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☼ ChessieCat: so I'm not the only one (Pristiq / desvenlafaxine)


ChessieCat

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Hang in there CC.

 

Am really impressed with the work you're doing BTW and your website.

Dose History: 19 Feb 2014 - Escitalopram 10mg daily June 2015 - Started taper, 5mg every other day July 2015 - 5mg every 2 days August 2015 - 5mg every 3 days September 2015 - 5mg every 4 days Sept 14th - Completed tapering, but at 7 weeks "drug free" I suffered serious WD symptoms as a consequence of "incorrect" tapering. Nov 25 2015 - Re-instated Cipralex @ 2.5mg daily. WD symptoms faded. Held at this dose and experienced "windows and waves". 12 Oct 2017 Reduced dose to 1.25mg. 13 Mar 2018 Reduced dose to 0.625mg (approx.). 16 April 2018 0mg. Windows and waves triggered by stress (IBS/reflux, headaches, sinus issues) Aug 2019 Mirena coil fitted 6 Jan 2020 MAJOR Wave hit 19 months following last dose (protracted WD).  Symptoms listed below Mar 2020 Mirena coil removal.

Therapy: Nov 15th 2016 Re-started therapy Jan 19th 2017 Started CBT Dec 2017 Started listening to Hypnotherapy CD (self-esteem). Nov 2019 Started couples therapy.

Supplements: "Bioglan" Biotic Balance Ultimate Flora 10 billion CFU, live Bacteria, Probiotic, suitable for Vegetarians, with Lactobacillus Acidophilus, Lactobacillus Rhamnosus, Bifidobacterium Longum"Pukka" Vitalise a unique blend of 30 energising botanicals.

Diet: 16 April 2018 Detox cleanse / anti-candida for 90 days. Jan 2020 Started "small plate" diet (i.e child size portions).

Exercise: Stretching, Yoga, Pilates, Spinning, Elliptical/upper body workout, walking.

Medical Test Results: 4 Jan 2017 Homeopathic Treatment starts 24 Feb 2017 Started weight loss program 24 Mar 2017 Naturopathic Treatment + anti-Candida diet started due to suspected Candida Related Complex (CRC). DETOXED for 7 weeks to "re-set" gut. April 2017 "Genova Diagnostics" Comprehensive Stool Analysis NEGATIVE; Full Blood Count (Normal) / Blood Cholesterol: 5.6 (Borderline) / Blood Sugar (Normal) / 28 Jun 2017 FSH 8.2 / 14 Nov 2017 FSH 17.7 Dec 2017 Blood Cholesterol: 3.9 (Normal) / Kidney Function (Normal) / Blood Sugar (Normal). December 2017 "Genova Diagnostics" Food panel allergy (bloodwork) analysis - a few "VERY LOW/VL" allergens; Mar 2018 "Genova Diagnostics" SIBO urine analysis: High Level of Yeast/fungal markers found in small intestine but NO SIBO.  April 2018 Thyroid (Normal) / Full Blood Count (Normal) / FSH (Normal). 16 April 2018 Started anti-Candida diet - 3 month protocol.   25 March 2020 All test results "Normal". CRP" 5 mg/L (normal range to 0-5 mg/L).

Symptoms:  Flu-like symptoms, anxiety, anhedonia, sinus headaches right-side (severe), IBS issues/reflux (severe)**, tinnitus, fatigue, inner tremor, nausea, chills/hot flushes, pounding heart, muscular issues including stiff left hip flexor, intense anger, PSSD (ongoing).  **Histhamine intolerance (suspected).

Major Life Events: 

Re-located to UK from Canada: Jan 2016

My father died: 5:05pm, Monday 5 Feb 2018 Last Lexapro dose: 16 April 2018 (its now been over a year since I quit ADs)  Moved house: Friday 23rd February 2018  "Divorced" toxic Mother: Monday 26 March 2018 Starting working again: 19 November 2018  Diagnosed with: 5th August 2021 PTSD/C-PTSD Diagnosed with: March 2022 Interstitial Cystitis (IC)/Painful bladder syndrome

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I totally understand about the heightened senses ~ mine is smell & the building I work,in particular, the first floor & elevator have a terrible smell to me! I asked another lady as we were riding the elevator & she "didn't smell a thing". Ugh!

On Zoloft for 10 years (50 mg) for GAD & panic attacks

Weaned off fall of 2013, terrible set back in Feb '14 back on 100 mg & trazadone to sleep.

Did CT off of Zoloft in May 2014 - bad decision!

Back on 50 mg Zoloft & Xanax as needed (was upped to 75 mg by doctor in Feb 2015)

Started to wean off of Zoloft in April 2015 ~ totally off Zoloft in Oct 2015 and now am on Buspar 11.25 mg to help.

I was on a 50 mg pill & 25 mg pill - I cut the 25 mg pill in half (12.5) and took that with the 50 for 6 weeks - 1st week June 2015

 50 mg for another 6 weeks. 25 mg in half and the 50 mg in half (37.5), 25 mg mid Sept for about 2 weeks.,1/2 of the 25 mg last week of Sept/1st week of Oct then off.

Update** 9 mg Zoloft reinstated early Nov 15, along with 1.5 mg Buspar daily. On .50 of Buspar & 9 mg of Zoloft. Oct '16 - off of Buspar, Nov '16 - down to 7.5 mg Zoloft. March'17 - 4 mg Zoloft. July'17 - 2 mg, Sept 1 mg. Oct'17 - off! Done!

