I took SSRI and SNRIs for almost 20 years and stopped taking them gradually, the latest of these being Abilify which I stopped in Nov. 2017 and Cymbalta which I stopped in February 2018. I understand that the brain has to relearn how to transport serotonin once you no longer take these type of antidepressants. My question is how long does it take for the brain to re-develop new pathways to deliver serotonin naturally? Do any of you know of any articles, particularly scientific studies, that address this issue? I am dealing with irritability and some low grade depression in the meantime and look forward to a time when it resolves. Thank you for your time and efforts on my behalf.
How long before the brain returns to normal after stopping SSRI/SNRIs?
Question posted by philosikat on 11 May 2018
Last updated on 18 September 2023
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4 Answers
This will not answer your question... but are you sure that what you describe as irritability and low grade depression aren't, in fact, irritability and low grade depression caused because you are no longer taking the medications that controlled these symptoms?
I am also in the process of completely weening myself off an SSRI (fluoxetine aka Prozac). Like philosikat, I have been feeling increased irritability and general edginess. In my case, I've been taking an extremely low dose (10mg twice a week) for about 10 years. I know this is below the dose normally considered therapeutically effective, but there is no doubt in my mind that even this low dose has been efficacious in reducing my anxiety and improving my mood. I reduced my dose to 10 mg once a week about 4 weeks ago. I felt no difference for the first two weeks but then started feeling irritable. I suspect the long half life of the active metabolite (norfluoxetine) kept my mood in check for the first couple of weeks. My question now, is whether my mood will improve in a few more weeks after my body adjusts to the lower dose, or whether I'm returning to my normal state that was controlled by the medication. I hope in a few weeks I'll know the answer.
If someone suffers returning depressive symtoms and anxiety I believe in most cases it is because they still need the medication to sustain good mental health! Many people have genetic reasons for serotonin deficiencies and need help. My family has a strong history of anxiety issues along with A.D.D. and depression. I’ve found great help with Anti-depressants and A.D.D. medications. Good counseling, exercise, healthy lifestyle choices help as well. I’ve gone on and off the Anti-depressants at times, but then went back when mood anxiety issues returned! Being able to be a happy productive part of society is invaluable to me. If you had diabetes you would take insulin! If your medication prescribed by a Psychiatrist helps you, do not worry! If you need or want to stop taking it, take your Doctors advice for that too! I’ve never experienced any bad side-effects, if your depression returns consider medication is your friend! And what a friend indeed!!! ❤️
Very well said!!!
Hi philosikat. I am tapering off Cymbalta now. I started June last year (2017). There is a lot of great information on a group that I’m in on Facebook. It’s called ‘Cymbalta Hurts Worse’. They are very supportive and knowledgeable about these types of drugs. I couldn’t have made it this far without them. I hope you find what you need. Best wishes to you. Take care
Did you stop the Cymbalta gradually? I had tried stopping cymbalta numerous times before and the withdrawal was terrible. Worst experience ever, so I was dreading stopping it again but I had to do it. My blood pressure was high as well as my liver enzimes. I attributed it to the cymbalta. This time though I did it with the help from a psychiatrist. He got me to take 30mg cymbalta and 20 prozac for seven days, then 20mg cymbalta and 20 prozac for 10 days and then 20 prozac for the remaining month. I have to say it has been 1 week without anything and I feel great! I am super stresses with the idea that I will have some horrible symptoms like I did before when I stopped it on my own but nothing. Hope you can find a knowledgeable Dr. And a protocol that works for you. I had lost hope before since stopping was so darn hard but now I know that with the right help It is possible
Yes, I stopped taking both the Abilify and the Cymbalta separately and gradually. I did not add another medication to help the process. I had tried quitting both at the same time at an earlier date but it was not doable. I am really ready to be done with these drugs as I have read recent studies that talk about damage to the brain, including dementia, from long term use, and a questionable efficacy when compared to placebo for mild to moderate depression. As with all things, one must always seek to balance the scales between harm and anticipated good. Best of luck to you as well on your journey.
Adding the prozac in the process and the stopping the cymbalta made all the difference in the world for me. It is much easier to stop taking the prozac afterwards
I hope you are still feeling well. I am trying to get off cymbalta by counting the little beads. I am down to about 3mg. And feeling positively awful. I am assuming it is from withdrawal. I will be seeing my doctor tomorrow and trying to formulate a plan for what I might do next. I am wondering what your horrible symptoms were when you tried tapering cymbalta without the help of Prozac?
Withdrawal from ssris and snris reach the highest intensity within 1 week and symptoms may last up to 6 weeks for most patients. Abilify isn’t an ssri/snri however and not much studies are available about wether the drug causes withdrawal symptoms and how long they last.
Yes, I’ve read about the withdrawal symptoms. My question is more specific—that is, how long before the brain repairs itself and rebuilds its transit bridges that the SNRI/SSRI tore down and substituted their chemical process for. Abilify affects the dopamine D2 receptors and is an atypical anti-psychotic with withdrawal symptoms similar to other anti-psychotic meds.
Its still the same answer. No bridges or pathways are torn down by ssris. The mechanism by which it causes withdrawal is that because it prevents reuptake of serotonin which increases the amount of serotonin in the synapse, with time however the brain starts taking some of the serotonin receptors out due to the overload of the neuro transmitter in the synapse. After stopping the medication, the amount of serotonin decreases but it takes time for the receptors to increase in number again in response to the levels of serotonin returning to normal. Since withdrawal symptoms last for about 6 weeks, then the time it takes your body to return to the state before you were taking the medication is 6 weeks. Its the same thing, withdrawal symptoms start because a medication threw the body out of equilibrium when it was stopped. The disappearance of withdrawal symptoms means that the body returned to normal.
Sometimes the receptors never return. Withdrawal symptoms can go on for years.
This does not sound accurate to me! Where is your info coming from?
Related topics
abilify, cymbalta, depression, major depressive disorder, brain, ssri, serotonin-norepinephrine reuptake inhibitors
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