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Taking multiple psych drugs? Which drug to taper first?


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#37 Altostrata

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Posted 07 February 2013 - 06:02 PM

Nikki, there were people tapering multiple drugs there, too. Maybe there are more now, I don't know. Sad to see, whatever the reason.
This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

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#38 strawberry17

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Posted 08 February 2013 - 12:05 PM

I think it is a lot of what you describe Nikki, I think people can easily just sleepwalk into being on more than one drug, I've seen how easy it is myself.

*** Please note this is not medical advice,discuss any decisions about your medical care with a knowledgeable medical practitioner***





http://prozacwithdrawal.blogspot.com/

Original drug was sertraline/Zoloft, switched to Prozac in 2007.

Tapering from 5mls liquid prozac since Feb 2008, got down to 0.85ml 23/09/2012, reinstated back to 1ml(4mg) 07/11/2012, didn't appear to work, upped to 1.05ml 17/11/2012, back down to 1ml 12/12/2012 didn't work, up to 1.30ml 16/3/2013 didn't work, bumped up to 2ml (8mg) 4/4/2013 didn't work, reinstated Sertraline (Zoloft) 50mg, feeling better now. Been on the antidepressant merry go round since November 1998.


#39 compsports

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Posted 08 February 2013 - 12:38 PM

Alto when I first met you it was a number of years back. Could have been 2006 on another site.

99% of the members on that site were tapering one drug. At the most (2). The two biggest culprits were Paxil and Effexor. Zoloft was there too.

Fast forward....so many people are on several drugs.

What on earth happened? Is it largely due to people having WD from one drug a doctor dismissing WD as a return to symptoms and adding more and more drugs??????

I can't get over this poly drugging mumbo-jumbo :rolleyes: Alot of people have been hurt by so many drugs being introduced into their systems.

Hugs


Hi Nikki,

Well, I was one of those early multi taperers. You're right, I did seem to be in the minority which I agree sadly is no longer than case.

At one point, I was on a main AD for the day and three night time AD sleep meds. I am not joking as I was on Effexor for the day and Remeron, Serzone, and Trazadone for nightime. They were all very small doses but I am lucky I wasn't seriously injured or killed.

I never understood why one drug wasn't enough to put me to sleep at night but it was probably the combination of Effexor causing insomnia and my undiagnosed sleep apnea.

Then I was prescribed a stimulant and SSRI, taken off of the Effexor, Serzone, and Trazadone. This went on until Doxepin was added at the end due to not being able to sleep.

It was horrible and I will until the day I die wonder if this is why my adjustment to cpap treatment has been tough.

And Gia tapered off of 6 meds.

CS

Drug cocktail 1995 - 2010
Started taper of Adderall, Wellbutrin XL, Remeron, and Doxepin in 2006
Finished taper on June 10, 2010

Diagnosed with sleep apnea 2012 and on pap machine

Dealing with protracted sleep issues


#40 rosebuddy

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Posted 20 February 2013 - 03:34 AM

I understand the Ashton method in re: to changing the xanax to longer acting valium amd then tapering off the valium. I did this while using my Wellbutrin, but I am still on 30mg of valium ,and have been for about a year, mostly because of laziness and because it helps me sleep. (I have fibromyalgia, yet another CNS disorder) I do not suffer from anxiety. I cannot remember how much xanax I was taking but I used the Ashton method to substitute 80mg of valium and the taper from that was easy. Prior to that I tried tapering xanax and thought I was going to have a heart attack. Tapering off of valium is so much easier. I am with you, don't stop the antidepressant first. In your opinion, is it wrong to switch from xanax to valium and then taper from that?

1995 xanax used Ashton method tapered from 80mg to 30 mg of valium. Then back up to 40mg July 2014.
1996 Wellbutrin increased gradually by my Psych to 450XL, 
1998 Abilify 10 mg, then cut to 5mg then back up to 10 mg. in July 2014
2004 Diagnosed with Fibromyalgia weight 124
2004 Oxycodone 10/325 4 x a day as needed, at present (10/17) I am taking 4x a day
2004 Flexeril 20mg at night to help me sleep
2004 Lamictal 200 mg at night
2012 Buspar: tapered off 3/13

10/14 current wt 205

BIGGEST CONCERN: CHRONIC, ACUTE SHORT-TERM MEMORY LOSS


#41 tezza

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Posted 20 February 2013 - 05:09 AM

Rose, I don't think anyone here would consider a crossover of any kind 'wrong'. Since that made it easier for you to taper the benzo, I think it was a very good move on your part.
http://survivinganti...dal-withdrawal/

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#42 Skyler

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Posted 20 February 2013 - 05:18 AM

I understand the Ashton method in re: to changing the xanax to longer acting valium amd then tapering off the valium. I did this while using my Wellbutrin, but I am still on 30mg of valium ,and have been for about a year, mostly because of laziness and because it helps me sleep. (I have fibromyalgia, yet another CNS disorder) I do not suffer from anxiety. I cannot remember how much xanax I was taking but I used the Ashton method to substitute 80mg of valium and the taper from that was easy. Prior to that I tried tapering xanax and thought I was going to have a heart attack. Tapering off of valium is so much easier. I am with you, don't stop the antidepressant first.

In your opinion, is it wrong to switch from xanax to valium and then taper from that?

Hi Rose, Cross tapering is not supported on this site because of the number of people who have problems with diazepam, but it sounds like this worked for you. I did a cross taper to 20 mgs d. more than 2 years ago and responded well.

From what I can see, you have quite a lot on your plate now for tapering. You should not touch the diazepam taper until you are stabilized, AND have reached a place where you are off other meds, or are willing to hault those tapers. Don't try to do two tapers at the same time.

Skyler

As always, LISTEN TO YOUR BODY! A proud supporter of the 10% (or slower) rule.

 

Requip - 3/16 ZERO  Total time on 25 years.

 

Lyrica: 8/15 ZERO Total time on 7 or 8 yrs.

BENZO FREE 10/13 (started tapering 7/10)  Total time on 25 years.

 

Read my intro thread here, and check the about me section.  "No matter how cynical you get, it's almost impossible to keep up." Lily Tomlin

 

 


#43 Altostrata

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Posted 20 February 2013 - 10:21 AM

We don't discourage switching to a longer-acting drug, we just suggest using it as a last resort if a direct taper fails, because sometimes the switch doesn't work.
This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

#44 Aerial

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Posted 24 April 2013 - 02:07 PM

I too am tapering off antidepressants and benzo's. I have added high dose flush free Niacin and its helping. I haven't taken Lorazepam or Valium in 2 weeks, down to 2.5 mg Abilify and still at 60 mg of cymbalta. Niacin seems to help. Anyone else try Niacin?

