What causes discontinuation syndrome?
Noah Mitchell
Published Jan 13, 2026
Usually discontinuation syndrome occurs when a person has been taking medication for at least six weeks or longer. And it's more likely to happen if you have been taking medication for a long time.
How do you fix discontinuation syndrome?
When experiencing withdrawal symptoms or antidepressant discontinuation syndrome, increasing physical exercise or changing the diet to include more fresh food may help ease symptoms by making a person feel reinvigorated and less lethargic.
How long does discontinuation syndrome last?
Antidepressant discontinuation syndrome is common
Symptoms occur within two to four days after drug cessation and usually last one to two weeks (occasionally may persist up to one year). If the same or a similar drug is started, the symptoms will resolve within one to three days.
What does discontinuation syndrome feel like?
People experiencing ADS may feel generally unwell, depressed, and anxious about 2–4 days after stopping their medication. Those withdrawing from using monoamine oxidase inhibitors (MAOIs) may sometimes also have symptoms of psychosis, such as delusions or hallucinations.
Does discontinuation syndrome go away?
With discontinuation syndrome, the symptoms eventually go away, usually within one to three weeks. But if you're having a relapse of your depression or anxiety, the symptoms don't go away and may even get worse.
44 related questions foundDoes your brain go back to normal after antidepressants?
"The fact that antidepressant withdrawal can be so prolonged suggests that the drug has changed the brain and that those changes are taking a very long time to return to normal and it may be the case that sometimes they don't go back to normal."
Do SSRIs change brain chemistry permanently?
Some believe it is unlikely that antidepressants cause any permanent changes to brain chemistry in the long-term. Evidence seems to indicate that these medications cause brain changes which only persist whilst the medication is being taken, or in the weeks following withdrawal.
Can antidepressants permanently damage your brain?
We know that antipsychotics shrink the brain in a dose-dependent manner (4) and benzodiazepines, antidepressants and ADHD drugs also seem to cause permanent brain damage (5).
Which SSRI is most likely to cause discontinuation syndrome?
Prevention of SSRI Discontinuation Syndrome
Around 20% of people taking Paxil, Zoloft, Celexa, or Lexapro will experience some degree of withdrawal following termination of treatment, lasting anywhere from one to three weeks. 4 For those who have been on SSRIs for many years, the symptoms may persist for longer.
What is the difference between discontinuation syndrome and withdrawal?
Antidepressant withdrawal is possible if you abruptly stop taking an antidepressant, particularly if you've been taking it longer than four to six weeks. Symptoms of antidepressant withdrawal are sometimes called antidepressant discontinuation syndrome and typically last for a few weeks.
How long does serotonin withdrawal syndrome last?
These symptoms usually are mild, last one to two weeks, and are rapidly extinguished with reinstitution of antidepressant medication. Antidepressant discontinuation syndrome is more likely with a longer duration of treatment and a shorter half-life of the treatment drug.
Does Lexapro change your brain permanently?
Some research has suggested this type of drug aids in neuroplasticity. In other words, these drugs can affect how our minds organize and form synaptic connections. Other researchers believe this type of medication has no long-term effects on our brains once the individual stops using the drug.
What are the hardest antidepressants to get off of?
Discontinuation symptoms have also been reported in people who stop taking older types of antidepressant medications, including tricyclics and monoamine oxidase inhibitors (MAOIs).
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Hardest-to-Stop Antidepressants
- citalopram) (Celexa)
- escitalopram (Lexapro)
- paroxetine (Paxil)
- sertraline (Zoloft)
What supplements help with antidepressant withdrawal?
So, I went looking for those and I initially decided that anxiolytic supplements like L-Theanine, Passionflower, Lemon Balm, Valerian Root, Chamomile, Feverfew would be helpful based on the TRP research I had read. I began ordering these supplements from Amazon and taking them each day. They did make life easier.
How long does it take to get antidepressants out of your system?
Sometimes, discontinuation symptoms can resemble a relapse. However, while discontinuation symptoms usually start within a few days, signs of a relapse take longer — typically 2–3 weeks — to appear. If a person has concerns that depression is returning, they might wish to seek medical advice.
How long does it take for serotonin levels to return to normal after SSRI?
In cases where serotonin syndrome is only present in a mild form, symptoms may be alleviated within 24 hours of discontinuing the medication causing the uptake in serotonin. However, some antidepressants can cause symptoms to last longer as serotonin levels may take weeks to return to normal.
Do antidepressants shorten your life?
The analysis found that in the general population, those taking antidepressants had a 33 percent higher risk of dying prematurely than people who were not taking the drugs. Additionally, antidepressant users were 14 percent more likely to have an adverse cardiovascular event, such as a stroke or a heart attack.
What is fuzzy brain?
What is brain fog? While it's not a medical term, brain fog describes a feeling that you don't have full mental clarity—maybe you're having trouble remembering something or difficulty focusing on a thought or idea.
Do antidepressants affect intelligence?
"Perhaps we should be a bit more cautious than we are at the moment, about who we use antidepressants for. We need more research." He notes, however, that SSRI's have been in use for some 25 years and there is no evidence of brain damage or a negative impact on intellectual capacity.
How long does it take for brain to return to normal after SSRI?
The process of healing the brain takes quite a bit longer than recovery from the acute symptoms. In fact, our best estimates are that it takes 6 to 9 months after you are no longer symptomatically depressed for your brain to entirely recover cognitive function and resilience.
Can antidepressants rewire the brain?
“It appears that SSRI antidepressants rewire areas of the brain that are important for thinking and feeling, as well as operating the autonomic nervous system,” said Koliatsos. Axons are long, filament-shaped extensions of neurons that, together with myelin, are the main constituents of nerves.
Does your brain go back to normal after antipsychotics?
For neurological, neuropsychological, neurophysiological, and metabolic abnormalities of cerebral function, in fact, there is evidence suggesting that antipsychotic medications decrease the abnormalities and return the brain to more normal function.
What is a brain zap?
Brain shakes are sensations that people sometimes feel when they stop taking certain medications, especially antidepressants. You might also hear them referred to as “brain zaps,” “brain shocks,” “brain flips,” or “brain shivers.”
What happens if you take antidepressants for years?
Those who had used antidepressants for >3 years reported more severe side effects, including “weight gain”, “addiction”, “feeling not like myself ”, “withdrawal symptoms”, and “suicidality”, than those who had been on antidepressants for ≤2 years.
Do antidepressants cause dementia?
Certain antidepressants and bladder medications are linked to increased risk of dementia, according to new University of East Anglia research funded by Alzheimer's Society and published today in the British Medical Journal.