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Questions and answers about liquid medications, use by date, expiry


lionboy

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  • Administrator

Daniel, I'm confused. According to Tips for tapering off Abilify (aripiprazole), it comes in this dosages:

 

- Tablets 2 mg
- Tablets 5 mg
- Tablets 10 mg*
- Tablets 15 mg*
- Tablets 20 mg
- Tablets 30 mg
- Abilify solution, oral 1 mg/mL 150-mL bottle NDC 59148-013-15
*also available in DISCMELT® Orally Disintegrating Tablets

 

How are you getting the other sizes in the tablets?

 

People can take part of their doses in liquid form and part in tablets. Some people are sensitive to the differences between liquid and tablets; others are not. If you are a person who is sensitive to the differences, you may not wish to change forms of dosage often.

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

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

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Hi Alto,

 

I have a prescription for 3.75mg tablets from my psychiatrist, who is away on leave. These are 1/8 of 30 mg tablets (he wants me to take half the tablet. I've been forced to get off the drug by stealth because he won't allow me to do it.) Then, I went and saw a primary care doctor who agreed to help me come off the drug. He wrote me a prescription over two weeks ago for 5mg tablets, which I cut into halfs, quarters, and eighths. Finally, on Friday he wrote me a prescription for liquid Abilify (150ml). The bottom line is I have a lot of Abilify, both in tablet form and liquid. I want to use the tablets as well in my weaning process since I paid quite a lot of money for them. I just didn't know if taking tablets for two weeks, then liquid for two weeks, and then switching again, is throwing my body for a loop. I hope I am not sensitive to the difference.

 

I am not planning on "playing" both doctors. I plan to terminate my relationship to the psychiatrist when he comes back from paternity leave in late May. I also will stop seeing the primary care doctor when the taper of Abilify is complete. The nature of the game, as you know, is sometimes you have to sneak around in order to become drug free. It sucks, but it is what it is. At least I am under medical supervision with the primary care doctor.

<p>Successfully weaned off of Prozac, Concerta, Effexor XR, Buspar, Celexa, Lexapro, Seroquel, Geodon, Risperdal, Cogentin, Xanax, Ativan, and Depakote. Currently taking Abilify (7.5mg) and Lamictal 200mg. Hope to complete taper by mid November 2016. <p>For more information see the "About Me" link on my profile.

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Did you get the 3.75mg made by a compounding pharmacy?

 

You can combine tablets and liquid. If I were you, I'd use the liquid to supplement for intermediary dosages. You don't have to decrease by .75mg or 0.5mg, which are more than 10% of your dosage at every step of the process you've outlined, which by our standards is too fast:

 

Abilify 3.75mg (tablets) to 3mg (liquid) to 2.5mg (tablets) to 2mg (liquid) to 1.5mg (liquid) to 1.25mg (tablets) to 1mg (liquid) to 0.625mg (tablets) to 0.5mg (liquid) to 0.4mg (liquid) to 0.3mg (liquid) to 0.2mg (liquid) to 0.1mg (liquid)

 

 

Again, there's no way to predict how you will react to alternating the tablet and liquid forms.

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

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

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  • 1 month later...

I have a question and I am unable to find it in my search. If this is already a topic being discussed will someone please post the link for me!

 

I am wondering about using a combination of paroxitine tablets at 5-10 mg and the rest of the tapered dose in liquid. I.e. 10 mg tablet and 2 ml of liquid for 14 mg. is this safe or not recommended? For me the pills are much cheaper than the liquid so I didn't know if using both is an option?

 

Thanks for any information!

40 years old and have been on 20 mg of Paxil for the last 19 years. Multiple unsuccessful attempts to quit over the years.01/2015 Was tapering using liquid Paxil. MD has prescribed 1 ml = 2mg taper every two weeks or once withdrawal symptoms at that dose subside. Reduced from 20 to 10 mg using this method and at 10 mg severe withdrawal set in. 1.5 months of pure hell. Found SA, learned what was happening, and reinstated to 20 mg. After a month of severe symptoms recovered with the reinstatement. Fish oil - Multi Vitamin - Pro-biotic, amino-acid/B Vitamin supplement every day. Magnesium as needed.08/09/15 - 18 mg - 09/08/15 - 16.4 mg - 10/10/15 - 15 mg - 01/02/16 - 13.6 mg 02/15/16 - 12.0 mg - Bad symptom flare up 40 days into drop - Dizziness, panic/anxiety, overheating (esp at night), low appetite, headache, insomnia with bizarre dreams, internal shaking. 04/16/16 - 11mg - 7/17/16 - 10 mg holding.....

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Yes, you can use a combination of tablets or capsules and liquid.

 

Rather than switch directly to an all-liquid dose, you may wish to take part of your dose in liquid and part in lower-dose tablets or capsules, gradually converting to all liquid as you get to lower dosages. This can be very convenient and reduce any problems switching from one form of the drug to another.

 

If your doctor prescribes the liquid and tablets or capsules at the same time, most likely he or she will have to indicate "divided doses" in the prescriptions to get the drugs covered by insurance.

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

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

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Thank you Alto! I was concerned the metabolism might be to different and cause problems. Does it matter that my pills are generic paroxitine and the liquid is name brand Paxil? My pharmacy said they didn't see an option for generic liquid.

40 years old and have been on 20 mg of Paxil for the last 19 years. Multiple unsuccessful attempts to quit over the years.01/2015 Was tapering using liquid Paxil. MD has prescribed 1 ml = 2mg taper every two weeks or once withdrawal symptoms at that dose subside. Reduced from 20 to 10 mg using this method and at 10 mg severe withdrawal set in. 1.5 months of pure hell. Found SA, learned what was happening, and reinstated to 20 mg. After a month of severe symptoms recovered with the reinstatement. Fish oil - Multi Vitamin - Pro-biotic, amino-acid/B Vitamin supplement every day. Magnesium as needed.08/09/15 - 18 mg - 09/08/15 - 16.4 mg - 10/10/15 - 15 mg - 01/02/16 - 13.6 mg 02/15/16 - 12.0 mg - Bad symptom flare up 40 days into drop - Dizziness, panic/anxiety, overheating (esp at night), low appetite, headache, insomnia with bizarre dreams, internal shaking. 04/16/16 - 11mg - 7/17/16 - 10 mg holding.....

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  • Administrator

The liquid is absorbed faster.

 

Generic and brand-name paroxetine shouldn't be a problem.

 

Taking part in tablet and part in liquid is probably the easiest way to convert to liquid, which you'll want to do at the end.