I also take magnesium, L theanine, Gaba Calm, L Glutamine, Vit B complex(for methyl issues), Liver & Gall bladder support, Zinc, Whole Food Vit C & Fish Oil. DARE & the bible are the tools I use to help navigate this  process.

 

 

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Hi bromor,

 

Maybe it was her that smelled? Just joking.

 

UPDATE:  Decided yesterday to drop another 2.5 mg to 57.5 mg BUT have ended up having to go back up today.  It's been 3 hours since I took my 2nd day of 57.5 mg and I can feel the ear pressure and pain increasing with a bit of jaw tightening and a headache with pain/stinging sensation in the bridge of my nose that might be WD.  A nuisance, but it's giving me a good sign that it's not time to drop.  I am just so thankful that I know what is going on and what to do about it.

 

Wow, if anyone had told me about this 5 months ago I just wouldn't have believed them.  Also seems like I am going to have to keep going slowly.  I don't know why, because I have plenty of capsules on hand, but after being patient over the last couple of months I feel this sudden desire to get to 50 mg.  Time to accept and stick to doing it the best way for me.  At least I have learned my lesson.

* NO LONGER ACTIVE on SA *

MISSION ACCOMPLISHED:  (6 year taper)      0mg Pristiq  on 13th November 2021

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

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Hi JC,

 

I've just noticed your post.  I appreciate the encouragement.  Whoever would have thought that this would be such a long, slow process.  After my research, I'm now wondering how the human guinea pigs on the clinical trials end up after taking these drugs.

 

Thanks for your support and for the compliment about my website.

* NO LONGER ACTIVE on SA *

MISSION ACCOMPLISHED:  (6 year taper)      0mg Pristiq  on 13th November 2021

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

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Just adding this here for my own record.

 

"Chessie Cat, I know what you mean about drs. having you go back on the med.  That happened last time I tried to quit.  He told me at the time I would likely be on it for the rest of his life.  At the time, I believed and accepted this."

 

Ditto, except mine was a lovely, helpful psychologist (and I say that sincerely, she helped me immensely from the therapy side) who gave me the "like a diabetic needs insulin.  I still need to contact her to let her know differently.

 

It's only in the last couple of weeks that I have had a clearer mind that I am start to remember things and being able to fill in the gaps of my drug history.  I had actually go cold turkey off Citalopram for a few months (felt really great for about 2 weeks) before I went back and said I didn't feel like myself.  That was when I was put on to Pristiq.  Months later when I said I had lots of focus (I completed a book with 254 sudoku puzzles without cheating) but wasn't feeling any enjoyment in anything that my dose was increased from 50 mg to 100 mg.  Of course, after what I have learned from hear, the puzzle pieces are starting to fall into place!!!  And I'm very thankful for finding this forum before I got too far into a too quick taper.

* NO LONGER ACTIVE on SA *

MISSION ACCOMPLISHED:  (6 year taper)      0mg Pristiq  on 13th November 2021

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

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UPDATE:  I've made the decision that I'm going to make it 3 weeks between drops of 2.5 mg until I get to 50 mg.  That means I not due for another drop until 24th March.

 

I did notice that I was getting a bit of morning nausea for several days over the last weekend (no I am definitely NOT pregnant!!! so don't even go there thank you :P )

 

I just wish that Pristiq tablets could be cut evenly. :angry:

* NO LONGER ACTIVE on SA *

MISSION ACCOMPLISHED:  (6 year taper)      0mg Pristiq  on 13th November 2021

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

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LOL @ morning sickness ... now that WOULD be  a scientific anomaly :).

 

Don't feel you need to decrease in 2 days if you're not ready to ... the goal is smart , not fast.

 

Congratulations on your moderatorship-ness , good to have you on board.

 

bw ,   

1987-1997 pertofran , prothiaden , Prozac 1997-2002 Zoloft 2002-2004 effexor 2004-2010 Lexapro 40mg

2010-2012Cymbalta 120mg

Sept. 2012 -decreased 90mg in 6months. Care taken over by Dr Lucire in March 2013 , decreased last 30mg at 2mg per week over 3 months. July 21 , 2013- last dose of Cymbalta

Protracted withdrawal syndrome kicked in badly Jan.2014 Unrelenting akathisia until May 2014. Voluntary hosp. admission. Cocktail of Seroquel, Ativan and mirtazapine and I was well enough to go home after 14 days. Stopped all hosp. meds in next few months.

July 2014 felt v.depressed - couldn't stop crying. Started pristiq 50mg. Felt improvement within days and continued to improve, so stayed on 50mg for 8 months.

Began taper 28 Feb. 2015. Pristiq 50mg down to 45mg. Had one month of w/d symptoms. Started CES therapy in March. No w/d symptoms down to 30mg.

October 2015 , taking 25mg Pristiq. Capsules compounded with slow-release additive.

March 2016 , 21mg

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I've learnt my lesson.  Slow and steady from now on.  I'm starting to feel better in myself now so I don't feel like I need to rush now.

 

Thanks :blush::D:wacko:  The Behind The Scenes is a bit daunting but I'll just take it slowly and I'll get there.  Like my taper, there is no rush :P

* NO LONGER ACTIVE on SA *

MISSION ACCOMPLISHED:  (6 year taper)      0mg Pristiq  on 13th November 2021

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

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That's exactly how I feel about it ... why not allow ourselves to feel good as we go down , rather than unbalance things

as soon as we begin stabilize  ;).

