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Coming Off All Meds


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I had a doctor appointment today and my doctor has decided to take me off all meds. I am so nervous. I am afraid I will not be able to handle it. First off I will be decreasing the Wellbutrin from 150mg to 75mg for a week then taking 75mg every other day for a week then off. I will be on 10mg of paxil during this time.

I am going to post my progress on this thread. I am very very nervous. I think though coming off the W will actually help so I am crossing my fingers.

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I had a doctor appointment today and my doctor has decided to take me off all meds. I am so nervous. I am afraid I will not be able to handle it. First off I will be decreasing the Wellbutrin from 150mg to 75mg for a week then taking 75mg every other day for a week then off. I will be on 10mg of paxil during this time.

I am going to post my progress on this thread. I am very very nervous. I think though coming off the W will actually help so I am crossing my fingers.

Hi theguy,

It's ok to be nervous about the unknown. That being said go with the plan and dig in. If you don't mind me asking...Why is your doc taking you off all meds and is it something you feel good about? If so, then I'm sure that you will be able to handle it fine. Make sure you keep in touch with your doc if you have questions. Keep posting here so we know how you are doing and for reassurance. Now.........take a deep breath and relax. You'll be in my thoughts and prayers. Peace.................................POPI

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I had a doctor appointment today and my doctor has decided to take me off all meds. I am so nervous. I am afraid I will not be able to handle it. First off I will be decreasing the Wellbutrin from 150mg to 75mg for a week then taking 75mg every other day for a week then off. I will be on 10mg of paxil during this time.

I am going to post my progress on this thread. I am very very nervous. I think though coming off the W will actually help so I am crossing my fingers.

Hi theguy,

It's ok to be nervous about the unknown. That being said go with the plan and dig in. If you don't mind me asking...Why is your doc taking you off all meds and is it something you feel good about? If so, then I'm sure that you will be able to handle it fine. Make sure you keep in touch with your doc if you have questions. Keep posting here so we know how you are doing and for reassurance. Now.........take a deep breath and relax. You'll be in my thoughts and prayers. Peace.................................POPI

I have been going on and off meds too much and the doctor wants me to use coping strategies instead. The Wellbutrin has killed my appetite and I can't wait for that med to leave my system I have low energy from that med. The back of my neck still feels tight and I am trying to relax but I can't get there completely as I think the W has caused this. I hope I feel better soon.

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Yeah, why is he taking you off? Are they not working or are they making you sick? Is it a PDoc? Just curious. IMHO it is OK to stay on meds that are working as long as necessary.

The Wellbutrin is not working. It has made me more depressed, restless and anxious. It has taken my appetite away so not eating regularly has caused problems too. It has evenmade me suicidal. I told the doctor from the beginning that I didn't feel right on this med but she told me to keep taking it. Now I have to go through the withdrawal process. I am not looking forward to it. On W everything is so bright and I just feel separate from reality so I don't like this feeling.

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The one thing Wellbutrin has given me is a sense of being paranoid. I am afraid to walk around my house with my eyes open. Does anyone know how to beat this feeling while this med is leaving my system?

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Hello theguy,

Im wondering also, is this a pdoc or your regular primary care physician?

Gentle Sun

She is a reglular primary care physician

Oh, my! Is she "qualified" to treat MH issues? I truly keep my pdoc and my family physician completely seperated except with keeping both informed regarding medications I am on.

My first experience with dealing with my own MH challenges was with my GP.......what a disaster! I can almost guarantee that a pdoc would totally advise AGAINST what you are being asked to do. A pdoc is going to be in total agreement with tdoc therapy, other coping skills, but unless you are facing a potentially life threatening situation regarding your meds it seems totally inappropriate to just say "we're dumping all your meds".

GPs are NOT TRAINED in brain chemistry and in no way should be what seems to me to be "experimenting" with you. You are not a guinea pig. You are not a lab animal. Has this GP even suggested reffering you to a qualified MH professional. So, is she now going to be giving you tdoc therapy, too?

I can support you in anything you chose to do. Afterall, YOU are the expert on yourself. How do you feel about her approach. Have you talked in detail with her about this? You see, I am such an extreme self advocate that I just wouldn't even begin to roll over and play dead if something like this was even suggested to me. I'd be asking so many questions the GP would probably look at me and say "you can't be helped.....next patient please"!

