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Steve1: Escitalopram nightmare - please help

Featured Replies

  • Author

I think it may be delayed withdrawal. As I was getting some initial relief when I dropped to 5mg wk1-3

2014- April 2025 Escitalopram 10mg

April 2025 - straight swap to Sertraline 50mg

Dec 2025-Jan 2026 - tapered off Sertraline 50mg - 0mg

Jun 2026 - Escitalopram 10mg 9 weeks

Aug - Escitalopram 5mg

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  • Bernadette
    Bernadette

    Hi @Steve1 a just read through your thread and from what I have read you say you went from 10mg to 5mg of escitalopram. So back when I was tappering citalopram which is the older of the two , escital

  • I have a thread in the success stories that I think tells the tale. Long story short, I'd been on Bupropion(wellbutrin) for 20 years, and I later read that if you're on a med for that long and begin

  • LostinCanada
    LostinCanada

    Hi @Steve1 I had a quick read of your thread. I suggest that you reread it as well. I really heard you saying escitalopram never has been good from the start. IMO you would not want to increase due to

  • Author

These waves (that I rightly or wrongly class as withdrawal) got gradually stronger and now have become almost constant.

2014- April 2025 Escitalopram 10mg

April 2025 - straight swap to Sertraline 50mg

Dec 2025-Jan 2026 - tapered off Sertraline 50mg - 0mg

Jun 2026 - Escitalopram 10mg 9 weeks

Aug - Escitalopram 5mg

30 minutes ago, Steve1 said:

I think it may be delayed withdrawal. As I was getting some initial relief when I dropped to 5mg wk1-3

I think you could well be right mate

29 minutes ago, Steve1 said:

These waves (that I rightly or wrongly class as withdrawal) got gradually stronger and now have become almost constant.

This could just be the WD doing it's thing. Feels like worsening till it eases. Like I said, set a pin in the diary and see how things are between now and then. One day at a time.

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

Thanks @Chippy hopefully it peaks soon!

2014- April 2025 Escitalopram 10mg

April 2025 - straight swap to Sertraline 50mg

Dec 2025-Jan 2026 - tapered off Sertraline 50mg - 0mg

Jun 2026 - Escitalopram 10mg 9 weeks

Aug - Escitalopram 5mg

  • Author

Resigned myself to the fact this is going to take a long time to heal. Just hope I can get back to a 5/10 so I can get back to work

2014- April 2025 Escitalopram 10mg

April 2025 - straight swap to Sertraline 50mg

Dec 2025-Jan 2026 - tapered off Sertraline 50mg - 0mg

Jun 2026 - Escitalopram 10mg 9 weeks

Aug - Escitalopram 5mg

I don't know your dosage or whether you tapered it down fast or slow. I feel you, as I went through exactly what you are experiencing now, but in an even harsher way; my body completely rejected the medication, which caused severe activation syndrome when the dose was increased.Calm down and accept where you are right now. Take it one day at a time; this is a temporary phase that is bound to pass. Don't count the days or keep looking for when it will end—everyone's body is different.

11 Years of Citalopram/Escitalopram

2015 citalopram 20 mg 3 month with deanxit month

2016/4 esctilopram 10 mg 3 month with deanxit 1month

2017 esctilopram 10mg 5 month

2018 esctilopram 10 mg 2 month

2018 citalopram 20 mg 5 month

2019 esctilopram 10 mg 6 month

2020 New, severe symptoms that do not resemble any symptoms of my previous illness, which is anxiety.

esctilopram 10mg 7 month 3 day to 20 mg but my body make a reaction

2021 esctilopram 10 mg 6 month deanxit 2 month

2022 esctilopram 10 mg 8 month sibralix 1 month

2023 esctilopram 10 mg

2024/1 left the medicine

2024/10 esctilopram 10 mg

2025 esctilopram 10 mg

2025/8 left the medicine

2025/9 deanxit 1 month

2025/10 1 esctilopram 10 mg one day

2026/2 impramine 10 mg 5 days

2026/3 deanxit 40 days

2026/5/13 Zoloft 25 mg for 3 days

2026/5/16 no medicine 4 ever

  • Author

Things are still escalating unfortunately. Sleep has started to break down.

Pretty sure this is withdrawal now. But really don't want to up dose as 10mg was unbearable.

