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Saraw: When to start Lexapro taper after Zyprexa taper


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Posted (edited)

I’m almost finished tapering off Zyprexa, thankfully with no issues. How long should I wait to start tapering Leprexo?

Edited by FireflyFyte
edited title

Zyprexa 5 mg 2019-present

Leprexo 20 mg 2019-present 

Lamictal 200 mg 2019-present

Effexor 150 mg April 2018

(made me hypomanic)

Sertraline 100 mg Sept 2017-March 2018

Synthroid 175 mcg

Estradiol

Progesterone

  • FireflyFyte changed the title to Saraw: When to start Lexapro taper after Zyprexa taper
  • Moderator
Posted

Hi Saraw,

 

Welcome to Surviving Antidepressants. Thank you for summarizing your drug history in your signature.

 

Congratulations on nearing the end of your Zyprexa taper. What is your planned jumping dose?

 

As far as how long to wait, would advise at least several months so you can monitor how you react to jumping off the Zyprexa before beginning another taper.

 

Thanks,

 

Firefly

 

Pre- October 2022: Wellbutrin, Escitalopram, CitalopramSertraline, Adderall IR, Vyvanse, Propranolol, Buspar, Ativan, and Latuda

Oct 13, 2022 - Oct 24, 2022 and Oct 31, 2022 - Present: Zyprexa (2.5 mg).  Jan 29, 2023 = 2.375mg -> Jan 22, 2024 = 0.97mg -> Jan 14, 2025 = 0.25mg

Oct 14, 2022 - Present: Prozac (40mg) upped from 20mg on Nov 1, 2022.

Oct 31, 2022 - Present: Gabapentin (300mg 3x day) -> May 3, 2023 = 300mg 2x day ->  Jan 7, 2024 = 400mg

 

Posted

Thx. I plan to jump off Zyprexa at .2 mg in about a month.

Zyprexa 5 mg 2019-present

Leprexo 20 mg 2019-present 

Lamictal 200 mg 2019-present

Effexor 150 mg April 2018

(made me hypomanic)

Sertraline 100 mg Sept 2017-March 2018

Synthroid 175 mcg

Estradiol

Progesterone

  • Moderator
Posted

0.2mg is a touch high of a jumping dose so would give yourself 3-6 months after finishing your Zyprexa taper to see how you react (and hopefully don't) before starting to drop your Leprexo.

 

Pre- October 2022: Wellbutrin, Escitalopram, CitalopramSertraline, Adderall IR, Vyvanse, Propranolol, Buspar, Ativan, and Latuda

Oct 13, 2022 - Oct 24, 2022 and Oct 31, 2022 - Present: Zyprexa (2.5 mg).  Jan 29, 2023 = 2.375mg -> Jan 22, 2024 = 0.97mg -> Jan 14, 2025 = 0.25mg

Oct 14, 2022 - Present: Prozac (40mg) upped from 20mg on Nov 1, 2022.

Oct 31, 2022 - Present: Gabapentin (300mg 3x day) -> May 3, 2023 = 300mg 2x day ->  Jan 7, 2024 = 400mg

 

Posted

What dose would you advise to jump off at? Should I really wait that long even though my taper was without issue?

Zyprexa 5 mg 2019-present

Leprexo 20 mg 2019-present 

Lamictal 200 mg 2019-present

Effexor 150 mg April 2018

(made me hypomanic)

Sertraline 100 mg Sept 2017-March 2018

Synthroid 175 mcg

Estradiol

Progesterone

  • Moderator
Posted
21 hours ago, Saraw said:

What dose would you advise to jump off at?

 

I would advise going down to at least 0.1mg.

 

21 hours ago, Saraw said:

Should I really wait that long even though my taper was without issue?

 

The decision is ultimately up to you but a few months gives your system time to stabilize and relax before introducing additional changes.

 

Pre- October 2022: Wellbutrin, Escitalopram, CitalopramSertraline, Adderall IR, Vyvanse, Propranolol, Buspar, Ativan, and Latuda

Oct 13, 2022 - Oct 24, 2022 and Oct 31, 2022 - Present: Zyprexa (2.5 mg).  Jan 29, 2023 = 2.375mg -> Jan 22, 2024 = 0.97mg -> Jan 14, 2025 = 0.25mg

Oct 14, 2022 - Present: Prozac (40mg) upped from 20mg on Nov 1, 2022.

Oct 31, 2022 - Present: Gabapentin (300mg 3x day) -> May 3, 2023 = 300mg 2x day ->  Jan 7, 2024 = 400mg

 

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