Catbird: Dealing with Polypharmacy

April 30Apr 30

Hi Catbird, I can relate to everything you said.

5 hours ago, Catbird said:
I can see them for what they are — just thoughts, but that doesn't mean I don't feel the emotions that come with the thoughts

You know the facts. But that doesn't stop your body reacting. I know.

5 hours ago, Catbird said:
catastrophising - scenario planning in my head

This is hard. Try changing the channel. The other thing I try to do is turn the scenario into something really positive. Make into a best-case scenario.

That jittery feeling is awful. Hopefully you will be in a new window soon.

Wombat

1998 Paroxetine 20mg, getting to 60mg and staying there for many years.

Started reducing by 10mg at a time, December 2018 to June 2019. At 30mg held for 2 and a half years.

Beginning 2023, start micro tapering from 30mg

End 2023 - 18.76. End 2024 - 13.37. End 2025 - 8.58

2026 - 31 Jan - 8.38, 15 Feb - 8.19, 07 March - 8.06, 14 March - 8.00, 08 April - holding and start liquid transition, 22 May completed liquid transition 8mg (16ml) holding for 1 month

27 June - 7.9, 12 July - 7.75,

Deuteronomy 31.8 "The Lord Himself goes before you and will be with you; He will never leave you nor forsake you. Do not be afraid; do not be discouraged."

April 30Apr 30

1 hour ago, Chippy said:
I’m sorry to read @Catbird perhaps holding until after the wedding in July is best. Give your system time to stabilise and get these stressful (but I’m sure enjoyable) events out of the way. Hope things settle for you soon.

So sorry @Catbird right there with you, awful, it's as if the mind scans all the emotions but insists on staying with only the most horrific ones and activates the body accordingly, however, I paradoxically find that forcing myself out with all these unfounded emotions releases them to considerable extent so hopefully it will for you too with the upcoming events.

It may be worth giving your system time to rest and not changing your dosage anytime soon and keep remember that this is a full-force wd mind without any real grip so don't believe any of that, extremely hard, I know!

Hope things will ease for you very soon. xxx

Edited April 30Apr 30 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.

1

April 30Apr 30

Author

1 hour ago, Wombat said:
Hi Catbird, I can relate to everything you said.
You know the facts. But that doesn't stop your body reacting. I know.
This is hard. Try changing the channel. The other thing I try to do is turn the scenario into something really positive. Make into a best-case scenario.
That jittery feeling is awful. Hopefully you will be in a new window soon.
Wombat

Thanks @Wombat your perspective is appreciated 🧡

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.

April 30Apr 30

Author

@Fullhealing Thank you for your kind words. New (recurring but not for a while) abdominal wall muscle spasms — I've had the hot water bottle on all day. It's unrelenting 😪

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

April 30Apr 30

2 minutes ago, Catbird said:
@Fullhealing Thank you for your kind words. New (recurring but not for a while) abdominal wall muscle spasms — I've had the hot water bottle on all day. It's unrelenting 😪

Sorry Catbird, better days coming for you.

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.

1

April 30Apr 30

8 minutes ago, Chippy said:
Sorry Catbird, better days coming for you.

Exactly, right around the corner @Catbird stay strong and brave it will fade. xxx

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

April 30Apr 30

I'm so sorry Catbird,

I cannot believe how a teeny weeny tiny drop can cause such upheaval in our systems. And you have been holding before that for a number of months, correct?

You are doing everything right.

Patience and time will get you through it. Minute by minute, hour by hour. You'll get there.

Wombat

Edited April 30Apr 30 by Wombat
Spelling error

1998 Paroxetine 20mg, getting to 60mg and staying there for many years.

Started reducing by 10mg at a time, December 2018 to June 2019. At 30mg held for 2 and a half years.

Beginning 2023, start micro tapering from 30mg

End 2023 - 18.76. End 2024 - 13.37. End 2025 - 8.58

2026 - 31 Jan - 8.38, 15 Feb - 8.19, 07 March - 8.06, 14 March - 8.00, 08 April - holding and start liquid transition, 22 May completed liquid transition 8mg (16ml) holding for 1 month

27 June - 7.9, 12 July - 7.75,

Deuteronomy 31.8 "The Lord Himself goes before you and will be with you; He will never leave you nor forsake you. Do not be afraid; do not be discouraged."

