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General Medicine
Question #48762
26 days ago
490

Support for Recovery from Antidepressants and Insomnia - #48762

H.A

Hello "I have been struggling with depression, chronic insomnia, and social anxiety for six years, during which I was prescribed antidepressants and sleep medication. Currently, I am in the final month of a medically supervised tapering process to discontinue these medications. I am seeking advice on the following: Detoxification: How can I support my body in clearing any remaining traces of these psychiatric medications effectively? Relapse Prevention: What strategies or supplements do you recommend during this transition to prevent a relapse or severe withdrawal symptoms? Specific Inquiry: What is your professional opinion on using Jadwar (Delphinium denudatum) as a natural support during this phase? Is it safe to combine with the tail-end of my current regimen?

How would you describe the severity of your depression currently?:

- Severe

What lifestyle changes have you made during the tapering process?:

- Improved diet

Have you experienced any withdrawal symptoms during the tapering process?:

- Moderate
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Doctors' responses

There is no medically proven “detox” protocol to remove psychiatric medications once they are tapered appropriately. Most antidepressants and hypnotics are eliminated via hepatic metabolism and renal excretion, which normalize naturally with time. What does help recovery: Adequate hydration and regular meals Consistent sleep–wake timing (even if sleep is poor initially) Light daily physical activity Avoid alcohol, cannabis, and recreational substances Avoid adding multiple new supplements simultaneously Aggressive detox regimens, purgation therapies, or unverified herbal combinations are not recommended during tapering as they can worsen withdrawal or destabilize mood.

2. Relapse Prevention and Withdrawal Mitigation The final month of tapering is the highest-risk phase. Focus should be on nervous system stabilization, not stimulation. Non-pharmacological priorities: Strict sleep hygiene and fixed wake-up time Cognitive Behavioral Therapy (CBT) or mindfulness-based therapy if available Gradual social exposure rather than avoidance Daily routine with predictable structure Supplements with relatively better safety profiles (only if needed and introduced one at a time): Magnesium glycinate (for sleep and autonomic stability) Omega-3 fatty acids (mood support) Melatonin (short term, low dose only if insomnia is severe) Avoid herbs with CNS-stimulating, dopaminergic, or MAO-interfering effects during tapering.

3. Jadwar (Delphinium denudatum) – Professional Opinion Jadwar is traditionally described as medhya, balya, and vishaghna. However: There is no robust clinical evidence supporting its use in antidepressant withdrawal or relapse prevention It has CNS activity and alkaloid content, making interactions unpredictable Safety data for concurrent use with antidepressants or hypnotics is insufficient It is not recommended during the tail-end of tapering due to risk of CNS overstimulation or paradoxical effects If considered at all, it should only be introduced after complete discontinuation and stabilization for several weeks, under supervision, and at very low doses. At this stage, its risk outweighs its theoretical benefit.

4. Key Clinical Warning Do not interpret withdrawal symptoms as relapse prematurely. Common transient symptoms include insomnia, anxiety spikes, irritability, emotional blunting, and somatic sensations. These often peak after dose reduction and settle gradually.

What i suggest you is take the following medicines 1. Manasmitra tab 2HS at bed time 2. Bhrahmi vati 2 tab After lunch 3. Bhrahmi ghrut 30 ml before breakfast only. Take thess medicines . Dr Akshay negi MD PANCHAKARMA

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H.A
Client
25 days ago

Thank you very much, Dr akshay

understand your concern and I want to reassure you that what you are experiencing is not just a thyroid problem but a reflection of long standing imbalance inside the body in Ayurveda we see hypothyroid tendencies mainly as kapha predominance with involvement of agni and vata the metabolism becomes slow digestion weak tissues do not get properly nourished and toxins start accumulating which then affects hormone regulation weight energy mood and menstrual health our approach is always to correct the root cause and not just suppress the reports

First and most important thing is to improve agni because unless digestion improves no medicine will work properly I usually advise patients to start their day with warm water and a small piece of fresh ginger before meals meals should be light freshly cooked and warm avoid cold food bakery items refined sugar excess dairy and late night eating

From Ayurvedic medicine perspective the commonly used and safe formulations are as follows

