Catbird: Dealing with Polypharmacy

February 22Feb 22

22 hours ago, Catbird said:

Dropped my Escitalopram dose on Friday (it's now Sunday) by 0.016mg (16mcg) and the first 2 days were fine.This morning I had a shower and bang!! sudden episode of SVT which had me on the floor. Blind with dizziness I had to get on the floor. The SVT lasted only minutes, but I'm still adrenalised over 2 hours later.

It's disappointing but not unexpected. Many who've been before me have said the lower you go, the harder it gets and the slower you need to go. Believe me I have been going slow- slower and slower.

I wrote in my intro how I am planning to hold for a good while when I get to 1mg and then when the time's right commence Amitriptyline tapering (due to intensified unpleasant side effects). Back then I optimistically thought I would get to 1mg at least by the end of January. My body is telling me I'll get there when time's ready.

Oh no, this sounds really terrible.🥺 You seem to handle the situation with lots of sovereignty, though. Yes, you have been going very very slowly already. But as you say, we have no other choice than listening to our bodies and following along. 🫩

take very good care, you will make it!

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.

February 22Feb 22

Author

10 minutes ago, Nemina said:

Oh no, this sounds really terrible.🥺 You seem to handle the situation with lots of sovereignty, though. Yes, you have been going very very slowly already. But as you say, we have no other choice than listening to our bodies and following along. 🫩

take very good care, you will make it!

Thanks @Nemina. It means the world to me to have support and acknowledgment from people on this forum 💕

Link to SA Profile: https://www.survivingantidepressants.org/forums/topic/32414-catbird-introduction-a-long-and-winding-road/

1996 Commenced on Sertraline 50 - 100mg. Many ADs trialled -Fluoxetine 20 mg, Paroxetine 20mg, Venlafaxine 75mg, Escitalopram 10 - 20mg, Vortioxetine 20mg, Bupropion 150mg. 2019 Recommenced Escitalopram 2022 Mirtazapine 30mg - Rapid taper. Amitriptyline 20mg

CURRENT MEDICATIONS: Escitalopram taper from ~ 10mg commenced 2024, Amitriptyline 20mg at night, Diazepam 7.5mg total per day, Baclofen 10mg morning, 10mg lunch and 20mg night, Polaramine 2mg at night, Ketamine troche 25mg per day (Ceased early September 2025), Valsartan 160mg evening, HRT (Oestrogen 25mcg/day)

ESCITALOPRAM TAPER: 5 April 2025 - started holding at 1.516mg. Escitalopram taper resumed July 2025; End Aug 1.364; End Sept 1.228; End Oct 1.145; End Nov 1.1 Early Dec 1.11; End Dec 1.082; 2026 End Jan 1.047; Feb 6 1.030; Feb 20 1.014; April 10 1.012; May 3 1.014;

Supplements: Mg++ glycinate, Omega 3s, Curcumin. Vit D3/K2 spray, Vitamin B12 spray, chelated zinc.

1

February 22Feb 22

22 hours ago, Catbird said:

Dropped my Escitalopram dose on Friday (it's now Sunday) by 0.016mg (16mcg) and the first 2 days were fine.This morning I had a shower and bang!! sudden episode of SVT which had me on the floor. Blind with dizziness I had to get on the floor. The SVT lasted only minutes, but I'm still adrenalised over 2 hours later.

It's disappointing but not unexpected. Many who've been before me have said the lower you go, the harder it gets and the slower you need to go. Believe me I have been going slow- slower and slower.

I wrote in my intro how I am planning to hold for a good while when I get to 1mg and then when the time's right commence Amitriptyline tapering (due to intensified unpleasant side effects). Back then I optimistically thought I would get to 1mg at least by the end of January. My body is telling me I'll get there when time's ready.

@Catbird I'm sorry it hit you hard, the low doses are indeed especially brutal, I also feel it in the last cuts.

It's tricky isn't it, you never know how your body will react to even the smallest cut even if it feels relatively balanced so we always know after the fact..

I really hope your system catches up and balances out soon 💞

Edited February 22Feb 22 by Fullhealing

1998 forced on cipramil *no anxiety/depression background*

Over the years all kinds of SSRI/SNRI/antipsychotics/stabilizers due to apparently side effects/withdrawal

Many attempts to quit over the years with failure (extremely rapid taper followed by doctors' guidens)

Current attempt-Paxil 20 mg:

6/24 20 mg to 5 mg-severe AKA

9/24 Increase to 20-AKA continues

10/24 stopped completely-AKA out of control

11/24 Zoloft bridge attempt-25 mg to 75 mg+Seroquel-AKA continued-stopped them CT.

12/24 Back on Paxil 10mg (0.1789g)-some stabilization-from here tapered by about 30% each time (don't remember doses and dates).

2025 - 7.10 0.0558g (3.11mg)/7.11 3% 0.0541g (3.02mg)/4.12 1% 0.0535g (2.98mg)

2026 - 3.1 1.5% 0.0526g (2.93mg)/9.1 8.5% 0.0480g (2.68mg)/16.2 1.8% 0.0470g (2.62mg)/21.3 1% 0.466 (2.60mg)/23.4 2.2% 0.455g (2.54mg)/8.7 20% 0.0358g (2mg)

Supplements:

Magnesium Glycinate - started 28.5.26 1 capsule 200mg in the morning - Increased brain fog and muscle stiffness - stopped after two weeks.

Iron - liquid, quarter of recommended dose - increased anxiety and burning sensation - stopped after two weeks.

