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Skamen: Anhedonia caused by 14 years of Paxil, now in hell after CT

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  • Author

Thank you, @Luke and @Chippy for your encouragements, this means a lot. It is good to remain me that the darkest Hell became after stopping completely the last poison. The internal akatisia is unbearable but I don't have any other choice, I have to persevere. Thank you to be here for me, really thank you, I don't know how I would survive without this site, without you.

Svetla

2011-2023 Paxil

2023-2024 Effexor

Since February 2024 in anhedonia caused by the long use of AD

February 2024-March 2025 drug after drug after drug... 70 rTMS sessions, 8 ketamin infusions-nothing worked

March 2025 CT upon doctor "advice" from Desipramine, Viibryd, Lithium at high doses all together in 6 days

Since then awful withdrawal: unbearable anxiety, panic attacks, adrenaline rushes, hot flashes, muscle pain over all the body, insomnia, depression, intrusive thoughts, brain fog

Current tapering Mirtazapine : December 29,2025-3 mg, February,15, 2025-2,7 mg, February,28-2,5 mg, March,8-2 mg, March,14-1,5 mg, March,20-0 mg

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  • LostinCanada
    LostinCanada

    I've read about people being in such a mess and then one day just waking up normal.... never give up Hope...it sustains is...we don't know what tomorrow will bring.  I have also read twice about

  • Yes @skamen THAT'S what I want to see (YOU HAVE HOPE) as hard as it is Svetla YOU WILL beat this, YOU have the STRENGTH and RESILIANCE to see this through and get your life BACK. Stronger than be

  • poulette38
    poulette38

    Oh, I pray for each of you from this forum every evening. 🙏🩷 Let us all stay in Christ.  And you know what, I had this thought. Why did it happen to us? Well guys, I think we are among human be

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3 minutes ago, skamen said:

Thank you, @Luke and @Chippy for your encouragements, this means a lot. It is good to remain me that the darkest Hell became after stopping completely the last poison. The internal akatisia is unbearable but I don't have any other choice, I have to persevere. Thank you to be here for me, really thank you, I don't know how I would survive without this site, without you.

Svetla

Your strength is all you Svelta. You are a true Warrior. 🛡️ ⚔️

I’m not a medical professional and cannot offer medical advice. I only offer my thoughts as support. Please speak to your health practitioner about your care. This is a peer site where we support each other on our taper/recovery journeys. 

 

If you are from the UK please make sure you fill in a 'Yellow Card' report for the MHRA. It is you doing your bit to help make a difference.

Please take the time to do it today 🙂 https://yellowcard.mhra.gov.uk

For US members details here.

You are incredibly strong ❤️☀️❤️☀️

For US members: Please report med to FDA Med Watch

2017 (May) - Ativan .5 mg (3 x Daily) 

2018 (Feb) - Mirtazapine 7.5 mg 

2018 (May) - Ativan to Valium - Switch - Can’t Remember how long it took -tapered to 3 mg of Valium

2024 (May) - Valium Tolerance

2024 (2 Nov) - Completed taper off Valium 

2024 (2 Nov) - Mirtazapine increased to 15 mg

2025 (Feb) - Ativan 0.25 mg (3 x Daily) - Became Paradoxical - Started weaning got to 0.11mg

2025 (Mar) - Ativan 0mg - CT In detox

2025 (April) Started Depakote 1500mg - In detox

2025 (April) - Depakote 500mg (2 x Daily) once home

2025 (Aug) - Completed taper off Depakote

2025 (Aug) - Akathisia surges throughout the day with calming in between

2025 (Sept) - Gabapentin (Micro Dose) - Was calming at first and then became paradoxical so stop

2025 (Oct) - Depakote - RI – (Two days of small dose) Became scared and stopped with WD & aka

2025 (Oct) - Seroquel 50 mg XR – 1 Week - more and more activating and increased aka

2025 (Oct) - Psychiatrist told me to stop it. But I took a few days of a smaller dose of IR then stopped - Not activating

2025 (Nov) - Hydroxyzine 2.5mg - it was paradoxical so stopped

2025 (1 Dec) - Mirtazapine 22.5mg - (2 Days) Was incredibly overstimulating started reducing to previous

