Posted 11 November 2015 - 07:29 PM
compounding their own formula is what it's all about - you give them the drugs and they formulate your dosage. Instead,
Do it yourself! To do so easily, find a pharmacy that dispenses TEVA (manufacturer) CAPSULES (which contain beads!). Walgreen's is good in California, dunno about others, i got lucky I guess.
The nice thing about TEVA's capsules of Venlafaxine XR is that a 150mg capsule contains you guessed it 150 beads. ditto a 37.5 contains 37.5 beads okay that's a joke. some beads are a little big some are a little small but mostly they're quite consistent - count out any size capsule and it works out quite consistently. It doesn't matter how much they really weigh, each TEVA bead delivers approximately one milligram of medicine. if you find a tiny one call it the half mg, it works.
I'm still at 25mg/day; I use a small funnel and dump 25 beads into old Pristiq bottles labelled SMTWTFS, then count them again as I take them. 6 doses from a 150mg cap, and it comes out on the money every time so far!
I haven't figured out how I'll approach splitting up less than one milligram, but probably will switch to instant release (IR) venlafaxine. If you can't find consistent size beads, using IR may be your only way. Using IR will mean >1 dose / day but i can live with that I think.
I can't imagine achieving very good accuracy in trying to weigh single submilligram doses, there's just too much room for error. Much easier to take some fraction of a known amount. Probably the easiest way to do that will be to dissolve the IR tabs in water, then drink the correct amount of liquid. That eliminates eyeballing little piles of dust or trying to weigh them. Suppose your desired dose is 1/4 mg, you could crush and dissolve a 25mg tablet in 100ml of water, at which point 1ml of water (aka 1 cubic centimeter) will contain 0.25mg of meds.
I sure hope I don't make the mistake of lowering my dose too quickly again; I'm still paying with daily anxiety ever since I screwed up in october 2014. be careful, it's your brain on drugs!
20090810 Dx GeneralAnxietyDisorder / PanicDisorder. Rx Pristiq (desvenlafaxine) 50mg. stable, side effects minor.
http://survivinganti...s-50mg-pristiq/ for more details.
20140210 switch Pristiq50mg (can't cut them!) to Effexor (venlafaxine, V) same drug but easier dose reduction (mfr TEVA's beads are handily ~= 1mg ea). 20140218 125mgV 20140309 112mg/day 0401 100mg, 410 75, 0506 70, 0512 65, 0525 56, 0614 37.5, 0620 30, 0624 27, 0630 26, 0706 24, 0724 22, 0801 20, 0804 19, 0808 18, 0813 17, 0818 16, 0819 15, 0821 13, 0903 12, 0911 11, 0918 10, 0921 9, 0927 8, 1001 6, 1021 5, missed a day?, darn, it was going so well. SEVERE ANXIETY, INSOMNIA. WAY TOO QUICK REDUCTIONS! hindsight: 0813:5%/5days, 0818:6%/5days, 0819:6%/1day, 0821:13%/2days, 0903: 7%/14days, 0911:8%/8days, 0918:9%/7days; 0921:10%/3days, 0927:11%/6days, 1001:25%/3days (still okay!) 1021:16%20days. guideline is 10%/30days = i am an idiot.
20141103 back to 6mgV, xanax next several days. 1111 insomnia bad, 10mgAmbien slept well. 1112 8mgV no Ambien; miserable. 1113 Ambien+xanax, tough night. 1114 Very Tired. 0.125Xanax, 25mgV at 10, better 10min later. 20141115 37.5mg V +Ambien. miserable month, still insomnia & anxiety. 1214 upped to 75mg V, ate .125Xanax. 1215 37.5mg mornings; force sleep for one week and come back". 20150115 lots of appts lots of chat but we never get to MY agenda = meds discussion. Upping to 47.5mg mornings (no more xanax-, lunesta-forced sleep) but still anxious. PAYING BIGTIME FOR TOO-FAST WEANING in OCTOBER 2014! 20150220 50mg V. 20150330 still anxy each am let's try reducing: 45mg V 1/day mornings. 20150511 42mg, 0611 40, 0626 39, 0710 38, 0717 37, 0731 33, 0813 32, 0915 29, 0927 28, 10/4 27, 10/15 26, 11/1 25, 11/16 22mg/day. Still anxiety every morning, this sucks. 2015/11/24 finally found a shrink who's really listening, gets weaning: 20151125 add 10mg/day Prozac aka fluoxetine F, continue taper V to zero, then taper the F, easier. 20151203 10mg Prozac=P 19mg V, 1213 10mgP17mgV, daily anx much quieter but lurking. 1227 10mgP15mgV, 20160108 10mgP14mgV, 0124 10P13V. 20160131 P10mg,V12mg. 0215 P10mg,V11mg. 0223 P10mgV10mg. 0314 P10mgV9mg. enjoying relatively quiet brain. 0407 10mgP8mgV, 0427P10mgV7mg 0517P10mgV6mg 0611P10mgV5mg 0706P10mgV4mg 0818P10mgV3mg 20160921P10mgV2mg, 20161021P10mgV1mg, 20161128Prozac10mgVenlafaxineZERO!