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Old 03-20-2012, 01:52 AM   #1
Fugazi
 
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Coping with extreme irritability

Hi. I'm new here. I've been tapering very slowly off Paxil for a few months now, (I'm down to 2.5mg a day, two weeks to go before I'm off it completely) and my main withdrawal symptoms are: heart skips, and the most insane levels of irritability. Thankfully headshocks are off the menu due to the fish oil.

I hate the sound of people in my household closing doors loudly. They aren't even slamming doors, just not turning the handle.. the sort of thing normal people don't care about, and I never used to, but now every bang makes me want to destroy everything.

Yesterday I smashed my mouse up for a ridiculous reason, and now I'm stuck using my graphics tablet, which is clumsy as rats for otherwise mouse related duties. So I'm always on the verge of destroying the pen whenever I'm using it.

The heart skips don't worry me. They do annoy the living Rod Stewart out of me, though, and I've taken to furiously pounding my chest whenever my heart forgets momentarily how to beat properly. I feel like I'm becoming unhinged.

Does anyone else experience this? Any mild/awesome coping strategies that you found helpful?

(I'm quite confident that I'm not a danger to other people. It's the uncooperative inanimate objects around me that need to watch out)
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Old 03-20-2012, 08:14 AM   #2
Pino
 
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Re: Coping with extreme irritability

Hi Fugazi,

I don't have any coping strategies for you but i can only tell you my experience; When i thought i tapered slowly from 20 to 0 in 3 months i had insane levels of irritability also. Eventualy i had to reinstate. Now i'm tapering the way as is suggested on here and the irratebility is much less intense and short lived so its easy to cope with.

I'm not saying you are tapering to fast because everyone is different but the insane levels you describe could be due to a too fast taper. What was your starting dose and how did you wean?
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Old 03-20-2012, 11:54 AM   #3
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Re: Coping with extreme irritability

Hi Fugazi...this has been a big issue for me thru out this whole WD process. It's horrible and what's worse it's so unlike me, it's scary. I just do everything I can to keep my mouth shut as much as possible, if I have to talk, keep my answers short and to the point. Knowing it'll pass, and it usually does fairly quickly for me, helps. It seems to follow my anxiety. My anxiety will be real bad for half the day and the rage takes it place, usually in the evening. I just sit down in front of the tv and watch some really funny sitcom, last night it was Parks and Rec. Laughter's the best remedy--where ever you can get it. It's like a drug.
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Reinstated Celexa 10 mg. 12/14/11
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5mg. 2/15/12.
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Old 03-20-2012, 12:50 PM   #4
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Re: Coping with extreme irritability

I wish i knew what to tell you. I have had horrible anger/irritability issues. About the only thing that works for me is to either remove, or avoid situations.
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Old 03-20-2012, 01:50 PM   #5
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Re: Coping with extreme irritability

Quote:
Originally Posted by Wld View Post
Hi Fugazi...this has been a big issue for me thru out this whole WD process. It's horrible and what's worse it's so unlike me, it's scary. I just do everything I can to keep my mouth shut as much as possible, if I have to talk, keep my answers short and to the point. Knowing it'll pass, and it usually does fairly quickly for me, helps. It seems to follow my anxiety. My anxiety will be real bad for half the day and the rage takes it place, usually in the evening. I just sit down in front of the tv and watch some really funny sitcom, last night it was Parks and Rec. Laughter's the best remedy--where ever you can get it. It's like a drug.
Parks and Rec is my favorite show! Love Ron Swanson!
I have to agree that sitcoms have honestly saved me during withdrawal. Any possible way to escape from constantly evaluating yourself is beyond helpful!
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Old 03-20-2012, 01:59 PM   #6
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Re: Coping with extreme irritability

Quote:
Originally Posted by audrealjade View Post
Parks and Rec is my favorite show! Love Ron Swanson!
I have to agree that sitcoms have honestly saved me during withdrawal. Any possible way to escape from constantly evaluating yourself is beyond helpful!
I watched 6 seasons of Supernatural as a distraction. I am running out of distractions though. I would really like to do something productive.
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Old 03-20-2012, 04:16 PM   #7
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Re: Coping with extreme irritability

Quote:
Originally Posted by Pino View Post
Hi Fugazi,

I don't have any coping strategies for you but i can only tell you my experience; When i thought i tapered slowly from 20 to 0 in 3 months i had insane levels of irritability also. Eventualy i had to reinstate. Now i'm tapering the way as is suggested on here and the irratebility is much less intense and short lived so its easy to cope with.