Saffron - started 8.7.26 1 capsule 30mg in the morning - pretty immediate improvement in terms of anxiety and sleep that seems to continue to improve.

February 22Feb 22

Author

25 minutes ago, cheeky said:

Hey @Catbird,

I thought I'd come past your thread and say hello to a fellow Aussie.. I see we've been on MEDS for the same amount of time and you're also tapering of your drugs. It looks like you're handling everything really well,

Thanks @cheeky I've had my ups and downs, Bad day yesterday - hit with SVT so bad I ended up on the floor, adrenalised for most of the day. Lots of fear today.

How's things for you?

Link to SA Profile: https://www.survivingantidepressants.org/forums/topic/32414-catbird-introduction-a-long-and-winding-road/

1996 Commenced on Sertraline 50 - 100mg. Many ADs trialled -Fluoxetine 20 mg, Paroxetine 20mg, Venlafaxine 75mg, Escitalopram 10 - 20mg, Vortioxetine 20mg, Bupropion 150mg. 2019 Recommenced Escitalopram 2022 Mirtazapine 30mg - Rapid taper. Amitriptyline 20mg

CURRENT MEDICATIONS: Escitalopram taper from ~ 10mg commenced 2024, Amitriptyline 20mg at night, Diazepam 7.5mg total per day, Baclofen 10mg morning, 10mg lunch and 20mg night, Polaramine 2mg at night, Ketamine troche 25mg per day (Ceased early September 2025), Valsartan 160mg evening, HRT (Oestrogen 25mcg/day)

ESCITALOPRAM TAPER: 5 April 2025 - started holding at 1.516mg. Escitalopram taper resumed July 2025; End Aug 1.364; End Sept 1.228; End Oct 1.145; End Nov 1.1 Early Dec 1.11; End Dec 1.082; 2026 End Jan 1.047; Feb 6 1.030; Feb 20 1.014; April 10 1.012; May 3 1.014;

Supplements: Mg++ glycinate, Omega 3s, Curcumin. Vit D3/K2 spray, Vitamin B12 spray, chelated zinc.

February 22Feb 22

Author

1 minute ago, Fullhealing said:

@Catbird I'm sorry it hit you hard, the low doses are indeed especially brutal, I also feel it in the last cuts.

It's tricky isn't it, you never know how your body will react to even the smallest cut even if it feels relatively balanced so we always know after the fact..

I really hope your system catches up and balances out soon 💞

Thanks @Fullhealing so grateful to have people here who understand the tenuous nature of AD withdrawal 🤗

Link to SA Profile: https://www.survivingantidepressants.org/forums/topic/32414-catbird-introduction-a-long-and-winding-road/

1996 Commenced on Sertraline 50 - 100mg. Many ADs trialled -Fluoxetine 20 mg, Paroxetine 20mg, Venlafaxine 75mg, Escitalopram 10 - 20mg, Vortioxetine 20mg, Bupropion 150mg. 2019 Recommenced Escitalopram 2022 Mirtazapine 30mg - Rapid taper. Amitriptyline 20mg

CURRENT MEDICATIONS: Escitalopram taper from ~ 10mg commenced 2024, Amitriptyline 20mg at night, Diazepam 7.5mg total per day, Baclofen 10mg morning, 10mg lunch and 20mg night, Polaramine 2mg at night, Ketamine troche 25mg per day (Ceased early September 2025), Valsartan 160mg evening, HRT (Oestrogen 25mcg/day)

ESCITALOPRAM TAPER: 5 April 2025 - started holding at 1.516mg. Escitalopram taper resumed July 2025; End Aug 1.364; End Sept 1.228; End Oct 1.145; End Nov 1.1 Early Dec 1.11; End Dec 1.082; 2026 End Jan 1.047; Feb 6 1.030; Feb 20 1.014; April 10 1.012; May 3 1.014;

Supplements: Mg++ glycinate, Omega 3s, Curcumin. Vit D3/K2 spray, Vitamin B12 spray, chelated zinc.

February 22Feb 22

2 minutes ago, Catbird said:

Thanks @Fullhealing so grateful to have people here who understand the tenuous nature of AD withdrawal 🤗

We are all in the same crowded boat and have your back 🌺

1998 forced on cipramil *no anxiety/depression background*

Over the years all kinds of SSRI/SNRI/antipsychotics/stabilizers due to apparently side effects/withdrawal

Many attempts to quit over the years with failure (extremely rapid taper followed by doctors' guidens)

Current attempt-Paxil 20 mg:

6/24 20 mg to 5 mg-severe AKA

9/24 Increase to 20-AKA continues

10/24 stopped completely-AKA out of control

11/24 Zoloft bridge attempt-25 mg to 75 mg+Seroquel-AKA continued-stopped them CT.

12/24 Back on Paxil 10mg (0.1789g)-some stabilization-from here tapered by about 30% each time (don't remember doses and dates).

2025 - 7.10 0.0558g (3.11mg)/7.11 3% 0.0541g (3.02mg)/4.12 1% 0.0535g (2.98mg)

2026 - 3.1 1.5% 0.0526g (2.93mg)/9.1 8.5% 0.0480g (2.68mg)/16.2 1.8% 0.0470g (2.62mg)/21.3 1% 0.466 (2.60mg)/23.4 2.2% 0.455g (2.54mg)/8.7 20% 0.0358g (2mg)

Supplements:

Magnesium Glycinate - started 28.5.26 1 capsule 200mg in the morning - Increased brain fog and muscle stiffness - stopped after two weeks.