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

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

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  • 1 month later...

Hi there,

 

I am currently tapering off Prozac liquid and I am down to 0.9ml a day. My doctor has pointed out to me today that the bottle of medicine expires after one month of opening it. Each bottle is 70ml, so if I open a new bottle every month I would be wasting a lot. I wondered what everybody else does? Is it considered unsafe / unwise to take the medicine more than one month after opening it? 

 

Thank you.

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If you use it past expiration, it may or may not be a consistent strength. Generally, it's a good idea not to use a liquid past its expiration date.

 

To reduce expense, you can make your own Prozac liquid, read this topic from the beginning Tips for tapering off Prozac (fluoxetine)

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

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

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Hi finding123,

 

I'm currently using a combination of 5mg tablet + a very small quantity of Paroxetine liquid(currently 1.2ml daily) to taper and I haven't been throwing the bottle of liquid away after the 1 month mark. I mentioned the 1 month expiration warning on the bottle to one of the GPs at my practice and he said it can - as Alto said - start to degrade and lose some of its potency after it's been open a while. From personal experience, I've found it's ok for about 7 weeks. After that, I can tell it isn't working as effectively and I start my next bottle. I guess cost isn't as much of an issue for us here in the UK (I notice you're from Liverpool), as we only have to pay £8.20 (around $13 USD) for a bottle of liquid. It's still useful to know that you can make a liquid from tablets, though, if you happen to run out and can't get to the docs.

 

Well done on getting to such a low dose of Prozac, by the way :)

1st Sep '14 - reduced to 18mg from 20mg; 15th Sep - 17mg; 29th Sep -16mg; 21st Oct - 15mg; 10th Nov - 13.5mg; 1st Dec - 13mg;

11th Dec - 12.5mg; 5th Jan '15 - 12mg; 20th Jan - 11.5mg; 11th Feb  - 11mg; 26th Feb - 10.5mg; 5th Mar - 10mg; 1st Apr - 9mg; 29th Apr - 8.5mg; 29th May - 8mg; 18th Jun - 7.7mg; 9th July - 7.4mg; 11th Aug - 6.8mg; 2nd Sep - 6.5mg; 12th Sep - 6.3mg; 26th Sep - 6mg; 10th Oct - 5.7mg; 30th Oct - 5.3mg; 28th Nov - 4.8mg; 20th Dec - 4.4mg. 

Medication History:

January 1997: 20mg Paroxetine (Seroxat) daily for depression with anxiety. CT withdrawal attempted 1997 and 1999. Dividing pills withdrawal attempted 2002. Liquid/pill 13 month tapered withdrawal 2007/8. Started to become very ill days after CTing at 2mg. Prescribed other antidepressants (CitalopramMirtazipine) but neither were as effective and had more side effects, so Paroxetine 20mg reinstated June 2008.

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  • 7 months later...

Hi, I'm reading Clarabellas post from July, saying her liquid paxil expires in a month from "opening"?

 

When I get my liquid from the pharmacy, it has the general use by one year on the label, and when I asked what the manufacturer expiration is, they said it was almost 2 full years from the date I received it.

 

I noticed she is from England, is their formulations different?

 

I'm currently using a bottle I got about 6 months ago, but says is still good for another 5 months/

 

Thanks!

 Starting ds 2 (12.5 CR'S) = 25 MG PAXIL CR 1/21/15: 1 Pill + 10mg liquid (2 weeks) 2/4: 1 Pill + 9mg Lq (3 weeks) 2/25: 1 Pill + 8 mg lq (1 week) 3/4: 1 Pill + 6 mg lq (2 weeks) 3/18/15 1 Pill + 4 mg lq (2 weeks) 4/1/15 1 Pill + 3 mg lq (2 weeks) 4/14/15 1 Pill + 2 mg lq (2 weeks) 4/29/15 1Pill + 1 mg lq (16 days) 5/15/15 1 12.5 mg Pill ONLY (9 days) 5/24/15 12 mgs liquid (8 days) 6/1/15 11mg lq (12 days) 6/13/15 10 mg.  12/3/15 Drop from 8mg to 7.6 (24 days to) 12/27/15 7.2mgs 8/4/16 6.8mgs,  11/1/16 6.4mgs, 2/5/17 6 mgs  4/3/17 5.6mgs, 4/24/17 5.2mg, 6/13/17 4.8mgs, 9/20/17 4.4mgS, 11/23/17 4 mgs, 1/1/18 3.6 mgs, 2/15/18 3.2 mgs. 4/13/18 2.8mgs, 5/11/18 2.4mgs, 6/10/18 2.0 mgs, 8/4/18 1.6mgs,  9/27/18 1.2mgs, 12/24/18 0.8mg, 3/24/19 0.64 mg,(syringe change issue date?) 4/22/19 0.60 mg, 5/24/19 0.60 mg, 7/7/19 0.52 mgs, 8/4/19 0.44mgs, 11/4/19 0.36mgs, 2/1/20 0.28mgs, 3/1/20 0.24mgs (crash April 6) Compound started 6/28/21: 0.24mgs, 8/29/21: 0.22mgs, 10/31/21: 0.20mgs, 1/03/22: 0.18mgs, 3/5/22: 0.16mgs, 5/5/22: 0.14mgs.

 

Original Wellbutrin Dose: 6 months from 9/14 to 3/2015, 300 XL 3/15/15: Half to 150 XL ( severe symptoms started on day 12) 4/16/15: 125mg   for 20 days to: 5/6/15:   100mg  for  15 days to: 5/21/15    75mg  for  10 days to: 6/1/15:  56.25mg      13 days to: 6/13/15: 37.25mg    7 days to: 6/20/15  28.12mg   14 days to: 7/4/15  18.75mg, 7 days to: 7/11/15; RAISE BACK TO: 28.12 to 8/14/15: 18.75mg  20 days to :9/3/15 : 12.5mg, 8/4/16 9mg 1/9/17: 8.5mg 2/8/17 8mg, 3/9/17: 7.6  4/9/17  7.2  5/27/17 6.4 6/24/17 5.8, 8/1/17 5.0, 8/29/17 4.2mgs, 10/2/17 3.5mgs, 12/28/17 2.5mgs, 2/27/18 1.7mgs,  4/19/18 0.8 mgs, LAST DOSE: 6/11/18:  3 YEARS, 2 MONTHS, 27 DAYS...

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  • Moderator Emeritus

Hi, I'm reading Clarabellas post from July, saying her liquid paxil expires in a month from "opening"?

