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Patient's Query
Hello doctor,
I am having severe withdrawal symptoms from Effexor, Lamictal, and Klonopin which have led to irrational behaviors and significant loss of time. Recently, I lost my insurance, preventing me from affording doctor visits to renew my medications. I have reached out to my doctor via email, expressing my fear and seeking assistance. Currently, I am experiencing abrupt discontinuation of Lamictal, Effexor, and Klonopin, causing immense fear. While I have endured short periods without Effexor before, this time is different, marked by distressing "brain zaps" characteristic of Effexor withdrawal. The withdrawal from Lamictal is particularly alarming, as I frequently find myself disoriented, losing track of time, and engaging in uncharacteristic behaviors such as shoplifting. Despite being a rational and educated individual, I struggle to comprehend my actions and experiences, feeling ashamed and embarrassed. My recent behavior has alarmed my loved ones, with my mother even involving the police due to concerns about my safety. Headaches, auditory hallucinations, and profound feelings of shame further exacerbate my distress. I feel disconnected from myself, unable to reconcile my current state with my identity. It is a terrifying realization that my years of education and hard work are unraveling before me due to circumstances beyond my control. I am in desperate need of support and understanding, not judgment. These medications once meant to help me, now seem to be causing more harm than good. I am not delusional; I am just struggling to navigate through this ordeal. Without intervention, I fear for my safety and well-being.
Kindly help.
Thank you.
Hello,
Welcome to icliniq.com.
I can understand your concern.
The symptoms you are experiencing, such as confusion, disorientation, and abnormal behavior, are likely due to withdrawal from the medications you have been taking: Lamictal (Lamotrigine), Effexor (Venlafaxine), and Klonopin (Clonazepam). Withdrawal from these drugs can lead to serious serotonin withdrawal symptoms.
Common withdrawal symptoms include dizziness, cognitive fog, restlessness, confusion, and insomnia. If you are experiencing memory lapses, particularly regarding incidents at the shopping mall, it is likely a result of Klonopin withdrawal. Klonopin withdrawal is known to cause insomnia, restlessness, fatigue, tremors, and in severe cases, seizures.
Given that you abruptly stopped these medications, it is best to minimize symptoms and prevent withdrawal by avoiding activities like driving and staying indoors in a cool, dark environment. This can help alleviate symptoms. If you do not have access to prescription medications, you might consider using St. John's Wort (Hypericum perforatum), a supplement commonly found in supermarkets, to reduce anxiety and mitigate withdrawal symptoms.
For sleep, you can try NyQuil (Acetaminophen, Dextromethorphan, and Doxylamine), which can aid in achieving restful sleep and alleviate withdrawal symptoms. Typically, within three to seven days, your symptoms should improve. During this time, it is advisable to avoid stimulants like tea, coffee, carbonated beverages, and alcohol to support your recovery.
Please try to remain calm, as your symptoms should gradually diminish over time. Take care of yourself.
I hope this information helps.
Please revert in case of further queries.
Thank you.
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Psychiatry
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