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Withdrawal dialogues & encouragement

talking doctor withdrawal encouragement coping

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#1 Lilu

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Posted 30 March 2015 - 12:57 PM

Withdrawal Dialogues - Impact of Withdrawal

 

Withdrawal Dialogues - Benzos & Antidepressants

 

Withdrawal Dialogues - Acceptance

https://www.youtube.com/watch?v=4_WBJu9_bs8

 

Withdrawal Dialogues - Family & Carers

https://www.youtube.com/watch?v=AJgdBuq94rc

 

Withdrawal Dialogues - Doctor's Visit Pt. 1 - typical
https://www.youtube.com/watch?v=KdudhRVN75c

 

Withdrawal Dialogues - Doctor's Visit Pt. 2 - a keeper
https://www.youtube.com/watch?v=EN1Pi9sKU2s


2005-2008 Effexor xr; 1/2008 Tapered 3 months, then quit.
7/2008-2009 Reinstated Effexor xr due to crying spells.
2009-3/2013 Switched to Pristiq 50 mg then 100 mg
3/2013 Switched to Lexapro 10mg. Cut down to 5 mg. CT for 2 weeks then reinstated for 6 weeks
8/2013-8/2014 Tapering Lexapro
11/2014 -8/2015: Developed severe insomnia, resumed using Ambien & Klonopin
12/2014-6/2015 Tried Ativan, Lunesta, Sonata, Trazadone, Seroquel, Rameron - Adverse Reactions
7/2015-1/2016 Reinstated Lexapro at 2 mg; Quit Klonopin CT suddenly paradoxical. Started Gabapentin 100-300 mg for 3 weeks. Developed severe lumbar jerking movements (myoclonus).Quit Gabapentin CT. AddedBaclofen 10mg-AM/20mg-PM - tapered off by 5/2016

8/2015 - Present:  Lexapro 5 mg 
Intro page: http://survivinganti...rsened-by-meds/


#2 Altostrata

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Posted 30 March 2015 - 06:25 PM

Brilliant.


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

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#3 Lilu

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Posted 31 March 2015 - 07:50 AM

The above are all from a very helful and compassionate withdrawal survivor and author.

https://www.youtube....piration/videos

If anyone wants to convert any of the guided meditations in to mp3 audio files, you can do so for free using this site: http://www.listentoy...e.com/index.php

 

Positive Self-Talk for Recovery

 

Affirmations for Recovery


2005-2008 Effexor xr; 1/2008 Tapered 3 months, then quit.
7/2008-2009 Reinstated Effexor xr due to crying spells.
2009-3/2013 Switched to Pristiq 50 mg then 100 mg
3/2013 Switched to Lexapro 10mg. Cut down to 5 mg. CT for 2 weeks then reinstated for 6 weeks
8/2013-8/2014 Tapering Lexapro
11/2014 -8/2015: Developed severe insomnia, resumed using Ambien & Klonopin
12/2014-6/2015 Tried Ativan, Lunesta, Sonata, Trazadone, Seroquel, Rameron - Adverse Reactions
7/2015-1/2016 Reinstated Lexapro at 2 mg; Quit Klonopin CT suddenly paradoxical. Started Gabapentin 100-300 mg for 3 weeks. Developed severe lumbar jerking movements (myoclonus).Quit Gabapentin CT. AddedBaclofen 10mg-AM/20mg-PM - tapered off by 5/2016

8/2015 - Present:  Lexapro 5 mg 
Intro page: http://survivinganti...rsened-by-meds/


#4 abassin

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Posted 31 March 2015 - 12:43 PM

thank you! 


Amanda  :D

 

Pondering next med if any....

 

Celexa 15 mg Nov 2014-March 2015...weaned off 1 mg at a time (was too hard otherwise) and finished June 2015

Took effexor 2004 for 1 year -weaned off after 12 mos

wellbutrin 3 months 2012


#5 Mort81

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Posted 09 May 2015 - 01:41 PM

Thats great , love the  cartoons the 1st doctor's visit was exactly how my visits would go ,100%. I switched doctors but realize all i need is someone compassionate to help me through. It takes time , patience and a calm nervous system to heal. Having an understanding doctor can go a long way but its not very common. Anyway thanks for the Vids


Was on 30mg (Lexapro) for 7-8yrs20mg for 3 months (This was my choice my Doc wanted me to drop much faster)15 mg 2week10mg 2 weeks 5 mg 1 week0 since August 24th Clonazapam. Currently 0.10mg daily. PPI Dexlant 20-30mg for last 29 months currently at 30mg

#6 GardeniaBlossom

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Posted 30 May 2015 - 12:07 PM

I love these videos. Thank you for posting them.


