FenrirHeideran Posted June 21, 2017 Posted June 21, 2017 (edited) Hi, Currently taking 150mg of sertraline a day and looking to ween myself off it. How would i go about doing this? I did some digging and it seems to go by 10% a month of lower dosage. Is this correct? Also, could someone explain why liquidising the dosage is better? Is there no other method of safely tapering? I was going to reduce it by 25mg a week consecutively. Would this be non advisable? Thanks. Edited June 21, 2017 by scallywag deleted pre-approval note to moderators Previous Medications; Prozac - 60mg/d [Start - January 2012 // End - July 2013] Current Medications; Sertraline [Zoloft] - 150mg/d [Start - June 2014]
Moderator Emeritus scallywag Posted June 21, 2017 Moderator Emeritus Posted June 21, 2017 FenrirHeideran -- Welcome to Surviving Antidepressants (SA) I'm glad you found us before you started to decrease your dose and that you're familiar about tapering by 10% per month. There are people, doctors included, who suggest reducing by a set amount per week or per month. Making changes once per week is going to be too fast for the vast majority of people. The problem with this approach, even if decreases are monthly, is that you don't know whether it will be a problem for you until a problem arises - moderate to severe symptoms. For more about withdrawal symptoms, please read What is withdrawal syndrome. We think it's better to try to prevent the symptoms than to ease painful or uncomfortable symptoms after they arise. Therefore, we suggest reducing by 10% to minimize the risk of withdrawal symptoms. The way we suggest to do this is that each new dose is 90% of the previous dose. Please (re-) read these topics: Before you begin tapering -- what you need to know. Why taper by 10% of my dosage?. The information at these links may be helpful in understanding how your CNS (central nervous system) reacts to the presence, changes in dose, and absence of these medications. How your brain responds to psychiatric drugs - aka "Brain remodeling" Youtube video, 4 minutes: Healing from antidepressants Liquid titration isn't necessarily better, it's just easier to make very very small adjustments when needed. If you discover that you are very sensitive to changes in the medication, dry-cutting tablets or weighing cut tablet crumbs may cause too much day-to-day variation in your dose. Information relevant to your situation: Tips for tapering off Zoloft (sertraline) Making a liquid from a tablet or capsules . Using an oral syringe and other tapering techniques]. A request: Would you summarize your history in a signature -- drugs, doses, dates, and discontinuations & reinstatements, in the last 12-24 months particularly? Any drugs prior to 24 months ago can just be listed with start and stop years. Please use actual dates or approximate dates (mid-June, Late October) rather than relative time frames (last week, 3 months ago) Spell out months, e.g. "October" or "Oct."; 9/1/2016 can be interpreted as Jan. 9, 2016 or Sept. 1, 2016. Please leave out symptoms and diagnoses. A list is easier to understand than one or multiple paragraphs. Link to Account Settings – Create or Edit a signature. I've given you lots to read and at least one thing to do, so that's enough from me. Please let us know what you decide and how things are going for you. 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 IntroductionOnline spreadsheet for dose taper calculations and nz11's THE WORKS spreadsheet
