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General Discussion Open discussion about Paxil, Paxil Withdrawal, successes and progress, good stories and bad, with and without.

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Old 08-04-2013, 08:14 PM   #1
bgiusta119
 
Join Date: Jul 2013
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2.5mg to 0 hardest decrease?

Hello everyone. Just curious to know if going from 2.5mg to 0 is the hardest? I was on 10mg for 10 months, went to 5mg stayed on that for 2 weeks then went down to 2.5mg and been on that for about 5weeks. This Friday I'm coming off completely and curious to know if this will be the hardest? I been having headaches, dizziness, sometimes nausea and muscle twitches. I'm assuming this is all normal? Any one familiar with this? Any tips?
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Old 08-06-2013, 01:09 AM   #2
babs
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Re: 2.5mg to 0 hardest decrease?

You are making it harder than it needs to be by going too fast. We recommend drops of 10% of your current dose and waiting at least 3-4 weeks between drops. When you do it that way, symptoms are kept to a minimum and the final drop wouldn't be any worse than the others.
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Old 08-09-2013, 05:26 AM   #3
CDot
 
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Re: 2.5mg to 0 hardest decrease?

I'm wondering about this as well. I have only been on for two months. Started at 12.5 cr and it was terrible for me. I felt way worse. Insomnia the entire month! Went to 10 on July 22nd and I'm down to 5 no problems. Maybe a bit of pressure and more thoughts racing but I feel way better!

Depending on how I feel, I want to be off by end if September. Any suggestions or advice?
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Old 08-09-2013, 01:23 PM   #4
bgiusta119
 
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Re: 2.5mg to 0 hardest decrease?

I wouldn't know lol I'm still on 2.5mg waiting to go off. I'd suggest doing the taper everyone recommends or decrease slowely. Your not on it a long time. I just have the rubber band around my brain feeling dizzi and such. Hopefully it'll subside but I also take a herbal supplement called neuro calm which helps a lot
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Old 08-09-2013, 06:35 PM   #5
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Re: 2.5mg to 0 hardest decrease?

i have been tapering for over 3 years now and the slower the better..yes i get stuff but its really minimal in the grand scope of things..
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Taper:
05/27/2010 - 03/12/12: Tapered From 20mgs - 6.2 (2years)
04/11/2012 - 6.0 - 3.4 - 05/05/2013 (Third year into Taper)
06/04/2013 - 3.2
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10/04/2013 - 2.4
11/03/2013 - 2.2
12/03/2013 - 2.0
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Old 08-09-2013, 07:02 PM   #6
bgiusta119
 
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Re: 2.5mg to 0 hardest decrease?

At this point of being on 2.5 I think I'm just going to stay at this for the time being. Going back up may not react well with me and I have to deal with the symptoms now.
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Old 08-12-2013, 01:07 PM   #7
CDot
 
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Re: 2.5mg to 0 hardest decrease?

Is 2.5 really effective? I am going to drop tomorrow? I've been shaving a bit off of 5 for a few days and feel no different. Not as tired. Perhaps a bit frustrated easily.
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Old 08-12-2013, 01:42 PM   #8
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Re: 2.5mg to 0 hardest decrease?

I know we are all different, but when I get to the 2,5mg point I am just
going to quit and go to 0.

It may me a good idea to stay on the 2.5 a little longer, but to be honest, I am not sure that low a dose has any effect on the brain at all!!??
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Old 08-17-2013, 08:13 PM   #9
bgiusta119
 
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Re: 2.5mg to 0 hardest decrease?

I'm not sure. I'm going to try tonight to come off. I am taking a natural supplement which has been helping called neuro calm. I'm also goin to take melatonin to stay asleep. I know a lot of it is mental. Just hard knowing when hour having anxiety
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Old 08-18-2013, 07:28 PM   #10
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Re: 2.5mg to 0 hardest decrease?

2.5mg will definitely be having an effect.

Why do I say this? Well, because I have had considerable relief from anxiety, and to a lesser extent, depression (albeit SSRI induced) from just 5mg of citalopram. It did cause me horrible visual disturbances so I've cut to 3.75mg a month ago (I was only on it for 3 months prior to this) and it still seems to be having an effect (FYI, I'm going to taper off this very slowly eventually as its caused other issues, albeit ones I can live with for now).

I was also on prozac 5mg last year, and that had an effect on the depression. I did some reading and found that 54% of people responded favourably to 5mg on prozac - whereas 64% responded to a standard dose of 20mg.

Quote:
The American Medical Association states that the difference in people's response to a specific drug can vary "4- to 40-fold."4 With such variability, it isn't surprising that some people can drink a pot of coffee without problems while others can't handle a cup. Similarly, it isn't surprising that some people need 80 mg of the antidepressant Prozac® or the cholesterol-lowering drug Lipitor®, while others need just 2.5 mg.
http://www.lef.org/magazine/mag2003/...effects_01.htm

Also, from wikipedia:

Quote:
Therapeutic doses of sertraline (50–200 mg/day) taken by patients for four weeks resulted in 80–90% inhibition of serotonin transporter (SERT) in striatum as measured by positron emission tomography. A daily 9 mg dose was sufficient to inhibit 50% of SERT.
I would therefore taper well below 1mg before you decide to stop taking any SSRI based on what I've read/personal experience of these drugs.
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Oct'03 - Aug11. Prozac 20mg for harm OCD. 8 month break in 08. Stopped in 2011 because of agitation.