 

When I get my liquid from the pharmacy, it has the general use by one year on the label, and when I asked what the manufacturer expiration is, they said it was almost 2 full years from the date I received it.

 

I noticed she is from England, is their formulations different?

 

I'm currently using a bottle I got about 6 months ago, but says is still good for another 5 months/

 

Thanks!

 

colonial.. you already have a liquid suspension?  I put the link thru with the idea you needed to make your own.. which many folks here do.  But you already have some on hand?

As always, LISTEN TO YOUR BODY! A proud supporter of the 10% (or slower) rule.

 

Requip - 3/16 ZERO  Total time on 25 years.

 

Lyrica: 8/15 ZERO Total time on 7 or 8 yrs.

BENZO FREE 10/13 (started tapering 7/10)  Total time on 25 years.

 

Read my intro thread here, and check the about me section.  "No matter how cynical you get, it's almost impossible to keep up." Lily Tomlin

 

 

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my paxil is liquid, yes.

 

but my xanax are the scored pills

 

I was just wondering why Her liquid paxil says 1 month but the date on mine is a year, dont want to be using it if that's an issue.

 Starting ds 2 (12.5 CR'S) = 25 MG PAXIL CR 1/21/15: 1 Pill + 10mg liquid (2 weeks) 2/4: 1 Pill + 9mg Lq (3 weeks) 2/25: 1 Pill + 8 mg lq (1 week) 3/4: 1 Pill + 6 mg lq (2 weeks) 3/18/15 1 Pill + 4 mg lq (2 weeks) 4/1/15 1 Pill + 3 mg lq (2 weeks) 4/14/15 1 Pill + 2 mg lq (2 weeks) 4/29/15 1Pill + 1 mg lq (16 days) 5/15/15 1 12.5 mg Pill ONLY (9 days) 5/24/15 12 mgs liquid (8 days) 6/1/15 11mg lq (12 days) 6/13/15 10 mg.  12/3/15 Drop from 8mg to 7.6 (24 days to) 12/27/15 7.2mgs 8/4/16 6.8mgs,  11/1/16 6.4mgs, 2/5/17 6 mgs  4/3/17 5.6mgs, 4/24/17 5.2mg, 6/13/17 4.8mgs, 9/20/17 4.4mgS, 11/23/17 4 mgs, 1/1/18 3.6 mgs, 2/15/18 3.2 mgs. 4/13/18 2.8mgs, 5/11/18 2.4mgs, 6/10/18 2.0 mgs, 8/4/18 1.6mgs,  9/27/18 1.2mgs, 12/24/18 0.8mg, 3/24/19 0.64 mg,(syringe change issue date?) 4/22/19 0.60 mg, 5/24/19 0.60 mg, 7/7/19 0.52 mgs, 8/4/19 0.44mgs, 11/4/19 0.36mgs, 2/1/20 0.28mgs, 3/1/20 0.24mgs (crash April 6) Compound started 6/28/21: 0.24mgs, 8/29/21: 0.22mgs, 10/31/21: 0.20mgs, 1/03/22: 0.18mgs, 3/5/22: 0.16mgs, 5/5/22: 0.14mgs.

 

Original Wellbutrin Dose: 6 months from 9/14 to 3/2015, 300 XL 3/15/15: Half to 150 XL ( severe symptoms started on day 12) 4/16/15: 125mg   for 20 days to: 5/6/15:   100mg  for  15 days to: 5/21/15    75mg  for  10 days to: 6/1/15:  56.25mg      13 days to: 6/13/15: 37.25mg    7 days to: 6/20/15  28.12mg   14 days to: 7/4/15  18.75mg, 7 days to: 7/11/15; RAISE BACK TO: 28.12 to 8/14/15: 18.75mg  20 days to :9/3/15 : 12.5mg, 8/4/16 9mg 1/9/17: 8.5mg 2/8/17 8mg, 3/9/17: 7.6  4/9/17  7.2  5/27/17 6.4 6/24/17 5.8, 8/1/17 5.0, 8/29/17 4.2mgs, 10/2/17 3.5mgs, 12/28/17 2.5mgs, 2/27/18 1.7mgs,  4/19/18 0.8 mgs, LAST DOSE: 6/11/18:  3 YEARS, 2 MONTHS, 27 DAYS...

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  • Moderator Emeritus

ohhh... I see.  :)  

As always, LISTEN TO YOUR BODY! A proud supporter of the 10% (or slower) rule.

 

Requip - 3/16 ZERO  Total time on 25 years.

 

Lyrica: 8/15 ZERO Total time on 7 or 8 yrs.

BENZO FREE 10/13 (started tapering 7/10)  Total time on 25 years.

 

Read my intro thread here, and check the about me section.  "No matter how cynical you get, it's almost impossible to keep up." Lily Tomlin

 

 

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  • Administrator

Different formulations. Please go by the labeling on your bottle. If you have questions, ask your pharmacist.

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

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

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  • 1 month later...

Hello Fellow Survivors!

 

Just a question thats been running through my head.

While tapering down on Lexapro - and finally convincing chemists here in Australia if liquid Lexapro IS available (yes it is) - although it seems most chemists are reluctant to give you the 10mg/ml bottle, and really push towards the 20mg/ml concentration (I believe it's the PBS pricing or something that does it).

 

I've noticed that I always seem to run into withdrawal symptoms and more problems towards the end of a bottle.

Now as I'm taking only about 2mg or even 1.8mg or 1.5mg, the bottle lasts me a long time.

I opened my current bottle at the beginning of January this year, and it's now mid April.

I'm still on the same bottle, albeit not much left.

I've had horrible withdrawal symptoms lately.

The bottle says discard after 3 months.

Now most medicine has a use-by date, but I was wondering if anybody has had experience of liquid Lexapro (or any other SSRI for that matter) that might lose it's potency over time??

It almost feels that way to me.

2008 (approx) Lexapro 10mg.  2009 attempted cold turkey 5mg for 2 weeks - crash and burn.  2009 back on 10mg.

2012 - pooped out - but didn't know.   2014 - poop-out got worse.  2014 sept 20mg, 2014 oct 15mg, 2014 nov 10mg

2014 dec 7.5mg,  2014 dec 23rd crashed.  Dec 24th 10mg - trying to stabilize

2015 Jan Stabilized as much as thought I would, 2015 Jan 9mg, 2015 Late Feb, 8mg, 2015 late Mar 7mg.  22nd May 6.3mg

2015 small "slide" down to 6mg.  19th June 5mg. 15th Aug 4.5mg - slid down to 4mg.  Sept 20th 3.8mg.