After being on (over 25) psychiatric meds continuously during a 16 year period, I began in July 2014 to taper off 1mg Klonopin. In September 2014, I came off Brintellix, Trazadone, Zoloft, Proprityline & Hydroxyzine in 2 weeks on my own without knowledge on how to taper properly. I've been off all psych "meds" since 10/2014 and am currently experiencing protracted withdrawal.

 

Medication history: Vibryd, Wellbutrin, Lithium, Prozac, Xanax, Celexa, Cymbalta, Trileptal, Lamictal, Abilify, Zoloft, Trazadone, Citalopram, Effexor, Seroquel, Klonopin, Paxil, Brintellix, Protriptyline, Lexapro, Pristiq, Buspar, Clonidine, Lorazepam, Notriptyline, Hydroxyzine, Serzone.

 

Introduction: http://bit.ly/1SIxWwl.


#7 Cheeky

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Posted 04 June 2015 - 12:34 AM

Thanyou so much, that is wonderful so true


-1995 to 2014 started at 20mg for 10 years and slowly increased it to 50mg Paxil-2014 8th of October 25mg Seraquel Started -2014 Tapered of Aropax from Oct 16th to 22nd Nov in only 1 week-2014 Oct 25th started Cymbalta on 30mg fo 1 week Nov 7th 60mg Cymbalta for 2 weeks and Nov 25th -28th 90mg Cymbalta - plus 50mg Seraquel-Tapered of Cymbalta from Nov 28th to 7th Dec - started Zoloft 50mg on the 8th of Dec-12th Dec 75mg Zoloft 16th Dec 100mg Zoloft and still on the 50mg Seraquel-2015 6th Jan 25mg Seraquel 15th Jan 125mg Zoloft and 50mg seraquel-21st Jan 20mg Paxil plus 50mg Seraquel 24th of Jan 30mg Paxil 27th of Jan 40mg Paxil<p>-started Seraquel Tapper Febuary 24th to 43.7mg then March 29th 37.5mg of seraquel May 6th 31.25mg May 28th 25mg4th Nov 21mg Seraquel 14th feb 12.5 Seraquel and still on 40mg PaxilCurrently 12.5mg Seraquel1st may started my Paxil tapper 5% 38mg 16th June 5% 36.8mg 23rd July 35.5mg August 6th 35mg
August 23rd 34.5mg currently 19th October 40mg Paxil and 50mg Seraquel at night 2nd November 43mg Seraquel

17th March 2017 39.5mg  Paxil and 43mg Seraquel


#8 btdt

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Posted 23 June 2015 - 09:28 PM

 

Even your friends in protracted withdrawal will get better... oh my. A massive dose of hope.. I could use that. 

 

As I watch these cartoons while they are informative they are missing some things... the house coat... the couch sitter... today I have barely moved off the couch.  It crossed my mind that some folks here would have some good ideas for a cartoon. 


WARNING THIS WILL BE LONG
Had a car accident in 85
Codeine was the pain med when I was release from hosp continuous use till 89
Given PROZAC by a specialist to help with nerve pain in my leg 89-90 not sure which year
Was not told a thing about it being a psych med thought it was a pain killer no info about psych side effects I went nuts had hallucinations. As I had a head injury and was diagnosed with a concussion in 85 I was sent to a head injury clinic in 1990 five years after the accident. I don't think they knew I had been on prozac I did not think it a big deal and never did finish the bottle of pills. I had tests of course lots of them. Was put into a pain clinic and given amitriptyline which stopped the withdrawal but had many side effects. But I could sleep something I had not done in a very long time the pain lessened. My mother got cancer in 94 they switched my meds to Zoloft to help deal with this pressure as I was her main care giver she died in 96. I stopped zoloft in 96 had withdrawal was put on paxil went nutty quit it ct put on resperidol quit it ct had withdrawal was put on Effexor... 2years later celexa was added 20mg then increased to 40mg huge personality change went wild. Did too fast taper off Celexa 05 as I felt unwell for a long time prior... quit Effexor 150mg ct 07 found ****** 8 months into withdrawal learned some things was banned from there in 08 have kept learning since. there is really not enough room here to put my history but I have a lot of opinions about a lot of things especially any of the drugs mentioned above.
One thing I would like to add here is this tidbit ALL OPIATES INCREASE SEROTONIN it is not a huge jump to being in chronic pain to being put on an ssri/snri and opiates will affect your antidepressants and your thinking.

