Withdrawal symptoms after discontinuing anti-anxiety medications?
Hello, Doctor Huang: I would like to ask about withdrawal symptoms after stopping medication.
Please help me.
Previously, I had ongoing gastrointestinal issues, including symptoms of acid reflux.
After visiting a gastroenterologist, I was prescribed medication that I found particularly effective, and I continued taking it for a month.
One of the medications was called Sulpiride 50 mg.
When I visited another hospital, a doctor informed me that this medication is used not only for gastrointestinal issues but also for treating anxiety disorders.
After a month, feeling better, I decided to stop taking the medication.
However, starting the next day, I felt like I was dying.
My symptoms included: (Stopped medication on 12/19, symptoms began on 12/21) weakness in my limbs → dry mouth → having bowel movements three to four times a day → nausea and vomiting but unable to vomit → extreme weakness and constant urge to defecate → restlessness → overall weakness, weak heartbeat with occasional pauses, sometimes feeling like my heart is trembling → loss of appetite, weight loss → racing thoughts leading to panic → discomfort in my chest, feeling like food is rising but unable to vomit, particularly uncomfortable in the morning and easily anxious without knowing why.
Now, in March, my symptoms still recur.
I searched online and found that withdrawal symptoms should resolve in a few days, but it has been two months, and I am still suffering greatly.
Sometimes I feel like I can't go on.
However, I am afraid to see a psychiatrist again, fearing they will prescribe me anxiety medication, which would lead to withdrawal symptoms again after stopping.
What should I do now? I feel like life is worse than death every day.
I don't want to take medication and experience withdrawal reactions again, and I'm afraid of suffering again after stopping.
Should I let it resolve naturally or seek medication treatment? I want to know if enduring this will lead to better days.
I am in so much pain and am gradually losing hope.
Does this seem like withdrawal reactions, medication dependence, or could it be another illness? Please help me, Doctor!
Zhenzhen, 20~29 year old female. Ask Date: 2016/03/12
Dr. Huang Weiqin reply Psychiatry
Hello, Zhenzhen: Based on your description, you may be experiencing symptoms of anxiety disorder combined with autonomic nervous system dysfunction.
With appropriate medication and relaxation training, your condition can usually improve or be resolved.
It is recommended that you visit a psychiatrist (also known as a psychosomatic specialist) with a family member to receive the necessary evaluation and treatment.
I hope this information is helpful.
Thank you for your inquiry.
Reply Date: 2016/03/12
More Info
It sounds like you are experiencing a very challenging situation after stopping your medication, Sulpiride, which is often used to treat gastrointestinal issues as well as anxiety. The symptoms you describe—such as weakness, dry mouth, nausea, changes in bowel habits, and feelings of panic—are indeed concerning and may indicate withdrawal symptoms or a rebound effect from discontinuing the medication.
Withdrawal symptoms can occur when a person stops taking a medication that their body has become accustomed to, especially if the medication affects neurotransmitters in the brain. Sulpiride, as an atypical antipsychotic, can influence dopamine levels, and stopping it suddenly can lead to a variety of physical and psychological symptoms. It's important to note that withdrawal symptoms can vary widely in duration and intensity from person to person. While some individuals may feel better within a few days or weeks, others may experience prolonged symptoms, as you have described.
Given that you have been experiencing these symptoms for several months, it is crucial to seek medical advice. While it is understandable that you may be apprehensive about returning to a psychiatrist or a healthcare provider due to fears of being prescribed more medication, it is essential to address your current symptoms. A healthcare professional can help determine whether what you are experiencing is indeed withdrawal or if there are other underlying issues that need to be addressed.
Here are some steps you might consider taking:
1. Consult a Healthcare Professional: It is vital to discuss your symptoms with a doctor, preferably one who specializes in mental health or addiction medicine. They can provide a thorough evaluation and help you understand what you are experiencing.
2. Gradual Tapering: If you are still on any medication or if you decide to restart Sulpiride, a healthcare provider can help you taper off the medication gradually. This approach can minimize withdrawal symptoms and make the process more manageable.
3. Therapeutic Support: In addition to medication, consider seeking therapy or counseling. Cognitive-behavioral therapy (CBT) can be particularly effective for anxiety and panic symptoms. A therapist can provide coping strategies and support as you navigate this difficult time.
4. Lifestyle Modifications: Focus on self-care practices that can help alleviate some of your symptoms. This includes maintaining a balanced diet, staying hydrated, engaging in regular physical activity, practicing relaxation techniques (such as mindfulness or yoga), and ensuring you have a supportive social network.
5. Monitor Your Symptoms: Keep a journal of your symptoms, noting when they occur and any potential triggers. This information can be helpful for your healthcare provider in determining the best course of action.
6. Avoid Self-Medication: While it may be tempting to seek relief through over-the-counter medications or alternative treatments, it is essential to discuss any new treatments with a healthcare provider to avoid potential interactions or worsening of symptoms.
7. Stay Hopeful: It is understandable to feel hopeless when experiencing prolonged symptoms, but many individuals do find relief and recovery over time. With the right support and treatment, it is possible to regain a sense of normalcy and improve your quality of life.
In conclusion, while your symptoms may feel overwhelming, it is crucial to reach out for professional help. You do not have to navigate this alone, and there are effective treatments available that can help you manage your symptoms and improve your overall well-being.
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