2015 gradual decrease between Oct and Nov 10th to 3mg:  Dec between 3-2mg.  2016 Jan15th 2mg  Feb: 1.8mg, somewhere got to 1.6mg.

2016 Feb 25th crashed!  Not sure if sick or WD, back to 2mg.

2016 During March - gradual decrease to 1.8mg, then 1.5mg.  April 19th 1mg

2016 June 8th 0.8mg   July 1st 0.6mg:  Sept 0.4mg (long hold)

2017 Jan 0.2mg

2017 May 0!!!!!!!!!!!!!!!  YAY

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  • Moderator Emeritus

As I understand it the bottle starts to lose potency once opened. Do you keep it in the fridge where it is cool and dark? I'm sure I read that medicines which  are exposed to light deteriorate faster which is why they are usually in brown bottles. 

**I am not a medical professional, if in doubt please consult a doctor with withdrawal knowledge.

 

 

Different drugs occasionally (mostly benzos) 1976 - 1981 (no problem)

1993 - 2002 in and out of hospital. every type of drug + ECT. Staring with seroxat

2002  effexor. 

Tapered  March 2012 to March 2013, ending with 5 beads.

Withdrawal April 2013 . Reinstated 5 beads reduced to 4 beads May 2013

Restarted taper  Nov 2013  

OFF EFFEXOR Feb 2015    :D 

Tapered atenolol and omeprazole Dec 2013 - May 2014

 

Tapering tramadol, Feb 2015 100mg , March 2015 50mg  

 July 2017 30mg.  May 15 2018 25mg

Taking fish oil, magnesium, B12, folic acid, bilberry eyebright for eye pressure. 

 

My story http://survivingantidepressants.org/index.php?/topic/4199-hello-mammap-checking-in/page-33

 

Lesson learned, slow down taper at lower doses. Taper no more than 10% of CURRENT dose if possible

 

 

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Hello Fellow Survivors!

 

Just a question thats been running through my head.

While tapering down on Lexapro - and finally convincing chemists here in Australia if liquid Lexapro IS available (yes it is) - although it seems most chemists are reluctant to give you the 10mg/ml bottle, and really push towards the 20mg/ml concentration (I believe it's the PBS pricing or something that does it).

 

I've noticed that I always seem to run into withdrawal symptoms and more problems towards the end of a bottle.

Now as I'm taking only about 2mg or even 1.8mg or 1.5mg, the bottle lasts me a long time.

I opened my current bottle at the beginning of January this year, and it's now mid April.

I'm still on the same bottle, albeit not much left.

I've had horrible withdrawal symptoms lately.

The bottle says discard after 3 months.

Now most medicine has a use-by date, but I was wondering if anybody has had experience of liquid Lexapro (or any other SSRI for that matter) that might lose it's potency over time??

It almost feels that way to me.

I'm so glad you mentioned this.  Since my cuts are getting smaller, my bottle is lasting longer as well.  I too have felt that my wd is a bit more intense even though I haven't made a cut since mid March and I have been feeling pretty stable. 

9/2013-4/2014:  After moms death, was prescribed a series of meds for short periods of time that didn't work. Zoloft, Lexapro,  Nortriptyline, Liquid Prozac, Cymbalta. 

1/2014-9/2014. Clonzapam: Given Lamictal, stopped Clonzapam at .125mgs  

1/2015-4 2017 Remeron: 41.25 -0.025mgs

7/2015-11/2018 Lamictal: 200mgs-0.05 mgs Had paradoxical reaction to Lamictal wd, broke my heart to take a benzo but wasn't sleeping. 

3/28/2019 -2/5/ 2021  Clonazapam: 0.625mgs-.00115 Med Free 

July 27th, 2022**Severe Setback due to surgery/ anesthesia. 

9/7/22-10/4/22 Trazadone 50-100mgs for sleep, 10/13/22-11/13/22 Trazadone 1 mg to stabilize

10/4/22-11/20/22 Remeron 7.5mgs (for sleep doesn't work) 11/20/22 7.3 - 12/31/22 6.3 

2023: 1/18/23 6.1 - 6/6/23 3.6  6/16 3.4  6/28 3.0 7/12 2.7  7/28 2.5 8/11 2.2 8/23 2.0  9/5 1.8  9/16 1.6  9/30 1.4  10/13 1.2  10/26 1.0  11/9 0.8  11/22 0.6  12/6 0.4  12/23 0.2.

2024 1/4/24  Remeron/Mirtazapine free 

Additional Support:  Armour Thyroid 75mgs, Magnesium Glycinate 300-500mgs,  L-theanine 

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Hi Guys

 

It's an interesting topic for sure.

The bottle is a brown glass bottle, I just keep it in the cupboard, so it's dark all the time, except for the morning when I take it out - and a reminder that I'm STILL taking this "poison"!!!

I'm about to get a repeat - annoyingly the GP's won't give me a script for a repeat, just the one bottle... and I have to explain it each time to a perplexed GP as to what and why.

Man the drug companies have done a great job of NOT informing the doctors as to what this stuff CAN do to people.

I have met 1 GP over the years who WAS supportive of a slow taper, and was quite serious about it.  He seems to have since retired.

 

I've met a few people who have either stopped cold turkey, or 2.5mg every few weeks, and has a few brain zaps, but after that, they were fine.

WOW.

 

I'll report how I feel once I get a new bottle.

I'm HOPING to get a 10mg/ml bottle - as more accurate - and has the nozzle for an oral syringe.

And if the chemist doesn't have that exact bottle, they say they need to speak to the GP to get permission to give me the 20mg/ml

<sigh>
The GP has no idea in the first place.

2008 (approx) Lexapro 10mg.  2009 attempted cold turkey 5mg for 2 weeks - crash and burn.  2009 back on 10mg.

2012 - pooped out - but didn't know.   2014 - poop-out got worse.  2014 sept 20mg, 2014 oct 15mg, 2014 nov 10mg

2014 dec 7.5mg,  2014 dec 23rd crashed.  Dec 24th 10mg - trying to stabilize

2015 Jan Stabilized as much as thought I would, 2015 Jan 9mg, 2015 Late Feb, 8mg, 2015 late Mar 7mg.  22nd May 6.3mg

2015 small "slide" down to 6mg.  19th June 5mg. 15th Aug 4.5mg - slid down to 4mg.  Sept 20th 3.8mg.

