--------HOW FAST SHOULD YOU TAPER?--------
Why taper by 10% of my dosage?
The general philosophy of gradual tapering
The slowness of slow tapers
Some people can tolerate tapering only by very small amounts over a long time.
Why taper? Paper demonstrates importance of gradual change in plasma concentration
Discussion of a scientific journal article here http://survivinganti...mography-study/
If your doctor is a scientific type, print the journal article out and give it to him or her.
--------PREPARING TO TAPER--------
Taking multiple psych drugs? Which drug to taper first?
If you're not having an adverse reaction from the other medications, taper the most activating drug first. This is usually an antidepressant or stimulant (ADHD drug).
Preparing to taper
Taking care of yourself so you are prepared to taper.
Taper more than one drug at a time?
Try this only if you know your withdrawal symptom pattern and know how to control your taper with various tapering techniques.
Drug Interactions Checker -- use it to reduce your drug burden
If you are suffering adverse effects from a combination of drugs, this can help determine which drug is the key culprit to reduce first.
Rate symptoms daily to track patterns and progress
Keeping a record of your withdrawal symptom pattern so you can manage it.
Dr. Joseph Glenmullen's withdrawal symptom checklist
Use this to track symptoms.
How do you talk to a doctor about tapering and withdrawal?
What should I expect from my doctor about withdrawal symptoms?
--------HOW TO TAPER--------
How to calculate dosages?
How to cut up tablets or pills
Using a pill cutter -- flat, round tablets easier to cut accurately
From Current Psychiatry 2006: Tablets that may be split
Most tablets that are not extended-release may be split
Did I go wrong with my nailfile?
Filing a tablet is popular but inexact. Taking a liquid is more consistent and reliable.
Using an oral syringe and other tapering techniques
How to use oral syringes, gelatin capsules, powdered tablets, and do-it-yourself liquid solutions
How to make a liquid from tablets or capsules
General instructions on making a homemade liquid suspension
Making a citalopram solution yourself
This is about citalopram (Celexa) but can be applied to most tablets that are not extended-release or sustained-release
Pharmacy liquids to make suspensions
Liquid bases for medication
How to calculate dosages of liquids and other tips
Compounding pharmacies (US, UK, and elsewhere)
These pharmacies can make up custom dosages and liquid medications
Using a digital scale to measure doses
Digital scales can measure less than 1mg by weight
Excel spreadsheet to calculate dose weights using a scale
Counting beads in a capsule versus weighing
The Prozac switch or "bridging" with Prozac
Substituting one medication for another for easier tapering
Micro-taper instead of 10% or 5% decreases
Decreasing your dosage by very tiny amounts more often might be more tolerable than 5% or 10% decreases. Know your symptom pattern first so you can estimate how often you can reduce.
--------AT THE END OF A TAPER--------
Tapering to zero -- when do you just drop off?
How do you determine a good stopping point?
Experiences after tapering to zero
How do people feel after finishing a taper?
--------TAPERING OFF SPECIFIC PSYCHIATRIC DRUGS--------
Tapering Alpha Blockers or Beta Blockers
Tips for tapering off amitriptyline
Tips for tapering off amphetamine/dextroamphetamine (Adderall)
Tips for tapering off aripiprazole (Abilify)
Tips for tapering off busipirone (Buspar)
About going off mirtazapine plus venlafaxine (Effexor) aka "California rocket fuel"
Tips for tapering off Celexa (citalopram)
Tips for tapering off Cymbalta (duloxetine)
Aka Ariclaim, Xeristar, Yentreve
Tips for tapering doxepin (Sinequan, Zonalon)
Tips for tapering off Effexor (venlafaxine)
Aka Efexor, Elafax, Venlafaxina, Venlor, Ventab, Alenthus
Tips for tapering off ziprasidone (Geodon, Zeldox)
Tips for tapering off Invega (paliperidone)
Tablets and injectable Invega Sustenna
Tips for tapering off Lamictal (lamotrigine)
Tips for tapering off Lexapro (escitalopram)
Aka Cipralex, Seroplex, Lexamil, Lexam
Tips for tapering off lithium
Tips for tapering off lurasidone (Latuda)
Tips for tapering off Luvox (fluvoxamine)
Tips for tapering off Lyrica (pregabalin)
Tips for tapering off Neurontin (gabapentin)
Tips for tapering off nortriptyline
Tips for tapering off olanzapine (Zyprexa)
Tips for tapering off oxcarbazepine (Trileptal)
Tips for tapering off Paxil (paroxetine)
Tips for tapering off Pristiq (desvenlafaxine)
Tips for tapering off Prozac (fluoxetine)
Aka Rapiflux, Sarafem, Selfemra, Fontex
Tips for tapering off Remeron (mirtazapine)
Tips for tapering off Risperdal (risperidone)
Tips for tapering off Savella (milnacipran)
Tips for tapering off Seroquel (quetiapine)
Tips for tapering off Tramadol
Tips for tapering off trazodone (Desyrel)
Aka Oleptro, Beneficat, Deprax, Desirel, Molipaxin, Thombran, Trazorel, Trialodine, Trittico, and Mesyrel
Tips for tapering off Viibryd (vilazodone)
Tips for tapering off Vyvanse (lisdexamfetamine dimesylate)
Tips for tapering off Wellbutrin, SR, XR, XL (buproprion)
Tips for tapering off Zoloft (sertraline)
Tips for tapering off Z drugs for sleep (Ambien, Imovane, Sonata, Lunesta, Intermezzo, etc.)
--------TAPERING OFF OTHER COMMON DRUGS--------
These drugs commonly prescribed and can cause drug-drug interactions with psychiatric drugs or other health problems.
Tips for tapering off stomach acid blockers or PPIs...
--------"OFFICIAL" GUIDES TO TAPERING PSYCHIATRIC DRUGS--------
Guides to tapering off psychiatric medications
From medical societies and other organizations, including the American Psychiatric Association and UK National Health System
--------FROM THE SYMPTOMS AND SELF-CARE FORUM--------
What is withdrawal syndrome?
About reinstating and stabilizing to reduce withdrawal symptoms
The Windows and Waves Pattern of Stabilization
Edited by Altostrata, 30 April 2017 - 08:22 PM.