Madeleine Posted June 22, 2017 Posted June 22, 2017 25 mg a week is way, way too fast for the vast majority of people. Even if someone manages to taper at that pace and doesn't suffer severe withdrawal symptoms during the taper, then what usually happens is 2-4 months after stopping totally people have a crash -- and many end up suffering badly and many have to reinstate and get back on the anti-depressants. If you read through this site and see other peoples' stories, you'll see that is usually the pattern in the majority of cases, regardless of what anti-depressant you are on. How long were you on 150 mg of sertraline? 200 Zoloft; 10 mg Zyprexa; 4 mg valium as of May 2021; Valium taper: July 16: 3.5 valium; July 30: 3 mg (paused valium taper); Aug. 23: 2.5 mg Zyprexa: July 26: 8.75 mg; Aug. 9: 7.5 mg; Aug. 30: 7.1 mg ------- Dec 1, 2016. 10 mg zyprexa for 1.5 month. Started taper mid-Jan. 2017. Cut 1.25 mg every 2 weeks; smaller cuts 2.5 mg down. Stopped at .6 mg. May 7, 2017: zyprexa free. Zoloft: Dec1, 2016, 200 mg. Started taper: Jun12, 2017: 197.5 mg; Jun19,:195 mg; July 2:185mg; July 9,:180 mg; July16,: 175; July 23: 170; July 30: 165; Aug6: 160; Aug13: 155; Aug. 20: 150; Aug.27: 146 mg; Sept3: 145 mg; Sept10:143 mg; Sept17:140 mg....Nov5: 122 mg...Dec3:112.5 mg; Jan14, 2018: 95 mg...Jan28: 90 mg; Feb21:80 mg; Mar11: 75 mg; May2:70 mg; May15: 68 mg; May28: 65 mg; Jun9: 62 mg;Jun25: 60 mg:July22: 55 mg; Aug25: 45 mg. Aug28: 50 mg...Oct 28: 38 mg; Dec.4: 30 mg; Jan8,2019: 25mg; Feb6: 23.5 mg; Apr1:17.5mg; May1:1 mg; May 5: 18; May 18:15mg; June 16:12.5mg; Sept 10:11 mg; Sept.16:10 mg; Oct. 1: 9mg; Nov. 27: 8mg; Dec.5: 7mg; Jan.1,2020, 6 mg; Feb1: 5 mg; May 1: 2.5 mg; Jn 1: 2 mg; Jy 1: 1.5 mg
FenrirHeideran Posted June 26, 2017 Author Posted June 26, 2017 On 6/22/2017 at 9:03 PM, Madeleine said: 25 mg a week is way, way too fast for the vast majority of people. Even if someone manages to taper at that pace and doesn't suffer severe withdrawal symptoms during the taper, then what usually happens is 2-4 months after stopping totally people have a crash -- and many end up suffering badly and many have to reinstate and get back on the anti-depressants. If you read through this site and see other peoples' stories, you'll see that is usually the pattern in the majority of cases, regardless of what anti-depressant you are on. How long were you on 150 mg of sertraline? Ah i see, Thanks for the info. I've been on 150mg of sertraline for around 2-3 years now. Previous Medications; Prozac - 60mg/d [Start - January 2012 // End - July 2013] Current Medications; Sertraline [Zoloft] - 150mg/d [Start - June 2014]
FenrirHeideran Posted March 1, 2019 Author Posted March 1, 2019 Hey. It's been a year and a half since I was last active here. I ended up staying on my anti depressants. I now however want to start to taper off. if I remember correctly it is 10% a month reduction. However I want to taper relatively quickly. I find they're making me worse and are a serious problem. So going by that rule it will take upwards of 25 months; Month 1; 135mg Month 2; 122mg Month 3; 110mg Month 4; 99mg Month 5; 90mg Month 6; 81mg Month 7; 73mg Month 8; 66mg Month 9; 60mg Month 10; 54mg Month 11; 49mg Month 12; 45mg Month 13; 41mg Month 14; 37mg Month 15; 34mg And so forth... would I not be able to do this say daily. So slowly over a month I reduce it by a 3-5%? I just currently feel ready to stop all together and throw them in the bin and stop taking them. I don't want to rush obviously otherwise I wouldn't be here, but I want to taper relatively quickly. I assume it is a terrible idea to go cold turkey. I'm just at that extreme point of view of all or nothing. Previous Medications; Prozac - 60mg/d [Start - January 2012 // End - July 2013] Current Medications; Sertraline [Zoloft] - 150mg/d [Start - June 2014]
Administrator Altostrata Posted March 1, 2019 Administrator Posted March 1, 2019 Hello again, Fenrir. Yes, cold turkey is a terrible idea. What kinds of problems does Zoloft cause? When did these problems start? 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.