April 30Apr 30

Author

38 minutes ago, Wombat said:
I'm so sorry Catbird,
I cannot believe how a teeny weeny tiny drop can cause such upheaval in our systems. And you have been holding before that for a number of months, correct?
You are doing everything right.
Patience and time will get you through it. Minute by minute, hour by hour. You'll get there.
Wombat

yes @Wombat it's very slow going.🤗

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

April 30Apr 30

I am sorry you are having such a rough time @Catbird .

Thinking of you and sending you a big hug. Hot water bottles are so comforting.

You are in my thoughts 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

April 30Apr 30

8 hours ago, Catbird said:
Thank you @RachelSusan , @Wombat and @Fullhealing . Your support and advice means so much to me. My last decrease of Escitalopram was 2 micrograms (10th April) and I feel so jittery today. Believe it or not I was sure it was as going to get to 1mg by end of last year, but my body is reacting to the slightest change at the moment. The psychological and emotional side are playing their part. I'm having lots of morbid thoughts (death or worse - immense suffering. I can see them for what they are — just thoughts, but that doesn't mean I don't feel the emotions that come with the thoughts. Lots of fear, doom and anguish.
My partner and I have for months been planning a holiday for May for a few weeks. We were doing some shopping yesterday in preparation and I found myself thinking "it'll be a waste to buy X as I may well die whilst we're away". I haven't been away for ages and at first I was really optimistic about it. I get more and more anxious as the departure date approaches. Lots of catastrophising - scenario planning in my head.
Then we have a wedding to attend on the other side of the country in July. All of these trips and the prospect of tapering has caused me to almost freeze. I'm so scared to change my dose, start a new taper. It's incapacitating.

I so relate to what you write @Catbird .

The doom, anguish, jittery, fear.

Another hug for you 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

April 30Apr 30

@Catbird I hate that jittery feeling, it’s the worst. Holding until after your holiday and the wedding sounds like a really good approach. When I was tapering, I’d do something similar if I had important plans or knew I’d be away from home. It also gave my body more time to heal before the next cut.

I am not a health professional in any way, and I do not give medical advice. These are only my opinions. Any decisions about your medical care should be discussed with a qualified medical professional.

If you would like to reach me, please post on my thread and tag @rachelsusan, or post on your thread and tag in the same way, so I will see it. 😀😀😀

HISTORY FOR GABAPENTIN TAPER

April 18, 2026: 200 mg to 195 mg (2.5% reduction), May 18, 2026: 195 mg to 187.5 mg (3.85% reduction), June 28, 2026: 187.5 mg to 185 mg (1.33% reduction)

HISTORY FOR ZOLOFT TAPER

Feb. 2016 to June 2016 - Was on 150mg Zoloft.

Quit Zoloft (Sertraline) June 2016, reinstated 50mg of Zoloft July 2016. From July 2016 to October 2016 went from 50 mg down 2.3 mg. I up-dosed in November 2016 to 12.5 mg. Held there until January 2017 when I started a much slower taper.

STARTING SENSIBLE ZOLOFT TAPERING USING GUIDELINES FROM ANOTHER SITE - WHICH WAS VERY HELPFUL

Dec. 10 2016 - switched to Liquid Zoloft (Sertraline) @ 12.5 mg. Jan. 4, 2020 1.875 mg (6.3%). Jan. 25, 2020 1.75 mg. Feb. 29, 2020 1.625mg (7.10%). Apr. 4, 2020 1.5 mg. May 9, 2020 1.375 mg. June 6, 2020 1.25 mg. (9.10%). July 4, 2020 1.125 mg. (10%). August 15, 2020 1.0 mg. Oct 24, 2020 .875 mg. Nov. 28, 2020 .75mg. Jan 16, 2021 .685mg (8.7%). Feb 13, 2021 .62mg. March 12, 2021 .56mg. May 1, 2021 .375mg. May 29, 2021 .25mg. June 26, 2021 .125mg. July 25, 2021 .065mg. August 22, 2021 .048mg. October 2, 2021 .043mg. October 10, 2021 .038mg. October 23, 2021 .035mg. October 30, 2021 .032mg. Nov. 13, 2021 .030 mg. Dec 4, 2021 .0285 mg. Dec 11, 2021 .0265 mg. Dec 18, 2021 .0246 mg. Dec 25, 2021 .023mg. Jan 1, 2022. 0 mg. OFF COMPLETELY

My thread at SA - https://www.survivingantidepressants.org/forums/topic/12649-☼-rachelsusan-zoloft-on-off-and-reinstated/page/28/

Started my Gabapentin reduction. Transitioned to partial liquid, 100mg in liquid and a 100mg capsule for a total of a 200mg dose. Dose three times a day for a total of 600mg a day. April 18 2026 first cut to 195mg (2.5%). May 18, 2026 to 187.5 (3.85%), June 28, 2026 to 185 (1.33%).