As I do not update much I will put my quit date Nov. 17 2007 I quit Effexor cold turkey. 

http://survivinganti...ng-myself-btdt/

There is a crack in everything ..That's how the light gets in :)


#9 primekittycat

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Posted 16 July 2015 - 04:50 PM

These are great, just what I needed to hear.

Began suffering from panic attacks when my father passed away in 2005. Been on and off SSRIs (Celexa, Lexapro, Effexor XR), and therapy since then.

2009 - Started Effexor XR 75mg. Therapy on and off since then, but consistent weekly starting Oct 2013

Feb 2014 - Therapist and I felt I was ready to come off Effexor - went to half dose (37.5mg) for a week and then off completely by advice of psychiatrist - bad w/d for a week then gone

May 2014 - bad protracted w/d came out of nowhere.. constant dizziness, agoraphobia(never had before), headaches, fatigue for 3 months, all tests (brain MRI, inner ear tests, blood tests, etc.) normal.

Aug 2014 - back on Effexor XR 75mg as neurologist thought these symptoms were my anxiety coming back, all w/d symptoms disappear within 2 weeks.

 

Tapering Effexor XR.. let's do this!:

Started on 75mg. 7/12/15 - 67.5 mg (10% cut - 5% cuts from here on out); 8/10/15 - 64.9 mg; 8/30/15 - 61.7 mg; 10/9/15 - 58.6 mg; 11/3/15 - 55.7 mg; 11/17/15 - 52.9 mg; 12/7/15 - 50.3mg; 12/21/15 - 47.7mg; 1/4/16 - 45.3mg; 1/22/16 - 43mg; 2/5/16 - 41mg; 2/19/16 - 38.9mg; 3/4/16 - 37.5mg (HALF DOSE)!! Added one bead on 3/10/16 due to bad withdrawal. 4/14/16 - 37.5mg; 5/27/16 - 35.6mg; 6/9/16 - 33.8mg; 7/14/16 - 32.1mg; 7/28/16 - 30.5mg; 8/11/16 - 29mg; 9/2/16 - 27.5mg; 10/20/16 - 26.1mg; 11/3/16 - 24.8mg; 11/17/16 - 23.6mg; 12/1/16 - 22.5mg; 12/15/16 - 21.3mg, 12/29/15 - 20.3mg; 2/9/17 - 19.2mg; 3/16/17 - 18.3mg (QUARTER DOSE!!); 3/30/17 - 17.4mg; 4/13/17 - 16.5mg

 

Supplements: Fish oil, spray on magnesium oil, yoga, daily exercise, clean diet


#10 Hibari

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Posted 05 August 2015 - 01:53 PM

So glad I came across these videos.  I feel more hopeful.


September 2013-April 2014: After the death of my mom in July 2012.-became very depressed in September of 2013. Given a series of antidepressants very quickly from about 4 different psychiatrists in a 6 month period. Each one was from 1 day to 10 days at the most. My body could not handle it-I had Zoloft 4 days, Lexapro-1 day, Nortriptyline-10 days, Liquid Prozac, 1 week, Cymbalta 1 week.

December 2013-September 2014: Put on Xanax after a reaction to the Lexapro, averaging .50-1mg per day. Switched to Clonazepam-midway averaging about 0.25-0.50 daily.

June 2014: Jan/Feb 2015: Put on 7.5 Remeron titrate up to 41.25mgs

September 2014-July 2015: Put on 25mgs of Lamictal titrate up to 200mgs daily. Also stopped the Clonzepam- never felt the wd I had experienced when I tried to stop it before (knowing nothing about withdrawal) because the Lamictal calmed me down.

