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Using a scale to weigh and measure doses


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I always made up two or three weeks' worth at a time and had no problems. I traveled quite extensively during the last 18 months of my taper, and it was so much more convenient to just take along some capsules instead of all the gear needed to make up the doses.

20 years on Paxil starting at 20mg and working up to 40mg. Sept 2011 started 10% every 6 weeks taper (2.5% every week for 4 weeks then hold for 2 additional weeks), currently at 7.9mg. Oct 2011 CTed 15oz vodka a night, to only drinking 2 beers most nights, totally sober Feb 2013.

Since I wrote this I have continued to decrease my dose by 10% every 6 weeks (2.5% every week for 4 weeks and then hold for an additional 2 weeks). I added in an extra 6 week hold when I hit 10mg to let things settle out even more. When I hit 3mgpw it became hard to split the drop into 4 parts so I switched to dropping 1mgpw (pill weight) every week for 3 weeks and then holding for another 3 weeks.  The 3 + 3 schedule turned out to be too harsh so I cut back to dropping 1mgpw every 4 weeks which is working better.

Final Dose 0.016mg.     Current dose 0.000mg 04-15-2017

 

"It's also important not to become angry, no matter how difficult life is, because you can loose all hope if you can't laugh at yourself and at life in general."  Stephen Hawking

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  • 3 weeks later...
On 7/28/2023 at 11:15 PM, brassmonkey said:

The Gemini-20 and clones tend to have an error range of 2-3mgpw. Unfortunately, without spending thousands of dollars that's as good as we can get. In general, it is best to weigh once and move on. Reweighing and reweighing the same sample will just lead to frustration.

 

Thank you @brassmonkey for replying! And sorry for my delay in answering.
In the end I had two scales: Trendfield (Dutch) and Gemini-20. In the end I decided for the Trendfield, cause the Gemini keeps getting 'off' with the calibrationweights. It should be 10mg each, but is shows 9.997 of 10.004 or 10.002.
And exactly dose last numbers are important for me dosing 0,039mg. So I felt I couldn't rely on the Gemini.

I just use is sometimes to check if the Trendfield seems of for a minute (then I usually give it a break, and after everything seems fine again).
 

And in the end I have to go for a farma-suspension of selfmade water-option, because the dosage get's to small to weigh properly.

Paroxetine: 1995: seroxat at 11 yo for three months (?!). 2008: Jan: started 10mg, was hell (incl acathisia, dyskinesia). 2009: Feb: started taper, May: 0mg, July: went downhill fast (WD?), Dec: started 10mg again. 2015 + 2017: up to 20mg and down to 10mg, no WD. 2021: June: started taper, aug: 2,8mg, short WD, hold on 3mg, more emotional ever since and more frequent panic attacks. 2023: Jan 26: started taper, March 9: 2,2mg, got WD, hold, WD got worse, March 25: 2,5mg, April 4: missed a dose, 2x suicidal crisis April 11 and 23, severe WD ever since. Reinstatement after six months: Sept 5: 2,6mg, Sept 26: 2,7mg, Oct 23: 2,8mg, Dec 4: 2,9mg, Dec 25: 3,0mg and hold. About 80% recovered from severe WD. Not tapering further next years.


Benzo’s: 2002-2022: using appr. 5-10x 10mg oxa a year. 2008 + 2009: 3x 10mg oxa daily for two weeks when starting Prxt, no WD. 2008: used 10-20mg Dia for a few days for severe orofacial dyskinesia and akathisia (when starting Prxt + high dose Metoclopramide and severe underweight), no WD. 2022used 15x 10mg oxa that year. 2023: March 1-24: around 60mg Oxa total. After March 25: oxa daily around 5-30mg, April 12: switched to 1mg Lora daily (crisis), April 23: 3mg Lora daily (2nd crisis), April 27: 2,25mg Lora daily, May 12: tapered further. June 20: reached 1mg Lora daily, got WD, July 01: 1,25mg Lora daily, no relief. Aug 25: 1,5mg Lora daily, got better after 5 days. Dec 5: 1,7mg Lora daily. 2024, started taper: Feb 01: 1,63mg. March 03: 1,599mg. March 24: 1,566mg.

 

Intermediate metaboliser (‘bit more slow’) on CYP2D6 (*1/*4) and CYP2C19 (*1/*2). Extensive (‘normal’) on CYP3A4.

https://www.survivingantidepressants.org/topic/29018-marliesdutch-dutchie-tapering-paroxetine-paxil-14yrs

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  • 3 months later...

PLEASE HELP!

 

I'm currently at 1.7mg of Cipralex (Lexapro) and am cutting pills and using a weight scale. It is becoming much harder now as I decrease below 2mg. My one scale seems to be measuring it properly, but I'm no longer sure. I also have a gemini as a back up. I don't no if I should keep going with the hard pill cutting and weight scale option, or if I should be switching to a liquid taper. I am very sensitive to small changes and so I am very scared of changing to a liquid taper. I am also very confused about how to even do a liquid taper. I don't have access to a pharmacy liquid form of the drug, and I can't seem to find any instructions for how to make a homemade liquid solution. I'm not scientific in the least, and the whole thing terrifies me. The info I've found about homemade liquid solutions is very confusing. I've reached out to BrassMonkey by message, and so am hopeful he will provide some good advice and recommendations. I would also benefit, however, from hearing from others who are liquid tapering CIPRALEX (LEXAPRO). 

Thank you!

09/2011- 01/2014: 10mg Cipralex / 02/2014: increased to 15mg Cipralex

02/2014 - 10/2016: 15mg Cipralex / 11/2016: reduced to 12.5mg Cipralex (over 2 weeks)

12/2016: reduced to 10mg Cipralex (over 2 weeks) / 01/2017 - 09/2018: 10mg Cipralex

10/2018 - 11/2018: reduced gradually to 7.5mg Cipralex / 12/2018: found SA & first learned about the 10% taper method

2019: 6.9mg / 2020: 5.1mg (0.064-0.065) 06/01/21/2021: 4.8mg (0.061-0.062) / 06/01/21/2021-04/15/2022: 3.8mg (0.048) /

04/16-07-10/15/2022 : 2.8mg (0.036mg) / 10/15/2022-04/27/2023: 2.4mg (0.031mg) / 04/27/2023-06/05/2023: 2.4mg (0.030mg) / 06/05/2023- 11/04/2023: 1.7mg (0.022mg) - Extremely bad WD; UPDOSED 03/01/2023- 04/03/2023: 2.0mg (0.025mg); UPDOSED AGAIN 04/04/2023: 2.3mg (0.028-0.029mg)

 

Please Note: I am not a medical professional. Consult a knowledgeable

medical professional when making decisions about your medical care. 

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@SkyStreamer are you certain you can't get it compounded?

2003-2009 on and off various SSRI's for short periods, Ativan prn

2010-2011 Ativan, up to 1.5mg/day - tapered off without issue

2013-2021 ativan 1-1.5mg 10-12x/month, daily starting Oct 21 to help with buspar WD

2016 - Effexor 75mg, short-term

2021 Mar -Jun Buspar ADR at high dose, tapered 3 months

2021 Aug Wellbutrin 150mg for 5 days (ADR), then MIrtazapine 7.5mg for 7 days (ADR)

Oct 22/21 - Direct switch ativan to clonazepam (don't do this)

Tapered clonaz Oct/21 - Apr/23  - 0mg!

