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Antidepressant Discontinuation Syndrome

Antidepressant Discontinuation Syndrome refers to a constellation of symptoms that may occur following the abrupt cessation or significant reduction in the dose of an antidepressant medication that has been taken continuously for a period of time, typically at least one month. This syndrome is a well-recognized phenomenon and can occur with any class of antidepressant, although the risk and symptom profile may vary depending on the specific medication and its half-life.

The syndrome is characterized by a range of symptoms that can include flu-like effects, insomnia, nausea, imbalance, sensory disturbances, and hyperarousal. These symptoms are often described as being quite distressing and can significantly impact a patient’s quality of life. They typically arise within a few days of discontinuing the medication and generally resolve within one to two weeks, although in some cases, they may persist for longer periods.

AspectDetails
PrevalenceAbout 20% of patients develop antidepressant discontinuation syndrome after abruptly stopping or significantly reducing an antidepressant taken continuously for one month.
Onset and Duration of SymptomsSymptoms typically arise within two to four days after cessation and generally last one to two weeks, though they can persist up to one year in some cases.
Symptoms (FINISH Mnemonic)•...

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