Golden: Tapering Bupropion, then Escitalopram ++

February 24Feb 24

Author

Another good article:

https://pubmed.ncbi.nlm.nih.gov/21946596/

2025 / Current:

Bupropion (Wellbutrin) (at least since Jan. 2019) 150 mg -> 131.5 mg on 4-22 -> 112.5 mg on 5-26 -> 93.75 mg on 6-21 -> 87.5 mg on 8-7 -> 77.5mg on 9-1 -> 69 mg on 10-15 -> 61 mg 11-12 -> 60 mg 11-28 -> 54 mg on 12-13-25 -> 53 mg on 4-8-26. HOLD

Escitalopram (Lexapro) 20 mg (consistently since July 2018) -

Gabapentin 100 mg once daily (since June 2014?)

Clonazepam As of Jan. 2019 1.5 mg daily in 3 divided doses as needed. Decreased as I didn’t need as much. March 2025: 1/8 of 0.5 mg tablet (0.0625 mg), 2-3 x daily (0.125 mg - 0.1875 mg daily). -> 2 x daily (0.125 mg daily), -> 1/8 morning0.0625 mg & 1/16 tablet evening (approx. 0.094 mg daily ) March 2026.

Cross over to liquid 0.125 ODT evening dose 0.028125 mg Apr 18; morning dose 0.04375 mg Apr 25, -> 0.040625 mg Apr 26, -> 0.034375 mg May 1, -> 0.028125 mg twice daily (0.05625 mg daily) May 4, -> 0.053125 May 13, -> 0.050 mg May 14, -> 0.04375 mg May 16, -> 0.040625 mg May 19, -> 0.0356 mg 6/2, -> 0.03125 mg June 8, -> 0.0275 mg June 14. -> 0.025 June 16, -> 0.0187 mg June 21, -> 0.0125 mg July 7, -> 0.006 mg July 14.

July 21, 2026 ZERO!

Compounded Bio-Identical HRT: Cream Bi-Est 0.5, Progesterone 150 mg/ML (0.5ML)

Compounded Bio-Identical HRT: Capsule 150 mg each evening

Metoprolol ER Succinate -> 1/2 of 25 mg tablet 1 x daily on 5/31/25 -> 1/4 tablet on 1-09-2026 -> 1/2 of 25 mg tablet on 2-19. Switched to

Atenolol 4 mg March 4,2026 -> 3 mg Mar.26 -> 2 mg April 18 -> 1 mg May 1, -> zero May 11, 2026.

Supplements:Calcium,D3,K2,Magnesium,Omega3,B-Complex,Biotin,Quercetin,Zinc,C

My profile at Surviving Antidepressants is:

https://www.survivingantidepressants.org/forums/topic/32343-golden-introduction/

“Be joyful in hope, patient in affliction, faithful in prayer.” Romans 12:12

February 24Feb 24

41 minutes ago, Golden said:

This part is inaccurate according to several online beta blocker equivalent estimators. They show Metoprolol 50 mg ~ Atenolol 25 mg.

I noticed that too... ChatGPT is great for fast information but it is always best to double check.

42 minutes ago, Golden said:

appreciate you more than I can say! 💞

You are very welcome...we have to support each other. ❤️🙏

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/150 mg 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 28Feb 28

Author

I have been dealing with dizziness again for the last several days. It is worse in the morning but seems to get better later in the day. It is also better when I am sitting and worse when I am moving around. WD, drug interactions, or inner ear problems? 🤷‍♀️

I have an appointment with my doctor Monday afternoon.

After learning about the possible problems between Bupropion and Metoprolol, I definitely want to switch to Atenolol. (The name brand of Atenolol is not available. The generic version is made by TEVA.) It may be possible for my doctor to get a prior authorization from my insurance to cover a compounded version for less than the smallest dose available. 🙏

I am trying to sort out all the information swimming around in my brain.

I need to update my signature. I went back to 1/2 of 25 mg tablet of Metoprolol ER on Feb. 19th. It seems to hit hard at first and then wears off before time for the next dose. My blood pressure is lower than normal in the morning but higher than normal before the next dose. I’m monitoring it to see if this continues.

@Go2zero I have a question to ask about this in my next post.

2025 / Current:

Bupropion (Wellbutrin) (at least since Jan. 2019) 150 mg -> 131.5 mg on 4-22 -> 112.5 mg on 5-26 -> 93.75 mg on 6-21 -> 87.5 mg on 8-7 -> 77.5mg on 9-1 -> 69 mg on 10-15 -> 61 mg 11-12 -> 60 mg 11-28 -> 54 mg on 12-13-25 -> 53 mg on 4-8-26. HOLD

Escitalopram (Lexapro) 20 mg (consistently since July 2018) -

Gabapentin 100 mg once daily (since June 2014?)

Clonazepam As of Jan. 2019 1.5 mg daily in 3 divided doses as needed. Decreased as I didn’t need as much. March 2025: 1/8 of 0.5 mg tablet (0.0625 mg), 2-3 x daily (0.125 mg - 0.1875 mg daily). -> 2 x daily (0.125 mg daily), -> 1/8 morning0.0625 mg & 1/16 tablet evening (approx. 0.094 mg daily ) March 2026.

Cross over to liquid 0.125 ODT evening dose 0.028125 mg Apr 18; morning dose 0.04375 mg Apr 25, -> 0.040625 mg Apr 26, -> 0.034375 mg May 1, -> 0.028125 mg twice daily (0.05625 mg daily) May 4, -> 0.053125 May 13, -> 0.050 mg May 14, -> 0.04375 mg May 16, -> 0.040625 mg May 19, -> 0.0356 mg 6/2, -> 0.03125 mg June 8, -> 0.0275 mg June 14. -> 0.025 June 16, -> 0.0187 mg June 21, -> 0.0125 mg July 7, -> 0.006 mg July 14.

July 21, 2026 ZERO!

Compounded Bio-Identical HRT: Cream Bi-Est 0.5, Progesterone 150 mg/ML (0.5ML)

Compounded Bio-Identical HRT: Capsule 150 mg each evening

Metoprolol ER Succinate -> 1/2 of 25 mg tablet 1 x daily on 5/31/25 -> 1/4 tablet on 1-09-2026 -> 1/2 of 25 mg tablet on 2-19. Switched to

Atenolol 4 mg March 4,2026 -> 3 mg Mar.26 -> 2 mg April 18 -> 1 mg May 1, -> zero May 11, 2026.

Supplements:Calcium,D3,K2,Magnesium,Omega3,B-Complex,Biotin,Quercetin,Zinc,C

My profile at Surviving Antidepressants is:

https://www.survivingantidepressants.org/forums/topic/32343-golden-introduction/

“Be joyful in hope, patient in affliction, faithful in prayer.” Romans 12:12

February 28Feb 28

Author

You mentioned earlier: “Bupropion is NOT metabolized by CYP2D6, but mainly by CYP2B6 , but.....Bupropion is a CYP2D6 inhibitor. This is very important to know and understand. So all meds that are metabolized by CYP2D6 aremetabolized slower than normal when bupropion is used. And yes Metropolol is metabolized by CYP2D6 !!!”

I don’t really have a clear understanding on this. This sounds like it means that at lower doses of Bupropion, Metoprolol is metabolized faster than it was at higher Bupropion levels. What does this do to my blood pressure? Does that make sense?

Maybe it won’t matter if I can switch to Atenolol .

I’m sorry @Go2zero. I feel like I’m talking in circles and can’t think straight.🤦‍♀️ I’m just trying to simplify things so I can explain it to my doctor without a lot of confusion.

I’ll see my doctor Monday and see what he has to say.

🕊️💞🙏

2025 / Current:

Bupropion (Wellbutrin) (at least since Jan. 2019) 150 mg -> 131.5 mg on 4-22 -> 112.5 mg on 5-26 -> 93.75 mg on 6-21 -> 87.5 mg on 8-7 -> 77.5mg on 9-1 -> 69 mg on 10-15 -> 61 mg 11-12 -> 60 mg 11-28 -> 54 mg on 12-13-25 -> 53 mg on 4-8-26. HOLD

Escitalopram (Lexapro) 20 mg (consistently since July 2018) -

Gabapentin 100 mg once daily (since June 2014?)

