Withdrawal Symptoms After Discontinuing Escitalopram

Q: Withdrawal Symptoms After Discontinuing Escitalopram

Hello Jack： It seems that your symptoms are indeed related to discontinuation of the medication. <br>Some individuals experience withdrawal symptoms similar to yours after stopping medication, which can last from a few days to several weeks. <br>A solution is to extend the taperi

Symptoms of discontinuing Ezetimibe?

Hello doctor, I have completed my treatment and am in the process of tapering off my medication (originally taking 7.5 mg, 1.5 tablets).
The tapering schedule is as follows: 1 tablet for 10 days, then 0.5 tablet for 10 days, and then stopping the medication.
On the fourth day after stopping, I started experiencing dizziness, which has continued to the tenth day.
Is this a withdrawal effect? If so, how long might it last, and what are some methods to alleviate these symptoms? If not, which specialist should I consult? Thank you!

Jack, 60~69 year old female. Ask Date: 2021/08/03

Dr. Lin Mianzhang reply Psychiatry

Hello Jack: It seems that your symptoms are indeed related to discontinuation of the medication.
Some individuals experience withdrawal symptoms similar to yours after stopping medication, which can last from a few days to several weeks.
A solution is to extend the tapering schedule.
You can resume taking 0.5 pills daily for a few days, then switch to 0.25 pills or take 0.5 pills every other day, gradually reducing the dosage.
This approach should minimize withdrawal symptoms.
If you continue to feel unwell, it is advisable to return to the psychiatry clinic for a physician's evaluation.
Wishing you a speedy recovery.

Reply Date: 2021/08/03

More Info

Discontinuing medications like Escitalopram, a selective serotonin reuptake inhibitor (SSRI), can lead to withdrawal symptoms, commonly referred to as discontinuation syndrome. This syndrome can manifest in various ways, including dizziness, headaches, nausea, fatigue, and mood changes. Your experience of dizziness starting on the fourth day after stopping the medication is consistent with these withdrawal effects.

The duration and severity of withdrawal symptoms can vary significantly from person to person. For some, symptoms may last a few days, while for others, they can persist for weeks or even months. Generally, the symptoms tend to resolve within a few weeks after discontinuation, but this can depend on factors such as the dosage you were taking, the duration of treatment, and individual differences in metabolism and sensitivity to medication changes.

In your case, since you were tapering off Escitalopram gradually (first reducing from 7.5 mg to 5 mg, then to 2.5 mg), this approach typically helps minimize withdrawal symptoms. However, even with a gradual taper, some individuals may still experience withdrawal effects. Dizziness, in particular, is a common symptom reported during withdrawal from SSRIs.

To manage these symptoms, here are several strategies you might consider:
1. Stay Hydrated: Dehydration can exacerbate dizziness, so ensure you are drinking enough fluids.

2. Rest and Relaxation: Allow your body time to adjust. Engaging in relaxation techniques such as deep breathing, meditation, or gentle yoga can help alleviate some symptoms.

3. Gradual Resumption: If the dizziness becomes intolerable, consult your healthcare provider. They may recommend resuming a lower dose of Escitalopram temporarily to ease withdrawal symptoms before attempting to taper off again more slowly.

4. Consult a Healthcare Professional: If symptoms persist or worsen, it’s essential to consult with your healthcare provider. They can assess your symptoms and determine whether they are indeed withdrawal-related or if there might be another underlying issue. Depending on your symptoms, they may refer you to a psychiatrist or a neurologist for further evaluation.

5. Consider Therapy: Engaging in cognitive-behavioral therapy (CBT) or other forms of psychotherapy can provide support during this transition period and help you develop coping strategies for managing anxiety or mood changes that may arise.

6. Monitor Your Symptoms: Keep a journal of your symptoms, noting their frequency and intensity. This information can be valuable for your healthcare provider in determining the best course of action.

In summary, the dizziness you are experiencing is likely related to the discontinuation of Escitalopram, and while it can be uncomfortable, it typically resolves with time. However, if it persists or significantly impacts your daily life, seeking medical advice is crucial. Your healthcare provider can help you navigate this process and ensure that you are supported during your transition off the medication.

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