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Tips for tapering off Prozac (fluoxetine)


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#37 ZK2015

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Posted 01 April 2016 - 01:38 PM

Hi,

 

I'm trying to make my own liquid Prozac to start tapering, I emptied five 20mg capsules in 100ml of distilled water and shoke it well but the powder doesn't seem to dissolve in the water, is that normal?


Paxil 20mg 3/2012 - 11/2014 - C/T for 2 weeks then back again till 1/2015

Prozac 20mg 2/2015 - 10/2015 - Tapered down by skipping doses but got withdrawal symptoms

reinstated 20mg Prozac 18/1/2016


#38 SquirrellyGirl

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Posted 01 April 2016 - 05:03 PM

Apparently it is the filler in the Prozac that doesn't dissolve.  See

 

http://survivinganti...tine/?hl=prozac

 

I would advise using a container with a screw top that you can shake really hard to wet the powder so that it will at least be IN the solution and not floating around in clumps.  Then, be sure to shake really well right before drawing up your dose. 

 

I like these tubes for this purpose because they have hash marks for measuring, and have the screw cap so you can shake really well:

 

http://www.amazon.co...l conical tubes

 

SG


Started ADs back around 1995 after bad break-up, starting with Prozac.  Switched to Wellbutrin, and then to Effexor in 2002
Effexor XR 2002-2014 up to 225 mg at one point, down to 37.5 mg towards end but back up to 75 mg in 2014; now realize I had W/D as I dropped down, memory very poor about history.  Extreme emotions, poor concentration as I stepped back down, didn't connect the dots!
Summer 2014 reduced to 0 very quickly, was sick of anhedonia/sexual dysfunction due to meds, depression never controlled if not worse. Didn't recognize WD since symptoms built slowly (thought I had ADD! and menopausal on top of it), starting with severe sweats, very bad cog-fog and memory issues, culminating in weight loss, severe anxiety and depression, panic, severe apathy and insomnia by eight months off.  Saw p-doc who put me on Remeron, increased from 7.5 mg/day to 37.5 mg by May 22, 2015; still doing very badly though able to sleep.

June 1. 2015 Reinstated Effexor XR 37.5 mg, Remeron dropped to 30 mg PM. Immediate relief of symptoms, like nothing had ever happened!  Joined SA and began on advice of friend who recognized it was WD all along! Began tapering in July 2015.

Been tapering both meds ever since, focusing on one more than the other or doing no more than 5% of each per month.

Currently on 12 mg Effexor and 5.8 mg Remeron (mirtazapine SolTabs to make a solution with OraPlus) as of 5/4/2017

 

My intro: http://survivinganti...e-2#entry196679

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


#39 januaryeve

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Posted 08 March 2017 - 08:50 AM

Altostrata:

 

Question about a statement on one of your posts about tapering off Prozac:

 

If you are very sensitive to variations in dosage, this method will not be precise enough for you to control your taper.

 

I am planning on tapering off Prozac by the 10% reduction method. I have already finished tapering--as of several years ago--down to one 20 mg capsule PER WEEK. My husband is looking into using a scale to help me do this. My physician wants me to go from one capsule every seven days to one every 8 days, 9 days, etc., which I have no intention of doing as from what I understand, and my experience, it is not recommended.

 

For our planning purposes, what does your statement, above in red, mean? Are you saying the scale method won't work? It seems like it would be rather precise, although my husband is looking into that.

 

I already asked my doctor about using a compounding pharmacy. He didn't respond, but said "we will use. . . " (the method I mentioned above).

 

I am afraid to ask him again, because I don't want to try to explain to him all the information he is lacking, because I am not a technical person, he might be annoyed, and he might not agree even if he read about it. I just want to do it without him, if that is possible. He is a super nice person, but he doesn't understand psychoactive drug withdrawal.

 

Thanks for your help.


1990-2016   Prozac, 30 mg. Tapered over 4 years, now down to 20 mg per WEEK.

Nov. 2016, tapering Prozac until completely off (soon, I hope).

March 2015 through Oct. 2016   Xanax 0.25 mg 3x daily.

Nov. 2016   Xanax: Completely off.

1-2 days after going off Xanax, severe muscle pain. Continues.

 

 


#40 januaryeve

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Posted 08 March 2017 - 08:53 AM

altostrata:

 

In relation to my previous post (3/8/2017), my husband says we need a scale that goes out one more place. I'm going to look for one.

 

 


1990-2016   Prozac, 30 mg. Tapered over 4 years, now down to 20 mg per WEEK.

Nov. 2016, tapering Prozac until completely off (soon, I hope).

March 2015 through Oct. 2016   Xanax 0.25 mg 3x daily.

Nov. 2016   Xanax: Completely off.

1-2 days after going off Xanax, severe muscle pain. Continues.

 

 


#41 ChessieCat

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Posted 08 March 2017 - 11:53 AM

Post #1 in this thread, about 1/2 way down, mentions liquid Prozac and also making your own liquid.


Reminder to self:      P A T I E N C E       I want to go faster    but I won't

 

Antidepressants:  25 years - 1 unknown, Prozac (caused muscle weakness), Zoloft; Cipramil CTed (very sick for 2.5 wks soon after)

Pristiq:  50mg mid 2012, 100mg beg 2014 (mild Serotonin Toxicity)     Current:  Pristiq 24mg (from 19 May 2017)

 

Tapering history & graph

My website - includes my brief history + links to videos & information on the web

 

Podcasts:    Let's Talk Withdrawal

 

PLEASE NOTE:  I am not a medical professional.


#42 januaryeve

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Posted 08 March 2017 - 01:07 PM

Thanks, Chessie Cat. I'm going to go with a scale and capsules rather than Iiquid.

