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Mental Health  (Expert Forum)
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How To Withdraw From Lexapro
Answered by
Roger Gould, M.D. - Mental Health, Wellness
Questions posted in the Mental Health forum are being answered by Dr. Roger L. Gould, author of the Mastering Stress and Depression program and affiliated with the UCLA. Department of Psychiatry. Topics covered include anger, attention deficit disorder (ADD), bipolar disorder, dementia, electroconvulsive therapy (ECT), learning disabilities, memory, obsessive compulsive disorder (OCD), panic, personality disorders, phobias, post-traumatic stress disorder (PTSD), schizophrenia, stress, transitions, and work problems.

How To Withdraw From Lexapro

by IleneK, Sep 16, 2005 12:00AM
Hi,



I have been taking 10mg of Lexapro for a year and a half and recently decided to taper off due to fatigue and weight gain. I have mentioned cutting back to my doctor, but she seems adamant that I stay on the meds indefinitely. I do not agree with this because I am concerned about the long term effects, which are largely unknown. I am going to discontinue treatment with her due to changes in my insurance policy, so I decided to try to cut back on my own. (I am in the process of looking for another physician.)



I have been taking 7.5mgs for two weeks and after initially experiencing crying spells, malaise, anger, and nausea, it seems those symptoms have tapered off. Now I am having terrible headaches. Is this typical after two weeks of being at the same dosage level?



Any help would be appreciated.



Thanks,



Ilene

by Roger Gould, M.D., Sep 17, 2005 12:00AM
Its hard to tell whether the symptoms are withdrawal,or are coming from the underlying anxiety that moved you to take the medication in the first place.  How is your life going in general.  If its going well, and no major decisions or problems, then the headache are probably withdrawal.  It may seem paradoxical, but actually lowering the dose more may help the headahces.  The other symptoms are typical withdrawal.  When you get a new doctor, start tapering off so you end up 3 weeks from now stopping after taking the lowest dose every three day for a week before stopping.
Member Comments (46)

by 112scotty, Sep 16, 2005 12:00AM
When cutting back, you need to ad another anti-depressant to your program.  With coming off Paxil, I had to add Prozac 10mg and increase to 20mg.  With the assistance of a psychiatrist, he  weened me off Paxil while stabilizing me on Prozac and then within two weeks I was of the Prozac also.



Make an appointment with someone who knows the meds.

by froggrl01, Sep 22, 2005 12:00AM
To: Ilene
I tried to quit lexapro cold turkey and at first I felt okay except for some bizzare withdraw symptoms. After about a week though I became very emotional and wanting to cry over every little thing so I started taking it again.

by Andyin Philly, Oct 01, 2005 12:00AM
Help!  I stupidly stopped taking 20MG of Lexapro cold turkey. A week later starting experiencing SEVERE lightheadedness, dizziness and generalized odd feeling.  Depression is ok, and all else is ok.  That lasted a few days, went away and just came back an entire week later.  I know it was dumb to stop cold turkey but I had been on prozac several times in my life and always stopped cold turley with no problems.  Any advice or similar experices?  Thanks much

by imj0257, Oct 04, 2005 12:00AM
I am currently taking lexapro 20mg. i stopped taking it for about a month to see if i didnt need it anymore.  the day after i stopped taking it i also felt lightheaded, dizzy/lost.  sometimes it was bad sometimes it was alright but definately not pleasant.  it probably lasted for a week or so then was gone. that was taht. anxiety is fine.

by xyleisha, Oct 05, 2005 12:00AM
I've been taking Lexapro for at least 2 years now.  In the past I had been frequently non-compliant with my meds, stopping and starting at whim.  Then I became more serious (and desperate).  But old habits die hard and I regularly adjust my Lexapro.  I was prescribed 20mg a day but sometimes up it to 30mg daily (usually before my period).

I notice an increase in physical effects of anxiety (chest discomfort, lightheadedness etc) when I don't have at least 20mg and I notice problems if I'm even late taking my meds.

