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blackhawks89

blackhawks89: Help getting off Trazodone?

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blackhawks89

Hi,

I'm new but didn't know who else to turn to because my psychiatrist told me to just stop taking the medicine. I am currently on 15mg lexapro and was put on 50mg of Trazodone 3 weeks ago for sleep. It helps me sleep but makes me tired, groggy, dizzy, flat feeling and I think its giving me headaches. I told my psychiatrist and she said to stop taking it. Well I cut a quarter off, so 37.5mg and the next day I felt horrible. I felt a huge headache depressed just sick.  I would like to get off of it but don't know where to start. Can any of you be of some assistance it would be greatly appreciated! 

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Petunia

Welcome blackhawks89,

I moved your post here to an introduction thread which you can use as your ongoing journal to track progress, write about symptoms, ask questions and communicate with the community, add to it whenever you want.

 

I'm sorry you haven't been feeling well since starting taking Trazodone, there is actually a major interaction warning between trazodone and lexapro, you can see details of that here:   http://www.drugs.com/interactions-check.php?drug_list=2228-0,1013-565

 

Were you put on trazodone to counteract insomnia caused by lexapro?  If this was the case, you may want to consider tapering down on lexapro first to minimize the sleep issues caused by being on a too high dose, please read the trazodone tips topic below for more information about this.

 

Tips for tapering off Trazodone:

 

http://survivingantidepressants.org/index.php?/topic/2883-tips-for-tapering-off-trazodone-desyrel/

 

If you decide to taper the trazodone first, because you have only been on it for 3 weeks, you may be able to taper faster than the 10% per month recommended, but because you felt unwell after cutting down by 25%, perhaps not. I"m not sure really, you could be having adverse effects from the combination of lexapro/trazodone, or withdrawal from cutting down the trazodone too fast.

 

How long have you been taking Lexapro? Are you taking any other medications? How were you feeling on lexapro before the trazodone was added?

 

Please would you put your drug and withdrawal history in your signature. Putting a short version of your drug and tapering history in your signature helps people understand your context, it appears below each of your posts. Here are instructions for how to do it:

 

http://survivinganti...your-signature/

 

When we have a little more detail about your situation we may be able to offer more suggestions.

 

Petunia.

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blackhawks89

Hello petunia,

I made a signature. Thank you for the info on Trazodone. I had to reinstate and am going to try to cut off a smaller piece in a week. I was put on trazodone because I got really low on my lexapro (6mg) and basically had a breakdown and couldnt sleep. They put me on Trazodone in the hospital. It knocks me out, but I feel like a zombie, my eyes twitching, I am tired all the time, and just feel super weird. It'll be 1 month that I have been on it and my doctor said to cold turkey. I am not going to do that. I know there is a major drug reaction but doctors dont seem to care. Any more advice?

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Petunia

Thank you for adding your signature blackhawk.

 

As I understand it, you were having withdrawal symptoms from possibly tapering lexapro too fast, and stress. This is the reason you were put on trazodone. Now you are back up to 15mg of lexapro, and trying to taper off the trazodone because of the side effects from it.

 

How were you tapering off lexapro?

 

The trazodone link should have all the information you need for tapering, if you reduce by 10%, rather than 25%, you may not get those symptoms the next day.  Also read through this topic:

 

The rule of 3KIS: Keep it simple. Keep it slow. Keep it stable.

 

If you have any questions, just ask them here in your thread. If you decide to try tapering lexapro again, here is our lexapro tapering thread:

 

http://survivinganti...o-escitalopram/

 

Petunia.

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blackhawks89

Hello,

Well I went down last night a little bit. I woke up in the middle of the night with cold sweats. I felt good all day until later in the day I'm starting to feel slightly depressed and foggy. I have a slight headache. This isn't that bad though. I am going to do my next taper in about 3 weeks. I am confident I can get off this stuff. The other day I slept 11 hours and was still tired all day long. Its just too much. Lexapro already makes me super tired so this on top of it must be a double wammy.