2014- April 2025 Escitalopram 10mg

April 2025 - straight swap to Sertraline 50mg

Dec 2025-Jan 2026 - tapered off Sertraline 50mg - 0mg

Jun 2026 - Escitalopram 10mg 9 weeks

Aug - Escitalopram 5mg

31 minutes ago, Steve1 said:

Things are still escalating unfortunately. Sleep has started to break down.

Pretty sure this is withdrawal now. But really don't want to up dose as 10mg was unbearable.

I think you are doing the right things Steve. There comes a point where we are passengers and just have to trust the body to drive. You have the strength to deal with what ever comes along, just know that mate.

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

Praying this peaks soon as really want to stay on 5mg to avoid anymore changes.

2014- April 2025 Escitalopram 10mg

April 2025 - straight swap to Sertraline 50mg

Dec 2025-Jan 2026 - tapered off Sertraline 50mg - 0mg

Jun 2026 - Escitalopram 10mg 9 weeks

Aug - Escitalopram 5mg

  • Author

If I was to up dose slightly what would be recommended test?

Nearly 7 weeks at 5mg

2014- April 2025 Escitalopram 10mg

April 2025 - straight swap to Sertraline 50mg

Dec 2025-Jan 2026 - tapered off Sertraline 50mg - 0mg

Jun 2026 - Escitalopram 10mg 9 weeks

Aug - Escitalopram 5mg

@Steve1

It gets more complicated when the med has been activating.

I know you know that.

Just stopping by in solidarity ❤️

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

2026 (Oct 5) attempted moving 2 mg of dose 45 minutes earlier

Severe activation followed

 

 

  • Author

If only our body could tell us why it was screaming at us! @Finni

2014- April 2025 Escitalopram 10mg

April 2025 - straight swap to Sertraline 50mg

Dec 2025-Jan 2026 - tapered off Sertraline 50mg - 0mg

Jun 2026 - Escitalopram 10mg 9 weeks

Aug - Escitalopram 5mg

Just now, Steve1 said:

If only our body could tell us why it was screaming at us! @Finni

Isn’t that the truth!

We would do whatever it takes to help it.

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

2026 (Oct 5) attempted moving 2 mg of dose 45 minutes earlier

Severe activation followed

 

 

52 minutes ago, Steve1 said:

If only our body could tell us why it was screaming at us! @Finni

Are your symptoms predictable or all over the place?

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

2026 (Oct 5) attempted moving 2 mg of dose 45 minutes earlier

Severe activation followed

 

 

2 hours ago, Steve1 said:

If I was to up dose slightly what would be recommended test?

Nearly 7 weeks at 5mg

When you take the 5 mg, do you feel a negative reaction within an hour,? If so, updosing is not the answer. If not, you could try to increase by no more than 10% of your dose, so maximum 5.5 mg but less is a more cautious approach.

If we could see an hourly daily log of symptoms, it would help to see if this was the right approach or if splitting the dose would be better.

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/Sep 18-3.8mg

 

9am-paroxetine, 200mg mag bisglycinate/75 mg DGL if needed for reflux/150 mg calcium citrate/algae oil for omega 3/ginger as needed for nausea/500 mg of Vitamin C for cortisol

 

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

2 hours ago, Steve1 said:

If I was to up dose slightly what would be recommended test?

Nearly 7 weeks at 5mg

you shouldn't really updose, just accept the symptoms, if you have both withdrawal and adverse reactions, updosing will cause more adverse reactions.

You have to trust your body, and know that symptoms are just symptoms, nothing more.

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. 
Feel free to mention me whenever help is needed.

 

Current Supplements: Night: 6mg melatonin and 133mg magnesium glycinate. Taking Omega 3 as needed to calm dyskinesia or over stimulation (Lately been reacting more negatively to supplement Omega 3).

Current Medications: Mirtazapine, Lasea (lavender oil) before bed.

------------------------------------------

Tapering: Mirtazapine 15mg, (went compounded) 13.5mg 08/May/2025, 12.1mg 10/July/2025, 15/July/2025 15mg (half tablet), 26/July/2025 14.35mg (moved to dry cutting method) ), 03/Aug/2025 14.6mg, 24/Nov/2025 14.47mg, 29/Jan/2026 14.35mg

Note: Had a lot of issue with degradation with different cutting times and compounded pharmacy which caused withdrawals and a more sensitive nervous system.

  • Author

In the last week symptons seem to be ramping up progessively during the day. Not sure if that relates to withdrawal or adverse reaction to the pill?