1

May 1May 1

How are you doing today, Catbird?

Wombat

1998 Paroxetine 20mg, getting to 60mg and staying there for many years.

Started reducing by 10mg at a time, December 2018 to June 2019. At 30mg held for 2 and a half years.

Beginning 2023, start micro tapering from 30mg

End 2023 - 18.76. End 2024 - 13.37. End 2025 - 8.58

2026 - 31 Jan - 8.38, 15 Feb - 8.19, 07 March - 8.06, 14 March - 8.00, 08 April - holding and start liquid transition, 22 May completed liquid transition 8mg (16ml) holding for 1 month

27 June - 7.9, 12 July - 7.75,

Deuteronomy 31.8 "The Lord Himself goes before you and will be with you; He will never leave you nor forsake you. Do not be afraid; do not be discouraged."

May 1May 1

Author

This video has useful approaches — not specific to WD though I find these approaches valuable

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.

May 1May 1

Author

1 hour ago, Wombat said:
How are you doing today, Catbird?
Wombat

Hey @Wombat last few days I’ve had full on abdominal wall muscle spasms — unrelenting. I’ve also had return of SVT after a year. This last 1.012mg is going to be very challenging indeed. The spasms are the most “needy” of symptoms. The others I notice but don’t dwell on them. I’ll be holding for at least 2 months.

Enough about me. How are you feeling?

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

May 1May 1

Oh that sounds very awful. I am so sorry. And that is only dropping by 0.2%? That is absolutely crazy. I hope you find relief soon.

Wombat

1998 Paroxetine 20mg, getting to 60mg and staying there for many years.

Started reducing by 10mg at a time, December 2018 to June 2019. At 30mg held for 2 and a half years.

Beginning 2023, start micro tapering from 30mg

End 2023 - 18.76. End 2024 - 13.37. End 2025 - 8.58

2026 - 31 Jan - 8.38, 15 Feb - 8.19, 07 March - 8.06, 14 March - 8.00, 08 April - holding and start liquid transition, 22 May completed liquid transition 8mg (16ml) holding for 1 month

27 June - 7.9, 12 July - 7.75,

Deuteronomy 31.8 "The Lord Himself goes before you and will be with you; He will never leave you nor forsake you. Do not be afraid; do not be discouraged."

May 2May 2

Author

12 hours ago, Wombat said:
Oh that sounds very awful. I am so sorry. And that is only dropping by 0.2%? That is absolutely crazy. I hope you find relief soon.
Wombat

Thanks @Wombat . Not too sure what the percentage decrease is, but I do know it’s only 2mcg.

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.

May 5May 5

Author

@getofflex I hope you don't mind me reaching out unsolicited. I know you've been through an Escitalopram taper and come out the other side so I'm hoping you might be able to offer some advice or at least share your experience. I've been tapering since late 2023 and I am on multiple psychoactive medications. The one giving me the most side effects is Amitriptyline and I was planning to taper this to half the dose to mitigate the side effects. I thought I would reach 1mg Escitalopram around new year, hold for ~6 weeks before starting the Amitriptyline and until I'd decreased the Amitriptyline to half, but this was not to be. I've almost come to a standstill with the Escitalopram — my body so sensitive to the tiniest of changes. The last decrease was 2µg and I've been beset with almost constant abdominal myofascial pains / spasms and I have updosed 2µg to try to diminish the issue with no effect. I feel so weak, trapped, incapacitated and frail and unclear on what direction to take (aside from acupuncture). Do you have any experience of anything like this? It's so distressing. I'd really appreciate some advice 🙏

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

May 5May 5

@Catbird Thinking of you. I’m sorry to hear that you’re experiencing these symptoms. What you’re describing sounds incredibly difficult, especially reacting to such a tiny reduction like that. I know how frightening and discouraging this can feel. When symptoms are that intense, it can make everything feel very uncertain. You’re not alone in this, even though it can feel that way. Sometimes the focus shifts from making progress to just allowing things to calm down, little by little. As things begin to settle, you can then decide what feels right for your next step.

Edited May 5May 5 by RachelSusan
typo

I am not a health professional in any way, and I do not give medical advice. These are only my opinions. Any decisions about your medical care should be discussed with a qualified medical professional.