2015 gradual decrease between Oct and Nov 10th to 3mg:  Dec between 3-2mg.  2016 Jan15th 2mg  Feb: 1.8mg, somewhere got to 1.6mg.

2016 Feb 25th crashed!  Not sure if sick or WD, back to 2mg.

2016 During March - gradual decrease to 1.8mg, then 1.5mg.  April 19th 1mg

2016 June 8th 0.8mg   July 1st 0.6mg:  Sept 0.4mg (long hold)

2017 Jan 0.2mg

2017 May 0!!!!!!!!!!!!!!!  YAY

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  • Moderator Emeritus

Hope you can get what you need, GP's rarely have a clue! If it's losing potency can you get a script when it SHOULD run out if taking the recommended dose? Not sure if it would be possible or affordable but it shouldn't lose potency. We can be quite creative with tapers and dealing with GP's !

**I am not a medical professional, if in doubt please consult a doctor with withdrawal knowledge.

 

 

Different drugs occasionally (mostly benzos) 1976 - 1981 (no problem)

1993 - 2002 in and out of hospital. every type of drug + ECT. Staring with seroxat

2002  effexor. 

Tapered  March 2012 to March 2013, ending with 5 beads.

Withdrawal April 2013 . Reinstated 5 beads reduced to 4 beads May 2013

Restarted taper  Nov 2013  

OFF EFFEXOR Feb 2015    :D 

Tapered atenolol and omeprazole Dec 2013 - May 2014

 

Tapering tramadol, Feb 2015 100mg , March 2015 50mg  

 July 2017 30mg.  May 15 2018 25mg

Taking fish oil, magnesium, B12, folic acid, bilberry eyebright for eye pressure. 

 

My story http://survivingantidepressants.org/index.php?/topic/4199-hello-mammap-checking-in/page-33

 

Lesson learned, slow down taper at lower doses. Taper no more than 10% of CURRENT dose if possible

 

 

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Hi MammaP

I'm not really taking the recommended dose, I'm taking what "I" need to take for my taper.

I'm taking about 0.075 of 1ml

Thats such a small amount - Lexapro is quite concentrated too.

My bottle lasts about 4 months.

It says to discard after 3  months after opening.

I've noticed with the 4 or 5 bottles I've been through that I seem to get WD quite badly at the end of a bottle, regardless of where I'm at in my schedule.

 

My current battle with WD has been the most crushing wave of depression I've ever known, lasted about 1.5 weeks.  Came on quite suddenly, and left even quicker.

Horrible horrible horrible.  Worst wave I've ever had.

 

So I'm really asking, have I been through almost a COLD TURKEY WD as if the active part of the medication has expired, did I put myself though CT and have almost got off the drug without realizing?

Coming out other side of the wave, I feel much clearer in my head than I have in a long time, and feel less medicated too.

Just asking if anybody else has had similar experiences to this with liquid SSRI's?

2008 (approx) Lexapro 10mg.  2009 attempted cold turkey 5mg for 2 weeks - crash and burn.  2009 back on 10mg.

2012 - pooped out - but didn't know.   2014 - poop-out got worse.  2014 sept 20mg, 2014 oct 15mg, 2014 nov 10mg

2014 dec 7.5mg,  2014 dec 23rd crashed.  Dec 24th 10mg - trying to stabilize

2015 Jan Stabilized as much as thought I would, 2015 Jan 9mg, 2015 Late Feb, 8mg, 2015 late Mar 7mg.  22nd May 6.3mg

2015 small "slide" down to 6mg.  19th June 5mg. 15th Aug 4.5mg - slid down to 4mg.  Sept 20th 3.8mg.

2015 gradual decrease between Oct and Nov 10th to 3mg:  Dec between 3-2mg.  2016 Jan15th 2mg  Feb: 1.8mg, somewhere got to 1.6mg.

2016 Feb 25th crashed!  Not sure if sick or WD, back to 2mg.

2016 During March - gradual decrease to 1.8mg, then 1.5mg.  April 19th 1mg

2016 June 8th 0.8mg   July 1st 0.6mg:  Sept 0.4mg (long hold)

2017 Jan 0.2mg

2017 May 0!!!!!!!!!!!!!!!  YAY

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Discard 3 months after opening, and save yourself the confusion.

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

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

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  • Moderator Emeritus

Sorry to confuse you Scottly, I meant to discard the bottle after you would have finished IF you were taking the recommended dose. That will mean that you are discarding most of it at lower doses. I am good at confusing people  :lol:  ! 

**I am not a medical professional, if in doubt please consult a doctor with withdrawal knowledge.

 

 

Different drugs occasionally (mostly benzos) 1976 - 1981 (no problem)

1993 - 2002 in and out of hospital. every type of drug + ECT. Staring with seroxat

2002  effexor. 

Tapered  March 2012 to March 2013, ending with 5 beads.

Withdrawal April 2013 . Reinstated 5 beads reduced to 4 beads May 2013

Restarted taper  Nov 2013  

OFF EFFEXOR Feb 2015    :D 

Tapered atenolol and omeprazole Dec 2013 - May 2014

 

Tapering tramadol, Feb 2015 100mg , March 2015 50mg  

 July 2017 30mg.  May 15 2018 25mg

Taking fish oil, magnesium, B12, folic acid, bilberry eyebright for eye pressure. 

 

My story http://survivingantidepressants.org/index.php?/topic/4199-hello-mammap-checking-in/page-33

 

Lesson learned, slow down taper at lower doses. Taper no more than 10% of CURRENT dose if possible

 

 

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Ok

Update.

I picked up my script last night - and was told AGAIN they don't make the 10mg/ml bottle anymore - I had one last year sometime.

THis may be true, but I was told by another chemist that it's on the PBS here in Australia, and would cost a LOT more.

So still not a straight answer.

The chemist's website blatantly advertised the 10mg/ml bottle, not even mentioning the 20mg one.

<sigh>

oh well.

Saturday 16th marked the end of a horrific wave for me - crippling depression that lasted about 2 weeks, came out of nowhere and left just as quickly.

I had been suffering from very low motivation levels leading upto it, and all sorts... which is what led me to question if the liquid was "off".

 

On SUnday I felt good, like really clear in the head, and connected to surroundings.

EVen in my windows of relief over the last 18 months, I've not had this feeling.

I felt pretty much like I did pre-meds.

I started to think - have to effectively tapered off using "stale" liquid???

 

On Sunday - as part of testing this, I skipped a dose.

and Monday and Tuesday took only 1mg.

I was on 1.5mg of Lexapro (quite a strong SSRI).

