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Tips for tapering off escitalopram (Lexapro)


Altostrata

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aka Cipralex, Seroplex, Lexamil, Lexam

As with all psychiatric drugs, escitalopram must be tapered for safe discontinuation.
 
In the US, escitalopram comes in 5, 10, and 20mg tablets and as a liquid solution, available as generics from many pharmacy chain stores.

 

In Canada, Lundbeck's Cipralex comes in 5, 10, 15, 20 mg tablets.


Official US information:

 

The drug half-life is 27–32 hours http://www.ncbi.nlm.nih.gov/pubmed/17375980

 

From http://www.drugs.com/pro/escitalopram-tablets.html
The liver enzymes represented by P450 CYP3A4 and CYP2C19 are the primary avenues of metabolization.

Quote

Following a single oral dose (20 mg tablet) of escitalopram, peak blood levels occur at about 5 hours. Absorption of escitalopram is not affected by food.

 
From the FDA-mandated US package insert (PDF):
 

Quote

Discontinuation of Treatment with Lexapro
During marketing of Lexapro and other SSRIs and SNRIs (serotonin and norepinephrine reuptake inhibitors), there have been spontaneous reports of adverse events occurring upon discontinuation of these drugs, particularly when abrupt, including the following: dysphoric mood, irritability, agitation, dizziness, sensory disturbances (e.g., paresthesias such as electric shock sensations), anxiety, confusion, headache, lethargy, emotional lability, insomnia, and hypomania. While these events are generally self-limiting, there have been reports of serious discontinuation symptoms.

Patients should be monitored for these symptoms when discontinuing treatment with Lexapro. A gradual reduction in the dose rather than abrupt cessation is recommended whenever possible. If intolerable symptoms occur following a decrease in the dose or upon discontinuation of treatment, then resuming the previously prescribed dose may be considered. Subsequently, the physician may continue decreasing the dose but at a more gradual rate [see Dosage and Administration (2.4)].

 
 

Special considerations
A significant characteristic of Lexapro is that milligram for milligram, escitalopram is stronger than other SSRIs. Chemically, Lexapro (escitalopram) is a variation of Celexa (citalopram); the molecule was re-engineered to be patentable as Celexa's patent was about to expire. The streamlined molecule is a more potent SSRI, 2 to 4 times stronger than others. (Wikipedia has a good explanation of this at https://secure.wikimedia.org/wikipedia/en/wiki/Escitalopram.)

 

Aronson, J. K. (Ed.). (2006). Citalopram and escitalopram. In Meyler’s Side Effects of Drugs: The International Encyclopedia of Adverse Drug Reactions and Interactions (Fifteenth Edition) (pp. 383–387). Elsevier. https://doi.org/10.1016/B0-44-451005-2/00045-0

 
Quote

Escitalopram oxalate is the S-enantiomer of citalopram (5). The therapeutic activity of citalopram resides in the S-isomer and escitalopram binds with high affinity to the human serotonin transporter; R-citalopram is about 30-fold less potent. The half-life of escitalopram is 27–32 hours. ...

 

Therefore, initial dosing of escitalopram should be half that of citalopram, 10mg vs 20mg respectively:

 

https://psychopharmacologyinstitute.com/publication/citalopram-and-escitalopram-a-summary-of-key-differences-and-similarities-2179

Quote

The dosage range for depression for citalopram is 20-40 mg/day, this is according to the new FDA recommendations. Previously, the dosage was 20-60 mg/day. For escitalopram the range is 10-20 mg day.

 

However, many doctors are unaware that milligram for milligram. escitalopram is stronger than other SSRIs and dose it as though it were the same. The so-called usual starting dose of escitalopram is 10mg, equivalent to at least 20mg of citalopram, for example. If your doctor prescribed 20mg escitalopram, you are starting at a higher dose of SSRI compared to others. If you are taking 20mg of escitalopram, equivalent to approximately 40mg citalopram, you are taking a hefty dose of an SSRI.

If you are taking 5mg of Lexapro, it's not tiny, it's equivalent to 10-15mg citalopram (Celexa).

Consequently, when you taper off escitalopram, you should be careful to decrease by small amounts. If you find withdrawal symptoms from a 10% decrease to be too difficult, after 3-4 weeks decrease by a smaller amount.


Cold-turkeying off escitalopram is not a good idea. It's like throwing your brain off a cliff.

Reduce by 10% per month to start
The 10% rule holds for escitalopram, just like other psychiatric drugs: Reduce by 10% per month, calculated on the last dosage. (The amount of the reduction gets progressively smaller.)

See Why taper by 10% of my dosage?

Cutting up tablets
Although 5mg tablets are available, if you are taking 20mg escitalopram, a drop to 15mg would be a 25% decrease. This is a larger decrease than the 10% recommended.

If you wish to try cutting up tablets, they can be cut up with a pill splitter like other medications in tablet form. Keep the pieces you don't use in a clean pill bottle labeled with the dosage for future use.

Reducing with a combination of tablets and liquid
If you are taking, for example, 15mg, and want to decrease by 10% (1.5mg), you can take one 10mg tablet and 3.5mg in the liquid form for a total of 13.5mg.

Titrating using liquid formulation
Using the liquid drug formulation is the best way to control the amount of each decrease. All you need from your doctor is a prescription for it. 

In both the US and UK, escitalopram is available in a concentrated solution.

 

- US Escitalopram Oral Solution- FDA prescribing information

The US formulation provides 5 mg per 5 mL (amounting to 1mg of the medication in a milliliter of the liquid, or 1mg:1mL).


In the US, use GoodRx.com yourself to find a liquid version at a local pharmacy, or get it from a mail-order pharmacy such as honeybeehealth.com (phone them to request liquid; check that they can mail to your state) or healthwarehouse.com.   For your doctor's information from https://www.drugs.com/pro/escitalopram-oral-solution.html   Quote Oral Solution Escitalopram Oral Solution USP 5 mg/5 mL is a clear, colorless peppermint flavored liquid. 240 mL Bottle NDC 16571-769-24   The NDC code is the ordering code.