Clonazepam As of Jan. 2019 1.5 mg daily in 3 divided doses as needed. Decreased as I didn’t need as much. March 2025: 1/8 of 0.5 mg tablet (0.0625 mg), 2-3 x daily (0.125 mg - 0.1875 mg daily). -> 2 x daily (0.125 mg daily), -> 1/8 morning0.0625 mg & 1/16 tablet evening (approx. 0.094 mg daily ) March 2026.

Cross over to liquid 0.125 ODT evening dose 0.028125 mg Apr 18; morning dose 0.04375 mg Apr 25, -> 0.040625 mg Apr 26, -> 0.034375 mg May 1, -> 0.028125 mg twice daily (0.05625 mg daily) May 4, -> 0.053125 May 13, -> 0.050 mg May 14, -> 0.04375 mg May 16, -> 0.040625 mg May 19, -> 0.0356 mg 6/2, -> 0.03125 mg June 8, -> 0.0275 mg June 14. -> 0.025 June 16, -> 0.0187 mg June 21, -> 0.0125 mg July 7, -> 0.006 mg July 14.

July 21, 2026 ZERO!

Compounded Bio-Identical HRT: Cream Bi-Est 0.5, Progesterone 150 mg/ML (0.5ML)

Compounded Bio-Identical HRT: Capsule 150 mg each evening

Metoprolol ER Succinate -> 1/2 of 25 mg tablet 1 x daily on 5/31/25 -> 1/4 tablet on 1-09-2026 -> 1/2 of 25 mg tablet on 2-19. Switched to

Atenolol 4 mg March 4,2026 -> 3 mg Mar.26 -> 2 mg April 18 -> 1 mg May 1, -> zero May 11, 2026.

Supplements:Calcium,D3,K2,Magnesium,Omega3,B-Complex,Biotin,Quercetin,Zinc,C

My profile at Surviving Antidepressants is:

https://www.survivingantidepressants.org/forums/topic/32343-golden-introduction/

“Be joyful in hope, patient in affliction, faithful in prayer.” Romans 12:12

1

February 28Feb 28

23 minutes ago, Golden said:

This sounds like it means that at lower doses of Bupropion, Metoprolol is metabolized faster than it was at higher Bupropion levels. What does this do to my blood pressure? Does that make sense?

Yes that is correct. If metoprolol is metabolised faster, it has a weaker and shorter duration of effect. Therefore your blood pressure should be less affected. The dizziness might be WD and nothing to do with the metoprolol. If your BP is within normal range, it is likely withdrawal.

November 2024 Elvanse for ADHD. Anxiety and jaw clenching, stopped after 4 weeks. Felt fine.

January 2025 Medikinet XL

Made me depressed and suicidal so stopped after 3 weeks. Felt fine

March 2025 Concerta XL Made me depressed and suicidal so stopped after 2 weeks. Felt fine

April-May 2025 Amfexa and Methylphenidate instant release, both only worked for an hour so stopped. Felt fine.

June 2025 Atomoxetine started slow taper. Immediate hot flushing and feeling sluggish.

July-September 2025 Tapered up to 70mg Atomoxetine. Constipation, insomnia, muscle spasms, weird thoughts, mood swings, night sweats, hot flushes, brain fog, dizziness etc

October 2025 rapid taper off Atomoxetine. I also had a GA for shoulder surgery the same week I finished meds.

Ongoing symptoms ever since, but now also trouble swallowing, difficulty passing urine, muscle twitches, depersonalisation, heavy limbs, emotional blunting, apathy, feeling "wired" and robotic, PGAD.

New symptoms February 2026: Nausea and burning head

Supplements: B12, folate and Vit D as all were bordering on deficient.

Bad reactions to CBD oil, Mag glycinate, Mag L.Threonate and Fish Oil

2

February 28Feb 28

Author

1 hour ago, Sminismoni said:

Yes that is correct. If metoprolol is metabolised faster, it has a weaker and shorter duration of effect. Therefore your blood pressure should be less affected.

Thank you @Sminismoni for your explanation.

1 hour ago, Sminismoni said:

The dizziness might be WD and nothing to do with the metoprolol. If your BP is within normal range, it is likely withdrawal.

Yes, that is a real possibility. My blood pressure is not so low that it would cause dizziness. It seems to hit me hard for 2-3 days and then eases up and disappears. This month is the first that I have had dizziness and I haven’t tapered since mid December but I know that dizziness is a common WD symptom for a lot of us.

I read your signature and I hope you feel better soon. 💞

2025 / Current:

Bupropion (Wellbutrin) (at least since Jan. 2019) 150 mg -> 131.5 mg on 4-22 -> 112.5 mg on 5-26 -> 93.75 mg on 6-21 -> 87.5 mg on 8-7 -> 77.5mg on 9-1 -> 69 mg on 10-15 -> 61 mg 11-12 -> 60 mg 11-28 -> 54 mg on 12-13-25 -> 53 mg on 4-8-26. HOLD

Escitalopram (Lexapro) 20 mg (consistently since July 2018) -

Gabapentin 100 mg once daily (since June 2014?)

Clonazepam As of Jan. 2019 1.5 mg daily in 3 divided doses as needed. Decreased as I didn’t need as much. March 2025: 1/8 of 0.5 mg tablet (0.0625 mg), 2-3 x daily (0.125 mg - 0.1875 mg daily). -> 2 x daily (0.125 mg daily), -> 1/8 morning0.0625 mg & 1/16 tablet evening (approx. 0.094 mg daily ) March 2026.

Cross over to liquid 0.125 ODT evening dose 0.028125 mg Apr 18; morning dose 0.04375 mg Apr 25, -> 0.040625 mg Apr 26, -> 0.034375 mg May 1, -> 0.028125 mg twice daily (0.05625 mg daily) May 4, -> 0.053125 May 13, -> 0.050 mg May 14, -> 0.04375 mg May 16, -> 0.040625 mg May 19, -> 0.0356 mg 6/2, -> 0.03125 mg June 8, -> 0.0275 mg June 14. -> 0.025 June 16, -> 0.0187 mg June 21, -> 0.0125 mg July 7, -> 0.006 mg July 14.

July 21, 2026 ZERO!

Compounded Bio-Identical HRT: Cream Bi-Est 0.5, Progesterone 150 mg/ML (0.5ML)

Compounded Bio-Identical HRT: Capsule 150 mg each evening

Metoprolol ER Succinate -> 1/2 of 25 mg tablet 1 x daily on 5/31/25 -> 1/4 tablet on 1-09-2026 -> 1/2 of 25 mg tablet on 2-19. Switched to

Atenolol 4 mg March 4,2026 -> 3 mg Mar.26 -> 2 mg April 18 -> 1 mg May 1, -> zero May 11, 2026.

Supplements:Calcium,D3,K2,Magnesium,Omega3,B-Complex,Biotin,Quercetin,Zinc,C

My profile at Surviving Antidepressants is:

https://www.survivingantidepressants.org/forums/topic/32343-golden-introduction/

“Be joyful in hope, patient in affliction, faithful in prayer.” Romans 12:12

March 1Mar 1

16 hours ago, Golden said:

You mentioned earlier: “Bupropion is NOT metabolized by CYP2D6, but mainly by CYP2B6 , but.....Bupropion is a CYP2D6 inhibitor. This is very important to know and understand. So all meds that are metabolized by CYP2D6 aremetabolized slower than normal when bupropion is used. And yes Metropolol is metabolized by CYP2D6 !!!”

This is correct.

16 hours ago, Golden said:

I don’t really have a clear understanding on this. This sounds like it means that at lower doses of Bupropion, Metoprolol is metabolized faster than it was at higher Bupropion levels.

This is correct as well

16 hours ago, Golden said:

What does this do to my blood pressure? Does that make sense?

That means that the effects of Metropolol get less at an equal dose of Metropolol. So this could make your blood pressure go up when lowering the dose of bupropion.. But....., lowering bupropion might lower your BP, since bupropion often increases BP....