2025 (3 Dec) - Mirtazapine 18.75mg

2025 (10 Dec) - Mirtazapine 16.87mg

2025 (22 Dec) - Mirtazapine 15mg

2026 (23Jan) - Mirtazapine 14.7mg

2026 (23 Jan) - Mirtazapine 1mg Panic dose

2026 (24 Jan) - Mirtazapine 15mg

2026 (25 Feb) – Mirtazapine 14.7mg (-2%)

2026 (18 Mar) - propranolol 2.5 mg one time

2026 (21 Mar)- Mirtazapine- 15 mg accidentally in sleepy state

2026 (22 Mar) - Mirtazapine 14.79 mg (more accurate scales) 

2026 (29 April) Mirtazapine 14.7 mg (on suggestion of Horowitz) immediate intense symptoms

2026 (30 April) Mirtazapine 14.79 mg

2026 (23 May) propranolol 2.5 mg one time

2026 (01 June) Mirtazapine 14.79 mg dose was 5 hours late

 

 

4 hours ago, skamen said:

Thank you, @Luke and @Chippy for your encouragements, this means a lot. It is good to remain me that the darkest Hell became after stopping completely the last poison. The internal akatisia is unbearable but I don't have any other choice, I have to persevere. Thank you to be here for me, really thank you, I don't know how I would survive without this site, without you.

Svetla

Hopefully one day you will not just survive, but thrive.

I am looking forward to that day.

Nothing I say is medical advice, it is simply my opinion. I am an anonymous person on an internet forum with no relevant qualifications other than being badly harmed by a drug. For all you know, I could be an idiot. You are making your own decisions and part of that is deciding how much to listen to my opinion, if at all.

 

Perhaps you should consider this post an artistic work of fiction written for entertainment purposes.


Story from SA: LukeUK: Remeron/Mirtazapine Severe Withdrawal - Introductions and updates - Surviving Antidepressants

 

15mg Remeron/Mirtazapine November starting 2022 (severe physical side effects)

Attempted to taper off January 2023, ended up having a major breakdown and going up to 30mg, took weeks to stabilise

1 month taper  to 0mg

Last dose April 2023

Severe withdrawal syndrome with many physical symptoms

Summary: 5 months using Mirtazapine, including 1 month taper ending late April 2023.

@skamen Svetla. You often talk about the misery of having cortisol spikes. I think I’m having them too but I’m

Not sure. Would you mind describing your symptoms of having them? Cortisol levels are diurnal. Normally a person whose not taper off these poisons that we are only gets an elevation in their cortisol once a day. Typically in the early morning hours to help you wake up. But it seems those of us going through this hell are an anomaly to that normal pattern.

I’m trying to determine if what I’m experiencing is due to cortisol

Or something else. I’m particularly concerned about something going on with my heart. If my symptoms are comparable to what you’re experiencing I’ll stop worrying so much. Thanks

Pokey

Pokeys Topic

Pokeys Archived Dose hHistory

Current Medication:

2.5mg of nebivolol for BP

5mg Eliquis x2.

Vitamin D, 40mg Famotidine PRN

Magnesium glycinate ,5mg melatonin

20 March 2025 - Mirtazapine - 7.5mg (+41.5%)

20 Feb 2026 - Doxepin 29.6mg (0.6mg updose)

  • Author

@Pokey449, the cortisol spikes are the most hellish thing I know. For me, they start around midnight and return almost every hour, and let me awakened. First it comes with feeling of terror and depression around the chest. After comes the sweat, the heartbeat with a deep respiration, itching. The feeling of dying is so strong. Around 5 a.m. the pressure on the chest becomes unbearable and I cannot more stay on bed, the agony is so deep. Yes, with the normal people this awekenes starts in the morning but without theses horrendous symptoms.

Last night I had only 2 hours sleep, from 22:30 to 0:30. My daughter told me yesterday that me and my husband have transfered a virus to the 6 months grandson (it is true) and now he is suffering. This news triggered my poor CNS, and now I am asking myself how I will survive, the terror is constant and unbearable. On the previous agony came another one, the intensity of this feeling is enormous. In normal time it would be a manageable worry, but now it will kill me.