TheGuy, it's time you seek out the help of a MH specialist. Maintain your respect for your GP(if you have any), but by all means ask for a referral. If this GP is not even willing to offer this option, then my opinion is that she's playing God, and just "thinks" she knows all the answers. There's something in the Hippocratic Oath that addresses this. Maybe she should read that oath again?....it's something about "doing no harm"....I just can't recall the exact words at the moment.

However, my concern is not for her, it's for YOU. Be a self advocate! Question things that just don't seem right, and back your questions up with educating yourself about your meds and your conditions.

I don't intend this to be a "rant", nor do I seek to minimize the GP's importance in your healthcare. But, I do ask, ARE YOU SEEING the best QUALIFIED person to address your MH issues? As I said, my own first encounter with MH matters were addressed with my GP. I was given a Rx for Paxil and told "this will help"......no further guidance. I have just come a long way in partnering with my docs of any sort, and if they can't seem to "partner" with me then the relationship ends, and I move on.

I'm really sorry that you are going through so much. But, be PRO-ACTIVE in your healthcare on every level. I wish only the best for you, and you certainly have gone through a lot recently. Seek out the best help you can get. Furthermore, insist that any professional you are dealing with is not just holding your care in their(perhaps)

self glorifying egotism to remain in control.

Regards,

Deepster

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Personally, I don't think it's necessarily an issue about GPs versus psychs. I've seen GPs who knew way more about meds than supposed mental health professionals.

From what you write, it sounds like you have a lot of justified reasons for getting off Wellbutrin - and that the desire to come off that drug comes from you, and that both you and your doc think it's a good idea. Personally - and this is just me - I wish I had gotten off some of my meds much earlier - the ones that caused suicidal ideations, for instance - a symptom I never had before and which has not gone away.

Assuming you decide to proceed with getting off the Wellbutrin, here are some other questions to consider:

Why go off the second med?

Do you want to find a med to replace the ones you're going off?

Do you want to try just using coping methods?

If you're worried about how you're going to do off medications, can you arrange for any kind of support around you during the process? Stay with friends or family, make sure you have a hotline number around, have some benzos around for any extreme moments - etc?

I hope it all goes well for you.

Edited by americandownunder
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Hello theguy,

Im wondering also, is this a pdoc or your regular primary care physician?

Gentle Sun

She is a reglular primary care physician

Oh, my! Is she "qualified" to treat MH issues? I truly keep my pdoc and my family physician completely seperated except with keeping both informed regarding medications I am on.

My first experience with dealing with my own MH challenges was with my GP.......what a disaster! I can almost guarantee that a pdoc would totally advise AGAINST what you are being asked to do. A pdoc is going to be in total agreement with tdoc therapy, other coping skills, but unless you are facing a potentially life threatening situation regarding your meds it seems totally inappropriate to just say "we're dumping all your meds".

GPs are NOT TRAINED in brain chemistry and in no way should be what seems to me to be "experimenting" with you. You are not a guinea pig. You are not a lab animal. Has this GP even suggested reffering you to a qualified MH professional. So, is she now going to be giving you tdoc therapy, too?

I can support you in anything you chose to do. Afterall, YOU are the expert on yourself. How do you feel about her approach. Have you talked in detail with her about this? You see, I am such an extreme self advocate that I just wouldn't even begin to roll over and play dead if something like this was even suggested to me. I'd be asking so many questions the GP would probably look at me and say "you can't be helped.....next patient please"!

TheGuy, it's time you seek out the help of a MH specialist. Maintain your respect for your GP(if you have any), but by all means ask for a referral. If this GP is not even willing to offer this option, then my opinion is that she's playing God, and just "thinks" she knows all the answers. There's something in the Hippocratic Oath that addresses this. Maybe she should read that oath again?....it's something about "doing no harm"....I just can't recall the exact words at the moment.

However, my concern is not for her, it's for YOU. Be a self advocate! Question things that just don't seem right, and back your questions up with educating yourself about your meds and your conditions.

I don't intend this to be a "rant", nor do I seek to minimize the GP's importance in your healthcare. But, I do ask, ARE YOU SEEING the best QUALIFIED person to address your MH issues? As I said, my own first encounter with MH matters were addressed with my GP. I was given a Rx for Paxil and told "this will help"......no further guidance. I have just come a long way in partnering with my docs of any sort, and if they can't seem to "partner" with me then the relationship ends, and I move on.

I'm really sorry that you are going through so much. But, be PRO-ACTIVE in your healthcare on every level. I wish only the best for you, and you certainly have gone through a lot recently. Seek out the best help you can get. Furthermore, insist that any professional you are dealing with is not just holding your care in their(perhaps)

self glorifying egotism to remain in control.