#45 Meimeiquest

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Posted 24 April 2013 - 03:05 PM

Any more info on Niacin? There is a book about using it to treat schizophrenia. Thanks!
1st round Prozac 1989/90, clear depression symptoms. 2nd round Prozac started 1999 when admitted to dr. I was tired. Prozac pooped out, switch to Cymbalta 3/2006. Diagnosed with bipolar disorder due to mania 6/2006--then I was taken abruptly off Cymbalta and didn't know I had SSRI withdrawal. Lots of meds for my intractable "bipolar" symptoms.
Zyprexa started about 9/06, mostly 5mg. Tapered 4/12 through12/29/12
Wellbutrin. XL 300 mg started 1/07, tapered 1/18/13 through 7/8/13
Oxazepam mostly continuously since 6/06, 30mg since 12/12, tapered 1.17.14 through 8.26.15
11/06 Lithium 600mg twice daily, 2.2.14 400mg TID DIY liquid, 2.12.14 1150mg, 3.2.14 1100mg, 3.18.14 1075mg, 4/14 updose to 1100mg, 6.1.14 900 mg capsules 7.8.14 810mg, 8.17.14 725mg, 8.24.24 700mg...10.22.14 487.5mg, 3.9.15 475mg, 4.1.15 462.5mg 4.21.15 450mg 8.11.15 375mg, 11.28.15 362.5mg, back to 375mg four days later, 3.4.16 updose to 475 (too much going on to risk trouble)
9/4/13 Toprol-XL 25mg daily for sudden hypertension, tapered 11.12.13 through 5.3.14, last 10 days or so switched to atenolol
7.4.14 Started Walsh Protocol
56 years old

#46 alexjuice

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Posted 24 April 2013 - 05:30 PM

Niacinamide* has been discussed as a supplement to help alleviate hyper-wired symptoms. It was used in the past by some physicians to transition patients off of benzos. There are probably threads dedicated to it. Click this: https://www.google.c...iw=1280&bih=671 or search above *Nicotinamide, also known as niacinamide and nicotinic acid amide, is the amide of nicotinic acid (vitamin B3 / niacin). (Wikipedia)

"Well my ship's been split to splinters and it's sinking fast
I'm drowning in the poison, got no future, got no past
But my heart is not weary, it's light and it's free
I've got nothing but affection for all those who sailed with me.

Everybody's moving, if they ain't already there
Everybody's got to move somewhere
Stick with me baby, stick with me anyhow
Things should start to get interesting right about now."

- Zimmerman


#47 Needmylifeback

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Posted 06 January 2014 - 04:12 PM

Fast forward....so many people are on several drugs.What on earth happened? Is it largely due to people having WD from one drug a doctor dismissing WD as a return to symptoms and adding more and more drugs??????I can't get over this poly drugging mumbo-jumbo :rolleyes: Alot of people have been hurt by so many drugs being introduced into their systems.Hugs


That's exactly the knee jerk response my pain clinic PA had when I said that his cutting of my Xanax dose was too aggressive for me and left me suicidal.... And when I explained that I was having a severe set of reactions to the buspar they began giving me in sept 2013 in order to take me off Xanax (they are the ones who first ever Rxd the Xanax for me in the first place! But now they are suddenly yanking everyone of their patients off of it).... His reply was to insist that I need a third drug if I was struggling!!

I do not need another drug that will affect my cns. I need to be off buspar bc it causes adverse reactions for me.... And I just need the Xanax to be reduced in a slow enough manner to not leave me suicidal.

I was left feeling so frustrated and discouraged when his knee jerk reply was to give me yet a third drug.

I think you are right! This is exactly why so many people are facing the need to wean from muliple meds now.
Withdrawing meds: * lexapro 20mg (?) since maybe winter 2009-10. Self weaned this summer stopping in sept 2013 (I just cut in half for a few weeks, then took every other day then a couple x a week then nothing); *Xanax 0.5mg 4xday (dr cut by 50% twice in 16days oct 5-21st. By late Nov, dropped from 1/2 a 0.5mg tab tid to bid...by dec 1st, I was suicidal. Told dr I had to hold!) am still holding at 1/4 a 0.5mg tab bid since early dec; *sept 9 began buspar 7.5mg bid, raised to 15mg bid oct, nov 23 raised it 30mg am holding pm dose at 15mg. By Dec 11th I knew my liver was heading into failure again... Heart rapidly moving towards stroke levels. BP escalating rapidly towards stroke levels... BP moving past 200/130+ and heart rate hitting 200s everyday after buspar dose. Ribs were burning from being pushed so far out by the swollen liver plus itching severe- needed scissors to scratch deep enough but still itching 24/7. Checked for buspar symptoms I had them all plus a few underlying conditions making buspar contraindicated. For me buspar is literally toxic.
*buspar taper:
~dec 11th dropped from 30mg am/15mg pm to 15mg am/pm
~dec 17th pm dropped to 12.5mg am/pm
~dec 29th pm dropped to 10mg am/pm
~jan 5th pm dropped to 7.5mg am/pm
~jan 7th pm dropped to 5mg am/pm {dropped in only two days under pressure from alto to drop Now... Bc she then realized I was referring to significant organ failures and was dealing with serious side effects not merely inconvenient ones. My w/d side effects spiked}
~jan 8th I raised the pm dose to 6.25mg leaving the am dose at 5mg; stayed at 5mg am/6.25mg pm for a few days
~jan 12th pm dropped to 5mg am/pm
~jan 18th pm dropped to 5mg am/3.75mg pm; experienced a crushing spike in symptoms including liver irritation and "lightening storm headaches" among others. Currently at this dose.

#48 btdt

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Posted 17 July 2014 - 05:38 AM

Any of the anticonvulsants, including benzos, may help reduce prolonged withdrawal symptoms, but each drug carries its own risks, including triggering hyper-reactivity and paradoxical reactions. They are helpful because they reduce nervous system activity, in different ways. For example, benzos ramp up the GABA system, the body's natural regulatory (dampening) mechanism. However, they might do this too strongly, causing the body's alerting system set up an alarm, and they tend to weaken the native regulatory system, causing dependency.

