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Beehive: Tapering Sertraline after 10 years use

Featured Replies

Just now, Beehive said:

@Chippy would have liked your post but it wouldn't let me

Consider it liked! 🤣

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.

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  • Views 8.5k
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  • Beehive
    Beehive

    Still struggling up.until 20.00 last.night fell asleep about 21.00 woke around 04.30 with some jitters which soon disappeared much less anxiety so far and more rational.... Thanks to everyone who post

  • Beehive
    Beehive

    @Fullhealing Hi thanks for popping in ,not doing too badly seem to have a pattern of a goodish day followed by a not so good but I can't complain compared to others sufferings . My main sympton now is

  • Beehive
    Beehive

    @Fullhealing @Finni Well that was a rough ride yesterday, plenty of healing going on there !...not sure of the time aboutv10 30 🤔 I could feel the symptoms still but it was like a strength came over

  • Author

@Chippy @Fullhealing how are you ?

2016 - 2019 Sertraline 25mg highest dose 100mg 

2019 C Ted 25mg Bad withdrawals 

01/2020 reinstated 25mg 

06/2020 - 12/2021 tapered from 100mg to 6mg jumped off .bad withdrawals like before .

06/2022 reinstated 25mg 

10/2023 started taper of 25mg not sure of starting drops 

04/2025 5mg

06/2025 4.1mg

08/2025 3.5mg 

10/2025 3.1 mg

12/2025 2.5mg

01/2026 to present 2.27mg 

 

 

2 minutes ago, Beehive said:

Thanks all it's just so tough this is definitely my achilles heal !!

I completely get it. So tough when you’re in the middle of it.

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.

Just now, Beehive said:

@Chippy @Fullhealing how are you ?

I’m ok thanks beehive. Plodding along. Up and down. Time is my friend.

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

 

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

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

For US members details here.

  • Author

You have a great attitude...😊

2016 - 2019 Sertraline 25mg highest dose 100mg 

2019 C Ted 25mg Bad withdrawals 

01/2020 reinstated 25mg 

06/2020 - 12/2021 tapered from 100mg to 6mg jumped off .bad withdrawals like before .

06/2022 reinstated 25mg 

10/2023 started taper of 25mg not sure of starting drops 

04/2025 5mg

06/2025 4.1mg

08/2025 3.5mg 

10/2025 3.1 mg

12/2025 2.5mg

01/2026 to present 2.27mg 

 

 

18 minutes ago, Beehive said:

@Chippy @Fullhealing how are you ?

Dealing on what is, atm bearable.

thanks for asking 🙏

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 21.7% 0.0356.5g (2mg)/15.8 updose by 11.7% 0.0400g (2.23mg)

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 terror, body pain and sleep.

  • Author

Wishing there was an off button to press...tight chest pressured head difficult to take a breath ..awful thoughts ..shaking ..panic ..agitation!! When will this end !

2016 - 2019 Sertraline 25mg highest dose 100mg 

2019 C Ted 25mg Bad withdrawals 

01/2020 reinstated 25mg 

06/2020 - 12/2021 tapered from 100mg to 6mg jumped off .bad withdrawals like before .

06/2022 reinstated 25mg 

10/2023 started taper of 25mg not sure of starting drops 

04/2025 5mg

06/2025 4.1mg

08/2025 3.5mg 

10/2025 3.1 mg

12/2025 2.5mg

01/2026 to present 2.27mg 

 

 

  • Author

Oh the thoughts ...I've done everything wrong ,nothing is going to work out ,you will never get better this is it...

2016 - 2019 Sertraline 25mg highest dose 100mg 

2019 C Ted 25mg Bad withdrawals 

01/2020 reinstated 25mg 

06/2020 - 12/2021 tapered from 100mg to 6mg jumped off .bad withdrawals like before .

06/2022 reinstated 25mg 

10/2023 started taper of 25mg not sure of starting drops 

04/2025 5mg

06/2025 4.1mg

08/2025 3.5mg 

10/2025 3.1 mg

12/2025 2.5mg

01/2026 to present 2.27mg 

 

 

1 minute ago, Beehive said:

Oh the thoughts ...I've done everything wrong ,nothing is going to work out ,you will never get better this is it...