 

Currently: Tapering both medications together using micro cuts. Started tapering Remeron in January 2015, Started tapering Lamictal July 2015 Main wd symptoms-sweating, nausea, headaches, deep crying, anxiety. 12/21/16 Remeron 1.6 Lamictal 22.50 mgs 1/19/17 Remeron 1.2mgs, Lamictal 22.50mg 2/12/17 Remeron 1.2 Lamictal 21.25 mgs 3/4/17 Remeron 0.85 Lamictal 21.25 3/14 Remeron 0.85 Lamictal 20mgs 3/22 Remeron 0.45 Lamictal 20mg 3/25 Remeron 0.45 Lamictal 18.75mgs 3/30 Remeron 0.025 4/7 Lamictal 18.75mgs Remeron 0.025

 

4/7/2017 Remeron Free stopped at 0.025mgs

 

Additional Support: Acupuncture with Reflexology, Alanon, L-Theanine for anxiety as needed, Estradial patch 0.025, Bio-indentical Progesterone cream 150-200 Armour Thyroid 90mgs.


#11 keepinghope

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Posted 02 January 2016 - 07:17 AM

These are just what I needed today, thank you so much for posting them. 


2002 - Prescribed fluoxetine 20mg for mild situational depression and anxiety. Over the years also briefly swapped about on citalopram, sertraline and venlafaxine during poop out. 2012 - Cold turkeyed fluoxetine. Within 3 months was suffering from aggression, anxiety, panic attacks and paranoia. GP put me back on tablets as I was 'relapsing'. I didn't know anything about WD then. Jul 15 - Wanted to quit fluoxetine again so tapered off (skipping doses) over 6 weeks under advice of GP. Aug 15 - Last fluoxetine dose end of August 2015. Dec 15 - Had my first real crash after discontinuing. Found this site. Aug-Dec 16 - Signed off work because of a herniated disc & severe sciatica. Prescribed diazepam (took for 6 days and got WD symptoms on stopping; nausea, morning cortisol spikes, anxiety, anger) and codeine which I was on for 4 mths. Can confirm - opiate WD is nasty but nowhere near as bad or prolonged as SSRI WD!
Withdrawal symptoms have included: extreme anger and irritability, lethargy, depression and weepiness, anxiety, stomach upsets, loss of appetite, excessive sweating, muscle and back pain, insomnia, cortisol surges, akathisia, inability to cope with stress.
Things that help: herbal tinctures (rose, lemon balm, chamomile and skullcap), seaweed baths & epsom salt baths, fish oil and magnesium.


#12 keepinghope

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Posted 02 January 2016 - 10:19 AM

This is a new one from Baylissa which I felt better from watching. Thanks again for signposting to these Lilu - some of the affirmation and mindfulness videos have already started to calm me down just from watching them today. 


2002 - Prescribed fluoxetine 20mg for mild situational depression and anxiety. Over the years also briefly swapped about on citalopram, sertraline and venlafaxine during poop out. 2012 - Cold turkeyed fluoxetine. Within 3 months was suffering from aggression, anxiety, panic attacks and paranoia. GP put me back on tablets as I was 'relapsing'. I didn't know anything about WD then. Jul 15 - Wanted to quit fluoxetine again so tapered off (skipping doses) over 6 weeks under advice of GP. Aug 15 - Last fluoxetine dose end of August 2015. Dec 15 - Had my first real crash after discontinuing. Found this site. Aug-Dec 16 - Signed off work because of a herniated disc & severe sciatica. Prescribed diazepam (took for 6 days and got WD symptoms on stopping; nausea, morning cortisol spikes, anxiety, anger) and codeine which I was on for 4 mths. Can confirm - opiate WD is nasty but nowhere near as bad or prolonged as SSRI WD!
Withdrawal symptoms have included: extreme anger and irritability, lethargy, depression and weepiness, anxiety, stomach upsets, loss of appetite, excessive sweating, muscle and back pain, insomnia, cortisol surges, akathisia, inability to cope with stress.
Things that help: herbal tinctures (rose, lemon balm, chamomile and skullcap), seaweed baths & epsom salt baths, fish oil and magnesium.


#13 AmyK

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Posted 12 January 2016 - 08:45 AM

I love those cartoons/videos! Very calming, and just what I needed today.