Svetla

2011-2023 Paxil

2023-2024 Effexor

Since February 2024 in anhedonia caused by the long use of AD

February 2024-March 2025 drug after drug after drug... 70 rTMS sessions, 8 ketamin infusions-nothing worked

March 2025 CT upon doctor "advice" from Desipramine, Viibryd, Lithium at high doses all together in 6 days

Since then awful withdrawal: unbearable anxiety, panic attacks, adrenaline rushes, hot flashes, muscle pain over all the body, insomnia, depression, intrusive thoughts, brain fog

Current tapering Mirtazapine : December 29,2025-3 mg, February,15, 2025-2,7 mg, February,28-2,5 mg, March,8-2 mg, March,14-1,5 mg, March,20-0 mg

Thank you Svetla; What you are experiencing sounds pretty awful. My assumed cortisol sxs are bad but nothing like the intensity of what you are dealing with. I wake up with a terrible creepy crawly feeling that doubles me up. Certainly messes up my sleep. PLus I have pain, SOB and an assortment of other weird sxs. Im concerned the doxepin I am tapering from is suppressing my respiratory drive in my brain causing the SOB. Worried its impacting my heart.

I hope you get some respite soon. Youve been dealing with hell for some time now. Will include you in my nightly prayer before I roll over to go to sleep.

Pokey

Pokeys Topic

Pokeys Archived Dose hHistory

Current Medication:

2.5mg of nebivolol for BP

5mg Eliquis x2.

Vitamin D, 40mg Famotidine PRN

Magnesium glycinate ,5mg melatonin

20 March 2025 - Mirtazapine - 7.5mg (+41.5%)

20 Feb 2026 - Doxepin 29.6mg (0.6mg updose)

  • Author

My sleeplessness becomes unbearable, 2 hours broken sleep since 2 months. The internal akatisia and the feeling of terror are hellish. Can I take 2,5/5 mg of Melatonin with my sensitized CNS? I am sure that I have brain injury, the Hell is awful.

2011-2023 Paxil

2023-2024 Effexor

Since February 2024 in anhedonia caused by the long use of AD

February 2024-March 2025 drug after drug after drug... 70 rTMS sessions, 8 ketamin infusions-nothing worked

March 2025 CT upon doctor "advice" from Desipramine, Viibryd, Lithium at high doses all together in 6 days

Since then awful withdrawal: unbearable anxiety, panic attacks, adrenaline rushes, hot flashes, muscle pain over all the body, insomnia, depression, intrusive thoughts, brain fog

Current tapering Mirtazapine : December 29,2025-3 mg, February,15, 2025-2,7 mg, February,28-2,5 mg, March,8-2 mg, March,14-1,5 mg, March,20-0 mg

1 minute ago, skamen said:

My sleeplessness becomes unbearable, 2 hours broken sleep since 2 months. The internal akatisia and the feeling of terror are hellish. Can I take 2,5/5 mg of Melatonin with my sensitized CNS? I am sure that I have brain injury, the Hell is awful.

I’m sorry for your suffering Svetla. If you want to try melatonin it is best to go low. This is to avoid a reaction but it is seen that lower doses are all that are needed and more can be paradoxical. Something low like 0.25mg to start with and then work up. You can get it in 1mg tablets from the us. I ordered some and had it shipped

I’m not a medical professional and cannot offer medical advice. I only offer my thoughts as support. Please speak to your health practitioner about your care. This is a peer site where we support each other on our taper/recovery journeys. 

 

If you are from the UK please make sure you fill in a 'Yellow Card' report for the MHRA. It is you doing your bit to help make a difference.

Please take the time to do it today 🙂 https://yellowcard.mhra.gov.uk

For US members details here.

I take 3mg every now and then it helps me fall asleep without issues.

However, my situation is of course different so listen to your own body! ☺️

12 august 2025; 5mg fluoxetine 

30 August 2025: 10mg fluoxetine 

11 september 2025: 5mg fluoxetine 

19 september 2025; 2.5mg fluoxetine 

2 oktober 2025: 0mg

 

I had to cut my pills in half and quarters, so and don’t think I had accurate dosages.