 

Lamictal (lamotrigine) is unique in that it targets glutamatergic transmission in the alerting system, dampening that type of alerting. It does not downregulate GABA receptors.

 

Lyrica and Neurontin affect the GABA system in a different way than benzos.

 

While doctors may throw anticonvulsants at withdrawal symptoms, mostly going after the anxiety, so few doctors know anything about withdrawal syndrome, not much is known about what drugs are appropriate for what kind of withdrawal syndrome, or how to dose them.

 

From my observation, there definitely do seem to be a few types of withdrawal syndrome. The most common is based on hyper-alerting. Another is more like fibromyalgia and hyper-sensitivities. A third seems to trigger possibly pre-existing borderline auto-immune conditions.

"From my observation, there definitely do seem to be a few types of withdrawal syndrome. The most common is based on hyper-alerting. Another is more like fibromyalgia and hyper-sensitivities. A third seems to trigger possibly pre-existing borderline auto-immune conditions."

 

I think your right.  I was am wondering if you would like to give a guess as to why each of these withdrawal exist based on what you know of the drugs.  I also would like to know if based on this previous idea if there are specific approaches in self care based on which type of withdrawal reaction your suffering from. 

 

More on these lines I feel I have lived through some if not all of these "types" in the past 30 based perhaps on the type of drugs I had taken and the reaction I had to the drug. 

 

For instance Prozac and Paxil for me caused serious immediate psychotic affects while other antidepressants I have taken did not.  The fallout was dealt with differently both times tho I had taken the drugs years apart more than 10 years is my guess between these two drugs.  I have no idea why they would cause hallucinations and extreme fear.  I had no idea either time that I was experiencing a drug reaction and thought myself quite insane.  The first was prozac as I did not know I was on a mind altering drug but an anti inflammatory type drug as that is what I was told by the doc who gave it to me further care was complicated by doctors not know I had been on prozac as I had told them I was only taking an anti inflammatory for leg pain. 

 

Enter the next doctor who I think was doing his best.  

After the prozac I had ongoing " experiences" this is the term this helpful doc coined for what I was living with.  Seeing things that were not there smelling things that were not there.  Yes it went on after prozac was stopped.  Fear around being completely unable to trust my brain was extreme.  He thought perhaps I was having seizures and I was given various drugs in an attempt to stop the suspected seizure disorder. I had many side effects from the drugs attempted to stop seizures. It is odd now that I try to put this into order I can't recall what I did when... if I was in the pain clinic before this or after this... yes I had the firbro reaction after prozac pain was paramount in my life as were these hallucinations I do not know is that is the correct word as they were actually experiences... 

 

Hallucination - think something is there see it when it is not there. 

Experiences - experience something that is not real... and react as if it were 

maybe there is not difference but as I think I have both I see them differently. 

 

Seeing something move out of the corner of the eye is one thing many many effexor withdrawal people have reported... this may well be a hallucination but it is just something that is observed in passing is brief it can include hearing things ect but all in all it is brief and passing. Leaves a bit of an odd uncertain feeling but really there is not lasting harm other than doubt in ones perceptions perhaps. 

Experiences on the other had seem to be happening and last longer sometimes much longer generally include a threat and some action of escape...the threat can be internal or external.  For me this is the craziness I took pills for 18 years to keep away from me and all the side effects were going to be worth it.  I now know it was all a scam a server drug reaction and a trap. 

 

The experiences may not have been seizures I do wonder they may well have been a psychotic break if they were the doctor that I was seeing did not see it that way.  I am quite curious about the use of seizure meds in treating withdrawal. I did eventually take valproic acid along with amitryptiline for sleep/pain.  

 

I know one other thing when the thyroid doc seen I have been on the seizure med her approach to me change immediately. 

I will add my family doctor at the time thought this specialist was all wet and was giving me damaging drugs for no reason...however I did not feel comfortable discussing these issues with  the family doc as he always cared for my child... and I always kept the craziness and anything to do with my child separate. I just let him think whatever he wanted... and did what I had to do to survive. None of the doctors treating me till this point were psychiatrists.  All these drugs I had taken were for off label causes no test I had said I had a seizure disorder a couple of important facts.  Mind you once the shrinks got involved things did not improve any. 

 

Paxil again caused craziness these experiences for me.  There were again avoidance actions taken... but for some reason it was not as extreme... I did not take it long the dose was low I think these are the reasons.  However it was again a sustained reaction... this time it was thought to have a different cause I was sent to an out patient hosp program... where I and everyone else there were put on resperidal ... to be fair my reaction to paxil persisted thru the time I spent at this program the new drug I was given there was very bad for me ... crazy became the way of the day I did a cold turkey from it. 

 

So seizure drugs or antipsychotics  is this how it has evolved... I do wonder if they work on the same sort of mechanisms in the brain. 

 

I am attempting to look at the big picture and my view is foggy. 

What I do know... I don't have any of this now.  I did not have any of this before the first Ad which was prozac. This is what I do know. 

As always I have more questions that answers.

peace all


WARNING THIS WILL BE LONG
Had a car accident in 85
Codeine was the pain med when I was release from hosp continuous use till 89
Given PROZAC by a specialist to help with nerve pain in my leg 89-90 not sure which year
Was not told a thing about it being a psych med thought it was a pain killer no info about psych side effects I went nuts had hallucinations. As I had a head injury and was diagnosed with a concussion in 85 I was sent to a head injury clinic in 1990 five years after the accident. I don't think they knew I had been on prozac I did not think it a big deal and never did finish the bottle of pills. I had tests of course lots of them. Was put into a pain clinic and given amitriptyline which stopped the withdrawal but had many side effects. But I could sleep something I had not done in a very long time the pain lessened. My mother got cancer in 94 they switched my meds to Zoloft to help deal with this pressure as I was her main care giver she died in 96. I stopped zoloft in 96 had withdrawal was put on paxil went nutty quit it ct put on resperidol quit it ct had withdrawal was put on Effexor... 2years later celexa was added 20mg then increased to 40mg huge personality change went wild. Did too fast taper off Celexa 05 as I felt unwell for a long time prior... quit Effexor 150mg ct 07 found ****** 8 months into withdrawal learned some things was banned from there in 08 have kept learning since. there is really not enough room here to put my history but I have a lot of opinions about a lot of things especially any of the drugs mentioned above.
One thing I would like to add here is this tidbit ALL OPIATES INCREASE SEROTONIN it is not a huge jump to being in chronic pain to being put on an ssri/snri and opiates will affect your antidepressants and your thinking.