@Beehive your thoughts are lying to you , you know that . It's a symptom. Tell yourself there just thoughts and that you are safe and this will pass

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

 

21 April 2025 taper two drugs at once 

Paxil 4% Seroquel 3.5% per month

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

13 Jul 2025: 4% Paxil cut

29 Jul 2025: 5% Paxil cut 

6 Aug 2025: began hold

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

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

 Holding both drugs to stablize

Holding at Paxil 8.25 mg / Seroquel 6.5

Paxil taper

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

21 minutes ago, Beehive said:

Wishing there was an off button to press...tight chest pressured head difficult to take a breath ..awful thoughts ..shaking ..panic ..agitation!! When will this end !

That would be amazing , if only 🙏

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

 

21 April 2025 taper two drugs at once 

Paxil 4% Seroquel 3.5% per month

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

13 Jul 2025: 4% Paxil cut

29 Jul 2025: 5% Paxil cut 

6 Aug 2025: began hold

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

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

 Holding both drugs to stablize

Holding at Paxil 8.25 mg / Seroquel 6.5

Paxil taper

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

  • Author

@cheeky Thank you ...I am utterly useless when I'm like this all Rational thinking goes out the window!

2016 - 2019 Sertraline 25mg highest dose 100mg 

2019 C Ted 25mg Bad withdrawals 

01/2020 reinstated 25mg 

06/2020 - 12/2021 tapered from 100mg to 6mg jumped off .bad withdrawals like before .

06/2022 reinstated 25mg 

10/2023 started taper of 25mg not sure of starting drops 

04/2025 5mg

06/2025 4.1mg

08/2025 3.5mg 

10/2025 3.1 mg

12/2025 2.5mg

01/2026 to present 2.27mg 

 

 

1 hour ago, Beehive said:

You have a great attitude...😊

All we can do. We will be out of this one day. I have no doubt.

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

 

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

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

For US members details here.

  • Author

Apologies if I'm not reacting to people's post but it says I've used up my quota for today ...

Edited by Beehive

2016 - 2019 Sertraline 25mg highest dose 100mg 

2019 C Ted 25mg Bad withdrawals 

01/2020 reinstated 25mg 

06/2020 - 12/2021 tapered from 100mg to 6mg jumped off .bad withdrawals like before .

06/2022 reinstated 25mg 

10/2023 started taper of 25mg not sure of starting drops 

04/2025 5mg

06/2025 4.1mg

08/2025 3.5mg 

10/2025 3.1 mg

12/2025 2.5mg

01/2026 to present 2.27mg 

 

 

4 hours ago, Beehive said:

Oh the thoughts ...I've done everything wrong ,nothing is going to work out ,you will never get better this is it...

not you in any way, just very strong and cruel chemical illusion.

Bow your head and let it pass 🙏

Sending positive thoughts and strength your way.

Hang in there, we are always here for you @Beehive

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 21.7% 0.0356.5g (2mg)/15.8 updose by 11.7% 0.0400g (2.23mg)

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 terror, body pain and sleep.

5 hours ago, Beehive said:

I feel so pathetic when I'm like this but it's so scary .

It’s so hard to reason with that certain energy. It will pass! 💗

For US members: Please report med to FDA Med Watch

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

2018 (Feb) - Mirtazapine 7.5 mg 

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

2024 (May) - Valium Tolerance

2024 (2 Nov) - Completed taper off Valium 

2024 (2 Nov) - Mirtazapine increased to 15 mg

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

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

2025 (April) Started Depakote 1500mg - In detox

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

2025 (Aug) - Completed taper off Depakote

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

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

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

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

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

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

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

2025 (3 Dec) - Mirtazapine 18.75mg

2025 (10 Dec) - Mirtazapine 16.87mg

2025 (22 Dec) - Mirtazapine 15mg

2026 (23Jan) - Mirtazapine 14.7mg

2026 (23 Jan) - Mirtazapine 1mg Panic dose

2026 (24 Jan) - Mirtazapine 15mg

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

2026 (18 Mar) - propranolol 2.5 mg one time

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

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

2026 (29 April) Mirtazapine 14.7 mg/.1020 g (on suggestion of Horowitz) immediate intense symptoms

2026 (30 April) Mirtazapine 14.79 mg (.1026 g)

2026 (23 May) propranolol 2.5 mg one time

2026 (01 June) Mirtazapine 14.79 mgdose was 5 hours late

2026 (22 July) Mirtazapine 14.76 mg

Intense electric activation, muscle tightness, autonomic surges, terror followed

2026 (23 July) Mirtazapine 14.79 mg return

 

 

  • Author

Still suffering chest so tight ..does anyone else suffer with tight chest all day and can't get a breath ...seriously considering the walk in centre

2016 - 2019 Sertraline 25mg highest dose 100mg 

2019 C Ted 25mg Bad withdrawals 

01/2020 reinstated 25mg 

06/2020 - 12/2021 tapered from 100mg to 6mg jumped off .bad withdrawals like before .

