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Altostrata

About reinstating and stabilizing to reduce withdrawal symptoms

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Staz

Just to add my own views/experience on this topic:-

1. I've been on and off of prozac several times until the last time it pooped out on me. Tried to reintroduce when on mirtazapine and all hell broke loose.

2. Same happened with Mirtazapine although I'm stuck on it right now and upping the dose did nothing except cause insomnia and a quick taper which worked in the past failed so reinstated within days. Mirt did nothing for my depression then and only stopped me going into w/d's when reinstated

3. Diazepam I've used for 1 week short courses with no problem. Having then been put on them to cover my bad prozac mirtazapine situation and left on them for 6 weeks at 15mg I was c/t'd. After 4 weeks I was reinstated at 12mg and apart from a few weeks of moderate stability my experience turned into the hell of c/t again and is where I currently am. This could be due to the many med changes but tbh I believe the reinstatement of benzos after you've stopped them is to be avoided at all costs unless your life depends upon it. Having been thoroughly kindled on benzos I'm anticipating a tough long slow taper next year. I think benzo reinstatement is not worth the risk in my experience. Other a/d's appear more forgiving to updosing and reinstatement.

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Downbutnotout

Do after reading this, it seems like I probably waited too long. It’s been 1.5 months. I tried reinstitutung prozac which I only used for 10 days previously. I’m also a mess: anxious and depressed. I went nuts on Prozac yesterday.?i have the shortacting effexor and the beads. Should I try it? 

Edited by Downbutnotout
Put the wrong drug in .

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Downbutnotout

I also took some ativan, but haven’t used that in 2 weeks. It is also playing on me.  I fo have the desire to use it but I haven’t. I was only usin 1/2 ti a 1/4. 20 pils in 6 months. It’s probably a factor up? Now that I cut out the prozac I ODST I guess I’ll get really miserable. My husband says my violent reaction makes it “badbad,” 

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Altostrata

Downbutnotout, those questions are very specific to your particular situation. Please ask them in your Introductions topic Downbutnotout: Started a bridge to get off effexor

 

What we see here very frequently is that going on and off psychiatric drugs, even if you have no symptoms at the time, makes the nervous system hypersensitive to any neuroactive substance, such as other psychiatric drugs, some supplements, and even foods. The hypersensitiivty can cause outsized adverse reactions to dosages that didn't bother you before.

 

That is why we suggest reinstatement at very low doses, doses that most doctors believe will have no effect at all. We always caution people about thinking more is better. When it comes to psychiatric drugs, more is often not better. When your nervous system is sensitized, it can take quite a while to settle down after you take a dosage that's too high for you.

 

Since we don't know what dosage is too high for you, we always start with very low dosages. You can always increase it (gradually) if , after a trial of at least a week, you feel you need it.

 

 

 

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Downbutnotout

So you only updose if you’re side effects are from getting the medication out of your system? So how do I know my effects are from the medication bring out of my system or just bring depressed? I added 3 mg of Effexor back in but how do I know that’s really the problem? My effects are anxiety, horrible depression. But how do I know it’s from the effexir 6 weeks ago, the upping of trazadone or the short reinstatement if prozac which has made me insane?How will I know the reinstatement of Effexor beads is going anything??

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bob35

Reinstatement Caused my withdrawal symptoms, after being off Paxil 40mg for five months I was fine until I reinstated twice the first time I took a pill I was horribly sick for a few days. It has been almost 3 weeks since I took my last 10mg and I'm still not right. I wish I would have learned about this website first.

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Altostrata

bob, quite often we find people are sensitized to "normal" dosages; our recommendations for reinstatement are usually tiny amounts to start, to see what happens.

 

On 12/19/2017 at 4:46 PM, Downbutnotout said:

So you only updose if you’re side effects are from getting the medication out of your system? So how do I know my effects are from the medication bring out of my system or just bring depressed? I added 3 mg of Effexor back in but how do I know that’s really the problem? My effects are anxiety, horrible depression. But how do I know it’s from the effexir 6 weeks ago, the upping of trazadone or the short reinstatement if prozac which has made me insane?How will I know the reinstatement of Effexor beads is going anything??

