Jump to content

Search the Community

Showing results for tags 'taper'.



More search options

  • Search By Tags

    Type tags separated by commas.
  • Search By Author

Content Type


Forums

  • Support
    • Read This First
    • Introductions and updates
    • Tapering
    • Symptoms and self-care
    • Finding meaning
    • Relationships
  • The commons
  • Current events
    • Events, controversies, actions
    • In the media
    • Success stories: Recovery from withdrawal
    • From journals and scientific sources

Found 78 results

  1. Hey everyone- A little history, many moons ago (about 17 years now), I was put on an antidepressant to stop my migraines. I was never depressed and never had anxiety. Over the years, I was put on several different antidepressants because the headaches would come back. Nonetheless, I haven't had a migraine in years and decided that I truly do not need to be on this drug anymore. After going through a horrific z-drug and benzo withdrawal due to mis-diagnosed insomnia (which was really probably related to the antidepressants), I learned a lot and that pretty much convinced me that I needed to work to get off the antidepressant as well. It's been almost 3 years since I went through that and successfully tapered off those drugs. I knew my CNS would be sensitive so I waited until this year to start the antidepressant withdrawal. Back in March/April, I started a taper on Viibryd 40mg. I am down to 20mg. I have been doing fairly well with a few days here and there of withdrawal symptoms but nothing major. I decided in June that once I got down to 20mg, I was going to hold there for a while to stabilize, which I have no been doing for 3 months. I have felt great to the point, I finally started doing a mild work out daily. All has been going well for several weeks, and then I started getting adrenaline dumps on Friday. Scared the living you know what out of me (although it shouldn't since I experienced this horror with benzo and z-drug withdrawal), but nonetheless, for the past 3 days, I have been experiencing adrenaline dumps, some mild burning across my chest (ironically no muscle pain in my chest or body) just burning, major stomach queasiness, and internal tremors/shaking, limb weakness, sweating, inability to focus, and of course anxiety because all of the sudden I feel like complete crap! Being that I started this taper about 6 months ago and have been holding for the last 3 months, is this normal for antidepressant withdrawal? In 2012 I had an echocardiogram on my heart and it was found to be structurally fine.I don't drink, smoke, do any kind of recreational drugs, or drink caffeine, and I have regular blood tests when I got to the doctor twice a year and all my levels have been normal, so I don't honestly think there is anything wrong with me. But historically, whenever waves hit me, I tend to lose my mind questioning what is wrong with me. I haven't been able to find much about Viibryd withdrawal. So I am grasping at straws here to know if what I am experiencing is normal. Thanks in advance!
  2. Hello everyone. This is a little lengthy post although I tried to keep it shorter ... I have a history of depression going back to 2008 after stressful job. In 2012 I started feeling better and was on Viepax and Zyprexa (Olanzapine) at that time. Started running 2 miles a couple times per week and also started spending more time at the beach. Felt mood improvement to the point of feeling euphoric or maybe hypomaniac, which is a good thing for me. Went from 253lbs to 190lbs and it seemed all was good as I felt there was a direction I was going, a progress. Last summer started feeling anxious. I was overexercising because it helped me to maintain focus on my business. Every time I felt relief, sharp mind and could focus and accomplish a lot of tasks. I think I have pushed myself too far and became out of balance. As a consequence I have suffered anxiety and depression. I had suicidal thoughts because I felt guilty and failed to reach a goal that I had. I thought I needed medication that would relieve anxiety and depression that I experienced in the morning. On February 2017 I went to psychiatrist who without reinventing the wheel prescribed me Zyprexa because it was last medication that I took before I felt better. Had I known the side-effects this medication causes I would not go to psychiatrist at all. All I needed was anxiety and stress relief because I thought once these are taken care of, this would relieve depression too. What I got was weight gain of 11lbs despite being active and eating well. It became harder to wake up and exercise as I became less motivated. I became a bit slower and noticed it was harder to focus on daily business tasks. Having heard that Zyprexa is a toxic drug that affects metabolism and causes fatty liver I decided to taper. I would be better without it because my problems were not that big of a deal when you weight in trade-off. I didn't want to gain weight that I worked hard to reduce and get in shape. As I lately started tapering with 1.25mg and had missing days of medication I experienced total depression and I don't know whether it was withdrawal symptoms or something that would happen either way. I had those days with depression before I started taking Zyprexa, so I don't know. To describe, I was waking up late and had no motivation whatsoever to do anything, despite I had a lot to do. It's like all the tasks became blurred and world turned upside down. I think I was finding happiness in food only and after eating, I would go to sleep. A complete empty feeling with no purpose to live for. After reading about tapering I understand that I started tapering and reduced dosage too soon. It is recommended to taper at 10% every 2-3 weeks. I did go from 5mg to 2.5mg and to missing dosage. It was less gradual than it is supposed to. Zyprexa does not have divider marks so I am not sure how to make it exact and less than 1/4 portion. The day before yesterday I missed the dosage intentionally and felt bad yesterday until I went outside in the evening and felt better. I took the 1.25mg dosage 4 hours later in the evening than I used to because I didn't want to experience withdrawal. Today feels good. What wold be your advice to someone who went significantly faster from normal dosage to low dosage and no dosage? Should I get back on 2.5mg and taper off at 10% or 1.25mg and taper at 10%? Within how many weeks should I adjust taper? See my signature for my tapering timeline. Thanks. Thank you!
  3. Successful tapering after kindling

