Pandoro Posted November 15, 2024 Posted November 15, 2024 (edited) Hello to everybody. I am about to start my tapering journey. A little background about myself. I am 40 years old. I had my first panic attack in 2019. Starting going to therapy and was diagnosed with Generalized Anxiety Disorder. Since we weren´t making much progress, my therapist recommended psychiatric medication. Back in 2020, the initial prescription was Lyrica 50 mg, half a tablet in the morning and full tablet at night, and since I was having insomnia I also took 5 drops of Liquid Clonazepam 2.5 mg/ml. At the beginning everything was great. My anxiety was under control. But as my brain became used to the dosages or the medications, I needed increases or changes for other medications. That is when SSRIs were introduced. There were several changes throughout the years. My current medications are: Escitalopram 20 mg daily (used for 1 year) Fluoxetine 20 mg daily (used for 2 years) Liquid Clonazepam 2.5 mg/ml. 7 drops each night equivalent to 0.7 mg of clonazepam (used for 5 years) Xanax 1 mg daily divided into three doses 0.25 mg morning, 0.25 mg noon, 0.50 mg night (used for 3 years) I want to read everyone's opinion about the taper order. Which medication should I taper first? Another thing that I haven't been able to find is the jump-off point. Are there guidelines to determine the best jump-off point? Thank you very much for all your help. Edited November 15, 2024 by Pandoro Mistake These are my current doses and how long I have used each medication. I am about to start my tapering journey. January 2020 Clonazepam (liquid) 2.5 mg/ml 7 drops equivalent to 0.7 mg of clonazepam as a sleep aid 2022 Xanax 1.0 mg (0.25 mg morning, 0.25 noon, 0.5 mg night) January 2023 Fluoxetine 20 mg daily December 2023 Escitalopram 20 mg daily
Moderator Jane318 Posted November 16, 2024 Moderator Posted November 16, 2024 Greetings @Pandoro, and welcome to SA! We are a community of volunteers providing peer support in the tapering of psychiatric medications and their associated withdrawal syndromes. Thank you for completing your signature. I commend you on your decision to get off of psychoactive drugs and your commitment to preparing yourself before you begin tapering! We are here to support you in a safe and successful journey to freedom from these drugs. Here are some important forums to read that address your questions. Please let us know your questions after you read them. Before you begin tapering - what you need to know Why taper by 10% of my dosage? Taking multiple psych drugs? Which drug to taper first? Important topics in the Tapering forum and FAQ Managing the Endgame Taper This is your introduction topic. Each member gets one intro topic- please post updates and questions here, in this thread. Do explore the rest of the forum – there is a lot of great information here. Be sure to read “About SurvivingAntidepressants.org,” which has good information about how to use / search the site: https://www.survivingantidepressants.org/forums/topic/54-about-survivingantidepressantsorg. I look forward to partnering with you in this - Best wishes. I am not a doctor. My comments are based on my personal experience with ADs and tapering. Consult your doctor about your own medical decisions. My Intro Topic: Jane318: Tapering off Effexor - Struggling at the End. Heal me, O LORD, and I shall be healed. Jeremiah 17:14a. DRUG HISTORY: 1985-2010 (est.) - various ADs including Wellbutrin, Elavil, Prozac, Zoloft. dosages unk. 1991-1992 - stopped AD while to conceive and during pregnancy. Resumed 1993 (?). 2005 (est.) - tried to stop, severe symptoms. Resumed meds. 2010 (est) - started Celexa (dose unk). 2016 (est) - started Effexor, working up to 112.5 mg/day. Stayed at this dose for many years. 2023 - Feb. began linear tapering off Effexor. Switched to hyperbolic tapering in April 2023. By July 12, 2024 at 1.36 mg / day. July 13, 2024 - up-dosed to 1.44 mg / day to address severe withdrawal symptoms. Felt somewhat better by next day; symptoms continue to improve. Held until 21 Dec, final dose 1.4 mg/day) Dec 21, 2024 - resumed tapering. 1.36 mg/day. Other meds: 75 mcg/day Levothyroxine for hypothyroidism Supplements: Boron, Magnesium Threonate (3 per day of 2000 mg with 145 mg Mg), Vitamin E (every other day), Lugol's iodine (4 drops/day); Cod liver oil (1 tsp); 1 capsule DHA-1000 Fish oil in evening; Adrenal "cocktail" once or twice pd, with Vit C, B-2 (SP Cataplex, 2X daily), and Methyl B-12 (NOWFoods 1,000 mcg, 1X daily).
Pandoro Posted November 16, 2024 Author Posted November 16, 2024 Thank you @Jane318 for the welcome. I will make sure to read all the linked forums and if have any questions I will let you know. Have a great day These are my current doses and how long I have used each medication. I am about to start my tapering journey. January 2020 Clonazepam (liquid) 2.5 mg/ml 7 drops equivalent to 0.7 mg of clonazepam as a sleep aid 2022 Xanax 1.0 mg (0.25 mg morning, 0.25 noon, 0.5 mg night) January 2023 Fluoxetine 20 mg daily December 2023 Escitalopram 20 mg daily
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