This 1mg came from the "expired" bottle.

As of Tuesday night and this morning, I noticed that I was ALSMOST having brain zaps - could feel the tiny pulses, and started moving my eyes to see if they would develop into brain zaps (seems to be connected to eye movement)... but didn't happen properly.

ALso had a few hot flashes 0 liek really hot.  Had to take my shoes off at work yesterday - felt like my feet were on fire.

My mood has been fine - nice and stable.

 

I've taken those 2 symptoms that my drop from 1.5mg to 1mg on "expired" liquid was probably too big of a drop, and that the liquid was probably still active.

 

I've taken 1.2mg of my fresh bottle today.  That was 1 hour ago, no real changes yet.

 

Interesting though.

2008 (approx) Lexapro 10mg.  2009 attempted cold turkey 5mg for 2 weeks - crash and burn.  2009 back on 10mg.

2012 - pooped out - but didn't know.   2014 - poop-out got worse.  2014 sept 20mg, 2014 oct 15mg, 2014 nov 10mg

2014 dec 7.5mg,  2014 dec 23rd crashed.  Dec 24th 10mg - trying to stabilize

2015 Jan Stabilized as much as thought I would, 2015 Jan 9mg, 2015 Late Feb, 8mg, 2015 late Mar 7mg.  22nd May 6.3mg

2015 small "slide" down to 6mg.  19th June 5mg. 15th Aug 4.5mg - slid down to 4mg.  Sept 20th 3.8mg.

2015 gradual decrease between Oct and Nov 10th to 3mg:  Dec between 3-2mg.  2016 Jan15th 2mg  Feb: 1.8mg, somewhere got to 1.6mg.

2016 Feb 25th crashed!  Not sure if sick or WD, back to 2mg.

2016 During March - gradual decrease to 1.8mg, then 1.5mg.  April 19th 1mg

2016 June 8th 0.8mg   July 1st 0.6mg:  Sept 0.4mg (long hold)

2017 Jan 0.2mg

2017 May 0!!!!!!!!!!!!!!!  YAY

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Small update

Ok - 2 days now of 1.2mg of Lexapro from a fresh bottle

And I'm positive I can "feel" its affects - albeit slightly, but none-the-less there.  Slightly less aware of surroundings, little slower thinking.

 

I really do think that I was effectively taking almost no Lexapro on the expired bottle.

2008 (approx) Lexapro 10mg.  2009 attempted cold turkey 5mg for 2 weeks - crash and burn.  2009 back on 10mg.

2012 - pooped out - but didn't know.   2014 - poop-out got worse.  2014 sept 20mg, 2014 oct 15mg, 2014 nov 10mg

2014 dec 7.5mg,  2014 dec 23rd crashed.  Dec 24th 10mg - trying to stabilize

2015 Jan Stabilized as much as thought I would, 2015 Jan 9mg, 2015 Late Feb, 8mg, 2015 late Mar 7mg.  22nd May 6.3mg

2015 small "slide" down to 6mg.  19th June 5mg. 15th Aug 4.5mg - slid down to 4mg.  Sept 20th 3.8mg.

2015 gradual decrease between Oct and Nov 10th to 3mg:  Dec between 3-2mg.  2016 Jan15th 2mg  Feb: 1.8mg, somewhere got to 1.6mg.

2016 Feb 25th crashed!  Not sure if sick or WD, back to 2mg.

2016 During March - gradual decrease to 1.8mg, then 1.5mg.  April 19th 1mg

2016 June 8th 0.8mg   July 1st 0.6mg:  Sept 0.4mg (long hold)

2017 Jan 0.2mg

2017 May 0!!!!!!!!!!!!!!!  YAY

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Another update.

It's been 1 week since starting the fresh bottle.

I can report that I'm feeling more the slightly disconnected, MEH feeling of being on Lexapro - that was slowly fading for me on the older bottle.

I've also gone to 1mg, and feeling a few WD effects.

MOstly muscle aches and body pain - quite strong.

Also fatigue - feeling very rundown.

So currently feeling both WD and SSRI effect - not great.

 

I can cope, just.

2008 (approx) Lexapro 10mg.  2009 attempted cold turkey 5mg for 2 weeks - crash and burn.  2009 back on 10mg.

2012 - pooped out - but didn't know.   2014 - poop-out got worse.  2014 sept 20mg, 2014 oct 15mg, 2014 nov 10mg

2014 dec 7.5mg,  2014 dec 23rd crashed.  Dec 24th 10mg - trying to stabilize

2015 Jan Stabilized as much as thought I would, 2015 Jan 9mg, 2015 Late Feb, 8mg, 2015 late Mar 7mg.  22nd May 6.3mg

2015 small "slide" down to 6mg.  19th June 5mg. 15th Aug 4.5mg - slid down to 4mg.  Sept 20th 3.8mg.

2015 gradual decrease between Oct and Nov 10th to 3mg:  Dec between 3-2mg.  2016 Jan15th 2mg  Feb: 1.8mg, somewhere got to 1.6mg.

2016 Feb 25th crashed!  Not sure if sick or WD, back to 2mg.

2016 During March - gradual decrease to 1.8mg, then 1.5mg.  April 19th 1mg

2016 June 8th 0.8mg   July 1st 0.6mg:  Sept 0.4mg (long hold)

2017 Jan 0.2mg

2017 May 0!!!!!!!!!!!!!!!  YAY

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I too have a liquid suspension of one of my medications and as I wrote above, I too feel that my newer bottle is always a stronger than the tail end of my old bottle.

 

I also relate to the run down feeling.  I just made a small cut on one of my medications and I feel exhausted.  I say to you what I am saying to myself, this will pass and it's a time to very nice to ourselves.  It's a weird feeling to be in the not so great but not crisis state of wd. 

 

You've  come a long way and should be proud of what you have accomplished so far.

9/2013-4/2014:  After moms death, was prescribed a series of meds for short periods of time that didn't work. Zoloft, Lexapro,  Nortriptyline, Liquid Prozac, Cymbalta. 

1/2014-9/2014. Clonzapam: Given Lamictal, stopped Clonzapam at .125mgs  

1/2015-4 2017 Remeron: 41.25 -0.025mgs

7/2015-11/2018 Lamictal: 200mgs-0.05 mgs Had paradoxical reaction to Lamictal wd, broke my heart to take a benzo but wasn't sleeping. 

3/28/2019 -2/5/ 2021  Clonazapam: 0.625mgs-.00115 Med Free 

July 27th, 2022**Severe Setback due to surgery/ anesthesia. 