FenrirHeideran Posted March 1, 2019 Author Posted March 1, 2019 Yeah I assumed it would. I just found almost like an epipheny that its what I find is holding me back now. I find I struggle to express my emotions. I feel suppressed. I feel agitated and frustrated because of this, I never use to be THIS. I feel hostile and closed off. I feel selfish and argumentative. I find that all of the things I have slowly become overtime are more of a result of being on this medication. I am having a form of identity crisis because I'm finding it harder and harder to actually remember how I lived day to day not being on sertraline. It has completely taken control of my life and I want to take control back for myself. Previous Medications; Prozac - 60mg/d [Start - January 2012 // End - July 2013] Current Medications; Sertraline [Zoloft] - 150mg/d [Start - June 2014]
Rosetta Posted March 1, 2019 Posted March 1, 2019 Well, I tapered quickly (6 weeks or so) off 150 mg sertraline, and 2 years later I'm still sick. So, a CT is, to me, a terrible idea. I would much rather spend 23 months or more slowly tapering than 2 years being sick and unable to enjoy life after a CT. How I wish I had had that option. I haven't been able to work, and I need help caring for my child even today. In the beginning I was so ill that I couldn't be alone, I was suicidal, I had trouble sleeping, I was dizzy or on the verge of passing out, I was hot then cold, I couldn't eat, I had blood sugar issues, I felt terror, I had uncontrollable crying spells . . . . the list goes on. It's called dysautonomia. If you look it up, you will see a definition that indicates only a fraction of the horror that the syndrome causes. What do you mean the sertraline is causing problems? Can you tell us some of your symptoms? I had a lot of problem before I quit, too. Sometimes simply reducing the dose can help with side effects. Ten percent reductions every 4 weeks is the fastest anyone should risk. However, many people slow the taper at various points. The idea is to have very mild or no symptoms of withdrawal before decreasing the dose another 10%. If you start off properly with only a 10% reduction you will avoid destabilization of your nervous system. Once you destabilize the CNS, the need to hold the dose until the CNS stabilizes again can cause the time to get off the drug to be much longer. https://www.survivingantidepressants.org/topic/16629-rosetta-ct-may-2011-too-fast-taper-feb-2017/?page=25 2001-2011 Celexa 10 mg raised to 40 mg then 60 mg over this time period May 2011 OB Doctor's Cold switch Celexa 60 mg to 10 mg Zoloft sertraline (baby born) 2012-2016 - Doctors raised dose of Zoloft up to 150 mg 2016 - Xanax prescribed - as needed - 0.5 mg about every 3 days (bad reaction) 2016 - Stopped Xanax Late 2016- Began (too fast) taper of Zoloft Early 2017 - Trazodone prescribed for bedtime (doseage unknown) Feb 2017 - Completed taper/stopped Trazodone Drug free since Feb 2017 2017 - Unisom otc very rarely for sleep
FenrirHeideran Posted March 1, 2019 Author Posted March 1, 2019 so you would definitely recommend I reduce monthly by 10%. So is my calculation correct in what I've posted above? Previous Medications; Prozac - 60mg/d [Start - January 2012 // End - July 2013] Current Medications; Sertraline [Zoloft] - 150mg/d [Start - June 2014]
Administrator Altostrata Posted March 1, 2019 Administrator Posted March 1, 2019 Yes, your calculations are correct. You can reduce daily if you wish, see Micro-taper instead of 10% or 5% decreases 8 minutes ago, FenrirHeideran said: Yeah I assumed it would. I just found almost like an epipheny that its what I find is holding me back now. I find I struggle to express my emotions. I feel suppressed. I feel agitated and frustrated because of this, I never use to be THIS. I feel hostile and closed off. I feel selfish and argumentative. I find that all of the things I have slowly become overtime are more of a result of being on this medication. I am having a form of identity crisis because I'm finding it harder and harder to actually remember how I lived day to day not being on sertraline. It has completely taken control of my life and I want to take control back for myself. Deadening emotions is a common side effect of antidepressants. Some people like this effect, you might say it's the way the drugs work. As you taper, the side effects should decrease. If you decrease your dosage faster than your nervous system can accommodate to the change, you will get withdrawal symptoms. We recommend a gradual taper to avoid these symptoms. See Tips for tapering off Zoloft (sertraline) I'm sorry this seems so difficult. It would be a better world if it weren't. 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.