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blackhawks89

Im on 15mg of lexapro i feel disoriented, spaced out, gained 15lbs, constant fatigue and always want to sleep. Dr wanted to add wellbutrin. Took wellbutrin 75mg and felt suicidal, spaced out, and couldnt concentrate after one dose. I stopped it and its been a week and still feel very depressed and off. Can this happen from one dose? I am still on lexapro 15mg. I am taking the liquid form. Is liquid more potent (stronger)??? I don't know what to do anymore. I have a really difficult time switching meds or going down on my medicine. I get withdrawl just going down 1mg of lexapro. I'm afraid to try any new meds. I don't want to feel depressive hopeless thoughts and I know its the medication causing them. I would never act on these but they are very scary and uncomfortable. One doctor said to go into the hospital to switch meds. The hospital is really expensive and they don't even help you that much. My doctor doesn't seem to care how sensitive I am to medication and how bad I withdrawl.

Im lost.

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ChessieCat

Hi blackhawk

 

I've merged you new topic into your intro.  It is one intro topic per member.  It keeps your history together.

 

Also, it would be helpful if you could simplify your signature by listing drugs, dates, doses and how you decreased/increased.  This will make it easier for the staff to see your history at a glance and be able to make suggestions based on your individual situation.  Thank you.

 

I've just done an

Interactions between your selected drugs
Major bupropion escitalopram

Applies to: Wellbutrin (bupropion), Lexapro (escitalopram)

Talk to your doctor before using buPROPion together with escitalopram. Combining these medications may increase the risk of seizures, which may occur rarely with either medication. In addition, buPROPion can increase the blood levels of escitalopram, which may increase other side effects.

 

Looks like it may have increased the Lexapro side effects.

 

Are you still taking Trazodone?

 

What are you current symptoms?  Are you keeping notes on paper?

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Fresh

Hi blackhawk , yes , it is possible for one dose of any of these meds. to set off an adverse reaction ,

particularly in combination with zoloft (and trazodone).

 

Reducing your 15mg dose by 1mg is around 6.7%. It sounds like you should try micro-tapering , perhaps

decreasing by 2 to 5%. It will be way more gentle on your cns.

See http://survivingantidepressants.org/index.php?/topic/2364-the-slowness-of-slow-tapers/

and http://survivingantidepressants.org/index.php?/topic/2878-micro-taper-instead-of-10-or-5-decreases/

 

It IS the medication causing your thoughts / mood. It will take another few weeks to recover from the

wellbutrin incident , so try to be gentle and patient with yourself.

 

bw , Fresh

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JanCarol

Hey BlackHawk, you've received good advice here.

 

I agree, your insomnia is likely caused by too-fast taper of Lexapro. And yes, the wellbutrin threw a monkey wrench in the gears - it will take a while for that to clear.  Prepare to stay at the same dose for at least a month, maybe 3 months - to make sure you are stable enough to taper again.

 

If you want to move to the liquid, you can take 10 mg Lexapro in tablets, and 4 mg in liquid.  That would be the least disruptive way to taper.

 

I think when your lexapro is down to 7-10 mg, you may be able to sleep again, and be able to go back to tapering the Trazadone.

 

Please help us by adding dates to your signature, so that we understand how recent all of these events are.

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blackhawks89

Hello I was going to ask if anyone had any experience going off Trazodone. I was put on it to sleep and only been taking 25mg for 2 months. I know that sounds like a low dose for a short amount of time but I am very hypersensitive to any meds. I would like to get off of it now. I cut it in half and have been taking half of it for 6 days now. I am having withdrawls from that. Should I go back up to the 25mg? I don't know how I can taper slower unless I shave pieces off the pill. Even then you are not getting an accurate dose every time. My withdrawal symptoms are trouble concentrating, headache,dizzy, moody, and depressed. 

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ChessieCat

No, I would not updose to 25mg.  You might find that increasing by a small amount is enough to bring the withdrawal symptoms to a bearable level.

 

It takes about 4 days for a dose to get to a steady state in the blood and a bit longer for it to register in the brain.

