• IMPORTANT ANNOUNCEMENT: Please read THIS THREAD about a rebrand for SF.

Discontinuing all my Medications- diary

#1
Firstly, I am doing this with my psychiatrist's and family doctor's approval. Please do not discontinue your meds suddenly or without medical supervision, because to do so can be dangerous.

I have tried dozens of meds over the years (for the full trial period of at least 3 months unless the side effects were too severe). No medication ever seemed to have much effect on my mood, although I noticed that certain meds, including Pristiq (desvenlafaxine) made it so that I didn't cry easily - in fact some made it nigh impossible. I'm not certain this was a good thing since crying can provide a catharsis and some studies show tears of sadness (as opposed to eye watering from pain or irritants) contain toxins thus crying helps to eliminate toxins from the body. Sweat from exercise does the same thing.

The only other thing I noticed from meds was that they affected my sexual response (common with SNRI and SSRI meds). In my case they made it more difficult to climax. But only Cymbalta made it impossible- ugh I hated that med.

I have been taking Pristiq (50mg) lithium (600 mg) lamotrigine (150mg) and mirtazapine (5mg) for the last several years. I have also been taking estrogen for menopausal issues including mood swings. I am not bipolar- the lithium and lamotrigine were to augment the Pristiq, and because my father (who was bipolar) had huge benefits from them. The mirtazapine (tiny dose) was to counter the side effects of Pristiq.

So far I have discontinued the estrogen, lithium and lamotrigine over two months, with no lasting effect. Yesterday I started weaning off Pristiq. I am weaning off with the help of Prozac (as directed by my doctor) due to Prozac's extremely long half-life. So last night I took Prozac instead of Pristiq. Had some weird and complex dreams but nothing too bad and actually slept through the night, about 7 hours.

SNRI meds are notoriously difficult to discontinue, however 50mg is a relatively low dose to begin with.

I wanted to try life without prescription drugs. If I need to I will start them again, but as I said I have never noticed any lifting or stabilizing of my mood from taking these drugs. A lot of people find them helpful, though. I have Atypical depression so perhaps this is why they don't seem to work for me. For a description of Atypical depression, just look at Wikipedia. And despite the name, it's very common and up to 40% of cases of depression may be atypical.

I do take benzodiazepines as needed (usually less than once a week) for anxiety. I have started micro-dosing THC for evening depression and it is the ONLY substance that has ever stopped the depression. I take 2-4mg a few times a week. It is legal where I live.

I'm managing my depression pretty well with exercise, spiritual practice (meditation and study of Buddhism and Stoicism), and I left my toxic job. That last one was a biggie. I also use SF and an IRL group for support.

I take vitamins including D, calcium, magnesium and a B complex, a few times a week. I eat a healthy and varied diet. I want to get more regular about taking supplements. There's a free online book called The Way Up from Down, written by a psychiatrist many years ago, that recommends a regimen of supplements for depression.
 
#3
You may wonder why I took that combo of meds for years - I was under the care of a psychiatrist and she was doing her best to help me and I didn't want to say the meds were doing nothing because I wasn't sure. Talking to her (and the lifestyle changes she suggested for diet and sleep and so on) did help. Therapy helped. But for me, the drugs never did a thing to improve my mood. Now, if I come off them and become an emotional wreck I will know they were actually doing something. But I doubt it. I am definitely curious to see.
 
#5
I hope it goes well for you, you've certainly got the right attitude and an openness to restarting them if needed.

I've been thinking along the same lines but there's so much stress at the moment with my divorce that I think it's best to wait until I'm over this hump.
Yeah I get it. I waited until the yoke of my former job was gone from around my neck. i wish you the best with your divorce
 
#6
Well I had a terrible night filled with Walking Dead nightmares about zombies. I hope the worst of this med withdrawal is over.

I don't know - I mean, I had severe depression, not mild. But it seems to me docs are way too quick to hand out these mind-altering meds rather than investigate why people are depressed and stand up for them. I grew up watching M*A*S*H and thinking of doctors as crusaders against corrupt authority, like Hawkeye Pierce, who was one of my heroes. Crusaders for health and sanity and fun.

Now docs hand out meds to numb people's minds and keep them functioning, keep them working, keep them from questioning, keep them down. Many of my co-workers were not severely depressed but were on the same meds. Maybe that's why nobody ever spoke out, challenged authority. I mean I heard a few people (mostly white males, who are more likely to speak out if they are mistreated) complaining that they were reprimanded for spending 10 minutes in the bathroom once in a while. One guy said within my hearing "I was taking a f*cking sh*t okay?" He was gone soon after - I think he quit. Maybe his doctor put him on antidepressants so he could stand the next sweatshop job he worked at.
 
Last edited:
#7
On the plus side, my psychiatrist told me that the courts are increasingly saying that students and employees must be given accomodation for health conditions. Maybe the courts will even decide that health is important even without a diagnosed medical or mental health condition, and that employers are going too far in destroying people's health with overwork and stress. As $$$ gets handed out from lawsuits maybe the elites will decide that they have to balance their hunger for higher profit with people's health limitations. Maybe people will embrace minimalism and stop being slaves to consumerism. Maybe... Well like John Lennon said, we can Imagine.
 
