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Withdrawing from #SSRI antidepressants: advice for primary care.
https://www.qxmd.com/r/36823051 •#Withdrawal is common and can be caused by all classes of antidepressants.
• Symptoms of withdrawal are diverse, including psychological and physical manifestations. Patients may experience severe symptoms including suicidal ideation.
• GPs should ask about physical symptoms and consider the symptom timeline to distinguish between withdrawal and #relapse.
• Antidepressants should be #tapered through a proportionate reduction regime. This should take place at least over months.
• GPs should educate patients on withdrawal
and the importance of not stopping their
#antidepressant abruptly.
• For those who experience withdrawal, GPs
should reduce tapering rate, and increase
duration while advising on coping strategies.
@auscandoc
Sometimes withdrawal/discontinuation symptoms are obvious ("brain zaps") but there has to be careful eval of discontinuation syndrome vs. re-emergence of anxiety/depression.
Trick for coming off SSRI/SNRIs faster: add in low-dose Prozac (10 mg daily or even every other day), which has a long half-life, blood level decrease is more gradual -> less likely to cause discontinuation syndrome and can prevent those symptoms while coming down from other SSRI/SNRI more quickly.
@DMRDynamics yes.. article mentions some of this.