2014- April 2025 Escitalopram 10mg

April 2025 - straight swap to Sertraline 50mg

Dec 2025-Jan 2026 - tapered off Sertraline 50mg - 0mg

Jun 2026 - Escitalopram 10mg 9 weeks

Aug - Escitalopram 5mg

33 minutes ago, Steve1 said:

In the last week symptons seem to be ramping up progessively during the day. Not sure if that relates to withdrawal or adverse reaction to the pill?

What time do you take your pill?

What are your symptoms of WD and activation?

Edited by LostinCanada

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/Sep 18-3.8mg

 

9am-paroxetine, 200mg mag bisglycinate/75 mg DGL if needed for reflux/150 mg calcium citrate/algae oil for omega 3/ginger as needed for nausea/500 mg of Vitamin C for cortisol

 

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

  • Author

7.30am

Activation - restlessness and physical tension

Withdrawal - heavy wave

2014- April 2025 Escitalopram 10mg

April 2025 - straight swap to Sertraline 50mg

Dec 2025-Jan 2026 - tapered off Sertraline 50mg - 0mg

Jun 2026 - Escitalopram 10mg 9 weeks

Aug - Escitalopram 5mg

34 minutes ago, Steve1 said:

7.30am

Activation - restlessness and physical tension

Withdrawal - heavy wave

Since your withdrawal seems to build and doesn't happen immediately after taking it, splitting the dose slowly may lessen the extremes of both activation and withdrawal. Every change brings a level of risk. Only you can weigh that against the benefits and trust your gut.

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/Sep 18-3.8mg

 

9am-paroxetine, 200mg mag bisglycinate/75 mg DGL if needed for reflux/150 mg calcium citrate/algae oil for omega 3/ginger as needed for nausea/500 mg of Vitamin C for cortisol

 

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

  • Author

Body is now pulsating......its either desperately wanting more of the pill or less of the pill

2014- April 2025 Escitalopram 10mg

April 2025 - straight swap to Sertraline 50mg

Dec 2025-Jan 2026 - tapered off Sertraline 50mg - 0mg

Jun 2026 - Escitalopram 10mg 9 weeks

Aug - Escitalopram 5mg

1 hour ago, Steve1 said:

Body is now pulsating......its either desperately wanting more of the pill or less of the pill

Another option is the cns is just doing its thing trying to calm. It can cycle through some strange stuff! It can cycle through, go onto something else, and then go back to the symptom you thought was over.

That’s what I’m trying to go with right now because trying to figure it out is about to drive me batty.

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

2026 (Oct 5) attempted moving 2 mg of dose 45 minutes earlier

Severe activation followed

 

 

so you never actually stabalised despite holding

Nah. Gave it 6 months at full dose but diffeeent time relase. Then switched to the original time release for a few months and it got 10% better. I decided to taper through it because I didnt feel like stability was around the corner. So I tapered to zero and felt much better within a year , and completely better in another year.

It was uncomfortable, my career took some dings, and I did C-level work and had no life. I still wouldnt have done anything differently. Now at 3 years off meds im training for a new career and I thank heaven every day I am not getting WD symptoms or dealing with AD side effects.

2011-2015 - tapered off 300mg of Venlafaxine after 6 years of use

2005-2021 - 450 mg Bupropion daily

2021-2023 - tapered Bupropion to zero 

 

  • Author

I suppose I need to work out how lomg I hold at 5mg before tapering down then?

2014- April 2025 Escitalopram 10mg

April 2025 - straight swap to Sertraline 50mg

Dec 2025-Jan 2026 - tapered off Sertraline 50mg - 0mg

Jun 2026 - Escitalopram 10mg 9 weeks

Aug - Escitalopram 5mg

17 minutes ago, Steve1 said:

I suppose I need to work out how lomg I hold at 5mg before tapering down then?

I think youre doing the right thing as I said before Steve. You felt better for a while after reducing, this implies the reduction to 5mg was helpful, then out of the blue things worsened, this sounds like WD. It could be you are now having a reaction to 5mg and the body is telling you to reduce some more, it is so hard to know. Only you can choose what you should do next. I don't think it is wise to updose. Personally I still think holding for a month is a good idea and see how things progress. If you are worried about the reaction having caught up with you a test reduction would be the best route to see how the body responds. Going on what you are saying this does sounds like WD more to me though.

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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