Tapering Zoloft since 2011. Current dose: 0,006 mg

 

0,009 mg 8 April 0,013 mg 25 March 0,019 mg 22 March 0,039 mg 18 March? 0,052 mg 16 March 0,079 mg 4 March 0,086 1 March 0,099 mg 22 February 0,11 mg 15 February 0,13 mg 6 February 0,145 mg 24 January 0,15 mg 19 January 0,19 mg 10 January 0,20 mg 3 January

 

2016: 0,98 to 0,22 mg

2015: 2,35 to 1,01 mg

2014: 4,9 to 2,5 mg

2013: 9,1 to 5,1 mg

2012: 15,7 to 9,7 mg

2011: Started on 25 mg - then 50 mg- dropped to 25- to 12.5 mg - back to 25 mg - after 18.75 mg started tiny tapering to 16.6 mg

 

Started on 25 mg Zoloft in March 2011 due to stressrelated tinnitus that gave me panicattacks, then after two weeks up to 50 mg, which dose I was only on for five weeks. Had a terrible reaction to Zoloft from start, but was told to "hold on". After four months on 25 mg/12 mg/18,75 mg I was stuck. Therefore the long taper. Crazy, I know... Super sensitive to drops and have dropped by 4-6 % from the prevoius dose all the way from 17,5 mg.


#14 maria323

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Posted 13 January 2016 - 04:02 PM

Baylissas videos are so reassuring. I watch them anytime I'm in a dark place. Here's her story http://cepuk.org/recovery-stories/


On antidepressants for almost 20 years due to situational anxiety. I was in a bad marriage, bad divorce, raising 3 boys by myself, stressful job etc. The drugs were Paxil, Effexor and most recently Cymbalta for 10 years. Each time I tried to get off the drugs I would get panic and anxiety attacks. My Dr. would tell me it was my anxiety coming back so I would get back on the Antidepressant rollercoaster. I had a therapist who told me I should get off the toxic poison. He didn't think I needed it. I tapered off 60 mg over 9 months. I completely stopped the poison on 04/20/2015. I have been in withdrawal for 8 months. I currently suffer from bouts of anxiety, uncontrollable crying, insomnia and fatigue. I was also taking .5 Lorazepam as needed for anxiety and 25 mg of seroquel for sleep. I currently take Snooze-in from Vitamin Shoppe to help with sleep, Spray on Magnesium, Krill oil, Lavender and Frankincense essential oils for relaxation and inositol when I remember to take it:)


#15 ryella

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Posted 22 May 2016 - 07:06 PM

Thank you for these wonderful videos. I've seen the survivor & author's videos before. She is so inspiring! 
 

Another person I'd like to add to these videos is Laura Delano... She is also a survivor and a huge inspiration to me.

 


Original Drug Dose Apr 2016: Adderall XR 30mg, 10mg Abilify, 100mg zoloft, over 700mg caffeine

 

August 2016- 4mg Abilify, 100mg Zoloft, 5mg Ritalin Instant Release, 200-500 Caffeine

 

Sept. 2016 - 2mg Abilify, 100mg Zoloft, 5mg Ritalin IR, ~400mg Caffeine Daily

 

Oct. 2016 - 1.75mg Abilify, others remain the same.

 

Nov 2016 - 1mg Abilify, others the same


#16 RachelSusan

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Posted 22 July 2016 - 10:04 AM

Lilu, I love the cartoons.  Just what I needed today.

 

Ryelle, the Laura Delano video was a big help as well.

 

Thanks to both of you.

 

RS


Rachel

 

Find my story here:  http://survivinganti...?hl=rachelsusan

HISTORY

Feb. 2016  - 100mg - 150mg Zoloft. 

Quit Zoloft June  2016, went into withdrawal.   Reinstated 50mg of Zoloft July 8 2016.

After the reinstatement the following was a doctor suggested tapering schedule and was much to harsh for me. July 2016 down to to 25 mg , August   down to 12.5, & then 6.25, Sept. - 5.0mg, October 2.3 mg. I was sick the entire way down and up-dosed in November to 12.5 mg.

STARTING SENSIBLE TAPERING USING GUIDELINES FROM THIS SITE

12/10/16 - switched to Liquid Zoloft @ 12.5 mg.   1/19/17 reduced to 12.0 mg (4%).   2/9/17 reduced to 11.0 mg (8%). 3/1/17 - reduced to 10.0 mg (9 %).  3/21/17 - reduced to 9.5 mg (5%). 4/1/17 - reduced to 9.0 mg (5.3%). 4/10/17 - reduced to 8.5 mg (5.6%). 4/22/17 reduced to 8.25 mg (2.9%).