06/2022 reinstated 25mg 

10/2023 started taper of 25mg not sure of starting drops 

04/2025 5mg

06/2025 4.1mg

08/2025 3.5mg 

10/2025 3.1 mg

12/2025 2.5mg

01/2026 to present 2.27mg 

 

 

13 minutes ago, Beehive said:

Still suffering chest so tight ..does anyone else suffer with tight chest all day and can't get a breath ...seriously considering the walk in centre

Does it feel muscular?

I have really tight muscles in my solar plexus and ribs, and sometimes my chest that lasts a long time.

Those muscles can really lock in.

For US members: Please report med to FDA Med Watch

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

2018 (Feb) - Mirtazapine 7.5 mg 

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

2024 (May) - Valium Tolerance

2024 (2 Nov) - Completed taper off Valium 

2024 (2 Nov) - Mirtazapine increased to 15 mg

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

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

2025 (April) Started Depakote 1500mg - In detox

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

2025 (Aug) - Completed taper off Depakote

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

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

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

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

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

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

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

2025 (3 Dec) - Mirtazapine 18.75mg

2025 (10 Dec) - Mirtazapine 16.87mg

2025 (22 Dec) - Mirtazapine 15mg

2026 (23Jan) - Mirtazapine 14.7mg

2026 (23 Jan) - Mirtazapine 1mg Panic dose

2026 (24 Jan) - Mirtazapine 15mg

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

2026 (18 Mar) - propranolol 2.5 mg one time

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

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

2026 (29 April) Mirtazapine 14.7 mg/.1020 g (on suggestion of Horowitz) immediate intense symptoms

2026 (30 April) Mirtazapine 14.79 mg (.1026 g)

2026 (23 May) propranolol 2.5 mg one time

2026 (01 June) Mirtazapine 14.79 mgdose was 5 hours late

2026 (22 July) Mirtazapine 14.76 mg

Intense electric activation, muscle tightness, autonomic surges, terror followed

2026 (23 July) Mirtazapine 14.79 mg return

 

 

  • Author

Yes it feels muscular it's my chest and round the back as well

2016 - 2019 Sertraline 25mg highest dose 100mg 

2019 C Ted 25mg Bad withdrawals 

01/2020 reinstated 25mg 

06/2020 - 12/2021 tapered from 100mg to 6mg jumped off .bad withdrawals like before .

06/2022 reinstated 25mg 

10/2023 started taper of 25mg not sure of starting drops 

04/2025 5mg

06/2025 4.1mg

08/2025 3.5mg 

10/2025 3.1 mg

12/2025 2.5mg

01/2026 to present 2.27mg 

 

 

  • Author

Also my neck and head ..its all constant

2016 - 2019 Sertraline 25mg highest dose 100mg 

2019 C Ted 25mg Bad withdrawals 

01/2020 reinstated 25mg 

06/2020 - 12/2021 tapered from 100mg to 6mg jumped off .bad withdrawals like before .

06/2022 reinstated 25mg 

10/2023 started taper of 25mg not sure of starting drops 

04/2025 5mg

06/2025 4.1mg

08/2025 3.5mg 

10/2025 3.1 mg

12/2025 2.5mg

01/2026 to present 2.27mg 

 

 

Just now, Beehive said:

Also my neck and head ..its all constant

It sounds brutal.

I’m so sorry!

Is it just tight when you breathe or are you having trouble actually getting a breath?

For US members: Please report med to FDA Med Watch

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

2018 (Feb) - Mirtazapine 7.5 mg 

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

2024 (May) - Valium Tolerance

2024 (2 Nov) - Completed taper off Valium 

2024 (2 Nov) - Mirtazapine increased to 15 mg

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

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

2025 (April) Started Depakote 1500mg - In detox

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

2025 (Aug) - Completed taper off Depakote

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

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

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

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

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

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

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

2025 (3 Dec) - Mirtazapine 18.75mg

2025 (10 Dec) - Mirtazapine 16.87mg

2025 (22 Dec) - Mirtazapine 15mg

2026 (23Jan) - Mirtazapine 14.7mg

2026 (23 Jan) - Mirtazapine 1mg Panic dose

2026 (24 Jan) - Mirtazapine 15mg

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

2026 (18 Mar) - propranolol 2.5 mg one time

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

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

2026 (29 April) Mirtazapine 14.7 mg/.1020 g (on suggestion of Horowitz) immediate intense symptoms