1987-1997 pertofran , prothiaden , Prozac 1997-2002 Zoloft 2002-2004 effexor 2004-2010 Lexapro 40mg

2010-2012Cymbalta 120mg

Sept. 2012 -decreased 90mg in 6months. Care taken over by Dr Lucire in March 2013 , decreased last 30mg at 2mg per week over 3 months. July 21 , 2013- last dose of Cymbalta

Protracted withdrawal syndrome kicked in badly Jan.2014 Unrelenting akathisia until May 2014. Voluntary hosp. admission. Cocktail of Seroquel, Ativan and mirtazapine and I was well enough to go home after 14 days. Stopped all hosp. meds in next few months.

July 2014 felt v.depressed - couldn't stop crying. Started pristiq 50mg. Felt improvement within days and continued to improve, so stayed on 50mg for 8 months.

Began taper 28 Feb. 2015. Pristiq 50mg down to 45mg. Had one month of w/d symptoms. Started CES therapy in March. No w/d symptoms down to 30mg.

October 2015 , taking 25mg Pristiq. Capsules compounded with slow-release additive.

March 2016 , 21mg

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I've learnt my lesson.  Slow and steady from now on.  I'm starting to feel better in myself now so I don't feel like I need to rush now.

 

Thanks :blush::D:wacko:  The Behind The Scenes is a bit daunting but I'll just take it slowly and I'll get there.  Like my taper, there is no rush :P

 

Let us know how it goes, Chessie. That's this Thursday? 

 

I agree about learning the lesson. I'm going 10% from here on out. 

 

2020: After 18+ years (entire adult life) on Paxil, a dangerous doctor-led "taper" in 2015, and four years tapering off the last 1 mg thanks to SA and the Brassmonkey slide, 

I AM COMPLETELY FREE OF PAXIL! ! ! ! ! ! ! ! Forever.

 

2021: Began conservative, proper, CNS-respecting taper of Zoloft, led by the only expert on me -- me. Making own liquid. 5-10% plus holds.

2022: Holding on Zoloft for now. Current dose 47 mg. Hanging in, hanging on. Severe protracted PAWS, windows and waves. While I may not be doing "a lot" by outside standards, things are graaaaadually getting better

 

Yoga (gentle to medium); walks; daily breath practice; nutrition, fruits/veg; nature; water; EastEnders (lol); practicing self-compassion, self-care; boundaries; connection; allowing feelings; t r u s t ing that I, too, will heal. (--> may need to be reminded of this.)

"You are not alone, and this is not the end of your story." - Baylissa

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Hoping you'll be  like the cat who swallowed the canary real soon.

 

I think I might just be!!! :D

* NO LONGER ACTIVE on SA *

MISSION ACCOMPLISHED:  (6 year taper)      0mg Pristiq  on 13th November 2021

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

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Hi Skyblue, thanks for dropping in and taking an interest in my taper.

 

UPDATE:  Dropped dose on 24 March.  This morning, 26 March, prior to taking dose feeling a bit of ear pressure and a bit of tight jaw.  Plan is to drop 2.5 mg every 3 weeks until 50 mg and then hold for a while, possibly 2 to 3 months.

 

Edit:  Thinking I might make my drops every 4 weeks from now until 50 mg.  Why suffer if I don't need to?

* NO LONGER ACTIVE on SA *

MISSION ACCOMPLISHED:  (6 year taper)      0mg Pristiq  on 13th November 2021

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

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Definitely holding for 4 weeks (note to self :blush: ) from now on whilst dropping 2.5 mg.  Most of this morning's symptoms have cleared but do feel a bit of the pain across the bridge of my nose and a bit of a headache.

* NO LONGER ACTIVE on SA *

MISSION ACCOMPLISHED:  (6 year taper)      0mg Pristiq  on 13th November 2021

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

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UPDATE:  Feeling a bit fuzzy headed and tired.  Little bit stressy too.

* NO LONGER ACTIVE on SA *

MISSION ACCOMPLISHED:  (6 year taper)      0mg Pristiq  on 13th November 2021

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

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ChessieCat, hi.

 

Thank you for the insightful words on my thread, I appreciate it. And I very much agree that expansive possibility lies more within flexibility than within rigidity. Patience and flexibility are such hard-won allies in all of this, but they are of incalculable value.

 

I hope your current fuzziness gives way to clarity, tiredness gives way to calm energy, and that the "stressy" is soon much "lessy"

 

Keep up the great mod work.

 

Hang in there,

 

Dave

1996 - .5mg Ativan as needed, 7.5mg Remeron daily2008 - .5mg Xanax, Ativan discontinued, Remeron continued2012 - .5mg Xanax, .25mg Ativan 3x daily, Remeron continued2/2012 - Jumped from Remeron, continued .5mg Xanax .25mg Ativan 3x daily4/2012 - Began rapid taper of .5mg Xanax .25mg Ativan 3x daily6/2012 - Jumped from Xanax and Ativan, voluntary hospitalization followed7/2012 - 2nd voluntary hospitalization, reinstated Remeron, bumped to 30mg, also given risperidone.8/2012 - discontinued risperidone, tried gabapentin, dicontinued gabapentin, Remeron 30mg continued10/2012 to current - tapered Remeron 10% every 4 to 6 weeks (sometimes more time) using liquid compound12/2014 - 2mg Remeron 1/16/2015 - 1.9mg Remeron 8/1/2015 -1.6mg Remeron - 03/1/2016 - 1.5mg Remeron - 1/2/2017 1.3mg - 5/7/2017 1.2mg - 5/13/2017 - syringe size change - 6/8/2017 - 1.1mg - 7/10/2017 - 1mg - 9/1/2017 - 0.9mg - 10/22/2017 - 0.8mg - 11/22/2017 - 0.7mg - 2/2/2018 - 0.6mg - 3/13/2018 - new compound pharmacy - 5/20/2018 - 0.5mg - 8/31/2018 - 0.4mg - 11/16/2018 - 0.3mg - 12/24/2018 - 0.2mg - 4/1/2019 - 0.1mg - 5/1/2019 - .05mg - 0mg achieved 2019-06-15. 🤞