    Hello, I am looking for some success stories from those who have tapered successfully especially after having kindled. I suspect that I am supersensitive to drops because of too fast tapers and cold turkeys. I am having some anxiety from even thinking about tapering and the years it would take me to get off the drugs I'm on. Anyone's experience is much appreciated.
  4. Hi, I have been on olanzapine since December 2014 (2.5 years). I started at 10 mgs, then went to 5 mgs after 2 months. I then dropped to 2.5 mgs. Last August, I started 1.25 mgs day and stayed there until July 2017. I am now doing .625 mg/day since July 6. I am cutting this from a 5 mg pill. I am on no other medications. I stopped seeing my psychiatrist last Aug. I lost my insurance then. I have been doing really well and feel like I will be ok coming off. Even when I was seeing the doctor, I told him I could not stay on this forever as I've gained 30 lbs and I am afraid of diabetis, the dulled effect to my personality and other side-effects. I lapsed into a depression that lasted a few months when dropping under 2.5 mg. I felt with absolute certainty that it was caused from tapering down the medication and not a return of any illness. The depression lifted suddenly back in the spring and I've felt more like my old self than I have in years. The only side-effect I seem to have right now from the taper is difficulty sleeping some nights. It's not every night...probably 3 nights a week that I wake up several times in the night. I don't know where to put my question but I'd like to know if anyone has successfully come off olanzapine (Zyprexa) and when they did the final jump. I am taking such a small crumb of pill that I don't think I can cut it anymore. I am thinking that my next step will be to do .625 every other night. I feel happier today than I ever did while on olanzapine. It depressed the heck out of me and blunted my emotions greatly. I look at this tiny crumb I take every night and wonder if it is doing anything at all. Can anyone direct me where to go to post my questions? Thank you!
  5. When to end the taper and jump to zero?

    Hi All, Apologies if this has been done to death... I was playing around in excel with a taper protocol and thought I'd share. The 10% is a good rule and very good at encouraging people to go slowly. Something a lot of us have trouble with. (well me anyway...) But like Achilles catching the tortoise, reducing 10% will never get you to 0. (An aim a lot of us have). I've plugged the following rule into excel (attached) to see how it comes out. Rule 1: new dose = old dose - (9% of old dose) - (1% of original dose). You plug the starting dose in and it will always taper to 0 in 24 months. Now this may be to quick for some which brings us to .... Rule 2: If you feel moderate to nasty withdrawal effects then stop and stabilize. After stabilizing restart taper from current dose. (which will also reset the end 0mg end point to 2 years from current dose). Here is an example of the output for a 20mg taper (though just an example!!) Month Dose 1 20.0 2 18.0 3 16.2 4 14.5 5 13.0 6 11.6 7 10.4 8 9.3 9 8.2 10 7.3 11 6.4 12 5.7 13 4.9 14 4.3 15 3.7 16 3.2 17 2.7 18 2.2 19 1.8 20 1.5 21 1.1 22 0.8 23 0.6 24 0.3 25 0.0 I'll probably look to start this from my current 2.5 mg Lexapro , thus aiming to be at 0 in 2 years. Cheers Damien ssri_taper.xlsx
  6. sungirl: Intro