2026 (30 April) Mirtazapine 14.79 mg (.1026 g)

2026 (23 May) propranolol 2.5 mg one time

2026 (01 June) Mirtazapine 14.79 mgdose was 5 hours late

2026 (22 July) Mirtazapine 14.76 mg

Intense electric activation, muscle tightness, autonomic surges, terror followed

2026 (23 July) Mirtazapine 14.79 mg return

 

 

I just looked up the difference between shortness of breath and tight constricted breathing

Do you want me to share?

For US members: Please report med to FDA Med Watch

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

2018 (Feb) - Mirtazapine 7.5 mg 

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

2024 (May) - Valium Tolerance

2024 (2 Nov) - Completed taper off Valium 

2024 (2 Nov) - Mirtazapine increased to 15 mg

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

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

2025 (April) Started Depakote 1500mg - In detox

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

2025 (Aug) - Completed taper off Depakote

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

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

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

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

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

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

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

2025 (3 Dec) - Mirtazapine 18.75mg

2025 (10 Dec) - Mirtazapine 16.87mg

2025 (22 Dec) - Mirtazapine 15mg

2026 (23Jan) - Mirtazapine 14.7mg

2026 (23 Jan) - Mirtazapine 1mg Panic dose

2026 (24 Jan) - Mirtazapine 15mg

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

2026 (18 Mar) - propranolol 2.5 mg one time

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

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

2026 (29 April) Mirtazapine 14.7 mg/.1020 g (on suggestion of Horowitz) immediate intense symptoms

2026 (30 April) Mirtazapine 14.79 mg (.1026 g)

2026 (23 May) propranolol 2.5 mg one time

2026 (01 June) Mirtazapine 14.79 mgdose was 5 hours late

2026 (22 July) Mirtazapine 14.76 mg

Intense electric activation, muscle tightness, autonomic surges, terror followed

2026 (23 July) Mirtazapine 14.79 mg return

 

 

  • Author

Yes please ...I believe its just tight and difficult to get a breath

2016 - 2019 Sertraline 25mg highest dose 100mg 

2019 C Ted 25mg Bad withdrawals 

01/2020 reinstated 25mg 

06/2020 - 12/2021 tapered from 100mg to 6mg jumped off .bad withdrawals like before .

06/2022 reinstated 25mg 

10/2023 started taper of 25mg not sure of starting drops 

04/2025 5mg

06/2025 4.1mg

08/2025 3.5mg 

10/2025 3.1 mg

12/2025 2.5mg

01/2026 to present 2.27mg 

 

 

Got it—here’s a clear, forum-friendly way to explain the difference.

---

### Shortness of breath (air hunger)

This is about not feeling like you’re getting enough air.

Typical features:

- Strong urge to gasp, yawn, or take big breaths

- Feeling like you can’t get a full breath in, even when trying

- Breathing may become faster or more urgent

- Can be worse with walking, talking, or exertion

- Often described as “I can’t catch my breath” or “I’m not getting enough oxygen”

---

### Tightness from chest/back/diaphragm muscles

This is about muscles being tense or restricted, not a lack of air.

Typical features:

- Band-like pressure, squeezing, or stiffness in chest, ribs, upper abdomen, or back

- Breathing is possible, but feels restricted, shallow, or uncomfortable

- You can take a deeper breath, but it may feel blocked, tight, or achy

- Often linked with posture, stress, or muscle guarding

- May improve with heat, gentle movement, or changing position

---

### Quick way to tell

- If someone feels like they can’t get enough air no matter what, that leans toward shortness of breath

- If they can breathe but it feels tight, stiff, or painful, that leans toward muscle/diaphragm tightness

---

### Why this matters in med withdrawal / nervous system states

People often get intense muscle tension around the ribs, back, and diaphragm, which can:

- mimic breathing problems

- create that “restricted” feeling

- but still allow normal oxygen intake

---

### When to take it seriously

Regardless of cause, urgent evaluation is important if there’s:

- new or severe shortness of breath

- chest pain spreading to arm/jaw

- bluish lips/face

- fainting or near-fainting

---

In many cases discussed on antidepressant forums, what people are feeling is tightness and muscle guarding around the breathing system, which can feel scary but is a different sensation from true air hunger.