Kanchanar guggulu two tablets of 250 mg each twice daily after food with warm water this helps in regulating thyroid tissue metabolism reducing kapha accumulation and improving glandular function

Trikatu churna half teaspoon twice daily before food with warm water this improves digestion metabolism and helps in proper hormone conversion

Ashwagandha churna three to five grams at night with warm milk if milk suits you or warm water this supports the endocrine system reduces stress improves sleep and balances vata which is very important in thyroid disorders

Punarnava mandoor one tablet twice daily after food especially useful if there is weight gain swelling sluggishness or low energy

If constipation or bloating is present Triphala churna one teaspoon at night with warm water can be added to help detoxification

Along with medicines lifestyle correction is equally important daily walking gentle yoga practices like surya namaskar bhujangasana and setu bandhasana along with pranayama especially anulom vilom and bhramari are very beneficial stress management is crucial because chronic stress directly disturbs hypothalamus pituitary thyroid axis

Please remember healing in Ayurveda is gradual and deep we do not chase numbers immediately we work on restoring balance once digestion improves weight starts correcting stress reduces the thyroid function often stabilizes naturally medicines should be taken regularly for at least three to four months with proper diet and routine and reports should be reviewed periodically

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H.A
Client
25 days ago

Thank you very very much, Dr. M.Sushma Hassan from Saudi Arabia 🌹

Hello Seriously hats off to you for getting off meds after six years is tough. The fact that you’re doing it with a doctor and changing your habits shows you’re seriously dedicated to getting better.

I’m going to give it to you straight, but don’t worry, I’ll be careful. This is a tricky but important stage.

So, About Detoxing from Meds

I get this question a lot. Here’s the thing: Psych meds don’t hang around in your body as toxins for years. Your liver and kidneys break them down and flush them out naturally.

So, you don’t need detoxes or cleanses.

What you really need is: * To calm your nervous system * To get your brain chemicals back on track * To build up your energy

In Ayurveda, they call this: Manasika and Majja Dhatu Punarbalana (basically, rebuilding your mind and nerves)

Not detox.

What’s the Real Deal with Tapering?

The main worry isn’t toxins, it’s: * Anxiety coming back with a vengeance * Trouble sleeping again * Feeling all over the place emotionally * Feeling detached from yourself * Panic or wanting to hide from everyone

These are signs of: Vata going wild in your head and nerves

So, the goal is to: Stay calm, get some good stuff in you, and stay steady. Not purge.

Some Safe Ayurvedic Help for Withdrawal

These are easy, proven, and okay to use while tapering

Core Nervine Rasayana

1.Ashwagandha capsule 1 cap twice a day → Calms you down, lessens anxiety, helps you sleep

2.Brahmi capsule 300 mg once a day → Keeps your mood even, helps your brain adapt

3.Shankhapushpi syrup 15 ml twice daily → Really good for those annoying thoughts and feeling mentally worn out

This is way safer and makes more sense than Jadwar.

About Jadwar Jadwar is pretty strong. Traditionally, it’s used for: * Poisoning * Serious nerve problems * Epilepsy * Shock

But: Heads up: * Jadwar is strong stuff * You have to be careful with the dose * Too much can mess with your brain * Never try this on your own

In your case: I don’t think Jadwar is a good idea while you’re getting off antidepressants.

Your nerves are already on edge. Jadwar is too intense right now. Experts use it for emergencies, not for long-term healing.

How to Avoid Slipping Back

Most people mess this up, not because of herbs, but because of how they live.

Things you gotta do every day, no excuses: * Go to bed and wake up at the same time * Get sunlight in the morning * Walk for 30 minutes * No caffeine after 2 pm * Turn off screens after 9 pm * Eat a warm dinner before 7:30 pm

The Most Important Thing (That People Skip)

Abhyanga (oil massage) Every day, or at least 4 times a week: Warm sesame or mahanarayan oil Head, spine, bottoms of your feet This calms out the Vata in your nervous system directly.

In Ayurveda, this is more powerful than pills for anxiety.

What’s Up with Sleep Problems?