    Hi, Not really sure what this is supposed to look like, but here goes. Began Wellbutrin and Paxil (don't remember doses) fall 2004 after major anxiety over a move. (I've experienced depression and anxiety since childhood.) I successfully tapered and remained off the Wellbutrin, but 3 months after Paxil taper experienced huge crash and reinstated. This happened the same way the second time I tapered. Both times the anxiety was way worse than any I had ever experienced and I knew it had something to do with withdrawal but my doctors did not believe me. I have been on 20mg/day. A year and a half ago I decided to try to taper again. Was originally tapering by 5mg at a time and got to 10 but was having difficulty. I found some helpful articles by Dr. Stuart Shipko and contacted him. Following his advice, and with my doctor's support, I went back to 10 and have been tapering by 1mg/month. I was down to 5mg when we went through some major life traumas. Still felt fine until tapered to 4.5, went back to 5, but started experiencing symptoms without realizing what it was (felt like my heart was pounding a lot/felt wired but did not feel anxious) Symptoms gradually have gotten worse and worse. Started to updose by 2 mg, 2 nights ago. Hoping I can stabilize, I feel terrible right now and don't want to live like this! Honestly not sure if I will complete the taper or not at this point I just want to stabilize.
  7. Hello fellow withdrawers (if that's a word), I'm Bokart and I'm here on a journey to quit my medication of Olanzapine. Down to 7,5 mg at the moment (see my signature). My story short: back in February 2015 I got admitted in psych ward due to psychosis (due to my destroyed sleep because of my night-shift work). There began my involuntary medication of Olanzapine, which pulled me out of a psychosis, so at least it did some good. I was released from the hospital after two weeks of being there. Now, after jojoing with my olanzapine dose (see signature), I'm finally set to quit it for good. I found this community after searching for succesfull withdrawal stories on the internet and found this community to be great, people being helpful and supportive and giving good advice... I know it can get rough when I approach smaller doses so I do know I will need support. And hopefully I can give support too and offer people hope after and during my taper. I know lots of people are in the same boat as me. Why I want to quit? I got no sexuality anymore, my motivation lacks big time, even personal hygiene is suffering because of that. I can't memorize things like before - learning is difficult. I have very little emotions left in me, basically I'm a dumbed down version of myself nowadays with this drug. I have little social skills - which I would badly need because I plan on working with children in school so some situational awareness is needed (I might have to quit my studies due to me making no progress in my studies... due to this drug). No happines, no enjoying things, lethargy and demotivation... About my psychosis, after it was gone I haven't had any symptoms of it returning (like delusions, paranoia, hallucinations), even after trying to quit my drug cold turkey once, which I see as a good sign. Now I don't want to slip into psychosis again so I need to be extra careful with my taper. After I hit 5,625 mg I will go on tapering by feeling, so no reductions until I feel stable enough. My main concern is sleep. I have a prescribed medication of temazepam (a benzodiazepine), which I can use when my insomnia has hit a threshold of needing immediate attention. I'm trying to limit my use of it to every three days to prevent tolerance and dependence (I know benzodiazepine withdrawals can be bad). But the thing is, lack of sleep led me to psychosis once, so it is a big deal to me. I need at least one night on a while to hit at least 4 hours of uniterrupted sleep, which 40 mg of temazepam does. I've tried many other sleep aids such as low to medium dose of quietiapine (no effect), low to medium dose of levomepromazine (didn't help), low dose of doxepine (no effect), even melatonine and l-tryptophan and 5-htp and none of those helped. One thing that helped me though was phenibut combined with temazepam - I slept 13 hours with that combination! So I know I have an emergency brakes on my train now (assuming that combination works again, haven't taken phenibut in 2 months to avoid tolerance and dependency), but I'm planning on limiting the use of this combination to once a month. On this dose of 7,5mg I'm currently having 2-3 hours of good uninterrupted sleep plus 3-4 hours of bad, constantly waking up kind of sleep So, thank you all for being here! And I wish a speedy recovery to those who are withdrawing from their drugs, we are all here together.
  8. Hey guys! So I have started my taper off of Lexapro 20 mg, for Panic Disorder and Pure O. When I spoke to my psych she said to just drop from 20 to 10. I of course looked at her like she had lost her mind! I have already quit cold turkey once and after 3-4 months of it, I had a very severe panic attack and went back on. Needless to say, I am doing this the right way now! I started at 18 mg, and have been here for almost 3 months. Of course, it isn't exact, due to it being a pill and a wonky pill cutter. So far, I have felt great. But then I started my period. Of course I was emotional, but that wasn't the problem. I have been having intense intrusive thoughts about dying. Yet, the second these thoughts manifest, I am instantly in a panic. Why? Because ONE- I do not like the thought of death, and TWO- I don't like the thought of harming myself. Of course, my conscious side is like "Hello! you are afraid of dying, classic panic, so calm down you're not going to hurt yourself," And I don't plan it out or think of ways to do it. I just simply think ok, im going to die soon and it may or may not be at my own hands. And it freaks me out. I think it is a combo of my hormones and the weaning. Please tell me this is normal! LOL. I can tell it is just a combo of things going on in my head, because I can usually talk myself down and after a bit of dwelling on it, I forget about it. But again, is this normal? I hate how you can think of one thing, and it spiral into something horrible. Everyone thinks of death and how it may happen, or when, or who will be at your funeral, or who will even notice, things like that. I just take it and run with it and get myself worked up over nothing. Oh to have an "un-medicated" brain again!
  9. Hello, I am new to this site and not sure how it works. Need some info and perhaps some reassurance.; I've been having a history depression and anxiety since my teenage years, I am 49 years old, which I have been able to manage it more or less. I attempted to use the antidepressants but also had an adverse reaction that I was not able/ready to put up with. Yet, living with the depression isn't easy either. In short, yet again, I started taking Lexapro last October in order to deal with the painful state of depression, and did seem to work in the past. I increased the dose very slowly from 2 mg and started feeling much better in January, at the 7 mg. At the same time I started some problems with my memory (to the point of a few seconds of blackouts) , persistent fatigue and lingering morning anxiety, and problems with the night sleep. The psychiatrist dismissed my memory problems, attributed my fatigue to the depression and decided to see if my sleep would approve. He also told me to increase my dose slowly aiming for 15 mg at some point. However, when I reached 8.9 mg, I could hardly function: feelings of being very unwell and under the weather allowed me to function only until lunch time, after which I would need to recline somewhere for the rest of the day. I started tapering on the 24 Mars and today is the 2nd day of 4.25 mg of Lexapro. I didn't follow the 10 per cent protocol, and my doses were fluctuating within 0.5 - 1 mg depending on my physical and emotional symptoms. However, in the last 10 days I've started having a strange heavy sensation in my head, it's difficult to describe, They are not brain-zaps, just uncomfortable feeling: a mix of resembling kind of heaviness, fogginess, slight headache and feeling/sensation. I have put this down to cutting down sugar and change in my diet (transitioning to being vegan). However, this sensation 8 days later is still there. In addition, I have got muscle ache at the minimum effort, have been unable to jog and do much of the physical activities for the past 3 days: stopped exercising, want to isolate, difficult to concentrate and get on with my daily activities. I do have "waves" when I do feel better for an hour upon awaking and yesterday, after I spent 3 hours on the sofa! We are in the process of moving , also need to book a holiday but I am feeling incapable of doing anything. So frustrating! Emotionally, I am not depressed though.... In addition, feeling rather scared, is it due to the antidepressants and will my brain heal and gets "remodeled" back? Have I got some other serious medical condition? In ideal world I would like to get off this drugs that do not work well for me and find some ways of dealing with the anxiety and depression, unfortunately, I did manage in the past to taper off the meds without too many problems only to get depressed 4-9 months later and be back on them. If this is what I feel are withdrawals, I am quite surprised why I had not experienced them in my past tapers? I would really welcome and would greatly appreciate any feedback and input! I also would like to know, if I should wait it out and stabilise on 4.25mg of Lexapro or need to updose it? Thank you in advance F47