Iron - liquid, quarter of recommended dose - increased anxiety and burning sensation - stopped after two weeks.

Saffron - started 8.7.26 1 capsule 30mg in the morning - pretty immediate improvement in terms of anxiety and sleep that seems to continue to improve.

2

February 22Feb 22

16 minutes ago, Catbird said:

Thanks @cheeky I've had my ups and downs, Bad day yesterday - hit with SVT so bad I ended up on the floor, adrenalised for most of the day. Lots of fear today.

How's things for you?

I'm so sorry to hear that. I've been in a shitty wave. the last 11 days. Some days are worse than others, but there's nothing you can do. I guess except ride it out and hopefully a window will be coming soon.

On Paxil since 1995. Seroquel added 2014 after withdrawal crash. History of too-fast tapers/reinstatements.

21 April 2025 taper two drugs at once

Paxil 4% Seroquel 3.5% per month

that ended up being too much and changed to one drug at a time

13 Jul 2025: 4% Paxil cut

29 Jul 2025: 5% Paxil cut

6 Aug 2025: began hold

Oct 2025: changed from liquid to powder and accidentally took 10x Seroquel dose for 2 weeks by mistake

23 Oct 2025: returned to liquid with accidental 4.7% Seroquel cut

Holding both drugs to stablize

Holding at Paxil 8.25 mg / Seroquel 6.5

Paxil taper

22/4 8.23 29/4 8.20 5/5 8.15 13/5 8.05 3/6 8 11/6 7.95

1

February 23Feb 23

@Catbird I wanted to send some love your way...you are doing really well... every drop is a win. ❤️🙏

I am not a medical professional. My comments are based on my personal experience and information on SA.

Paroxetine-2002 onward-20mg/ Citalopram-2007-20 mg-straight switch from paroxetine-back to paroxetine after a month/ Sertraline -25 mg-Dec 2016- given for a month instead of paroxetine (doctor mistake) Oxazepam -10 mg-2016-twice weekly for a couple months for sleep/ Zopiclone -3.75-7.5mg-2020-2022-once a week for sleep/Paroxetine -20 yr+/ Dec2018-May 2022 20 mg/ May 2022 30mg/2022.07.28-2022.08.24 30mg to 0mg/ Prozac-10mg August 24-29 2022/Paroxetine -5mg-2022.11.28-2022.12.04/10mg-Dec 5&6/22/ Prozac-10mg-Dec 8&9/22/Paroxetine -5mg-2022.12.07 to 2023.07.01

TAPER-Paroxetine-2023-Jul 2-4.9mg/ Jul 21-4.8mg/Jul 28-4.73mg/Aug 4-4.65mg /Sep 21-4.58 mg/Oct 27-4.56 mg/Dec 5-4.54 mg/2024-Jan 2-4.52 mg/Jan 9-4.51 mg/Jan 17-4.49 mg/Jan 26-4.47mg/Feb 6-4.46mg/Feb 19-4.44mg /Apr 4-4.43mg/Apr 28-4.4 mg/May 5-4.39 mg/May 19-4.36 mg/Jul 2-4.34 mg/Jul 9-4.32mg/Jul 31-4.3 mg/Oct 1-4.29mg/Nov 27-4.25 mg/Dec 5-4.22mg/2025-Jan 5-4.17mg/Feb 2-4.1mg/Mar 7-4.07mg/Apr 23-4.04mg/May 23-4mg/Jun 22-3.99mg/Jun 30-3.95mg/Jul 18-3.92mg/Sep 25-3.9mg/2026-Mar 25-3.85mg

9am-paroxetine, 200mg mag bisglycinate/75 mg DGL if needed for refux/200mg calcium citrate/algae oil for omega 3/ginger 400 mg as needed for nausea

"... your strength will be in keeping calm..."-Isaiah 30:15

1

February 24Feb 24

Author

26 minutes ago, LostinCanada said:

@Catbird I wanted to send some love your way...you are doing really well... every drop is a win. ❤️🙏

Thanks!! @LostinCanada. So close to 1 mg now; the drops are getting smaller and the symptoms are increasing. I'll get to 1mg within the next couple of months. Then time for a long hold before embarking on my Amitriptyline taper — with the goal of halving my 20mg dose to mitigate side effects. Thanks so much for the kind words and encouragement 💕

Link to SA Profile: https://www.survivingantidepressants.org/forums/topic/32414-catbird-introduction-a-long-and-winding-road/

1996 Commenced on Sertraline 50 - 100mg. Many ADs trialled -Fluoxetine 20 mg, Paroxetine 20mg, Venlafaxine 75mg, Escitalopram 10 - 20mg, Vortioxetine 20mg, Bupropion 150mg. 2019 Recommenced Escitalopram 2022 Mirtazapine 30mg - Rapid taper. Amitriptyline 20mg

CURRENT MEDICATIONS: Escitalopram taper from ~ 10mg commenced 2024, Amitriptyline 20mg at night, Diazepam 7.5mg total per day, Baclofen 10mg morning, 10mg lunch and 20mg night, Polaramine 2mg at night, Ketamine troche 25mg per day (Ceased early September 2025), Valsartan 160mg evening, HRT (Oestrogen 25mcg/day)

ESCITALOPRAM TAPER: 5 April 2025 - started holding at 1.516mg. Escitalopram taper resumed July 2025; End Aug 1.364; End Sept 1.228; End Oct 1.145; End Nov 1.1 Early Dec 1.11; End Dec 1.082; 2026 End Jan 1.047; Feb 6 1.030; Feb 20 1.014; April 10 1.012; May 3 1.014;

Supplements: Mg++ glycinate, Omega 3s, Curcumin. Vit D3/K2 spray, Vitamin B12 spray, chelated zinc.