Trouble sleeping after antidepressants is because: * Your body isn’t making enough melatonin * Your brain chemicals are off-balance * Your nerves are on high alert

Best Ayurvedic sleep trick: * Jatamansi 500 mg at night * Warm milk with a pinch of nutmeg * Foot massage before bed * Don’t stare at the clock * It’s okay if you don’t sleep perfectly (seriously, it is)

The Truth (Super Important) After being on antidepressants for a while, your brain needs: 6–18 months to get back to normal. This doesn’t mean you’re relapsing. It means your nervous system is learning to work on its own again.

This is called: The neuro-adaptation phase And it’s not fun, but it won’t last forever.

To Sum It All Up You don’t need a detox. You need to feed your nervous system. Jadwar is not right for you right now.

Focus on above treatment protocol This is much easier, safer, and better for:

Getting through withdrawal + avoiding relapse + staying emotionally strong.

Getting better after antidepressants isn’t about cleaning out your body. It’s about helping your nervous system feel safe again. And that takes time and kindness.

Warm Regards Dr. Snehal Vidhate

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H.A
Client
25 days ago

Thank you very much, Dr. Snehal Vidhate 👍

HELLO,

For the last several years, your mind and nervous system have been under continuous strain- first due to emotional stress and illness, and later due to Long term use of antidepressants and sleep medications

These medicines helped you survive a difficult phase, but Long term use slowly weakens the body’s natural self-regulation, especially -Natural sleep rhythm -Emotional resilience -Stress handling capacity -Gut brain communication

Now as the medicines are being reduced, the body is trying to relearn how to function on its own. This relearning phase causes -Insomnia -Anxiety -Low mood or fear of relapse -Body sensations, restlessness, fatigue

This does not mean your illness is worsening. It means your nervous system is sensitive and healing.

According to Ayurveda, your condition involves four key disturbances

1) VATA DOSHA AGGRAVATION (primary cause) Vata controls -nervous system -sleep -thoughts -fear and anxiety Long term stress + psychiatric medicines + lack of deep sleep-> vata becomes unstable

SYMPTOMS OF AGGRAVATED VATA -insomnia -anxiety, fear -restlessness -withdrawal symptoms -racing thoughts

2) PITTA DOSHA INVOLVEMENT Pitta governs -emotional intensity -neurochemistry -irritability

In depression with insomnia -pitta causes mental heat, frustration, despair -sleep becomes shallow and broken

3) MANOVAHA SROTAS DUSHTI This means -thoughts don’t settle -emotionalfeel overwhelming -mind does not switch off at night

4) OJAS KSHAYA (loss of vital essence) Ojas is the subtle strength that gives calmness, immunity, and emotional stability Long illness+ medicines-> Ojas depletion, leading to -feeling fragile -low confidence -fear of relapse -poo sleep recovery

TREATMENT GOALS Ayurveda does NOT aim to -force detox -abruptly clean medicines -overstimulate the nervous system

Instead ,focuses on -stabilizes the nervous system -calmthee aggravated vata -restore natural sleep rhythm -rebuild inner strength -prevent relapse gently -support medicine withdrawal safely

INTERNAL MEDICATIONS

A) CORE NERVOUS SYSTEM AND MIND SUPPORT

1) BRAHMI VATI= 1 tab twice daily after meals for 3 months =calms mind, improves emotional balance, reduces anxiety and mental fatigue, helps brain adapt after antidepressants

2) SHANKHAPUSHPI SYRUP= 1 tsp twice daily after meals for 3 months =nourishes brain cells, redcues fear and overthinking, improves sleep quality

3) JATAMANSI CAPSULES= 1 cap at night for 3 months =one of the best herbs for insomnia + depression, pacifies vata in the brain, prevents emotional crashes during withdrawal

B) OJAS AND RASAYANA SUPPORT

4) MAHAKALYANAK GHRITA= 1 tsp in morning for 4 months =deep nourishment of nervous tissue, restores confidence and calmness, excellent in chronic depression

C) DIGESTIVE AND LIVER SUPPORT

5) GUDUCHI GHAN VATI= 2 tabs In morning =support detox naturally, prevents inflammation, strengthens recovery

EXTERNAL THERAPIES

1) OIL MASSAGE= KSHEERBALA TAILA -Areas= feet, head, spine, daily =ground vata, improves sleep, reduces axneity