  10. Hello! I am currently tapering off of 75mg Effexor XR using the 10% method and holding each dose for 3-4 weeks. I’m coming up on half of the amount of beads in my 75mg. Believe it or not, but my 75mg ranges from 235-290 beads inside each capsule. I have averaged out 8 capsules when I started and the average amount is 266 beads. So I have been using that as my baseline for removing by 10%. Currently, in my tapering schedule I am removing 115 beads in each capsule. I have been removing beads like this: 254-115=139 280-115=165 247-115=132 266-115=151 So the amount of beads I take each day is different. The size difference in beads varies a lot and I make sure there’s a good amount of all sizes of what I’m ingesting. I’m honestly not even sure if I’m doing this correctly and should be counting what I’m taking, rather than what I’m throwing away. (?) What my main question is... Since I average about 266 beads can I switch to 37.5mg capsules once I’m taking on average 133 beads (1/2 of 266) I’d like to hold at 37.5mg through the holidays as I am busiest at work during this time and I will be traveling a lot and don’t want to deal with withdrawals. Is half the amount of beads in a 75mg capsule truly 37.5mg? I don’t put anything past Effexor, and really want to do this safely and effectively. Any input is greatly appreciated. Thank you.
  11. Effexor Aug 2004, tapered up to 450mg in following few years. Attempts to taper off for years, now at 112.5 mg. Stuck. From original topic heading: 64 years old
  12. Thank you to the creator of this site, what a great resource! I have been through withdrawal many times and I hoping this is it. I was put on Zoloft in college for Generalized Anxiety disorder (20 years ago) and it became impossible to go off of it. I tried many times and always ended up back on because off of the meds, I was very depressed. I was not even depressed like that before I went on Zoloft in the first place. Thankfully, over the years I was able to reduce the amount I needed from 100mg to 50 then 25, and felt ok for a while. A couple of years ago it seemed the Zoloft stopped working and I was switched to Prozac,10mg. Also in the past few years I started talking to therapists, life coaches, going to workshops, reading everything self-help, meditating, etc. About 4 months ago I started doing Crossfit and exercising in some way daily, and meditating almost daily. Kundalini meditation specifically has been helpful. My body told me it is a good time to try again to stop the meds. It has been 6 weeks since my last micro-dose and I am mostly ok, besides for crying spells. It has been difficult to tell what has been from withdrawal and what is hormonal for me because I am already very sensitive and have awful periods. But in the past 2 weeks there has been a lot of sobbing that is more than normal for me. It does not last longer than 10-15 minutes usually but has been daily (sometimes 2x a day) except for today. If I can have ONE good day like today where I felt normal then I believe this is possible, even if it comes back tomorrow! I have also used many supplements before, during and after the taper/ withdrawal, if it is ok I will list them here, maybe others can do their own research on them and see if it might help them. This is all trial and error, after all of the attempts, this combination might be working. I have to add that tapering off of Prozac was much easier for me (physically) than Zoloft. Before starting taper I used supplements from the Road Back Program. This made all the difference in the world for me as far as physical withdrawal symptoms, comparing to previous tapers without it. (I am in no way affiliated with this company or any other company/supplement here) I found out there is an MTFHR gene mutation in my family so made sure all B vitamins were methylated. Thorne makes an excellent one. I use 5htp at night 100mg In the morning on an empty stomach I started taking DLPA. This helps boost dopamine and gives emotional boost for me. For energy and focus (I also have A.D.D.) I use Weyland "focus" pill at times. Lithium Orotate I am still learning about but I started that in the evening recently. (This is a mineral, NOT lithium carbonate.) Niacin 100mg I just want to send everyone going through this a huge hug, and lots of love, I hope I can help contribute in some way, and am grateful to people sharing their stories here, it has been a huge help to me knowing I am not alone (and not crazy lol) I already took the survey as well.
  13. I have just started trying to get off Saphris. All these forums and blogs are terrifying me. Especially the story of "acetyl". It was prescribed to me after wellbutrin alone wasn't fixing my depression. I am not bipolar or schizophrenic. I think it was an overly aggressive choice and i wish i had researched it before taking it. I was taking 20mg daily along with 10mg lexapro and 450mg wellbutrin. It put me in a zombielike state. I used to be a high performing software developer, at the top of my field, well respected and capable of great things. After Saphris I was unable to think clearly and lost my ability to design software, ending my career as a software developer. I may as well have been asked to perform Brain surgery so complete was the loss of ability. On top of that my current insurance doesnt cover it and i can no longer afford it. I previously tried going off it when i was only taking 10mg. I went too fast and started to experience anxiety pretty bad before going back on it and eventually ended up going up to 20mg. This time i am going much slower. I tapered from 20 to 10 for two weeks and then to 5mg for the last three weeks. Going to 10 went relatively smoothly. Going to 5 has brought on some anxiety that comes and goes. The worst withdrawal symptom so far has been the sexual dysfunction and this is where things make no sense. Each time i increased the saphris dose (5 to 10 and then 10 to 20) i experienced a decrease in sexual function. I expected things to improve when i reduced my dose but the exact opposite happened. With each decrease in dose my sexual ability is still declining. I am married one year and am not ready for my sex life to go away. I hope this will return once my brain recovers. Anyway now that i am at 5mg i am stopping my taper and waiting for the anxiety to subside. It has actually been better the last two days. Not as intense. Also while i am at 5mg i am going to taper off the wellbutrin since that can cause anxiety, before i continue my saphris taper. I will continue the lexapro. I expect this last 5mg to be the hard part and plan to go very very slowly. At each reduction my plan is to wait until symptoms subside before going on to the next reduction. I plan to hoard saphris over the next 6 months so that i have a multi year supply. My latest rx is for 60 10mg tablets per month expecting that i would be taking 2tablets or 20mg per day. Since i am currently only taking 1/4 of that this makes my rx good for enough for two years. When i reduce even farther it will last even longer (4 years at 2.5mg). Since my insurance will not cover it i will have to pay out of pocket but i think it will be worth it to have a chance to get off this drug successfully. I am seeing a new psychiatrist and he didnt know about saphris withdrawal. To his credit he went right out and researched it. Unfortunately he was unable to find any scholarly or official documentation of saphris withdrawal. The only thing available is anecdotal reports on forums and blogs like these. At least he said i could taper the saphris at whatever rate i feel comfortable. I will report in as the taper continues. Hopefully i can be successful and serve as hope for others. I was unable to find any record of successful withdrawal from saphris
  14. BuddhaMama: Intro