1993 Anafranil (Clomipramine) for a few months. Later in 1993 Paxil for a few months 1993- 2006 No medication

2006 Effexor, Cymbalta, some Benzo’s. All for short periods. Later in 2006 Lexapro (escitalopram) 10 mg and shortly after Wellbutrin XR 150mg, against side effects Lexapro

Since 2006 until end of 2015: Several times on and off Lexapro and Wellbutrin and several slight dosage changes. Mostly taken dosages: 5mg Lexapro and 150mg Wellbutrin

2016 Dosage change Lexapro from 5mg to 2,5 mg. Wellbutrin stayed om 150mg

November 2016 – April 2017 Down from 2,5mg to 0,6mg Lexapro (in steps) without much problems. Wellbutrin down from 150mg to 66mg. Also without much problems.

April 2017 – March 2019 Lexapro 0,6 mg April 2017 - August 2018 Wellbutrin in small steps down from 66mg in to 37,5 mg . Quite heavy WD after each step.

March 2019 – May 2019 Lexapro down from 0,6 to 0,3mg then Prozac to 0,6 mg switch because severe discontinuation effects (may also have been from Wellbutrin..)

Wellbutrin down from 37,5mg to 35,3mg

October 2019 Seroquel 12,5 mg for 4 weeks because of extreme sleeping problems, then weaning off in 2 weeks Prozac up dosage to 1,2 mg

March 2020 Wellbutrin in 2 steps down from 35,3mg to 33,3mg Extreme withdrawal effects during 8 months. Stopped tapering Wellbutrin until total off Prozac.

February 2020 – November 2020 Prozac down in steps from 1,2mg to 0,57mg.

Jan 2021 : Prozac down to: 0,55> 0,53>0,51mg, Feb 0,47mg , Mar 0,42mg, Apr 0,37, longer hold because of WD symptoms July 0,36 and hold again, Sept 19 0,35, Sept 26 0,34mg, Oct 3 0,33mg Long hold of 172 days until March 2022

January 20, 2022: Wellbutrin from 33,3 to 32,4mg

March 22, 2022 Prozac down from 0,33mg to: 0,30mg, Apr 0,29, May 0,28, 0,27, June 0,26, 0,25, July 0,24, 0,23, 0,22, 0,21, Aug 0,20, 0,19 Sep 0,18, Oct 0,17. 0,16, 0,15, Nov 0,14 Jan 2023 0,13, 0,12, 0,11 Feb 0,10, 0,09 Mar 0,08 , June 0,07 , July 0,06, 0,05, Aug 0,04, 0,03, Sept 0,026, 0,024 Nov 0,022, 0,019, 0,016, 0,013 Dec 0,012, 0,011, 0,010, 0,009 Jan 2024 0,008, 0,007, 0,006, 0,005, 0,004, 0,003, 0,002, 0,001, Feb 0,0007. 0,0005, 0,0003, 0,0001,

Feb 23, 2024: 0,00000

Wellbutrin resume tapering: Apr 2024 31,6mg, 30,8, 30,0 , May 29,1, 28,2, July 23,7, Aug 22,6, 21,4, Dec 21,0, 20,5, 20,0 Jan 2025 19,6 mg, Mar 18,8, Oct 18,68 , 18,55, 18,43, Dec 18,30, Jan 2026 17,93 , Mar 17,7

Here is my thread (and tapering history) https://www.survivingantidepressants.org/forums/topic/23288-go2zero-getting-off-wellbutrin-and-prozac/

1

March 1Mar 1

Author

2 hours ago, Go2zero said:

But....., lowering bupropion might lower your BP, since bupropion often increases BP....

YES! I found an older record from January 2023 when I was taking Bupropion 300 mg for “winter depression.” (Mistake…I know now but I did this for 3-4 years and it probably sensitized my CNS. 🤦‍♀️)

Any way, when I increased Bupropion, I also had to increase Clonazepam and “start taking Metoprolol again.” I also cut back Clonazepam after cutting back Bupropion to 150 mg for the summer. I don’t know when I cut back metoprolol again that year.

2 hours ago, Go2zero said:

That means that the effects of Metropolol get less at an equal dose of Metropolol. So this could make your blood pressure go up when lowering the dose of bupropion.. But....., lowering bupropion might lower your BP, since bupropion often increases BP....

👆This is why I had difficulty understanding it all. It’s amazing that you understood my ramblings and explained exactly what I needed to know!

With my recent cardiologist appointment and tests, I don’t think I have heart problems. I’m pretty sure that my high blood pressure is due to Bupropion.

When I talk to my doctor tomorrow, I plan to focus on switching from Metoprolol ER to Atenolol to reduce the “conflict” of the metabolism in the liver. I hope he can help me safely cross over.

The dizziness that I have been experiencing lately is most likely caused by WD. It has progressed exactly as it did earlier. It was intense for a couple of days and now is gradually decreasing. Perhaps I am slowly learning how my body works. The waves and windows of WD. ?

Thank you for your understanding, explanations, and support!

🕊️💞🙏

2025 / Current:

Bupropion (Wellbutrin) (at least since Jan. 2019) 150 mg -> 131.5 mg on 4-22 -> 112.5 mg on 5-26 -> 93.75 mg on 6-21 -> 87.5 mg on 8-7 -> 77.5mg on 9-1 -> 69 mg on 10-15 -> 61 mg 11-12 -> 60 mg 11-28 -> 54 mg on 12-13-25 -> 53 mg on 4-8-26. HOLD

Escitalopram (Lexapro) 20 mg (consistently since July 2018) -

Gabapentin 100 mg once daily (since June 2014?)

Clonazepam As of Jan. 2019 1.5 mg daily in 3 divided doses as needed. Decreased as I didn’t need as much. March 2025: 1/8 of 0.5 mg tablet (0.0625 mg), 2-3 x daily (0.125 mg - 0.1875 mg daily). -> 2 x daily (0.125 mg daily), -> 1/8 morning0.0625 mg & 1/16 tablet evening (approx. 0.094 mg daily ) March 2026.

Cross over to liquid 0.125 ODT evening dose 0.028125 mg Apr 18; morning dose 0.04375 mg Apr 25, -> 0.040625 mg Apr 26, -> 0.034375 mg May 1, -> 0.028125 mg twice daily (0.05625 mg daily) May 4, -> 0.053125 May 13, -> 0.050 mg May 14, -> 0.04375 mg May 16, -> 0.040625 mg May 19, -> 0.0356 mg 6/2, -> 0.03125 mg June 8, -> 0.0275 mg June 14. -> 0.025 June 16, -> 0.0187 mg June 21, -> 0.0125 mg July 7, -> 0.006 mg July 14.

July 21, 2026 ZERO!

Compounded Bio-Identical HRT: Cream Bi-Est 0.5, Progesterone 150 mg/ML (0.5ML)

Compounded Bio-Identical HRT: Capsule 150 mg each evening

Metoprolol ER Succinate -> 1/2 of 25 mg tablet 1 x daily on 5/31/25 -> 1/4 tablet on 1-09-2026 -> 1/2 of 25 mg tablet on 2-19. Switched to

Atenolol 4 mg March 4,2026 -> 3 mg Mar.26 -> 2 mg April 18 -> 1 mg May 1, -> zero May 11, 2026.

Supplements:Calcium,D3,K2,Magnesium,Omega3,B-Complex,Biotin,Quercetin,Zinc,C

My profile at Surviving Antidepressants is:

https://www.survivingantidepressants.org/forums/topic/32343-golden-introduction/

“Be joyful in hope, patient in affliction, faithful in prayer.” Romans 12:12

1

March 1Mar 1

3 hours ago, Golden said:

I’m pretty sure that my high blood pressure is due to Bupropion.

The use of bupropion can raise BP. But tapering can give periods of sudden BP peaks as well as a WD symptom....

1993 Anafranil (Clomipramine) for a few months. Later in 1993 Paxil for a few months 1993- 2006 No medication

2006 Effexor, Cymbalta, some Benzo’s. All for short periods. Later in 2006 Lexapro (escitalopram) 10 mg and shortly after Wellbutrin XR 150mg, against side effects Lexapro

Since 2006 until end of 2015: Several times on and off Lexapro and Wellbutrin and several slight dosage changes. Mostly taken dosages: 5mg Lexapro and 150mg Wellbutrin

2016 Dosage change Lexapro from 5mg to 2,5 mg. Wellbutrin stayed om 150mg

November 2016 – April 2017 Down from 2,5mg to 0,6mg Lexapro (in steps) without much problems. Wellbutrin down from 150mg to 66mg. Also without much problems.