 

Supplements: omega-3, mag-glycinate

 

"Believe that your tragedies, your losses, your sorrows, your hurt, happened for you, not to you. And I bless the thing that broke you down and cracked you open, because the world needs you open" - Rebecca Campbell

 

*** Disclaimer: Please note, my suggestions/comments are based on my own personal experiences. Please consult a knowledgeable practitioner to discuss decisions regarding your medical care *** 

 

                                                             *** Please do not send me PM's ***

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@SkyStreamer

I measure 100 ml of water with a scale and a sealable beacher. I dissolve my 10 mg Lexapro in this water. I take 6.2 ml of this solution every day using a 10 ml glas syringe. This is corresponds top my current Lexapro dose of 0.62 ml.

March 2020 - 15 mg mirtazapine

May 2020 - 10 mg escitalopram , mirtazapine 15 mg

June 2020 - 10 mg escitalopram / 7.5 mg mirtazapine 

mid-July - 5 mg escitalopram / 15 mg mirtazapine

Aug, 2020 - 1.5 mg escitalopram  / 15 mg mirtazapine

Jan, 2021 - 0.95 mg escitalopram / 15 mg mirtazapine 

Feb 25, 2021 - 0.90 mg escitalopram / 15 mg mirtazapine >>> Crash! - Start with 150 mg opipramol (50-50-50)

Jan, 2022 - 0.78 mg escitalopram / 15 mg mirtazapine / 112 mg opipramol 

...

01/2024  0.62 mg escitalopram /  11,85 mg mirtazapine / 80 mg opipramol

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On 11/20/2023 at 3:35 AM, Memphisto said:

@SkyStreamer

I measure 100 ml of water with a scale and a sealable beacher. I dissolve my 10 mg Lexapro in this water. I take 6.2 ml of this solution every day using a 10 ml glas syringe. This is corresponds top my current Lexapro dose of 0.62 ml.

Hey @Memphisto, how do you get it to be soluable? I was looking on here and couldnt find anything 

 

I am not a medical professional - my advice is only based on my experience.

2016 - Lexapro 10mg, Klonapin as needed .5mg - Later Lexapro bumped to 20mg
2020 - (March) Lexapro cold Turkey attempt, reinstated 1 month Later along with Prozac. Tried Buspar, Zoloft and a couple other drugs that were added and removed within a 2 month period 2021 -  (Feb) 15mg -Taper off Lexapro 5mg per psychiatrist suggestion.

2021 -  (Feb) 10mg

2021 - (March) back to 20mg
2022 - Attempt Taper off Lexapro 2mg every 4 weeks (March 18mg, April 16mg, May 14mg, June 12mg, July 10mg, August 10mg hold, September 8mg,  October 8mg to 10mg, Nov 8mg, Dec 6mg, Jan 4mg)

2023 - January 4mg up to 5mg 

2023 - 10 percent brass monkey taper.

August 2023 COMPLETELY off medication.

April 2024 Currently in protracted antidepressant  withdrawal

Supplements: omega-3, magnesium glycinate

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  • 1 month later...

The Gemini 20 balance is not available on Amazon. Is there another balance you advise me please?

-Paroxetine 20 Mg/Day : otober 2018 - November 2022 (cold turkey)
-Bromazepam (Benzo) up to 6 Mg /Day "as needed " : october 2018 - May 2023
-Prazepam (Benzo) : 15 mg/Day : May 2023- July 2023 (tapering failed). Stopped Prazepam and switched to Diazepam
-Diazepam : 07/19/2023 (23 drops am, 14 drops pm).

Serious Adverse reaction to diazepam.

-Went back on Prazepam : 15 mg/Day  (08/10/2023)

-Updosed Prazepam : 20 mg/Day (10/01/2023)

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On 1/5/2024 at 7:28 AM, BillDz said:

The Gemini 20 balance is not available on Amazon. Is there another balance you advise me please?

 

https://www.amazon.com/uxcell-Calibration-Precision-Digital-Balance/dp/B07YFYKJH5

My Introduction thread

2002-2003 Celexa/Lexapro (first ride, very mild withdrawal). 2004-2012 Drug free
2013-2018 Cymbalta 60mg | 2019 Effexor 75mg - 150mg (can't recall specifics)
2020-Apr 2021 Trintellix 20mg | May-Jun 10mg | Jul-Aug 5mg (stopped Aug 12th, 2021)

WD symptoms began 4-6 weeks after last dose, increased severely at the 4 month mark
2021 Oct 9th Propranolol 10mg 2x/day (10am and 7pm) tapered to 5mg. Stopped 2/1/22.
Lorazepam (Ativan) 0.5-1mg as needed

Started a 0.5mg Trintellix reinstatement on 12/17/21 

Tapered to ~0.4mg and 0.3mg by end of May 2022

Stopped Caffeine 1/1/2022 and Nicotine on 4/1/2022.

Jan 19, 2022 - Added Vitamin D3 (2000iu), Super Omega-3 (2500mg) 

December 2022 - Finished taper of reinstatement dose around 0.09mg

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Hi All, Im looking to purchase a scale to be able to measure my medication accurately. My mom said something about having to purchase "weights for calibration" - is this something thats needed? Does anyone know what shes talking about? Theres a bit of a language barrier between us so its hard to understand. 

Thank you!

2017-2018 - Ciprelex (highest dosage)

2018 - 2023 - Trintellix (Vortioxetine) - 20mg

11/25/2023 - 15mg

12/09/2023 - 10mg

12/23/2023 - 5mg

12/30/2023 - 5mg every other day

01/03/2024 - 0mg - discontinued

01/12/2023 - 2.5mg reinstated daily dosage

 

 

 

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  • Moderator Emeritus

I found them on Amazon.com

Searching from the SW area of the U.S.A.

Searched for:  Gemini 20 scale

Try this:

https://www.amazon.com/s?k=gemini+20+scale&crid=IDBAMJWOWAAO&sprefix=%2Caps%2C1304&ref=nb_sb_ss_recent_1_0_recent

 

(yours took me to calibration weights only??, and I'll have to double check this again once I sign out)

 

@YachtRock, @Greenowala

 

Greenowala, they come with calibration weights.  Read this whole topic to glean if you do want to do weighing. 

 

Do searches on topics, to find and then post on an existing topic, OR post in your Introduction. 

 

It did seem to come up, even after I signed out.  The Gem 20 scale at Amazon.com.  Hope the link holds up. YachtRock.  You want one that measures to .001 gram(g) or 1 mg.  Thanks for your experienced assist with Greenowala too, as you are working with vortioxetine too!  Super.  You're a good peer.

 

 

Edited by manymoretodays

Late 2023- gone to emeritus status, inactive, don't @ me, I can check who I've posted on, and I'm not really here like I used to be......thanks.

Started with psycho meds/psychiatric care circa 1988.  In retrospect, and on contemplation, situational overwhelm.

Rounding up to 30 years of medications(30 medication trials, poly-pharmacy maximum was 3 at one time).

5/28/2015-off Adderal salts 2.5mg. (I had been on that since hospital 10/2014)

12/2015---just holding, holding, holding, with trileptal/oxcarb at 75 mg. 1/2 tab at hs.  My last psycho med ever!  Tapered @ 10% every 4 weeks, sometimes 2 weeks to

2016 Dec 16 medication free!!

Longer signature post here, with current supplements.