If you would like to reach me, please post on my thread and tag @rachelsusan, or post on your thread and tag in the same way, so I will see it. 😀😀😀

HISTORY FOR GABAPENTIN TAPER

April 18, 2026: 200 mg to 195 mg (2.5% reduction), May 18, 2026: 195 mg to 187.5 mg (3.85% reduction), June 28, 2026: 187.5 mg to 185 mg (1.33% reduction)

HISTORY FOR ZOLOFT TAPER

Feb. 2016 to June 2016 - Was on 150mg Zoloft.

Quit Zoloft (Sertraline) June 2016, reinstated 50mg of Zoloft July 2016. From July 2016 to October 2016 went from 50 mg down 2.3 mg. I up-dosed in November 2016 to 12.5 mg. Held there until January 2017 when I started a much slower taper.

STARTING SENSIBLE ZOLOFT TAPERING USING GUIDELINES FROM ANOTHER SITE - WHICH WAS VERY HELPFUL

Dec. 10 2016 - switched to Liquid Zoloft (Sertraline) @ 12.5 mg. Jan. 4, 2020 1.875 mg (6.3%). Jan. 25, 2020 1.75 mg. Feb. 29, 2020 1.625mg (7.10%). Apr. 4, 2020 1.5 mg. May 9, 2020 1.375 mg. June 6, 2020 1.25 mg. (9.10%). July 4, 2020 1.125 mg. (10%). August 15, 2020 1.0 mg. Oct 24, 2020 .875 mg. Nov. 28, 2020 .75mg. Jan 16, 2021 .685mg (8.7%). Feb 13, 2021 .62mg. March 12, 2021 .56mg. May 1, 2021 .375mg. May 29, 2021 .25mg. June 26, 2021 .125mg. July 25, 2021 .065mg. August 22, 2021 .048mg. October 2, 2021 .043mg. October 10, 2021 .038mg. October 23, 2021 .035mg. October 30, 2021 .032mg. Nov. 13, 2021 .030 mg. Dec 4, 2021 .0285 mg. Dec 11, 2021 .0265 mg. Dec 18, 2021 .0246 mg. Dec 25, 2021 .023mg. Jan 1, 2022. 0 mg. OFF COMPLETELY

My thread at SA - https://www.survivingantidepressants.org/forums/topic/12649-☼-rachelsusan-zoloft-on-off-and-reinstated/page/28/

Started my Gabapentin reduction. Transitioned to partial liquid, 100mg in liquid and a 100mg capsule for a total of a 200mg dose. Dose three times a day for a total of 600mg a day. April 18 2026 first cut to 195mg (2.5%). May 18, 2026 to 187.5 (3.85%), June 28, 2026 to 185 (1.33%).

2

May 5May 5

Author

7 hours ago, RachelSusan said:
@Catbird Thinking of you. I’m sorry to hear that you’re experiencing these symptoms. What you’re describing sounds incredibly difficult, especially reacting to such a tiny reduction like that. I know how frightening and discouraging this can feel. When symptoms are that intense, it can make everything feel very uncertain. You’re not alone in this, even though it can feel that way. Sometimes the focus shifts from making progress to just allowing things to calm down, little by little. As things begin to settle, you can then decide what feels right for your next step.

Thanks @RachelSusan I’ve read it can become chronic which is what really scares me 😧

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

May 9May 9

Hey Catbird, thinking of you. Have you had any improvement yet?

Wombat

1998 Paroxetine 20mg, getting to 60mg and staying there for many years.

Started reducing by 10mg at a time, December 2018 to June 2019. At 30mg held for 2 and a half years.

Beginning 2023, start micro tapering from 30mg

End 2023 - 18.76. End 2024 - 13.37. End 2025 - 8.58

2026 - 31 Jan - 8.38, 15 Feb - 8.19, 07 March - 8.06, 14 March - 8.00, 08 April - holding and start liquid transition, 22 May completed liquid transition 8mg (16ml) holding for 1 month

27 June - 7.9, 12 July - 7.75,

Deuteronomy 31.8 "The Lord Himself goes before you and will be with you; He will never leave you nor forsake you. Do not be afraid; do not be discouraged."

1

May 9May 9

Author

6 hours ago, Wombat said:
Hey Catbird, thinking of you. Have you had any improvement yet?
Wombat

Thanks for asking @Wombat Feeling really destabilised for some time now. I have up dosed today. Still have abdominal and back pains, intense tension is my shoulders and next. Lots of anxiety, heavy head and very scared. Practising my acceptance an allowance with moderate effects. Will see how the next few days go.

How are you? Noticed you too are having some anxiety. 💕

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.

May 9May 9

Dear Catbird, I am so sorry for what you are going through. This has been a very awful time for you. I hope the updosing helps you.