  • Author

Thank you, @Chippy, for your quick answer.

Svetla

2011-2023 Paxil

2023-2024 Effexor

Since February 2024 in anhedonia caused by the long use of AD

February 2024-March 2025 drug after drug after drug... 70 rTMS sessions, 8 ketamin infusions-nothing worked

March 2025 CT upon doctor "advice" from Desipramine, Viibryd, Lithium at high doses all together in 6 days

Since then awful withdrawal: unbearable anxiety, panic attacks, adrenaline rushes, hot flashes, muscle pain over all the body, insomnia, depression, intrusive thoughts, brain fog

Current tapering Mirtazapine : December 29,2025-3 mg, February,15, 2025-2,7 mg, February,28-2,5 mg, March,8-2 mg, March,14-1,5 mg, March,20-0 mg

Just now, skamen said:

Thank you, @Chippy, for your quick answer.

Svetla

Pleasure Svetla. Sa found everyone’s upper limit is different and some can’t tolerate.

I’m not a medical professional and cannot offer medical advice. I only offer my thoughts as support. Please speak to your health practitioner about your care. This is a peer site where we support each other on our taper/recovery journeys. 

 

If you are from the UK please make sure you fill in a 'Yellow Card' report for the MHRA. It is you doing your bit to help make a difference.

Please take the time to do it today 🙂 https://yellowcard.mhra.gov.uk

For US members details here.

  • Author

Thank you, @Sophia. I will start this night, I have 3 mg melatonin, I will start to cut it and increase it progressively.

Svetla

2011-2023 Paxil

2023-2024 Effexor

Since February 2024 in anhedonia caused by the long use of AD

February 2024-March 2025 drug after drug after drug... 70 rTMS sessions, 8 ketamin infusions-nothing worked

March 2025 CT upon doctor "advice" from Desipramine, Viibryd, Lithium at high doses all together in 6 days

Since then awful withdrawal: unbearable anxiety, panic attacks, adrenaline rushes, hot flashes, muscle pain over all the body, insomnia, depression, intrusive thoughts, brain fog

Current tapering Mirtazapine : December 29,2025-3 mg, February,15, 2025-2,7 mg, February,28-2,5 mg, March,8-2 mg, March,14-1,5 mg, March,20-0 mg

I hope and pray that you will find some relief with the melatonin. ❤️‍🩹😔

SA Thread: https://www.survivingantidepressants.org/forums/topic/33406-nemina-tapering-escitalopram/


AR Thread: https://antidepressantrecovery.org/topic/14-nemina-tapering-escilatopram-and-zolpidem/

 

Drug History

2013 - 2025:  Zolpidem 5 mg

2015 - Oct 2024: Venlafaxine, Sertralin (Zoloft), Paroxetin (Paxil),duloxtin (cymbalta), Citalopram (Celexa), Escitalopram (Lexapro) and more 

 

Current Drugs

L-Thyroxin 75, Estrogen, Progesteron 200

 

Tapering Escitalopram

Sept 2024: Setralin/zoloft 75 mg

Oct 2024: Switch to Escitalopram / Lexapro 2mg

Then I tapered over a year from 2mg to 0,32 mg (October 2025).  108 days hold without stabilizing. Resumed taper February 2026:

11 Feb 2026 0.314mg 

18 Feb 2026 0.307mg 

21 Feb 2026 0.302mg

09 Mar 2026 0.297mg

18 April 2026 0,293 mg

18 May 2026 0,285 mg

 

Tapering Zolpidem: From 5 mg to 0,7 mg in 12 months,  then just crumbs for several weeks, now 0! (Jan 2025)

 

Other Supplements 

Omega 3, Magnesium Glycinate, Vit D, Calcium, L-theanin.

Unfortunately, this early off of Mirtazapine, terrible sleep can be considered very "normal", especially with the rest of your background.

I hope it improves in time, and that a small dose of melatonin does help in the short term, and that you can tolerate it ok.

Nothing I say is medical advice, it is simply my opinion. I am an anonymous person on an internet forum with no relevant qualifications other than being badly harmed by a drug. For all you know, I could be an idiot. You are making your own decisions and part of that is deciding how much to listen to my opinion, if at all.