April 2017 – March 2019 Lexapro 0,6 mg April 2017 - August 2018 Wellbutrin in small steps down from 66mg in to 37,5 mg . Quite heavy WD after each step.

March 2019 – May 2019 Lexapro down from 0,6 to 0,3mg then Prozac to 0,6 mg switch because severe discontinuation effects (may also have been from Wellbutrin..)

Wellbutrin down from 37,5mg to 35,3mg

October 2019 Seroquel 12,5 mg for 4 weeks because of extreme sleeping problems, then weaning off in 2 weeks Prozac up dosage to 1,2 mg

March 2020 Wellbutrin in 2 steps down from 35,3mg to 33,3mg Extreme withdrawal effects during 8 months. Stopped tapering Wellbutrin until total off Prozac.

February 2020 – November 2020 Prozac down in steps from 1,2mg to 0,57mg.

Jan 2021 : Prozac down to: 0,55> 0,53>0,51mg, Feb 0,47mg , Mar 0,42mg, Apr 0,37, longer hold because of WD symptoms July 0,36 and hold again, Sept 19 0,35, Sept 26 0,34mg, Oct 3 0,33mg Long hold of 172 days until March 2022

January 20, 2022: Wellbutrin from 33,3 to 32,4mg

March 22, 2022 Prozac down from 0,33mg to: 0,30mg, Apr 0,29, May 0,28, 0,27, June 0,26, 0,25, July 0,24, 0,23, 0,22, 0,21, Aug 0,20, 0,19 Sep 0,18, Oct 0,17. 0,16, 0,15, Nov 0,14 Jan 2023 0,13, 0,12, 0,11 Feb 0,10, 0,09 Mar 0,08 , June 0,07 , July 0,06, 0,05, Aug 0,04, 0,03, Sept 0,026, 0,024 Nov 0,022, 0,019, 0,016, 0,013 Dec 0,012, 0,011, 0,010, 0,009 Jan 2024 0,008, 0,007, 0,006, 0,005, 0,004, 0,003, 0,002, 0,001, Feb 0,0007. 0,0005, 0,0003, 0,0001,

Feb 23, 2024: 0,00000

Wellbutrin resume tapering: Apr 2024 31,6mg, 30,8, 30,0 , May 29,1, 28,2, July 23,7, Aug 22,6, 21,4, Dec 21,0, 20,5, 20,0 Jan 2025 19,6 mg, Mar 18,8, Oct 18,68 , 18,55, 18,43, Dec 18,30, Jan 2026 17,93 , Mar 17,7

Here is my thread (and tapering history) https://www.survivingantidepressants.org/forums/topic/23288-go2zero-getting-off-wellbutrin-and-prozac/

2

March 1Mar 1

Author

26 minutes ago, Go2zero said:

The use of bupropion can raise BP. But tapering can give periods of sudden BP peaks as well as a WD symptom....

Is this 👆something to be concerned about?

I have noticed occasional peaks in blood pressure but I usually wait a few minutes and take it again or check it again later. It always settles down. Sometimes I’m just in too big a hurry and don’t settle down enough before I check it.

I will be holding for longer than expected. Along with the dizziness, I have noticed occasional head pressure..like my head is being squeezed, and uneasy feelings in my chest.. not anxiety but different. It is all off and on, not constant.

If my doctor switches me from metoprolol to atenolol, I’ll need time to adjust to that too.

Slow and steady wins the race. 🐢

2025 / Current:

Bupropion (Wellbutrin) (at least since Jan. 2019) 150 mg -> 131.5 mg on 4-22 -> 112.5 mg on 5-26 -> 93.75 mg on 6-21 -> 87.5 mg on 8-7 -> 77.5mg on 9-1 -> 69 mg on 10-15 -> 61 mg 11-12 -> 60 mg 11-28 -> 54 mg on 12-13-25 -> 53 mg on 4-8-26. HOLD

Escitalopram (Lexapro) 20 mg (consistently since July 2018) -

Gabapentin 100 mg once daily (since June 2014?)

Clonazepam As of Jan. 2019 1.5 mg daily in 3 divided doses as needed. Decreased as I didn’t need as much. March 2025: 1/8 of 0.5 mg tablet (0.0625 mg), 2-3 x daily (0.125 mg - 0.1875 mg daily). -> 2 x daily (0.125 mg daily), -> 1/8 morning0.0625 mg & 1/16 tablet evening (approx. 0.094 mg daily ) March 2026.

Cross over to liquid 0.125 ODT evening dose 0.028125 mg Apr 18; morning dose 0.04375 mg Apr 25, -> 0.040625 mg Apr 26, -> 0.034375 mg May 1, -> 0.028125 mg twice daily (0.05625 mg daily) May 4, -> 0.053125 May 13, -> 0.050 mg May 14, -> 0.04375 mg May 16, -> 0.040625 mg May 19, -> 0.0356 mg 6/2, -> 0.03125 mg June 8, -> 0.0275 mg June 14. -> 0.025 June 16, -> 0.0187 mg June 21, -> 0.0125 mg July 7, -> 0.006 mg July 14.

July 21, 2026 ZERO!

Compounded Bio-Identical HRT: Cream Bi-Est 0.5, Progesterone 150 mg/ML (0.5ML)

Compounded Bio-Identical HRT: Capsule 150 mg each evening

Metoprolol ER Succinate -> 1/2 of 25 mg tablet 1 x daily on 5/31/25 -> 1/4 tablet on 1-09-2026 -> 1/2 of 25 mg tablet on 2-19. Switched to

Atenolol 4 mg March 4,2026 -> 3 mg Mar.26 -> 2 mg April 18 -> 1 mg May 1, -> zero May 11, 2026.

Supplements:Calcium,D3,K2,Magnesium,Omega3,B-Complex,Biotin,Quercetin,Zinc,C

My profile at Surviving Antidepressants is:

https://www.survivingantidepressants.org/forums/topic/32343-golden-introduction/

“Be joyful in hope, patient in affliction, faithful in prayer.” Romans 12:12

March 1Mar 1

1 hour ago, Golden said:

I have noticed occasional peaks in blood pressure but I usually wait a few minutes and take it again or check it again later. It always settles down. Sometimes I’m just in too big a hurry and don’t settle down enough before I check it.

This is not what I meant. I mean periods of days or even weeks where BP can go up due to WD. Short lasting peaks and then dropping to acceptable BP levels after is short rest period is normal.

1 hour ago, Golden said:

I have noticed occasional head pressure..like my head is being squeezed, and uneasy feelings in my chest..

I have the same now and then. Had it all examined. Nothing was found. Most probably WD symptoms....

1993 Anafranil (Clomipramine) for a few months. Later in 1993 Paxil for a few months 1993- 2006 No medication

2006 Effexor, Cymbalta, some Benzo’s. All for short periods. Later in 2006 Lexapro (escitalopram) 10 mg and shortly after Wellbutrin XR 150mg, against side effects Lexapro

Since 2006 until end of 2015: Several times on and off Lexapro and Wellbutrin and several slight dosage changes. Mostly taken dosages: 5mg Lexapro and 150mg Wellbutrin

2016 Dosage change Lexapro from 5mg to 2,5 mg. Wellbutrin stayed om 150mg

November 2016 – April 2017 Down from 2,5mg to 0,6mg Lexapro (in steps) without much problems. Wellbutrin down from 150mg to 66mg. Also without much problems.

April 2017 – March 2019 Lexapro 0,6 mg April 2017 - August 2018 Wellbutrin in small steps down from 66mg in to 37,5 mg . Quite heavy WD after each step.

March 2019 – May 2019 Lexapro down from 0,6 to 0,3mg then Prozac to 0,6 mg switch because severe discontinuation effects (may also have been from Wellbutrin..)

