Withdrawal Symptoms from Medication: A Patient's Journey - Neurology

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Yongkang Syndrome Withdrawal Symptoms


Hello Doctor, I have been experiencing insomnia and anxiety since March 2021 and have been seeking treatment.
The doctor prescribed me one tablet of Yongkangxu in the morning and one tablet of Anxin before bed.
Now, in October 2021, the doctor suggested reducing the dosage from one tablet a day to one and a half tablets a day.
On the first day of the reduction, I started feeling emotionally low in the afternoon.
The next day, my mood worsened, and I cried twice, accompanied by feelings of anxiety and agitation.
I took an additional half tablet at night, which improved my condition.
Is this withdrawal symptoms? How can I improve this situation?

Ki, 30~39 year old female. Ask Date: 2021/10/04

Dr. Cai Zongzhang reply Neurology


Hello Ms.
Ki: It is recommended that you visit the outpatient clinic of the Department of Mental Development at our hospital.

Reply Date: 2021/10/04

More Info


It sounds like you are experiencing withdrawal symptoms from your medication, which can be quite challenging. When you reduce or stop taking medications like benzodiazepines or certain antidepressants, your body may react negatively due to the sudden change in chemical balance. This is often referred to as withdrawal syndrome.
In your case, you mentioned that you were taking medications for anxiety and insomnia, specifically "永康緒" (which I assume is a type of antidepressant or anxiolytic) and "安靜錠" (likely a benzodiazepine). When you reduced your dosage from one pill to one and a half pills, you started to feel emotionally low and anxious, which are common withdrawal symptoms. Other symptoms can include irritability, insomnia, increased heart rate, and even physical symptoms like headaches or nausea.

Here are some steps you can take to manage these withdrawal symptoms:
1. Consult Your Doctor: It's crucial to communicate with your healthcare provider about the symptoms you're experiencing. They can assess your situation and may suggest a slower tapering schedule. Gradually reducing the dosage over a longer period can help minimize withdrawal effects.

2. Monitor Your Symptoms: Keep a journal of your symptoms, noting when they occur and their severity. This information can be helpful for your doctor to understand how the withdrawal is affecting you.

3. Consider Therapy: Engaging in cognitive-behavioral therapy (CBT) or other forms of psychotherapy can provide you with coping strategies for anxiety and emotional distress. Therapy can also help address the underlying issues that led to your medication use.

4. Lifestyle Modifications: Incorporate healthy lifestyle changes to support your mental health. Regular exercise, a balanced diet, and adequate sleep can significantly improve your mood and overall well-being. Mindfulness practices, such as meditation or yoga, can also be beneficial in managing anxiety.

5. Support System: Reach out to friends, family, or support groups. Sharing your experiences and feelings with others can provide emotional support and reduce feelings of isolation.

6. Avoid Substances: Stay away from alcohol, caffeine, and recreational drugs, as these can exacerbate anxiety and withdrawal symptoms.

7. Stay Hydrated and Nourished: Ensure you are drinking enough water and eating nutritious meals. Proper hydration and nutrition can have a positive impact on your mood and energy levels.

8. Patience: Understand that withdrawal symptoms can take time to resolve. It’s essential to be patient with yourself during this process.

In summary, what you are experiencing could indeed be withdrawal symptoms from your medication. It is vital to work closely with your healthcare provider to create a safe and effective plan for tapering off your medication. With the right support and strategies, you can navigate this challenging period and work towards feeling better.

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