 

Perhaps you should consider this post an artistic work of fiction written for entertainment purposes.


Story from SA: LukeUK: Remeron/Mirtazapine Severe Withdrawal - Introductions and updates - Surviving Antidepressants

 

15mg Remeron/Mirtazapine November starting 2022 (severe physical side effects)

Attempted to taper off January 2023, ended up having a major breakdown and going up to 30mg, took weeks to stabilise

1 month taper  to 0mg

Last dose April 2023

Severe withdrawal syndrome with many physical symptoms

Summary: 5 months using Mirtazapine, including 1 month taper ending late April 2023.

  • Author

Thank you, @Nemina and @Luke. Mirtazapine is a hellish pill. My nights and mornings are a pure terror bcs or the cortisol. It is an inhumane suffering, I don't know if one day the brain will stop to produce these waves of agony. I cannot function, this Hell kills me.

Edited by skamen

2011-2023 Paxil

2023-2024 Effexor

Since February 2024 in anhedonia caused by the long use of AD

February 2024-March 2025 drug after drug after drug... 70 rTMS sessions, 8 ketamin infusions-nothing worked

March 2025 CT upon doctor "advice" from Desipramine, Viibryd, Lithium at high doses all together in 6 days

Since then awful withdrawal: unbearable anxiety, panic attacks, adrenaline rushes, hot flashes, muscle pain over all the body, insomnia, depression, intrusive thoughts, brain fog

Current tapering Mirtazapine : December 29,2025-3 mg, February,15, 2025-2,7 mg, February,28-2,5 mg, March,8-2 mg, March,14-1,5 mg, March,20-0 mg

4 hours ago, skamen said:

Thank you, @Nemina and @Luke. Mirtazapine is a hellish pill. My nights and mornings are a pure terror bcs or the cortisol. It is an inhumane suffering, I don't know if one day the brain will stop to produce these waves of agony. I cannot function, this Hell kills me.

It will for sure!!! Just hold on, the day will come. Still praying for You, Nemina

SA Thread: https://www.survivingantidepressants.org/forums/topic/33406-nemina-tapering-escitalopram/


AR Thread: https://antidepressantrecovery.org/topic/14-nemina-tapering-escilatopram-and-zolpidem/

 

Drug History

2013 - 2025:  Zolpidem 5 mg

2015 - Oct 2024: Venlafaxine, Sertralin (Zoloft), Paroxetin (Paxil),duloxtin (cymbalta), Citalopram (Celexa), Escitalopram (Lexapro) and more 

 

Current Drugs

L-Thyroxin 75, Estrogen, Progesteron 200

 

Tapering Escitalopram

Sept 2024: Setralin/zoloft 75 mg

Oct 2024: Switch to Escitalopram / Lexapro 2mg

Then I tapered over a year from 2mg to 0,32 mg (October 2025).  108 days hold without stabilizing. Resumed taper February 2026:

11 Feb 2026 0.314mg 

18 Feb 2026 0.307mg 

21 Feb 2026 0.302mg

09 Mar 2026 0.297mg

18 April 2026 0,293 mg

18 May 2026 0,285 mg

 

Tapering Zolpidem: From 5 mg to 0,7 mg in 12 months,  then just crumbs for several weeks, now 0! (Jan 2025)

 

Other Supplements 

Omega 3, Magnesium Glycinate, Vit D, Calcium, L-theanin.

How is it going with the melatonin?

SA Thread: https://www.survivingantidepressants.org/forums/topic/33406-nemina-tapering-escitalopram/


AR Thread: https://antidepressantrecovery.org/topic/14-nemina-tapering-escilatopram-and-zolpidem/

 

Drug History

2013 - 2025:  Zolpidem 5 mg

2015 - Oct 2024: Venlafaxine, Sertralin (Zoloft), Paroxetin (Paxil),duloxtin (cymbalta), Citalopram (Celexa), Escitalopram (Lexapro) and more 

 

Current Drugs

L-Thyroxin 75, Estrogen, Progesteron 200

 

