Withdrawal Symptoms from Antidepressants: What to Do Next? - Psychiatry

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Withdrawal from anxiolytic medications?


Hello, doctor! I recently visited a psychiatrist who prescribed medication for my anxiety and autonomic nervous system disorder.
However, I didn't realize that stopping the medication could lead to withdrawal symptoms.
I stopped taking it for 4-5 days, and during this time, I've been experiencing dizziness, nausea, and blurred vision, which has been very uncomfortable.
After researching, I found out that antidepressants should not be discontinued abruptly.
Can I resume taking the medication now? Will the withdrawal symptoms improve? Is it necessary for me to schedule a follow-up appointment?

Xiao Miao, 10~19 year old female. Ask Date: 2022/08/17

Dr. Wu Enliang reply Psychiatry


In general, withdrawal symptoms should improve once the medication is resumed.
Dr.
Wu En-Liang.

Reply Date: 2022/08/17

More Info


When it comes to managing withdrawal symptoms from antidepressants, it is crucial to approach the situation with care and understanding. First and foremost, it is essential to recognize that stopping antidepressant medication abruptly can lead to a range of withdrawal symptoms, which may include dizziness, nausea, blurred vision, and other discomforts, as you have experienced. These symptoms can be quite distressing and may vary in intensity depending on the specific medication, the dosage, and the duration of use.

Antidepressants, particularly those classified as selective serotonin reuptake inhibitors (SSRIs) or serotonin-norepinephrine reuptake inhibitors (SNRIs), can lead to withdrawal symptoms if discontinued suddenly. This phenomenon is sometimes referred to as "discontinuation syndrome." Symptoms can manifest within a few days of stopping the medication and may last for several weeks. Common withdrawal symptoms include flu-like symptoms, insomnia, irritability, anxiety, and a return of depressive symptoms.

Given your current experience of withdrawal symptoms, it is advisable to consult with your prescribing physician or a mental health professional. They can provide guidance on the best course of action, which may include gradually tapering off the medication rather than stopping it abruptly. Tapering allows your body to adjust to lower doses of the medication over time, which can help minimize withdrawal symptoms.

If you are considering resuming your medication, it is crucial to do so under the supervision of a healthcare provider. They can assess your current symptoms and determine whether it is appropriate to restart the medication or if an alternative treatment plan is necessary. It is also important to communicate openly with your doctor about the withdrawal symptoms you are experiencing, as this information can help them tailor your treatment plan to better suit your needs.

In addition to medication management, it may be beneficial to explore other therapeutic options, such as psychotherapy or counseling. Cognitive-behavioral therapy (CBT) and other forms of talk therapy can provide valuable support and coping strategies as you navigate your mental health journey. These therapies can help you develop skills to manage anxiety, depression, and withdrawal symptoms more effectively.

Furthermore, lifestyle modifications can also play a significant role in managing withdrawal symptoms and improving overall mental health. Engaging in regular physical activity, maintaining a balanced diet, practicing mindfulness or relaxation techniques, and ensuring adequate sleep can all contribute to emotional well-being. Connecting with supportive friends or family members can also provide a sense of community and understanding during challenging times.

In summary, if you are experiencing withdrawal symptoms from antidepressants, it is essential to consult with your healthcare provider to discuss your symptoms and the best course of action. They can help you determine whether to resume medication, taper off gradually, or explore alternative treatments. Remember that managing mental health is a journey, and seeking professional support is a vital step toward finding the right balance for your well-being.

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