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re: Stepping down off meds (SSRIs)

Posted on 12/14/16 at 9:40 am to
Posted by CypressTrout10
Louisiana
Member since Jun 2016
3012 posts
Posted on 12/14/16 at 9:40 am to
Did you also have a dull feeling in the chest area sometimes too?

If I am fishing, I never have any symptoms
Posted by Tony The Tiger
The Woodlands, TX
Member since Sep 2003
2587 posts
Posted on 12/14/16 at 9:43 am to
quote:

He has been on antidepressants and is currently on one now...but it's not helping as much. He is 68 though and on a ton of other meds for his health in general. He found a new PCP here in Phoenix so I will go with him to his first appt next week so I can talk to his doctor about just how bad the anxiety is. He has medicare so I'm also gonna see if it would cover him seeing a therapist as well.


So you have the long term, daily meds (such as Zoloft) and the short term "cocktails" (such as Ativan). Now there is a 3rd option with using beta blockers (apparently), so it all depends on what he is currently taking. The SSRI route takes at least a month before they start working. Ativan works immediately, but not really good for long term use. Definitely consult with his doctor and put together a custom gameplan for all of these options.
Posted by GumboPot
Member since Mar 2009
118721 posts
Posted on 12/14/16 at 9:44 am to
quote:

For me it is anxiety, not depression.


Does exercise help with your anxiety?
Posted by Tony The Tiger
The Woodlands, TX
Member since Sep 2003
2587 posts
Posted on 12/14/16 at 9:45 am to
quote:

Did you also have a dull feeling in the chest area sometimes too?



Yes, like I am having a heart attack (or about to have one). Scary feeling.

Since I have been on sertraline, this has all but disappeared. Hoping to control these symptoms once I finally step off. Time will tell...
Posted by The Pirate King
Pangu
Member since May 2014
57631 posts
Posted on 12/14/16 at 9:46 am to
Take it very slow, like over a month or so. You have to ween yourself off of it like you would hardcore drugs.

Stopping too suddenly can have really bad consequences. Definitely don't quit cold turkey whatever you do.

I believe the schedule my doc gave me was at least a week at each step, maybe two.
Posted by GumboPot
Member since Mar 2009
118721 posts
Posted on 12/14/16 at 9:46 am to
quote:

My anxiety symptoms have been getting worse for 2 years now. I get the shooting chest pains that last about a second or two. Debating whether to get put on the meds or not. What yall say?




Stay off the meds. Just know that anxiety, although it feels real, is bullshite. There is about a 99.9999999999% you won't die having an anxiety attack.
Posted by Tony The Tiger
The Woodlands, TX
Member since Sep 2003
2587 posts
Posted on 12/14/16 at 9:47 am to
quote:

Does exercise help with your anxiety?


Yes, if I have immediate access to a treadmill.

But general exercise didn't seem to help. Immediate cardio during an episode does help, it is just impossible while at the office or in a meeting.
Posted by lsunurse
Member since Dec 2005
128950 posts
Posted on 12/14/16 at 9:47 am to
quote:

Definitely consult with his doctor and put together a custom gameplan for all of these options.


Will do. I don't want my dad going by himself and just telling the doctor that everything is fine(which he has a tendency to do). He is so stressed about everything now that it is stressing me out as well. As in I'm contemplating using my EAP at work to talk to a therapist for free about dealing with the stressors of helping out my family lately.
Posted by MrLarson
Member since Oct 2014
34984 posts
Posted on 12/14/16 at 9:47 am to
quote:

we discussed using beta blockers


You better hit up 480's thread because beta blockers were cock blockers for me.
Posted by Tony The Tiger
The Woodlands, TX
Member since Sep 2003
2587 posts
Posted on 12/14/16 at 9:49 am to
quote:

Take it very slow, like over a month or so. You have to ween yourself off of it like you would hardcore drugs.

Stopping too suddenly can have really bad consequences. Definitely don't quit cold turkey whatever you do.

I believe the schedule my doc gave me was at least a week at each step, maybe two.