 

figured out that altostrata's statement about lack of precision referred to the method of dividing the dosage by hand, for instance on a piece of paper with a razor, rather than to weighing it on an electronic scale. So now I think the digital scale method has a good chance of working for me.

 

I should have read more carefully first!


1990-2016   Prozac, 30 mg. Tapered over 4 years, now down to 20 mg per WEEK.

Nov. 2016, tapering Prozac until completely off (soon, I hope).

March 2015 through Oct. 2016   Xanax 0.25 mg 3x daily.

Nov. 2016   Xanax: Completely off.

1-2 days after going off Xanax, severe muscle pain. Continues.

 

 


#43 Alpha23

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Posted 14 May 2017 - 01:21 AM

Does anyone know if liquid Prozac made from a dissolved capsule could potentially irritate the esophagus? I'm making my own liquid at the moment but have to drink a lot of water to erase the bitter aftertaste. Does anyone think gelatin caps would be a safer method?


Prozac 30 mg for many years.

Short two-week taper to 20 mg followed by 5 day washout period. (January 2017)

Lexapro 10 mg for 25 days. Stopped due to intolerable side-effects, notably palpitations and tinnitus. (February 2017)

Two day washout period before reinstating Prozac at 40 mg. (February 2017)

3 weeks later end up in ER due to severe palpitations and dizziness. (March 2017)

2 weeks of insomnia and intermittent akathesia. (March 2017)

Also ongoing palpitations, hypnic jerks, muscle twitches and other symptoms.

Currently on Prozac 20 mg (just trying to stabilize, not ready to taper yet).


#44 Newbeginning

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Posted 18 May 2017 - 10:21 PM

Does anyone know if liquid Prozac made from a dissolved capsule could potentially irritate the esophagus? I'm making my own liquid at the moment but have to drink a lot of water to erase the bitter aftertaste. Does anyone think gelatin caps would be a safer method?

 

It tastes bitter and awful so could possibly cause acidity and indigestion of different types. What do you mean by gelatin caps? Just taking the capsules without opening them?

 

Have you looked into compounding pharmacies in your area that can just make any dose you need? Is the liquid Prozac not available in your country? Where are you located? 


  • SSRIs 3-4 times in the last 14 years; would take them for 6-8 months and then taper off under dr supervision with no problems.
  • Med history prior to 2015: http://survivinganti...313#entry267313
  • 04/2015: Prozac decreased to 15mg over last 3 months; effexor held steady at 8mg; current effexor XR: 20 beads of a 75mg capsule per day (about 8mg)
  • 06/2015: Prozac: 10mg; effexor XR: 19 beads (about 7.5mg); 07/2015: Prozac: 8.5mg; effexor 18 beads; 08/2015: Prozac: 7.5mg; effexor: 17 beads
  • End of August: withdrawal: depressive symptoms, crying spells. Realized I was measuring prozac dose wrong for the last 2 months. Reinstated Prozac 8.5mg; Kept effexor at 17 beads. Stabilized in 5 weeks.
  • 10/2015: Prozac: 8.5mg; effexor: 17 beads
  • 11/2015: Prozac: 1.9ml (7.5mg); effexor: 16 beads
  • 12/2015: Prozac: 1.6ml; effexor xr: 16 beads. Withdrawal: neuroemotions
  • 01/2016: prozac: 1.6ml; effexor xr: reinstated 17 beads, withdrawal improved; 02/2016: Prozac 1.5ml; Effexor: 17 beads; 03/2016: Prozac 1.3ml(5mg); Effexor: 17 beads (7mg)-withdrawal (flu-like malaise, lightheaded, drowsy) started end of March. April 15: reinstated Prozac 1.5ml. Stabilized. 2 weeks ok. End of April: Withdrawal (neuroemotions). Eventually stabilized in April-May. Apathy improved.
  • 3 month hold until August. August 2016: apathy came back;

  • October 2016: updosed to Prozac 1.6ml. Bad reaction: anxiety, depression. End of October: went down Prozac 1.5ml. Stabilized over several weeks.

  • Dec 9: tried macca for energy: anxiety/depression. Improved over several weeks, but not completely resolved.

  • Dec 31: cut Effexor 5% to 16 beads. After 9 days: withdrawal anxiety, depression; tried updosing to 17 beads Feb 7 but anxiety got worse; went down to 16 beads

    May 2017: Anxiety improved; severe depression continues


#45 Alpha23

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Posted 19 May 2017 - 11:40 PM

By Gelatin caps I mean filling empty gelatin capsules with Prozac powder to avoid the bitter taste of the homemade liquid. Of course I would need a very sensitive digital scale to weigh out the correct doses. Unfortunately compounding pharmacies and liquid Prozac are not an option where I am :(


Prozac 30 mg for many years.

Short two-week taper to 20 mg followed by 5 day washout period. (January 2017)

Lexapro 10 mg for 25 days. Stopped due to intolerable side-effects, notably palpitations and tinnitus. (February 2017)

Two day washout period before reinstating Prozac at 40 mg. (February 2017)

3 weeks later end up in ER due to severe palpitations and dizziness. (March 2017)

2 weeks of insomnia and intermittent akathesia. (March 2017)

Also ongoing palpitations, hypnic jerks, muscle twitches and other symptoms.

Currently on Prozac 20 mg (just trying to stabilize, not ready to taper yet).


#46 Altostrata

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Posted 20 May 2017 - 01:19 AM

You could weigh the powder and put it in empty gelatin capsules.

 

Read this carefully http://survivinganti...oxetine/?p=6498You will see a reference to mixing the powder with cranberry juice.


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

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