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.
s-grace, alto can provide more info on this but i think the basic approach is to taper one at a time, starting with the most activating (unless it's a benzo) moving down to the most sedating. the reason for this is 1) if you taper more than one drug at a time, and have a W/D reaction, you won't know which drug to reinstate; and 2) if you remove the sedating drugs first, you're more likely to have issues with anxiety, insomnia, etc. alto has made the point that rhiannon had years of experience with her symptoms and the ability to know with some certainty about what to do if she had a w/d reaction.
one alternative may be to "stair-step" -- that is, reduce drugs in series. my hubby is stair-stepping down zyprexa and paxil now, with a minimal one-month waiting period after each reduction. so far it's working ok.