9/7/22-10/4/22 Trazadone 50-100mgs for sleep, 10/13/22-11/13/22 Trazadone 1 mg to stabilize

10/4/22-11/20/22 Remeron 7.5mgs (for sleep doesn't work) 11/20/22 7.3 - 12/31/22 6.3 

2023: 1/18/23 6.1 - 6/6/23 3.6  6/16 3.4  6/28 3.0 7/12 2.7  7/28 2.5 8/11 2.2 8/23 2.0  9/5 1.8  9/16 1.6  9/30 1.4  10/13 1.2  10/26 1.0  11/9 0.8  11/22 0.6  12/6 0.4  12/23 0.2.

2024 1/4/24  Remeron/Mirtazapine free 

Additional Support:  Armour Thyroid 75mgs, Magnesium Glycinate 300-500mgs,  L-theanine 

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Hi Hibari

 

Yep - I'm telling myself, remember my windows - i'll get there again, and eventually always be in a window!

But wow - this experiment gave me some answers.

 

THe liquid doesn't seem to expire, BUT it did lose some action.

I felt LESS medicated on it, like the world felt less NUMBED out.

Now I'm on a fresh bottle, I've got both withdrawal flu-like symptoms FULL BLOWN, as well as the heavily medicated feeling.

 

Which leads me to another question...

When can I expect to feel "normal" again?

DOes that only come back after months of not having any SSRI in my system?

Or am I supposed to feel it in my windows?

My windows are really just mostly "no withdrawal effects", as oppossed to "feel normal".

 

Can anybody relate to that?

2008 (approx) Lexapro 10mg.  2009 attempted cold turkey 5mg for 2 weeks - crash and burn.  2009 back on 10mg.

2012 - pooped out - but didn't know.   2014 - poop-out got worse.  2014 sept 20mg, 2014 oct 15mg, 2014 nov 10mg

2014 dec 7.5mg,  2014 dec 23rd crashed.  Dec 24th 10mg - trying to stabilize

2015 Jan Stabilized as much as thought I would, 2015 Jan 9mg, 2015 Late Feb, 8mg, 2015 late Mar 7mg.  22nd May 6.3mg

2015 small "slide" down to 6mg.  19th June 5mg. 15th Aug 4.5mg - slid down to 4mg.  Sept 20th 3.8mg.

2015 gradual decrease between Oct and Nov 10th to 3mg:  Dec between 3-2mg.  2016 Jan15th 2mg  Feb: 1.8mg, somewhere got to 1.6mg.

2016 Feb 25th crashed!  Not sure if sick or WD, back to 2mg.

2016 During March - gradual decrease to 1.8mg, then 1.5mg.  April 19th 1mg

2016 June 8th 0.8mg   July 1st 0.6mg:  Sept 0.4mg (long hold)

2017 Jan 0.2mg

2017 May 0!!!!!!!!!!!!!!!  YAY

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  • 1 month later...

QUESTION:

 

I use a glass jar with a lid on it when I put 20 ml of water and then my 20 mg of celexa in.

 

The problem is, once the tablet is dissolved and I shake the jar to even disperse the drug, when I then quickly open the lid to draw out my dose fo the day with my oral syringe, there is liquid that comes out when I take off the lid. I am assuming it's okay because I shook the liquid, but still, I am worried that this will make my dose uneven.

 

I take 2 mg 5 times a day (to decrease akathesia as akathesia gets intolerable if I take a higher dose at once).

 

But ya, is this okay that some liquid comes out when I open the glass jar? I usualyl shake it pretty hard, like in an up and down motion as some of the celexa can settle to the bottle so I think mixing it up and down several times is important.

 

Does anybody have another idea of where to get a good glass jar so tha when I open the lid after shaking it, some of the liquid won't come out?

 

Maybe a glass jar with a plug rather than a lid? I just don't know where to buy those.

 

2010 started 10 mg celexa, 2011 went up to 20 mg

06/2014 started tapering (20 mg,10 mg alternate days)

19/09/2014 crashed at 10 mg

20/09/2014 updosed to 20 mg to try and stabilize- Never stabilized and CNS basically plummeted

August 31 2015- Started my 5% taper anyways

May 3 2016- At 14 mg the tapering caught up with me- Withdrawal included severe anxiety, feeling like im on speed, suicidal and homicidal ideation, akathesia, feeling like I was on heroin, memory loss, PGAD, feeling like I was on an acid

May 4 2016- Updosed to 15.5 mg to try and stabilize

​June 4- Started taking 2 mg 5 times a day which adds up to 10 mg because of akathesia when taking my full dose. Akathesia symtpoms smaller

July 27th- Dropped from 15.5 mg to 10 mg because could no longer tolerate taking drug- bad side effects mainly akathesia and emotional deadness.

​Oct 11- Improved a lot since May 4th after my crash. Withdrawal symptoms still left- DR/DP, emotional anasthesia, akathesia, tingling in head, feeling like my body and face disappears, messed up sound interpretation, perception and difficulty reading social and emotional cues during DR/DP, apathy, inability to tell if I am in dream or reality, disturbed sleep. Started having few windows

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Hi geminigirl, 

 

This is not a problem if you shook well before opening your jar.  The only problem would be if you were mixing two doses, withdrew one dose but the lost liquid made the second dose less than it should be.  I wouldn't worry about this.

 

I like using these tubes from Amazon to mix my doses:  https://www.amazon.com/Karter-Scientific-Centrifuge-30x115mm-Conical/dp/B005Z4S3ZU/ref=sr_1_1?ie=UTF8&qid=1466361779&sr=8-1&keywords=50+ml+conical+tubes

 

Sure, 50 is way more than you need, but they seal nicely and very little liquid stays in the lid when you open it.  The white markings wear off eventually, so then you toss it and use a fresh one.  You can get them in 15 ml size as well.  https://www.amazon.com/United-Scientific-D1003-Polypropylene-Graduations/dp/B00ES3TIRG/ref=sr_1_1?ie=UTF8&qid=1466361862&sr=8-1&keywords=15+ml+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.

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

Update 3/14/18: 2.9 mg Remeron and 6 mg Effexor; 6/10/18:  2.6 mg Remeron and 4.9 mg Effexor

 

My intro: http://survivingantidepressants.org/index.php?/topic/9313-squirrellygirl-effexor-withdrawal-etc/page-2#entry196679

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

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Ok thanks.

 

Is there any place I can get 30 ml ones?