Tapering Escitalopram

Sept 2024: Setralin/zoloft 75 mg

Oct 2024: Switch to Escitalopram / Lexapro 2mg

Then I tapered over a year from 2mg to 0,32 mg (October 2025).  108 days hold without stabilizing. Resumed taper February 2026:

11 Feb 2026 0.314mg 

18 Feb 2026 0.307mg 

21 Feb 2026 0.302mg

09 Mar 2026 0.297mg

18 April 2026 0,293 mg

18 May 2026 0,285 mg

 

Tapering Zolpidem: From 5 mg to 0,7 mg in 12 months,  then just crumbs for several weeks, now 0! (Jan 2025)

 

Other Supplements 

Omega 3, Magnesium Glycinate, Vit D, Calcium, L-theanin.

  • Author

Thank you for asking, dear @Nemina. I have slept a little better, but always broken sleep with awekenes each hour, 11, 12, 1..., cortisol terror and impossible to stay more in bed after 5 am. I will take melatonin again this evening with hope for better sleep.

Svetla

2011-2023 Paxil

2023-2024 Effexor

Since February 2024 in anhedonia caused by the long use of AD

February 2024-March 2025 drug after drug after drug... 70 rTMS sessions, 8 ketamin infusions-nothing worked

March 2025 CT upon doctor "advice" from Desipramine, Viibryd, Lithium at high doses all together in 6 days

Since then awful withdrawal: unbearable anxiety, panic attacks, adrenaline rushes, hot flashes, muscle pain over all the body, insomnia, depression, intrusive thoughts, brain fog

Current tapering Mirtazapine : December 29,2025-3 mg, February,15, 2025-2,7 mg, February,28-2,5 mg, March,8-2 mg, March,14-1,5 mg, March,20-0 mg

Hi Svetla. Given all that you’re going through how do you spend your days. Some days all I can muster is surfing my recliner all day. It’s not living it’s a miserable existence.

Pokeys Topic

Pokeys Archived Dose hHistory

Current Medication:

2.5mg of nebivolol for BP

5mg Eliquis x2.

Vitamin D, 40mg Famotidine PRN

Magnesium glycinate ,5mg melatonin

20 March 2025 - Mirtazapine - 7.5mg (+41.5%)

20 Feb 2026 - Doxepin 29.6mg (0.6mg updose)

  • Author

Hi @Pokey449. The anhedonia and the depression are other things that kill me. I am almost all the day on the sofa, it is not myself, as you say it is miserable. I try to walk around the house, but it is a real suffering because I always have had a goal in my life, not only turn around like a foolish woman. LIVING HELL.

Svetla

2011-2023 Paxil

2023-2024 Effexor

Since February 2024 in anhedonia caused by the long use of AD

February 2024-March 2025 drug after drug after drug... 70 rTMS sessions, 8 ketamin infusions-nothing worked

March 2025 CT upon doctor "advice" from Desipramine, Viibryd, Lithium at high doses all together in 6 days

Since then awful withdrawal: unbearable anxiety, panic attacks, adrenaline rushes, hot flashes, muscle pain over all the body, insomnia, depression, intrusive thoughts, brain fog

Current tapering Mirtazapine : December 29,2025-3 mg, February,15, 2025-2,7 mg, February,28-2,5 mg, March,8-2 mg, March,14-1,5 mg, March,20-0 mg

Hi @skamen i just wanted to let you know I read your post and that I sympathize deeply. I’m sorry you’re going through this. I am in terrible shape myself. I’d like to ask you how does your inner Akathisia feel.

For about a month and a half after I stopped Zyprexa (which has strong antihistamine properties just like mirtazapine) I could barely sleep for an hour or two. But in the past month or so I began to average about 6 hours of sleep. So there’s hope. I still wake with horrendous cortisol spikes. And feel as if I didn’t sleep at all. I wish you to feel better soon.

1998 -1999 Paxil CT after 5 months.

1999 - 2024 every 2 to 4 years went from one SSRI to the next. That includes Luvox, Zoloft, Cymbalta, Celexa, Prozac, Lexapro.

2000-2024 lorazepam 2mg.