Wellbutrin down from 37,5mg to 35,3mg

October 2019 Seroquel 12,5 mg for 4 weeks because of extreme sleeping problems, then weaning off in 2 weeks Prozac up dosage to 1,2 mg

March 2020 Wellbutrin in 2 steps down from 35,3mg to 33,3mg Extreme withdrawal effects during 8 months. Stopped tapering Wellbutrin until total off Prozac.

February 2020 – November 2020 Prozac down in steps from 1,2mg to 0,57mg.

Jan 2021 : Prozac down to: 0,55> 0,53>0,51mg, Feb 0,47mg , Mar 0,42mg, Apr 0,37, longer hold because of WD symptoms July 0,36 and hold again, Sept 19 0,35, Sept 26 0,34mg, Oct 3 0,33mg Long hold of 172 days until March 2022

January 20, 2022: Wellbutrin from 33,3 to 32,4mg

March 22, 2022 Prozac down from 0,33mg to: 0,30mg, Apr 0,29, May 0,28, 0,27, June 0,26, 0,25, July 0,24, 0,23, 0,22, 0,21, Aug 0,20, 0,19 Sep 0,18, Oct 0,17. 0,16, 0,15, Nov 0,14 Jan 2023 0,13, 0,12, 0,11 Feb 0,10, 0,09 Mar 0,08 , June 0,07 , July 0,06, 0,05, Aug 0,04, 0,03, Sept 0,026, 0,024 Nov 0,022, 0,019, 0,016, 0,013 Dec 0,012, 0,011, 0,010, 0,009 Jan 2024 0,008, 0,007, 0,006, 0,005, 0,004, 0,003, 0,002, 0,001, Feb 0,0007. 0,0005, 0,0003, 0,0001,

Feb 23, 2024: 0,00000

Wellbutrin resume tapering: Apr 2024 31,6mg, 30,8, 30,0 , May 29,1, 28,2, July 23,7, Aug 22,6, 21,4, Dec 21,0, 20,5, 20,0 Jan 2025 19,6 mg, Mar 18,8, Oct 18,68 , 18,55, 18,43, Dec 18,30, Jan 2026 17,93 , Mar 17,7

Here is my thread (and tapering history) https://www.survivingantidepressants.org/forums/topic/23288-go2zero-getting-off-wellbutrin-and-prozac/

1

March 2Mar 2

Author

My doctor’s appointment went well, I guess. He was very agreeable to switching my Metoprolol ER to Atenolol. He wasn’t particular about how I make the switch which was a little frustrating. He told me to watch my systolic pressure and my heart rate. If my heart rate goes below 60, back off on the Atenolol. He wasn’t interested in helping me to get a liquid preparation. But I know I can make the liquid myself or I could start with 6.25 mg Atenolol if the pill can be cut into quarters.

@Go2zero you said that your doctor advised you to go up slowly. My doctor left it completely up to me. 🤷‍♀️

The pharmacy will probably not have my prescription until tomorrow.

🕊️🙏💞

2025 / Current:

Bupropion (Wellbutrin) (at least since Jan. 2019) 150 mg -> 131.5 mg on 4-22 -> 112.5 mg on 5-26 -> 93.75 mg on 6-21 -> 87.5 mg on 8-7 -> 77.5mg on 9-1 -> 69 mg on 10-15 -> 61 mg 11-12 -> 60 mg 11-28 -> 54 mg on 12-13-25 -> 53 mg on 4-8-26. HOLD

Escitalopram (Lexapro) 20 mg (consistently since July 2018) -

Gabapentin 100 mg once daily (since June 2014?)

Clonazepam As of Jan. 2019 1.5 mg daily in 3 divided doses as needed. Decreased as I didn’t need as much. March 2025: 1/8 of 0.5 mg tablet (0.0625 mg), 2-3 x daily (0.125 mg - 0.1875 mg daily). -> 2 x daily (0.125 mg daily), -> 1/8 morning0.0625 mg & 1/16 tablet evening (approx. 0.094 mg daily ) March 2026.

Cross over to liquid 0.125 ODT evening dose 0.028125 mg Apr 18; morning dose 0.04375 mg Apr 25, -> 0.040625 mg Apr 26, -> 0.034375 mg May 1, -> 0.028125 mg twice daily (0.05625 mg daily) May 4, -> 0.053125 May 13, -> 0.050 mg May 14, -> 0.04375 mg May 16, -> 0.040625 mg May 19, -> 0.0356 mg 6/2, -> 0.03125 mg June 8, -> 0.0275 mg June 14. -> 0.025 June 16, -> 0.0187 mg June 21, -> 0.0125 mg July 7, -> 0.006 mg July 14.

July 21, 2026 ZERO!

Compounded Bio-Identical HRT: Cream Bi-Est 0.5, Progesterone 150 mg/ML (0.5ML)

Compounded Bio-Identical HRT: Capsule 150 mg each evening

Metoprolol ER Succinate -> 1/2 of 25 mg tablet 1 x daily on 5/31/25 -> 1/4 tablet on 1-09-2026 -> 1/2 of 25 mg tablet on 2-19. Switched to

Atenolol 4 mg March 4,2026 -> 3 mg Mar.26 -> 2 mg April 18 -> 1 mg May 1, -> zero May 11, 2026.

Supplements:Calcium,D3,K2,Magnesium,Omega3,B-Complex,Biotin,Quercetin,Zinc,C

My profile at Surviving Antidepressants is:

https://www.survivingantidepressants.org/forums/topic/32343-golden-introduction/

“Be joyful in hope, patient in affliction, faithful in prayer.” Romans 12:12

March 2Mar 2

1 hour ago, Golden said:

pharmacy will probably not have my prescription until tomorrow.

Ask the pharmacist how to transition safely, they should know more than the doctor.

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/150 mg 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

March 3Mar 3

Author

1 hour ago, LostinCanada said:

Ask the pharmacist how to transition safely, they should know more than the doctor.

Normally, I would agree with you. However, I spoke with him last week to see if they had Atenolol. He said to stop metoprolol one day and start Atenolol the next day. I didn’t ask about dose equivalency. I guess I can call again to ask that. I’m just not impressed with these guys. Maybe they are smarter than they seem … but maybe not. 🤷‍♀️

I’ll try to reach him.
Thank you LIC! ❤️

2025 / Current:

Bupropion (Wellbutrin) (at least since Jan. 2019) 150 mg -> 131.5 mg on 4-22 -> 112.5 mg on 5-26 -> 93.75 mg on 6-21 -> 87.5 mg on 8-7 -> 77.5mg on 9-1 -> 69 mg on 10-15 -> 61 mg 11-12 -> 60 mg 11-28 -> 54 mg on 12-13-25 -> 53 mg on 4-8-26. HOLD

Escitalopram (Lexapro) 20 mg (consistently since July 2018) -

Gabapentin 100 mg once daily (since June 2014?)

Clonazepam As of Jan. 2019 1.5 mg daily in 3 divided doses as needed. Decreased as I didn’t need as much. March 2025: 1/8 of 0.5 mg tablet (0.0625 mg), 2-3 x daily (0.125 mg - 0.1875 mg daily). -> 2 x daily (0.125 mg daily), -> 1/8 morning0.0625 mg & 1/16 tablet evening (approx. 0.094 mg daily ) March 2026.

Cross over to liquid 0.125 ODT evening dose 0.028125 mg Apr 18; morning dose 0.04375 mg Apr 25, -> 0.040625 mg Apr 26, -> 0.034375 mg May 1, -> 0.028125 mg twice daily (0.05625 mg daily) May 4, -> 0.053125 May 13, -> 0.050 mg May 14, -> 0.04375 mg May 16, -> 0.040625 mg May 19, -> 0.0356 mg 6/2, -> 0.03125 mg June 8, -> 0.0275 mg June 14. -> 0.025 June 16, -> 0.0187 mg June 21, -> 0.0125 mg July 7, -> 0.006 mg July 14.

July 21, 2026 ZERO!

Compounded Bio-Identical HRT: Cream Bi-Est 0.5, Progesterone 150 mg/ML (0.5ML)

Compounded Bio-Identical HRT: Capsule 150 mg each evening

Metoprolol ER Succinate -> 1/2 of 25 mg tablet 1 x daily on 5/31/25 -> 1/4 tablet on 1-09-2026 -> 1/2 of 25 mg tablet on 2-19. Switched to

Atenolol 4 mg March 4,2026 -> 3 mg Mar.26 -> 2 mg April 18 -> 1 mg May 1, -> zero May 11, 2026.

