Withdrawal Symptoms After Stopping Eslatam 20mg - Psychiatry

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Discontinue medication: Elistan enteric-coated tablets 20 mg?


Hello, doctor.
The patient has been taking the aforementioned medication for about two years and has stopped taking it on his own for one week.
He is experiencing tremors.
Could this be related to stopping the medication? How long might this last? Thank you.
His other health conditions are stable.

Mrs. Yang, 40~49 year old female. Ask Date: 2020/12/10

Dr. Lin Mianzhang reply Psychiatry


Dear Mrs.
Yang,
Your husband's tremors may be related to the discontinuation of his antidepressant medication.
Most antidepressants can cause varying degrees of withdrawal symptoms upon cessation, which may last from several days to weeks.
To alleviate withdrawal symptoms, a gradual tapering approach is recommended.
For example, in the first week, the dosage can be reduced by half; if there are no adverse effects, the medication can be stopped in the second week.
However, if there are any discomforts, he should continue taking half the dosage in the second week until the symptoms subside before discontinuing the medication.
It is advisable to discuss any medication reduction with a physician beforehand.
Wishing your husband a speedy recovery!

Reply Date: 2020/12/10

More Info


When a patient stops taking Escitalopram (commonly known as Lexapro), especially after long-term use, they may experience withdrawal symptoms. Escitalopram is a selective serotonin reuptake inhibitor (SSRI) commonly prescribed for depression and anxiety disorders. While it is generally well-tolerated, discontinuation can lead to a range of symptoms, often referred to as "discontinuation syndrome."
Withdrawal Symptoms:
Common withdrawal symptoms associated with stopping Escitalopram can include:
1. Hand Tremors: As you mentioned, hand tremors can occur when stopping SSRIs. This is due to the sudden drop in serotonin levels in the brain, which can affect motor control.


2. Dizziness or Lightheadedness: Many patients report feeling dizzy or lightheaded after discontinuing SSRIs.

3. Mood Changes: Some individuals may experience increased anxiety, irritability, or mood swings.

4. Sleep Disturbances: Insomnia or vivid dreams can occur as the body adjusts to the absence of the medication.

5. Flu-like Symptoms: Some patients report feeling fatigued, having headaches, or experiencing muscle aches.

6. Gastrointestinal Issues: Nausea, diarrhea, or changes in appetite can also occur.

Duration of Withdrawal Symptoms:
The duration of withdrawal symptoms can vary significantly from person to person. Generally, symptoms may begin within a few days after stopping the medication and can last from a few days to several weeks. In most cases, symptoms tend to peak within the first week and gradually improve over time. However, some individuals may experience lingering effects for a longer period, especially if they have been on the medication for an extended time.

Recommendations:
1. Consult Your Doctor: It is crucial to communicate with your healthcare provider about your symptoms. They can provide guidance on managing withdrawal symptoms and may suggest a gradual tapering of the medication instead of abrupt discontinuation, which can help minimize withdrawal effects.

2. Monitor Symptoms: Keep track of your symptoms and their severity. If they worsen or become unmanageable, it is essential to seek medical advice.

3. Lifestyle Adjustments: Engaging in regular physical activity, maintaining a healthy diet, and practicing relaxation techniques such as mindfulness or yoga can help alleviate some withdrawal symptoms.

4. Support System: Having a support system in place, whether through friends, family, or support groups, can be beneficial during this transition.

5. Consider Alternative Treatments: If you find that the withdrawal symptoms are challenging, discuss with your doctor the possibility of alternative treatments or medications that may help ease the transition.

In summary, the hand tremors you are experiencing are likely related to stopping Escitalopram, and while they can be uncomfortable, they are typically temporary. It is essential to work closely with your healthcare provider to manage these symptoms effectively and to consider a gradual tapering approach if you decide to resume treatment or if you need to stop again in the future.

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