 

- UK version Cipralex oral drops solution 20 mg escitalopram in each 1 mL(millilter of solution) and then 1 mg per gtt(drop) EU-pil, 4306.pdf

(this one comes with the dropper attached to the bottle, each gtt(drop) then equivalent to 0.05 mL(millileter))

 

*^ highly concentrated, keep out of reach of children, or infirm

 

- Escitalopram oral solution is also available in AustraliaNPS information suggests dilution with water or juice:

Quote

Count the required number of drops into your drink (water, orange juice or apple juice), stir it briefly and then drink all of it.

 

This UK advice from Lundbeck, a manufacturer of escitalopram drops in Europe, suggests similarly.

 

From FDA approved prescribing information

Quote

Lexapro oral solution contains escitalopram oxalate equivalent to 1 mg/mL escitalopram base. It also contains the following inactive ingredients: sorbitol, purified water, citric acid, sodium citrate, malic acid, glycerin, propylene glycol, methylparaben, propylparaben, and natural peppermint flavor....

Store at 25°C (77°F); excursions permitted to 15 - 30°C (59-86°F).

 

As liquid escitalopram formulations are highly concentrated, you may need to dilute them to create very low dosages. Since water is part of the original formulation, it is unlikely additional water will cause the dilution to degrade. However, being exposed to light, etc. may do this, so it is unclear how long a diluted solution will last in potency. We suggest keeping such a dilution less than a week, so dilute no more than a week's doses at a time.

 

See this topic for how to dilute a concentration:

 

 

You can measure out dosages under 10mg by using an oral syringe, see http://survivingantidepressants.org/index.php?/topic/235-tapering-techniques/page__view__findpost__p__2607
 

The 10mL oral syringe has markings that enable measuring out amounts as small as .20mL. The smaller 5mL, 2mL, 1mL, and 0.5mL syringes will allow you to measure smaller amounts, see http://survivingantidepressants.org/index.php?/topic/235-tapering-techniques/page__view__findpost__p__2284

To take 1mg of a 10:1 concentrated liquid drug, use the small slim 1mL oral syringe to take 0.10mL (one-tenth milliliter). The 1mL oral syringe has 10 ticks within 0.10mL, enabling taking .01mL (one-hundreth milliliter) or, given the 10:1 concentration, 0.1mg (one-tenth milligram) escitalopram.

Do-it-yourself liquid
People report that they can make their own liquid from Lexapro tablets and water.

It is sparingly soluble in water, see http://www.drugbank.ca/drugs/DB01175 -- stability (shelf-life of dilution) is unknown.

 

 Escitalopram oxalate occurs as a fine, white to slightly-yellow powder and is freely soluble in methanol and dimethyl sulfoxide (DMSO), soluble in isotonic saline solution, sparingly soluble in water and ethanol, slightly soluble in ethyl acetate, and insoluble in heptane. According to RxList,com.

 

Your best bet would be to use a homemade isotonic(normal saline) saline solution (9% salt in water) which is made by dissolving 9 grams(1.8 tsp) of table salt in 1000mL of water.  Preparing a Saline Solution  The NS(normal saline) should be good for up to a month to draw from.

Draw out or extract the amount of NS(normal saline) for your desired dilution, add to a separate, mixing vessel, preferably amber colored, and with a lid, then add in your escitalopram tablet or powdered tablet until it's dissolved.  Keep protected from light in the refrigerator, and best to remix a batch of your Lexapro(dissolved) at least every week.

 

See How to make a liquid from tablets or capsules

 

Using a combination of tablets or capsules and liquid

Rather than switch directly to an all-liquid dose, you may wish to take part of your dose in liquid and part in lower-dose tablets or capsules, gradually converting to all liquid as you get to lower dosages. This can be very convenient and reduce any problems switching from one form of the drug to another.

 

Switching to Prozac
The risks of this method may not be worth switching from Lexapro to Prozac. This is usually used for medications with shorter half-lives than Lexapro. If you want to try this, make sure you consult a doctor who has done it many times and knows what he or she is doing.

 

Edited by Altostrata
updated

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

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THANK YOU for this information! Good to know! It may explain why I have been unable to withdraw from Lexapro (currently at 3 mgs liquid per day). My last arrogant and ignorant psychiatrist (the only kind I've ever known) said I could just bump my dose back up if I started having withdrawal symptoms after a decrease in dosagee, yet doing that led to another slew of new and severe symptoms that took the better part of a year to resolve. WHY don't the doctors that take our health into their hands - and get paid handsomely for it - know these things? WHERE IS THE ACCOUNTABILITY?

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You said it, turtleboots! Welcome. I can tell you're going to be great at DIY Editorials.

 

When you have a chance, please introduce yourself in the Introductions forum.

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

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  • 1 year later...

Hi everyone,

 

This is my first post here (besides the intro section) and was hoping to pick some of your brains! So I did a ton of research on here and the internet about how I want to taper off my 10 mg of Lexapro (Generic: escitalopram) and have come up with a plan to talk to my Dr. about this afternoon when I go in. I am on 10mg and want to do the 10% taper for a least the first couple of months, but then I had to figure out how I would get to the 9mg initally. It looks like on here there has been the suggestion to use the liquid version to get an exact amount. I figured that I would just do a 5 mg pill and do the liquid to make up the other 4 mg, but talking to my pharmacy and my insurance carrier I have learned that is not allowed. I would have to do all liquid or all pills. I would prefer to do the liquid to be exact, but wanted to find out what others have done?

 

I also got lucky and found out that the generic liquid version of Lexapro (escitalopram) was just released a couple of days ago so this will make the process cheaper if I do the liquid. If I do the pills then I would be having to split a 5 mg pill.