2

February 24Feb 24

@Catbirdyour so close to the end , your doing amazing , I would love to be in your position and hopefully one day I will .
im having a good last two days which is a nice blessing it gives me respite and keeps me on the positive .
Thanks for the info on the lamp . Does it help you ?

On Paxil since 1995. Seroquel added 2014 after withdrawal crash. History of too-fast tapers/reinstatements.

21 April 2025 taper two drugs at once

Paxil 4% Seroquel 3.5% per month

that ended up being too much and changed to one drug at a time

13 Jul 2025: 4% Paxil cut

29 Jul 2025: 5% Paxil cut

6 Aug 2025: began hold

Oct 2025: changed from liquid to powder and accidentally took 10x Seroquel dose for 2 weeks by mistake

23 Oct 2025: returned to liquid with accidental 4.7% Seroquel cut

Holding both drugs to stablize

Holding at Paxil 8.25 mg / Seroquel 6.5

Paxil taper

22/4 8.23 29/4 8.20 5/5 8.15 13/5 8.05 3/6 8 11/6 7.95

1

February 24Feb 24

Author

3 hours ago, cheeky said:

@Catbirdyour so close to the end , your doing amazing , I would love to be in your position and hopefully one day I will .
im having a good last two days which is a nice blessing it gives me respite and keeps me on the positive .
Thanks for the info on the lamp . Does it help you ?

I'm close to the end of one drug which will take me more than 2 years more to taper. Then I've got 4 more to go. Think I'll be on this forum for quite a while yet.

It's good you've had some good days in a row. What a blessing 🙏.

I haven't tried a lamp yet. I'm more interested in the infrared than the daylight lamp. They're pretty exxy though.

Take care🤗

Link to SA Profile: https://www.survivingantidepressants.org/forums/topic/32414-catbird-introduction-a-long-and-winding-road/

1996 Commenced on Sertraline 50 - 100mg. Many ADs trialled -Fluoxetine 20 mg, Paroxetine 20mg, Venlafaxine 75mg, Escitalopram 10 - 20mg, Vortioxetine 20mg, Bupropion 150mg. 2019 Recommenced Escitalopram 2022 Mirtazapine 30mg - Rapid taper. Amitriptyline 20mg

CURRENT MEDICATIONS: Escitalopram taper from ~ 10mg commenced 2024, Amitriptyline 20mg at night, Diazepam 7.5mg total per day, Baclofen 10mg morning, 10mg lunch and 20mg night, Polaramine 2mg at night, Ketamine troche 25mg per day (Ceased early September 2025), Valsartan 160mg evening, HRT (Oestrogen 25mcg/day)

ESCITALOPRAM TAPER: 5 April 2025 - started holding at 1.516mg. Escitalopram taper resumed July 2025; End Aug 1.364; End Sept 1.228; End Oct 1.145; End Nov 1.1 Early Dec 1.11; End Dec 1.082; 2026 End Jan 1.047; Feb 6 1.030; Feb 20 1.014; April 10 1.012; May 3 1.014;

Supplements: Mg++ glycinate, Omega 3s, Curcumin. Vit D3/K2 spray, Vitamin B12 spray, chelated zinc.

February 24Feb 24

1 hour ago, Catbird said:

I'm close to the end of one drug which will take me more than 2 years more to taper. Then I've got 4 more to go. Think I'll be on this forum for quite a while yet.

It's good you've had some good days in a row. What a blessing 🙏.

I haven't tried a lamp yet. I'm more interested in the infrared than the daylight lamp. They're pretty exxy though.

Take care🤗

Well I won't be going anywhere soon . You've got less drug in your system so that's a positive .

On Paxil since 1995. Seroquel added 2014 after withdrawal crash. History of too-fast tapers/reinstatements.

21 April 2025 taper two drugs at once

Paxil 4% Seroquel 3.5% per month

that ended up being too much and changed to one drug at a time

13 Jul 2025: 4% Paxil cut

29 Jul 2025: 5% Paxil cut

6 Aug 2025: began hold

Oct 2025: changed from liquid to powder and accidentally took 10x Seroquel dose for 2 weeks by mistake

23 Oct 2025: returned to liquid with accidental 4.7% Seroquel cut

Holding both drugs to stablize

Holding at Paxil 8.25 mg / Seroquel 6.5

Paxil taper

22/4 8.23 29/4 8.20 5/5 8.15 13/5 8.05 3/6 8 11/6 7.95

1

February 24Feb 24

8 hours ago, Catbird said:

I'll get to 1mg within the next couple of months. Then time for a long hold before embarking on my Amitriptyline taper — with the goal of halving my 20mg dose to mitigate side effects.

I am impressed by your methodical approach, @Catbird. You will make it! Maybe the amitriptyline taper will be much easier, I really hope it for you. I haven’t seen many people on.SA struggling with it. But maybe it is just not so common. I have taken amitriptyline, too, for a short while and I hated it. It made me so thirsty all the time and besides the dry mouth I was hungry and if I would’ve stayed on it, I’m sure I would’ve gained a lot of weight.

have you recovered well from your bad incident a couple of days ago? How is it going? Sending you love and prayers. ❤️‍🩹

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.

