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Fluoxetine83: Tapering off 20mg tablets


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I was looking for a bit of advice.

I'm looking to taper down from 20mg tablets. I was taking one a day (down from 2 a day). I'm currently taking a 20mg pill every days except tuesdays and thursdays. Ive heard that this is not the best way to do it as skipping doses can be hazardous. Does anyone have any advice on this?



Went on citalopram at 16. (about two years)
Then swapped over to Venlafaxine
Then put on Fluoxetine 20mg in 2007, up to 60mg a day by 2009. Tapered quickly from 60mg to zero in two months in 2010. Fine for 6-7 weeks. Then bad withdrawl. Put back on 20mg in June/July 2010. Went to secure ward in mental hospital in August. Put on 40mg. Tapered slowly to 20mg by 2012. Continuing to taper slowly

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  • Moderator Emeritus

Hi Fluox,


Welcome to SA.  You've come to the right place for information and support about AD tapering.


To start with it would help if you would Please put your Withdrawal History in Signature.  Please include ALL drugs, dates, doses and how you decreased/increased.  I also suggest that as you change doses you update you signature so it remains current.  This lets your drug history be seen at a glance and allows the staff to offer suggestions based on your individual situation.


Skipping doses is not recommended by SA.  SA recommends tapering by 10% of the previous dose with a 4-6 week holding period to stabilise.  This allows the brain to adapt to not getting as much of the drug.


Are you currently experiencing any withdrawal symptoms?  If yes, what are they.  When did you change from 2 a day to 1 a day, and when did you change to skipping Tuesdays and Thursdays?  Please include that info in your signature.  Thanks.


It would be best to take the same dose daily at the same time.  To calculate your dose 20 mg x 5 = 100 mg; 100 mg / 7 = 14.3 mg


You could probably round that up to 15 mg each day.  It would be a good idea to start taking your dose daily and then hold for at least 1 month or maybe more, depending on the dates of your dose changes.  For information on getting an exact dose (this is important) please read:


Tips for tapering off Prozac (fluoxetine)


Reading these will also be helpful:


Introduction to AD Withdrawal Syndrome


Dr Joseph Glenmullen's Symptoms Checklist


Why taper by 10% of my dosage?


Brain Remodelling

Video:  Healing From Antidepressants - Patterns of Recovery

You can use your Intro/Update topic to ask questions and to journal your progress.


MISSION ACCOMPLISHED:  (6 year taper)      0mg Pristiq  on 13th November 2021

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

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  • 1 year later...

Hi F83

We were wondering how you were doing.

Any update.

Are you still tapering?

Thought for the day: Lets stand up, and let’s speak out , together. G Olsen

We have until the 14th. Feb 2018. 

URGENT REQUEST Please consider submitting  for the petition on Prescribed Drug Dependence and Withdrawal currently awaiting its third consideration at the Scottish Parliament. You don't even have to be from Scotland. By clicking on the link below you can read some of the previous submissions but be warned many of them are quite harrowing.


Please tell them about your problems taking and withdrawing from antidepressants and/or benzos.

Send by email to petitions@parliament.scot and quote PE01651 in the subject heading. Keep to a maximum of 3 sides of A4 and you can't name for legal reasons any doctor you have consulted. Tell them if you wish to remain anonymous. We need the numbers to help convince the committee members we are not isolated cases. You have until mid February. Thank you

Recovering paxil addict

None of the published articles shed light on what ssri's ... actually do or what their hazards might be. Healy 2013. 

This is so true, with anything you get on these drugs, dependance, tapering, withdrawal symptoms, side effects, just silent. And if there is something mentioned then their is a serious disconnect between what is said and reality! 

  "Every time I read of a multi-person shooting, I always presume that person had just started a SSRI or had just stopped."  Dr Mosher. Me too! 

Over two decades later, the number of antidepressant prescriptions a year is slightly more than the number of people in the Western world. Most (nine out of 10) prescriptions are for patients who faced difficulties on stopping, equating to about a tenth of the population. These patients are often advised to continue treatment because their difficulties indicate they need ongoing treatment, just as a person with diabetes needs insulin. Healy 2015

I believe the ssri era will soon stand as one of the most shameful in the history of medicine. Healy 2015

Let people help people ... in a natural, kind, non-addictive (and non-big pharma) way. J Broadley 2017



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