 

Any thoughts or experience?

 

Thanks!

For the management of Postpartum Depression & Anxiety:

 

Zoloft 25mg - 6/2011 - 4/2012

Tried to taper 12/2011 and went back on 25mg due to withdrawl symptoms

Tried to taper again 3/2012 - 4/2012 and had bad withdrawl symptons & rebounded terribly

Zoloft 50mg - 5/2012

Lexapro 10mg - 6/2012 to Present

9/17/12 - Dropped to 9mg

9/28/12 - Dropped to 8mg

10/12/12 - Dropped to 7mg

10/26/12 - Dropped to 6mg

11/2/12 - Dropped to 5mg

11/14/12 - Dropped to 4mg

11/26/12 - Dropped to 3mg

12/5/12 - Dropped to 2.5mg

12/14/12 - Dropped to 2mg

12/19/12 - Dropped to 1.5mg

12/23/12 - Dropped to 1mg

12/27/12 - Dropped to 0.5mg

1/1/13 - Off Lexapro!!!!

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If the liquid is covered, get the liquid. It enables you to very carefully calibrate your tapering.

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

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  • Moderator Emeritus

If you can get liquid definately do the liquid, I find I get really accurate consistent measurements with my syringe and it seems so much easier than trying to shave and weigh tablets etc

*** Please note this is not medical advice,discuss any decisions about your medical care with a knowledgeable medical practitioner***





http://prozacwithdrawal.blogspot.com/
Original drug was sertraline/Zoloft, switched to Prozac in 2007.
Tapering from 5mls liquid prozac since Feb 2008, got down to 0.85ml 23/09/2012, reinstated back to 1ml(4mg) 07/11/2012, didn't appear to work, upped to 1.05ml 17/11/2012, back down to 1ml 12/12/2012 didn't work, up to 1.30ml 16/3/2013 didn't work, bumped up to 2ml (8mg) 4/4/2013 didn't work, in July 2013 I reinstated Sertraline (Zoloft) 50mg, feeling better now. 

A few months down the line I switched to 5ml liquid Prozac and tapered down to a compromise dose of 3ml liquid Prozac and have stayed there ever since, no withdrawals and no emotional blunting/loss of libido.

 

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Hi...

 

I did taper from Lexapro and was very sensitive to it. In the beginning I did liquid and pills. Then just liquid. Trust me, it is alot more accurate.

 

You do not have to do a 10% taper method. If you are very sensitive you an drop by droplets or in other words much smaller drops than 10%.

 

The pharmaceutical companies and the insurance companies work against us, not for us it seems.

Things have changed alot over the years.

Intro: http://survivingantidepressants.org/index.php?/topic/1902-nikki-hi-my-rundown-with-ads/

 

Paxil 1997-2004

Crossed over to Lexapro Paxil not available

at Pharmacies GSK halted deliveries

Lexapro 40mgs

Lexapro taper (2years)

Imipramine

Imipramine and Celexa

Now Nefazadone/Imipramine 50mgs. each

45mgs. Serzone  50mgs. Imipramine

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Hi

 

I agree about the liquid. My experience was with Lexapro, not a generic, but with the liquid Lexapro (10mg) you can get very tiny drops (0.1mg).

 

I started at 20mg and had a sample pack of 10mg pills to go with the liquid get me started with the taper. I did try breaking a 20mg in half but couldn't get the precision I wanted - they didn't break perfectly evenly and I did want to keep the dose uniform so I abandoned that. For me it was easier to just do the liquid and not mess with the pills.

 

Best wishes with your taper

Bubbles

2005 St John's Wort / 2006-2012 Lexapro 20mg, 2 failed attempts to stop, tapered over 4.5 months in early 2012

January 2013 started Sertraline, over time worked up to 100mg

July 2014 Sertraline dropped from 100mg to 75mg, held for six months, slower tapering until 2019 22 Dec 3.2mg

2020 Sertraline 19 Jan 3.1mg, 26 Jan 3.0mg; 1 Mar 2.9, 7 Mar 2.8, May (some drops here) 24 May 2.5, May 29 2.4, June 21 2.3, June 28 2.2mg,  July 4 2.1mg, July 24 (or maybe a bit before) 2mg, early Nov switched to home made suspension; 29 Nov 1.8mg; approx 25 Dec 1.6mg)

2021 Some time in about Jan/Feb realised probably on more like 1.8mg and poss mixing error in making suspension; doses after 10 Feb accurate; 10 Feb 1.6mg; 7 Mar 1.4, continued monthly

10% drops until 1mg, then dropped 0.1mg monthly.

May 2022,0.1mg, now dropping 0.01mg per week

29 August 2022 - first day of zero!

My thread here at SA: https://www.survivingantidepressants.org/topic/1775-bubbles/page/21/

Current: Armour Thyroid

 

 

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Thank you everyone! I decided to do the liquid since it sounded like it was much easier from you all and started on Monday. I just dropped 1 mg and have been feeling fine. I haven't noticed anything. How long will it take to notice the drop if I am going to? How long should I stay here before dropping another 1 mg? 4 weeks seems like such a long time.

 

BTW - The liquid tastes horrible! Any suggestions on taking it?

For the management of Postpartum Depression & Anxiety:

 

Zoloft 25mg - 6/2011 - 4/2012

Tried to taper 12/2011 and went back on 25mg due to withdrawl symptoms

Tried to taper again 3/2012 - 4/2012 and had bad withdrawl symptons & rebounded terribly

Zoloft 50mg - 5/2012

Lexapro 10mg - 6/2012 to Present

9/17/12 - Dropped to 9mg

9/28/12 - Dropped to 8mg

10/12/12 - Dropped to 7mg

10/26/12 - Dropped to 6mg

11/2/12 - Dropped to 5mg

11/14/12 - Dropped to 4mg

11/26/12 - Dropped to 3mg

12/5/12 - Dropped to 2.5mg

12/14/12 - Dropped to 2mg

12/19/12 - Dropped to 1.5mg

12/23/12 - Dropped to 1mg

12/27/12 - Dropped to 0.5mg

1/1/13 - Off Lexapro!!!!