    Hello everyone, I am a longtime lurker, only first posting now as I get ready to begin my taper from Remeron (Mirtazipine). I am seeking support here for my taper as I cannot count on support from my doctors. My husband is minimal support as he has his own mental health issues and we have a new baby. I'm ready to come off the Remeron mostly because I don't want to be on it forever and I feel like it got me through the hump of the early postpartum period, which was what I needed. I have gained 15-20lb on this med which is annoying because I am not one to gain weight normally, so I know it's the drug. I lost all the baby weight within the first month after I delivered and didn't start Remeron until month 2. I feel tired all the time (though it does help me sleep as i take it at night), and it makes me crave sugar and carbs like crazy. I'm also now starting to experience bodyside joint pain, which I've never had before. That seems to go away somewhat when i eliminate wheat from my diet. I have gotten my doctor to order me a solution of mirtazipine from compounding pharmacy, but after paying $54 fir an Rx that I usually get for free, I think I will try making my own solution using the tablets and the Oraplus I read about in the forums here. I'm nervous to begin my taper because the first time I tried at the beginning of December I went down by a 1/4 tablet for a week and every day I had excruciating headaches. BY the end of that week I was experiencing nausea and anxiety. AS SOON as I reinstated my full dose, all symptoms disappeared. I have a feeling I'll need to begin my taper at 5% rather than 10% given how sensitive I am. I would love to hear some encouraging success stories of coming of this drug slowly, as it seems it will take me long rot get off it that I was even on it to begin with. Other relevant info: I am 5 months post partum, have been on Remeron for 4 of those 5 months. I am married and have another child who is nearly 11 years old. I work part time and used to have regular exercise and meditation practices that have both fallen by the wayside with the new baby. I also can no longer tolerate alcohol. I've been off alcohol for several years (not because of AA or addiction issue, but because it makes me feel awful), and recently I thought I would try a half glass of wine with the holidays. Big mistake. Major depression and anxiety the next day. Good riddance.I'd much rather feel well and not drink at all. I think that's it for now!
  15. I was on Prozac for around 6 and a half years, 50 percent of the time i was on two 20mg tablets and the other 50 percent i was on one 20mg tablet. I self tapered for around a month and a half by taking one every other day, then every 2nd day, then every 3rd day...etc and eventually i was off them. I took my last pill nearly a month ago. I am feeling withdrawals. Bloating, bad skin, rosacea-like symptoms, irritable, anger, aches and pains, negative thoughts. Its very uncomfortable and debilitating BUT i would be able to stick it through if i knew i was on the right path. I'm just worried that i messed up because of how fast i tapered. I don't know wether to keep going or if i should start taking prozac again and taper more slowly?
  16. Oh dear. Effexor capsules do not contain the same amount of medication by weight in each capsule. I was counting beads as a means of removing 10% from my 37.5 mg brand name Effexor The beads are all different sizes, as noted by others on this site and therefore inherently impossible to accurately reduce by 10% since you could be removing a bead that weighs three times as much as another bead, etc. AND I HATE COUNTING, I suck at it. My brain can't do it easily. I have to have tricks and methods, making piles of 10, counting the piles over and over. So I got a scale. AWS ZEO-50 Jeweler's scale 50g x 0.001g with a wind shield and level, and rubber feet for minimization of vibration. I had gotten their less expensive scale but it had problems. This one does indeed work better, but I have to be very careful. Don't touch the table the scale is on, put the wind shield down. Put the weighing dish in the same place each time. Try to distribute the beads evenly in the tray. If you do all that it is very accurate. Care of course must be taken regarding bouncing beads, static cling beads, etc. BUT -- here is what this weeks Effexor capsules weighed: 0.156g removed 0.016 10% reduced dose by weight: 0.140 0.121g removed 0.012 10% reduced dose by weight: 0.109 0.137g removed 0.014 10% reduced dose by weight: 0.123 0.127g removed 0.013 10% reduced dose by weight: 0.114 0.138g removed 0.014 10% reduced dose by weight: 0.124 0.155g removed 0.015 10% reduced dose by weight: 0.140 0.129g removed 0.013 10% reduced dose by weight: 0.116 0.118g removed 0.012 10% reduced dose by weight: 0.106 Difference between highest weight and lowest weight 0.038g, significant enough when doing a taper % difference in weight of doses taken: 3.4%. So um, being sensitive this is not good. I'll see how it feels this week, see if it feels like I"m bouncing on Day 2 or 7. I do not know if the difference in weight is due to the different in the active ingredients or the time release and binder ingredients. But I would say that prior to tapering I occasionally experienced taking the pill and experiencing WD, which seemed to me to indicate what was in one capsule was not equal to another. Therefore I'm guessing that the active ingredient is not accurately measured in the capsule. Does anyone know if the active ingredient in each capsule of Effexor is the same -- or not? The unequal weights of each capsule means that when I do my next taper (which will be 5%) that I will have to do the calculation as follows. Forgive me if I have written the formula's incorrectly. I haven't used much algebra for past 40 years. Step 1: Capsule A weight Step 2: A*0.9 = New 10% reduced dose Step 3: 0.95*(A*0.9) = New dose, 5% reduction from previous dose Step 4: 0.95*(0.95*(A*0.9)) Step 5: 0.95*(0.95*(0.95*(A*0.9))) Step 6: 0.95*(0.95*(0.95*(0.95*(A*0.9)))) And so on, for each damn capsule. I will try to make a spreadsheet so I can make the machine make the calculations for me. Given that I will have to do this for each bead, and each time I reduce dose I will have to add another line to the formula, makes my blood boil and my brain freeze. I pray that a 5% taper works for me, as I can't imagine doing this with a 1% taper. I'm going to the garden now and deal with plants and dirt. So much easier than capsules.