2) HEAD MASSAGE -deep calming of mind -excellent durin withdrawal phase

YOGA ASANAS -shavasana -balasana -viparita karani -gentle stretching only

PRANAYAM -nadi sodhana -bhramari

AVOID -intense breathing -forceful kapalbhati -long meditation initially

DIET -warm, soft, freshly coked meals -rice, oats, khichdi -ghee very important for brain -warm milk at night -stewed fruits

AVOID -coffee, alcohol -cold foods -dry snacks -fasting -late night eating

HOME REMEDIES -warm milk + pinch of nutmeg at night -foot massage with oil before sleep -sipping warm water through day -sitting in sunlight every morning

ABOUT JADWAR (Delphinium denudatum) Not recommended in your condition because -strong and sharp herb -narrow safety margin -can worsen nervous instability -risky during antidepressant tapering Safer alternatives already mentioned are far superior for your case

-Healing of nervous system is slow but real -Ayurveda works by restoring balance, not suppressing symptoms -Your recovery is possible and sustainable

Be patient with your body. It is learning to trust itself agaiin

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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you can get this medications online from amazon

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H.A
Client
25 days ago

Thank you very very much Dr. Maitri Bhavesh Kumar Acharya

Everything you said is true. How can I get these medications? I’m from Saudi Arabia

Since you describe your current depression as Severe, the tapering period is the most critical phase. If you feel suicidal or spiraling, contact your psychiatrist immediately to pause the taper. Do not rush the “Detox” at the cost of stability.

1. Detoxification (Clearing the Residue) Psychiatric medications are lipophilic (fat-soluble) and store deep in the tissues. We need lipid-based cleansing.
Maha Kalyanaka Ghrita: Dosage: 1 teaspoon on an empty stomach early morning with warm water. This is the specific Ayurvedic antidote. It crosses the blood-brain barrier to cleanse the neuro-receptors and repair cognitive function.
Hydration: Drink 2 liters of water boiled with Coriander seeds daily to flush the kidneys.

2. Relapse Prevention (Brain Nutrition) To prevent the rebound effect (insomnia/anxiety returning), you must feed the brain what the drugs were simulating. -Brahmi Vati (with Gold/Suvarna - if affordable): It stimulates natural serotonin/dopamine production without the withdrawal crash. Dose: 1 tablet morning and night.

-Tagara (Valerian Root) Capsules: Take this only at night if you cannot sleep. It is a natural sedative to replace the sleeping pills during the transition.

3. Jadwar (Delphinium denudatum) Yes, it is highly effective, but use with caution. In Unani and Ayurveda (known as Nirvishi), Jadwar is the premier herb for De-addiction and Withdrawal Management. It protects the heart and brain from the shock of stopping drugs. It is excellent for lifting Severe depression.

Since you are in the final month (low dose), it is generally safe to introduce Jadwar in low doses. Protocol: Start Jadwar only under the guidance of an expert, as crude Delphinium can be toxic if not processed (Shodhit).
Recommendation: Look for the formulation Jawarish Jalinoos or pure Jadwar extract, but do not combine it with a full dose of sedatives. Take it in the morning to boost mood.

You must apply Brahmi Taila or Ksheerabala Oil to your head and feet every night. This physical weight on the body helps ground the anxiety (Vata) that spikes during withdrawal.

Regards Dr Gursimran Jeet Singh MD Panchakarma

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You can get them online from Amazon.

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H.A
Client
25 days ago

Thank you very much Dr Gursimran Jeet Singh, How can I get these medications? I’m from Saudi Arabia.

Take manasamithra vatakam 1tab bd, Brahmi vati 1tab bd, shankapushi syrup 20ml bd For detoxification consulting the AYURVEDIC panchakrama specialist u ll get results

Dr RC BAMS MS

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Detox: You don’t need special detoxes. Your liver and kidneys clear these medicines naturally. Focus on regular meals, good hydration, gentle activity, and stable sleep. Avoid fasting, strong herbs, or Panchakarma right now. Relapse & withdrawal prevention: Go slowly. Protect sleep, keep routines steady, and manage stress. Gentle supports like magnesium and omega-3s are often helpful. Avoid strong mood-altering herbs during tapering. Jadwar (Delphinium denudatum): ❌ Not recommended during or near antidepressant/sleep-medicine tapering. It can affect the nervous system and may interact unpredictably. Use after medicines are fully stopped. Panchakarma: ❌ Not advised at this stage. It can worsen insomnia, anxiety, and relapse risk. Stabilization first, not detox.

