Discontinuation of Antidepressants
Hello Doctor: Two weeks ago, I experienced symptoms related to health anxiety (palpitations, a desire to see a doctor for various health checks, and anxiety).
After visiting a cardiologist, the doctor prescribed me a pink medication for palpitations and a white medication to alleviate anxiety symptoms.
I took them intermittently for about a week (approximately once a day).
After taking them, I started to experience some blurred vision (a side effect noted on the white anxiety medication's packaging).
On February 29, I visited a psychiatrist who prescribed me DULXETINE (a blue and white capsule to be taken at bedtime) and advised me to take the previously prescribed red and white medications regularly as directed (I switched to taking them on schedule).
After taking DULXETINE for three days, I experienced continuous vomiting, nausea, and more severe blurred vision.
After discussing this with the psychiatrist, the doctor advised me to stop the medication and return for a follow-up.
During the diagnosis, the psychiatrist informed me that my condition was mild, so I plan to stop seeking treatment for now (my emotional state has improved significantly with the support of family and friends).
After stopping the medication, I also stopped taking the anxiety medication, but I have been experiencing dizziness, nausea, and muscle tremors over the past two days (especially noticeable before and after dinner).
Are these symptoms a reaction to my gastrointestinal issues? (The onset of my health anxiety symptoms began with gastrointestinal discomfort, including mild diarrhea and bloating.) However, my condition improved significantly before taking DULXETINE.
Or could this be withdrawal symptoms? If so, how long do they typically last?
Nìmíng, 20~29 year old female. Ask Date: 2016/03/06
Dr. Qiu Junda reply Psychiatry
Hello: It is true that abruptly discontinuing general anxiolytics after taking them for a period of time can lead to withdrawal symptoms.
If the dosage is not high, these symptoms should gradually alleviate within a few days.
However, if gastrointestinal symptoms persist after some time, it may be a response related to psychosomatic disorders, and it might be necessary to consult a psychiatrist for proper diagnosis and treatment.
Regarding future medication adjustments, including tapering or discontinuing medication, please discuss this with your physician and avoid stopping the medication abruptly on your own.
Reply Date: 2016/03/06
More Info
When it comes to understanding withdrawal symptoms after stopping antidepressants, it's essential to recognize that these medications can have significant effects on the brain's chemistry. Antidepressants, including Duloxetine (the medication you mentioned), work by altering the levels of neurotransmitters in the brain, which can lead to both therapeutic effects and withdrawal symptoms when the medication is discontinued.
Withdrawal symptoms can vary widely among individuals, depending on factors such as the specific medication, the duration of use, the dosage, and individual physiology. Common withdrawal symptoms from antidepressants may include dizziness, nausea, headaches, fatigue, irritability, and flu-like symptoms. In some cases, individuals may also experience anxiety, mood swings, or even a return of depressive symptoms.
In your situation, the symptoms you are experiencing—such as dizziness, nausea, muscle tremors, and gastrointestinal issues—could indeed be indicative of withdrawal from the medications you were taking. It's important to note that withdrawal symptoms can sometimes mimic the original symptoms that led to the prescription of the medication, which can create confusion.
Typically, withdrawal symptoms can begin within a few days after stopping the medication and may last for a few weeks. However, the duration and intensity of these symptoms can vary significantly. Some individuals may experience mild symptoms that resolve quickly, while others may have more prolonged and severe symptoms.
Given that you have already discussed your symptoms with your healthcare provider and have decided to stop taking the medications, it is crucial to monitor your symptoms closely. If your symptoms persist or worsen, it would be advisable to seek further medical advice. Your healthcare provider may suggest a gradual tapering of the medication rather than an abrupt cessation, which can help minimize withdrawal symptoms.
Additionally, since you mentioned that your anxiety symptoms initially began with gastrointestinal discomfort, it may be beneficial to address these underlying issues as well. Stress and anxiety can significantly impact gastrointestinal health, leading to symptoms such as bloating, diarrhea, and discomfort. Engaging in relaxation techniques, mindfulness practices, or gentle physical activity can help alleviate some of these symptoms.
In summary, while it is possible that your current symptoms are related to withdrawal from the medications, it is also essential to consider other factors that may be contributing to your discomfort. If you find that your symptoms are not improving or if you have concerns about your mental health, it is advisable to consult with a healthcare professional who can provide guidance tailored to your specific situation. Remember, managing mental health is a multifaceted process, and support from healthcare providers, family, and friends can be invaluable during this time.
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