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Yes, the liquid tastes vile. I wasn't going to mention that... I got used to it after a while.

 

B

2005 St John's Wort / 2006-2012 Lexapro 20mg, 2 failed attempts to stop, tapered over 4.5 months in early 2012

January 2013 started Sertraline, over time worked up to 100mg

July 2014 Sertraline dropped from 100mg to 75mg, held for six months, slower tapering until 2019 22 Dec 3.2mg

2020 Sertraline 19 Jan 3.1mg, 26 Jan 3.0mg; 1 Mar 2.9, 7 Mar 2.8, May (some drops here) 24 May 2.5, May 29 2.4, June 21 2.3, June 28 2.2mg,  July 4 2.1mg, July 24 (or maybe a bit before) 2mg, early Nov switched to home made suspension; 29 Nov 1.8mg; approx 25 Dec 1.6mg)

2021 Some time in about Jan/Feb realised probably on more like 1.8mg and poss mixing error in making suspension; doses after 10 Feb accurate; 10 Feb 1.6mg; 7 Mar 1.4, continued monthly

10% drops until 1mg, then dropped 0.1mg monthly.

May 2022,0.1mg, now dropping 0.01mg per week

29 August 2022 - first day of zero!

My thread here at SA: https://www.survivingantidepressants.org/topic/1775-bubbles/page/21/

Current: Armour Thyroid

 

 

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Shoot it into your mouth fast and follow with a swallow of water or fruit juice.

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

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  • 9 months later...

If you are at 5mg, for example, use a 10 milliliter oral syringe to measure a 10% decrease, i.e. .5mg. Subtracting .5mg from 5mg would give you a reduced dose of 4.5mg.

If you need to measure an even smaller fraction of a milligram, use a 1 milliliter oral syringe, see http://survivingantidepressants.org/index.php?/topic/235-tapering-techniques/page__view__findpost__p__2284

 

Ok, so I did some math, and I get multiple decimal points when I calculate 10% of last dose.  From 5 mg of Lexapro, the first 10% is 4.5. That should be easy enough to measure.  But then the next 10% is 4.05, and the next is 3.645.  How can I possibly measure this with a syringe?  Do I round the numbers off?  Do I use TWO syringes - one at 5 ml and another one at 1 ml?

2005-2008: Effexor; 1/2008 Tapered 3 months, then quit. 7/2008-2009 Reinstated Effexor (crying spells at start of new job.)
2009-3/2013: Switched to Pristiq 50 mg then 100 mg
3/2013: Switched to Lexapro 10mg. Cut down to 5 mg. CT for 2 weeks then reinstated for 6 weeks
8/2013-8/2014: Tapering Lexapro (Lots of withdrawal symptoms)
11/2014 -8/2015: Developed severe insomnia and uncontrollable daily crying spells
12/2014-6/2015: Tried Ambien, Klonopin, Ativan, Lunesta, Sonata, Trazadone, Seroquel, Rameron, Gabapentin - Developed Anxiety disorder, PTSD, and Psychogenic Myoclonus
7/2015-1/2016: Reinstated Lexapro 2 mg (mild improvement, but crying spells still present)

1/2016-5/2017: Lexapro 5 mg ( helped a lot, but poor stress tolerance & depressive episodes)

5/20/2017 - Raised dose to Lexapro 10 mg due to lingering depression(Total of 2 failed tapers & severe PAWS)

9/11/2018 - Present: Still on 10 mg Lexapro and mostly recovered.(Anxiety still triggers Myoclonus.)

10/7/2022 - 20 mg Lexapro (brand only) Plus occasional Klonopin for anxiety and Ambien for insomnia.

 

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Round off to the lower dose. Combine syringes as you prefer.

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

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  • 1 month later...

So, I told my doctor that Lexapro and/or withdrawal is making me very tired and drowsy all the time.  And she told me to take it twice daily instead of once daily.  Do any of you have experience with this?

2005-2008: Effexor; 1/2008 Tapered 3 months, then quit. 7/2008-2009 Reinstated Effexor (crying spells at start of new job.)
2009-3/2013: Switched to Pristiq 50 mg then 100 mg
3/2013: Switched to Lexapro 10mg. Cut down to 5 mg. CT for 2 weeks then reinstated for 6 weeks
8/2013-8/2014: Tapering Lexapro (Lots of withdrawal symptoms)
11/2014 -8/2015: Developed severe insomnia and uncontrollable daily crying spells
12/2014-6/2015: Tried Ambien, Klonopin, Ativan, Lunesta, Sonata, Trazadone, Seroquel, Rameron, Gabapentin - Developed Anxiety disorder, PTSD, and Psychogenic Myoclonus
7/2015-1/2016: Reinstated Lexapro 2 mg (mild improvement, but crying spells still present)

1/2016-5/2017: Lexapro 5 mg ( helped a lot, but poor stress tolerance & depressive episodes)

5/20/2017 - Raised dose to Lexapro 10 mg due to lingering depression(Total of 2 failed tapers & severe PAWS)

9/11/2018 - Present: Still on 10 mg Lexapro and mostly recovered.(Anxiety still triggers Myoclonus.)

10/7/2022 - 20 mg Lexapro (brand only) Plus occasional Klonopin for anxiety and Ambien for insomnia.

 

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Hi Shooting Star,  I don't know the answer to your question about fatigue but do have some information about generic lexapro dosing options

that relates to earlier discussions here.

 

I found that one can buy compounded Lexapro at the compounded pharmacys in the specific dose you / I am on.  I am on 7 mg right now

having tapered down from 10 in the last period of time and when I'm ready I have already a prescription thats filled of 6 mg of compounded

generic lexapro.  Its pretty handy but a little more expensive and its seems most insurance companies do pay for compounding pharmacies.