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H.A
Client
25 days ago

Thank you very much, Dr sara

Hello, For detox- A course of panchakarma like virechana will be of great benefit.

To prevents relapse- 1. Take one on one class from good and experienced yoga teacher on yogasana and pranayama so that once you are confident about the practice you can practice 1 hour 15 minutes a day. 2. Please do continue the diet modifications 3. Hydrate yourself well.

Take care, Kind regards.

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Hi For your present condition i would prefer to take Brain tab-2-BD Brahmi vati-2 BD Syp Shankhpushpi 10 ml BD Tab gudsleep 2 BD at night

For detoxification You can detox your body metabolism by taking panchkarma but if in case you don’t want to take so I would prefer to take NITYA VIRECHAN WITH TRIPHALA KWATH IN MORNING

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A complete diet and lifestyle regime for your detox peocess and supportive medications

✔️ Do’s: ✔️ Millet roti Buttermilk (daily include in your meal) Moong dal (green and yellow both are ok) All fruit vegetables Leafy vegetables (except methi and dil)

🧘‍♀️ Yogasan : 🧘‍♀️

1. Bhujangasana (Cobra Pose) 2. Dhanurasana (Bow Pose) 3. Ardha Matsyendrasana (Half Lord of the Fishes Pose) 4. Paschimottanasana (Seated Forward Fold) 5. Halasana (Plow Pose) 6. Sarvangasana (Shoulder Stand Pose) 7. Matsyasana (Fish Pose) 8. Supta Matsyendrasana (Reclined Spinal Twist) 9. Surya Namaskar 10. Malasan (Squats Pose)

🧘‍♀️ Pranayam : 🧘‍♀️ 1. Anulo Vilom 2. Bhramari 3. Kapalbhati 4. Shitali 5. Sitkari

❌ Donot’s: ❌ Tea Coffee Addictions Dals (except moong) Sour Packed food Processed food Achar (pickles) Papad Fried food Avoid dairy completely Non veg products

💊 Medication: 💊

Tab. Live 52 DS 1 tab twice a day before food. Tab. Arogyavardhini Vati 2 tabs twice a day before food. Tab. Manasmitra Vatak 2 tabs twice a day before food. Cap. Memorine 2 caps twice a day before food.

Syp. Prasham 4 tsp at bed time.

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H.A
Client
25 days ago

Thank you Dr. Snehal Tasgaonkar

⚠️ Specific Inquiry: Jadwar (Delphinium denudatum) - Traditionally described as Vishaghna (antidote), Manas shamak (calms mind), and used in certain psychiatric conditions. - However, Jadwar is a potent herb with alkaloids that can interact with CNS medications. - Not recommended to combine during tapering unless under direct supervision of an Ayurvedic physician familiar with cross-interactions. - Safer alternatives for calming mind during taper: Jatamansi, Brahmi, Ashwagandha.

Rx 1.Ashwagandha capsules 2 cap twice daily with warm milk after meals 2.Brahmi vati 1 tab twice daily with water after meals 3.Manasmithra vatkam 2 tab twice daily with milk after meals 4.Chyawanprash 1 tsp with warm milk empty stoamch in the morning 5.Saraswatarishta 20 ml with 20 ml water twice daily after meals

🌱 Lifestyle & Supportive Practices - Detox: Warm water, Triphala at night, Guduchi for liver support. - Sleep hygiene: Oil massage (sesame or Brahmi oil) on soles and scalp before bed. - Yoga & Pranayama: Anulom Vilom, Bhramari, Yoga Nidra daily. - Diet: Warm, sattvic meals; avoid stimulants (coffee, excess tea). - Mind routines: Journaling, mantra chanting (Om Shanti, Gayatri), grounding walks.

👉 My professional caution: avoid Jadwar during tapering; instead, rely on safer nervine tonics (Brahmi, Jatamansi, Ashwagandha). 👉 Focus on detox + Rasayana + calming herbs with lifestyle support.