But nothing more serious than that.  And when I'm going from 30 back to 20 there's a bit of discomfort.



~rianna

by jjmmkk, Oct 06, 2005 12:00AM
I had been taking 10mg for about 8 months and decided to quit cold turkey due to weight gain. I experienced the light-headedness, dizziness and odd feeling after 6 days. I have been trying to take 5mg only when the withdrawel gets really bad. I can feel the tension in my jaw and neck and then the dizziness starts. It has been 17 days now and the biggest problem is the nausea. I will get an overwhelming urge to throw up, usually in the morning. Anybody experience that? Or know how long it lasts?

by MrOffshore, Oct 27, 2005 12:00AM
I've been taking Lexapro for about 1.5 years...helped with my anxiety about death and feeling like I was having heart attacks, etc., but the weight gain and a few other side effects were getting old...I gained 40-45lbs...that's nuts!!  I lost most of my drive aside from work...no energy or desire to get things done around the house.



Need to get back on track so after a weekend of being sick (cold and cough) I had forgotten to take my Lexapro...I was now taking 5mgs a day (1/4 of a 20mg) and decided to just stay off of it...I had just come down a few weeks ago from 10mgs a day, my normal dose in hopes to get off the med.



Well I think it was about 4-5 days and I started feeling odd...light headed, dizzy and feeling the "electrical shocks" in my head that I have heard others state...also a little nausious and trouble concentrating...sort of surreal but kind of different.  Not so bad that I couldn't handle it, but it wasn't enjoyable...tonight I took 5mgs in attempt to curb these withdrawel effects.  



Not certain what I am going to do from here...but likely will try 5mgs. every few days...maybe one tomorrow to get it kicked in.  Hate to self diagnose, but I think it is questionable what my family doctor really knows about coming off this med.



I was taking Paxal (hated the side effects) then tried Zoloft, hated the side effects, but loved the infrequent euporic feelings it gave me about life...I could just stop in the hallway and think, I am so happy and glad to be alive.  Mind you, I have never had any issues with hating life or feeling miserable aside from the anxiety issues revolving around death and feeling like I was having a heart attack...any chest pain or twitch would drive me into a spiral of mild to medium panic...enough to take me to the ER room on three different occasions.  Didn't want this controlling my life so I talked to my doctor about my options with meds.



Now, let me tell you, before actually going on them, I did some Internet research and heard the horror stories of people taking the meds and having serious issues getting off (I don't want this as a lifetime med and feel like I have my anxiety issues under control now).  For the most part I think it was worth taking the meds, as it helped me quite a bit, but like I said, it's time to try life on it's own and lose my weight and get my drive back so I can get some things done around the house again.  I basically have this attitude of who gives a **** and I used to be pretty anal about organization, etc.  My young son and threw rocks at the side of my new car and I really didn't mind...wasn't happy, but in reality it didn't bother me enough to raise my voice at all...hey, he's just a kid was my thought and it's just a car (wish I could stay that way but care enough to get other things done in life).  My wife says I am far less angry about the small things that used to upset me so easily...she hopes I don't go back to that and I think for the most part I can maintain some clarity and perspective on what really matters in life.



I was also prescribed Xanax for emergencies (0.5mg)...I never abused it maybe on tablet a month...if that.  I guess what I hated about it was it made me tired...if I took it at night it would put me right to sleep but I felt wiped out the next morning and had trouble getting up.  Later it felt like it didn't help as much and I didn't want to double my dose...I have heard that Xanax can be quite addictive...I know it worked and relaxed me, but I never felt the need to take unless I felt some kind of anxiety coming on and needed to stop it.



Well, I hate to ramble, but I wanted to shed some light as I know reading these forums really helped me and I wanted to contribute where I could.  I hope to gain back my ability to concentrate better...lose the weight, get back my motivation and become med free.  Not at all happy with the withdrawel effects, but I think I can work out some way to ween off the med...felt like taking the Lexapro tonight set me back from getting off of it, but maybe this is the best way.  