You just have to call around your area and speak to the various compounding pharmacys.  I think the price can vary as well from compounding

pharmacy to compounding pharmacy.  

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  • 1 month later...

can a 5 mg escitalopram be cut in half ?

I've been on 20mg's, and wanted to follow the Harvard guidelines which was a 5mg first taper, but after reading all these posts , I 'm thinking I shouldn't taper by more than 2.5 the first time ?

would appreciate any feedback, as I'm starting to get really freaked out about my attempt to do this

Since approximately 1992

have been on and off Paxil , Prozac(had a horrible reaction), Lorazepam , Celexa, Lexapro, Risperdal ( which was supposed to "kick start" the Lexapro) , and Wellbutrin...

By 2013, I was only on Wellbutrin and generic Lexapro ( 20mg)

I weaned successfully off the Wellbutrin, but by the time I was down to 10mg Lexapro, I suffered panic attacks on bridges, and creeping depression ,

July 2014, reinstated 20 mg generic Lexapro

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Lexapro comes in a liquid, this makes tapering by small amounts such as 10% much easier.

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

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If I can't get the liquid, can the 5mg pill get cut in half?

Since approximately 1992

have been on and off Paxil , Prozac(had a horrible reaction), Lorazepam , Celexa, Lexapro, Risperdal ( which was supposed to "kick start" the Lexapro) , and Wellbutrin...

By 2013, I was only on Wellbutrin and generic Lexapro ( 20mg)

I weaned successfully off the Wellbutrin, but by the time I was down to 10mg Lexapro, I suffered panic attacks on bridges, and creeping depression ,

July 2014, reinstated 20 mg generic Lexapro

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  • Moderator Emeritus

I wouldn't recommend cutting the 5 mg. pill in half.  At that low a dose, accuracy is really important, plus going from 5 mg. to 2.5 mg. is too big a cut.  (I know from personal experience as this is what I did - on my doctor's advice.)  Here's an article on how to make your own liquid:

 

How To Make Your Own Liquid from Tablets or Capsules

Psychotropic drug history: Pristiq 50 mg. (mid-September 2010 through February 2011), Remeron (mid-September 2010 through January 2011), Lexapro 10 mg. (mid-February 2011 through mid-December 2011), Lorazepam (Ativan) 1 mg. as needed mid-September 2010 through early March 2012

"Never attribute to malice that which is adequately explained by stupidity." -Hanlon's Razor


Introduction: http://survivingantidepressants.org/index.php?/topic/1588-introducing-jemima/

 

Success Story: http://survivingantidepressants.org/index.php?/topic/6263-success-jemima-survives-lexapro-and-dr-dickhead-too/

Please note that I am not a medical professional and my advice is based on personal experience, reading, and anecdotal information posted by other sufferers.

 

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Hi Jemima,

I read the explanations about creating your own liquid, and it makes the process seem like a full time job... isn't there some easier way to do this ? I'm getting pretty stressed about this ... thought the dosing reductions would be a lot easier . .. yuck ... now I'm staring to rethink the whole thing... but in my heart I know the antidepressants are messing with my brain ....I've got to keep this simple or I'll never be able to do it ....

Since approximately 1992

have been on and off Paxil , Prozac(had a horrible reaction), Lorazepam , Celexa, Lexapro, Risperdal ( which was supposed to "kick start" the Lexapro) , and Wellbutrin...

By 2013, I was only on Wellbutrin and generic Lexapro ( 20mg)

I weaned successfully off the Wellbutrin, but by the time I was down to 10mg Lexapro, I suffered panic attacks on bridges, and creeping depression ,

July 2014, reinstated 20 mg generic Lexapro

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There's no reason to make your own Lexapro liquid.  I just asked my Doc to prescribe it, and it's available as a generic. Also I asked the pharmacist to color it red so that i can see it better in the syringe.  I also really really didn't want to deal with liquid meds and syringes, but after quitting cold turkey and going bonkers for two weeks, i saw that i had no choice.  Don't worry, once you get the hang of measuring the liquid, it becomes a no brainer.

2005-2008: Effexor; 1/2008 Tapered 3 months, then quit. 7/2008-2009 Reinstated Effexor (crying spells at start of new job.)
2009-3/2013: Switched to Pristiq 50 mg then 100 mg
3/2013: Switched to Lexapro 10mg. Cut down to 5 mg. CT for 2 weeks then reinstated for 6 weeks
8/2013-8/2014: Tapering Lexapro (Lots of withdrawal symptoms)
11/2014 -8/2015: Developed severe insomnia and uncontrollable daily crying spells
12/2014-6/2015: Tried Ambien, Klonopin, Ativan, Lunesta, Sonata, Trazadone, Seroquel, Rameron, Gabapentin - Developed Anxiety disorder, PTSD, and Psychogenic Myoclonus
7/2015-1/2016: Reinstated Lexapro 2 mg (mild improvement, but crying spells still present)

1/2016-5/2017: Lexapro 5 mg ( helped a lot, but poor stress tolerance & depressive episodes)

5/20/2017 - Raised dose to Lexapro 10 mg due to lingering depression(Total of 2 failed tapers & severe PAWS)

9/11/2018 - Present: Still on 10 mg Lexapro and mostly recovered.(Anxiety still triggers Myoclonus.)

10/7/2022 - 20 mg Lexapro (brand only) Plus occasional Klonopin for anxiety and Ambien for insomnia.

 

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Getting the liquid, generic Lexapro is definitely the best way to go if your doctor is cooperative.  Thanks, Lilu.