FenrirHeideran Posted March 1, 2019 Author Posted March 1, 2019 Thank you very much. I'm just looking at the Links to make a liquid etc. I assume it is more precise than cutting the tablets. is the sertraline oral solution available in the UK? I am going to book an appointment with the doctor tomorrow and bring it up with them. I remember this happening before with Fluoxetine. I ended up basically cold turkeying it where I just eventually forgot to take it. I got a job and things were stable then a year later everything went to **** with me. Previous Medications; Prozac - 60mg/d [Start - January 2012 // End - July 2013] Current Medications; Sertraline [Zoloft] - 150mg/d [Start - June 2014]
Moderator Emeritus ChessieCat Posted March 1, 2019 Moderator Emeritus Posted March 1, 2019 If the oral solution/oral concentrate isn't available it is possible to make your own from tablets. * NO LONGER ACTIVE on SA * 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
FenrirHeideran Posted March 1, 2019 Author Posted March 1, 2019 4 minutes ago, ChessieCat said: If the oral solution/oral concentrate isn't available it is possible to make your own from tablets. Yeah I was reading this. So would I dissolve 150mg in 150ml then take the dose through oral syringe? Or wold it be easier dossolving 150mg in 15ml? Previous Medications; Prozac - 60mg/d [Start - January 2012 // End - July 2013] Current Medications; Sertraline [Zoloft] - 150mg/d [Start - June 2014]
Rosetta Posted March 1, 2019 Posted March 1, 2019 How many mg in each pill that you have? Do you have 100s and 50s? https://www.survivingantidepressants.org/topic/16629-rosetta-ct-may-2011-too-fast-taper-feb-2017/?page=25 2001-2011 Celexa 10 mg raised to 40 mg then 60 mg over this time period May 2011 OB Doctor's Cold switch Celexa 60 mg to 10 mg Zoloft sertraline (baby born) 2012-2016 - Doctors raised dose of Zoloft up to 150 mg 2016 - Xanax prescribed - as needed - 0.5 mg about every 3 days (bad reaction) 2016 - Stopped Xanax Late 2016- Began (too fast) taper of Zoloft Early 2017 - Trazodone prescribed for bedtime (doseage unknown) Feb 2017 - Completed taper/stopped Trazodone Drug free since Feb 2017 2017 - Unisom otc very rarely for sleep
Moderator Emeritus ChessieCat Posted March 1, 2019 Moderator Emeritus Posted March 1, 2019 You can take 100mg in tablet form and make liquid with 50mg tablet. 50mg tablet in 50mL of water. Do everything the same way each time, using the same equipment, and the same place on the bench/table. how-to-make-a-liquid-from-tablets-or-capsules * NO LONGER ACTIVE on SA * 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
FenrirHeideran Posted March 1, 2019 Author Posted March 1, 2019 3 minutes ago, Rosetta said: How many mg in each pill that you have? Do you have 100s and 50s? Yeah I have a 100mg pill and a separate 50mg pill. 2 minutes ago, ChessieCat said: You can take 100mg in tablet form and make liquid with 50mg tablet. 50mg tablet in 50mL of water. Do everything the same way each time, using the same equipment, and the same place on the bench/table. how-to-make-a-liquid-from-tablets-or-capsules Ah ok so as an example for the next momth ill mix it and then take 35ml of the mixture then toss the rest? and do this till the next lowering and take 22ml of mixture for total 122mg for month 2? Previous Medications; Prozac - 60mg/d [Start - January 2012 // End - July 2013] Current Medications; Sertraline [Zoloft] - 150mg/d [Start - June 2014]
Moderator Emeritus ChessieCat Posted March 1, 2019 Moderator Emeritus Posted March 1, 2019 You could dissolve 3 x 50mg tablets, or 1 x 100mg + 1 x 50mg, in 150mg water. Ratio 1:1 (1mL solution = 1mg dose) This will make 4 doses of 35mL/35mg. Total 140mL/140mg. Solution can be kept covered in the fridge for a few days. Stir, extract and take 35mL of solution each day and dispose of the remainder after you take your 4th dose. * NO LONGER ACTIVE on SA * 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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