Warm Regards DR.ANJALI SEHRAWAT

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H.A
Client
25 days ago

Thank you DR.ANJALI SEHRAWAT

8 HR SLEEP

DO YOOGA NASYA WITH COW GHEE 2 DROP EACH NOSTRIL 2 TIMES DAY TAKE BRAMHI GHEE WITH 5 ML AT EMPTY STOMCH AT MORNING TAKE BRAMHI 2 BD’ AND TAKE MANASMITRAVATIKAM (KOTAKAL AYURVEDA) 2 BD

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YOU ARE GOING THROUGH A SENSITIVE PHASE WHILE TAPERING OFF ANTIDEPRESSANTS AND SLEEP MEDICATIONS AND IT IS IMPORTANT TO SUPPORT BOTH BODY AND MIND TO MINIMIZE WITHDRAWAL SYMPTOMS AND REDUCE RISK OF RELAPSE DURING THIS PERIOD THE FOCUS SHOULD BE ON GENTLE DETOXIFICATION STRENGTHENING NERVOUS SYSTEM BALANCE OF DIGESTIVE FIRE AND IMPROVING MENTAL RESILIENCE FOR DETOXIFICATION SUPPORT LIVER AND KIDNEY FUNCTION AND MAINTAIN SMOOTH DIGESTION INCLUDE WARM HERBAL TEAS MADE WITH TULSI GINGER LICORICE OR CINNAMON TWO TO THREE TIMES DAILY THESE HELP REMOVE TOXINS GENTLY AND SUPPORT IMMUNITY EAT LIGHT EASY TO DIGEST FOODS SUCH AS KICHADI SOUPS STEAMED VEGETABLES AND MOLEHILLS OF WHOLE GRAINS AVOID HEAVY FRIED OILY AND PROCESSED FOODS TO REDUCE TOXIC BURDEN CONSUME FRESH FRUITS AND WARM WATER THROUGHOUT THE DAY MILD DAILY EXERCISE LIKE WALKING YOGA OR PRANAYAMA BREATHING EXERCISES SUCH AS ANULOM VILOM AND NADI SHODHAN HELP CALM THE NERVOUS SYSTEM REDUCE ANXIETY AND IMPROVE SLEEP QUALITY MEDITATION AND MINDFULNESS PRACTICES ARE CRUCIAL FOR STABILIZING MOOD AND BUILDING RESILIENCE AGAINST RELAPSE AYURVEDIC HERBS THAT CAN SUPPORT NERVOUS SYSTEM AND MENTAL STABILITY INCLUDE ASHWAGANDHA ONE TEASPOON WITH WARM MILK OR WATER ONCE OR TWICE DAILY TO REDUCE ANXIETY AND IMPROVE ENERGY LEVELS BRAHMI ONE TEASPOON WITH WARM WATER OR IN TEA ONCE DAILY TO SUPPORT COGNITION AND MENTAL CLARITY SHANKHAPUSHPI HALF TEASPOON WITH WARM WATER ONCE DAILY TO PROMOTE SLEEP AND CALM NERVES THESE HERBS ARE MILD AND SAFE WHEN TAKEN CONSISTENTLY IN THE DOSES MENTIONED AND CAN BE USED ALONG WITH THE FINAL STAGES OF TAPERING JADWAR DELPHINIUM DENUDATUM IS A VERY STRONG AND POTENT HERB IT CAN AFFECT THE NERVOUS SYSTEM AND IS NOT RECOMMENDED DURING MEDICATION TAPERING DUE TO POTENTIAL ADVERSE EFFECTS PROFESSIONAL SUPPORT MONITORING MOOD SLEEP AND ENERGY LEVELS IS CRUCIAL DURING THIS PHASE MAINTAIN REGULAR CHECK-INS WITH YOUR SUPERVISING DOCTOR AND REPORT ANY INTENSE WITHDRAWAL SYMPTOMS OR MOOD CHANGES FOLLOWING THE ABOVE LIFESTYLE MEASURES AND HERBAL SUPPORT WILL HELP THE BODY CLEAR REMAINING MEDICATION TRACES GENTLY STRENGTHEN THE NERVOUS SYSTEM REDUCE ANXIETY IMPROVE SLEEP AND LOWER THE RISK OF RELAPSE ENSURING A SAFER TRANSITION OFF MEDICATION

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H.A
Client
24 days ago

Thank you very much Dr. Prasad Pentakota

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