Psychotropic drug history: Pristiq 50 mg. (mid-September 2010 through February 2011), Remeron (mid-September 2010 through January 2011), Lexapro 10 mg. (mid-February 2011 through mid-December 2011), Lorazepam (Ativan) 1 mg. as needed mid-September 2010 through early March 2012

"Never attribute to malice that which is adequately explained by stupidity." -Hanlon's Razor


Introduction: http://survivingantidepressants.org/index.php?/topic/1588-introducing-jemima/

 

Success Story: http://survivingantidepressants.org/index.php?/topic/6263-success-jemima-survives-lexapro-and-dr-dickhead-too/

Please note that I am not a medical professional and my advice is based on personal experience, reading, and anecdotal information posted by other sufferers.

 

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  • 4 weeks later...

I'm planning on obtaining some liquid Lexapro soon,  to begin my taper. I've confirmed that my pharmacy has liquid form. They want $340. a bottle, that's a 1 liter bottle with 1 gram dissolved in it, so 1ml = 1mg as I understand it.  100 mg in a bottle, I believe they said. That's $3.40 a miligram. About twice what my pill price is, but the stuff is priceless when you're addicted to it.  I read above Lilu says it comes in generic. I forgot to ask them. 

 

My question is: Is there a chart showing the 10% reduction doses?  or is there a math diagram that would help me calculate my tapering? 

 

I need to start backwards from 2.5 mg.

14 years on Paxil 5mg (prescribed as an antidote for CFS symptoms (Chronic Fatigue Syndrome)

It worked great for bringing me back to life, and I got over the CFS.

Never could quit Paxil.

Tried it in 30 days, too abrupt, unsupervised.

Had One Bad Year on nothing at all,  (figured I needed to tough it out)

couldn't stand it any longer after a year.

Got back on Lexapro this time, 2.5mg 

That's worked for the last 3 years,

Would like to be free of it,

so am planning a taper. 

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If the cost is prohibitive, you can make your own liquid, see instructions in post #1 in this topic.

 

A calculator is handy for calculating 10% decreases, or 90% of current dosage. 10% of 2.5mg is .25mg, resulting in a dose of 2.25mg.

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

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I'm finding it very tricky to taper once I went past the 1.8 ml mark. Going from 5 ml to 2 ml was a breeze. Especially after my doctor recommended that I divide my dose and take the liquid in the AM and PM.   Even tapering by more than 10% at times. Up to 16% did not cause withdrawal symptoms for me, until... I went past 2ml. 

         Once I went to taking .9 ml in am/pm, all the symptoms of antidepressant withdrawal started: insomnia (not being able to fall asleep at night, no matter how sleepy I am); anger flareups, depression, drowsiness, irritability, blurred vision, and obsessive thinking.  Ugh...I hate to have to go even slower than 10%, as it is, tapering at 10% will put me at the end of May at the finish line.

 

So I decided to go back to taking the full dose in the morning to see if this would offset the insomnia.  It did.  But then I started waking up at 1 or 2 am and unable to fall asleep for a couple of hours.  So, my doctor suggested that I continue to split the dose, but take the larger dose in the morning.  Today is my first day trying this.

         Even though, Lexapro is known to have a 27-32 hour half life, I am led to believe that it is clearing from my body much quicker. Or perhaps after 16 hours or so, the remaining concentrations of the drug are enough to cause withdrawal symptoms.

 

I'm just not sure how I can avoid withdrawal symptoms once I have to go past 1 ml per day...

2005-2008: Effexor; 1/2008 Tapered 3 months, then quit. 7/2008-2009 Reinstated Effexor (crying spells at start of new job.)
2009-3/2013: Switched to Pristiq 50 mg then 100 mg
3/2013: Switched to Lexapro 10mg. Cut down to 5 mg. CT for 2 weeks then reinstated for 6 weeks
8/2013-8/2014: Tapering Lexapro (Lots of withdrawal symptoms)
11/2014 -8/2015: Developed severe insomnia and uncontrollable daily crying spells
12/2014-6/2015: Tried Ambien, Klonopin, Ativan, Lunesta, Sonata, Trazadone, Seroquel, Rameron, Gabapentin - Developed Anxiety disorder, PTSD, and Psychogenic Myoclonus
7/2015-1/2016: Reinstated Lexapro 2 mg (mild improvement, but crying spells still present)

1/2016-5/2017: Lexapro 5 mg ( helped a lot, but poor stress tolerance & depressive episodes)

5/20/2017 - Raised dose to Lexapro 10 mg due to lingering depression(Total of 2 failed tapers & severe PAWS)

9/11/2018 - Present: Still on 10 mg Lexapro and mostly recovered.(Anxiety still triggers Myoclonus.)

10/7/2022 - 20 mg Lexapro (brand only) Plus occasional Klonopin for anxiety and Ambien for insomnia.

 

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It's possible it's clearing faster at lower dosages.

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

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  • 2 weeks later...

My doctors suggestion to take a higher dose in the morning and a smaller one at night, seems to have subsided most of the withdrawal symptoms.  I have noticed that I get very sleepy around 6:30 or 7:30 pm, which I know is one of the withdrawal symptoms.  So, I'm going to start timing the doses closer together, like 8 am and 6 pm.  This also seems to offset the insomnia, and helps me wake up around 7 am instead of in the middle of the night.  

 

Also, instead of doing a 10% drop every week, I tried dropping by 5% on Monday and then by another 5% on Thursday.  This seemed to have worked without any major side effects, so far.  I am currently at 1.32 ml of Lexapro liquid.  Hopefully someone out there also find these techniques helpful.

 

Oh, the other thing I want to point out, is that I suspect that my sudden withdrawal onset also had to do with the fact that after using a 1 ml syringe (for split doses, like .9 and .9) I switched to using a 5 ml syringe to do 1 ml in AM and the rest in PM.  I think the 5 ml syringe was delivering a lot less medication because the liquid left in the tip doesn't come out.  Whereas the 1 ml syringe includes the liquid in the tip, which actually makes it more than 1 ml.  At least that's how the crappy 1 ml syringes I get from Target pharmacy seem to work. They're so bad, they don't even stay inside the cap. I have to apply constant pressure to keep the liquid in the bottle from spilling out!  Ughh  - that happened plenty of times in the beginning!

