Author Topic: SSRI support group - tapering while on benzo's or after recovery  (Read 31197 times)

[Buddie]

Re: SSRI support group - tapering while on benzo's or after recovery
« Reply #10 on: January 08, 2015, 01:52:30 am »
 :thumbsup: :thumbsup: :thumbsup:
Suggestions, opinions and/or advice provided by the author of this post should not be regarded as medical advice; nor should it substitute for professional medical care. Consult your doctor before making any changes to your medication. Please read our Community Policy Documents board for further information.

[Buddie]

Re: SSRI support group - tapering while on benzo's or after recovery
« Reply #11 on: January 08, 2015, 02:16:33 am »
SSRI's for 18 years, tried all of them, was on Celexa the longest.  Then was switched to zoloft when taken off klonopin.  It was going to take away all my anxiety and I was to be on it the [...] of my life, said the shrink.  I weaned off of it slowly, took last does in June 2014.  I don't think the withdrawal was as bad as benzos, but I think now that maybe I've been withdrawing from both.  Anyway, happy to say that I am doing much better now and feel the healing happening.
Suggestions, opinions and/or advice provided by the author of this post should not be regarded as medical advice; nor should it substitute for professional medical care. Consult your doctor before making any changes to your medication. Please read our Community Policy Documents board for further information.

[Buddie]

Re: SSRI support group - tapering while on benzo's or after recovery
« Reply #12 on: January 08, 2015, 02:30:35 am »
Thanks JC....yes it certainly sounds like you were in withdrawal from both. How are you feeling these days?
Suggestions, opinions and/or advice provided by the author of this post should not be regarded as medical advice; nor should it substitute for professional medical care. Consult your doctor before making any changes to your medication. Please read our Community Policy Documents board for further information.

[Buddie]

Re: SSRI support group - tapering while on benzo's or after recovery
« Reply #13 on: January 08, 2015, 02:35:21 am »
I'm doing better, the last few weeks have seen a big improvement and am able to work from home 6 hours a day, which is a really good distraction.  I tend to forget all about my symptoms when I'm busy doing things.
Suggestions, opinions and/or advice provided by the author of this post should not be regarded as medical advice; nor should it substitute for professional medical care. Consult your doctor before making any changes to your medication. Please read our Community Policy Documents board for further information.

[Buddie]

Re: SSRI support group - tapering while on benzo's or after recovery
« Reply #14 on: January 08, 2015, 02:39:36 am »
That's AWESOME, JC  :thumbsup:
Suggestions, opinions and/or advice provided by the author of this post should not be regarded as medical advice; nor should it substitute for professional medical care. Consult your doctor before making any changes to your medication. Please read our Community Policy Documents board for further information.

[Buddie]

Re: SSRI support group - tapering while on benzo's or after recovery
« Reply #15 on: January 08, 2015, 02:42:07 am »
Thank you, I hope this window stays open.  I was [...] at your taper blog, I hope you're feeling better.
Suggestions, opinions and/or advice provided by the author of this post should not be regarded as medical advice; nor should it substitute for professional medical care. Consult your doctor before making any changes to your medication. Please read our Community Policy Documents board for further information.

[Buddie]

Re: SSRI support group - tapering while on benzo's or after recovery
« Reply #16 on: January 08, 2015, 03:02:10 am »
I'm kind of sliding down the rabbit hole a little bit.....but I'm hoping tomorrow is better! Feel free to come introduce yourself on the blog and get to know everyone  :)
Suggestions, opinions and/or advice provided by the author of this post should not be regarded as medical advice; nor should it substitute for professional medical care. Consult your doctor before making any changes to your medication. Please read our Community Policy Documents board for further information.

[Buddie]

Re: SSRI support group - tapering while on benzo's or after recovery
« Reply #17 on: January 08, 2015, 04:16:41 am »
Hi all
Good to see so many people doing well with their SSRI, and benzo, tapers

In July last year I tried to taper a bit of my SSRI whilst tapering my benzo. It went fine at first, until it didn't. Finally I felt a bit funky one day and thought I'd just go back to my original SSRI dose so I could get off benzos quicker. Well that didn't work.

This is what I wrote on my blog about that event. I'm sharing it in case it proves useful

When I updosed my SSRI back to my original dose - of only a few months before - I initially got serotonin syndrome: Akasthesia, anxiety, stomach churning, heat etc. Even when I went back down to the dose I'd been on for a month I was still wracked by terrible anxiety and agitation until the SSRI's active phase was through. Anyway, once I went down to the dose I'd tapered too - half of the dose I originally was on - symptoms resolved relatively quickly, though some new symptoms arose that were different and clearly withdrawal.

So what have I learned?

I've been on an SSRI since I was 19. There is no doubt I was a mess, and there is equally no doubt the SSRI helped soon enough. I tried to get off only 2 times. Naturally I went too fast and when symptoms reoccurred I, and Drs, thought that was an indication of my needing to be on the drug.