Dec'11:10mg citalopram for 5 weeks. c/t after increased anxiety/ibs.

Mar - Jun'12 anxiety; harm OCD

Jun'12 - back on prozac 20mg. Nasty reaction. Sexual side effects though improved mood. Tapered off by Nov'12.

Mar-Apr 2013 - 25mg sertraline.

Apr - Jul 2013 - 5mg cit'pram. Anxiety better

July - 3.75mg - too fast

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Old 08-18-2013, 08:45 PM   #11
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Re: 2.5mg to 0 hardest decrease?

Everybody is different. Logically it would seem that a 2.5 dose would not have a therapeutic effect, but it can and does have the effect of stopping or minimizing withdrawal symptoms, if one has been on the drug a while. When you go on these meds they create structural changes in your brain and those changes start reversing when you decrease or stop the med. So it's important to stay ON the med, at decreasing doses, while you give your brain a chance to recover. Some people seem to have no problem cold turkey and doing a really quick taper, but I think they are in the minority.
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Old 08-18-2013, 08:57 PM   #12
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Re: 2.5mg to 0 hardest decrease?

Until I found this site, I had been withdrawing from Paxil for over 2 decades. Uncountable times I would easily get down to 2.5mg and less. Then I'd sometimes go 2.5mg or less several time a week instead of every day. Always felt fine. I thought that such incredibly low doseages were meaningless, so I should be able to come off and did so. Many many times. However, usually some months later, I would crash. So this time, even though I might be dead by the time I get there lol, I'm going to do the 10% or even less drops. I've read too many horror stories here now and I keep reading them to make myself keep to the 'slow' plan.
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Put on Prothiaden almost 25 years ago for depression. Recovered. Then Paxil 15 years ago for another bout. Have tapered successfully many many times, but except for one time, I generally crash when getting to the low mgs or about 2 months after getting to zero. Currently on 5mg. Started SKY breathing 1/09/13 and have had no physical wd since, but currently dealing with emotions I haven't dealt with for decades - .
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Old 08-19-2013, 08:06 AM   #13
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Re: 2.5mg to 0 hardest decrease?

Thank you so much for your helpful replies. How should I work my way from 2.5? I know very slowly but should I skip a day a week, then two, should I just keep cutting the pills smaller when ready. Again I know I've only used for a couple months but it has been effective and I've had side effects right from day one. I'm sensitive to it.
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Old 08-19-2013, 09:13 AM   #14
poor man
 
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Re: 2.5mg to 0 hardest decrease?

Quote:
Originally Posted by Emphyrio View Post
2.5mg will definitely be having an effect.

Why do I say this? Well, because I have had considerable relief from anxiety, and to a lesser extent, depression (albeit SSRI induced) from just 5mg of citalopram. It did cause me horrible visual disturbances so I've cut to 3.75mg a month ago (I was only on it for 3 months prior to this) and it still seems to be having an effect (FYI, I'm going to taper off this very slowly eventually as its caused other issues, albeit ones I can live with for now).

I was also on prozac 5mg last year, and that had an effect on the depression. I did some reading and found that 54% of people responded favourably to 5mg on prozac - whereas 64% responded to a standard dose of 20mg.



http://www.lef.org/magazine/mag2003/...effects_01.htm

Also, from wikipedia:



I would therefore taper well below 1mg before you decide to stop taking any SSRI based on what I've read/personal experience of these drugs.


Awesome post! thanks for the sharing the link.
Typical for them to standardize it at 4 times the effective dose. It's because of 10% of people, that might as well have been under a placebo effect during the trials, a lot more have to waste money.
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Old 08-19-2013, 11:24 AM   #15
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Re: 2.5mg to 0 hardest decrease?

Hi CDot-- just keep cutting your pills, it is the easiest and safest way. You should never skip days with these drugs, they are not designed to work that way and will start throwing you into WD during the "day off" and then have to revert the next day, so all it does is throw your brain into chaos. Looks like your making good progress.
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1994 started 20mg Paxil,1999 30mg,2005 40mg
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06/2012 dropped to 19mg (past halfway point)
01/2013 dropped to 11.1mg
03/2013 dropped to 10.0mg
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Old 08-24-2013, 04:05 PM   #16
bgiusta119
 
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Re: 2.5mg to 0 hardest decrease?

hello everyone, i went from 2.5mg to 0 august 22 but not intentionally. i ended up going out not getting back to 430 am and was so tired that i ended up falling asleep without taking the 2.5mg. im kind of curious to know if i should continue taking my dosages or just stay put at 0 and see what happens. i havent been having anxiety but i have been having a lot of muscle twitching, dizziness, and i feel like im kind of groggy. i recently had a balance test done and the test shown that i have central and peripheral vestibular nothing major but am doing physical therapy for it. i have been on 2.5mg for atleast 5-6 weeks. a part of me would shave off pieces of 2.5mg but then again if im going to go through wd id rather go through it once and for all but then again im not an expert on this. im open to advice, last time i did decrease i felt wd symptoms for a while and then they eventually faded.kind of curious if the same thing is going to happen? i always felt coming off would be the worst of it all. i am taking a natural supplement called neuro calm which i think is pretty good. i am thinking of also taking melatonin at night and i have recently started dr shealys magnesium lotion hoping these natural remedies work.
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