Antidepressant Withdrawal: Symptoms, Timeline, & Treatment
Your provider can help you stop antidepressants in a way that reduces withdrawal. We also discuss antidepressant withdrawal relief options, such as taking an antihistamine like Benadryl for Effexor withdrawal. To minimize the risk of antidepressant withdrawal, talk with your doctor before you stop taking an antidepressant.
Individualize tapering to reduce the major risk of protracted withdrawal
Discontinuing an antidepressant medication usually involves reducing your dose in increments, allowing two to six weeks or longer between dose reductions. Your clinician can instruct you in tapering your dose and prescribe the appropriate dosage pills. In some cases, you can use a pill cutter to create smaller-dose pills, though be sure to check with your clinician or pharmacist to find out if your antidepressant can be cut. You may also be able to use a liquid formulation for smaller dose adjustments. If the overdose was on purpose, it is important to get help from a mental health professional to address suicidal thinking and behavior.
What I have learnt from helping thousands of people taper off
Antidepressants can cause sexual side effects that range from lessened sexual desire to difficulty achieving orgasm. These side effects were reported with long-term use of antidepressants and could worsen with age. Antidepressants are no different, particularly when mdma ecstasy molly drug withdrawal symptoms: what you may experience taken in the long term. If you are having suicidal thoughts, contact the National Suicide Prevention Lifeline at 988 for support and assistance from a trained counselor. A lack of energy and a depressed mood will likely make exercise the last thing you want to do.
Antidepressant withdrawal symptoms
- Rather than stopping it cold turkey and potentially causing discontinuation syndrome, talk to your doctor about switching to another medication, especially if you haven’t been on it for long.
- Your provider may recommend a short taper of one to two weeks (given the long half-life of Prozac, in some respects, it tapers itself) or a longer taper that plays out over the course of several weeks or months.
- My request to my psychiatristsfor reinstatement of paroxetine, as the literature said was appropriate,26,31 wasrefused.
- People should not make medication changes without professional advice.
Whether you’re concerned about social stigma or want to try therapy as an alternative, you may prefer not to be on antidepressants — and that’s OK. Just be sure to communicate that preference to your doctor so they can help you make a safe transition to being medication-free. They may also ask about your openness to trying other methods of treatment for your depression, such as psychotherapy. If you’ve experienced negative side effects since you started taking antidepressants, you may understandably feel inclined to stop using them.
Besides easing the transition, tapering the dose decreases the risk that depression will recur. In a Harvard Medical School study, nearly 400 patients (two-thirds of them women) were followed for more than a year after they stopped taking antidepressants prescribed for mood and anxiety disorders. Participants who discontinued rapidly (over one to seven days) were more likely to relapse within a few months than those who reduced the dose gradually over two or more weeks. Your tapering schedule will depend on which antidepressant you’re taking, how long you’ve been taking it, your current dose, and any symptoms you had during previous medication changes.
Changing Your Lifestyle
Another influencing factor is the length of time someone has been taking antidepressants. The longer a person has been taking the medication, the more likely they are to have withdrawal symptoms. Because there are risks for rebound effects — where your depression symptoms worsen when you stop taking the medicine — it’s also important for your doctor to discuss these with you.
If you use antidepressants in combination with other treatments — such as talk therapy and wellness tools — you may want to talk about if or when you can stop taking the antidepressants. Medications with a longer half-life such as fluoxetine may not require an extended tapering schedule. If you decrease your daily calorie intake as a result, you could potentially lose weight by stopping your antidepressants. There’s less information on what happens regarding your weight and stopping antidepressants.
Talk to your clinician about the benefits and risks of antidepressants in your particular situation, and work with her or him in deciding whether (and when) to stop using them. Before discontinuing, you should feel confident that you’re functioning well, that your life circumstances are stable, and that you can cope with any negative thoughts that might emerge. Don’t try to quit while you’re under stress or undergoing a significant change in your life, such as a new job or an illness. And even if you do successfully go off your medication, bear in mind that your doctor may recommend that you go back on it (or try another one) in the future if your mental health issues return — and they well may.
Prozac, or fluoxetine, is an antidepressant in a class known as selective serotonin reuptake inhibitors (SSRIs). Because Prozac affects your brain chemistry, it should never be stopped without consulting your doctor. Discontinuing any prescription medication should only take place under your doctor’s supervision. If your doctor does recommend that you stop taking Prozac, follow the steps below. For decades, in both psychiatry and addiction medicine, there have been calls forresearch into tapering protocols for psychotropics so as to avoid withdrawalsymptoms,88–92 with little result.
There are no hard and fast rules for getting off antidepressants, other than that the approach should be individualized! Some people can taper off an antidepressant in a matter of weeks, while others may take months. Antidepressant withdrawal is possible drug addiction blog if you abruptly stop taking an antidepressant, particularly if you’ve been taking it longer than four to six weeks. Symptoms of antidepressant withdrawal are sometimes called antidepressant discontinuation syndrome and typically last for a few weeks.
Antidepressants can be notoriously difficult to quit because stopping can produce withdrawal-like symptoms called “discontinuation syndrome.” If you’re wanting to stop your antidepressant because of unwanted side effects, consider discussing other medication can labs detect synthetic urine in 2024 options for your symptoms with your doctor. Every medication works in a unique way and has different side effects. You may be tempted to stop taking antidepressants as soon as your symptoms ease, but depression can return if you quit too soon.
If you experience discontinuation symptoms during a particular dose reduction (or shortly after discontinuation), your doctor may restart you at your original dose and then taper you off more slowly. If this doesn’t work, your doctor may switch you over to a drug with a longer half-life such as Prozac. If depression or anxiety recurs after stopping an antidepressant, it is often a gradual process that slowly worsens over time. In contrast, symptoms related to antidepressant withdrawal tend to occur quickly (days rather than weeks) and slowly improve over time. Discontinuation symptoms can be very similar to the anxiety or depression symptoms that prompted you to take the medication in the first place. Whether you continue on your medication depends upon your doctor’s recommendations.
If you were on a very high dose of Paxil (paroxetine) or Effexor (venlafaxine), you may need to take repeated doses of Prozac. Tapering means gradually decreasing your dose over an extended period of time. How you’ll do this will depend on how long you’ve been taking the drug, how high your dose is (if you’re on a low dose you’ll be able to taper off more quickly), and any other factors your doctor may consider. You should be able to go directly from your current medication to another SSRI without triggering discontinuation syndrome, meaning that you won’t need to wean yourself from the first drug before starting the second. Certain antidepressants, such as Effexor (venlafaxine), leave your system quickly and therefore are more likely to cause withdrawal symptoms.
People may experience withdrawal symptom days or weeks after reducing the dose. There’s some evidence that suggests that suddenly stopping antidepressants can result in depression symptoms — sometimes ones that are even worse than before. That’s why it’s important to consult with your doctor, so you can work on a tapering plan together or determine if going off antidepressants is the right move at this time. A dose of antidepressants should be slowly reduced, normally over several weeks, and sometimes longer. This varies depending on the type of antidepressant you’re taking, your dose and how long you’ve been taking it for. If you have quit taking your antidepressant and have anxiety or chronic pain, talk with your healthcare provider about how to ease these issues without worsening your condition.