Ask a Psychiatrist and Get Answers to Mental Health Questions ASAP
Welcome to the site.
I am Dr. Kaushik and i believe i can help you with your problem.
Well you see the anxiety / panic attacks that you are going through are a part of Ritalin withdrawal side effects which have developed because of your abrupt (cold turkey) stopping of the drug without applying the strategic slow weaning process.
However having said that I will like to reassure you that these withdrawal side effects such as the symptoms you are currently experiencing are temporary and self limiting and they are likely to subside on their own once the Ritalin has washed out of your system completely which shall take place in a total of 3-4 weeks from the time you completely stopped the drug.
So I suggest that you patiently endure the present complaints as soon you will start to notice that the intensity and frequency of these panic attacks have started to reduce and slowly they will wane off completely.
If it is difficult for you to patiently endure these side effects then I will suggest that you restart yourself on 10 mg/day dose of Ritalin which will result in control over these symptoms in 1-2 weeks time after which you shall have to systematically come of 10 mg Ritalin by first reducing the dose to 5 mg / day and taking it for 1 week followed by taking the same 5 mg dose every alternate day for 1 more week and then stoping the drug completely.
So above I have mentioned two approaches , either of them will result in symptom free state , so now it is up to you to choose one of them.
I hope this helps.
Wish you all the best.
Please kindly leave a Positive rating if you are satisfied with the answer.
Thank you for your answer doctor, i did not hear from my GP that i could not stop the ritalin cold turkey. this is the second time i used them for an exam period.
I was planning to use ritalin once or twice a week from now on during the year to study but that does not seem a good option anymore since i cannot just take them when i need to study.....
Have a nice day
Dear dr i would like to add that the sympotems have not stopped and i experience full blown panic attacks now, 5-6 months later. and have alot of twitching, spasms and tremors going on.
Hi Dr, thank you for your reply.
about 1 month after stopping the ritalin i started to get muscle spasms, fascilations and tremors all worse when under stress.
I also developped seizures, that looked like grand mal but i did not loose consiousness and could talk during the long lasting seizures.
I had a CT, MRI and countless EEGs and all seemed normal. just i seemed to have some minor epileptic aticity in a temporal lobe in the begining. it was so minor that 2 out of 3 neuroligsts did not even notice it and the other one admitted in the end that it could not be epilelpsy when looking at my symptomes. also lyrica and rivotril made me have more seizures i nthe end instaid of less.
i received the diagnosis of stress induced by the ritalin i took months ago.
since 1 week i also started to hyperventilate and cry for no reason
now i started paxil 20mg. 4 days of 10mg and now the first day of 20mg.
i still get spasms, twitches etc.
the anxiety mainly comes bcs i dont know what is going on with me.
as a side note, my wife , who is under alot of stress due to my issues, told me that today she also starts to have twitches in her triceps and calves and has a stress feeling in the side of the face also just like me