Wombat

1998 Paroxetine 20mg, getting to 60mg and staying there for many years.

Started reducing by 10mg at a time, December 2018 to June 2019. At 30mg held for 2 and a half years.

Beginning 2023, start micro tapering from 30mg

End 2023 - 18.76. End 2024 - 13.37. End 2025 - 8.58

2026 - 31 Jan - 8.38, 15 Feb - 8.19, 07 March - 8.06, 14 March - 8.00, 08 April - holding and start liquid transition, 22 May completed liquid transition 8mg (16ml) holding for 1 month

27 June - 7.9, 12 July - 7.75,

Deuteronomy 31.8 "The Lord Himself goes before you and will be with you; He will never leave you nor forsake you. Do not be afraid; do not be discouraged."

2

May 9May 9

1 hour ago, Catbird said:
Thanks for asking @Wombat Feeling really destabilised for some time now. I have up dosed today. Still have abdominal and back pains, intense tension is my shoulders and next. Lots of anxiety, heavy head and very scared. Practising my acceptance an allowance with moderate effects. Will see how the next few days go.
How are you? Noticed you too are having some anxiety. 💕

Sorry to read Catbird, hope things die down for you soon, and your updose helps.

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.

May 9May 9

Author

Hi @Tracey @BarbX @Wombat @cheeky and other Aussies,

I came across this in the Sydney Morning Herald

https://www.smh.com.au/national/five-million-australians-are-on-mental-health-medication-rebekah-is-among-those-asking-why-20260508-p5zv57.html

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.

May 9May 9

@Catbird Sorry to hear thing are still destabilized. I hope you improve quickly.

I am not a health professional in any way, and I do not give medical advice. These are only my opinions. Any decisions about your medical care should be discussed with a qualified medical professional.

If you would like to reach me, please post on my thread and tag @rachelsusan, or post on your thread and tag in the same way, so I will see it. 😀😀😀

HISTORY FOR GABAPENTIN TAPER

April 18, 2026: 200 mg to 195 mg (2.5% reduction), May 18, 2026: 195 mg to 187.5 mg (3.85% reduction), June 28, 2026: 187.5 mg to 185 mg (1.33% reduction)

HISTORY FOR ZOLOFT TAPER

Feb. 2016 to June 2016 - Was on 150mg Zoloft.

Quit Zoloft (Sertraline) June 2016, reinstated 50mg of Zoloft July 2016. From July 2016 to October 2016 went from 50 mg down 2.3 mg. I up-dosed in November 2016 to 12.5 mg. Held there until January 2017 when I started a much slower taper.

STARTING SENSIBLE ZOLOFT TAPERING USING GUIDELINES FROM ANOTHER SITE - WHICH WAS VERY HELPFUL

Dec. 10 2016 - switched to Liquid Zoloft (Sertraline) @ 12.5 mg. Jan. 4, 2020 1.875 mg (6.3%). Jan. 25, 2020 1.75 mg. Feb. 29, 2020 1.625mg (7.10%). Apr. 4, 2020 1.5 mg. May 9, 2020 1.375 mg. June 6, 2020 1.25 mg. (9.10%). July 4, 2020 1.125 mg. (10%). August 15, 2020 1.0 mg. Oct 24, 2020 .875 mg. Nov. 28, 2020 .75mg. Jan 16, 2021 .685mg (8.7%). Feb 13, 2021 .62mg. March 12, 2021 .56mg. May 1, 2021 .375mg. May 29, 2021 .25mg. June 26, 2021 .125mg. July 25, 2021 .065mg. August 22, 2021 .048mg. October 2, 2021 .043mg. October 10, 2021 .038mg. October 23, 2021 .035mg. October 30, 2021 .032mg. Nov. 13, 2021 .030 mg. Dec 4, 2021 .0285 mg. Dec 11, 2021 .0265 mg. Dec 18, 2021 .0246 mg. Dec 25, 2021 .023mg. Jan 1, 2022. 0 mg. OFF COMPLETELY

My thread at SA - https://www.survivingantidepressants.org/forums/topic/12649-☼-rachelsusan-zoloft-on-off-and-reinstated/page/28/

Started my Gabapentin reduction. Transitioned to partial liquid, 100mg in liquid and a 100mg capsule for a total of a 200mg dose. Dose three times a day for a total of 600mg a day. April 18 2026 first cut to 195mg (2.5%). May 18, 2026 to 187.5 (3.85%), June 28, 2026 to 185 (1.33%).

2

Catbird: Dealing with Polypharmacy

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