Herb and alcohol free since 5/15/2016.  And.....I quit smoking 11/2021. Lapsed.  Redo of quit smoking 9/28/2022.  Can you say Hallelujah?(took me long enough)💜

None of my posts are intended as medical advice.  Please discuss any decisions about your medical care with a knowledgeable medical provider.  My success story:  Blue skies ahead, clear sailing

 

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Anyone knows the average pill weight of a Trintellix pill? I'm wondering if buying a scale would help.

Feb 21 50mg Zoloft - 1mg Rispridone - 200mg Depakine; Mar 21 CT; Aug 21 5mg Olanzapine, 50mg Zoloft, 1 mg Ativan*; Mar 22 Zoloft some days*; Aug 22 Paroxetine 10mg; Jan 23 CT; Mar 23 25mg Zoloft; Apr 23 Tianeptine & Trazadone; Jun 23 Mirtazapine; Jul 23 Trintellix 10mg; Aug 23 5mg trintellix, 300mg gabapentine. Dec 23: 4.5 mg trintellix liquid, 300mg gabapentine; 13 Dec 23: 5mg trintellix, 300mg gabap; 17 Jan 24: ↘️ 4.5 mg Trintellix, 300 mg gaba, 17 Feb ↘️ 4.05 mg Trintellix, 300mg gabap,  17 Mar ↘️ 3.65 mg Trintellix, 300mg gabap, 15 Apr ↘️ 3.28 mg Trintellix, 300mg gabap

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  • Moderator
28 minutes ago, meehai said:

Anyone knows the average pill weight of a Trintellix pill? I'm wondering if buying a scale would help.

 

It's different for every brand of the same medication. There is no consistent weight due to the different fillers and coatings each manufacturer will use. The only way to find out is to weigh them yourself and calculate an average. Each time you change brand you will have to recalculate the average.

Edited by Erimus

Active Monday-Friday UK time

 

MEDICATION:

1) Sertraline:

50mg - Oct 2020, 100mg - Dec 2020, 50mg - April 2021, 75mg - May 2021, 50mg - Sep 2021; Failed taper attempt (50 -> 49) - Jan 2024; Second attempt to start taper - 17 Feb 2024

Current dose: 48.9mg (Feb 2024)

2) Mirtazapine:

15mg  - Nov 2020

SUPPLEMENTS:

Cod liver oil

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1 hour ago, Erimus said:

 

It's different for every brand of the same medication. There is no consistent weight due to the different fillers and coatings each manufacturer will use. The only way to find out is to weigh them yourself and calculate an average. Each time you change brand you will have to recalculate the average.

I'm asking if it's at least 50mg or something that can be scaled to at least 2.5 mg of active substance.

Feb 21 50mg Zoloft - 1mg Rispridone - 200mg Depakine; Mar 21 CT; Aug 21 5mg Olanzapine, 50mg Zoloft, 1 mg Ativan*; Mar 22 Zoloft some days*; Aug 22 Paroxetine 10mg; Jan 23 CT; Mar 23 25mg Zoloft; Apr 23 Tianeptine & Trazadone; Jun 23 Mirtazapine; Jul 23 Trintellix 10mg; Aug 23 5mg trintellix, 300mg gabapentine. Dec 23: 4.5 mg trintellix liquid, 300mg gabapentine; 13 Dec 23: 5mg trintellix, 300mg gabap; 17 Jan 24: ↘️ 4.5 mg Trintellix, 300 mg gaba, 17 Feb ↘️ 4.05 mg Trintellix, 300mg gabap,  17 Mar ↘️ 3.65 mg Trintellix, 300mg gabap, 15 Apr ↘️ 3.28 mg Trintellix, 300mg gabap

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2 hours ago, meehai said:

Anyone knows the average pill weight of a Trintellix pill? I'm wondering if buying a scale would help.

 

153mg was the average I used in my calculation. They are near the bottom of page 1 on my intro thread if you want to see the math.

My Introduction thread

2002-2003 Celexa/Lexapro (first ride, very mild withdrawal). 2004-2012 Drug free
2013-2018 Cymbalta 60mg | 2019 Effexor 75mg - 150mg (can't recall specifics)
2020-Apr 2021 Trintellix 20mg | May-Jun 10mg | Jul-Aug 5mg (stopped Aug 12th, 2021)

WD symptoms began 4-6 weeks after last dose, increased severely at the 4 month mark
2021 Oct 9th Propranolol 10mg 2x/day (10am and 7pm) tapered to 5mg. Stopped 2/1/22.
Lorazepam (Ativan) 0.5-1mg as needed

Started a 0.5mg Trintellix reinstatement on 12/17/21 

Tapered to ~0.4mg and 0.3mg by end of May 2022

Stopped Caffeine 1/1/2022 and Nicotine on 4/1/2022.

Jan 19, 2022 - Added Vitamin D3 (2000iu), Super Omega-3 (2500mg) 

December 2022 - Finished taper of reinstatement dose around 0.09mg

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20 hours ago, YachtRock said:

 

153mg was the average I used in my calculation. They are near the bottom of page 1 on my intro thread if you want to see the math.

Bless you 🙏

Feb 21 50mg Zoloft - 1mg Rispridone - 200mg Depakine; Mar 21 CT; Aug 21 5mg Olanzapine, 50mg Zoloft, 1 mg Ativan*; Mar 22 Zoloft some days*; Aug 22 Paroxetine 10mg; Jan 23 CT; Mar 23 25mg Zoloft; Apr 23 Tianeptine & Trazadone; Jun 23 Mirtazapine; Jul 23 Trintellix 10mg; Aug 23 5mg trintellix, 300mg gabapentine. Dec 23: 4.5 mg trintellix liquid, 300mg gabapentine; 13 Dec 23: 5mg trintellix, 300mg gabap; 17 Jan 24: ↘️ 4.5 mg Trintellix, 300 mg gaba, 17 Feb ↘️ 4.05 mg Trintellix, 300mg gabap,  17 Mar ↘️ 3.65 mg Trintellix, 300mg gabap, 15 Apr ↘️ 3.28 mg Trintellix, 300mg gabap

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On 1/14/2024 at 2:22 AM, YachtRock said:

 

153mg was the average I used in my calculation. They are near the bottom of page 1 on my intro thread if you want to see the math.

Do you think I should crush my pill to help spread the active ingredient more evenly?

 

I'm quite reticent about this, because I don't wanna break more pills at once in case it doesn't work. And also I don't have a pill crusher.

 

I'm worried about residue and losing powder/dropping it.

 

I'm not sure how to fill capsules as they're pretty small and I would definitely drop powder around

 

So my question is, is it okay for start to just cut a tiny bit from the pill, weight it, then take it?

Feb 21 50mg Zoloft - 1mg Rispridone - 200mg Depakine; Mar 21 CT; Aug 21 5mg Olanzapine, 50mg Zoloft, 1 mg Ativan*; Mar 22 Zoloft some days*; Aug 22 Paroxetine 10mg; Jan 23 CT; Mar 23 25mg Zoloft; Apr 23 Tianeptine & Trazadone; Jun 23 Mirtazapine; Jul 23 Trintellix 10mg; Aug 23 5mg trintellix, 300mg gabapentine. Dec 23: 4.5 mg trintellix liquid, 300mg gabapentine; 13 Dec 23: 5mg trintellix, 300mg gabap; 17 Jan 24: ↘️ 4.5 mg Trintellix, 300 mg gaba, 17 Feb ↘️ 4.05 mg Trintellix, 300mg gabap,  17 Mar ↘️ 3.65 mg Trintellix, 300mg gabap, 15 Apr ↘️ 3.28 mg Trintellix, 300mg gabap

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  • Mentor
35 minutes ago, meehai said:

So my question is, is it okay for start to just cut a tiny bit from the pill, weight it, then take it?

