[Lexi232]

I feel like ... i would feel better shot.. (not in a suicidal manner)...
right now i feel gawd awful..
I am crashing cold turkey off of hydromorphone (12mgs total a day i was taking. opiate med prescribed by my family doc, but psych nurse felt the need to disocnenute this all at once along with other meds that she just went poof on and foruce me to stop all at the same time), xanax, klonapin, and one i took for a few weeks i'm also crashing off of, cymbalta. ... all at once... (trust me, i aint that stupid.. this was NOT my idea or want.. well.. not at all one time at least...)
any suggestions?
I've also not taken benedryl for a bit, which i dont think would have crashing to it. but who knows.. it's never had any problems before, but then i've not taken it nightly every night for long times..
I also am having a REALLY HARD TIME in many things! mentally... and physically...
... i keep seeing things... which happened last time i ran out of hydromorphone and cold turkey'd it until the next day when i got a refill..
Then I feel like ... horrible... and panicy... and feverish.. and freezing... but burning up... lethargic... achey... depressed... right now the room is spinning as well.. and then ... i'm having a very hard time keeping it all together... i get that sense that i do when i'm dissociating badly... headaches are so severe and stabbing in the temple off and on.
my cat knows it too... she wont leave me alone.. and i'm easily irrateated right now... i feel like i have no emotion on the outside.. or in my voice.. but i'm deeply depressed within... so bad it hurts so bad inside... it's like my insides want to cry... and that's all i have.. no other emotions at all.. thats it... on the inside...
the doc who stopped everything doesn't care. SHE REALLY DOESN'T CARE... i dont even know why she is in that profession... so me calling them up does nothing.. other than make her treat me even poorly which only make the depression even worse yesterday...
... i only have so much fight in me...
help?.. any suggestions? please?

[sunrise]

Lexi, I'm sorry you are feeling so poorly. It does seem like discontinuing all the meds at once is extreme. What is your goal with the meds? Is it to be off of all meds completely? I'm just not sure why you would quit all these meds at once. Will you stay on some meds that you have not mentioned? Or begin new ones to replace some of these others? Or do you want to be completely med-free? I have a lot of questions about what you wrote. The hydromorphone is a painkiller, so if you are discontinuing it, what will you take for your pain instead? That is pretty important to have something lined up so you aren't in horrible pain. Are you at least tapering any of the meds (decreasing gradually)? Cymbalta should be tapered so you don't get brain zaps. And if you have been on benzos a long time, it is very important to taper them gradually. Quitting benzos abruptly after longtime use can have bad effects on your health.

Originally Posted by Lexi232

this was NOT my idea or want.. well.. not at all one time at least...)
any suggestions?

The most important thing is to have good communication with your prescriber. Find out why she is discontinuing all the meds at once. You say you didn't want that. Why does she want that? Were you having horrible side effects to all of them? If she isn't using a taper plan, ask her if you can do that. Above all, if you don't understand something, ask your prescriber. And report all bad effects of abrupt discontinuation to her so that she can know she may need to go more slowly. Good luck.

[Lexi232]