Hope to hear more of the successes of getting off and how you did it...and to what degree the withdrawel effects hit you and finally left you alone.  Best of luck to everyone out there...sometimes I think it would have been best to take the meds and do some psychotherapy...I guess some phychotherapy is still an option, but hate to go to someone that doesn't know what they're doing.  Take care all!!

by jjmmkk, Oct 31, 2005 12:00AM
It's good to hear something positive. I have been off lexapro for 5 weeks today. I think 4 weeks was the turning point to when the dizziness and heaviness of my head was not something i focused on during every waking hour. I had tapered my 10mg down to 5mg for about 2 weeks and cut those in half and took the 2.5mg every third day until week four. I don't know if this is the best way to do step down but it worked well for me. I still get bouts of dizziness but i feel like the drug has left my system finally. On a different note, i have started to notice the difference between the happy euphoria i felt when i was on lexapro and what my normal state truly is. I don't ever want to go back to needing a chemical to feel what i guess is happiness, although i am thankful that i was able to see life in a new light, even for just a few months.

by quoting, Nov 01, 2005 12:00AM
I have been taking Lexparo for about 2 months now. I use to smoke Marijuana alot, then it just made my anxiety worse, so I quit for about 8 months. Now I have started back and need to know if the marijuana will interact with Lexapro? Will it cause anything to happen?

by underdosed and ready to fall, Nov 05, 2005 12:00AM
I was on 10mg for six months. I tapered off slow and didn't suffer any side effects. No insomnia at all. I broke the pills in quarters & halves. My taper schedule: 1st week = 7.5mg, 2nd week = 5mg, 3rd week = 2.5mg, 4th week = 2.5 every other day and then off. Im also taking 50mg of Trazodone which is probably easing the taper side effects. Most of the stressors that drove me to Lexapro are now gone, so I doubt I'll have a relapse in the future.

by dlo975, Nov 19, 2005 12:00AM
Life after Lexapro!

I was on Lexapro for over 2 years and I gained 40 pounds. I went off in May by tappering off. I really didn't have many withdrawl issues, but now I am remembering one of he main reasons I went on in the first place. I have bouts of anger and I am extremely irritable. I am wondering if this is from going off the meds or are these really my true emotions.

Has anyone else had issues with major changes in thier emotions after being off meds for a while?

When I was on the meds I felt numb, but now I can't tell what mood I will be in one day to the next.

by bigbaz, Nov 23, 2005 12:00AM
I am so glad I found this board...I was on paxil for 12 years and then went to lexapro 20 mgs......I have done the taper thing/etc. and let me tell you..I am on an emotional roller coaster ride......this is going on week 13....I am a complete basket case......well that is..it comes and goes...one minute I'm fine and the next minute I'm crying......I can't take it anymore....I know I am experiencing withdrawal...psychological...which are worse than the withdrawal from the drug in itself...but I need to know how long does this last...will I ever get my life back????I am so frustrated not knowing what to expect on a day to day basis....my anxiety is way out of control one day....I'm emotional the next.....I have done everything possible...I've walked an hour a day, watching sugars, eating healthy.....etc.  I can't take it anymore....Dr.s only want to prescribe meds.they don't want you to come off of them....however my psychologist wants me off everything...but ....how can he work with someone who according to my dr. has serotonin withdrawal??? It's terrible.....to think 13 weeks.....I know time will heal all, but **** this is so difficult...probably the hardest thing I have ever done in my life......I look forward to more people posting about there experiences/etc. since long term withdrawal is so hard to find on the internet....I know it can be done....and I want to be living proof of that...but right now I'm so confused.....thanks again...bigbaz

by only1Tracee, Nov 27, 2005 12:00AM
I've been on Lexapro for 2 years and 7 months.  i started at 10mgs.  6 months ago, i got depressed again and on the advice of my therapist, backed up by my doctor, i increased to 20mgs.  i just don't want to keep increasing or switching around medications.  i'm also nursing my 16 month old.  about a month ago i experienced vertigo