As I do not update much I will put my quit date Nov. 17 2007 I quit Effexor cold turkey. 

http://survivinganti...ng-myself-btdt/

There is a crack in everything ..That's how the light gets in :)


#49 Altostrata

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Posted 17 July 2014 - 01:59 PM

I don't know, btdt. I think people react in different ways based on pre-existing health conditions and physiological predispositions.


This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

#50 btdt

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Posted 17 July 2014 - 08:07 PM

Some day this will be broken down into sections and perhaps each will be an individual area of study...but for now this is it.  I so wish we could push the study of this further faster. 

peace


WARNING THIS WILL BE LONG
Had a car accident in 85
Codeine was the pain med when I was release from hosp continuous use till 89
Given PROZAC by a specialist to help with nerve pain in my leg 89-90 not sure which year
Was not told a thing about it being a psych med thought it was a pain killer no info about psych side effects I went nuts had hallucinations. As I had a head injury and was diagnosed with a concussion in 85 I was sent to a head injury clinic in 1990 five years after the accident. I don't think they knew I had been on prozac I did not think it a big deal and never did finish the bottle of pills. I had tests of course lots of them. Was put into a pain clinic and given amitriptyline which stopped the withdrawal but had many side effects. But I could sleep something I had not done in a very long time the pain lessened. My mother got cancer in 94 they switched my meds to Zoloft to help deal with this pressure as I was her main care giver she died in 96. I stopped zoloft in 96 had withdrawal was put on paxil went nutty quit it ct put on resperidol quit it ct had withdrawal was put on Effexor... 2years later celexa was added 20mg then increased to 40mg huge personality change went wild. Did too fast taper off Celexa 05 as I felt unwell for a long time prior... quit Effexor 150mg ct 07 found ****** 8 months into withdrawal learned some things was banned from there in 08 have kept learning since. there is really not enough room here to put my history but I have a lot of opinions about a lot of things especially any of the drugs mentioned above.
One thing I would like to add here is this tidbit ALL OPIATES INCREASE SEROTONIN it is not a huge jump to being in chronic pain to being put on an ssri/snri and opiates will affect your antidepressants and your thinking.

As I do not update much I will put my quit date Nov. 17 2007 I quit Effexor cold turkey. 

http://survivinganti...ng-myself-btdt/

There is a crack in everything ..That's how the light gets in :)


#51 ikam

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Posted 30 December 2014 - 08:56 AM

I have been reading and reading...
It helps...
I feel kind of guilty that I deluded myself...why I did not realise that I was taking multiple psych drugs + painkillers with codeine? Why I did not see that I followed my father's steps, who abused drugs and alcohol and died in the age of 42? He was a psychiatrist.
I am grateful for this group...

- Started various antidepresants in 1983 (doxepin, amitriptiline, anafranil), always stopped abruptly and then reintroduced; Long term use of benzos since 1983, on and off, in times prolonged use
- 2012 re-started Doxepin 75mg, evening. Atenolol 25mg, twice a day (both as a migraine prevention); Low dose of HRT (Sandrena gel +  Utrogestan 100mg)- evening; Nasal spray Otrivine for about 3 years- evening and morning (Used to abuse nasal spray for years). PPI Omeprazole 40mg-evening

- 24.10.2014- Started escitalopram-first 5mg and then 10mg; 5.01.2015- Escitalopram- 2.5mg (I had an adverse response to escitalopram and doxepin; hence I was decreasing escitalopram faster)

- June 2015- decreased Doxepin from 75mg to 50mg; 28 November- intentional over-dose (doxepin- 250mg). 1-2 April- over-dose 350mg, 17.07.2016 Doxepin 150mg- intentional over-dose(Tendency to overdose when stressed out...)

- 22.07.2016- reduced by 1%, 29.07- reduced by 2%, 2.08- reduced by 3%, 9.08- reduced by 4%. Holding for 5 weeks

- 13.09- reduced by 5%, 20.09- reduced by 6%, 27.09.2016 reduced by 7% , 4.10- reduced by 8% = 2.3mg. Holding for 5 weeks

- 14.11- reduced by 9%, 22.11- reduced by 10% = 2.25mg HOLDING

-20.12- changed my diet and supplements protocol; Ionic Liquid Iron twice 100ml, Liquid Zynk- twice- 50ml, MegaMag Liquid- evening 100ml, Curcumin 600mg x 3 a day Burdock Root + Epsom Baths. Changed diet to Protein one + Veg; Avoiding carbs. Protein Shake (Pure Power Protein Powder by Mercola) + Supergreens + Coconut Oils, Himalayan Salt with lemon


#52 compsports

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Posted 30 December 2014 - 09:02 AM

I have been reading and reading...
It helps...
I feel kind of guilty that I deluded myself...why I did not realise that I was taking multiple psych drugs + painkillers with codeine? Why I did not see that I followed my father's steps, who abused drugs and alcohol and died in the age of 42? He was a psychiatrist.
I am grateful for this group...

Ikam,

 

I didn't take psych meds with cocaine but I was still deluded big time as I erroneously thought they were improving my functioning while they were actually destroying my life.   Many people on psych meds have expressed similar thoughts.

 

Please don't be hard on yourself.


Drug cocktail 1995 - 2010
Started taper of Adderall, Wellbutrin XL, Remeron, and Doxepin in 2006
Finished taper on June 10, 2010

Diagnosed with sleep apnea 2012 and on pap machine

Dealing with protracted sleep issues


#53 ikam

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Posted 30 December 2014 - 11:40 AM

I am trying my best. Trying to see this as my new beginning, sudden awakening. I still don't understant why I did not know, so many years...i watched my father destroying himself...
Almost five years ago I was so proud of myself, I was ALL meds free. I was using supplements, healthy food etc.
Then pain kicked in and ibs, some major surgery, complicated infection...

But today, I know. This is like a shock for me...

There are many questions, as how to deal with phisical pain? Strangely enough, I feel emotionally better today, but my achilless tendon is very painful. I don't want to use painkillers...but I will need to use some cream with painkiller...
I am so unsure as what to do...something that was rather automatic before...

