Decreasing dose for good after being prescribed high doses in 2019. Mania has always been a part of the effects, but I did not know how to recognize it. Irritation aside that it wasn’t identified despite being observed by professionals, I feel like there’s a strong reason to decrease the medication as reasonably fast as possible because it’s severely impacting my ability to sleep. However, I’m not sure if I’m going to make a good decision about how fast to do so without consulting the experiences of people who have done this before. My own experience is that I went too quickly at first under medical guidance and suffered terrible effects. I waited weeks with no relief before I did end m increase it a little again under medical advice. I waited some weeks and then decreased a bit more, and then waited even longer and fell a little less. Should I wait longer periods between tapering as I reduce the doses, or can I reduce the waiting periods to relieve the symptoms of the medication and simultaneously the symptoms of withdrawals by just getting it over with? By the way, a year ago, I experienced a fainting episode of orthostatic hypotension and mania that gave me a concussion directly due to increasing this medication dose. Anyway, my milligram Rx history looks like this: <150, <175, >150, //two years//, 200, //concussion//, 150, //one year//, 100, 125, 100, 87.5 and I have no intention of getting this pattern of irregularity to continue, I want a steady taper off of this mania-inducing medication. I’m in the process of meeting what I hope will be a competent and experienced prescriber, but for tonight and this weekend, I’m on my own. What can I do to make sure I don’t jack up my nervous system function irreparably? Tomorrow it will have been two weeks since the last taper down to 87.5 from 100. The pills are only manufactured or available in as small as 25mg doses, so I’ve been pill-cutting without guiding grooves. However, if there’s another option out there that would be valuable for me to consider moving forward, please respond.
Fluvoxamine - experiencing mania as a side effect as well as a withdrawal symptom?
Question posted by seahorsey on 4 March 2023
Last updated on 4 March 2023 by masso
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Answers
First off I noticed you joined 7 support groups which is good.
Now regarding this SSRI, as all medications have plenty of potential side effects, in your case mania has taking its toll on you by causing severe insomnia among other side effects, my experience with insomnia or sleep disorders is vast and I understand what you are going through.
I am bipolar and have had insomnia for 14 years and if one doesn't get a good night's sleep it affects your quality of life, I have tried everything that's out there with no success.
Fluvox or Fluvox cr should be discontinued gradually in order to avoid withdrawals, I recommend you do it under medical supervision from your new prescriber rather than regular people sharing their experiences, every organism is different and it won't react in the same way.
If I were you I would wait until you get proper medical advice rather than self medicating, I can sense you are desperate to get off this drug, but do it wisely so you don't have long lasting side effects/withdrawals.
Be a little bit more patient and discontinue this med properly.
Related topics
hypotension, mania, syncope, narcolepsy, attention-deficit hyperactivity disorder (adhd), sleep disorders, fluvoxamine, withdrawal, side effect, dosage, hyperactivity, prescription, symptom, depersonalization
Further information
- Fluvoxamine uses and safety info
- Fluvoxamine prescribing info & package insert (for Health Professionals)
- Side effects of Fluvoxamine (detailed)
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