2010 started 10 mg celexa, 2011 went up to 20 mg

06/2014 started tapering (20 mg,10 mg alternate days)

19/09/2014 crashed at 10 mg

20/09/2014 updosed to 20 mg to try and stabilize- Never stabilized and CNS basically plummeted

August 31 2015- Started my 5% taper anyways

May 3 2016- At 14 mg the tapering caught up with me- Withdrawal included severe anxiety, feeling like im on speed, suicidal and homicidal ideation, akathesia, feeling like I was on heroin, memory loss, PGAD, feeling like I was on an acid

May 4 2016- Updosed to 15.5 mg to try and stabilize

​June 4- Started taking 2 mg 5 times a day which adds up to 10 mg because of akathesia when taking my full dose. Akathesia symtpoms smaller

July 27th- Dropped from 15.5 mg to 10 mg because could no longer tolerate taking drug- bad side effects mainly akathesia and emotional deadness.

​Oct 11- Improved a lot since May 4th after my crash. Withdrawal symptoms still left- DR/DP, emotional anasthesia, akathesia, tingling in head, feeling like my body and face disappears, messed up sound interpretation, perception and difficulty reading social and emotional cues during DR/DP, apathy, inability to tell if I am in dream or reality, disturbed sleep. Started having few windows

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  • Moderator Emeritus

No, 50 ml is it, but that would work.  You can wrap the tube with tin foil to block light.

 

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.

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

Update 3/14/18: 2.9 mg Remeron and 6 mg Effexor; 6/10/18:  2.6 mg Remeron and 4.9 mg Effexor

 

My intro: http://survivingantidepressants.org/index.php?/topic/9313-squirrellygirl-effexor-withdrawal-etc/page-2#entry196679

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

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Why the need for a glass jar? I grind the tablet in a mortar and pestle then add a known quantity of water via a syringe, give it a good stir and then withdraw my suspension directly from the mortar via the syringe.

May 2007 - October 2007 Citalopram 20 mg od. 1st Antidepressant ever taken. No problem with fast taper and no withdrawal effects. No antidepressants for over 5 years.

 

January 2013 started Citalopram 20mg.

March 2014 Switched to Sertraline 50 mg od.

23rd June 2016 started taper 45mg

23.07.16 40.5mg 23.08.16 36.45mg 27.09.16 34.65mg 24.10.16 32.90mg 28.11.16 31.26mg 04.01.17 32mg 25.02.17 31mg 22.03.17 30mg 14.04.17 29mg 09.05.17 28mg 07.06.17 27mg 08.06.17 26mg 13.07.17 25mg 07.08.17 24mg 24.08.17 23mg 13.09.17 22mg 12.10.17 21mg 10.11.17 20mg 04.12.17 19mg 01.01.18 17mg 25.01.18 15mg 22.02.18 13.5mg 25.03.18 12.15mg 

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Ok thanks.

 

Is there any place I can get 30 ml ones?

 

The tubes are sometimes known as "specimen tubes" or "sample tubes" and are available in 30ml.  

I'm in the UK so my suppliers will be different to yours but Amazon or eBay should have them.

Difficult two year benzo taper. Subsequently took amitriptyline and Lyrica for pain and had to taper off them too. Both tapers were brutal possibly because of an underlying mitochondrial disorder which caused nerves to have insufficient energy to function.

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  • 1 year later...
  • Mentor

if there's anyone good with math who understands the whole "diluting a liquid with more liquid" and using a graduated cylinder to do what I think is called liquid titration, can you please PM me?

thanks :)

 

all the "maths" hurts my head, hahaha

 

I am taking 0.16mgs of liquid lexapro, which is also 0.16mls (its' a 1:1 solution)

i want to get the dosing more accurate, since the measurements are so small now.

I THINK I need to mix some of the liquid I have with water, and then take some out and throw it away and then drink the rest, at least that's the way I understand it

but I have NO clue how to do the math for this.

Taking a break from mentoring, please do not message or tag me, thank you! 
Got some personal stuff to deal with and am not able to give you my full attention. 

I will remove this reminder when I am back. Keep on swimming, my friends. 

😊

  • pysch med history: 1974 @ age 18 to Oct 2017 (approx 43 yrs total) 
  •  Drug list: stelazine, haldol, elavil, lithium, zoloft, celexa, lexapro(doses as high as 40mgs), klonopin, ambien, seroquel(high doses), depakote, zyprexa, lamictal- plus brief trials of dozens of other psych meds over the years
  • started lexapro 2002, dose varied from 20mgs to 40mgs. First attempt to get off it was 2007- WD symptoms were mistaken for "relapse". 
  •  2013 too fast taper down to 5mg but WD forced me back to 20mgs
  •  June of 2105, tapered again too rapidly to 2.5mgs by Dec 2015. Found SA, held at 2.5 mgs til May 2016 when I foolishly "jumped off". felt ok until  Sept, then acute WD hit!!  reinstated at 0.3mgs in Oct. 2106
  • Tapered off to zero by  Oct. 2017 Doing very well. 
  • Nov. 2018 feel 95% healed, age 63 
  • Jan. 2020 feel 100% healed, peaceful and content
  • PRESENT DAYS:  Loving life! ❤️ with all it's ups and downs ;) 
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  • Moderator Emeritus

H2H, it's better to answer your questions in the topic so that the information is available for all members and viewers of the site.

 

The easiest way to dilute a solution is to use a 10x or 100x amount of water. The thing we need to keep in mind is that a home-made solution has a much shorter shelf life than a commercially prepared one, probably 5-6 days to be safe.

 

If you were making a solution from your current liquid (1 ml lex liquid = 1 mg lexapro) for a single dose, I would draw 0.16 ml of liquid into a syringe and then pull water into the syringe to the 1.6 ml line. You'd have a 10 ml solution = 1 ml lexapro, where 1.6 ml = 0.16 mg lexapro.

 

To make multiple doses at once, let's use 5. 

lexapro liquid: 5 x 0.16 ml = 0.8 ml

water to make 8 ml = 7.2 ml

Mix those two amounts together and you'll have a liquid that has 5 doses of 1.6 ml = 0.16 mg lexapro.

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.
1997-1999 Effexor; 2002-2005 Effexor XR 37.5 mg linear taper, dropping same #beads/week with bad results

Cymbalta 60 mg 2012 - 2015; 2016: 20 mg to 7 mg exact doses and dates in this post; 2017: 6.3 mg to  0.0 mg  Aug. 12; details here


scallywag's Introduction
Online spreadsheet for dose taper calculations and nz11's THE WORKS spreadsheet

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