That's how I do it! Well, to be more precise, if I do hit the right weight on a pill I'll stash it for a busy day in my backpack pill case in case I'm out and about during a med time, then take a combination of fragments that equal the dose when at home. Crushing it into a powder, from my experience taking a bunch of small fragments/powder, can lead to a "med dump" where it hits all at once and it's way too intense. 

 

38 minutes ago, meehai said:

I'm not sure how to fill capsules as they're pretty small and I would definitely drop powder around

Filling capsules is way too tough for me, I switched to a liquid version of the med I was trying that with. Each dose is much quicker/easier to measure with liquid, but now I'm toting around ice packs when I go anywhere to keep it cold. Tapering has drawbacks no matter what method you try!

Pronouns: they/them/theirs 

Started on Prozac in early 2000s to treat cPTSD, been on various cocktails ever since.

2002-2004, 2017-2022: Buspar, tapered down to 0

2016-present: 100mg Seroquel for sleep -> May 2023: 90mg -> June 2023: 81mg -> September 2023: 72mg -> switched to brand name, much too strong, down to 60mg -> October 2023: 54mg -> November 2023: 50mg -> January 2024: 45mg -> April 2024: 40.5mg

2016-Present: 100mg Wellbutrin SR -> January 2023: 75mg IR (37.5mg 2x a day) -> February 2023 (33.75mg 2x a day) -> July 2023 (30.37mg 2x a day) -> August 2023: 27.33mg 2x a day 

2018-present: 25mg Pristiq

2015-present: 600mg Gabapentin (200mg 3x a day) -> December 2022: 300mg Gabapentin (100mg 3x a day) per GP's recommendation after side effects -> March 2023: 90mg 3x a day (switched to liquid suspension) -> April 2023: 81mg 3x a day -> September 2023: bad generic, switched back to homemade liquid; too strong after bad generic, down to 70mg 3x a day, still bad. Adjusted slowly till at 60mg 3x a day, much better. Long hold till -> December 2023: 54mg, still feels too high after November Seroquel switch from brand name to generic, doc recommended 50mg which feels better -> January 2024: When Wellbutrin went down, Gabapentin started putting me to sleep, went down to 45mg, then 41mg to stay awake, so far so good -> February 2024: 36mg, still too high, 34mg -> March 2024: 31mg, STILL too high, 30mg

Supplements: Multivitamin w/magnesium, probiotics, digestive enzymes, anti-viral nitric oxide nose spray as needed

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55 minutes ago, littlebird said:

That's how I do it! Well, to be more precise, if I do hit the right weight on a pill I'll stash it for a busy day in my backpack pill case in case I'm out and about during a med time, then take a combination of fragments that equal the dose when at home. Crushing it into a powder, from my experience taking a bunch of small fragments/powder, can lead to a "med dump" where it hits all at once and it's way too intense. 

 

Filling capsules is way too tough for me, I switched to a liquid version of the med I was trying that with. Each dose is much quicker/easier to measure with liquid, but now I'm toting around ice packs when I go anywhere to keep it cold. Tapering has drawbacks no matter what method you try!

Thank you! I will try the first method too. I find liquid tapering messing me up too much. As of now, being at a high dose, I should be able to use the scale. Might switch later on to liquid when scale becomes too hard.

 

🤗🤗

Feb 21 50mg Zoloft - 1mg Rispridone - 200mg Depakine; Mar 21 CT; Aug 21 5mg Olanzapine, 50mg Zoloft, 1 mg Ativan*; Mar 22 Zoloft some days*; Aug 22 Paroxetine 10mg; Jan 23 CT; Mar 23 25mg Zoloft; Apr 23 Tianeptine & Trazadone; Jun 23 Mirtazapine; Jul 23 Trintellix 10mg; Aug 23 5mg trintellix, 300mg gabapentine. Dec 23: 4.5 mg trintellix liquid, 300mg gabapentine; 13 Dec 23: 5mg trintellix, 300mg gabap; 17 Jan 24: ↘️ 4.5 mg Trintellix, 300 mg gaba, 17 Feb ↘️ 4.05 mg Trintellix, 300mg gabap,  17 Mar ↘️ 3.65 mg Trintellix, 300mg gabap, 15 Apr ↘️ 3.28 mg Trintellix, 300mg gabap

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  • Mentor
1 hour ago, meehai said:

I find liquid tapering messing me up too much.

That liquid hits like a ton of bricks! Speaking of which, gabapentin brick time. 🤣

Pronouns: they/them/theirs 

Started on Prozac in early 2000s to treat cPTSD, been on various cocktails ever since.

2002-2004, 2017-2022: Buspar, tapered down to 0

2016-present: 100mg Seroquel for sleep -> May 2023: 90mg -> June 2023: 81mg -> September 2023: 72mg -> switched to brand name, much too strong, down to 60mg -> October 2023: 54mg -> November 2023: 50mg -> January 2024: 45mg -> April 2024: 40.5mg

2016-Present: 100mg Wellbutrin SR -> January 2023: 75mg IR (37.5mg 2x a day) -> February 2023 (33.75mg 2x a day) -> July 2023 (30.37mg 2x a day) -> August 2023: 27.33mg 2x a day 

2018-present: 25mg Pristiq

2015-present: 600mg Gabapentin (200mg 3x a day) -> December 2022: 300mg Gabapentin (100mg 3x a day) per GP's recommendation after side effects -> March 2023: 90mg 3x a day (switched to liquid suspension) -> April 2023: 81mg 3x a day -> September 2023: bad generic, switched back to homemade liquid; too strong after bad generic, down to 70mg 3x a day, still bad. Adjusted slowly till at 60mg 3x a day, much better. Long hold till -> December 2023: 54mg, still feels too high after November Seroquel switch from brand name to generic, doc recommended 50mg which feels better -> January 2024: When Wellbutrin went down, Gabapentin started putting me to sleep, went down to 45mg, then 41mg to stay awake, so far so good -> February 2024: 36mg, still too high, 34mg -> March 2024: 31mg, STILL too high, 30mg

Supplements: Multivitamin w/magnesium, probiotics, digestive enzymes, anti-viral nitric oxide nose spray as needed

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On 1/14/2024 at 2:22 AM, YachtRock said:

 

153mg was the average I used in my calculation. They are near the bottom of page 1 on my intro thread if you want to see the math.

Scale arrived, first weight was exactly 153 😆

Feb 21 50mg Zoloft - 1mg Rispridone - 200mg Depakine; Mar 21 CT; Aug 21 5mg Olanzapine, 50mg Zoloft, 1 mg Ativan*; Mar 22 Zoloft some days*; Aug 22 Paroxetine 10mg; Jan 23 CT; Mar 23 25mg Zoloft; Apr 23 Tianeptine & Trazadone; Jun 23 Mirtazapine; Jul 23 Trintellix 10mg; Aug 23 5mg trintellix, 300mg gabapentine. Dec 23: 4.5 mg trintellix liquid, 300mg gabapentine; 13 Dec 23: 5mg trintellix, 300mg gabap; 17 Jan 24: ↘️ 4.5 mg Trintellix, 300 mg gaba, 17 Feb ↘️ 4.05 mg Trintellix, 300mg gabap,  17 Mar ↘️ 3.65 mg Trintellix, 300mg gabap, 15 Apr ↘️ 3.28 mg Trintellix, 300mg gabap

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  • 3 weeks later...
On 11/14/2011 at 5:28 AM, Altostrata said:

Another reasonably priced digital scale that measures milligrams is the Grobet Precision Pocket Scale 10g x .001g Model 50.303, for about $55 here. I don't know how accurate or easy to use it might be. It's for weighing precious stones.

The link to Grobet Precision Pocket Scale isn't working. Does any one know the correct link?

2014-2019: Clomipramine 12.5mg to 50mg and Tramadol 100mg twice a week, 2019-2020: Clomipramine 50mg and Tramadol 150mg alternate day. 2021-2022: Clomipramine 50mg and Tramadol 150mg-200mg daily, 2022 mid-April: Stopped Clomipramine and Tramadol cold turkey
2022 mid-May: Started Amytriptaline 50mg and tapered over 2 weeks, 2022 mid-June: Took 40mg Cymbalta for 2 days and stopped
2022 mid-June: Taking Clonazepam .25mg to .5mg for sleep and anxiety for about a week., 2022 early July - present: Taking Clonazepam .25mg.
2022 Aug: Escitalopram 2.5mg titrated to 10mg (over 3 weeks), 2022 Aug: Escitalopram 5mg for 10 days, 4.5mg for 10 days, 4.25mg for 5 days
2022 Sep: Escitalopram 4.25mg for 5 days, 4mg for 5 days and then CT, Sep 2002: Fluoxetine 10mg for 5 days | Sep 2022: Fluoxetine 20mg for 9 days. | Oct 2022:  Fluoxetine 30mg for 20 days. | Oct 2022: Fluoxetine 40mg for 46 days
Nov to Dec 2022: Clonazepam(0.25mg morning, 0.5mg afternoon and 0.5mg night; TOTAL of 1.25mg) for 36 days
Dec 2022: Clonazepam 'tapered' over a  week. Replaced with Etizolam. Etizolam(0.5mg) for some days and then Etizolam(1.5mg CR and 0.5mg), Quetiapine(12.5mg) and Mirtazapine(7.5mg). Vortioxetine(10mg) for 6 days, Vortioxetine(20mg) for 22 days.
Jan/Feb 2023: Admitted to psych ward for a month for excessive anxiety and suicidal ideation. Stopped Vortioxetine, Mirtazapine & Quetapine CT and started Venlafaxine 37.5mg, Olanzipine 2.5mg for weeks and then increased to 5mg and Etizolam 2mg. After 3 week, Venlafaxine CTed (due to random body jerks) and replaced with Clomipramine 25mg (due to new diagnosis of OCD). | Mar-mid 2023: Clomipramine gradually increased to 50mg & Etizolam slowly tapered to .75mg
Early-mid 2023: Taper of all three started. Currently at Clomipramine ~42.5mg, Olanzapine ~3.382mg, Etizolam .75mg

Sep 2023: Clomipramine ~42.5mg, Olanzapine ~3.382mg, Etizolam .625mg, Valium 1.25mg

Feb 2024: Clomipramine 30.667mg, Olanzapine ~2.055mg, Etizolam .388mg, Valium 1.773mg

April 2024: Clomipramine 27.7mg, Olanzapine 1.6 mg, Etizolam .346mg, Valium 1.648 mg

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On 1/5/2024 at 8:58 PM, BillDz said:

The Gemini 20 balance is not available on Amazon. Is there another balance you advise me please?

Try https://www.amazon.com/gp/product/B0012TDNAM 

2014-2019: Clomipramine 12.5mg to 50mg and Tramadol 100mg twice a week, 2019-2020: Clomipramine 50mg and Tramadol 150mg alternate day. 2021-2022: Clomipramine 50mg and Tramadol 150mg-200mg daily, 2022 mid-April: Stopped Clomipramine and Tramadol cold turkey
2022 mid-May: Started Amytriptaline 50mg and tapered over 2 weeks, 2022 mid-June: Took 40mg Cymbalta for 2 days and stopped
2022 mid-June: Taking Clonazepam .25mg to .5mg for sleep and anxiety for about a week., 2022 early July - present: Taking Clonazepam .25mg.
2022 Aug: Escitalopram 2.5mg titrated to 10mg (over 3 weeks), 2022 Aug: Escitalopram 5mg for 10 days, 4.5mg for 10 days, 4.25mg for 5 days
2022 Sep: Escitalopram 4.25mg for 5 days, 4mg for 5 days and then CT, Sep 2002: Fluoxetine 10mg for 5 days | Sep 2022: Fluoxetine 20mg for 9 days. | Oct 2022:  Fluoxetine 30mg for 20 days. | Oct 2022: Fluoxetine 40mg for 46 days
Nov to Dec 2022: Clonazepam(0.25mg morning, 0.5mg afternoon and 0.5mg night; TOTAL of 1.25mg) for 36 days
Dec 2022: Clonazepam 'tapered' over a  week. Replaced with Etizolam. Etizolam(0.5mg) for some days and then Etizolam(1.5mg CR and 0.5mg), Quetiapine(12.5mg) and Mirtazapine(7.5mg). Vortioxetine(10mg) for 6 days, Vortioxetine(20mg) for 22 days.
Jan/Feb 2023: Admitted to psych ward for a month for excessive anxiety and suicidal ideation. Stopped Vortioxetine, Mirtazapine & Quetapine CT and started Venlafaxine 37.5mg, Olanzipine 2.5mg for weeks and then increased to 5mg and Etizolam 2mg. After 3 week, Venlafaxine CTed (due to random body jerks) and replaced with Clomipramine 25mg (due to new diagnosis of OCD). | Mar-mid 2023: Clomipramine gradually increased to 50mg & Etizolam slowly tapered to .75mg
Early-mid 2023: Taper of all three started. Currently at Clomipramine ~42.5mg, Olanzapine ~3.382mg, Etizolam .75mg

Sep 2023: Clomipramine ~42.5mg, Olanzapine ~3.382mg, Etizolam .625mg, Valium 1.25mg

Feb 2024: Clomipramine 30.667mg, Olanzapine ~2.055mg, Etizolam .388mg, Valium 1.773mg

April 2024: Clomipramine 27.7mg, Olanzapine 1.6 mg, Etizolam .346mg, Valium 1.648 mg

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GEM 20 by Smart Weight has worked well for me until I dropped it on the floor. Even after the drop, it still works but auto shuts off randomly and I have to restart and reweigh and then the weight might be off by ~0.001mg to 0.004mg compared to the previous weigh.

 

Now, I am ordering a Gemini 20.