I hear ya, I am taking it as per doc recommendation. So what was your weekly stepdown? Just curious...
Posted by MBclass83
Baton Rouge
Member since Oct 2010
9352 posts
Posted on 12/14/16 at 9:51 am to
What is a brain zap?
Posted by GumboPot
Member since Mar 2009
118721 posts
Posted on 12/14/16 at 9:52 am to
quote:

But general exercise didn't seem to help. Immediate cardio during an episode does help, it is just impossible while at the office or in a meeting.




I had them for awhile. Went to the doctor, got the full cardio workup and he told me I was fine. I just convinced myself this is bullshite.

I chalk anxiety up to not having the proper release for the fight or flight response. Once I convinced myself of that I was able to control it almost completely.
Posted by Cool Hand Luke
Member since Oct 2008
1803 posts
Posted on 12/14/16 at 9:52 am to
I did last year. It was horrible. I finally just started taking them again just to feel normal. On the good side I was horny as hell when I quit taking it.
Posted by Tony The Tiger
The Woodlands, TX
Member since Sep 2003
2587 posts
Posted on 12/14/16 at 9:53 am to
quote:

Will do. I don't want my dad going by himself and just telling the doctor that everything is fine(which he has a tendency to do). He is so stressed about everything now that it is stressing me out as well. As in I'm contemplating using my EAP at work to talk to a therapist for free about dealing with the stressors of helping out my family lately.


The toughest thing for me was to admit there was a problem. I am quite a bit younger than your dad, but I finally sought help and it was the best decision I made. Re-iterate that it is normal to feel anxiety and/or PTSD following an event such as the flood and normal to admit it as well. Getting proper help is a quality of life issue more than anything. Nobody needs to feel that way, especially at 68.
Posted by Sprung
In between the cusions
Member since Apr 2008
1942 posts
Posted on 12/14/16 at 9:53 am to
I weaned off Zoloft 2 years ago. From 100-50-25-0. I also suffered from anxiety associated with driving/passenger in a car for some reason. The Zoloft got me corrected but after I got off I noticed some symptoms coming back so I went cognitive, I think that's it, and faced what was giving me anxiety. It's worked so far... Good luck!
Posted by CypressTrout10
Louisiana
Member since Jun 2016
3012 posts
Posted on 12/14/16 at 9:54 am to
Like a literal zap thru your head. Stops you in your tracks for about a second, brain gets a little foggy, then after 5 seconds you are normal again.
Posted by Tony The Tiger
The Woodlands, TX
Member since Sep 2003
2587 posts
Posted on 12/14/16 at 9:56 am to
quote:

I had them for awhile. Went to the doctor, got the full cardio workup and he told me I was fine. I just convinced myself this is bullshite.

I chalk anxiety up to not having the proper release for the fight or flight response. Once I convinced myself of that I was able to control it almost completely.


I am not there yet, but I completely understand what you are saying. It is mind over matter and I have a faulty "fight or flight" response. I could tell myself it isn't real, but could not control it. Will see in about a month what happens...
Posted by wfallstiger
Wichita Falls, Texas
Member since Jun 2006
11357 posts
Posted on 12/14/16 at 9:56 am to
Just stopped Lexapro....never, ever again will I ingest a SSRI
Posted by Tony The Tiger
The Woodlands, TX
Member since Sep 2003
2587 posts
Posted on 12/14/16 at 9:58 am to
quote:

Like a literal zap thru your head. Stops you in your tracks for about a second, brain gets a little foggy, then after 5 seconds you are normal again.



That sounds awful. Hope to not get these!
Posted by Dirtman16
Madison, AL
Member since Nov 2012
410 posts
Posted on 12/14/16 at 9:59 am to
Well, I've dealt with anxiety in my life, including recently. Fortunately, it's not as severe as some of you are describing. I tried a couple of medications recently, but the side effects were just not worth the trouble.

I've had a good bit of success with counseling. Things like actually writing out your worst case scenarios, deliberate exposure, and CBT really do seem to help (if you have specific triggers). Also, and though I thought it was silly at first, yoga or some other form of meditation seems to be really helpful if you do it consistently.

Hang in there! Anxiety is a real pain the neck to deal with and hard to describe to those who have not dealt with it. Best of luck.
This post was edited on 12/14/16 at 10:00 am
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