Oral B12 should be at least 1000mcg (1mg)...

Andy--what dose are you taking?

Im taking 3000mcg daily, but can up that... Docs were pretty ambiguous about them & it was a bit of an afterthought...

So Ive been ready up more on Serotonin and I am assuming that since ive been off for a couple mths that my levels are low? So Im looking up the effects of low serotonin and if it can cause nerve pain like Im experiencing and I cant find anything? :(

Okay, make sure you take that on an empty stomach. If food is present the absorption will be seriously impaired.

It is possible that the use of the SSRIs was masking the pain.
When you stopped, then the pain became more obvious. SSRIs are a treatment for neuropathy pain for some patients.

But your high MCV suggests you are borderline or getting low in B12. The red cells get larger as B12 goes down. Eventually with time a macrocytic anemia develops...but neuro symptoms often appear first.

The Viibyrd is just too new to blame yet. It can take years of use to link some postmarketing side effects of new drugs.

Im wondering (along with my husband and my Dr) if either:

A. The prolonged use of Celexa caused some sort of nerve damage.
B. The sudden stopping of Celexa caused some sort of reaction that is presenting as nerve damage
C. If the Viibryd alone caused this painful reaction and somehow damaged my nerves
D. The combo of coming off the celexa after that long and that fast..and then going on the viibryd made it even worse and now I have nerve damage

I feel like the timing of the onset of pain is just to much to be a coincidence? Meaning I cant believe I just had a nerve problem all along (or rather developed a problem while taking the Celexa) and that Im just now aware because Im no longer taking it?

I made up a sort of timeline thing to go in my signature but havent put it in there yet:

Started Celexa to treat panic/anxiety/agoraphobia around the beginning of 2008. Tapered only a few days starting April 30th 2014 (per Drs orders) and took my last pill May 4th 2014. (Was on Celexa roughly 6 years)

Started Viibryd 10mg May 5th 2014 and tapered up to 20mg, then 40mg around June 29th or so. Was on that dosage until July 13th when I was told to stop cold turkey by psychiatrist due to adverse reaction. (Was on Viibryd around 2 mths total)

Presently on NO medication

**Experiencing severe nerve/joint pain mainly in feet but also knees and a few other places since starting on the 40 mg dosage of Viibryd. No prior injuries or history of pain. (panic and agoraphobia have set back in since stopping but I expected that)

Viibryd is related chemically to trazadone...which has been in use for over 25yrs. There has not been a published link to trazadone and neuropathy.

Get that magnesium lotion...it works on the NMDA pain receptors and minimizes pain. It is very simple and very good. It only costs $5.95 a bottle which can last up to 3 months. It will provide magnesium as it is absorbed to some extent for systemic purposes... one of which is calming of anxiety.

You can also soak in epsom salts, but the lotion is much better IMO. I use it just about every day. Just apply about a quarter's diameter divided between your two feet, at night once a day.
Give it a week to start working. I can feel it though within an hour. Apply to the tops of your feet and ankles. Don't do the bottoms, as the skin is too thick there for good absorption.

The vitamin D deficiency, and masking by the SSRI, could account for some of it right there.

vitamin d deficiency foot pain

Sometimes doctors prescribe a megadose type of vitamin D. Before purchasing/taking, find out if it's D2 or D3. D2 is pretty worthless.

d2 vs. d3

Vitamin D and Peripheral Neuropathy:

You can get D3 OTC fairly inexpensively, which should do the job. I take 5000 IU/day.

Doc

Hi there, I'm new as well. I just wanted to let you know that Neurontin (gabepentin) has it's own little set of problems. While it does help me with neuropathic pain in the legs, it has worsened my balance problems (already pretty impaired) and ruined my short-term memory. For me, it was a trade off--I had to weigh the pain levels against the side effects and decide which I was willing to put up with. The same will be true of any drug you take, unfortunately.

I'm so sorry you are going through this! I'm so lucky that I have a very knowledgeable family doctor who can help mitigate the silliness that comes out of my treatment by the VA (when I can afford to go see him, that is!) I know my comment hasn't added anything new to the conversation, but just wanted to let you know, you are not alone. I've only been on this forum for a couple of weeks and already learned something new, so I'm thankful for all of you!
:grouphug: