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Terry432: Rexulti and Lexapro taper


Terry432

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New here, currently on lexapro for a few years on and off. rexulti 0.5 mgs currently for 3 months. planning on tapering off these meds. I’ve quit lexapro, Zoloft, and celexa cold Turkey in the past. I know what to expect there. Planning to do a slow taper this time as I can’t afforded to be debilitated for two weeks. As for the rexulti I have no experience. I was curious what I should expect from that dosage and duration on. Could I just jump off or should I taper it? Which drug would be the best choice to start with? Any insight would be helpful. Cheers. 

2004 Zoloft, cold turkey

2017-2020  celexa 20 mg cold Turkey

2021 - present lexapro 10mg 

February 2022 - present rexulti 0.5 mg

 

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  • ChessieCat changed the title to Terry432: Rexulti and Lexapro taper

Is it possible to taper off and not experience withdrawal symptoms? 

2004 Zoloft, cold turkey

2017-2020  celexa 20 mg cold Turkey

2021 - present lexapro 10mg 

February 2022 - present rexulti 0.5 mg

 

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  • Moderator

@Terry432

 

Welcome to SA. We are a volunteer ran site helping members such as yourself taper off psychotic medications, or have tapered off and are now healing.

 

This is your introduction page where you will receive information, ask questions and meet other members. We ask that you only have one introduction page so we can keep all your information in one place.

 

You do not want to just cold turkey off any of these medications as they will cause all kinds of withdrawal symptoms. It took me 5 years to taper off Lexapro with many mistakes. We suggest doing a gradual 10% a month taper to limit as many withdrawal symptoms as possible. And only taper one medication at a time.

 


Why taper by 10% of my dosage?

 

The Brassmonkey Slide Method of Micro-tapering


Taking multiple psych drugs? Which drug to taper first?


Preparing to taper


Tips for tapering off escitalopram (Lexapro)

 

 

https://mentalhealthdaily.com/2018/03/01/rexulti-brexpiprazole-withdrawal-symptoms/

 

We don't suggest a lot of supplements on here because they can be stimulating to the nervous system. We do suggest 2. You could try one in a small amount and wait a few days before introducing the other.

 

Magnesium

Omega-3 Fish Oil

 

Please reach out to us with any questions you may have after reading the provided links.

 

 

 

 

 

 

PREVIOUS medications and discontinuations: Have been on medications since 1996. 

 Valium, Gabapentin, Lamictal, Prilosec and Zantac from 2000 to 2015 with a fast taper by a psychiatrist.

 Liquid Lexapro Nov, 2016 to 31-March, 2019 Lexapro free!!! (total Lexapro taper was 4 years-started with pill form)

---CURRENT MEDICATIONS:Supplements:Milk Thistle, Metamucil, Magnesium Citrate, Vitamin D3, Levothyroxine 25mcg, Vitamin C, Krill oil.

Xanax 1mg 3x day June, 2000 to 19-September, 2020 Went from .150 grams (average weight of 1 Xanax) 3x day to .003 grams 3x day. April 1, 2021 went back on 1mg a day. Started tapering May 19, 2023. July 28, 2023-approximately .87mg. Dr. fast tapered me at the end and realized he messed up. Prescribe it again and I am doing "slower than a turtle" taper.

19-September, 2020 Xanax free!!! (total Xanax taper was 15-1/2 months-1-June, 2019-19-September, 2020)

I am not a medical professional.

The suggestions I make are based on personal experience.

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  • Moderator
On 5/15/2022 at 9:09 PM, Terry432 said:

Is it possible to taper off and not experience withdrawal symptoms? 

You will probably experience some withdrawal symptoms, but with a slow and steady taper, it can make it much easier.

 


Dr. Joseph Glenmullen's withdrawal symptom checklist

PREVIOUS medications and discontinuations: Have been on medications since 1996. 

 Valium, Gabapentin, Lamictal, Prilosec and Zantac from 2000 to 2015 with a fast taper by a psychiatrist.

 Liquid Lexapro Nov, 2016 to 31-March, 2019 Lexapro free!!! (total Lexapro taper was 4 years-started with pill form)

---CURRENT MEDICATIONS:Supplements:Milk Thistle, Metamucil, Magnesium Citrate, Vitamin D3, Levothyroxine 25mcg, Vitamin C, Krill oil.

Xanax 1mg 3x day June, 2000 to 19-September, 2020 Went from .150 grams (average weight of 1 Xanax) 3x day to .003 grams 3x day. April 1, 2021 went back on 1mg a day. Started tapering May 19, 2023. July 28, 2023-approximately .87mg. Dr. fast tapered me at the end and realized he messed up. Prescribe it again and I am doing "slower than a turtle" taper.

19-September, 2020 Xanax free!!! (total Xanax taper was 15-1/2 months-1-June, 2019-19-September, 2020)

I am not a medical professional.

The suggestions I make are based on personal experience.

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Thanks for all of the info. Wish I found this community before my last celexa quit. I’m currently cold Turkeying off adderal and high dose caffeine. Kind of a cake walk compared to celexa. When I stabilize off this I’m going to start my rexulti taper. I’m sure I’ll be posting a bit.

2004 Zoloft, cold turkey

2017-2020  celexa 20 mg cold Turkey

2021 - present lexapro 10mg 

February 2022 - present rexulti 0.5 mg

 

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  • Moderator Emeritus
52 minutes ago, Terry432 said:

Wish I found this community before my last celexa quit.

 

As do thousands of other members.

 

At least you have found it now.  It won't change your past but it can make a big difference to your future.

 

I came to SA after reducing my Pristiq from 100mg to 50mg (because they are the only doses available in Australia) and experiencing very bad withdrawal symptoms after only 2 weeks on the lower dose.  My goal was to get back to 50mg.  However, after being educated by SA and doing my own research I decided to keep tapering to see how low I could go on my drug; it worked okay and I kept going and I got all the way off.  It took me 6 years but it was worth it and I've now been off completely for 6 months and doing well.

* 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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My first day of my rexulti taper.  Going to do the standard 10 percent and see how it goes. Im pretty positive I’ll be able to speed it up. I know with celexa I could handle massive drops with no sides. I’m also on other meds that boost dopamine and serotonin aside from it so I think it won’t be that bad. Here’s hoping I suppose. I’ll keep this updated as I go. 

2004 Zoloft, cold turkey

2017-2020  celexa 20 mg cold Turkey

2021 - present lexapro 10mg 

February 2022 - present rexulti 0.5 mg

 

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  • 5 weeks later...

How bad should symptoms get before you reinstate a dose and stabilize. Tapering rexulti and I’m Getting some itchiness, nausea, dizziness, and diarrhea. It’s Been a week since the drop second day of symptoms. They don’t feel like normal ssri withdrawl. I know rexulti is is also an h1 antagonist I’m wondering if it’s from that. They come and go throughout the day.,Anyway I feel I can weather them. I Don’t know if I should push on or go back up. 

2004 Zoloft, cold turkey

2017-2020  celexa 20 mg cold Turkey

2021 - present lexapro 10mg 

February 2022 - present rexulti 0.5 mg

 

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