#8
My husband, who has never been diagnosed with anything but mild depression, is also on meds. Citalopram and Quietapine (the latter mostly for sleep, at a low dose). He's going to try and withdraw as well, now that our situation is less stressful.

But yes, don't worry - I will go back on them if I need them. I really hope I won't though, now that I have other coping strategies.
 
#9
Coming off this med isn't easy. My thoughts are racing and I feel hyper and unsettled and anxious. However I've managed to calm down, read and meditate this evening and feel a bit better. I just took half a clonazepam as my pdoc advised me to do if I can't sleep. My dreams were torturous for hours last night although did settle down.

Tomorrow I plan to spend a lot of time reading fiction which is calming for me.
 
#10
Another horrible night of insomnia. I also took a look at stuff I posted on the forum yesterday, and while I take responsibility for anything I said, it's clear to me that the neurochemical disruption of coming off my med is affecting me. Now my mental illness often affects me as well in terms of emotional rants in particular, whether I'm on meds or not, but I don't usually deliberately try to provoke conflict on this forum in the way that, say, someone might in the comments on Reddit. Not that my posts were THAT extreme. Sigh. Oh well, I will deal with the fallout if and when it occurs. Which it no doubt will. I can never attack religion, even with the most obvious or commonsense argument, without some kind of backlash. And I was being tempted to post even more incendiary comments, but luckily backspaced.

Today I'm feeling much more level but I did break down and take another single dose of Prozac/fluoxetine in the wee hours. The Prozac has been prescribed to "cushion the blow" of coming off Pristiq, due to the long half-life of fluoxetine. It's not the same though as Prozac is an SSRI and Pristiq is an SNRI. The SNRI meds like Pristiq/desvenlafaxine and Effexor/venlafaxine and notoriously hard to wean off of.

So hopefully the dose of med last night is the last one I have to take. I didn't break open the capsules (I tried) but maybe will attempt that again to take an even smaller dose. I did read once of someone attempting to come off Effexor who had to reduce the dose in each capsule by one granule at a time after experiencing severe brain zaps (something I haven't had).
 

Harmony

Well-Known member
SF Supporter
#11
I tried this in the best of "situational" times with a very slow tapering process. It did not go well leading me to feel my depression was highly biochemical more than likely PMDD-related. However, I am of the school of thought that less is more .
Wishing you the best of luck.
 
#12
I'm exhausted after another night with minimal sleep, but I suspect this is a withdrawal symptom rather than a sign that I need to stay on the medication to sleep long-term. I also feel nauseous and have taken an antacid since I felt a bit of acid reflux.
 

Angie

Admin
SF Author
SF Supporter
#13
Another horrible night of insomnia. I also took a look at stuff I posted on the forum yesterday, and while I take responsibility for anything I said, it's clear to me that the neurochemical disruption of coming off my med is affecting me. Now my mental illness often affects me as well in terms of emotional rants in particular, whether I'm on meds or not, but I don't usually deliberately try to provoke conflict on this forum in the way that, say, someone might in the comments on Reddit. Not that my posts were THAT extreme. Sigh. Oh well, I will deal with the fallout if and when it occurs. Which it no doubt will. I can never attack religion, even with the most obvious or commonsense argument, without some kind of backlash. And I was being tempted to post even more incendiary comments, but luckily backspaced.

Today I'm feeling much more level but I did break down and take another single dose of Prozac/fluoxetine in the wee hours. The Prozac has been prescribed to "cushion the blow" of coming off Pristiq, due to the long half-life of fluoxetine. It's not the same though as Prozac is an SSRI and Pristiq is an SNRI. The SNRI meds like Pristiq/desvenlafaxine and Effexor/venlafaxine and notoriously hard to wean off of.

So hopefully the dose of med last night is the last one I have to take. I didn't break open the capsules (I tried) but maybe will attempt that again to take an even smaller dose. I did read once of someone attempting to come off Effexor who had to reduce the dose in each capsule by one granule at a time after experiencing severe brain zaps (something I haven't had).
Effexor withdrawal is difficult. Yes some folks do open the capsules to take a few grains. Be patient. Good luck.
 

Ineluki

The Storm King
Safety & Support
SF Supporter
#16
Best of luck, Lady! *hug

I know it's hard to wean off meds. It's also hard to tell an authority figure like a doctor "Hey, that stuff you gave me isn't working." It sounds like you were patient and gave all the meds enough time to work so this will probably be the right decision in the long run.
 
#17
Well yesterday was by far the worst so far (posted in another thread about it). I was in bed most of the day with body pains, dizziness, nausea, headache etc. If I'd had a sore throat I would have figured I'd caught the flue.

Today I feel 80% better and hope the worst is over. It feels so strange to be on NO medication. I will have to monitor my moods in the next few months. But I feel great! And today I had a huge insight into the incident in my writer's group and realized I'm actually going to base a story on it. Fictionalized of course.
 
#18
Ugh. Tonight wasn't great. I was feeling agitated, hot, and slept for just 5 hours, awakened by itchiness. I itch all over but especially hands and feet. Doesn't seem to be jaundice or anything serious. Now I feel like vomiting. Probably some of it is stomach acid because I haven't eaten much for 2 days.

Can't wait for this to be past.
 

Please Donate to Help Keep SF Running

Total amount
$105.00
Goal
$255.00
Top