  17. ADMIN NOTE This topic is a general discussion of how to make a liquid from drugs. For case-by-case consideration of what YOU should do, please put your questions in an Introductions topic. Do not put those questions in this topic, because such detailed discussion will take it off track and make this topic difficult for others to follow. The moderators will move any questions about YOUR particular case to the Introductions forum. Thank you. For those interested in reviewing pharmacy techniques for making liquid suspensions, see: Pharmlabs Suspensions Suspensions Liquid Dosage Forms Extemporaneously Prepared from Commercially Available Products – Considering New Evidence on Stability- PDF Also see Important topics in the Tapering forum -- find the topic in this list about tapering your specific drug Why taper by 10% of my dosage? Using an oral syringe and other tapering techniques From Current Psychiatry: Tablets that may be split or crushed... How to cut up tablets or pills Using a digital scale to measure doses Making a Celexa solution yourself Haywood, 2013 Liquid dosage forms extemporaneously prepared from commercially available products - considering new evidence on stability. (refers to suspensions made with pharmacy liquids) Liquid medications -- use past expiration? A liquid preparation of an antidepressant or other psychiatric drug makes controlled tapering much easier. Taking part of your dosage in tablet form and part in liquid form makes the transition from tablet to liquid go smoothly. Some psychiatric drugs are available from the pharmacy as a liquid, many are not. Compounding pharmacies can make liquids from many medications. A prescription is required for both types of liquid. (Some medications, however, cannot be made into a liquid. Extended-release drugs such as Effexor XR, Cymbalta, and Pristiq are protected by a coating that cannot be broken. To find tips for tapering your particular drug, see Important topics in the Tapering forum and FAQ .) If a compounding pharmacy is not an option, many people make liquid preparations themselves. (This list from a UK medical group confirms that many drugs can be made into liquids: http://stockportccg.org/wp-content/uploads/2012/01/34838_Med_Admin_Dysphagia.pdf ) Note: Most do-it-yourself liquids are suspensions -- particles of the drug float around in the liquid, and the mixture needs to be shaken for relatively equal distribution of the particles. How to make a medication in tablet or capsule form into a liquid As an overview, here is a video about making a liquid from a naltrexone tablet. Naltrexone is not a psychiatric drug, but the principles are the same: (Refrigeration of the batch is not necessary while the tablets dissolve. Refrigerate the liquid afterwards, though.) Below are general instructions for making your own liquid with water or pharmacy liquid. Basically, you need - the drug, as a tablet or powder from a capsule - water or Pharmacy liquids to make suspensions - a way to measure the amount of water or pharmacy liquid (oral syringe, pipette, measured container or graduated cylinder) - a clean container with a cap in which to keep your liquid Try to be very consistent with your method every time you make a batch of liquid -- do everything in the same order, with the same equipment. Assemble your equipment 1. Obtain a way to measure the water or pharmacy liquid A 10cc (10mL) or 20cc (20mL) oral syringe (as seen in the video) OR A 100cc (100mL) medicine bottle from the pharmacy. These usually have markings showing 100cc or mL (ask for the cap with the hole in it, so you can fit the oral syringe in it to draw from the bottle). There should be no charge or a very small charge. OR A graduated cylinder marked with ccs or mLs. Graduated cylinders are more exact than oral syringes or medicine bottles and best for large volumes of liquid) 2. A small clean transparent wide-mouthed jar with a water-tight top or an empty tinted plastic medicine container with a top. 3. If your medication is in tablet form, a pill cutter or crusher. (This is optional. You can cut a tablet with a knife and crush it, if necessary, with the back of a spoon.) 4. Depending on how much medication you wish to take, a .5mL, 1mL, 5mL, or 10mL oral syringe to take a measured amount of the drug. How to mix the liquid 1. Prepare the drug. Alternatively, if your medication is in tablet form, you can cut the tablet up into rough quarters with a pill cutter or knife crush the tablet into powder using a pill crusher or mortar and pestle cut it up and carefully crush it with the back of a spoon on a piece of waxed paper If your medication is a powder in a capsule, carefully open the capsule above the container and pour the contents into the bottom of the container. To open a capsule, grasp each end in your fingers and gently twist. The capsule should come apart in the middle. Do this over the open container, to catch the powder in the container. 2. Measure the water (or pharmacy liquid) With an oral syringe: Draw room temperature (not hot, not cold) water into an oral syringe and convey it to the container. A 10mL (10cc) or 20mL (20cc) oral syringe is handy for this purpose.[br][br][br] For example, if you wish to make 30mL of a solution, fill the 10mL syringe 3 times with clean water and inject it into your container. With a graduated cylinder: For example, if you wish to make 30mL of a solution, fill the graduated cylinder to the 30mL mark and pour it into the container. With a 100cc (100mL) medicine bottle: Fill carefully to the 100cc or 100mL line. You'll have to bring the bottle up to your eye level to do this. Please note the measurements on these bottles are less exact than the graduated cylinder. To mix, put the cap on the container, tightly, and shake it gently. You will be able to see particles swirling around in the water (some of the filler used in tablets and capsules is insoluble). Wait until the tablet chunks are dissolved before taking a dose. How much liquid should I use to make my suspension? The only tricky thing about making a solution is creating and remembering the concentration: the ratio of drug to liquid. The easiest concentration is 1:1 or 1mg medication in 1mL solution. Examples: If you want to take 18mg Prozac, for example, you can mix 20mg with 20mL water and take 18mL, which contains 18mg Prozac. You could put a 10mg Paxil tablet in 10mL water for a 1:1 dilution. There would be 1mg in 1mL and 0.1mg in 0.1mL. The 1:1 dilution would require a small 1mL oral syringe. To reduce 10% from 1.1mg, you would take 1mL. Another 10% reduction would be 0.9mL. You may find a 1:1 dilution to be a little thick or grainy. For convenience, you may wish to make a higher dilution of a 10mg tablet in 20mg water for a 1:2 ratio. There would be 1mg in 2mL and 0.1mg in 0.2mL. If you made this liquid, your dose would be 2.2mL (1.1mg). To reduce by 10%, you would take 2mL (1mg). For doses of hundreds of milligrams, you may want to make a higher concentration. Examples: To taper from 100mg Lyrica to 90mg, you can mix 100mg Lyrica in 50mL water, making a 2:1 concentration, each 1mL containing 2mg Lyrica. Or, you can mix 100mg Lyrica in 25mL