As to tappering from taking multiple psych drugs I completelt agree. I need to stop antidepressant first, then to deal with doxepin asnd hopefully with betablocker, which sedate me...it is like a choice, remove what is more harmful first...then deal with other meds, and deal with life, with recovery, finding the meaning in life...

- Started various antidepresants in 1983 (doxepin, amitriptiline, anafranil), always stopped abruptly and then reintroduced; Long term use of benzos since 1983, on and off, in times prolonged use
- 2012 re-started Doxepin 75mg, evening. Atenolol 25mg, twice a day (both as a migraine prevention); Low dose of HRT (Sandrena gel +  Utrogestan 100mg)- evening; Nasal spray Otrivine for about 3 years- evening and morning (Used to abuse nasal spray for years). PPI Omeprazole 40mg-evening

- 24.10.2014- Started escitalopram-first 5mg and then 10mg; 5.01.2015- Escitalopram- 2.5mg (I had an adverse response to escitalopram and doxepin; hence I was decreasing escitalopram faster)

- June 2015- decreased Doxepin from 75mg to 50mg; 28 November- intentional over-dose (doxepin- 250mg). 1-2 April- over-dose 350mg, 17.07.2016 Doxepin 150mg- intentional over-dose(Tendency to overdose when stressed out...)

- 22.07.2016- reduced by 1%, 29.07- reduced by 2%, 2.08- reduced by 3%, 9.08- reduced by 4%. Holding for 5 weeks

- 13.09- reduced by 5%, 20.09- reduced by 6%, 27.09.2016 reduced by 7% , 4.10- reduced by 8% = 2.3mg. Holding for 5 weeks

- 14.11- reduced by 9%, 22.11- reduced by 10% = 2.25mg HOLDING

-20.12- changed my diet and supplements protocol; Ionic Liquid Iron twice 100ml, Liquid Zynk- twice- 50ml, MegaMag Liquid- evening 100ml, Curcumin 600mg x 3 a day Burdock Root + Epsom Baths. Changed diet to Protein one + Veg; Avoiding carbs. Protein Shake (Pure Power Protein Powder by Mercola) + Supergreens + Coconut Oils, Himalayan Salt with lemon


#54 Satch

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Posted 09 January 2015 - 12:19 PM

Does this same approach apply to remeron and seroquel. Taper remeron first.

Klonopin 2mg 2000-2005 Tapered off without bad symptoms

Ativan 1mg 2007-2010 Tapered with moderate problems

 

Klonopin 16 total mgs in Jan and Feb 2014 - got dependent and foolishly updosed by bad doctor to 1.25mg for 4 weeks.  Then horrific detox and placed on Neurontin 100mg, bid, Propanolol 40mg prn, Seroquel 100mg qhs and Remeron 15mg qhs.  Quickly dropped Neurontin and Propanolol.   Stuck on other two meds and still having strong symptoms from klonopin cold turkey.  Want someday to be med free and healed again


#55 Altostrata

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Posted 09 January 2015 - 12:55 PM

Yes, depending on whether you're having adverse reactions to a drug. In that case, reduce that drug first.

 

If you're having weight gain from Seroquel, for example, you might want to go off that first.

 

The length of time and dosage of an antipsychotic are also factors. If you have been on an antipsychotic for a long time at a high dose, you may wish to reduce it first.


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#56 amarchand

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Posted 03 March 2015 - 02:31 PM

Wow this is so helpful (read first post in full). Was going to taper off ativan first as its addictive and thought pristiq would help me through it and then drop pristiq! Will now go to beaded effexor (done twice before) and withdrawal from then taper from ativan.
Thank you Alto for taking the time to help people like me know there's an end in sight. :)
About to start withdrawal from Pristiq 50mg and once off that will go off of Ativan.

#57 eiledon20

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Posted 04 July 2015 - 06:31 AM

Between clonazapam and pristiq, which would you taper first?

Actually im down to crumbs of clonazepam. And 25mg of pristiq.

Dont know if reinstating clonazepam will make the pristiq taper easier...have had adverse reaction to most psych meds. Even 0.5mg clonazepam will knock me out and had me lying around all day in the sofa, in bed....

Been taking fish oil which i think has some sedating effect now that im taking pristiq. Still tired early in the day. It really differs from person to person.

Partner suddenly died 2014. Severe depression AGAIN (had previous episode 10 years ago). I was given escitalopram but could not bear the side effects, so i ask for an ECT (not sure if this helped). During the treatment and my hospital stay I was given Depakote mood stabilizer.  PDOC says I need to take it for two years. After 4-5 months I have a hard time with the Depakote. Hard to get up in the morning. Depression again or Depakote effects? So stopped Depakote (did not know about tapering then)

 

Januray 21, 2015. Severe depression again, started Pristiq 50mg and clonazepam 0.5 mg nightly. Had confusion, suicidal thoughts, thoughts about death, and find it hard to understand the TV, much more type in a computer.

 

Had adverse reaction to most antidepressants: muscle pain/spasms, irritablity, restlessness. Also Tried Prozac, Zoloft, Escitalopram years ago.

Started to taper pristiq and clonazepam after four months:

5th month:

2 weeks - 3/4 tablet PRISTIQ   (deducting the clonazepam also, so hard to cut)

2 weeks - 1/2 tablet PRISTIQ   (crumbs of clonazepam nightly)

2 weeks - 1/8 or less (hard to cut really) (zero clonazepam)

Then jump off pristiq.

I just wonder why I was cured during the 10 year period (2004-2014) I have no depression symptoms and no meds either. Pdoc said I might be biploar 2 but it is a "grey" area. Aren't bipolars supposed to be on maintenance meds?! Damn this diagnosis. I am tapering Pristiq either way.


#58 Altostrata

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Posted 04 July 2015 - 08:48 AM

Post #1 suggests reducing the Pristiq first.


This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

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#59 dpier1987

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Posted 01 October 2015 - 12:52 PM

Hey.. I read on theroadback.org... it stated that "The antidepressants, antipsychotics, ADD, ADHD, stimulants increase the clearance time of the benzodiazepines by as much as 50% and if you reduce these other drugs first you will go in withdrawal with the benzodiazepine, even though the benzodiazepine dosage was not reduced. You can read Chapter 23, The Science, for more information on this."

 

http://www.theroadba...tipledrugs.aspx

 

Have people found this to be true? Just wondering... I would like to maybe start tapering some of my 30mg of Prozac before I finish tapering my 4mg of Valium, but I don't want to mess it up by tapering the Prozac first if it will affect blood levels of the Valium.