2005-2008: Effexor; 1/2008 Tapered 3 months, then quit. 7/2008-2009 Reinstated Effexor (crying spells at start of new job.)
2009-3/2013: Switched to Pristiq 50 mg then 100 mg
3/2013: Switched to Lexapro 10mg. Cut down to 5 mg. CT for 2 weeks then reinstated for 6 weeks
8/2013-8/2014: Tapering Lexapro (Lots of withdrawal symptoms)
11/2014 -8/2015: Developed severe insomnia and uncontrollable daily crying spells
12/2014-6/2015: Tried Ambien, Klonopin, Ativan, Lunesta, Sonata, Trazadone, Seroquel, Rameron, Gabapentin - Developed Anxiety disorder, PTSD, and Psychogenic Myoclonus
7/2015-1/2016: Reinstated Lexapro 2 mg (mild improvement, but crying spells still present)

1/2016-5/2017: Lexapro 5 mg ( helped a lot, but poor stress tolerance & depressive episodes)

5/20/2017 - Raised dose to Lexapro 10 mg due to lingering depression(Total of 2 failed tapers & severe PAWS)

9/11/2018 - Present: Still on 10 mg Lexapro and mostly recovered.(Anxiety still triggers Myoclonus.)

10/7/2022 - 20 mg Lexapro (brand only) Plus occasional Klonopin for anxiety and Ambien for insomnia.

 

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You may wish to get better syringes. See http://survivingantidepressants.org/index.php?/topic/235-using-an-oral-syringe-and-other-tapering-techniques/

 

Why did you decide to taper by 10% per week?

 

Sounds like splitting the doses was a good idea. This probably compensates for faster metabolism of the lower dosages. Thanks for contributing it.

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

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Why did you decide to taper by 10% per week?

I decided to taper by 10% per week because that is what Dr. Breggin recommends - as per his book, he recommends tapering by 10% every 7 to 10 days.

2005-2008: Effexor; 1/2008 Tapered 3 months, then quit. 7/2008-2009 Reinstated Effexor (crying spells at start of new job.)
2009-3/2013: Switched to Pristiq 50 mg then 100 mg
3/2013: Switched to Lexapro 10mg. Cut down to 5 mg. CT for 2 weeks then reinstated for 6 weeks
8/2013-8/2014: Tapering Lexapro (Lots of withdrawal symptoms)
11/2014 -8/2015: Developed severe insomnia and uncontrollable daily crying spells
12/2014-6/2015: Tried Ambien, Klonopin, Ativan, Lunesta, Sonata, Trazadone, Seroquel, Rameron, Gabapentin - Developed Anxiety disorder, PTSD, and Psychogenic Myoclonus
7/2015-1/2016: Reinstated Lexapro 2 mg (mild improvement, but crying spells still present)

1/2016-5/2017: Lexapro 5 mg ( helped a lot, but poor stress tolerance & depressive episodes)

5/20/2017 - Raised dose to Lexapro 10 mg due to lingering depression(Total of 2 failed tapers & severe PAWS)

9/11/2018 - Present: Still on 10 mg Lexapro and mostly recovered.(Anxiety still triggers Myoclonus.)

10/7/2022 - 20 mg Lexapro (brand only) Plus occasional Klonopin for anxiety and Ambien for insomnia.

 

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If you get withdrawal symptoms, that means Dr. Breggin's plan is too fast for you, and you need to slow down.

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

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Very hard to find Baxa (now Baxter), but these look like them: http://www.amazon.com/Sklar-Luer-Slip-tip-Syringe-10-pack/dp/B00EFYQ830/ref=sr_1_cc_1?s=aps&ie=UTF8&qid=1383097047&sr=1-1-catcorr&keywords=sklar+syringe

 

I also found Becton Dickinson syringes for $.16 cents each http://www.vitalitymedical.com/bd-tuberculin-syringe-only.html  - do you know anything about this brand?

 

Also, in reading reviews on Amazon, someone suggested a brilliant idea - put a coat of clear nail polish over the numbers!

2005-2008: Effexor; 1/2008 Tapered 3 months, then quit. 7/2008-2009 Reinstated Effexor (crying spells at start of new job.)
2009-3/2013: Switched to Pristiq 50 mg then 100 mg
3/2013: Switched to Lexapro 10mg. Cut down to 5 mg. CT for 2 weeks then reinstated for 6 weeks
8/2013-8/2014: Tapering Lexapro (Lots of withdrawal symptoms)
11/2014 -8/2015: Developed severe insomnia and uncontrollable daily crying spells
12/2014-6/2015: Tried Ambien, Klonopin, Ativan, Lunesta, Sonata, Trazadone, Seroquel, Rameron, Gabapentin - Developed Anxiety disorder, PTSD, and Psychogenic Myoclonus
7/2015-1/2016: Reinstated Lexapro 2 mg (mild improvement, but crying spells still present)

1/2016-5/2017: Lexapro 5 mg ( helped a lot, but poor stress tolerance & depressive episodes)

5/20/2017 - Raised dose to Lexapro 10 mg due to lingering depression(Total of 2 failed tapers & severe PAWS)

9/11/2018 - Present: Still on 10 mg Lexapro and mostly recovered.(Anxiety still triggers Myoclonus.)

10/7/2022 - 20 mg Lexapro (brand only) Plus occasional Klonopin for anxiety and Ambien for insomnia.