Supplements:Calcium,D3,K2,Magnesium,Omega3,B-Complex,Biotin,Quercetin,Zinc,C

My profile at Surviving Antidepressants is:

https://www.survivingantidepressants.org/forums/topic/32343-golden-introduction/

“Be joyful in hope, patient in affliction, faithful in prayer.” Romans 12:12

March 3Mar 3

1 hour ago, Golden said:

ust not impressed with these guys

Try a different pharmacy...maybe one that gets good ratings or is known for compounding...it doesn't matter if they aren't filling the prescription.

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/150 mg calcium citrate/algae oil for omega 3/ginger 400 mg as needed for nausea

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

March 3Mar 3

1 hour ago, Golden said:

Normally, I would agree with you. However, I spoke with him last week to see if they had Atenolol. He said to stop metoprolol one day and start Atenolol the next day. I didn’t ask about dose equivalency. I guess I can call again to ask that. I’m just not impressed with these guys. Maybe they are smarter than they seem … but maybe not. 🤷‍♀️

I’ll try to reach him.
Thank you LIC! ❤️

For what it's worth I think they're cavalier. They disregard the context of psychiatric drug withdrawal and context is everything

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; May 11 1.010 & still holding

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

March 3Mar 3

Author

32 minutes ago, LostinCanada said:

known for compounding

I talked to my compounding pharmacist. I can’t remember exactly what I asked but she said she couldn’t advise me on the medical part of it. I don’t remember if I was asking how to switch or about beginning doses, or …? I didn’t feel like she wanted to give me any advice without having my doctor’s prescription.

25 minutes ago, Catbird said:

For what it's worth I think they're cavalier. They disregard the context of psychiatric drug withdrawal and context is everything

I mentioned my dizziness and told my doctor that it was probably WD because I tapered a little too much, a little too fast. He said it probably was because it’s common.

I’m glad he is willing to let me direct my health care as long as it’s safe. That’s what he told me today.
I guess because I’m taking a low dose metoprolol and don’t have heart problems both the doctor and the pharmacist aren’t concerned with how I switch.
It’s surprising but not really. Unfortunately.

I can’t think tonight.
🕊️💞🙏

2025 / Current:

Bupropion (Wellbutrin) (at least since Jan. 2019) 150 mg -> 131.5 mg on 4-22 -> 112.5 mg on 5-26 -> 93.75 mg on 6-21 -> 87.5 mg on 8-7 -> 77.5mg on 9-1 -> 69 mg on 10-15 -> 61 mg 11-12 -> 60 mg 11-28 -> 54 mg on 12-13-25 -> 53 mg on 4-8-26. HOLD

Escitalopram (Lexapro) 20 mg (consistently since July 2018) -

Gabapentin 100 mg once daily (since June 2014?)

Clonazepam As of Jan. 2019 1.5 mg daily in 3 divided doses as needed. Decreased as I didn’t need as much. March 2025: 1/8 of 0.5 mg tablet (0.0625 mg), 2-3 x daily (0.125 mg - 0.1875 mg daily). -> 2 x daily (0.125 mg daily), -> 1/8 morning0.0625 mg & 1/16 tablet evening (approx. 0.094 mg daily ) March 2026.

Cross over to liquid 0.125 ODT evening dose 0.028125 mg Apr 18; morning dose 0.04375 mg Apr 25, -> 0.040625 mg Apr 26, -> 0.034375 mg May 1, -> 0.028125 mg twice daily (0.05625 mg daily) May 4, -> 0.053125 May 13, -> 0.050 mg May 14, -> 0.04375 mg May 16, -> 0.040625 mg May 19, -> 0.0356 mg 6/2, -> 0.03125 mg June 8, -> 0.0275 mg June 14. -> 0.025 June 16, -> 0.0187 mg June 21, -> 0.0125 mg July 7, -> 0.006 mg July 14.

July 21, 2026 ZERO!

Compounded Bio-Identical HRT: Cream Bi-Est 0.5, Progesterone 150 mg/ML (0.5ML)

Compounded Bio-Identical HRT: Capsule 150 mg each evening

Metoprolol ER Succinate -> 1/2 of 25 mg tablet 1 x daily on 5/31/25 -> 1/4 tablet on 1-09-2026 -> 1/2 of 25 mg tablet on 2-19. Switched to

Atenolol 4 mg March 4,2026 -> 3 mg Mar.26 -> 2 mg April 18 -> 1 mg May 1, -> zero May 11, 2026.

Supplements:Calcium,D3,K2,Magnesium,Omega3,B-Complex,Biotin,Quercetin,Zinc,C

My profile at Surviving Antidepressants is:

https://www.survivingantidepressants.org/forums/topic/32343-golden-introduction/

“Be joyful in hope, patient in affliction, faithful in prayer.” Romans 12:12

March 3Mar 3

I often check with medstopper.com to get an idea of what to do with some drugs.

https://medstopper.com/

Maybe this will help,

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/150 mg 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

March 3Mar 3

1 hour ago, Golden said:

I talked to my compounding pharmacist. I can’t remember exactly what I asked but she said she couldn’t advise me on the medical part of it. I don’t remember if I was asking how to switch or about beginning doses, or …? I didn’t feel like she wanted to give me any advice without having my doctor’s prescription.

I mentioned my dizziness and told my doctor that it was probably WD because I tapered a little too much, a little too fast. He said it probably was because it’s common.

I’m glad he is willing to let me direct my health care as long as it’s safe. That’s what he told me today.
I guess because I’m taking a low dose metoprolol and don’t have heart problems both the doctor and the pharmacist aren’t concerned with how I switch.
It’s surprising but not really. Unfortunately.

I can’t think tonight.
🕊️💞🙏

@Golden I hope you feel more stable very soon. Why were you started on β-blockers and how long have you been taking them? Last time I was on Atenolol it slowed me to a snail's pace, and I put on 2 kg within a fortnight. I was put on them for SVT and in the end I just tried to tolerate the SVT. I had 120+ episodes in one year, almost none of them associated with dizziness. Ironically the SVT went away when I held the dose for a few months and then slowed the taper. Sucks really 🤗

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; May 11 1.010 & still holding

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

March 3Mar 3

16 hours ago, Golden said:

you said that your doctor advised you to go up slowly. My doctor left it completely up to me. 🤷‍♀️

My doctor takes AD WD serious. And he understands how sensitive my nervous system is. Therefor he suggested to start low and work it up slowly.

There is one important difference with you. I started to take Altenolol to try to get help with tapering. By keeping my noradrenaline and cortisol levels (due to WD) low enough. I was not taking a beta blocker yet, like you are.

By the way, a heartrate of 60 is very normal and not high. My doctor told me to watch it as well. But he said it should not go under 50 (on average).

1993 Anafranil (Clomipramine) for a few months. Later in 1993 Paxil for a few months 1993- 2006 No medication

2006 Effexor, Cymbalta, some Benzo’s. All for short periods. Later in 2006 Lexapro (escitalopram) 10 mg and shortly after Wellbutrin XR 150mg, against side effects Lexapro

Since 2006 until end of 2015: Several times on and off Lexapro and Wellbutrin and several slight dosage changes. Mostly taken dosages: 5mg Lexapro and 150mg Wellbutrin

2016 Dosage change Lexapro from 5mg to 2,5 mg. Wellbutrin stayed om 150mg

November 2016 – April 2017 Down from 2,5mg to 0,6mg Lexapro (in steps) without much problems. Wellbutrin down from 150mg to 66mg. Also without much problems.

April 2017 – March 2019 Lexapro 0,6 mg April 2017 - August 2018 Wellbutrin in small steps down from 66mg in to 37,5 mg . Quite heavy WD after each step.

March 2019 – May 2019 Lexapro down from 0,6 to 0,3mg then Prozac to 0,6 mg switch because severe discontinuation effects (may also have been from Wellbutrin..)