Thank you

 



#60 Altostrata

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Posted 01 October 2015 - 03:02 PM

Please read Taking multiple psych drugs? Which drug to taper first? *topics merged

 

and

Truehope, The Road Back, LabelMeSane

 

Don't waste your money on these supplements

 

We stand by our recommendation. Slow tapering should allow adjustment to any increased clearance of the benzo. One might also decrease the benzo part way and then decrease the more activating drugs.


Edited by Petunia, 19 November 2015 - 04:21 PM.
updated

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

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#61 Hope4All

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Posted 17 November 2015 - 12:33 PM

Hi...I'm on Prozac 20mg and klonopin 0.5mg...I have heard on other sites to always taper the benzo first...however, I hear that many on this site support weaning from the SSRI first.   Is there clinical rationale for either method?  I am really anxious to get going and get off these meds.

 

I'd love any input that anyone could provide.

 

Much thanks in advance !!

 


Currently on Prozac 20mg; have been for 6-7 years... other antidepressants before that...a few years on nothing. 

Currently on Klonopin 0.5mg for one month; switched from Xanax which I started in April, 2015.  Tapered from 0.5mg 3x/day to 0.5mg once/day.


#62 Meimeiquest

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Posted 17 November 2015 - 03:54 PM

Yes, being over sedated is a whole lot easier than overstimulated and unable to sleep. There is a thread on this.
1st round Prozac 1989/90, clear depression symptoms. 2nd round Prozac started 1999 when admitted to dr. I was tired. Prozac pooped out, switch to Cymbalta 3/2006. Diagnosed with bipolar disorder due to mania 6/2006--then I was taken abruptly off Cymbalta and didn't know I had SSRI withdrawal. Lots of meds for my intractable "bipolar" symptoms.
Zyprexa started about 9/06, mostly 5mg. Tapered 4/12 through12/29/12
Wellbutrin. XL 300 mg started 1/07, tapered 1/18/13 through 7/8/13
Oxazepam mostly continuously since 6/06, 30mg since 12/12, tapered 1.17.14 through 8.26.15
11/06 Lithium 600mg twice daily, 2.2.14 400mg TID DIY liquid, 2.12.14 1150mg, 3.2.14 1100mg, 3.18.14 1075mg, 4/14 updose to 1100mg, 6.1.14 900 mg capsules 7.8.14 810mg, 8.17.14 725mg, 8.24.24 700mg...10.22.14 487.5mg, 3.9.15 475mg, 4.1.15 462.5mg 4.21.15 450mg 8.11.15 375mg, 11.28.15 362.5mg, back to 375mg four days later, 3.4.16 updose to 475 (too much going on to risk trouble)
9/4/13 Toprol-XL 25mg daily for sudden hypertension, tapered 11.12.13 through 5.3.14, last 10 days or so switched to atenolol
7.4.14 Started Walsh Protocol
56 years old

#63 marie123

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Posted 07 January 2016 - 08:20 AM

Well I tapered off Ambien first and then recently tapered off Trazadone. Still have Mirtazapine left to taper. So far so good, but Mirt has me a bit worried. Maybe I should have tapered it previously. I guess I will just have to go extra slow. I tapered Ambien first because I felt it was the most damaging. Tapered Trazadone next because I felt so lethargic in the AM and I thought it was contributing to ongoing tendinitis. I think Mirt also is contributing to tendinitis.

 

Marie


10/13--10/14 Ambien   Done                                                                                  

3/14  7.5 Remeron  still taking this.                              

2/14         75 Trazodone   -    Tapered by dry cutting all the way down.

2/22/15    69 Traz

3/13/15    63 Traz

4/12/15    56 Traz

5/14/15    50 Traz

6/3/15      47 Traz

7/3/15      45 Traz

9/10/15    37 Traz

10/10/15  33 Traz, 10/24/15 30 mg 11/5/15 25 mg 11/20 12.5 mg 12/9/15 9 mg 12/22 6 mg 1/1/16 4 mg JUMPED.4/2/16 Rein 1 mg, 6/7/16 updose 2mg

8/13/16    1.1 Traz tapered from 2 mg, 10/26/16 1 mg Traz CURRENT DOSE


#64 retexan599

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Posted 11 January 2016 - 05:46 PM

As per my signature, I have been on multiple psych drugs for many years.  During my present tapering of Paroxetine, I am continuing the same 45 mg of Mirtazapine as I have had for several years, all under my pdoc supervision(same pdoc since 2001).  Is there any thought here that a co-administered drug like Mirtazapine can make the Paroxetine taper 'easier'.  That is, can the Mirtazapine be 'covering' for the Paroxetine, or perhaps 'protecting' the cns during the Paroxetine (only) tapering process.  Not sure how to describe it. Did not find much public literature on whether one AD drug helps with tapering a co-administered AD.    


1989 -1995: Nortriptlyline, then Zoloft.  1997: New psych Dr. T; ‘Weaned’ off Zoloft; medication carousel next 3 years. 

1998-1999: Open heart surgery; divorce; prostate cancer treatment.

1999-2001:  Horrible period, new psych Dr. B; hospitalizations, ECT; medication carousel: Paxil, Zyprexa, Lithobid, Depakote, Wellbutrin, Effexor, Nortriptyline, Lamictal, Serzone, Seroquel (what a mess).

January 2001, new psych Dr. R, whom I have been with ever since.  He saved my life after a long period of experimentation. Seroquel as high as 600mg; added Remeron & Paxil.

Stable last several years: Quetiapine 75mg, Mirtazapine 45mg, Paroxetine 30 mg, Clorazepate 3.75mg, L-methylfolate (Deplin) 15mg

2015: Weaned off of Quetiapine completely over several months; no problems.   

Paroxetine: 10/6/2015 - 30mg -> 20mg; 11/24/2015 - 20mg -> 15mg; 12/14/2015 -15mg -> 10mg; 1/29/2016 -10mg -> 5mg; 2/25/2016 5mg -> zero.  All under psychiatrist supervision. No ill effects seen so far as of 12/22/2016.   Continuing Mirtazapine and L-methylfolate.  

I have lost about 22 lbs. (207->185) over the last year or so; probably Paroxetine discontinuation (leptin effect). 