 

DBNO, we've discussed this in your Intro topic. Please go back and re-read it.

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Pattiop

I had several responses to my signature. I am very concerned about my well being. I am not feeling well and from your response I tapered too quickly. I want to work with my Dr. and be sure that I am doing the right thing. I added the 20 mg Prozac because I have nothing else and need to hear back from Psychiatrist. I tried to summarize my sign. To make it clearer.

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Kozak70

Unfortunately ,too late reinstatement throw me into kindling.It's been 6 years now .stranded whenin I reinstated Prozac after 10 months off .I got adverse reactions since that 2012 ,till now even if I switched to lexapro in 2016 nothing helped.

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Godiswithme

So, I really never suffered from depression. I did suffer from anxiety. I had been taking around 1 mg of Xanax for approx 4 or 5 yrs. Due to life circumstances, I made a huge mistake. I was feeling overwhelmed and went to a psychiatrist for the first time in my life. I went on Lexapro, most of the time at 30mg for 2 yrs. I then lost my job. She added 2mg of Abilify for the last 8 mos. of those 2 yrs on Lexapro. Time passed and my life got better. I don’t believe the Lexapro or Abilify helped me in the least. I CT’d off the Lexapro and Abilify at the same time. After about a month, I went into a hell that is indescribable. I suffered for 5 mos and am amazed I am alive.

 

I tried reinstating Lexapro using the liquid. It was a disaster. Someone on the forum gave me advice to stay away from the liquid. The person saved my life. The liquid was much too strong. I then got tablets. I  split a 5mg tablet into quarters. I started taking 1.25mg. I stayed on that for a month. Very, very Slight improvement. I then took 2.5mg. Stayed at that for 4-6 weeks. Then 5 mg, 7.5, 10mg, 12.5, and finally 15mg. I stayed at each increase for 4-6 weeks hoping I could stop. 15mg is when the intense dread and fear subsided. Although there had been improvements along the way. At most every increase, I had a couple of days of awful adrenaline surges. It was rough. I was taking 1mg of Klonopin per day at the time. 

 

I am now tapering the Klonopin. I am down to .475mg per day. I haven’t returned to work. But I am alive. I am there for my children and husband. I feel that I am severely traumatized from what happened. 

 

I think many people would benefit from reinstating with a portion of a tablet rather than liquid.  I would love to get off of the Lexapro someday if I can gather the courage and the strength to try. My heart goes out to anyone dealing with this. I was seriously planning to end my life, the suffering was so intense. No where near anything I had ever experienced in my entire life. 

 

Edited by ChessieCat
added spacing

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Marsx
On 2012-10-08 at 7:17 PM, Altostrata said:

 There are reports of people with prolonged post-withdrawal syndrome who did better taking a drug at full dosage 2 years later. If you want to do this, please consult a doctor, we cannot advise you on it.

Hello, I'm wondering if there are any links to these reports? Trying to find people who reinstate late with success.

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Altostrata

We occasionally have people here who have done this -- reinstate years later at full dosage. Sorry, I can't give you the links.

 

For safety's sake, we advise an initial dosage that's very, very low, to see how it affects you. You can increase dosage gradually if you think that will help, but if you take too much right off, you could be suffering the after-effects for a long time.

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Bonzee

Alto, also the majority of Psychiatrists recommend reinstatement (and ER docs, and cardiologists apparently in my case), so that's something to note. Many patients are pressured by their doctors to reinstate when overwhelming WD symptoms appear. For the most part, reinstatement is the only clinically proven way to alleviate WD symptoms, per the literature for whatever that's worth. :(

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Altostrata

Yes, Bonzee, that's why we recommend it. Please read this topic from the beginning.

 

However, reinstatement need not be at full dose.

 

Quite a few physicans are not aware reinstatement is the appropriate way to treat withdrawal symptoms, and they do not know how to recognize withdrawal symptoms.

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