Never in all that time did I have the reaction I described above. Sooo lesson 1: Drugs can change on you (particularly in benzo w/d).

Also initially I approached the reaction as I would with benzo w/d: hold and/or err on the side of more. Nope! More don't equal calmer with all psych meds and sometimes a reaction can't be helped by holding. Lesson 2: No two psych drugs are the same and what you know about one wont translate to another.

Benzo w/d was part of the picture of the reaction. That is partly because my brain chemistry was already destabilised, and I believe partly because there is some truth to the AD crew's contention that 'the activating drug should be tapered first'. Now I don't think SSRIs should be tapered first, but I do think when you have no GABA brakes in your brain you are far more susceptible to getting a sped up reaction from a drug like an SSRI. I know many of the people who have had reactions to SSRIs like the one I described where in tolerance to benzos. Similarly I've rarely seen anyone already in benzo wd be able to start an SSRI. The 'activation' is too much for the brain with no brakes.

soo lesson 3: If you are on an SSRI and plan to taper benzos, it may be helpful in some ways but there will be ways in which that extra noradrenaline and serotonin is not helpful at all.

lesson 4: If you are tapering from benzos already, or in tolerance, you can give an SSRI a go but I wouldn't hold my breath it will help much (in many cases). If needed there are other ADs that are probably a better fit for benzo w/d.

lesson 5: Not everything - even anxiety - is benzo w/d. I mostly didn't fall into this trap luckily because I know benzo w/d so well I can tell what is different. But, I write this anyway because there were times, even when it was clear the symptoms resolved once the SSRI's active phase was through, that I questioned whether this was benzo w/d.

Other thoughts...
....SSRI withdrawal sucked - especially in the early morning hours just before I'd dose for the day - but it doesn't such anywhere near as much as benzo wd. It feels so much more like wd: a passing sensation of shakes, cold, nausea and anxiety. Benzo wd hangs around so much that it is hard to tell it from your regular self.

.... This gave me a bigger perspective of the darker side of psychiatry and psychiatric meds. Amazingly when my p-doc talked to me about this reaction I was having she brought up bipolar, because SSRIs can sometimes bring this out in people with bipolar. That is truly astounding. It breaks so many 'rules' of science it would be fascinating if not so scary. One obvious rule it breaks is that of parsimony. If there is a simple explanation and no reason for another then go for the simplest. Guess what psychiatric world: The simplest explanation for a reaction a drug BY FAR is that there is a reaction to a drug. There is so many ways in which I could have been further drugged with a mood stabilizer of some variety. Instead, thankfully I am skeptical, and my p-doc acknowledges I'm sensitive to meds, so I just reduced my dose and the symptoms disappeared. There are people on here who have been down that path of SSRI induced hypermania or mania and the resulting poly-drugging. There are even more on AD forums. And it scares me that this happens with such frequency and we are the ones who are crazy. The medical world is THE establishment. There is no other sector of our community that is more listened to with trust and without question. lesson 6: everything deserves questioning sometimes
Suggestions, opinions and/or advice provided by the author of this post should not be regarded as medical advice; nor should it substitute for professional medical care. Consult your doctor before making any changes to your medication. Please read our Community Policy Documents board for further information.

[Buddie]

Re: SSRI support group - tapering while on benzo's or after recovery
« Reply #18 on: January 08, 2015, 04:20:13 am »
So after that I can say that things have mostly improved with my taper - particularly insomnia! In fact I probably started temazepam in the first place because of SSRI induced insomnia.

For the first few months I had a worse gut and some histamine issues - itching/sensitivity to foods. Things are mostly back to baseline now. I didn't get a single bout of depression, even though my life is fairly benzo w/d crapola.

If I could cut benzos that quickly with that level of side effects I'd be happy indeed!

I am hoping to taper the SSRI fully once I'm through with benzos. I have no idea when I should start that: if I should start once I'm healed from benzos or before to get it done and since my brain is in flux anyhow.

We shall see

Hi all

Hi Nigel  :smitten:
Suggestions, opinions and/or advice provided by the author of this post should not be regarded as medical advice; nor should it substitute for professional medical care. Consult your doctor before making any changes to your medication. Please read our Community Policy Documents board for further information.

[Buddie]

Re: SSRI support group - tapering while on benzo's or after recovery
« Reply #19 on: January 08, 2015, 04:57:13 pm »
Great information, [...]. Thanks for sharing with everyone. Personally, I won't/can't taper simultaneously (AD and Benzo) and will wait until about a year off I suspect. Even if I'm not healed from benzo w/d at that point.

Love, Nigel  :smitten:
Suggestions, opinions and/or advice provided by the author of this post should not be regarded as medical advice; nor should it substitute for professional medical care. Consult your doctor before making any changes to your medication. Please read our Community Policy Documents board for further information.