Wellbutrin down from 37,5mg to 35,3mg

October 2019 Seroquel 12,5 mg for 4 weeks because of extreme sleeping problems, then weaning off in 2 weeks Prozac up dosage to 1,2 mg

March 2020 Wellbutrin in 2 steps down from 35,3mg to 33,3mg Extreme withdrawal effects during 8 months. Stopped tapering Wellbutrin until total off Prozac.

February 2020 – November 2020 Prozac down in steps from 1,2mg to 0,57mg.

Jan 2021 : Prozac down to: 0,55> 0,53>0,51mg, Feb 0,47mg , Mar 0,42mg, Apr 0,37, longer hold because of WD symptoms July 0,36 and hold again, Sept 19 0,35, Sept 26 0,34mg, Oct 3 0,33mg Long hold of 172 days until March 2022

January 20, 2022: Wellbutrin from 33,3 to 32,4mg

March 22, 2022 Prozac down from 0,33mg to: 0,30mg, Apr 0,29, May 0,28, 0,27, June 0,26, 0,25, July 0,24, 0,23, 0,22, 0,21, Aug 0,20, 0,19 Sep 0,18, Oct 0,17. 0,16, 0,15, Nov 0,14 Jan 2023 0,13, 0,12, 0,11 Feb 0,10, 0,09 Mar 0,08 , June 0,07 , July 0,06, 0,05, Aug 0,04, 0,03, Sept 0,026, 0,024 Nov 0,022, 0,019, 0,016, 0,013 Dec 0,012, 0,011, 0,010, 0,009 Jan 2024 0,008, 0,007, 0,006, 0,005, 0,004, 0,003, 0,002, 0,001, Feb 0,0007. 0,0005, 0,0003, 0,0001,

Feb 23, 2024: 0,00000

Wellbutrin resume tapering: Apr 2024 31,6mg, 30,8, 30,0 , May 29,1, 28,2, July 23,7, Aug 22,6, 21,4, Dec 21,0, 20,5, 20,0 Jan 2025 19,6 mg, Mar 18,8, Oct 18,68 , 18,55, 18,43, Dec 18,30, Jan 2026 17,93 , Mar 17,7

Here is my thread (and tapering history) https://www.survivingantidepressants.org/forums/topic/23288-go2zero-getting-off-wellbutrin-and-prozac/

1

March 3Mar 3

10 hours ago, Catbird said:

Last time I was on Atenolol it slowed me to a snail's pace, and I put on 2 kg within a fortnight.

What dose of Altenolol were you taking?

1993 Anafranil (Clomipramine) for a few months. Later in 1993 Paxil for a few months 1993- 2006 No medication

2006 Effexor, Cymbalta, some Benzo’s. All for short periods. Later in 2006 Lexapro (escitalopram) 10 mg and shortly after Wellbutrin XR 150mg, against side effects Lexapro

Since 2006 until end of 2015: Several times on and off Lexapro and Wellbutrin and several slight dosage changes. Mostly taken dosages: 5mg Lexapro and 150mg Wellbutrin

2016 Dosage change Lexapro from 5mg to 2,5 mg. Wellbutrin stayed om 150mg

November 2016 – April 2017 Down from 2,5mg to 0,6mg Lexapro (in steps) without much problems. Wellbutrin down from 150mg to 66mg. Also without much problems.

April 2017 – March 2019 Lexapro 0,6 mg April 2017 - August 2018 Wellbutrin in small steps down from 66mg in to 37,5 mg . Quite heavy WD after each step.

March 2019 – May 2019 Lexapro down from 0,6 to 0,3mg then Prozac to 0,6 mg switch because severe discontinuation effects (may also have been from Wellbutrin..)

Wellbutrin down from 37,5mg to 35,3mg

October 2019 Seroquel 12,5 mg for 4 weeks because of extreme sleeping problems, then weaning off in 2 weeks Prozac up dosage to 1,2 mg

March 2020 Wellbutrin in 2 steps down from 35,3mg to 33,3mg Extreme withdrawal effects during 8 months. Stopped tapering Wellbutrin until total off Prozac.

February 2020 – November 2020 Prozac down in steps from 1,2mg to 0,57mg.

Jan 2021 : Prozac down to: 0,55> 0,53>0,51mg, Feb 0,47mg , Mar 0,42mg, Apr 0,37, longer hold because of WD symptoms July 0,36 and hold again, Sept 19 0,35, Sept 26 0,34mg, Oct 3 0,33mg Long hold of 172 days until March 2022

January 20, 2022: Wellbutrin from 33,3 to 32,4mg

March 22, 2022 Prozac down from 0,33mg to: 0,30mg, Apr 0,29, May 0,28, 0,27, June 0,26, 0,25, July 0,24, 0,23, 0,22, 0,21, Aug 0,20, 0,19 Sep 0,18, Oct 0,17. 0,16, 0,15, Nov 0,14 Jan 2023 0,13, 0,12, 0,11 Feb 0,10, 0,09 Mar 0,08 , June 0,07 , July 0,06, 0,05, Aug 0,04, 0,03, Sept 0,026, 0,024 Nov 0,022, 0,019, 0,016, 0,013 Dec 0,012, 0,011, 0,010, 0,009 Jan 2024 0,008, 0,007, 0,006, 0,005, 0,004, 0,003, 0,002, 0,001, Feb 0,0007. 0,0005, 0,0003, 0,0001,

Feb 23, 2024: 0,00000

Wellbutrin resume tapering: Apr 2024 31,6mg, 30,8, 30,0 , May 29,1, 28,2, July 23,7, Aug 22,6, 21,4, Dec 21,0, 20,5, 20,0 Jan 2025 19,6 mg, Mar 18,8, Oct 18,68 , 18,55, 18,43, Dec 18,30, Jan 2026 17,93 , Mar 17,7

Here is my thread (and tapering history) https://www.survivingantidepressants.org/forums/topic/23288-go2zero-getting-off-wellbutrin-and-prozac/

March 3Mar 3

Author

54 minutes ago, Go2zero said:

My doctor takes AD WD serious. And he understands how sensitive my nervous system is. Therefor he suggested to start low and work it up slowly.

There is one important difference with you. I started to take Altenolol to try to get help with tapering. By keeping my noradrenaline and cortisol levels (due to WD) low enough. I was not taking a beta blocker yet, like you are.

By the way, a heartrate of 60 is very normal and not high. My doctor told me to watch it as well. But he said it should not go under 50 (on average).

I wish we all had doctors like yours!

Thank you for explaining your situation. I wondered if you were switching from another beta blocker. I agree that this is an important difference.

I talked with my pharmacist again this morning about what dose to take. He said the thing about beta blockers is that everyone responds differently and I just have to try it and see how I respond. Then let my doctor know.

Both my doctor and the pharmacist initially suggested that I take the whole pill, 25 mg. When I questioned each of them, they pretty much said “try and see.”

I will try cutting the pill and see what happens, if it cuts well or crumbles, etc.

I can use my scales and try a quarter of the pill, 6.25 mg and go from there.

I remembered something else the doctor said. He told me that he didn’t know of any trials that showed efficacy of Atenolol at lower than 6.25 mg. He compared it to taking a teaspoon of an alcoholic beverage versus several ounces. Well we know that doctors don’t know everything. Again: I wish we all had doctors like yours.

Thank you once again for your support!

I will post updates but try not to be a pest. 😉😂

🕊️💞🙏

2025 / Current:

Bupropion (Wellbutrin) (at least since Jan. 2019) 150 mg -> 131.5 mg on 4-22 -> 112.5 mg on 5-26 -> 93.75 mg on 6-21 -> 87.5 mg on 8-7 -> 77.5mg on 9-1 -> 69 mg on 10-15 -> 61 mg 11-12 -> 60 mg 11-28 -> 54 mg on 12-13-25 -> 53 mg on 4-8-26. HOLD

Escitalopram (Lexapro) 20 mg (consistently since July 2018) -

Gabapentin 100 mg once daily (since June 2014?)

Clonazepam As of Jan. 2019 1.5 mg daily in 3 divided doses as needed. Decreased as I didn’t need as much. March 2025: 1/8 of 0.5 mg tablet (0.0625 mg), 2-3 x daily (0.125 mg - 0.1875 mg daily). -> 2 x daily (0.125 mg daily), -> 1/8 morning0.0625 mg & 1/16 tablet evening (approx. 0.094 mg daily ) March 2026.