 


#65 Altostrata

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Posted 13 January 2016 - 04:01 PM

No, taking one drug does not "cover" for the other drug, but if you're taking mirtazapine for sleep, it might keep you from developing withdrawal insomnia.

 

Even so, please taper paroxetine carefully, mirtazapine may not be enough to keep you sleeping.


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#66 Reggie

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Posted 03 March 2016 - 01:55 PM

Hi, so are we saying that we consider glutamate-acting Lamotrigine like a GABA-acting benzo in this situation - i.e. withdraw it last after AD's have been withdrawn?

 

Doc advice: withdraw from 1. Lamotrigine 2. Mirtazapine 3. Venlafaxine

My preference has been: the opposite! For side effect profile too.

(Current reduction of lamotrigine hitting a nasty period suggests the same... I now have a suspicion it is going to prove the hardest and one I might be with for a long time... it was OK at the time coming off that last time around, but wonder if it potentially set me up for a derailment a year down the line..who knows)

 

Thanks


Drug history: 2006-7 Citalopram quickly replaced by Cymbalta (6 month taper); 2008-2010 Mirtazapine (year taper and easy really) and 2008-2011 Lamotrigine (six month taper) - recovery.

'Relapse' 2012 (life and body stress + trauma surfacing) Mirtazapine, Lamotrigine back! then 2013 lowish dose Venlafaxine very reluctantly added in (briefly Lithium, idiot psychiatrist)

Recent tapers: Lamotrigine 300mg to 200mg one step Aug 2015 (Impulsive but fine); Venlafaxine 112.5mg to 75mg Oct 2015 (bump down the line but pulled it round)

Lamotrigine 200mg to 175mg mid-Jan 2016 (OK); to 150mg mid-Feb 2016, then...to 125mg end-Feb 2016 - stopped there after CNS complained/hit something, will return to Lamotrigine last.

####

Current taper - Venlafaxine (you're going to say too quickly...) - every two weeks since 13 April 2016: 75mg -> 60 mg (20%); 47.5 mg (21%); 37.5 mg (21%); 25 mg (33%); 15 mg (40%) (8 June 2016) -  PANIC STATIONS - 9/7 75 mg (4 days) ...13/7 37.5 mg (1 day).... 14/7 25 mg (3 days)... 17/7 75 mg (2 days). Acupuncture exacerbating (and back to gentle herbs).

####

Also taking: 125mg Lamotrigine; 45mg Mirtazapine

Supplements: B-complex; magnesium-calcium-zinc; Ester-vit C; fermented cod liver oil; 'gentle nourishing' non-centrally acting herbs from acupuncturist/herbalist.

Moods/states of mind unstable but meds helped only to a point this time & perhaps over-sensitised my system.When CNS adjusts/for whatever reason I feel better for reductions - clearer and more myself.

Psycho-somatic trauma processing, energy healing, acupuncture, herbs and supplements, diet and nature the way forward.


#67 Altostrata

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Posted 03 March 2016 - 06:10 PM

Please read the first post in this topic, it describes "brakes" and "accelerators." Generally, you want to remove the accelerators first.


This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

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#68 ingridphoenix

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Posted 27 March 2016 - 04:26 PM

Any of the anticonvulsants, including benzos, may help reduce prolonged withdrawal symptoms, but each drug carries its own risks, including triggering hyper-reactivity and paradoxical reactions. They are helpful because they reduce nervous system activity, in different ways. For example, benzos ramp up the GABA system, the body's natural regulatory (dampening) mechanism. However, they might do this too strongly, causing the body's alerting system set up an alarm, and they tend to weaken the native regulatory system, causing dependency.

 

Lamictal (lamotrigine) is unique in that it targets glutamatergic transmission in the alerting system, dampening that type of alerting. It does not downregulate GABA receptors.

 

Lyrica and Neurontin affect the GABA system in a different way than benzos.

 

While doctors may throw anticonvulsants at withdrawal symptoms, mostly going after the anxiety, so few doctors know anything about withdrawal syndrome, not much is known about what drugs are appropriate for what kind of withdrawal syndrome, or how to dose them.

 

From my observation, there definitely do seem to be a few types of withdrawal syndrome. The most common is based on hyper-alerting. Another is more like fibromyalgia and hyper-sensitivities. A third seems to trigger possibly pre-existing borderline auto-immune conditions.

Bingo! I knew it - after reading thorough lists of side effects carefully hidden away by FDA etc (yes, they can be found) and thinking back on the last 20 years, my Fibromyalgia is nothing but a bunch of drug side effects! Grr...


Getting off Amitriptyline 25 mg, on 12.5 mg now. 50 mg to 25 mg; Cymbalta 60 mg, currently 30 mg/day for 15 days. Decided to cut open remaining 60 mg capsules and take the little tablets inside. 6 = 30 mg. If need be, I can up the dosage, but aside from a bit of toe pain I am ok.UPDATE: >>>>> Amitriptyline 25 mg 1992- ??? ----- 50 mg until March 21, 2016. 2016 - then 25 mg <<<<<went to 20 mg of Amitriptyline, and down 5 tiny tabs of Cymbalta. (less than 30 mg now. cut Klonopin to 1/4 mg now. Trazadone 50 mg 4/14/16Variety of ADs, Buspar, Effexor, Celexa, Zoloft, Wellbutrin (to quit smoking. Success!) Cymbalta, Klonopin from '95 to present.Norco (Vicodin or Hydrocodone) '92 to 2014 - cold turkey - minor issuesHad 1 day with withdrawal symptoms - dealing mostly with Side Effects. April 7, 2016: now taking Ami 12.5 and Cymbalta 30 mg. (in bead form) still 1/2 mg Klonopin. Melatonin 10 mg (have been for years). 1 Trazadone 50 mg for sleep. Amino Acids, Omega 3,6 and 9 w/DHA. Turmeric and Ibuprofen for pain,Tramadol, 50 mg, as needed (PRN) - take maybe 1 per day for Fibro pain. Had one day of very swollen calves and ankles, one day of lumps on calves, all better. Today the toes, lasted 2 hrs, now gone. Important to note I am getting off these drugs BECAUSE of multiple side effects. BM much better, I have an appetite and crave healthy foods again. More energy, but not nervous. Sleeping great, much easier to rise, ok with 7 hrs/sleep, used to need 9 or 10.No burning toes 2nd day. Doing well so far. 4/14/16. legs, ankles still an issue, but less so. <p>
4/21/16.>>>> went to 4 tablets Cymbalta and 15 mg Ami and cut Klonpin to 1/8.
UPDATE: 5/5/16 - 15 mg Amitriptyline, 3 tablet Cymbalta (there are 12 in a 60 mg capsule,) very little Klonopin, 50 mg Trazadone, 10 mg Melatonin, Inositol and Ashwagandha. Tramadol PRN.
---- feeling great - no addl. symptoms , only 3 times something like you all list here. leg/ankle swelling still an issue, but not so much-----

6/5/2016 - All done, except for Trazadone. 50mg/nt is all. It is next, in a couple of months. No more Tramadol either - that was unintentionally, but hey, I am not complaining. I am using Kratom once or twice daily.