water, making a 4:1 concentration, each 1mL containing 4mg Lyrica. Keep a note of the concentration! Be sure make a note of your recipe ("100mg Lyrica in 50mL water") and dosage instructions to yourself: "Take 45mL for 90mg Lyrica." What if my medication is "insoluble" in water? About solubility or insolubility, our esteemed member Rhi, who has lab experience, has made many, many homemade liquids: Measure your dose and take it With a liquid, you use an oral syringe to take the dosage you wish. Get your oral syringe ready. Put the cap on the container and shake it gently. (You may see particles swirling around, this is normal.) Using the oral syringe, draw from the middle of the liquid, not from the top -- there may be less drug there, it sinks to the bottom. If your bottle cap has a hole in the top, draw the liquid from the bottle by following these instructions. If this is still confusing, ask your pharmacist to show you how to use an oral syringe Ex: If your liquid is a 1:1 concentration, containing 1mg in 1mL, and you want to take .5mg, you would take .5mL of the liquid. You can adjust the amount you take as you continue your taper. See Using an oral syringe and other tapering techniques Also see http://survivingantidepressants.org/index.php?/topic/235-using-an-oral-syringe-and-other-tapering-techniques/page__view__findpost__p__50942 Refrigerate homemade liquids Most homemade solutions may keep for at least a few days, refrigerated. Drugs tend to be degraded by heat and light, which is why pharmacy containers are tinted. Refrigeration delays the growth of bacteria and mold in your homemade liquid, which was not made under sterile conditions. To find tips for your particular drug See Important topics in the Tapering forum and FAQ . (You can also Google your "medication soluble stability" to see how long yours will keep.) For more information, consult a pharmacist.
  18. Hello all, new to this site. I am completely off of Wellbutrin as of August 11, 2017. My brief history: I was on 300 mg WB from 2005-summer 2014, when my dosage was upped to 450 mg. I was on 450 mg from summer 2014 through May 2017 when I began my taper. I've tried to get off WB twice before and went cold turkey both times. I gained weight and was so depressed I went back on WB within a month. This time, I tapered under my doctor's care. While I am thrilled to finally be off of WB, I am gaining weight like crazy. I eat healthfully and have been exercising like a fiend, but am still gaining weight (one day I did an hour and 20 mins of cardio and still gained a pound). And as a result, I'm starting to get very depressed again. I feel like I have absolutely no control over my body and what it is doing. I'm petrified as unfortunately, weight is a major issue for me psychologically. My question to the group is: has anyone experienced the same issue? There is a ton of anecdotal evidence that going off Wellbutrin causes weight gain. If you have, can you give me an idea of how much you gained and how long before it finally stopped? And were you able to successfully lose it again? I feel like if I know to a certain extent what is ahead, I can better brace myself. My doctor ordered a bunch of blood work, which I think is just her way of trying to placate me. Many thanks in advance...
  19. Hi all, Just wanted to introduce myself, I'm a new user and new to SSRIs. I just start Paroxetine on 5/1/17 as part of treatment for PMDD, which has been exacerbated post-partum. My daughter is 16 months and I felt very strongly that it was time to deal with the returning depression that I have had and ignored for 10 years. Being pregnant was the best mood stabilizer I had experienced in a long time and it taught me that I could feel better and be a better version of myself. But now I've started Dr. Kelly Brogan's book "Mind of Our Own" and though I knew that I never wanted to be on an SSRI permanently, I want to begin tapering ASAP. I haven't been on this medication too long and I am so hoping that this makes tapering—albeit slowly—consequence free. Advice, recommendations, etc. are welcome. Isabella
  20. Hi, So quick background.. i took LUVOX (fluvoxamine) a few years ago and was able to come off of it safely and with minimum withdrawal. (I reduced 50mg at a time over a few months) (I know this wasn’t the right way to taper but I didnt know at the time) I took Luvox again this year and as I been withdrwaling, I realize it is MUCH harder. I can BARELY withdrawal 10mg at a time and I strongly feel the withdrawal. I been withdrawing less than 5% to. It just does not make sense to me that I withdrew much faster and easier before and now it is so much harder the second time... I don’t think it has todo with my diet or stress. If you Any thoughts as to why this is, it would be great thanks...
  21. Hi all! I am a 28 year old clinical social worker who is currently withdrawing from Lexapro. I work as a medical social worker and spent most of my days helping patients with acute psychiatric and medical issues navigate their daily lives and the health system. As a seemingly experienced practictioner and someone who has battled with mental illness for the better part of 15 years, I thought I was "doing everything right". I went yearssss refusing to go on an SSRI or any medication, leading to my eventually hospitalization in which I still refused any and all medication. Many of us anxious-heavy folks grasp onto "control" to the extent that we would rather suffer immensely than even flirt with the idea of putting foreign chemicals in our bodies. So i suffered, for years. Daily panic attacks, crippling depression, suicidal ideation, agoraphobia. I was eating well, exercising, meditating, going to therapy and nothing was budging. In desperation, I went to my PCP and tried Celexa. Almost immediately I wanted to rip my skin off, I ended up in the ER. Then I tried Zoloft. Same response, skin crawling, vibrating, exhausting anxiety. Back to the ER I went. Retrospectively, I see I was started on doses far too high and should have been given a benzo to assist in the transition, but hindsight is 20/20 and at the time I was an early 20s basket case looking to just get through each hour of the day. These responses prompted me to change providers and go to a psych, as my immediate thought was "I'm bipolar! SSRI's are activating me!!!" as I have a thick family history of bipolarity. By some miracle, I sought out a psych NP with extensive trauma and PTSD experience, was diagnosed with complex PTSD, panic disorder with agoraphobia, and SLOWLY started Lexapro. My psych NP had even consulted with a panic specialist in Boston regarding the slow titration and after about a month, I worked up to 10mg and felt AMAZING. Not euphoric, not happy, but an absents of racing thoughts for the first time in years, SILENCE in my brain, calm