 

 

 


#17 Westie

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Posted 19 December 2016 - 06:15 PM

These videos are really helping me to see some hope today. Really needed the reassurance and will probably be watching many of these again and again. Thank you all for the links!

Wishing us all health and healing.
2001-2003 Lexapro 20 mgs - CT
2004 Remeron & Zypreza (several months),CT
2004-09 Lexapro 20 mgs - CT
2009 Sertraline 200 mgs
6/2015 Sertraline 100 mgs
7/2015 Sertraline 50 mgs
8/2015 CT off Sertraline
10/15 Celexa 30mgs-Abilify 2mgs-Artane10mg
11/15 Celexa tapered over 2 weeks
3/16 cut Abilify to 1mg, Artane to 5mgs
10/16 CT Abilify & Artane

#18 triplem15

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Posted 08 January 2017 - 12:42 PM

These are GREAT!!!! Thank you!!! Inspirational and hopeful!!!!
I do take Flonase,also take Zyrtec on and off. Maybe twice per week. I am on Vit. C, B-complex, Vit. D, selenium, Vit E, fish oil, and l-lysine and thats it. No street drugs. No alcohol. 9/2006 Welbutrin XL 150mg, Began Weaning June 15, 2015, Alternating days, changed each mos. Oct 2015 switch to Immediate release 37.5mg. mid october 2015 down to 18.75, (9.37mg twice daily. stayed there one mos.) Dec 2015 down to 9.37mg in AM and 7mg in PM, January 2016 down to 7mg AM and 4.6mg in PM. 4/5/16 cut down what I thought was 2.5 to 3mg. From 4/16/16 until yesterday, was not doing well. 4/20/16, 37.5mg yesterday for first time. 4/21/16 Two days now on 37.5mg. 4/22/16 took monitors advise and dropped dose to 18.75, split dose ,twice daily, now holding.

#19 JanCarol

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Posted 14 April 2017 - 08:14 AM

Withdrawal Dialogues:  Tapering (WARNING, she is RELENTLESS about pushing through symptoms - we don't recommend that here at SA.  We recommend that you adjust your tapering to ease your symptoms, instead of forcing your survival of a pre-determined tapering schedule):

 


"Easy, easy - just go easy and you'll finish." - Hawaiian Kapuna

 

Holding is hard work, holding is a blessing. Give your brain time to heal before you try again.

 

My suggestions are not medical advice, you are in charge of your own medical choices.

 

A lifetime of being prescribed antidepressants that caused problems (30 years in total). At age 35 flipped to "bipolar," but was not diagnosed for 5 years. Started my journey in Midwest United States. Crossed the Pacific for love and hope; currently living in Australia.   CT Seroquel 25 mg some time in 2013.   Tapered Reboxetine 4 mg Oct 2013 to Sept 2014 = GONE (3 years on Reboxetine).     Tapered Lithium 900 to 475 MG (alternating with the SNRI) Jan 2014 - Nov 2014, tapered Lithium 475 mg Jan 2015 -  Feb 2016 = GONE (10 years  on Lithium).  Many mistakes in dry cutting dosages were made.

 

Currently Lithium Orotate 1.67 mg only.  I will re-evaluate this supplement in 2017.

 

I have been psych drug FREE since 1 Feb 2016!


#20 triplem15

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Posted 16 April 2017 - 05:33 AM

Thank you Jan Carol. Stabilizing between cuts is CRITICAL and cannot be overstated!!!
I do take Flonase,also take Zyrtec on and off. Maybe twice per week. I am on Vit. C, B-complex, Vit. D, selenium, Vit E, fish oil, and l-lysine and thats it. No street drugs. No alcohol. 9/2006 Welbutrin XL 150mg, Began Weaning June 15, 2015, Alternating days, changed each mos. Oct 2015 switch to Immediate release 37.5mg. mid october 2015 down to 18.75, (9.37mg twice daily. stayed there one mos.) Dec 2015 down to 9.37mg in AM and 7mg in PM, January 2016 down to 7mg AM and 4.6mg in PM. 4/5/16 cut down what I thought was 2.5 to 3mg. From 4/16/16 until yesterday, was not doing well. 4/20/16, 37.5mg yesterday for first time. 4/21/16 Two days now on 37.5mg. 4/22/16 took monitors advise and dropped dose to 18.75, split dose ,twice daily, now holding.