1.5 weeks into updose update
I made the decision to go back up to 5mg vortioxetine after about 5 weeks at 3.75mg as the withdrawal symptoms got to the point I felt like I was close to crisis and it felt like the only option other than throwing mirtazipine into the mix which the MH team had suggested.
It’s been 1.5 weeks since I updosed, and thought I’d post about how it’s going and hopefully get some support from you wonderful people 🩷
I’m still finding day to day life very hard, spending ~80% of my day in bed.
In the last 2 days I have had a longer window during the day, where I might not have been feeling amazing but I was able to function a bit more, yesterday I had a bit of time where I felt maybe some contentment, just sat in bed colouring and listening to a podcast but that felt big.
I am still having lots of withdrawal symptoms though, the worst is the internal shaking and pounding heart, today I have not been able to calm it down or get to a point where I can ignore it which feels really disheartening. I don’t think I slept well last night, so that might be a factor, I also had a call planned in with my manager (I’ve been off work a while now) and a docs app planned this afternoon, so I wonder if the anxiety of those maybe has made it worse today too. I’m finding it very hard as it feels like being stuck in an anxiety attack for days and days on end.
I am finding it hard not to compare today with previous days too when it is a negative, even though I’m trying really hard to take each day as it comes. Any tips for that?
I am also going to ask my GP if there is anything that might help the ‘anxious body’ symptoms that isn’t another antidepressant. Years and years ago I had propanalol I think for some anxiety symptoms so was going to ask if that might help, but not sure really about taking anything else.
Has anyone with the internal shakes/ pounding heart as a symptom found anything that gave them relief and did it eventually get better?
Citalopram - 40mg to 20mg in 1 week then 0 June 2026 | Trintellix 5mg 4 weeks, 10mg 17 days, 5mg 5 weeks, 3.75mg 4 weeks, up dosed to 5mg 13 Oct 2026 — plan to holding and to taper slower in future