Cross over to liquid 0.125 ODT evening dose 0.028125 mg Apr 18; morning dose 0.04375 mg Apr 25, -> 0.040625 mg Apr 26, -> 0.034375 mg May 1, -> 0.028125 mg twice daily (0.05625 mg daily) May 4, -> 0.053125 May 13, -> 0.050 mg May 14, -> 0.04375 mg May 16, -> 0.040625 mg May 19, -> 0.0356 mg 6/2, -> 0.03125 mg June 8, -> 0.0275 mg June 14. -> 0.025 June 16, -> 0.0187 mg June 21, -> 0.0125 mg July 7, -> 0.006 mg July 14.

July 21, 2026 ZERO!

Compounded Bio-Identical HRT: Cream Bi-Est 0.5, Progesterone 150 mg/ML (0.5ML)

Compounded Bio-Identical HRT: Capsule 150 mg each evening

Metoprolol ER Succinate -> 1/2 of 25 mg tablet 1 x daily on 5/31/25 -> 1/4 tablet on 1-09-2026 -> 1/2 of 25 mg tablet on 2-19. Switched to

Atenolol 4 mg March 4,2026 -> 3 mg Mar.26 -> 2 mg April 18 -> 1 mg May 1, -> zero May 11, 2026.

Supplements:Calcium,D3,K2,Magnesium,Omega3,B-Complex,Biotin,Quercetin,Zinc,C

My profile at Surviving Antidepressants is:

https://www.survivingantidepressants.org/forums/topic/32343-golden-introduction/

“Be joyful in hope, patient in affliction, faithful in prayer.” Romans 12:12

March 3Mar 3

Author

12 hours ago, LostinCanada said:

I often check with medstopper.com to get an idea of what to do with some drugs.

https://medstopper.com/

Maybe this will help,

It doesn’t seem to help with switching meds, just with stopping them.
But it is an interesting site to bookmark.

Thank you! ❤️

2025 / Current:

Bupropion (Wellbutrin) (at least since Jan. 2019) 150 mg -> 131.5 mg on 4-22 -> 112.5 mg on 5-26 -> 93.75 mg on 6-21 -> 87.5 mg on 8-7 -> 77.5mg on 9-1 -> 69 mg on 10-15 -> 61 mg 11-12 -> 60 mg 11-28 -> 54 mg on 12-13-25 -> 53 mg on 4-8-26. HOLD

Escitalopram (Lexapro) 20 mg (consistently since July 2018) -

Gabapentin 100 mg once daily (since June 2014?)

Clonazepam As of Jan. 2019 1.5 mg daily in 3 divided doses as needed. Decreased as I didn’t need as much. March 2025: 1/8 of 0.5 mg tablet (0.0625 mg), 2-3 x daily (0.125 mg - 0.1875 mg daily). -> 2 x daily (0.125 mg daily), -> 1/8 morning0.0625 mg & 1/16 tablet evening (approx. 0.094 mg daily ) March 2026.

Cross over to liquid 0.125 ODT evening dose 0.028125 mg Apr 18; morning dose 0.04375 mg Apr 25, -> 0.040625 mg Apr 26, -> 0.034375 mg May 1, -> 0.028125 mg twice daily (0.05625 mg daily) May 4, -> 0.053125 May 13, -> 0.050 mg May 14, -> 0.04375 mg May 16, -> 0.040625 mg May 19, -> 0.0356 mg 6/2, -> 0.03125 mg June 8, -> 0.0275 mg June 14. -> 0.025 June 16, -> 0.0187 mg June 21, -> 0.0125 mg July 7, -> 0.006 mg July 14.

July 21, 2026 ZERO!

Compounded Bio-Identical HRT: Cream Bi-Est 0.5, Progesterone 150 mg/ML (0.5ML)

Compounded Bio-Identical HRT: Capsule 150 mg each evening

Metoprolol ER Succinate -> 1/2 of 25 mg tablet 1 x daily on 5/31/25 -> 1/4 tablet on 1-09-2026 -> 1/2 of 25 mg tablet on 2-19. Switched to

Atenolol 4 mg March 4,2026 -> 3 mg Mar.26 -> 2 mg April 18 -> 1 mg May 1, -> zero May 11, 2026.

Supplements:Calcium,D3,K2,Magnesium,Omega3,B-Complex,Biotin,Quercetin,Zinc,C

My profile at Surviving Antidepressants is:

https://www.survivingantidepressants.org/forums/topic/32343-golden-introduction/

“Be joyful in hope, patient in affliction, faithful in prayer.” Romans 12:12

1

March 3Mar 3

Author

11 hours ago, Catbird said:

Why were you started on β-blockers and how long have you been taking them?

I was put on metoprolol for high blood pressure. I originally took metoprolol tartrate (instant release) then was switched to Metoprolol succinate ER. I have been on and off metoprolol over the years.

I recently found old records and made the connection between Bupropion and my blood pressure. When I was put on 300 mg of Bupropion for winter depression, (before I knew better), my blood pressure and anxiety increased and I had to increase metoprolol and Clonazepam. 🤦‍♀️

Since I have been tapering Bupropion, I have had to decrease both metoprolol and Clonazepam.

On this journey, we learn as we go along.

🕊️💞🙏

2025 / Current:

Bupropion (Wellbutrin) (at least since Jan. 2019) 150 mg -> 131.5 mg on 4-22 -> 112.5 mg on 5-26 -> 93.75 mg on 6-21 -> 87.5 mg on 8-7 -> 77.5mg on 9-1 -> 69 mg on 10-15 -> 61 mg 11-12 -> 60 mg 11-28 -> 54 mg on 12-13-25 -> 53 mg on 4-8-26. HOLD

Escitalopram (Lexapro) 20 mg (consistently since July 2018) -

Gabapentin 100 mg once daily (since June 2014?)

Clonazepam As of Jan. 2019 1.5 mg daily in 3 divided doses as needed. Decreased as I didn’t need as much. March 2025: 1/8 of 0.5 mg tablet (0.0625 mg), 2-3 x daily (0.125 mg - 0.1875 mg daily). -> 2 x daily (0.125 mg daily), -> 1/8 morning0.0625 mg & 1/16 tablet evening (approx. 0.094 mg daily ) March 2026.

Cross over to liquid 0.125 ODT evening dose 0.028125 mg Apr 18; morning dose 0.04375 mg Apr 25, -> 0.040625 mg Apr 26, -> 0.034375 mg May 1, -> 0.028125 mg twice daily (0.05625 mg daily) May 4, -> 0.053125 May 13, -> 0.050 mg May 14, -> 0.04375 mg May 16, -> 0.040625 mg May 19, -> 0.0356 mg 6/2, -> 0.03125 mg June 8, -> 0.0275 mg June 14. -> 0.025 June 16, -> 0.0187 mg June 21, -> 0.0125 mg July 7, -> 0.006 mg July 14.

July 21, 2026 ZERO!

Compounded Bio-Identical HRT: Cream Bi-Est 0.5, Progesterone 150 mg/ML (0.5ML)

Compounded Bio-Identical HRT: Capsule 150 mg each evening

Metoprolol ER Succinate -> 1/2 of 25 mg tablet 1 x daily on 5/31/25 -> 1/4 tablet on 1-09-2026 -> 1/2 of 25 mg tablet on 2-19. Switched to

Atenolol 4 mg March 4,2026 -> 3 mg Mar.26 -> 2 mg April 18 -> 1 mg May 1, -> zero May 11, 2026.

Supplements:Calcium,D3,K2,Magnesium,Omega3,B-Complex,Biotin,Quercetin,Zinc,C

My profile at Surviving Antidepressants is:

https://www.survivingantidepressants.org/forums/topic/32343-golden-introduction/

“Be joyful in hope, patient in affliction, faithful in prayer.” Romans 12:12

March 3Mar 3

6 hours ago, Go2zero said:

What dose of Altenolol were you taking?

25mg daily

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; May 11 1.010 & still holding

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

Golden: Tapering Bupropion, then Escitalopram ++

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