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Definitely holding for 4 weeks (note to self :blush: ) from now on whilst dropping 2.5 mg.  

 

I love that (note to self!). 

 

You bet, Chessie! Keep us posted. 

 

2020: After 18+ years (entire adult life) on Paxil, a dangerous doctor-led "taper" in 2015, and four years tapering off the last 1 mg thanks to SA and the Brassmonkey slide, 

I AM COMPLETELY FREE OF PAXIL! ! ! ! ! ! ! ! Forever.

 

2021: Began conservative, proper, CNS-respecting taper of Zoloft, led by the only expert on me -- me. Making own liquid. 5-10% plus holds.

2022: Holding on Zoloft for now. Current dose 47 mg. Hanging in, hanging on. Severe protracted PAWS, windows and waves. While I may not be doing "a lot" by outside standards, things are graaaaadually getting better

 

Yoga (gentle to medium); walks; daily breath practice; nutrition, fruits/veg; nature; water; EastEnders (lol); practicing self-compassion, self-care; boundaries; connection; allowing feelings; t r u s t ing that I, too, will heal. (--> may need to be reminded of this.)

"You are not alone, and this is not the end of your story." - Baylissa

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Thanks Dave,

 

I appreciate your support.  I've decided to copy here what I posted on your topic as a reminder to myself:

 

"It can be so easy to give in to the struggle but I believe that accepting the struggle and learning to be patient and endure it in as calm a way as possible is what can make this journey through tapering and withdrawal more bearable.  Fighting against it only adds fuel to it and doesn't give our brain the chance to do what it is so desperately trying to do."

 

Hi SkyBlue,

 

We need all the reminders we can get.  I think that is why this support group is so helpful because during the tough times we sometimes can't remember or see for ourselves, but others can and it is very much needed on this journey.

 

UPDATE:  Suffered uncomfortable indigestion yesterday from eating hot cross buns and bread for lunch and dinner.  Probably slowed digestion from the latest drop of which I was feeling a bit stressy.  It seemed to take hours for my "meals" to go down.

 

Dog woke me at 4 am with vomiting so of course I woke up suddenly and jumped out of bed.  Let her out the back and then went back to bed.  Had to really focus on deep breathing to settle, was dozing off and something bit me on the ankle, possibly a mossie.  Of course I sat up in bed suddenly and again it took me a while to settle.  Haven't had any issues with settling previously so put it down to recent drop.

* NO LONGER ACTIVE on SA *

MISSION ACCOMPLISHED:  (6 year taper)      0mg Pristiq  on 13th November 2021

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

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Hi cc congratulations on your new mod status.

 

Hey i have now discovered why you are such a speedy cat ..you are a professional typist. Wow that explains it !

 

nz11

NZ into the T20 semi final;  Aussi going home!!

Thought for the day: Lets stand up, and let’s speak out , together. G Olsen

We have until the 14th. Feb 2018. 

URGENT REQUEST Please consider submitting  for the petition on Prescribed Drug Dependence and Withdrawal currently awaiting its third consideration at the Scottish Parliament. You don't even have to be from Scotland. By clicking on the link below you can read some of the previous submissions but be warned many of them are quite harrowing.

http://www.parliament.scot/GettingInvolved/Petitions/PE01651   

Please tell them about your problems taking and withdrawing from antidepressants and/or benzos.

Send by email to petitions@parliament.scot and quote PE01651 in the subject heading. Keep to a maximum of 3 sides of A4 and you can't name for legal reasons any doctor you have consulted. Tell them if you wish to remain anonymous. We need the numbers to help convince the committee members we are not isolated cases. You have until mid February. Thank you

Recovering paxil addict

None of the published articles shed light on what ssri's ... actually do or what their hazards might be. Healy 2013. 

This is so true, with anything you get on these drugs, dependance, tapering, withdrawal symptoms, side effects, just silent. And if there is something mentioned then their is a serious disconnect between what is said and reality! 

  "Every time I read of a multi-person shooting, I always presume that person had just started a SSRI or had just stopped."  Dr Mosher. Me too! 

Over two decades later, the number of antidepressant prescriptions a year is slightly more than the number of people in the Western world. Most (nine out of 10) prescriptions are for patients who faced difficulties on stopping, equating to about a tenth of the population. These patients are often advised to continue treatment because their difficulties indicate they need ongoing treatment, just as a person with diabetes needs insulin. Healy 2015

I believe the ssri era will soon stand as one of the most shameful in the history of medicine. Healy 2015

Let people help people ... in a natural, kind, non-addictive (and non-big pharma) way. J Broadley 2017

 

 

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Totally agree with slow and steady. I'm just fine to be a "turtle taperer"!! Glad to see you're doing well.

