Posted by bleauberry on May 25, 2010, at 17:43:23
In reply to HELP: Lexapro w/d OR Milnacipran induced paranoia, posted by vic80 on May 25, 2010, at 15:27:44
As I've said before, it is my opinion...just an opinion from one person...that both lex and miln are involved.
Regardless of anything, miln is too high as I see it. You should take a 25mg dose, divide into 3 parts (if capsule, empty one out, if tab, cut it up or crush it) and one part breakfast, one part lunch, one part late afternoon. Total daily dose 25mg.
Maybe consider adding back 2.5mg lex, stabilize, and then begin a longer taper in tiny steps by cutting tiny slices off the doses. So that each dose decrease is roughly .1 or .2 mg.
Another possibility is that there is a schizophrenic or bipolar spectrum disorder involved and these med changes just happened to aggravate it and bring it in the open, maybe for the first time ever showing something more that you had never seen or suspected. Instead of relying on benzos, it would be interesting to try a single dose of zyprexa and see what happens. It is fairly reliable to quickly cover the entire spectrum of anxiety, fears, phobias, schizo, and anxieties. Relief is often felt the first day.
Nothing here is anything that I wouldn't do myself, and in reality have actually done myself. I've been in your shoes. I think it is insane to "hold on" expecting things to change. You gotta manage this situation, which if were me, would involve the things I said. I personally would probably:
Add in lex at 1.0 to 2.5mg.
Reduce miln to 25mg and divide it into 3 doses.
Take 2.5mg zyprexa as needed before taking a benzo as needed.Those moves would tell me a lot and give me information to help manage whatever the heck was going on.
poster:bleauberry
thread:948845
URL: http://www.dr-bob.org/babble/20100524/msgs/948861.html