Helped Over 500,000 patients with 98%+ satisfaction.

Connect & Get Personalized 1-to-1 Answers from Expert Doctors

DoctorSpring > Question Home

Lightheaded sensation on stopping ESCITALOPRAM for ANXIETY.

Resolved Question:

Hello, my name is Antonio and I have recently stopped an anxiety treatment. The medication I was taking is called escitalopram (10 mg/day) and, as the psychiatrist advised me, I tapered off (reducing 2.5 mg every 10 days) before stopping it completely. It has been 6 days since I stopped it and I have a very strong lightheaded sensation that gets worse when I do physical activity and prevents me from concentrating on my school work. Is this normal? Is there any way to reduce these withdrawal effects?

He told me I could take a 0.5 mg pill of clonazepam one hour before bedtime to help me relax. Would you agree with that?

I wanted a second opinion, since my psychiatrist told me that the discontinuation syndrome for escitalopram is often smooth with little effects.

Thank you so much.

Category: Psychiatrist

Ask Your Own Question

 31 Doctors Online

Hello
Thanks for posting your query at DoctorSpring.com
I have gone through your question in detail and I can understand what you are going through.
It is true that discontinuation symptoms of escitalopram is very smooth and many of my patients have stopped it abruptly at 10 mg as well. However if you are getting the withdrawal symptoms of escitalopram then clonazepam 0.5mg can be taken at night. The same has been advised by your psychiatrist and I agree with that. Clonazepam (0.5mg) can be taken for 15-20 days and then reduced to 2.5mg for next 7 days and then stopped.
If the withdrawal like symptoms persist beyond 4 weeks then it can be a relapse of anxiety/depression rather than being the withdrawal symptoms.
Hope this helps,
In case if you have any further query, do let me know.
Kind regards
Dr. Srikanth Reddy


Patient replied :

Thank you for your reply Dr. Srikanth Reddy, I feel more comfortable having to positive opinion of two professionals.

What is bothering me the most is a constant feeling of dizziness, headache and slight nausea. Are these due to the discontinuation? Is there an average time for which they should disappear naturally?
Another thing I noticed is that the "racing heart" feeling I had before taking the medication (and disappeared completely during the treatment) also came back. Is that normal?
Thank you for your attention.
Kind regards,
Antonio


Hello
Yes. All the symptoms that you have mentioned occur routinely after the discontinuation of escitalopram in varying intensities. These normally should settle down in 2 weeks time. If it continues then other reasons like a relapse of anxiety, electrolyte imbalance, gastritis etc have to be considered.
Regards
Dr. Srikanth Reddy MD


Dr. Srikanth Reddy
Category: Sexologist
Experience: 
Doctor of Medicine (MD), Psychiatry Residency Program,2001 – 2012
M.B.B.S,Mahatma Gandhi Institute Of Medical Sciences, Sevagram

Certificate Course in sex Therapy and Counselling, Sexology and Counselling, A
Sexology,Medikon Sexual Sciences, Mumbai

Training in Advanced Neurology at a leading corporate hospital (CARE hospital) in Hyderabad

Child Psychiatry Training in National Institute of Mental Health and Neuro-Sciences, Bangalore

Sex Therapy and Counsellingat MEDIKON Sexual Sciences, Mumbai.
Dr. Srikanth Reddy and 4 other Medical Specialists are ready to help you

Users who read this, also read:

Make informed and better medical decisions.

Join the 500,000 people who found a smarter, quicker way to get Answers, Recommendations & Expert Opinions.

Expert Doctors at fingertips

Recommendation on next step. Second-opinion.Multi-specialty.

Save Time

Average time for answers: 6 hours.

Save Money

$35 for typical specialist consult vs. $120 for a local appointment.

Free Follow-ups

Clarify, ask further questions for free in private conversation.

100% Satisfaction

Money back guarantee for the 1st reply. MEDNET Quality Board.

Start My Consultation

CHAT NOW

About DoctorSpring.com

Doctor Spring is a novel online Doctor consultation platform where you can get your medical questions answered by leading Doctors. Just Submit your question and rest assured that you will consult a Doctor easily. Once you submit the question, the Doctor from the concerned specialty will reply within hours. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. You may use this service to consult a specialty or for getting medical second opinion. All paid services come with a MEDNET quality assurance and 100% money back guarantee.

DoctorSpring in news