On Zoloft for 10 years (50 mg) for GAD & panic attacks

Weaned off fall of 2013, terrible set back in Feb '14 back on 100 mg & trazadone to sleep.

Did CT off of Zoloft in May 2014 - bad decision!

Back on 50 mg Zoloft & Xanax as needed (was upped to 75 mg by doctor in Feb 2015)

Started to wean off of Zoloft in April 2015 ~ totally off Zoloft in Oct 2015 and now am on Buspar 11.25 mg to help.

I was on a 50 mg pill & 25 mg pill - I cut the 25 mg pill in half (12.5) and took that with the 50 for 6 weeks - 1st week June 2015

 50 mg for another 6 weeks. 25 mg in half and the 50 mg in half (37.5), 25 mg mid Sept for about 2 weeks.,1/2 of the 25 mg last week of Sept/1st week of Oct then off.

Update** 9 mg Zoloft reinstated early Nov 15, along with 1.5 mg Buspar daily. On .50 of Buspar & 9 mg of Zoloft. Oct '16 - off of Buspar, Nov '16 - down to 7.5 mg Zoloft. March'17 - 4 mg Zoloft. July'17 - 2 mg, Sept 1 mg. Oct'17 - off! Done!

I also take magnesium, L theanine, Gaba Calm, L Glutamine, Vit B complex(for methyl issues), Liver & Gall bladder support, Zinc, Whole Food Vit C & Fish Oil. DARE & the bible are the tools I use to help navigate this  process.

 

 

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Hi NZ, thanks for the congrats.  Unfortunately it coincided with my drop in dose which has been giving me previous symptoms plus a new one.  This has meant that I'm dabbling at the moment but I know that I'll be more with it soon and be able to read and respond.

 

Professional typist.  Yes, that's what I call myself now.  When I was young (yes, so much younger than today!) I used to say I was "just a typist".  It took me a while to realise that I'm not "just" an anything.  Mums often say I'm just a mum.  Shows a lack of self esteem and belief in a worthwhile and incredibly rewarding (unpaid) job.  My highest speed was 90 wpm, most recent test typing 75 wpm with 100% accuracy so that's why I have put the "professional" in front of typist.  I am now very proud of my ability and am not afraid to let people know!!!

 

Hi bromor, and thanks.  Yes I agree.  We definitely need to listen to our bodies and I think the really big key to tapering is understanding what is happening.  I've been suffering nausea and indigestion this drop and if I didn't understand about the serotonin in the gut, I would be in the dark and being in the dark creates anxiety which in turn leads to fight/flight which in turn ... vicious circle and reduced healing.

 

Went to my regular doctor's yesterday to collect a couple of prescriptions and left 3 of my cards for the 3 doctors.  I'm hoping that my own doctor will have checked out some of the information before I have a consultation with him.

 

Also went to my local chemist and mentioned withdrawal to them and they (3 of them) all knew what I was talking about.  I gave them a couple of cards and they are going to leave one on the fridge and refer people to SA.  The lady I was talking to is well aware that pharma are money makers.  She made the comment that if a remedy was found that helped depression that it would end up being bought by pharma.  My comment was yes, like the petrol companies and alternative fuels.

 

UPDATE:  Nausea is minimal, ears are little bit blocked and pressure is slightly painful.  Still a tinsy winsy bit stressy.  Just find I am a bit tense, ie not relaxed, when I'm doing things.  Get a little be irritated with minor things.  Having a couple of interrupted nights (dog) hasn't helped.  Slept well last night.  Knowing what it is enables me to accept it and just try and relax and know it will pass.

* NO LONGER ACTIVE on SA *

MISSION ACCOMPLISHED:  (6 year taper)      0mg Pristiq  on 13th November 2021

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

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A professional typist is an amazing thing to watch.  Monica hasn't done it professionally for years but people still stop to watch when she gets cranked up.

20 years on Paxil starting at 20mg and working up to 40mg. Sept 2011 started 10% every 6 weeks taper (2.5% every week for 4 weeks then hold for 2 additional weeks), currently at 7.9mg. Oct 2011 CTed 15oz vodka a night, to only drinking 2 beers most nights, totally sober Feb 2013.

Since I wrote this I have continued to decrease my dose by 10% every 6 weeks (2.5% every week for 4 weeks and then hold for an additional 2 weeks). I added in an extra 6 week hold when I hit 10mg to let things settle out even more. When I hit 3mgpw it became hard to split the drop into 4 parts so I switched to dropping 1mgpw (pill weight) every week for 3 weeks and then holding for another 3 weeks.  The 3 + 3 schedule turned out to be too harsh so I cut back to dropping 1mgpw every 4 weeks which is working better.

Final Dose 0.016mg.     Current dose 0.000mg 04-15-2017

 

"It's also important not to become angry, no matter how difficult life is, because you can loose all hope if you can't laugh at yourself and at life in general."  Stephen Hawking

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Hi Brass,

 

Even though I have seen other people touch typing, I don't think I have ever really taken notice.  However, recently I was watching a movie and there was a lady touch typing and I thought Oh so that's what I look like when I type.  When I was studying IT at college in 2001 there were some school leavers who were amazed and kept saying How can you do that.  The funny thing is people used to ask me at the age of about 12 what do you want to do when you leave school and I always answered A typist like my sister (she is 10 years my senior).  I love typing and believe that it is my natural talent.  Monica can probably remember finding the middle of a page and back spacing for every second letter of a heading to centre it!!!  And of course carbon paper!

