall XR 20mg
Sep 14 - Sep 30, 2023: Reinstated Escitalopram at ~1.25mg(imprecise handcut dose) || Oct 1 - Oct 16, 2023: Reduced Escitalopram dose daily by imprecise, tiny levels via filing pills
Oct 17, 2023: Removed Escitalopram

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9 minutes ago, MiscMan73 said:

Это определенно отражает мой опыт. То, через что я прошел за последние 6 месяцев, имитирует симптомы биполярного расстройства без мании. Хотя я иногда задаюсь вопросом, а не являются ли мои окна на самом деле проявлением гипомании. Мои депрессивные состояния тоже различаются не только по интенсивности, но и по конкретным проявлениям. Иногда они ощущаются как «классическая» депрессия с множеством приступов плача и высокой эмоциональной чувствительностью. Эти эпизоды являются облегчением по сравнению с моими худшими днями, которые характеризуются глубоким и безжалостным отчаянием, психомоторными расстройствами и физической медлительностью, заставляющими меня ходить как зомби, и почти полной противоположностью эмоциональной чувствительности в моем «классическом» депрессивном состоянии. : глубокое онемение, при котором абсолютно ничто не может вызвать во мне даже малейшего эмоционального отклика. 

Good afternoon. Please tell me, are you getting better? Is there a difference between a 4-month waiver and a 6-month waiver? How do you feel now?

 2015 г. - 21 января 2022 г. ксанакс(алпразолам(ксанакс)) 0,5 мг +/-   

2015- 21.10.05(10.05.2021) Ципралекс 10 мг (снят с учета ?CT)

2022 - Добавлен тразадон 22.02.22 Отказался от тразадона 16.04.22.22.16 Габапентин для сна, очень редко. 300мг на 1 месяц 2 таблетки

2022 г. - конец апреля или май, возобновление приема ципралекса (эсциталопрама) 20 мг (хотим снизить дозу ципралекса до 10 мг) 7 августа - снижение дозы эсциталопрама 18 мг

21.08.2222 г. я снизил дозу Ципралекса до 16,2мг.

2015 г. - 21 января 2022 г. ксанакс (алпразолам (ксанакс)) 0,5 мг +/-   

2015- 21.10.21(10.05.2021) Ципралекс 10 мг (снят с производства ?CT)

2022 - Добавлен тразадон 22.02.22 Отказался от тразадона 16.04.22.22.16 Габапентин для сна, очень редко. 300мг на 1 месяц 2 таблетки

2022 г. - конец апреля или май, возобновление приема ципралекса 20 мг (хочу снизить дозу ципралекса до 10 мг) 7 августа - снижение дозы эсциталопрама 18 мг 21 августа - 16,2 мг, 28 августа - 15 мг

Переведено с помощью www.DeepL.com. Прежде чем переводить, просмотрите этот пост как «оригинал».

Я отказался от всех психотропных таблеток. 04.12.2023 перескочила с дозы 1мг.

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13 minutes ago, Tolk90 said:

Good afternoon. Please tell me, are you getting better? Is there a difference between a 4-month waiver and a 6-month waiver? How do you feel now?

To be honest, it's hard to tell if I'm getting better. I can definitely say my physical symptoms have lessened over time while psychological symptoms appear to take their place. My current windows often feel better than the windows I experienced at the beginning of my cold turkey, but at the same time, my waves will sometimes feel worse. I also seem to have more days that feel in-between a window and a wave, not particularly good or bad. I suppose this is a sign of improvement, it's just hard to be sure.

2001 - 2019: On and off of numerous SSRIs and stimulants including Prozac, Concerta, Adderall, and others.

Jan 2020 (unsure of date) - Apr 2022: Escitalopram 20mg

Apr 18, 2022: Reduced Escitalopram to 10mg + Adderall XR 20mg (only M-F) || May, 23 2022: Reduced Escitalopram to 5mg + Adderall XR 20mg (only M-F)
Jun 10, 2022: Reinstated Escitalopram at 10mg + Adderall XR 20mg (only M-F) || July 18, 2022: Reduced Escitalopram to 5mg + Adderall XR 20mg (only M-F)
Sep 2022: Removed Escitalopram + removed Adderrall || Mar 8 - Apr 26, 2023:Amitriptyline 10mg (only taken 3 times, 3rd gave me a bizarre seizure-like reaction)
Apr 28, 2023: Reinstated Escitalopram at 10mg || Jun 6, 2023: Reinstated Escitalopram at 20mg
July 4, 2023: Dropped Escitalopram to 10mg || July 19, 2023: Dropped Escitalopram to 5mg
Aug 3, 2023: Dropped Escitalopram to ~2.5mg (imprecise handcut dose) || Aug 17, 2023: Dropped Escitalopram to ~1.25mg(imprecise handcut dose)
Sep 6 - Sep 7, 2023: Escitalopram ~1.25mg(imprecise handcut dose), Adderall XR 20mg || Sep 8, 2023: Removed Escitalopram, continued Adderall XR 20mg
Sep 14 - Sep 30, 2023: Reinstated Escitalopram at ~1.25mg(imprecise handcut dose) || Oct 1 - Oct 16, 2023: Reduced Escitalopram dose daily by imprecise, tiny levels via filing pills
Oct 17, 2023: Removed Escitalopram

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So im in a terrible wave. Ive never had one like this. It mocks the flu. Nauseous, horrible body pain, weak, lethargic, my body feels hot and my heart is racing. I will hit a window for a couple hours at night then im back in it in the morning. Its been like this for over a week. Anyone else had this?