Regards,

Deepster

Thanks Deepster for your reply. I think Wellbutrin really made me so much worse so I will be happy to come off that med. I will be taking 10mg of paxil until my next appointment which is in 2 weeks. When I go and if I feel fine on 10mg of paxil then I think I will just stay on it for awhile. I definitely know that W had raised my anxiety so much that it triggered depression as well and even now I feel a bit paranoid on it. I may ask to see a psychiatrist again to help with the meds because I am not happy with the family doc. she means well (I think) but today I felt bad when she was talking to me. thanks again.

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Im on Paxil. I took Wellbutrin for awhile and had no appetite as well. It also made me on edge. I do much better on Paxil. Its a good med for anxiety and depression. Hang in there!!

Thanks gentle sun, I think when the W is out of my system and I am on 10mg I should feel much better .. I hope. Ya the appetite sucks on W and then I am not getting the nutrician I need so that beats the purpose of this med for me. I will stick with Paxil for now at the 10mg dose and see what happens.

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Personally, I don't think it's necessarily an issue about GPs versus psychs. I've seen GPs who knew way more about meds than supposed mental health professionals.

From what you write, it sounds like you have a lot of justified reasons for getting off Wellbutrin - and that the desire to come off that drug comes from you, and that both you and your doc think it's a good idea. Personally - and this is just me - I wish I had gotten off some of my meds much earlier - the ones that caused suicidal ideations, for instance - a symptom I never had before and which has not gone away.

Assuming you decide to proceed with getting off the Wellbutrin, here are some other questions to consider:

Why go off the second med?

Do you want to find a med to replace the ones you're going off?

Do you want to try just using coping methods?

If you're worried about how you're going to do off medications, can you arrange for any kind of support around you during the process? Stay with friends or family, make sure you have a hotline number around, have some benzos around for any extreme moments - etc?

I hope it all goes well for you.

Thanks for your reply. as I have been stating, when I am off of Wellbutrin and left with only 10mg of paxil I think I will just try to stay at that dosage for awhile. I don't want to go off as fast as she is indicating. Yes the Wellbutrin has practically made me crazy, made me hate people, made me antisocial. I started to even hate myself. My anxiety went way up on the Wellbutrin and when 10mg of paxil was introduced it helped ease that anxiety some. So by coming off the Wellbutrin I really hope I feel much better.

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(((theguy)))

I think you're on the right track about a couple of things.

Definitely if you don't feel like the W is working for you, you should come off it. It's known for causing a rise in anxiety in some and that's definitely seeming the case for you. I think you know yourself well enough to know that you want off. I don't think we should have to suffer from being on meds, they are supposed to make us feel better. I will admit, Zoloft made me feel like garbage for a few days, but once it leveled out, I really enjoy it. I think that's how pmeds should be. If they aren't working, and we know it, then we need to make sure our docs know this.

I also think you should definitely talk to your pdoc about doing your meds again. It really seems like the past few months you've been through so much and on so many different meds that perhaps some of them didn't have time to work fully. Perhaps your pdoc can take a history of what you've been through and offer you something that may work better.

I think therapy is a great idea too. Especially learning those coping skills. I only went to 3 appointments with my therapist but she was a gem. She taught me how to utilize CBT and I'm a changed person because of it. I find myself being more calm, rational, and responsible. I still have fun and enjoy my life, but I find myself being more of an adult if you will. Also it's helped me to cope with my wife's epilepsy.

I went from having a total mental breakdown (thinking I was dying/going crazy) 7 months ago when my wife had a seizure, to where I am today. In fact, just Tuesday I think it was she prolly had a small seizure. It didn't even phase me this time. I took it in stride and was actually in a good mood the next day, as was my wife. I figure if they don't bother her much, they don't really bother me either. I do enough worrying. The CBT has really helped me with the racing thoughts and worry.

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I am giving an update. I had a lot of muscle tension yesterday so much that it felt very difficult to breath. Today I have some fatigue and then a mix of anxiety with specific occipital pain that feels like a pinched nerve but I think it is part of the withdrawal because I can feel the anxiety go up when there is more pain there. the same spot makes me a bit dizzy too. I guess I feel a bit restless and agitated at the same time with a sense of fear/anxiety. I find I am on the verge of an anxiety attack but I am trying to ignore it. I am trying to focus on the good and positive and on the present time, not tomorrow or yesterday. I can't seem to focus on anything either because my body will not relax completely.