 

You can understand why I knew something was really wrong at the start of all of this withdrawal stuff when I wasn't able to type.  Even now I find I sometimes look at what I've typed and wonder how I got it.  At least I know what is causing it so I don't let it worry me.

* NO LONGER ACTIVE on SA *

MISSION ACCOMPLISHED:  (6 year taper)      0mg Pristiq  on 13th November 2021

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

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She was a paralegal for many years so became an absolute whizz with a Selectric.  Could take a page out, put it back change one word in the middle of the page and you couldn't even tell.  I think we still have a box of carbon paper somewhere.  We use it every once in a while for art projects.  How well I'm typing is one of the indicators I use also.  Some days I'm 40wpm by touch and others I can't get two letters in a row correct.  I never liked actual typewriters, although I used them for years, but give me a word processor and off I go.  For serious writing though I still prefer a pen and paper.  Typing isn't quite second nature enough to do while composing a plot or dialogue.  It works great for technical writing but not fiction.

20 years on Paxil starting at 20mg and working up to 40mg. Sept 2011 started 10% every 6 weeks taper (2.5% every week for 4 weeks then hold for 2 additional weeks), currently at 7.9mg. Oct 2011 CTed 15oz vodka a night, to only drinking 2 beers most nights, totally sober Feb 2013.

Since I wrote this I have continued to decrease my dose by 10% every 6 weeks (2.5% every week for 4 weeks and then hold for an additional 2 weeks). I added in an extra 6 week hold when I hit 10mg to let things settle out even more. When I hit 3mgpw it became hard to split the drop into 4 parts so I switched to dropping 1mgpw (pill weight) every week for 3 weeks and then holding for another 3 weeks.  The 3 + 3 schedule turned out to be too harsh so I cut back to dropping 1mgpw every 4 weeks which is working better.

Final Dose 0.016mg.     Current dose 0.000mg 04-15-2017

 

"It's also important not to become angry, no matter how difficult life is, because you can loose all hope if you can't laugh at yourself and at life in general."  Stephen Hawking

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We need all the reminders we can get.  I think that is why this support group is so helpful because during the tough times we sometimes can't remember or see for ourselves, but others can and it is very much needed on this journey.

 

 

 

Definitely, Chessie! It's like holding someone's hand in the dark sometimes.  :ph34r:  Hope you are doing a bit better.

 

2020: After 18+ years (entire adult life) on Paxil, a dangerous doctor-led "taper" in 2015, and four years tapering off the last 1 mg thanks to SA and the Brassmonkey slide, 

I AM COMPLETELY FREE OF PAXIL! ! ! ! ! ! ! ! Forever.

 

2021: Began conservative, proper, CNS-respecting taper of Zoloft, led by the only expert on me -- me. Making own liquid. 5-10% plus holds.

2022: Holding on Zoloft for now. Current dose 47 mg. Hanging in, hanging on. Severe protracted PAWS, windows and waves. While I may not be doing "a lot" by outside standards, things are graaaaadually getting better

 

Yoga (gentle to medium); walks; daily breath practice; nutrition, fruits/veg; nature; water; EastEnders (lol); practicing self-compassion, self-care; boundaries; connection; allowing feelings; t r u s t ing that I, too, will heal. (--> may need to be reminded of this.)

"You are not alone, and this is not the end of your story." - Baylissa

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WARNING:  Trigger alert.

 

Unfortunately I had to get my dog euthanased this afternoon. Not sure how I'm feeling at the moment.  At least I'm able to cry and have been doing a lot of self talk and controlled breathing.

 

Dropped into the shops on the way home to pick up some easily digestible food because I know I still have to eat.

 

Thankfully I have lots of good memories that I can actually remember!!!  That is a bonus.

* NO LONGER ACTIVE on SA *

MISSION ACCOMPLISHED:  (6 year taper)      0mg Pristiq  on 13th November 2021

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

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Awww , that's so sad , I'm sorry for your loss CC..

 

What happened?

1987-1997 pertofran , prothiaden , Prozac 1997-2002 Zoloft 2002-2004 effexor 2004-2010 Lexapro 40mg

2010-2012Cymbalta 120mg

Sept. 2012 -decreased 90mg in 6months. Care taken over by Dr Lucire in March 2013 , decreased last 30mg at 2mg per week over 3 months. July 21 , 2013- last dose of Cymbalta

Protracted withdrawal syndrome kicked in badly Jan.2014 Unrelenting akathisia until May 2014. Voluntary hosp. admission. Cocktail of Seroquel, Ativan and mirtazapine and I was well enough to go home after 14 days. Stopped all hosp. meds in next few months.

July 2014 felt v.depressed - couldn't stop crying. Started pristiq 50mg. Felt improvement within days and continued to improve, so stayed on 50mg for 8 months.

Began taper 28 Feb. 2015. Pristiq 50mg down to 45mg. Had one month of w/d symptoms. Started CES therapy in March. No w/d symptoms down to 30mg.

October 2015 , taking 25mg Pristiq. Capsules compounded with slow-release additive.

March 2016 , 21mg

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Thanks Fresh.

