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The Brassmonkey Slide Method of Micro-tapering


brassmonkey

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What do you think about holding for another week, in case 6 weeks is the magic number?  And then if your symptoms don't improve, updosing followed by a slow, careful taper...  

Current Taper  Bupropion which I've taken for 20+ yrs- Start dose SR 100mg 

Jan '23, switched to IR 100mg. Held for 2 weeks;

Feb '23 started taper using Brassmonkey Slide Method of Micro-Tapering;

6/23 Bup 75mg; 7/22/23 Bup 64mg; 7/29/23 Bup 62mg; 8/12/23 Bup 59mg; 9/2/23 Bup 56mg 10/1/23 Bup 52mg; 11/4/23 Bup 46mg; 12/9/23 40mg; 1/13/24 35mg; 2/24/24 30mg;  4/13/24 25mg

Other meds, supplements & previous tapers:

buspirone  plan to taper off after bupropion taper

citalopram -20mg/day. Tapered from 40mg to 20mg using Brassmonkey Slide Method of Micro-Tapering 

clonazepam Tapered too fast - horrible withdrawal. 

Vitamins D3, C , multivitamin and Fish oil

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I decided to updose by 10% to 1.1 mg and that seems to be helping a good bit after several days. So I just need to decide whether to stay here for a few weeks or get back down to 1.0 mg by the end of the month since I'll be asking my doctor for an Rx for compounded capsules I can take while travelling, and I'll need to specify the dose. (At home I use a water solution by dissolving 10 mg tablets.) 

 

For sure the slowness of a slow taper can be frustrating and inconvenient, but if in the long term it's better to have minimal withdrawal symptoms over that time than to speed things up and create shocks to the system that could have longer lasting effects, then it's worth it.

Amitriptyline: prescribed 10 mg/day in mid-August 2022

  • Began fairly quick taper 18 October 2022 to 3 mg by 9 November (no withdrawal symptoms)
  • Reinstated at 10 mg on 9 November leading to some serious sleep disturbance
    • 10–17 November, tried 8 or 9 mg
    • 18 November, 10 mg
    • 19–22 November, 3.5 mg after advice to drop back to taper level
    • 23 November – 14 Dec., 3 mg
    • 15–22 Dec., 2.7 mg
    • 23 Dec. 2022 to 3/15/2023, ranged from 2.5 mg up to 3 mg w/partial reinstatement after bad crash provoked by CBD/THC gummy, then slowly back down to 2.5 with long hold in March
    • from 15 March 2023, continued slow taper (Brassmonkey slide, 2.5% week + 2 week hold every 4 weeks) to 1.2 mg as of 1/1/24. Increased tapering speed to 20% in 6 weeks, probably bad idea.

Other medications: albuterol inhaler as needed, acetaminophen as needed

Supplements: daily multivitamin, magnesium glycinate 400 mg/day PRN, probiotics
Caffeine: Max 1 cup coffee/day or 2 cups of tea

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