April 2024 one dose of Effexor, July 2024 one dose of Paxil, July 2024 two weeks of Mirtazapine. September 2024 Lexapro 10mg, Depakote 250mg, Vistaril 25 mg ,Proppranolol 10mg, Requip 2mg Trazadone. March 2025 off Depakote,Propranolol,vistaril,Trazadon.

March 2025 Zyprexa added at 2.5 mg.”for sleep and anxiety”. Went up to 7.5mg in June.

September 2025 started tapering Zyprexa and Requip.

February 2026 off of Zyprexa and Requip. Reduced Lexapro to 5mg

7/11/2026-4.5mg

  • Author

Thank you for asking, @Dnepr1234, it means a lot.

I am more than 2 months off of any drug, and indeed, Mirtazapine was the last one I stopped on March 20. Since then I have slept only 1-2 hours per night. The cortisol urges put me in terror each hour, and around 5 a.m. the situation becomes unbearable, an agony. The inner akatisia is non stop here, a hellish state. I pray God to give me strength to survive. I am glad that this sleepless Hell is behind you. Thank you for the encouragement.

Edited by skamen

2011-2023 Paxil

2023-2024 Effexor

Since February 2024 in anhedonia caused by the long use of AD

February 2024-March 2025 drug after drug after drug... 70 rTMS sessions, 8 ketamin infusions-nothing worked

March 2025 CT upon doctor "advice" from Desipramine, Viibryd, Lithium at high doses all together in 6 days

Since then awful withdrawal: unbearable anxiety, panic attacks, adrenaline rushes, hot flashes, muscle pain over all the body, insomnia, depression, intrusive thoughts, brain fog

Current tapering Mirtazapine : December 29,2025-3 mg, February,15, 2025-2,7 mg, February,28-2,5 mg, March,8-2 mg, March,14-1,5 mg, March,20-0 mg

Hi @skamen just wanted to check on you. How are you doing? Do you get any windows at all? I hope for some relief for you.

1998 -1999 Paxil CT after 5 months.

1999 - 2024 every 2 to 4 years went from one SSRI to the next. That includes Luvox, Zoloft, Cymbalta, Celexa, Prozac, Lexapro.

2000-2024 lorazepam 2mg.

April 2024 one dose of Effexor, July 2024 one dose of Paxil, July 2024 two weeks of Mirtazapine. September 2024 Lexapro 10mg, Depakote 250mg, Vistaril 25 mg ,Proppranolol 10mg, Requip 2mg Trazadone. March 2025 off Depakote,Propranolol,vistaril,Trazadon.

March 2025 Zyprexa added at 2.5 mg.”for sleep and anxiety”. Went up to 7.5mg in June.

September 2025 started tapering Zyprexa and Requip.

February 2026 off of Zyprexa and Requip. Reduced Lexapro to 5mg

7/11/2026-4.5mg

  • Author

Hi @Dnepr1234. I was thinking of you after yesterday's post.

I am in an awful state. Last night I got 3-4 hours broken sleep (after a night with 0 sleep) because of the hellish cortisol spikes which literally kill me. I have had them for 14 months now but they became unbearable since March 20 when I stopped my last antidepressant. And my inner akatisia is horrendous, weird, like I am plugged into the electrical network. I don't have any relief and everything is so intense and dark, beyond all sufferings I have experienced in my life. I try to survive. There are no words to describe this Hell, nobody deserves this horror. I read that people get window sometimes... I never had this, it is an endless suffering with me.

How are you doing today?

Edited by skamen

2011-2023 Paxil

2023-2024 Effexor

Since February 2024 in anhedonia caused by the long use of AD

February 2024-March 2025 drug after drug after drug... 70 rTMS sessions, 8 ketamin infusions-nothing worked

March 2025 CT upon doctor "advice" from Desipramine, Viibryd, Lithium at high doses all together in 6 days

Since then awful withdrawal: unbearable anxiety, panic attacks, adrenaline rushes, hot flashes, muscle pain over all the body, insomnia, depression, intrusive thoughts, brain fog

Current tapering Mirtazapine : December 29,2025-3 mg, February,15, 2025-2,7 mg, February,28-2,5 mg, March,8-2 mg, March,14-1,5 mg, March,20-0 mg

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