* NO LONGER ACTIVE on SA *

MISSION ACCOMPLISHED:  (6 year taper)      0mg Pristiq  on 13th November 2021

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

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  • Moderator Emeritus

Oh, I am so sorry to hear that, Chessie. <<< hugs >>>

 

2020: After 18+ years (entire adult life) on Paxil, a dangerous doctor-led "taper" in 2015, and four years tapering off the last 1 mg thanks to SA and the Brassmonkey slide, 

I AM COMPLETELY FREE OF PAXIL! ! ! ! ! ! ! ! Forever.

 

2021: Began conservative, proper, CNS-respecting taper of Zoloft, led by the only expert on me -- me. Making own liquid. 5-10% plus holds.

2022: Holding on Zoloft for now. Current dose 47 mg. Hanging in, hanging on. Severe protracted PAWS, windows and waves. While I may not be doing "a lot" by outside standards, things are graaaaadually getting better

 

Yoga (gentle to medium); walks; daily breath practice; nutrition, fruits/veg; nature; water; EastEnders (lol); practicing self-compassion, self-care; boundaries; connection; allowing feelings; t r u s t ing that I, too, will heal. (--> may need to be reminded of this.)

"You are not alone, and this is not the end of your story." - Baylissa

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Sorry. CC.   That must have been hard .  I'm so sorry .  Hang on to those memories.  They will get you through this .

Hugs,

Ali

Many SSRI's and SSNRI's over 20 years. Zoloft for 7 years followed by Effexor, Lexapro, Prozac, Cymbalta, Celexa, Pristiq, Valdoxan, Mianserin and more - on and off. No tapering. Cold turkey off Valdoxan - end of May 2014

 

                                                  Psych Drug - free since May 2014
.
         

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I'm so sorry, CC.

 

They are great to have and hard to lose.

 

Best,

 

Andy

Sertraline 50mg and Clonazapam .375mg from 2000 -- symptoms of dizziness Spring 2012

increased to .5 Clonazapam and 100mg Sertraline -- no improvement

Benzo microtaper from November 2012 to November 2014 (followed benzo sites "taper benzo first")

Started Sertraline taper in December 2014 cut by 25mg to 75mg; 62.5mg 1/1/15 and 50mg on 2/1/15

Held at 50mg through April 5 to use liquid 
Reduced dosage in 10% or less drops from 50mg to 25mg -- at single tablet of 25mg on 10/5/15

Transitioned to all liquid for accuracy while tapering -- Horrible insomnia -- back to 25mg liquid and held until October 1, 2016

10/16 -- 11/18 tapered very slowly to 10.6mg.  No real improvement and never really stable so updosed to 12.5mg (1/2 a pill) for convenience and long hold.

After 8+ months of holding with no noticeable improvement decided to add .4ml of liquid Prozac (about 1.5mg) to see if that improves the situation

Supplements, Magnesium, D3, Omega 3, curcumin, Valerian, 81mg Aspirin, L-Theanine, Vit. C,

 

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Oh CC, I'm really sad for you about your dog.  What a hard, hard loss that is.  :(

2010  Fluoxetine 20mg.  2011  Escitalopram 20mg.  2013 Tapered badly and destabilised CNS.  Effexor 150mg. 

2015 Begin using info at SurvivingAntidepressants.  Cut 10% - bad w/d 2 months, held 1 month. 

Micro-tapering: four weekly 0.4% cuts, hold 4 weeks (struggling with symptoms).

8 month hold.

2017 Micro-tapering: four weekly 1% cuts, hold 4 weeks (symptoms almost non-existent).

2020 Still micro-tapering. Just over 2/3 of the way off effexor. Minimal symptoms, - and sleeping well.
Supplements: Fish oil, vitamin C, iron, oat-straw tea, nettle tea.

2023 Now on 7 micro-beads of Effexor. Minimal symptoms but much more time needed between drops.

 'The possibility of renewal exists so long as life exists.'  Dr Gabor Mate.

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Thanks everyone.  I appreciate the thoughts.  It helps (a bit :( ).

 

I agree apace, pets are great to have but so hard to lose.  My dog and cat have helped to keep me going after losing my job mid-2011.

 

I slept well last night and have been able to eat.  I've allowed myself to cry and have sobbed at times but been able to keep myself from having a complete melt down.  I realise that it would be sensible to hold off tapering for a while.  I'm about to start a second volunteer role so that will help to keep me busy.

 

Freckles was a rescue dog who was 4 months when we gave her a forever home.  I was hoping to do therapy pet visiting with her because she was so cute but she turned out to have psychological issues so we ended up being her therapy humans.  She was 13 years old and she developed what appeared to be minor health problems in the last few months.  When I took her to the vet yesterday about what looked like a haemorrhoid he said it was a growth.  She had recently become incontinent and also had a deteriorating knee joint so together we decided on the kindest option.  Thankfully in the last couple of weeks one of my daughters and I had been discussing her health and had decided what to do if things didn't improve so it wasn't a total shock.  I'm obviously very upset but part of me is also relieved.

 

I still have my Burmilla cat who is 17 years old to keep me company when it suits her.  She's an indoor cat and her health seems to be okay (at the moment).

* NO LONGER ACTIVE on SA *

MISSION ACCOMPLISHED:  (6 year taper)      0mg Pristiq  on 13th November 2021

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

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We had to do that seven years ago, I still miss him terribly.  I'm so sorry you had to do this.

