I have chills, vomiting, and anxiety after stopping Gabapentin. Please help.
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
I have been taking Celexa 10 mg for two years. Recently, I was prescribed Gabapentin 100 mg twice daily, which I took for about a month, but started having stomach issues. So, I titrated it down to 100 mg a day for a week by myself and then stopped it. It has been almost three weeks and now all of a sudden I have withdrawal symptoms. I have chills, vomiting, insomnia, severe anxiety, and sweating. It seems to get worse after taking Celexa at night. Any help would be appreciated.
Hello,
Welcome to icliniq.com.
Withdrawal symptoms seem to be unlikely after three weeks of stopping Gabapentin. Check if you have a fever. If not I would suggest you try taking PPI (proton pump inhibitor) for vomiting and Benzodiazepines for anxiety and insomnia. Skip Celexa for a couple of days. Consult your specialist doctor, discuss with him or her and start the medication after their consent. Also, a physical examination should be done by your general physician. Thank you.
Patient's Query
Hi doctor,
Thank you for replying. I am visiting my doctor today. I am going to ask for a psychiatrist referral and will ask them to switch me to Zoloft. I had been on Zoloft in the past and did fine. Can you please recommend how to switch?
Hello,
Welcome back to icliniq.com. There are two ways to switch from Celexa to Zoloft (Sertraline). Consult your psychiatrist before changing the medicine. Decrease Celexa to 5 mg and then stop it after a week. After stopping Celexa start Zoloft 25 mg per day. Stop Celexa all of a sudden and start Zoloft 25 mg per day. I would though recommend the second way as both are SSRI (selective serotonin reuptake inhibitor) and therefore, there are fewer chances of discontinuation syndrome. You can then slowly up-titrate Zoloft. Thank you.
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