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Ottonymous: preparing to come off... seeking advice


Ottonymous

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  • Moderator Emeritus

Hi Ottonymous,

 

I think it’s a solid idea that you’re planning to focus on your health and nutrition before starting a taper. Since you’ve been on the site for a few years I trust you understand the importance of a slow taper. You can use the time right now to read through tapering advice for the medications you are on.
 

Hopefully a very slow taper will go smoothly for you and you can feel like yourself. You’re right, it’s important not to dwell on things you can’t change and to focus on the present. 
 

Perhaps you can meet with a dietitian? They are trained to provide individualized nutrition therapy for things like anemia, thyroid conditions, and healthy eating in general. I find that reading books from medical experts on the subject can also help. 
 

Eat well, rest well, and stay active with time spent outdoors if you can. There’s no rush to taper just yet. 

Apr 2018: Began 10 mg Amitriptyline (for headaches & insomnia from concussion).

Jul - Aug 2018: Fast taper to 5 mg and then 2.5 mg (too fast, hellish withdrawal at 2.5 mg). Sept 2018: Reinstated 10 mg (many symptoms improved). Oct 2018 - Apr 2019: Updosed & stabilized on 11 mg (2 waves at 3 and 5 months post-withdrawal). Apr 2019 - Apr 2020: Tapered 0.5-0.25 mg per month using compounded pills: 11 mg —> 6 mg. (2 waves at 12 and 16 months post-withdrawal.) Apr 2020 - present: Switched to a liquid taper at rate of 0.1 mg per month. Currently: 1.1 mg. No more waves. 

 

Supplements: Omega-3 fish oil, Vit B12, coenzyme Q10, Hawthorn extract (for tachycardia) Tools for insomnia/waves (as needed): Epsom salt foot soaks, 0.5 mg Melatonin, quality time, waves WILL PASS. Lifestyle: Eat real foods, mostly plants; sunlight, walking, yoga; symptom tracking on adapted Glenmullen chart.

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