February 24Feb 24

Author

1 hour ago, Nemina said:

I am impressed by your methodical approach, @Catbird. You will make it! Maybe the amitriptyline taper will be much easier, I really hope it for you. I haven’t seen many people on.SA struggling with it. But maybe it is just not so common. I have taken amitriptyline, too, for a short while and I hated it. It made me so thirsty all the time and besides the dry mouth I was hungry and if I would’ve stayed on it, I’m sure I would’ve gained a lot of weight.

have you recovered well from your bad incident a couple of days ago? How is it going? Sending you love and prayers. ❤️‍🩹

Thanks @Nemina. You’re right it’s a less frequently mentioned drug on here and the side effects are terrible — dry mouth, dry eyes, dry gut and gnawing hunger. Some of these issues have been mitigated by going keto. I’ve lost a little weight but the hunger was terrible. I knew it wasn’t physical hunger so I asked ChatGPT and it helped me change a few things around. When the hunger would strike after breakfast I’d have a slab of double cream Brie - it seemed to be the only thing that would quell it. Now I have a bit of Greek yoghurt with a tablespoon of extra virgin olive oil (EVOO) and eat about 2 avocados a day. Amitriptyline is very good for sleep though.

I haven’t had any more episodes of SVT but I’ve had lots of other psychological, mood and physical symptoms. It’s very draining but not as dramatic as the SVT.

you are always encouraging and have kind words. 🧡

Link to SA Profile: https://www.survivingantidepressants.org/forums/topic/32414-catbird-introduction-a-long-and-winding-road/

1996 Commenced on Sertraline 50 - 100mg. Many ADs trialled -Fluoxetine 20 mg, Paroxetine 20mg, Venlafaxine 75mg, Escitalopram 10 - 20mg, Vortioxetine 20mg, Bupropion 150mg. 2019 Recommenced Escitalopram 2022 Mirtazapine 30mg - Rapid taper. Amitriptyline 20mg

CURRENT MEDICATIONS: Escitalopram taper from ~ 10mg commenced 2024, Amitriptyline 20mg at night, Diazepam 7.5mg total per day, Baclofen 10mg morning, 10mg lunch and 20mg night, Polaramine 2mg at night, Ketamine troche 25mg per day (Ceased early September 2025), Valsartan 160mg evening, HRT (Oestrogen 25mcg/day)

ESCITALOPRAM TAPER: 5 April 2025 - started holding at 1.516mg. Escitalopram taper resumed July 2025; End Aug 1.364; End Sept 1.228; End Oct 1.145; End Nov 1.1 Early Dec 1.11; End Dec 1.082; 2026 End Jan 1.047; Feb 6 1.030; Feb 20 1.014; April 10 1.012; May 3 1.014;

Supplements: Mg++ glycinate, Omega 3s, Curcumin. Vit D3/K2 spray, Vitamin B12 spray, chelated zinc.

1

February 24Feb 24

Hey @Catbird, maybe you are interested in this video

https://youtu.be/s0zpRJ_7Pe4?si=A15dzrKsVfkRG1Mi

I think light is quite a factor for human health.

take care!

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.

1

February 28Feb 28

Author

I've noticed this weird pattern — I'm okay and alert one day and lethargic and feel like I haven't slept. Seems to be an alternating pattern. Anyone else experience anything like this?

Link to SA Profile: https://www.survivingantidepressants.org/forums/topic/32414-catbird-introduction-a-long-and-winding-road/

1996 Commenced on Sertraline 50 - 100mg. Many ADs trialled -Fluoxetine 20 mg, Paroxetine 20mg, Venlafaxine 75mg, Escitalopram 10 - 20mg, Vortioxetine 20mg, Bupropion 150mg. 2019 Recommenced Escitalopram 2022 Mirtazapine 30mg - Rapid taper. Amitriptyline 20mg

CURRENT MEDICATIONS: Escitalopram taper from ~ 10mg commenced 2024, Amitriptyline 20mg at night, Diazepam 7.5mg total per day, Baclofen 10mg morning, 10mg lunch and 20mg night, Polaramine 2mg at night, Ketamine troche 25mg per day (Ceased early September 2025), Valsartan 160mg evening, HRT (Oestrogen 25mcg/day)

ESCITALOPRAM TAPER: 5 April 2025 - started holding at 1.516mg. Escitalopram taper resumed July 2025; End Aug 1.364; End Sept 1.228; End Oct 1.145; End Nov 1.1 Early Dec 1.11; End Dec 1.082; 2026 End Jan 1.047; Feb 6 1.030; Feb 20 1.014; April 10 1.012; May 3 1.014;

Supplements: Mg++ glycinate, Omega 3s, Curcumin. Vit D3/K2 spray, Vitamin B12 spray, chelated zinc.

February 28Feb 28

59 minutes ago, Catbird said:

I've noticed this weird pattern — I'm okay and alert one day and lethargic and feel like I haven't slept. Seems to be an alternating pattern. Anyone else experience anything like this?

@Catbird same here, unexpected pattern I would say, it's hard to keep up with the rapid change.

I found this if your mind is interested.

sleep damage caused by antidepressants: https://youtu.be/pxSNT-YijnI?si=fDj7jYfz1Sm-_BJd

1998 forced on cipramil *no anxiety/depression background*

Over the years all kinds of SSRI/SNRI/antipsychotics/stabilizers due to apparently side effects/withdrawal

Many attempts to quit over the years with failure (extremely rapid taper followed by doctors' guidens)

Current attempt-Paxil 20 mg:

6/24 20 mg to 5 mg-severe AKA

9/24 Increase to 20-AKA continues

10/24 stopped completely-AKA out of control

11/24 Zoloft bridge attempt-25 mg to 75 mg+Seroquel-AKA continued-stopped them CT.