6/13/2016 - 25 mg of trazadone. 
Doctor is happy for me how well this is all going. :) Almost done with it all!!


#69 savinggrace

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Posted 10 April 2016 - 10:44 AM

I am just wondering in general, do very many people do micro-tapers of all their drugs at the same time (let's say 2% of everything as an example)?  This seems like a bold move, and scary, but in some ways it makes sense to me. After all the drugs have been working together (in a good or bad way) for a very long time with me.  However, I have not read about anyone but Rhiannon doing this.  I applaud Rhiannon's courage and steadfastness, but I just don't read about anyone else doing it.   So the real question is...micro-tapering multiple drugs at the same slow, slow rate...good or bad idea?


amitriptyline from 1980-2002, along wi/ intermittent use of benzos.  Klonopin 1-2 mg., ambien 10--20, mg, remeron 4 mg. and trileptal 300 mg 2002-2010.  Dropped ambien in 2011 w/ updose of klonopin and then crossed over to valium 17.5 mg.  Micro-tapering valium from 2011-2015.  Had to hold so started tapering trileptal.  cut 75 mg. in the last year and holding at 12.84 valium, 4 remeron and 219 trileptal. Began holding on all drugs May 30 2016 - ?


#70 Altostrata

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Posted 10 April 2016 - 01:46 PM

Please see extensive discussion of this in Micro-taper instead of 10% or 5% decreases

 

We don't recommend tapering more than one drug at a time unless you are very, very familiar with your symptom pattern, as Rhi was.


This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

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#71 Hibari

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Posted 11 April 2016 - 01:22 PM

I am just wondering in general, do very many people do micro-tapers of all their drugs at the same time (let's say 2% of everything as an example)?  This seems like a bold move, and scary, but in some ways it makes sense to me. After all the drugs have been working together (in a good or bad way) for a very long time with me.  However, I have not read about anyone but Rhiannon doing this.  I applaud Rhiannon's courage and steadfastness, but I just don't read about anyone else doing it.   So the real question is...micro-tapering multiple drugs at the same slow, slow rate...good or bad idea?

Hi Saving Grace,

 

I am micro tapering two drugs at the same time though I originally just was tapering one.  I tapered my first drug Remeron from January - July and then started tapering my second drug Lamictal at the same time.   I did it after careful consideration and I also read Rhiannon's experience.  I am comfortable with the choice I made and I continually pay attention to my body's reaction.  I did make one error about a month ago but other than that, I feel good about the experience.  

 

I haven't avoided wd symptoms but I had them while tapering only one drug.  I also support my body with weekly acupuncture treatments. 


September 2013-April 2014: After the death of my mom in July 2012.-became very depressed in September of 2013. Given a series of antidepressants very quickly from about 4 different psychiatrists in a 4 month period. Each one was from 1 day to 10 days at the most. My body could not handle it-I had Zoloft 4 days, Lexapro-1 day, Nortriptyline-10 days, Liquid Prozac, 1 week, Cymbalta 1 week.

December 2013-September 2014: Put on Xanax after a reaction to the Lexapro, averaging .50-1mg per day. Switched to Clonazepam-midway averaging about 0.25-0.50 daily.

June 2014: Jan/Feb 2015: Put on 7.5 Remeron titrate up to 41.25mgs  September 2014-July 2015: Put on 25mgs of Lamictal titrate up to 200mgs daily. Also stopped the Clonzepam- never felt the wd I had experienced when I tried to stop it before (knowing nothing about withdrawal) because the Lamictal calmed me down.

 

Currently: Tapering both medications together using micro cuts. Started tapering Remeron in January 2015,  Started tapering Lamictal July 2015 Main wd symptoms-sweating, nausea, headaches, deep crying, anxiety. 12/21 Remeron 1.6 Lamictal 22.50 mgs 1/19/17 Remeron 1.2mgs, Lamictal 22.50mg

 

Additional Support: Acupuncture with Reflexology  Alanon, L-Theanine for anxiety as needed, Estradial patch 0.025, Bio-indentical Progesterone cream 150-200  Armour Thyroid 90mgs.


#72 Hibari

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Posted 11 April 2016 - 01:23 PM

I forgot to clarify that I started tapering Lamictal in July, six months into my Remeron taper. 


September 2013-April 2014: After the death of my mom in July 2012.-became very depressed in September of 2013. Given a series of antidepressants very quickly from about 4 different psychiatrists in a 4 month period. Each one was from 1 day to 10 days at the most. My body could not handle it-I had Zoloft 4 days, Lexapro-1 day, Nortriptyline-10 days, Liquid Prozac, 1 week, Cymbalta 1 week.

December 2013-September 2014: Put on Xanax after a reaction to the Lexapro, averaging .50-1mg per day. Switched to Clonazepam-midway averaging about 0.25-0.50 daily.

June 2014: Jan/Feb 2015: Put on 7.5 Remeron titrate up to 41.25mgs  September 2014-July 2015: Put on 25mgs of Lamictal titrate up to 200mgs daily. Also stopped the Clonzepam- never felt the wd I had experienced when I tried to stop it before (knowing nothing about withdrawal) because the Lamictal calmed me down.

 

Currently: Tapering both medications together using micro cuts. Started tapering Remeron in January 2015,  Started tapering Lamictal July 2015 Main wd symptoms-sweating, nausea, headaches, deep crying, anxiety. 12/21 Remeron 1.6 Lamictal 22.50 mgs 1/19/17 Remeron 1.2mgs, Lamictal 22.50mg

 

Additional Support: Acupuncture with Reflexology  Alanon, L-Theanine for anxiety as needed, Estradial patch 0.025, Bio-indentical Progesterone cream 150-200  Armour Thyroid 90mgs.