 

Please see this topic for ways to get doses:  Tips for tapering off trazodone (Desyrel)

 

Keep Notes on Paper

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ChessieCat

Please update your drug signature.  Please include dates.  This is the preferred format:

 

A request: Would you summarize your history in a signature - ALL drugs, doses, dates, and discontinuations & reinstatements, in the last 12-24 months particularly?

  • Please leave out symptoms and diagnoses.
  • A list is easier to understand than one or multiple paragraphs. 
  • Any drugs prior to 24 months ago can just be listed with start and stop years.
  • Please use actual dates or approximate dates (mid-June, Late October) rather than relative time frames (last week, 3 months ago)
  • Spell out months, e.g. "October" or "Oct."; 9/1/2016 can be interpreted as Jan. 9, 2016 or Sept. 1, 2016.
  • Link to Account Settings – Create or Edit a signature.

 

Edited by ChessieCat

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blackhawks89

So I am on Lexapro 17mg and was on Trazodone 25mg. I just finished tapering off Trazodone last week. I am having depression and thoughts of dying randomly. I know this isn't rational thinking and I normally don't feel like this. Its been about 6 days since I took my last dose of the trazodone. Has anyone else experienced these thoughts while withdrawling? 

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wantrelief
2 hours ago, blackhawks89 said:

So I am on Lexapro 17mg and was on Trazodone 25mg. I just finished tapering off Trazodone last week. I am having depression and thoughts of dying randomly. I know this isn't rational thinking and I normally don't feel like this. Its been about 6 days since I took my last dose of the trazodone. Has anyone else experienced these thoughts while withdrawling? 

Hi there - I wanted to reach out to let you know that I am experiencing the exact same symptoms so you are not alone.  I know it is difficult not to believe it is the new you but it isn't....they are withdrawal symptoms.  

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blackhawks89

Thank you for replying :) I am so glad someone got back to me. I keep telling myself it is withdrawal and that it will get better. I never usually think these thoughts and it scares me. Its been 5 or 6 days since I took the last dose. Im wondering if I went too fast. I was on 25mg then split that in half for 12.5mg and it took like 10 days for me to feel better off that drop. Then I cut the 12.5 in half and took that for a week. Then I just stopped taking it because I couldn't cut it anymore it was like a sliver.

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wantrelief

I know how scary the thoughts are but you are doing great by telling yourself it is withdrawal.  It sounds like you decreased quickly.  A moderator will hopefully come by to advise you as you might want to go back up in dose.

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HopefulOne1

Hi Blackhawks89, how are you doing? Have you been able to stabilize? I was on Lexapro 20mg for about 10 yrs and my doc gave me bad instructions and I tapered way too fast and I was hit hard with similar w/d and my sleep, which has always been very good, is now terrible. I keep waking up at 2-3am and can’t get back to sleep. My doc then prescribed mirtazapine (now 15mg) but that only worked for maybe 2 wks. I’m off Lex but traded that pill for another. I saw my doc again today and he prescribed trazodone to be used as needed, if I get desperate for sleep. I don’t want to use it and I’m going to resist but I let him write the script so it’s easier said than done. I discussed slowly tapering off mirtazapine and I suggest you do the same as recommended by the SA mods. You’re not alone in this struggle. I also suggest you try looking for another doctor and I’m in the same boat as you because my doctor strongly believes that these are non-narcotics and therefore no problem to stop. Doesn’t really want to hear otherwise. He wanted to actually cut my mirtazine in 1/2 starting this week and I had to convince him that I wanted to go slow so he refilled me at 15mg. I have an appt with another doctor in 2 wks and I hope they understand what slow tapering is all about or at least listen to my 10% taper plan. Keep telling yourself it’s withdraw (I’m doing that a lot too!) ..I also made an appt with a psychiatrist to talk through this struggle and to maybe learn some coping skills to deal with anxiety. I already think I’m doing what they’ll tell me to do (meditation, deep breathing exercises, positive visualization..etc etc) but I’m hoping this will also help. Take care :)

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