12/24 Back on Paxil 10mg (0.1789g)-some stabilization-from here tapered by about 30% each time (don't remember doses and dates).

2025 - 7.10 0.0558g (3.11mg)/7.11 3% 0.0541g (3.02mg)/4.12 1% 0.0535g (2.98mg)

2026 - 3.1 1.5% 0.0526g (2.93mg)/9.1 8.5% 0.0480g (2.68mg)/16.2 1.8% 0.0470g (2.62mg)/21.3 1% 0.466 (2.60mg)/23.4 2.2% 0.455g (2.54mg)/8.7 20% 0.0358g (2mg)

Supplements:

Magnesium Glycinate - started 28.5.26 1 capsule 200mg in the morning - Increased brain fog and muscle stiffness - stopped after two weeks.

Iron - liquid, quarter of recommended dose - increased anxiety and burning sensation - stopped after two weeks.

Saffron - started 8.7.26 1 capsule 30mg in the morning - pretty immediate improvement in terms of anxiety and sleep that seems to continue to improve.

February 28Feb 28

7 hours ago, Catbird said:

I've noticed this weird pattern — I'm okay and alert one day and lethargic and feel like I haven't slept. Seems to be an alternating pattern. Anyone else experience anything like this?

This is how I felt while tapering. After my last dose, the effect has multiplied by 10. I get periods of a lot of energy, and then periods where I'm exhausted. I hope it gets better for you!

estradiol patch: 75 mcg

sertraline: from September 2018 to summer 2022

bupropion: only two weeks on February 2023

escitalopram (mg):

2022

10 (August), 20 (December)

2023

two week transition to bupropion, revert transition, reinstate 5 mg escitalopram (February), 4 (1/Apr), 3 (1/May), 2 (18/May), 1 (9/Jul), 0.9 (13/Aug), 0.8 (24/Aug), 0.72 (11/Sep), 0.648 (9/Oct), 0.616 (16/Nov), 0.6 (11/Dec)

2024

0.583 (27/Apr), 0.576 (15/May), 0.57 (1/June), 0.564 (8/June), 0.558 (7/July), 0.552 (14/July), 0.545 (21/July), 0.539 (31/July), 0.533 (12/Aug), 0.527 (22/Aug), 0.521 (2/Sep), 0.515 (13/Sep), 0.509 (20/Sep), 0.5 (2/Oct), 0.49 (19/Oct), 0.48 (26/Oct), 0.47 (7/Nov), 0.46 (27/Dec)

2025

0.45 (11/Jan), 0.44 (27/Jan), 0.43 (19/Feb), last dose (18/March)

February 28Feb 28

Author

7 hours ago, Tale said:

This is how I felt while tapering. After my last dose, the effect has multiplied by 10. I get periods of a lot of energy, and then periods where I'm exhausted. I hope it gets better for you!

Thanks @Tale great to see you here!

Link to SA Profile: https://www.survivingantidepressants.org/forums/topic/32414-catbird-introduction-a-long-and-winding-road/

1996 Commenced on Sertraline 50 - 100mg. Many ADs trialled -Fluoxetine 20 mg, Paroxetine 20mg, Venlafaxine 75mg, Escitalopram 10 - 20mg, Vortioxetine 20mg, Bupropion 150mg. 2019 Recommenced Escitalopram 2022 Mirtazapine 30mg - Rapid taper. Amitriptyline 20mg

CURRENT MEDICATIONS: Escitalopram taper from ~ 10mg commenced 2024, Amitriptyline 20mg at night, Diazepam 7.5mg total per day, Baclofen 10mg morning, 10mg lunch and 20mg night, Polaramine 2mg at night, Ketamine troche 25mg per day (Ceased early September 2025), Valsartan 160mg evening, HRT (Oestrogen 25mcg/day)

ESCITALOPRAM TAPER: 5 April 2025 - started holding at 1.516mg. Escitalopram taper resumed July 2025; End Aug 1.364; End Sept 1.228; End Oct 1.145; End Nov 1.1 Early Dec 1.11; End Dec 1.082; 2026 End Jan 1.047; Feb 6 1.030; Feb 20 1.014; April 10 1.012; May 3 1.014;

Supplements: Mg++ glycinate, Omega 3s, Curcumin. Vit D3/K2 spray, Vitamin B12 spray, chelated zinc.

1

March 1Mar 1

I am just catching up with your thread @Catbird!

The episode/s of SVT sound awful. You are down so low, amazing and you will get there with your slow and careful tapering.

Staying adrenalised is just horrible. The energy thing I can get more acutely, so after a day of anxiety and being flooded with stress hormones I will fall asleep on the couch sitting up. Extreme drowsiness.

I hope you start to settle soon and au think a lot of us will be here for longer than we anticipated. 😘. Hugs to you across the divide xx

Aug 2006 - Sertraline 25/50/75/100mg TO June 2019 - Reduced from 100mg to 50mg over a few months

Sept 2019 - Reduced from 50mg to 25mg lasted a week, then went back up to 50mg, after a few weeks back up to 100mg.

Oct 2021 - Reduced to 75mg, Dec 2021 (mid) reduced to 50mg , March 2022 - Reduced to 25mg

Oct 2022 - Reduce to 0mg (Immediate withdrawal crying, mood unstable, impending doom, digestive probs, tingling,numbness,burning, brain zaps, insomnia)

Feb 2023 - "Panic attack" lasting 14 hours, 2 weeks later start back on 25mg sertraline, 12 hours later severe 'panic attack' with chest pain, tachycardia, restlessness, hyponatraemia, impending doom, racing thoughts, akathisia mild. Taken to emergency.

