Serotonin syndrome - does it get better?!

anarchy45

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Oct 31, 2015
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This post is about my long-time use of MDMA and LSD, and serotonin syndrome. I know this is discussed in tons of threads (I have read many of them), and I've done quite a bit of reading on the web, so I hope it isn’t a repeat. My major symptoms appeared this past Monday (today is Saturday). They are:

Fuzzy/double vision Vertigo/poor balance during main Sweat when lying down Twitching
“Spacing out” (like LSD) Slight mispronouncing words (rare) Poor appetite (improving)

They are strongest when I first wake up in the morning, and start to wane after about 4 hours. Cognitively I’m “all with-it” – I can still converse normally during it. I don’t feel depressed.

I want to know:
How severe these symptoms are (I can’t get to work!).
Is recovery possible? Will this get better, or will worse? Personal experience is best.
SS is potentially fatal… is that due to the immediate effects, or can it happen weeks or months after? What usually causes it?


And I'm really fucking scared.

I'm 100% responsible for my behavior. I don't need a lecture about "too little too late" and poor decision-making.


Thank you for taking the time to read this, and I will greatly appreciate whatever knowledge or experience you folks can share.



The explanation is below.

I've been a very frequent user of MDMA and LSD. Since September 2012 I have done it just about every weekend, twice per weekend, and usually re-dosing on both; I'd spend Sunday sleeping it off. In the spring of this year (2015) I cut down on the partying to maybe once per weekend, and not really at all during the summer. Since the beaches closed at the end of August, I have partied probably once per weekend. A typical night would be 3 - 5 tabs of *really* good strong acid and two hits of MDMA. A few times I did 10 tabs of acid (and it was not as crazy as I expected).
I buy my shit online and always tested it and weighed my own MDMA to between 90mg - 140mg... usually 120mg each. I would usually redose MDMA 3 hours after the first hit - and maybe a tab or 3 of acid. Just about every weekend. For 2+ years. My logic was that if I was going to kill myself, at least I was doing it "safely" (not buying shit at parties). Clearly, poor thinking; I don't need a lecture.

I have had night sweats and minor leg tremors for a few years, which we attributed to my epilepsy (...yeah... and I take meds for epilepsy). This Monday as I stood up and stepped off my subway train, I was "hit SMACK in the face" with an overwhelming feeling of vertigo, dissociation, and the eyesight of someone who had 10 shots of liquor. I was really, really out of it. I very slowly and carefully got out of the subway and hustled the block to my office, a safe place; I came in and put my head on my desk for a while. I guess I must have felt better relatively quickly because I was able to finish the 9 hour workday. I felt the lingering effects through the evening.

My symptoms feel like the disorientation of an LSD trip and the balance and eyesight of a 10-shot drunk. They come and go throughout the day, although they are worst in the morning. Cognitively I feel “all with it”, not “slow”. At the moment I only thing I'm feeling is the strong focus that LSD gives (and not a lot)

Tuesday morning, I woke up, and sitting up from the bed got hit by the same feeling as I did in the subway. I made it to work somehow and saw my epilepsy neurologist that afternoon. I described my drug usage from 2 weeks prior, but did not mention the long-term usage. He did the usual tests he does, and I passed them with no issue. He seemed to think that because the drugs were taken 2 weeks prior, the symptoms were most likely related to the three small seizures I had in the previous two weeks. I asked if it was "autonomic neuropathy" and he said no, and stay off the internet. He is well-known and very respected in neurology, and I trust him… 99%. But I hear that doctors don’t like to give patients a diagnosis because of lawsuits.

On Wednesday morning before work I masturbated, and was immediately hit with the feelings I have described. Somehow I still made it into the office and got some work done, but I was pretty spaced out. I can’t recall how bad it was in comparison to others. When I got home, I vaporized two tiny pieces of (really strong) bud, and it seemed to moderate the symptoms. Apparently that was a bad idea? I haven’t since.
Thursday and Friday when I woke up I was so fucked-up incoherent that I couldn't go to work. I was able to go outside for a walk each afternoon, and the fresh and sunlight really seems to make things better. But the mornings were hard.