For US members: Please report med to FDA Med Watch

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

2018 (Feb) - Mirtazapine 7.5 mg 

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

2024 (May) - Valium Tolerance

2024 (2 Nov) - Completed taper off Valium 

2024 (2 Nov) - Mirtazapine increased to 15 mg

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

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

2025 (April) Started Depakote 1500mg - In detox

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

2025 (Aug) - Completed taper off Depakote

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

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

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

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

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

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

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

2025 (3 Dec) - Mirtazapine 18.75mg

2025 (10 Dec) - Mirtazapine 16.87mg

2025 (22 Dec) - Mirtazapine 15mg

2026 (23Jan) - Mirtazapine 14.7mg

2026 (23 Jan) - Mirtazapine 1mg Panic dose

2026 (24 Jan) - Mirtazapine 15mg

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

2026 (18 Mar) - propranolol 2.5 mg one time

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

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

2026 (29 April) Mirtazapine 14.7 mg/.1020 g (on suggestion of Horowitz) immediate intense symptoms

2026 (30 April) Mirtazapine 14.79 mg (.1026 g)

2026 (23 May) propranolol 2.5 mg one time

2026 (01 June) Mirtazapine 14.79 mgdose was 5 hours late

2026 (22 July) Mirtazapine 14.76 mg

Intense electric activation, muscle tightness, autonomic surges, terror followed

2026 (23 July) Mirtazapine 14.79 mg return

 

 

  • Author

I believe mine is the second the muscle tension!

2016 - 2019 Sertraline 25mg highest dose 100mg 

2019 C Ted 25mg Bad withdrawals 

01/2020 reinstated 25mg 

06/2020 - 12/2021 tapered from 100mg to 6mg jumped off .bad withdrawals like before .

06/2022 reinstated 25mg 

10/2023 started taper of 25mg not sure of starting drops 

04/2025 5mg

06/2025 4.1mg

08/2025 3.5mg 

10/2025 3.1 mg

12/2025 2.5mg

01/2026 to present 2.27mg 

 

 

@Beehive I'm sorry to hear you are going through this...I'm hoping it passes soon. ❤️

I've also been plagued by many anxious thoughts and self judgments. I've been doing my best to just notice them and let them go by. Not easy but I try not to go down the rabbit hole, which just makes me feel so much worse, like gas on a fire.

2008-2011 - Citalopram 10-50 mg

2011 - Citalopram 50mg. Tapered to 20mg - with occasional increases to 25 or 30 mg

2018 (Aug) - 2019 (April) - Citalopram 20 mg, 10 mg, 7.5 mg, 5 mg

2019 (Fall) - Citalopram 5 mg - Experienced a major, unprecedented episode of intense anxiety and insomnia for 8-10 weeks. Updosed to 20 mg after 6 weeks 

2021 (23 Nov) - Citalopram 20 mg, 15 mg, 10 mg

2021 (14 Dec) - Duloxetine Switch 30 mg, 60 mg 

2022 (16 Jan)  - Duloxetine 30 mg

2022 (31 Jan) - Duloxetine - Started skipping doses, 2 Days on, 1 Day off;  5 Days - 2 Days off, 1 Day on; 6 days

2022 (11 Feb) - Duloxetine 0 mg 

2022 (20 Mar) - Severe withdrawal began 

2022 (29 Mar) - Citalopram - 5mg (RI), 10 mg

2022 (13 Apr) - Citalopram 15 mg

2022 (Mar 28) - Trazodone 25 mg - Added in for sleep

2023 (28 Jan) - Trazodone 12.5 mg

2024 (May 2) - (July 1) - Trazodone 10 mg - 7.5 mg

2025 (Oct) - 2026 (14 Feb) - Citalopram 15 mg -Tapered to 11.55 mg

2026 (13 Feb) - (5 Mar) - Citalopram (13 Feb) 11.55 mg, (15 Feb) 11.7 mg, (18 Feb) 11.85 mg, (25 Feb) 11.925 mg, (5 Mar) 11.955 mg - Major increase in withdrawal symptoms; updosed to 11.955 mg (+3.5%)

2025 (14 Dec) - 2026 (31 Jan) Trazadone 7.5 mg - Tapered to 3.5 mg

2026 (31 Jan) - (1 Mar) Trazodone (31 Jan) 3.5 mg, (20 Feb) 3.25 mg, (25 Feb) 3.125 mg, (1 Mar) 3.5 mg, (23 Mar) updosed to 3.75 mg (+7%)

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