2012 july started prozac (i cant remember dosage)

2013 october tappered off prozac so i could switch to valafexine.

Nov 2013 started valafexine 37.5 day

Dec 2013 went up to 150 mg a day of valafexine (2-75s)

2020-started trazadone 1 50 mg

March 2022 - started tapper valafexine. I would take a 75 mg and cut 1/4 off of the second 75 mg tablet.

July 2023- completely off valafexine 

Oct 5th 2023 started 2 25s a day of valafexine Oct 9th went up to 100mg of valafexine a day

Oct 14 went down to 37.5 of valafexine.

Oct 21 started mirtazapine 15 mg and 2- 5 mg buspar

Oct 23 stopped valafexine

Oct 28 stopped buspar

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On 4/2/2024 at 11:50 AM, Ashpashley23 said:

What if we have yet to experience any windows? What if we don’t follow this pattern?

 

I’m getting toward 14 months off all meds and have not had any windows yet, nor have any symptoms fallen off yet. 
 

Anyone else not have windows and still healed?

I have the same question. I’m 21 months out, and in my case the symptoms not only haven’t lessened during any interval of time, but have just consistently worsened. Not sure what to do at this point. Anyone else heard of this happening? 

-Wellbutrin xl: Summer 2014 to May 2022. 300mg 

-Hydroxyzine: Winter 2014 to July 2022. 100mg
-Lexapro: 2015- April 2018. 20mg

-Buspar: 2015- April 2022. 30mg 3x a day

-Pristiq: April 2018- July 2022. 100mg

-Clonidine: August 2018- July 2022. 0.1mg

-Metoprolol er: August 2018- February 2024. 25mg

-Gabapentin: October 2022- present. 300mg
Buspar taper: March-April 2022. Wellbutrin taper: April-may 2022. Pristiq taper: May-late july 2022.

Hydroxyzine & Clonidine taper: July 2022

 

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13 minutes ago, Luke44 said:

I have the same question. I’m 21 months out, and in my case the symptoms not only haven’t lessened during any interval of time, but have just consistently worsened. Not sure what to do at this point. Anyone else heard of this happening? 

I'm sorry you're still not feeling well. After 4 months, I feel better. But I noticed that later there should be no windows or waves, it's more like ordinary days. As calm as possible, these days do not make you despair or jump for joy. Rather, something in between. You can get sad or try to adjust your mood. This is the normal life of a healthy person. I am so convinced that I need to change my diet and add physical activity. All of this won't work right away, after 3-4 weeks. Try to eat right, control your daily calorie intake. Eat healthy food and give your body activity, walking, light running, swimming, but without fanaticism. It may not work at first and even speed up the condition, but it gets better in the process. Noticeably better.

 2015 г. - 21 января 2022 г. ксанакс(алпразолам(ксанакс)) 0,5 мг +/-   

2015- 21.10.05(10.05.2021) Ципралекс 10 мг (снят с учета ?CT)

2022 - Добавлен тразадон 22.02.22 Отказался от тразадона 16.04.22.22.16 Габапентин для сна, очень редко. 300мг на 1 месяц 2 таблетки

2022 г. - конец апреля или май, возобновление приема ципралекса (эсциталопрама) 20 мг (хотим снизить дозу ципралекса до 10 мг) 7 августа - снижение дозы эсциталопрама 18 мг

21.08.2222 г. я снизил дозу Ципралекса до 16,2мг.

2015 г. - 21 января 2022 г. ксанакс (алпразолам (ксанакс)) 0,5 мг +/-   

2015- 21.10.21(10.05.2021) Ципралекс 10 мг (снят с производства ?CT)

2022 - Добавлен тразадон 22.02.22 Отказался от тразадона 16.04.22.22.16 Габапентин для сна, очень редко. 300мг на 1 месяц 2 таблетки

2022 г. - конец апреля или май, возобновление приема ципралекса 20 мг (хочу снизить дозу ципралекса до 10 мг) 7 августа - снижение дозы эсциталопрама 18 мг 21 августа - 16,2 мг, 28 августа - 15 мг

Переведено с помощью www.DeepL.com. Прежде чем переводить, просмотрите этот пост как «оригинал».

Я отказался от всех психотропных таблеток. 04.12.2023 перескочила с дозы 1мг.

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On 4/22/2024 at 7:33 PM, missy27 said:

So im in a terrible wave. Ive never had one like this. It mocks the flu. Nauseous, horrible body pain, weak, lethargic, my body feels hot and my heart is racing. I will hit a window for a couple hours at night then im back in it in the morning. Its been like this for over a week. Anyone else had this?

@missy27Hi, yep, I've felt exactly as you describe all day today. It's been a stressful day so I put it down to that.🙂

2008 10 mg Citalopram, 2.5 mg bendroflumethiazide

2021 reduced Citalopram over three years,2023 5.2 mg Citalopram for approx. 1 year

Sept 2023 taken off Citalopram and bendroflumethiazide , put on Amitriptyline 10 mg and Ramipril 2.5 mg 

October 2023 taken off Amitriptyline and Ramipril put on Propranolol 10 mg

October 2023 put on Losartan 25 mg 

November 2023 taken off Losartan on Propranolol 10 mg 

December 2023 now on 2.5 mg bendroflumethiazide + Citalopram 0.5 mg.

February 2024, taken off bendroflumethiazide, on bisoprolol 1.25 mg

February 2024, taken off bisoprolol, on ramipril 1.25 mg + 0.5mg Citalopram, stopped ramipril.

 

 

 

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