Initially I went off all RX cold Turkey for 3 days and found that would not work
I then tapered off
New research investigating current antidepressant tapering trends finds that strategies for reducing doses over time can lead to varying results in different individuals.
The review, published in the Journal of the American Board of Family Medicine, advocates for a “one-size-fits-all” taper approach to ensure that withdrawal prevention is taken into consideration while simultaneously allowing for a process that is straightforward and not unnecessarily complex for most patients.
Withdrawal symptoms from antidepressants are common and can include dizziness, nausea, anxiety, depression, and “brain zaps,” which are sensations of electric shocks inside the head, among other symptoms. Given the overlap in symptoms between depression and antidepressant withdrawal, depressive relapse and withdrawal can be difficult to distinguish, which leads to confusion among patients and their providers.
Additionally, determining who will experience severe withdrawal symptoms from those who will not is difficult to predict, although research has shown that duration of use, previous experiences of withdrawal, and type of antidepressant used provide insight into who may experience withdrawal symptoms upon discontinuation.
Researchers, led by James Phelps, MD, of Samaritan Mental Health in Corvallis, OR, write:
“The severity of antidepressant withdrawal can be mitigated by carefully tapering the dose before stopping. Research is ongoing regarding which patients need a taper and the best way to discontinue their antidepressants. Most strategies emphasize the use of very small decrements in the last steps to zero.”
Researchers Seek Standardized and Safe Antidepressant Tapering Protocol