I'm not saying you are tapering to fast because everyone is different but the insane levels you describe could be due to a too fast taper. What was your starting dose and how did you wean?
I shouldn't have said a few months, I forgot that usually means three. I've been going down by 2.5 mgs every 3 weeks and I started at 20. I actually started at 40 but I tapered the first 20 real fast as due to past experience I find that bit quite easy, I slowed down when I got to 20 mgs.
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Old 03-20-2012, 05:25 PM   #8
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Re: Coping with extreme irritability

I have nothing more to offer other than to say I know what you mean about inanimate objects. I would have to say my irritability is worse when I'm OFF meds, lol, my PMS is the culprit. I get annoyed at people but my goodness, I trip on something or get my pocket caught on a door handle and it's all I can do not to destroy whatever tripped me up. Exercise might help?
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2005-2010 Effexor XR 112.5mg-262.5mg for PPD
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Paxil taper:
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Old 03-21-2012, 02:40 AM   #9
Fugazi
 
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Re: Coping with extreme irritability

Exercise helps for anxiety and depression, but not the anger/irritability. Or if it does, it's minimal.
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Old 03-21-2012, 02:54 AM   #10
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Re: Coping with extreme irritability

Quote:
Originally Posted by Fugazi View Post
I shouldn't have said a few months, I forgot that usually means three. I've been going down by 2.5 mgs every 3 weeks and I started at 20. I actually started at 40 but I tapered the first 20 real fast as due to past experience I find that bit quite easy, I slowed down when I got to 20 mgs.
This group has found that generally dropping by no more than 10% of previous (most recent) dose works best for most people.

The problem with dropping in fixed increments (i.e., 2.5 mg.) is that as you get lower in dose, the degree of how much you drop (the percentage) increases, and that is what the body reacts to.

For example, when you went down 2.5 from 20, that's not too much more than a 10% drop.

But if your last drop was from 5 to 2.5 - that's a 50% drop. Ouch. (And at the lower doses, the liver clears the med more quickly too, meaning it's even more important to go slowly with small drops then.)

You might need to go back to the last dose where you felt stability (not necessarily symptom-free, but okay and functional), stabilize for a while at that dose, then start dropping by 10% or even smaller percentages after that. Especially after coming off a pretty high dose (40 mg).

There's a lot of information here how to do that.

Most people don't want to "give up" what they feel they've gained when tapering, even if too fast - but if your symptoms are bad enough, going back up in dose a bit, stabilizing, and tapering by a very low percentage might make for a more bearable and possibly even faster recovery in the long run, since your healing process from the changes these meds have made in your body will probably go better, and that's what's really involved in getting off these meds.
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Old 03-21-2012, 03:14 AM   #11
Fugazi
 
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Re: Coping with extreme irritability

I don't really have a choice, I'm working with pills here, I've asked about liquid but apparently here in my country it's pills and that's it.
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Old 03-21-2012, 02:13 PM   #12
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Re: Coping with extreme irritability

Hey there Fugazi

Firstly, just wanted to say 'clumsy as rats' with the mouse' is a most excellent phrase, made me laugh

I get you with the irritability - this was one of the very first things I noticed when I began my taper. Thankfully, it subsided as the months went by, although I still have my moments, but I've learned to recognise them when they're coming and I'm starting to get snappy, and to put on the brakes, take a step back and breathe or distract myself, or repeat 'don't sweat the small stuff' over and over under my breath. Sounds dumb, but it kind of helps.

We don't have liquid here either - if you do think reinstating to a small dose and retapering more slowly might help (and as others have said, it well might do given your last drops were 50%ers), get yourself some jeweller's scales that weigh to 0.001g (available online for about $50), and take a look at this very helpful guide:
http://www.paxilprogress.org/forums/...ad.php?t=41850
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Old 03-21-2012, 04:05 PM   #13
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Re: Coping with extreme irritability

I use the same tricks when I feel like I am starting to loose it, it really helps.

Using the scales and a nail file or x-acto knife works very well for me, it is easy to control down to the .001 of a gram.
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1994 started 20mg Paxil,1999 30mg,2005 40mg
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