Table 3.
Discontinuation Symptoms Described in the Literature
| Disequilibrium | Dizziness (exacerbated by movement or postural changes),5 light-headedness,7 vertigo,5,7,8 ataxia,5,7 and headaches5,7 (less common: disequilibrium in brief bursts when patients move their head or eyes7) |
| Gastrointestinal | Nausea,5,7,8 vomiting,5,7 loose stools,5,7 dry mouth,5 anorexia7 |
| Flu-like symptoms8 | Myalgia,5 fatigue/lethargy,5,7 shaking chills,5 rhinorrhea,5 tremor,7 sweating7 |
| Sensory disturbances8 | Vivid dreams,5 nightmares,7 excessive dreaming,7 initial and middle insomnia,5,7,8 paresthesia,7 numbness,7 electric shock–like sensations,7 rushing noise in head,7 and palinopsia (visual trails)7 (less common: visual hallucinations,9 auditory hallucinations,10,11 visual phenomena similar to the fortification spectra associated with migraines,12 shock-like sensations,13 and stroke-like symptoms14) |
| Psychological | Anxiety,5,7,8 agitation,5,7,8 irritability,7 mania,5,15 crying spells,5,7 cognitive disturbances,5 low mood,7 and slowed thinking5 (less common: confusion9) |