this was the first time i had ever seen this psych nurse.. i told her i was super depressed and many other issues im going through. I am just glad i never have to go back to her.
My goals with each med are diffrent.. I have wanted to get off of hydromorphone (in the same category as cocaine except hydromorphone i legal as long as its prescribed and it was prescribed. now its not and even though i have over half a bottle left it would be illegal for me to take any... as its no longer prescribed and.. the fact that its in the same category as cocaine makes me feel that it be severe punishment for me doing anything other than complying..) but its withdraws is what has kept me from stoping on my own. it was prescribed by my family doctor since july. now the psych nurse suddenly stoped that.. along with cymbalta which i practically pleaded with the psych nurse to not take me off of it because i was already depressed and i needed that or some other anti depresant that will help me. so ... i didn't want to drop that one... not until i was in a good place to do so, both mentally and physically. plus it helped a bit with sleeping.
the klonapin, and xanax, were for sleep, and were doing an okay job of it (4-5hrs)with the other mix i was taking with it (the two above mentioned meds, and benedryl), and the psych nurse doesn't really care.. its like she wanted me to end it all.. i still haven't wrapped my head around that yet.. so im confused.. why someone would be in that profession... and not want to help! .. but instead intently harm and put others in harms way.
im not wanting off all meds completely, as the add and adhd meds help, and im also on meds for crohns, and WAS on med for pain from the crohns (but the psych nurse unprescribed it yesterday abrutly stoping it). so i will always be stuck on meds as long as i want to live and stay healthy and feel okay..
brain zaps??? is that why i'm twitching and jerking off and on and getting static shock pains in my head?????
and nope, nothing in place for anything she dropped it and gave no compassion, and even laughed at me when i started crying... so... i dont even know how she made it this far without some serious problems... and no tapers. its all just stopped... cold turkey... cymbalta, klonapin, xanax, and hydromorphone were all stoped with no tapering... last night.. and nothing in place for them. nor anything... I went in taking 7 meds, came out only having 3... the main one i wanted off was hydromorphone but i kept that to myself and a few select friends... so it was not something i spoke of to the psych nurse yesterday...
I'm having good and bad waves. never completely okay, but right now im in one of those good waves..
I actually asked and almost pleaded for a tapper with cymbalta, because i explained last time i crashed off of just 30mg that i was in a good place and not already depressed, and got suicidal for no reason. And she said she would, then I waited 2 hours in the pharamacy then there was no record today at the doctors office of her writing the tapering dose.. so... I have nothing.. and when i try to get ahold of anyone, it's just all "we are closed for the holidays" stuff... and so i believe she lied to me. and she never intended on writing a taper dose.
She had no reasoning for it other than she was going to stop those and that i needed to stop taking them because they are now no longer prescribed, and that is how its going to be. I really had no say in this... and she kept twisting my words.. and saying that i was the one who was changing my story.. but it was her who just kept hearing diffrent, cause i was repeatively reading the same thing i wrote on my paper of "to ask doc" list and there was no change in what i said.. i read word for word and kept going "nooooo, i SAID, *reads off paper again*" then she was grinnning and was like "you realize you keep chaning the story. you havent stuck to one story yet!" and i finally gave up trying after the 5th time of reading off the paper outloud to her. it was ... impossible... and she ... used her position of power to do as she pleased....
I keep trying to get a clear head here, but it aint going so well...

But thanks for the reply!

EDIT: I know im not making sense real well right now. im really sorry im not really making sense. I try and it comes out funny when i try to talk or type... that or i'm reading funny... but.. i hope its not very confusing on what i wrote.

[Umbral_Seraph]

OMFG why is that woman a nurse?!? Telling you to go cold turkey on such addictive medications is reckless and negligent! I hope you have enough left to taper down on your own. I know that fluoxetine can help lessen the withdrawal effects of Cymbalta, and be careful of siezures while you're going off the benzos. I hope you feel better.

[sunrise]

Originally Posted by Lexi232

this was the first time i had ever seen this psych nurse.. i told her i was super depressed and many other issues im going through. I am just glad i never have to go back to her.

Good, I'm glad you will never see her again. She sounds awful. Who are you seeing now then? Can they help you with this? Can you tell them everything you wrote here? If you don't have anyone yet, can you contact your regular doctor and tell him what happened and ask him for help with tapering? And maybe he could continue the Cymbalta prescription too since you don't want to get off of that one.

Originally Posted by Lexi232

She had no reasoning for it other than she was going to stop those and that i needed to stop taking them because they are now no longer prescribed,

Is she a psychiatric nurse or a psychiatric nurse practitioner? The former just has to carry out orders about meds, so she has no authority to prescribe anything to you or change things. If she is a psychiatric nurse practitioner, then she can prescribe. I'm thinking she may just have been a poorly trained nurse with little knowledge of discontinuing meds. She doesn't have the authority or training to do a taper plan with you. She can only say to you that you can't take these anymore because they are no longer prescribed. So she's not really in charge, you know what I mean? She's just going by the book. But it is her responsibility to contact a prescriber and inform about what is going on so they can see you and step in and change things to safely get you off of these meds. She's just being like a computer, "you are no longer prescribed these meds so you can no longer take them beep." She's stupid and awful. You need to see someone with authority to diagnose and prescribe. Your doctor, who prescribed you the painkiller, would be one prescriber you could turn to on short notice, since you have a pre-existing relationship with him. Who prescribed the Xanax, Klonopin, and Cymbalta to you? That would be the prescriber to see for help getting off of those. Also, who is prescribing your ADD meds? That would be another person to see for help with this. Ideally, you should coordinate all your psych meds with just one prescriber.

Originally Posted by Lexi232

is that why i'm twitching and jerking off and on and getting static shock pains in my head?????

The static shock pains in your head are from stopping the Cymbalta. I don't know what the twitches and jerks are from--maybe the benzos. As another poster wrote, you are at increased seizure risk for stopping the benzos so suddenly. This is dangerous.

I hope you will contact your doctor who prescribed the pain med or your prescriber who does your ADD meds or whoever prescribed you the benzos and cymbalta. One of them should be able to help you with this. Best of luck.

[bluemountains]

Hi Lexi,
Like the others, I recommend not going cold turkey for the cymbalta. I just recently decreased my cymbalta from 60 mg to 30 mg in order to eventually stop this med, and I am having some brain zaps with the reduction, so I imagine you are experiencing more withdrawal reactions if stopping it completely.
Talk to a competent doctor! Good luck.
bluemountains

[Lexi232]

Originally Posted by Umbral_Seraph

OMFG why is that woman a nurse?!? Telling you to go cold turkey on such addictive medications is reckless and negligent! I hope you have enough left to taper down on your own. I know that fluoxetine can help lessen the withdrawal effects of Cymbalta, and be careful of siezures while you're going off the benzos. I hope you feel better.

Yah, i have no earthly idea why she is.i think it's just because she wants a high paying job.
I'm still cold turkeying it. but having serious issues still. i started taking tramadol 100mg x6hrs cause it's still a PRN since the psych nurse didn't ask about it. lol
Thanks

Originally Posted by sunrise

Good, I'm glad you will never see her again. She sounds awful. Who are you seeing now then? Can they help you with this? Can you tell them everything you wrote here? If you don't have anyone yet, can you contact your regular doctor and tell him what happened and ask him for help with tapering? And maybe he could continue the Cymbalta prescription too since you don't want to get off of that one.

Right now, no one.. i'm kinda in a bad place as my regular doctor is on maternaty leave, and is in the same hospital as this psych nurse and the doc on call doesn't really want to do anything. He actualy was the one that sent me to this lady. Plus they are out for the holidays.
And the pdoc i will be seeing is in Centerstone. but that's not until Jan 5th. and it's the weekend, and they are also are gone for the holidays... By Jan 5th, i think i will be through this withdrawling... or atleast I would hope i would!! I might ask to use a printer, so i can print what i've said off, and read it off to him on jan 5th. It will be my first time to see this pdoc. lol I just want a stable pdoc.. i had one where i moved from.. but people have been tossing me around like pancakes, and then when one doesn't I want to shove the person away (the psych nurse) lol. And this has been going on for half a year now, so i've become quite nervous that everyone will just keep passing me around, and the only ones that wont, will be the horrid ones... But I really like my T right now, and will risk living in the same town as my parents if I get to keep her as my T. But i'm tired of being a pancake! lol...

Originally Posted by sunrise

Is she a psychiatric nurse or a psychiatric nurse practitioner? The former just has to carry out orders about meds, so she has no authority to prescribe anything to you or change things. If she is a psychiatric nurse practitioner, then she can prescribe. I'm thinking she may just have been a poorly trained nurse with little knowledge of discontinuing meds. She doesn't have the authority or training to do a taper plan with you. She can only say to you that you can't take these anymore because they are no longer prescribed. So she's not really in charge, you know what I mean? She's just going by the book. But it is her responsibility to contact a prescriber and inform about what is going on so they can see you and step in and change things to safely get you off of these meds. She's just being like a computer, "you are no longer prescribed these meds so you can no longer take them beep." She's stupid and awful. You need to see someone with authority to diagnose and prescribe. Your doctor, who prescribed you the painkiller, would be one prescriber you could turn to on short notice, since you have a pre-existing relationship with him. Who prescribed the Xanax, Klonopin, and Cymbalta to you? That would be the prescriber to see for help getting off of those. Also, who is prescribing your ADD meds? That would be another person to see for help with this. Ideally, you should coordinate all your psych meds with just one prescriber.