March 2023 back up to 50mg (on medical advice), April 75mg, May 100mg. Back to 75mg within a few weeks due to feeling too stimulated and anxious.

Nov 2023 resume taper. 70, 65, 60, 55, 50 (March 2024)

April 45mg, May 41mg, June 37mg, July 34mg Aug 31mg, Sept 28mg, Oct 26mg, Nov 25mg, HOLD

Jan 1st 2025 24mg, Jan 12th 23.5mg, Jan 20th 23mg, Feb 20th 22mg, March 20th 21mg, April 14th 18.9mg, May 5th 17mg, May 28th 15.3mg, July 16th 13.7mg, Aug 26th 12.3mg, Sept 16th 10.5 mg, Sept 22, 10mg, Oct 7th 8.3mg, Nov 4th 8mg, Dec 1st 7.7mg, Dec 26th 7mg 2026 Updose to 7.6mg Mar 20th, Back to 7mg Mar 21. Currently holding

Other supplements: Fish oil, Mg citrate/glycinate 150-300mg per day, Ginkgo biloba daily, womens multi vit/min 3 times week, Vitamin C 1000mg night, valerian/passiflora as needed. B12 as needed. Bone support for osteopaenia (Ca/Mg, K, D)

1

March 1Mar 1

Author

7 minutes ago, Tracey said:

I am just catching up with your thread @Catbird!

The episode/s of SVT sound awful. You are down so low, amazing and you will get there with your slow and careful tapering.

Staying adrenalised is just horrible. The energy thing I can get more acutely, so after a day of anxiety and being flooded with stress hormones I will fall asleep on the couch sitting up. Extreme drowsiness.

I hope you start to settle soon and au think a lot of us will be here for longer than we anticipated. 😘. Hugs to you across the divide xx

Thanks @Tracey Fortunately it was an isolated experience 3 days after decreasing the dose. That's reassuring as it tells me I've a strong baseline. As awful as it was it hasn't put me into a spin or worse — a wave 🤞

Link to SA Profile: https://www.survivingantidepressants.org/forums/topic/32414-catbird-introduction-a-long-and-winding-road/

1996 Commenced on Sertraline 50 - 100mg. Many ADs trialled -Fluoxetine 20 mg, Paroxetine 20mg, Venlafaxine 75mg, Escitalopram 10 - 20mg, Vortioxetine 20mg, Bupropion 150mg. 2019 Recommenced Escitalopram 2022 Mirtazapine 30mg - Rapid taper. Amitriptyline 20mg

CURRENT MEDICATIONS: Escitalopram taper from ~ 10mg commenced 2024, Amitriptyline 20mg at night, Diazepam 7.5mg total per day, Baclofen 10mg morning, 10mg lunch and 20mg night, Polaramine 2mg at night, Ketamine troche 25mg per day (Ceased early September 2025), Valsartan 160mg evening, HRT (Oestrogen 25mcg/day)

ESCITALOPRAM TAPER: 5 April 2025 - started holding at 1.516mg. Escitalopram taper resumed July 2025; End Aug 1.364; End Sept 1.228; End Oct 1.145; End Nov 1.1 Early Dec 1.11; End Dec 1.082; 2026 End Jan 1.047; Feb 6 1.030; Feb 20 1.014; April 10 1.012; May 3 1.014;

Supplements: Mg++ glycinate, Omega 3s, Curcumin. Vit D3/K2 spray, Vitamin B12 spray, chelated zinc.

2

March 1Mar 1

@Catbird
Dropping by to catch up with your tread. I am glad to hear that your reaction was short and due to your latest lowering the dose. It sure looks like you have a strong baseline. I am so happy for you.

You are brave and strong and I admire your holding on to keep going. You have come a long way.
May you continue to be in a bearable state. May we all. 🙏💕

My Intro Topic on AR;

1997 - 2020 - Effexor XR and BusPar

2017 - Current - Lamotrigine 100 mg (x2 Daily) 8am+6pm

Oxapax

History archived - Chippy 01 March 2026

21 Jan 2026 – 7,5mgx3=22.5 mg (+9.2%) 8am+4pm+10pm

13 Marts 6,9+7,5+7,5=21.9mg

26 Marts 6,9+6,9+7,5=21,3mg

01 May 6,75x2+7,5=21mg 1,4%

25 May 6,75x2+7mg=20,5mg 2,3%

Lyrica

History archived - Chippy 01 March 2026

28 July 2025 – current 28,2x= 56.4 mg (-0.70%) 8am+6pm

Sertraline

08 Nov 2020 – 75mg 10pm

04 Nov 2025 – 100mg 10pm

08 Dec 2025 – 95mg 10pm

05 Jan 2026 – 91mg 10pm

11 Mar - 90,8mg 10pm

15 Mar - 90mg 10pm

24Apr - 89,88mg 10pm (-0,12mg/day)

03May - 88,8mg

23June - 88mg On hold

1

March 1Mar 1

Author

1 hour ago, Haa said:

May you continue to be in a bearable state. May we all. 🙏💕

You to @Haa 🤗

Link to SA Profile: https://www.survivingantidepressants.org/forums/topic/32414-catbird-introduction-a-long-and-winding-road/

1996 Commenced on Sertraline 50 - 100mg. Many ADs trialled -Fluoxetine 20 mg, Paroxetine 20mg, Venlafaxine 75mg, Escitalopram 10 - 20mg, Vortioxetine 20mg, Bupropion 150mg. 2019 Recommenced Escitalopram 2022 Mirtazapine 30mg - Rapid taper. Amitriptyline 20mg