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Hey ((((theguy))))!

How are you feeling today?

Hey there, sorry this took a few days. I guess I am feeling better meaning not as much anxiety but my neck still gets tense so I must still have anxiety somewhere. I guess I should say I have been feeling more down lately then anxious. I just can't seem to find much enjoyment in life anymore. I guess if I dig down deep enough, I would say I feel unloved. It has been a long time since I actually hugged someone and hugged them back and actually felt really good about it. At work I don't have much passion in my job, well I don't have much passion in much of anything right now. My outlook on life is a bit bleak and I think it has something to do with not being able to share life with anyone. I have no one to love or love me back. ya, I just don't believe I can find a good match for me anymore. It feels as if noone wants me, not anyone I would want back anyway. Anyway, at least I don't feel so anxious anymore.

I am at 37.5mg of the Wellbutrin and 10mg of paxil now. In a week or two I will be off the Wellbutrin completely.

Edited by theguy
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guy, if i was any where close i would love to give you a hug,, you have been threw alot but i am glad you are going off th"W" i think that stuf is evel,,,, i have all the same feelings as you d o about loosing any passsion for life and i am around people and doing a job i once felt passion for , i think when you get depressed you just loose it for anything even my puppies dont seem to help nor family,.... i am 2 weeks in on pristiq and it seems to be a ,little up lifting , hard to tell i have had avery bad week.. someone stole all our money and the house situation is not looking good,,, anyways hang in there and know that we are here for u

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guy, if i was any where close i would love to give you a hug,, you have been threw alot but i am glad you are going off th"W" i think that stuf is evel,,,, i have all the same feelings as you d o about loosing any passsion for life and i am around people and doing a job i once felt passion for , i think when you get depressed you just loose it for anything even my puppies dont seem to help nor family,.... i am 2 weeks in on pristiq and it seems to be a ,little up lifting , hard to tell i have had avery bad week.. someone stole all our money and the house situation is not looking good,,, anyways hang in there and know that we are here for u

Thanks chel, I am sorry to hear about your money being stolen and the house situation. I keep trying to believe that things are going to get better. I do struggle with keeping my mind in the right mind daily though. I am mostly tired all the time now and I don't know if this is the med or just the depression. Then again, the sun is not shining today so I am sure that affects me some plus I am finding out that bread/wheat has a profound effect on my energy. I had pizza yesterday and today I am so sluggish. I know I could be worse off with the depression because if it was worse then I wouldn't even care to watch tv, or write or play cards with family or on the pc. I do all those things so I know things are not at their worst.

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Well I was feeling fatigued for a bit and I would have a coffee to wake me up which I think helped but now I think I need to lay off the caffeine now as I feel I am prone to getting anxious easily again. I can just feel the anxiety on the verge. My mind thinks of so many things and I just don't know how to relax and a focus on the moment. I think, think and think ... why why why? Ok the one good thing so far is that my libido is back sort of so I am not worried about that but my nervous system gets so worked up easily. I think when I am alone (which I am right now) I think so much that I am alone and have no girlfriend or anyone to comfort me. This bothers me because I am supposed to be the man in a relationship who is strong. This is crazy, how did I get this way? I am not going off the paxil until I level out.

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Were you thinking of going off the Paxil? How come? It may need to be increased somewhat. 10 mg is pretty low.

The doctor wanted me off of all meds that is why I was going to come off but I am not too sure about this yet. I will probably ask her to stay on the 10mg for awhile. I know 10mg is low. I am so silly sometimes. I am sure caffeine has a negative effect on me and eating late at night but when I am home at night I have so much trouble trying to get to sleep. I think too much and then to try to ease the uncomfortable feelings of anxiety and / or depression I start to eat at night. Why do I do this to myself? Grrrr then I feel yucky in the morning and don't eat a proper breakfast cause I didn't sleep well.

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guy i think going on or coming off any meds is difficult,, i ddint sleep well last night cuz i tried taking my med earlier and ended up just stressing out over life.. have you tried effexor or citalipram or pristiq? sometimes its justr trial and error until you find the one tha works, i know its not much fun but its all we can really do ,,i hate being on meds but i dont know what else to do i am just trying to make a point ,i have my up and down days and they have been more down then up but i am going to contunue to try,, i have 3 kids and i know there was once a person in my that loved life and everything it had to offer, if i could just find her,,,, hang in there maybe take an early nap and go for a walk today,,,, good luck

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