 

https://www.amazon.in/gp/product/B00ESHDGO 

2014-2019: Clomipramine 12.5mg to 50mg and Tramadol 100mg twice a week, 2019-2020: Clomipramine 50mg and Tramadol 150mg alternate day. 2021-2022: Clomipramine 50mg and Tramadol 150mg-200mg daily, 2022 mid-April: Stopped Clomipramine and Tramadol cold turkey
2022 mid-May: Started Amytriptaline 50mg and tapered over 2 weeks, 2022 mid-June: Took 40mg Cymbalta for 2 days and stopped
2022 mid-June: Taking Clonazepam .25mg to .5mg for sleep and anxiety for about a week., 2022 early July - present: Taking Clonazepam .25mg.
2022 Aug: Escitalopram 2.5mg titrated to 10mg (over 3 weeks), 2022 Aug: Escitalopram 5mg for 10 days, 4.5mg for 10 days, 4.25mg for 5 days
2022 Sep: Escitalopram 4.25mg for 5 days, 4mg for 5 days and then CT, Sep 2002: Fluoxetine 10mg for 5 days | Sep 2022: Fluoxetine 20mg for 9 days. | Oct 2022:  Fluoxetine 30mg for 20 days. | Oct 2022: Fluoxetine 40mg for 46 days
Nov to Dec 2022: Clonazepam(0.25mg morning, 0.5mg afternoon and 0.5mg night; TOTAL of 1.25mg) for 36 days
Dec 2022: Clonazepam 'tapered' over a  week. Replaced with Etizolam. Etizolam(0.5mg) for some days and then Etizolam(1.5mg CR and 0.5mg), Quetiapine(12.5mg) and Mirtazapine(7.5mg). Vortioxetine(10mg) for 6 days, Vortioxetine(20mg) for 22 days.
Jan/Feb 2023: Admitted to psych ward for a month for excessive anxiety and suicidal ideation. Stopped Vortioxetine, Mirtazapine & Quetapine CT and started Venlafaxine 37.5mg, Olanzipine 2.5mg for weeks and then increased to 5mg and Etizolam 2mg. After 3 week, Venlafaxine CTed (due to random body jerks) and replaced with Clomipramine 25mg (due to new diagnosis of OCD). | Mar-mid 2023: Clomipramine gradually increased to 50mg & Etizolam slowly tapered to .75mg
Early-mid 2023: Taper of all three started. Currently at Clomipramine ~42.5mg, Olanzapine ~3.382mg, Etizolam .75mg

Sep 2023: Clomipramine ~42.5mg, Olanzapine ~3.382mg, Etizolam .625mg, Valium 1.25mg

Feb 2024: Clomipramine 30.667mg, Olanzapine ~2.055mg, Etizolam .388mg, Valium 1.773mg

April 2024: Clomipramine 27.7mg, Olanzapine 1.6 mg, Etizolam .346mg, Valium 1.648 mg

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Hi there;

 

Can I grind the tablets with an electric coffee grinder? Will the heat from grinding not be able to alter the active ingredient?

 

Thanks.

-Paroxetine 20 Mg/Day : otober 2018 - November 2022 (cold turkey)
-Bromazepam (Benzo) up to 6 Mg /Day "as needed " : october 2018 - May 2023
-Prazepam (Benzo) : 15 mg/Day : May 2023- July 2023 (tapering failed). Stopped Prazepam and switched to Diazepam
-Diazepam : 07/19/2023 (23 drops am, 14 drops pm).

Serious Adverse reaction to diazepam.

-Went back on Prazepam : 15 mg/Day  (08/10/2023)

-Updosed Prazepam : 20 mg/Day (10/01/2023)

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  • 2 weeks later...

Am I using the scale wrong?

 

I have a 75 mg pill of BUPROPION HCL.

 

The scale it showing it as 0.450 grams.

 

Shouldn't it be 0.750 grams?

 

I got this scale: Smart Weigh GEM20-20g x 0.001 grams, High Precision Digital Milligram Jewelry Scale, Reloading, Jewelry and Gems Scale, Calibration Weights and Tweezers Included https://a.co/d/gHg5SXj

20240215_185851.jpg

2010 - 2016: sertraline 200mg, Adderall 20mg. Oct 2016 Welbutrin 150mg up to 450mg by 2018, lowered to 100 mg by 2022. Adderall discontinued 2017. Sertraline 50 mg. 10/2022: sertraline stopped, Cymbalta 20mg added. Cymbalta stopped 12/2022. 11/2022: Prozac 10 MG, stopped Feb 2023. Feb 2023 buspirone 7.5 mg 1/2 pill 2x/day. 05/2023: stop Welbutrin 100 MG. 06/2023: went back on Welbutrin 100mg, tried switching to BUPROPION HCL 75 MG. 7/2023: alt btwn 100/75 mg per day? switched back to 100 mg. 11/20-12-12/2023: vibrynt 10 mg w/ Welbutrin to 75 mg. 12/2023: vibrynt 20 mg and Welbutrin 93mg. 01/2024: 87.5 mg Welbutrin.

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I calibrated it prior to using it. 

 

2010 - 2016: sertraline 200mg, Adderall 20mg. Oct 2016 Welbutrin 150mg up to 450mg by 2018, lowered to 100 mg by 2022. Adderall discontinued 2017. Sertraline 50 mg. 10/2022: sertraline stopped, Cymbalta 20mg added. Cymbalta stopped 12/2022. 11/2022: Prozac 10 MG, stopped Feb 2023. Feb 2023 buspirone 7.5 mg 1/2 pill 2x/day. 05/2023: stop Welbutrin 100 MG. 06/2023: went back on Welbutrin 100mg, tried switching to BUPROPION HCL 75 MG. 7/2023: alt btwn 100/75 mg per day? switched back to 100 mg. 11/20-12-12/2023: vibrynt 10 mg w/ Welbutrin to 75 mg. 12/2023: vibrynt 20 mg and Welbutrin 93mg. 01/2024: 87.5 mg Welbutrin.

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17 minutes ago, elizabethann said:

Am I using the scale wrong?

 

I have a 75 mg pill of BUPROPION HCL.

 

The scale it showing it as 0.450 grams.

 

Shouldn't it be 0.750 grams?

 

I got this scale: Smart Weigh GEM20-20g x 0.001 grams, High Precision Digital Milligram Jewelry Scale, Reloading, Jewelry and Gems Scale, Calibration Weights and Tweezers Included https://a.co/d/gHg5SXj

 

Well not using the scale wrong, but thinking about it wrong. Just because the pill contains 75 milligrams of the "drug" does not mean the pill should weigh 75 milligrams. Your pill weighs 450 milligrams, which likely consists of 75mg (0.075) of drug and 375mg of "filler". The acronym "mgai" refers to "milligrams active ingredient". So assuming the drug is equally distributed along with the filler (unlikely but what other choice do we have) and you wanted to drop your "dosage" by 10%, you would crush the pill and weigh out 0.405 which is 90% of the total weight of the pill. 

 

Rather than reinvent the wheel, I will point you to the SA bible on the topic from @brassmonkey:

 

My Introduction thread

2002-2003 Celexa/Lexapro (first ride, very mild withdrawal). 2004-2012 Drug free
2013-2018 Cymbalta 60mg | 2019 Effexor 75mg - 150mg (can't recall specifics)
2020-Apr 2021 Trintellix 20mg | May-Jun 10mg | Jul-Aug 5mg (stopped Aug 12th, 2021)

WD symptoms began 4-6 weeks after last dose, increased severely at the 4 month mark
2021 Oct 9th Propranolol 10mg 2x/day (10am and 7pm) tapered to 5mg. Stopped 2/1/22.
Lorazepam (Ativan) 0.5-1mg as needed

Started a 0.5mg Trintellix reinstatement on 12/17/21 

Tapered to ~0.4mg and 0.3mg by end of May 2022

Stopped Caffeine 1/1/2022 and Nicotine on 4/1/2022.

Jan 19, 2022 - Added Vitamin D3 (2000iu), Super Omega-3 (2500mg) 

December 2022 - Finished taper of reinstatement dose around 0.09mg

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On 2/7/2024 at 6:58 AM, BillDz said:

Hi there;

 

Can I grind the tablets with an electric coffee grinder? Will the heat from grinding not be able to alter the active ingredient?

 

Thanks.