CURRENT MEDICATIONS: Escitalopram taper from ~ 10mg commenced 2024, Amitriptyline 20mg at night, Diazepam 7.5mg total per day, Baclofen 10mg morning, 10mg lunch and 20mg night, Polaramine 2mg at night, Ketamine troche 25mg per day (Ceased early September 2025), Valsartan 160mg evening, HRT (Oestrogen 25mcg/day)

ESCITALOPRAM TAPER: 5 April 2025 - started holding at 1.516mg. Escitalopram taper resumed July 2025; End Aug 1.364; End Sept 1.228; End Oct 1.145; End Nov 1.1 Early Dec 1.11; End Dec 1.082; 2026 End Jan 1.047; Feb 6 1.030; Feb 20 1.014; April 10 1.012; May 3 1.014;

Supplements: Mg++ glycinate, Omega 3s, Curcumin. Vit D3/K2 spray, Vitamin B12 spray, chelated zinc.

1

March 6Mar 6

Hope you are doing ok @Catbird,

Just read something you wrote about crying eluding you when you need it most. I get that as well.

Hoping you have a settled weekend 🥰

Aug 2006 - Sertraline 25/50/75/100mg TO June 2019 - Reduced from 100mg to 50mg over a few months

Sept 2019 - Reduced from 50mg to 25mg lasted a week, then went back up to 50mg, after a few weeks back up to 100mg.

Oct 2021 - Reduced to 75mg, Dec 2021 (mid) reduced to 50mg , March 2022 - Reduced to 25mg

Oct 2022 - Reduce to 0mg (Immediate withdrawal crying, mood unstable, impending doom, digestive probs, tingling,numbness,burning, brain zaps, insomnia)

Feb 2023 - "Panic attack" lasting 14 hours, 2 weeks later start back on 25mg sertraline, 12 hours later severe 'panic attack' with chest pain, tachycardia, restlessness, hyponatraemia, impending doom, racing thoughts, akathisia mild. Taken to emergency.

March 2023 back up to 50mg (on medical advice), April 75mg, May 100mg. Back to 75mg within a few weeks due to feeling too stimulated and anxious.

Nov 2023 resume taper. 70, 65, 60, 55, 50 (March 2024)

April 45mg, May 41mg, June 37mg, July 34mg Aug 31mg, Sept 28mg, Oct 26mg, Nov 25mg, HOLD

Jan 1st 2025 24mg, Jan 12th 23.5mg, Jan 20th 23mg, Feb 20th 22mg, March 20th 21mg, April 14th 18.9mg, May 5th 17mg, May 28th 15.3mg, July 16th 13.7mg, Aug 26th 12.3mg, Sept 16th 10.5 mg, Sept 22, 10mg, Oct 7th 8.3mg, Nov 4th 8mg, Dec 1st 7.7mg, Dec 26th 7mg 2026 Updose to 7.6mg Mar 20th, Back to 7mg Mar 21. Currently holding

Other supplements: Fish oil, Mg citrate/glycinate 150-300mg per day, Ginkgo biloba daily, womens multi vit/min 3 times week, Vitamin C 1000mg night, valerian/passiflora as needed. B12 as needed. Bone support for osteopaenia (Ca/Mg, K, D)

March 6Mar 6

Author

1 hour ago, Tracey said:

Hope you are doing ok @Catbird,

Just read something you wrote about crying eluding you when you need it most. I get that as well.

Hoping you have a settled weekend 🥰

So true @Tracey I miss the release of emotions through crying. I’m finding things very difficult at present, but I’m doing my own version of graded exposure. Two occasions where I’ve wanted to cancel but I’ve gone anyway. Lots of anxiety and somatic symptoms and I’ve managed to just sit with the discomfort. I think I’m getting better at it.

how are you going? From what I’ve seen you write on line you’re really in the thick of it. I hope you have some relief soon 🤗

Link to SA Profile: https://www.survivingantidepressants.org/forums/topic/32414-catbird-introduction-a-long-and-winding-road/

1996 Commenced on Sertraline 50 - 100mg. Many ADs trialled -Fluoxetine 20 mg, Paroxetine 20mg, Venlafaxine 75mg, Escitalopram 10 - 20mg, Vortioxetine 20mg, Bupropion 150mg. 2019 Recommenced Escitalopram 2022 Mirtazapine 30mg - Rapid taper. Amitriptyline 20mg

CURRENT MEDICATIONS: Escitalopram taper from ~ 10mg commenced 2024, Amitriptyline 20mg at night, Diazepam 7.5mg total per day, Baclofen 10mg morning, 10mg lunch and 20mg night, Polaramine 2mg at night, Ketamine troche 25mg per day (Ceased early September 2025), Valsartan 160mg evening, HRT (Oestrogen 25mcg/day)

ESCITALOPRAM TAPER: 5 April 2025 - started holding at 1.516mg. Escitalopram taper resumed July 2025; End Aug 1.364; End Sept 1.228; End Oct 1.145; End Nov 1.1 Early Dec 1.11; End Dec 1.082; 2026 End Jan 1.047; Feb 6 1.030; Feb 20 1.014; April 10 1.012; May 3 1.014;

Supplements: Mg++ glycinate, Omega 3s, Curcumin. Vit D3/K2 spray, Vitamin B12 spray, chelated zinc.

1

Catbird: Dealing with Polypharmacy

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