Symptoms come and go through the day, and changing positions quickly seems to bring it back. I also sweat at night, and this usually results in 4-6 hours of sleep.
This morning I was really hit with it again. I am trying to judge whether they are getting lesser or stronger, but how do you measure that? I felt TERRIBLE for about 4-5 hours after waking up. Then I went for a short hike in the hills with my parents; my perception felt like half a hit of acid but I was getting around without issue. I felt a lot better with the cool air, sunlight, and tranquility, and I just finished a tasty dinner of chicken soup; I didn’t feel spaced out. But I am concerned that I have been twitching more often (10-30 seconds apart, arms, wrist, fingers). And I also have mispronounced a couple words (maybe 5 times). I did an old Sunday crossword puzzle though!
Right now I feel a lot closer to ‘normal’, but I’m afraid that even a fast movement would set it off.

I intend to see my neurologist again on Monday.

So, to restate my questions:

How severe are my symptoms
Is recovery possible? Will this get better, or will worse? Personal experience is best.
SS is potentially fatal… is that due to the immediate effects, or can it happen weeks or months after?


I'm really, really fucking scared. =(


Thank you for taking the time to read this, and I will greatly appreciate whatever experience you folks can share.
 
My story- Hello, I have searched the web to try and find help for my experience. I as well believe 100% I had serotonin syndrome. I have partied with "ecstasy" since I was 18 this occurred last April at the age of 32 in Vegas at a bachelor party. I missed the Friday night flight which all my buds got some moon rocks and were boasting about it through text to me. I told my buddy who lives there to save me two. I go sat morning to Vegas. He saves me two and they all took theirs Friday night and were telling me all about how great it was that night and how good these were. I got excited and popped both 30 min between each other. My friend gets more from another sources for the group. I'm feeling gooooood so I ask him for another capsule this one is from the new source. I popped it 20 min right before the club. We get a cabana and all of the sudden I feel like I have vertigo and something is suddenly off. We get up there and we have bottles so I start drinking but I can't sit still I keep drinking to try and let the alcohol take over. My heart starts going nuts and my breathing starts increasing like crazy. I start freaking out. We have about 10 dudes and 3 chicks we just invited in the spot. They're looking at me weird like the security keeps walking past the cabana looking in at me. One of my friends dedicates himself to taking care of me but he keeps calming me down but my heart rate and breathing keep jumping back up. This lasts for two hours. I kept almost blacking out, the blackness was closing in with my vision, I had to fight it hard I remember feeling like this was it and I kept asking to talk to my mom. Finally the last time my friend tried to calm me down I couldn't and I got up and I thought I died. Then it stopped all of the sudden. I felt really weird but no more panic breathing or crazy heart rate. We stayed out a little longer and then we went to the hotel room. My friend was cracked out asking me all these questions and I felt like I was about to black out again. I def couldn't sleep and needed to completely calm down so I asked my friend for a Xanax (I know dumb) but it worked I passed out. I came back home and my view on life changed I felt like I was given a second chance. I stopped partying as much. The problem then became my traumatic experience affecting my life. I now have anxiety which I NEVER had before. I've had a couple of panic attacks. The biggest thing now is that I am ALWAYS checking my pulse and heart. I feel like this damaged my heart. I know it could all be in my head but you never know. The checking the pulse thing is annoying and embarrassing. Has anyone had these post symptoms?! Any help is appreciated!!


Your questions-Hey man I see that no one has reached out to you. As you can see above I went through SS and it was by far the worst experience of my life!

I am not saying you didn't have SS let me repeat I am not saying you didn't have SS. The symptoms however seems different then that of SS. The slap of vertigo and disorientation is pretty much all that I can find with similar symptoms of SS. The more common symptoms are extreme heart racing and difficulty breathing. Did you feel like you were about to die 100%? Also, usually the main symptoms of SS don't come back, it is the event and then the aftermath would is what the trauma causes psychologically. Ex. I think my heart was damaged and which is why I'm always checking my pulse now!! SUCKS! From my research SS is fatal at the point of the event and of course if there was physical damage done then it could carry over but if you survived the SS its most likely time that is going to heal the psychological wounds. I would love some tips if you have any for my issues I am currently dealing with. SS sucks man so bad, I hate what it left me with but i'd rather have to figure this out then to EVER have to go back to those two horrible hours. I haven't touched anything since that trip and my friends have withered down. Hope you figure things out and let me know if I can help in any way!
 
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