 

I don't know the answer but I don't recommend it. This is what I bought/used: https://www.amazon.com/gp/product/B07D3X37L8

My Introduction thread

2002-2003 Celexa/Lexapro (first ride, very mild withdrawal). 2004-2012 Drug free
2013-2018 Cymbalta 60mg | 2019 Effexor 75mg - 150mg (can't recall specifics)
2020-Apr 2021 Trintellix 20mg | May-Jun 10mg | Jul-Aug 5mg (stopped Aug 12th, 2021)

WD symptoms began 4-6 weeks after last dose, increased severely at the 4 month mark
2021 Oct 9th Propranolol 10mg 2x/day (10am and 7pm) tapered to 5mg. Stopped 2/1/22.
Lorazepam (Ativan) 0.5-1mg as needed

Started a 0.5mg Trintellix reinstatement on 12/17/21 

Tapered to ~0.4mg and 0.3mg by end of May 2022

Stopped Caffeine 1/1/2022 and Nicotine on 4/1/2022.

Jan 19, 2022 - Added Vitamin D3 (2000iu), Super Omega-3 (2500mg) 

December 2022 - Finished taper of reinstatement dose around 0.09mg

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@elizabethann see if this post helps clarify it for you. I realize I just linked you to the first page of the very same thread. 

 

My Introduction thread

2002-2003 Celexa/Lexapro (first ride, very mild withdrawal). 2004-2012 Drug free
2013-2018 Cymbalta 60mg | 2019 Effexor 75mg - 150mg (can't recall specifics)
2020-Apr 2021 Trintellix 20mg | May-Jun 10mg | Jul-Aug 5mg (stopped Aug 12th, 2021)

WD symptoms began 4-6 weeks after last dose, increased severely at the 4 month mark
2021 Oct 9th Propranolol 10mg 2x/day (10am and 7pm) tapered to 5mg. Stopped 2/1/22.
Lorazepam (Ativan) 0.5-1mg as needed

Started a 0.5mg Trintellix reinstatement on 12/17/21 

Tapered to ~0.4mg and 0.3mg by end of May 2022

Stopped Caffeine 1/1/2022 and Nicotine on 4/1/2022.

Jan 19, 2022 - Added Vitamin D3 (2000iu), Super Omega-3 (2500mg) 

December 2022 - Finished taper of reinstatement dose around 0.09mg

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Hi folks, I am trying to reinstate to curb withdrawals from a TFT (pre-learning about SA and hyperbolic taper) as I'm in a very stressful time in my life - getting married, preparing to move states this summer. 

I bought the Gemini 20, the pill grinder @YachtRock linked above, and 00 veggie capsules. The issue i'm finding as I try and prepare capsules for reinstatement is with the scale not being sensitive enough, as many of you have mentioned, and I'm wondering if I'm doing more harm than good. 

I crushed one 25 mg Sertraline pill (average weight of all the pills in the bottle was 0.077g), and by the time I got the powder out of the canister and into the small circular tray I had ~.065g. I added a 10g weight to the tray with the powder to hopefully increase the scale's sensitivity, and as I'm trying to reinstate with only 1mg I tried to ballpark around .003g into each capsule. Definitely spilled some of the powder, and there is no way these are perfectly accurate but it seemed to be the best I could do.

I'm wondering though if this is more harm than good, and if I should just try the route of dissolving a 25 mg Sertraline pill in a certain amount of ml of water and then do the syringe route. I've attached a photo of the chart I got from the SA thread with my info. I made 7, 1mg capsules, out of the ~.065g of powder from my 25mg pill, spilled some, and tossed the rest so I'm worried I might have put too much in each of them because the scale wasn't sensitive enough. 🤷‍♀️

Any insight or advice is greatly appreciated as I've read a lot on this site and this is still hella intimidating! 

Screenshot 2024-02-20 at 12.01.01 PM.png

20mg citalopram - 11/2010 ~ 2014 (prescribed for panic attacks)
20mg escitalopram (Can't remember why i changed meds) - 2014 - 3/2020 

10mg citalopram - 3/2020

5mg citalopram - 4/2020
Withdrawal from 4/2020-7/2020

Reinstated with 50 mg Sertraline - 7/2020 - 6/2023
25 mg Sertraline taper and micro dosing Psilocybin - 7/2023
12.5mg Sertraline taper every other day and micro dosing Psilocybin - 8/2023
0 mg Sertraline and micro dosing Psilocybin - 9/2023
Micro dosing ~125mg Psilocybin off and on July 2023-January 2024

Withdrawals began in early November 2023// Found SA in January 2024
Attempting Reinstatement: 1 mg Zoloft liquid solution 2/22/2024 - present

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24 minutes ago, ThisIsthestart said:

I crushed one 25 mg Sertraline pill (average weight of all the pills in the bottle was 0.077g), and by the time I got the powder out of the canister and into the small circular tray I had ~.065g. I added a 10g weight to the tray with the powder to hopefully increase the scale's sensitivity, and as I'm trying to reinstate with only 1mg I tried to ballpark around .003g into each capsule. Definitely spilled some of the powder, and there is no way these are perfectly accurate but it seemed to be the best I could do.

I'm wondering though if this is more harm than good, and if I should just try the route of dissolving a 25 mg Sertraline pill in a certain amount of ml of water and then do the syringe route. I've attached a photo of the chart I got from the SA thread with my info. I made 7, 1mg capsules, out of the ~.065g of powder from my 25mg pill, spilled some, and tossed the rest so I'm worried I might have put too much in each of them because the scale wasn't sensitive enough. 🤷‍♀️

 

77mg pill weight seems incredibly low to me? My trintellix 5mg pills were small and they weighed 153mg, about twice of yours? Are they truly that small/light? I think your calculations are correct, but I will say that measuring out 0.003 grams on that scale seemed futile to me. I ended up giving up when it got that low. I started at 0.015g and noticed when I got to around 0.005g (7-8 month later) it felt like a rounding error. I stopped the reinstatement after a year. My "jumping off" dose was 5mg and I reinstated at 1/10th of that. No clue if that was too little, or if any of it ever mattered physiologically. But maybe you should try a target "dose" of 2.5mg, also 10%? Might be easier to weigh. Sorry, I can't speak for any liquid dilution techniques.

 

Also FWIW, I researched Psilocybin dosing quite a bit and spoke to the Spirit Pharmacist about this, he agreed that I should make sure that all the SSRI was clear of my system before doing the microdosing regiment (or anything stronger in fact).

My Introduction thread

2002-2003 Celexa/Lexapro (first ride, very mild withdrawal). 2004-2012 Drug free
2013-2018 Cymbalta 60mg | 2019 Effexor 75mg - 150mg (can't recall specifics)
2020-Apr 2021 Trintellix 20mg | May-Jun 10mg | Jul-Aug 5mg (stopped Aug 12th, 2021)

WD symptoms began 4-6 weeks after last dose, increased severely at the 4 month mark
2021 Oct 9th Propranolol 10mg 2x/day (10am and 7pm) tapered to 5mg. Stopped 2/1/22.
Lorazepam (Ativan) 0.5-1mg as needed

Started a 0.5mg Trintellix reinstatement on 12/17/21 

Tapered to ~0.4mg and 0.3mg by end of May 2022

Stopped Caffeine 1/1/2022 and Nicotine on 4/1/2022.