 

((((((((((((((((((((((((HUGS)))))))))))))))))))))))

20 years on Paxil starting at 20mg and working up to 40mg. Sept 2011 started 10% every 6 weeks taper (2.5% every week for 4 weeks then hold for 2 additional weeks), currently at 7.9mg. Oct 2011 CTed 15oz vodka a night, to only drinking 2 beers most nights, totally sober Feb 2013.

Since I wrote this I have continued to decrease my dose by 10% every 6 weeks (2.5% every week for 4 weeks and then hold for an additional 2 weeks). I added in an extra 6 week hold when I hit 10mg to let things settle out even more. When I hit 3mgpw it became hard to split the drop into 4 parts so I switched to dropping 1mgpw (pill weight) every week for 3 weeks and then holding for another 3 weeks.  The 3 + 3 schedule turned out to be too harsh so I cut back to dropping 1mgpw every 4 weeks which is working better.

Final Dose 0.016mg.     Current dose 0.000mg 04-15-2017

 

"It's also important not to become angry, no matter how difficult life is, because you can loose all hope if you can't laugh at yourself and at life in general."  Stephen Hawking

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Even in the midst of 20+ years of Zoloft use when very little moved me, I remember sobbing uncontrollably when I put down our first Yorkie. He was a great dog and that was as hard as anything I've ever done.

 

It gets better, CC.

 

Best,

 

Andy

Sertraline 50mg and Clonazapam .375mg from 2000 -- symptoms of dizziness Spring 2012

increased to .5 Clonazapam and 100mg Sertraline -- no improvement

Benzo microtaper from November 2012 to November 2014 (followed benzo sites "taper benzo first")

Started Sertraline taper in December 2014 cut by 25mg to 75mg; 62.5mg 1/1/15 and 50mg on 2/1/15

Held at 50mg through April 5 to use liquid 
Reduced dosage in 10% or less drops from 50mg to 25mg -- at single tablet of 25mg on 10/5/15

Transitioned to all liquid for accuracy while tapering -- Horrible insomnia -- back to 25mg liquid and held until October 1, 2016

10/16 -- 11/18 tapered very slowly to 10.6mg.  No real improvement and never really stable so updosed to 12.5mg (1/2 a pill) for convenience and long hold.

After 8+ months of holding with no noticeable improvement decided to add .4ml of liquid Prozac (about 1.5mg) to see if that improves the situation

Supplements, Magnesium, D3, Omega 3, curcumin, Valerian, 81mg Aspirin, L-Theanine, Vit. C,

 

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Yes I agree it is hard.

 

Thankfully I've managed to keep busy today getting washing done so have been outside in the beautiful sunshine.  Had a lie down and dozed before lunch.  I know my grieving isn't over but I feel like I've got over the initial shock.  Now I just feel sad.  I know I did the right thing so I don't feel any guilt.

 

I appreciate your support.  It's nice to know that people care.  Thank you.

* NO LONGER ACTIVE on SA *

MISSION ACCOMPLISHED:  (6 year taper)      0mg Pristiq  on 13th November 2021

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

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  • Moderator Emeritus

I'm very sorry for your loss Chessie but glad you are finding ways to grief.

 

I hope you can take enough comfort in the knowledge that Freckles had a beautiful and long life at your side.

 

Hugs

Current: 9/2022 Xanax 0.08, Lexapro 2

2020 Xanax 0.26 (down from 2 mg in 2013), Lexapro 2.85 mg (down from 5 mg 2013)

Amitriptyline (tricyclic AD) and clonazepam for 3 months to treat headache in 1996 
1999. - present Xanax prn up to 3 mg.
2000-2005 Prozac CT twice, 2005-2010 Zoloft CT 3 times, 2010-2013 Escitalopram 10 mg
went from 2.5 to zero on 7 Aug 2013, bad crash 40 days after
reinstated to 5 mg Escitalopram 4Oct 2013 and holding liquid Xanax every 5 hours
28 Jan 2014 Xanax 1.9, 18 Apr  2015 1 mg,  25 June 2015 Lex 4.8, 6 Aug Lexapro 4.6, 1 Jan 2016 0.64  Xanax     9 month hold

24 Sept 2016 4.5 Lex, 17 Oct 4.4 Lex (Nov 0.63 Xanax, Dec 0.625 Xanax), 1 Jan 2017 4.3 Lex, 24 Jan 4.2, 5 Feb 4.1, 24 Mar 4 mg, 10 Apr 3.9 mg, May 3.85, June 3.8, July 3.75, 22 July 3.7, 15 Aug 3.65, 17 Sept 3.6, 1 Jan 2018 3.55, 19 Jan 3.5, 16 Mar 3.4, 14 Apr 3.3, 23 May 3.2, 16 June 3.15, 15 Jul 3.1, 31 Jul 3, 21 Aug 2.9 26 Sept 2.85, 14 Nov Xan 0.61, 1 Dec 0.59, 19 Dec 0.58, 4 Jan 0.565, 6 Feb 0.55, 20 Feb 0.535, 1 Mar 0.505, 10 Mar 0.475, 14 Mar 0.45, 4 Apr 0.415, 13 Apr 0.37, 21 Apr 0.33, 29 Apr 0.29, 10 May 0.27, 17 May 0.25, 28 May 0.22, 19 June 0.22, 21 Jun updose to 0.24, 24 Jun updose to 0.26

Supplements: Omega 3 + Vit E, Vit C, D, magnesium, Taurine, probiotic 

I'm not a medical professional. Any advice I give is based on my own experience and reading. 

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