in my body. Lexapro saved my life and I am forever grateful for that. So life resumed, I went back to school, got a masters degree, bought a home, got married, and generally did so feeling well. My agoraphobia remained a lingering symptom but I was and am fully aware of the cognitive components so I trudged on with therapy and CBT based treatment. After a few years, the racing thoughts and physical manifestations came back, I bumped up to 20mg and symptoms abated again. Once again, relative stability. But now this past year. My panic reemerged with a vengence. I was meditating, doing CBT, eating well, exercising, getting acupuncture, doing it all "right", even started some EMDR, explored other trauma processing options, the whole she-bang, but still my system was going crazy. My current psychiatrist is also my acupuncturist and is also very cautious to make sweeping med changes. We first got me back into a good acupuncture routine to help with hormones (i also have PCOS). He helped shape my diet, encouraged lifestyle changes, I did it all and still anxiety, panic, vomit. My parasympathetic nervous system was on vacation. So several weeks ago we finally decided to ween off the Lexapro and try Prozax. It was a cross taper that took a month (what I thought was a generous amount of time) but now here I am! Sick as a dog, feeling dissociated, extremely fatigued, nauseous, clouding and generally like ****. I take Alprazolam as a PRN in .5MG and have needed to utilize it daily. I am on Prozac 20mg now and haven't been on Lexapro in 2 weeks. I continue to have the aforementioned symptoms with also the joy of the brain zaps, the sweats, nightmares, and shakiness. As someone in the field, both personally and professionally, I assumed a good cross taper would minimize these symptoms, and that they would dissipate within weeks, yet here I stand a hot-mess. I am grateful to be here sharing my story and look forward to learning more about you all and your own journeys. With solidarity and love
  22. For the past 5 years, I had been on Effexor 37.5 mg. While not a huge dose, I realize how extremely difficult it is to taper off of this drug - along with how difficult it was for me to find information about how to taper. I was finally able to do it, and I'm happy to say I'm totally off of Effexor now! So I'm here to share what I did in hopes it can shed some light on this subject... The psychiatrist I had always gone to only offered one method to taper off of Effexor, which was to take one pill every other day, every two days, etc. For those of you reading this, you know that that is next to impossible with the severity of the withdrawal symptoms. I had done some research online about Effexor tapering, and all I could really find in any capacity was in regards to cutting the pills to slowly taper off. So I called my psychiatrist and requested the tablets instead of the capsules I was taking (which proved to be a pain, and took about 2 weeks to finally get). I tried cutting the tablet Effexor 37.5 mg's into halves, fourths, eights, and sixteenths in order to taper instead of taking the pills every other day. This was highly inaccurate, and after 3 months of decreasing by 10% (3.75 mg for me) per month, I realized this was going to take forever to taper off. I had the intense brain zaps, dizziness, nausea, tiredness, irritability, etc. - all of the symptoms that had motivated me to stay on the medication. I found a new psychiatrist who told me about the Effexor-Prozac bridge. I was skeptical at first because I just wanted to get off of medication completely, but after taking time to think about it, it's NOT worth losing days and nights, time off of work or school, time not being able to be spent with friends and family, just to get off of this horrible medication! Here's what he prescribed me and instructed me to do: Week 1: Take normal dose of Effexor 37.5 mg along with 10 mg Prozac daily Week 2: Take normal dose of Effexor 37.5 mg every other day and 10 mg Prozac daily Week 3: Stop Effexor 37.5 completely (I know, a little intimidating but the symptoms were dramatically less!) and take 10 mg and 5 mg Prozac every other day, daily Week 4 - on: Gradually arrive to 5 mg Prozac daily, then every other day, every two days, every three days, etc. My psychiatrist told me that I could do any of this at my own pace, but to allow at least a week for the Prozac (taken every day) to be in my system. There were some days where I had mild withdrawal symptoms, being a little tired, small brain zaps, a little stomach ache - but nothing that kept me from living my everyday life. Obviously I'm no doctor and can't know anyone else's situation but mine, but I hope this helps just a little!
  23. I was recently referred to benzo buddies http://www.benzobuddies.org/forum/index.php?board=89.0for more success stories. I found tons success stories just for the year of 2017, and most are from much shorter tapering (less than a year). Wow, so we who are on ssri are in the worst hit of all, in the order of street drugs, benzo, SSirs with increasing difficulty in withdrawal???!!! This new awareness is very heart hardening.
  24. I'm taking 10mg Paxil I took 5mg before to which I experienced irritability, mood worsening and increased anxiety so im back to 10mg. My pdoc prescribed 20mg Prozac to take with 10mg Paxil for a month. I know tho deep down that he wants me to take an ssri and stay on it (e.g Prozac) for I don't know how long. This is a new pdoc. The previous one doesn't even want me off Paxil for f sake! Anyway, my plan is Week 1: 10mg Paxil, 10mg Prozac Week 2: 5mg Paxil, 10mg Prozac Week 3: 0mg Paxil, 10mg Prozac then stay on Prozac for a month then taper slowly (10% each month) Would this work?? Please help! P.s I've seen this post here http://survivingantidepressants.org/index.php?/topic/1463-the-prozac-switch-or-bridging-with-prozac/ but im confused which method works best.
  25. Hi all, For my 10% taper, I crush my lexapro and weigh it. I usually weigh on wax paper and then dump it into a scoop of yogurt to ingest. I started my tapering in January and have been more or less sticking to 10% taper every 4-6 weeks. I honestly feel better and better the less I take, but am nervous at this point. My withdrawal the first time from quitting cold turkey was awful. I'm down to 1.82mg and feeling pretty good. Has anyone tried filling gel caps? It would be quicker for me to fill up a bunch of caps instead of weighing every morning. Will the gel caps interfere with the lexapro powder at all? I tried filling one, and am confident I am filling properly. It just looks strange because the powder sticks to the walls of the capsule and gets all dispersed in the cap. Do you think the gel caps affect absorption? Best, Atium
×

Important Information

By using this site, you agree to our Terms of Use.