Jan 19, 2022 - Added Vitamin D3 (2000iu), Super Omega-3 (2500mg) 

December 2022 - Finished taper of reinstatement dose around 0.09mg

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  • Moderator
1 hour ago, YachtRock said:

 

77mg pill weight seems incredibly low to me? My trintellix 5mg pills were small and they weighed 153mg, about twice of yours? Are they truly that small/light? I think your calculations are correct, but I will say that measuring out 0.003 grams on that scale seemed futile to me. I ended up giving up when it got that low. I started at 0.015g and noticed when I got to around 0.005g (7-8 month later) it felt like a rounding error. I stopped the reinstatement after a year. My "jumping off" dose was 5mg and I reinstated at 1/10th of that. No clue if that was too little, or if any of it ever mattered physiologically. But maybe you should try a target "dose" of 2.5mg, also 10%? Might be easier to weigh. Sorry, I can't speak for any liquid dilution techniques.

 

Also FWIW, I researched Psilocybin dosing quite a bit and spoke to the Spirit Pharmacist about this, he agreed that I should make sure that all the SSRI was clear of my system before doing the microdosing regiment (or anything stronger in fact).

 

My 50mgai sertraline pills weigh 0.1588g on average, so it adds up that 25mgai would be around 0.079gpw

Active Monday-Friday UK time

 

MEDICATION:

1) Sertraline:

50mg - Oct 2020, 100mg - Dec 2020, 50mg - April 2021, 75mg - May 2021, 50mg - Sep 2021; Failed taper attempt (50 -> 49) - Jan 2024; Second attempt to start taper - 17 Feb 2024

Current dose: 48.9mg (Feb 2024)

2) Mirtazapine:

15mg  - Nov 2020

SUPPLEMENTS:

Cod liver oil

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  • Moderator
2 hours ago, ThisIsthestart said:

Hi folks, I am trying to reinstate to curb withdrawals from a TFT (pre-learning about SA and hyperbolic taper) as I'm in a very stressful time in my life - getting married, preparing to move states this summer. 

I bought the Gemini 20, the pill grinder @YachtRock linked above, and 00 veggie capsules. The issue i'm finding as I try and prepare capsules for reinstatement is with the scale not being sensitive enough, as many of you have mentioned, and I'm wondering if I'm doing more harm than good. 

I crushed one 25 mg Sertraline pill (average weight of all the pills in the bottle was 0.077g), and by the time I got the powder out of the canister and into the small circular tray I had ~.065g. I added a 10g weight to the tray with the powder to hopefully increase the scale's sensitivity, and as I'm trying to reinstate with only 1mg I tried to ballpark around .003g into each capsule. Definitely spilled some of the powder, and there is no way these are perfectly accurate but it seemed to be the best I could do.

I'm wondering though if this is more harm than good, and if I should just try the route of dissolving a 25 mg Sertraline pill in a certain amount of ml of water and then do the syringe route. I've attached a photo of the chart I got from the SA thread with my info. I made 7, 1mg capsules, out of the ~.065g of powder from my 25mg pill, spilled some, and tossed the rest so I'm worried I might have put too much in each of them because the scale wasn't sensitive enough. 🤷‍♀️

Any insight or advice is greatly appreciated as I've read a lot on this site and this is still hella intimidating! 

Screenshot 2024-02-20 at 12.01.01 PM.png

I personally wouldn't use the cutting and weighing for the low doses. I also have concerns about the accuracy of the scales. At higher doses you can probably get away with it more because of the lower SERT occupancy changes.

 

The good thing about making a liquid suspension is you can increase the dilution ratio as far as you want by adding larger volumes of water. For example, 25mg in 500ml gives you 0.05mg/ml.

Active Monday-Friday UK time

 

MEDICATION:

1) Sertraline:

50mg - Oct 2020, 100mg - Dec 2020, 50mg - April 2021, 75mg - May 2021, 50mg - Sep 2021; Failed taper attempt (50 -> 49) - Jan 2024; Second attempt to start taper - 17 Feb 2024

Current dose: 48.9mg (Feb 2024)

2) Mirtazapine:

15mg  - Nov 2020

SUPPLEMENTS:

Cod liver oil

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23 minutes ago, Erimus said:

The good thing about making a liquid suspension is you can increase the dilution ratio as far as you want by adding larger volumes of water. For example, 25mg in 500ml gives you 0.05mg/ml.


Thanks so much for weighing in! I started to panic and double checked all my pill weights again, and still at the most they were weighing around .084g so glad to know yours ball parked around the same. I've got a bottle of 50 mg sert as well in the house. 

You've given me the confidence to try the liquid dilution! From what i've read - can be done in water or juice, and as long as you store covered in the fridge, it can last for a few weeks, is that correct? Also happy to DM if that's easier/if this is getting too specific for the main thread. 

20mg citalopram - 11/2010 ~ 2014 (prescribed for panic attacks)
20mg escitalopram (Can't remember why i changed meds) - 2014 - 3/2020 

10mg citalopram - 3/2020

5mg citalopram - 4/2020
Withdrawal from 4/2020-7/2020

Reinstated with 50 mg Sertraline - 7/2020 - 6/2023
25 mg Sertraline taper and micro dosing Psilocybin - 7/2023
12.5mg Sertraline taper every other day and micro dosing Psilocybin - 8/2023
0 mg Sertraline and micro dosing Psilocybin - 9/2023
Micro dosing ~125mg Psilocybin off and on July 2023-January 2024

Withdrawals began in early November 2023// Found SA in January 2024
Attempting Reinstatement: 1 mg Zoloft liquid solution 2/22/2024 - present

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1 hour ago, Erimus said:

 

My 50mgai sertraline pills weigh 0.1588g on average, so it adds up that 25mgai would be around 0.079gpw

 

Maybe for that drug. With trintellix the 5mg, 10mg, 20m doses are the exact same pill weight with different mgai.

My Introduction thread

2002-2003 Celexa/Lexapro (first ride, very mild withdrawal). 2004-2012 Drug free
2013-2018 Cymbalta 60mg | 2019 Effexor 75mg - 150mg (can't recall specifics)
2020-Apr 2021 Trintellix 20mg | May-Jun 10mg | Jul-Aug 5mg (stopped Aug 12th, 2021)

WD symptoms began 4-6 weeks after last dose, increased severely at the 4 month mark
2021 Oct 9th Propranolol 10mg 2x/day (10am and 7pm) tapered to 5mg. Stopped 2/1/22.
Lorazepam (Ativan) 0.5-1mg as needed

Started a 0.5mg Trintellix reinstatement on 12/17/21 

Tapered to ~0.4mg and 0.3mg by end of May 2022

Stopped Caffeine 1/1/2022 and Nicotine on 4/1/2022.

Jan 19, 2022 - Added Vitamin D3 (2000iu), Super Omega-3 (2500mg) 

December 2022 - Finished taper of reinstatement dose around 0.09mg

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12 hours ago, ThisIsthestart said:

and as long as you store covered in the fridge, it can last for a few weeks, is that correct?

The homemade liquid suspensions don’t last longer than about 4 days in the fridge. 

Active Monday-Friday UK time

 

MEDICATION:

1) Sertraline:

50mg - Oct 2020, 100mg - Dec 2020, 50mg - April 2021, 75mg - May 2021, 50mg - Sep 2021; Failed taper attempt (50 -> 49) - Jan 2024; Second attempt to start taper - 17 Feb 2024

Current dose: 48.9mg (Feb 2024)

2) Mirtazapine:

15mg  - Nov 2020

SUPPLEMENTS:

Cod liver oil

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