psychiatric nurse (i believe) doing the job longer than i've been alive.. except when she said it, it was more first person towards me.Well.. really long story on that.. the doc who prescribed the hydromorphone was my reg doc, and the on call doc had been just writing out refils until she could get back. she thought she was leaving me in good hands... and since she's been gone since october, things have just went down the drain. I'm not getting the weekly blood test that im supose to be getting, the hospice stoped because the on call doc decided to not sign the paper work that they needed to be signed... the power picc line was pulled because he refused to order refils of heprin and saline to flush the line out., the hospice (which i has my regular docs name on the pill bottles (WHICH one of the meds, Klonapin has a little sticky label saying "DONT discontinue taking this med abruptly!" on the bottle. and she SAW this bottle, with the labels and all.) shes a quack for sure! and i REALLY dislike her-the psych nurse!!!!!. Xanax and klonopin was from the hospice which was from the regular doctor, 90 day supplies.
Then Cymbalta was prescribed by a pdoc i had, who quit and moved and is now in his own practice in another state from where I even was seeing him. but it was a PRN at that time... cymbalta wasn't prescribed currently as i dont know how they decided when a PRN is no longer a PRN, but... i guess they decided it wasn't a PRN anymore. , and the ADD med (intuniv) was planned to be prescribed the next month i came in, but then the fires there, and i moved up here again.. and then have been a pancake since then. Vyvanse has just been pretty much who ever will prescribe a month, then i dont have to worry about it until the next coming up month. and i've been lucky to have one every month of that.
The psych nurse even told me "non stimulants are NEVER prescribed with stimulants! It defeats the purpose! NEVER!" even tho i tried to inform her that intuniv was usually only prescribed as a second med to add on with an ADHD Stimulant to help with remaining ADD symptoms such as impulsivness and narcolepsy and insomnia. but ... man... that lady... i really feel bad for all the people who have to see her. i dont know how they do it. I also wonder if she doesn't have a angst or hate against my doctor.. they are both in the same building.. same hospital.. so... that's something i was thinking about earlier today.. But its imposible to tell a doctor (or in this case, psych nurse) that their wrong, no matter how you word it. cause I worded it at first like "really? .. cause... um.... well... thats what i thought intuniv was supose to be used for.. i was was supose to be starting on a 3mg dose of it at night..." And then she went on a rampage about how shes been in the profession a lot longer than i've been alive, and shes never seen that, and they dont do that. theres never been a case where the two have been prescribed. and that intuniv was for children only anyways. *Eye rolls as knows 3mg is the adult common dosage, and did my reasearch once i got home that night*
lol yeah a computer, beeeeep lol !! ^_^ thanks i needed that laugh. it's funny cause its actually true. lol

Originally Posted by sunrise

The static shock pains in your head are from stopping the Cymbalta. I don't know what the twitches and jerks are from--maybe the benzos. As another poster wrote, you are at increased seizure risk for stopping the benzos so suddenly. This is dangerous.

if i was gonna have to cold turkey it, i wish i could of atleast had only one at a time. cause all four are causing problems. and i'm not sure whats up and whats down and i'm not too sure where i am most of the time physically. and hydromorphone, klonapin, xanax, and cymbalta too all have a few identical withdrawl symptoms (acording to google search), and so i'm not even sure what's coming from what, and when it will stop and even if i were to take a med to make certian things stop, i wouldn't know which med it was that i would need to stop it from happening... But tramadol seems to be helping in the whole "i'd feel better if i was shot" area, and i dont feel so painfully ill in both physical and mental states. but i'm not in the clear and i keep having new problems pop up every so often too.. :/

Originally Posted by sunrise

I hope you will contact your doctor who prescribed the pain med or your prescriber who does your ADD meds or whoever prescribed you the benzos and cymbalta. One of them should be able to help you with this. Best of luck.

Thanks
And i think i will try calling the crisis line for centerstone and asking them what they think i should do about it. maybe they have some sort of pdoc on call that can help me.
And Thanks bluemountains, yeah i was on 60mg before i've been going cold turkey. but hopefully something can be done to help with the withdrawls or help with atleast a taper of some kind or something.. I hope you start feeling better soon! and goodluck to you as well!