 

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Lilu, these look exactly like Baxa syringes http://www.amazon.com/Sklar-Luer-Slip-tip-Syringe-10-pack/dp/B00EFYQ830/ref=sr_1_cc_1?s=aps&ie=UTF8&qid=1383097047&sr=1-1-catcorr&keywords=sklar+syringe

 

Baxa was purchased by Baxter, which still calls the Baxa-type syringes Exactamed syringes. http://www.baxterbiopharmasolutions.com/oral-dosing-devices-accessories/oral-dosing-devices.html

 

You may be able to get oral syringes locally from a compounding pharmacy, veterinarian, or medical supply store. Ask for a syringe WITHOUT the needle. Tuberculin or insulin syringe with a non-luer tip (aka luer-slip or plain tip) come in the 1mL size.

 

I've bought these in packs of 10 from a medical supply store. They were very inexpensive. Phone the medical supply store first to see what they have.

 

In the US, in  most places you are not required to have a prescription to purchase a syringe.

 

The Becton Dickinson syringes are okay but not as precise as the Exactamed syringes.

 

Here is a source in the UK http://www.ebay.co.uk/itm/BD-Syringe-Dispenser-For-Oral-Drug-Use-With-Tap-Cap-Like-Baxa-1ml-3ml-5ml-10ml-/151114428586

 

It's not clear whether these are Baxa or Becton Dickinson. The photo looks like Becton Dickinson.

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

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  • 4 months later...

I just wanted to add my experience of tapering off of lexapro, in case there's someone like me out there who's having similar symptoms.

 

I took 20 mg of Lexapro daily for about 8 months. It seemed to ease my depression and anxiety, but I was having extremely vivid, intense dreams, was sleeping up to 10 or 11 hours a night, and started gaining weight. I tapered fairly slowly, over approximately 4 months. (At first I tried to go faster, but I felt so lightheaded and dizzy that I slowed down.) My vivid dreams stopped when I got dosage down to 10 mg daily. My need for extra sleep has also decreased, although it's not back yet to my pre-lexapro set-point.

 

 

I took my last dose 12 days ago (on Feb. 26), and about 3 days later I started feeling increasingly moody, irritable, and easily upset. For example, a coworker that I typically find mildly annoying caused me so much distress that I felt enraged and was barely able to stop myself from yelling at her during a staff meeting. I felt unable to tolerate social situations, even simple things like watching tv with friends--the smallest things made me frustrated and upset. It felt like my emotions were shooting all over the place. To make it worse, although I was feeling rage and irritability, I wasn't feeling any joy or excitement. It wasn't that my feelings were dulled, more like my emotion-meter was set on negative.

 

I was really worried that my depression was back. There's not a lot of guidance online for figuring out the difference between withdrawal symptoms and the return of depression, except for one good piece of advice I found: Ask yourself if whatever symptoms you're having are things you struggled with before going on your antidepressant. I was depressed and anxious before starting lexapro, but I never had anger issues. Also, I wasn't feeling that sense of being so overwhelmed by everything that I couldn't even make myself get out of bed...so I decided to stick it out and see if the symptoms eased.

 

The anger and moodiness seemed to start to ease yesterday, 11 days after my last dose. Today I feel nearly normal--although I've also been careful to avoid triggers. I'm hoping I'm almost at the end of it. 

 

I've learned from reading this site and others that my tapering method was probably causing a higher level of withdrawal--after about 2 months of slowly decreasing my daily dose, I moved to every other day for 2 weeks, then every third day for 2 weeks, then every fourth day for 2 weeks and then every fifth. If I could do it again, I'd stick with daily doses but decrease the size of the dose regularly. 

 

And, of course, if I could do it again, I'd pick an antidepressant that doesn't cause such intense withdrawal when it's time to taper off.

 

 

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Thank you, survivingdaily.

 

Please start a topic for yourself in the Introductions forum and keep us posted there about how you're doing.

 

By the way -- all psychiatric drugs and all antidepressants can have withdrawal difficulties. There is no free lunch. Now that you're off Lexapro, you may wish to look into non-drug techniques to manage your symptoms http://survivingantidepressants.org/index.php?/topic/1112-non-drug-techniques-to-cope-with-emotional-symptoms/

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

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I just wanted to add my experience of tapering off of lexapro, in case there's someone like me out there who's having similar symptoms.

 

I took 20 mg of Lexapro daily for about 8 months. It seemed to ease my depression and anxiety, but I was having extremely vivid, intense dreams, was sleeping up to 10 or 11 hours a night, and started gaining weight. I tapered fairly slowly, over approximately 4 months. (At first I tried to go faster, but I felt so lightheaded and dizzy that I slowed down.) My vivid dreams stopped when I got dosage down to 10 mg daily. My need for extra sleep has also decreased, although it's not back yet to my pre-lexapro set-point.

 

 

I took my last dose 12 days ago (on Feb. 26), and about 3 days later I started feeling increasingly moody, irritable, and easily upset. For example, a coworker that I typically find mildly annoying caused me so much distress that I felt enraged and was barely able to stop myself from yelling at her during a staff meeting. I felt unable to tolerate social situations, even simple things like watching tv with friends--the smallest things made me frustrated and upset. It felt like my emotions were shooting all over the place. To make it worse, although I was feeling rage and irritability, I wasn't feeling any joy or excitement. It wasn't that my feelings were dulled, more like my emotion-meter was set on negative.

 

I was really worried that my depression was back. There's not a lot of guidance online for figuring out the difference between withdrawal symptoms and the return of depression, except for one good piece of advice I found: Ask yourself if whatever symptoms you're having are things you struggled with before going on your antidepressant. I was depressed and anxious before starting lexapro, but I never had anger issues. Also, I wasn't feeling that sense of being so overwhelmed by everything that I couldn't even make myself get out of bed...so I decided to stick it out and see if the symptoms eased.

 

The anger and moodiness seemed to start to ease yesterday, 11 days after my last dose. Today I feel nearly normal--although I've also been careful to avoid triggers. I'm hoping I'm almost at the end of it. 

 

I've learned from reading this site and others that my tapering method was probably causing a higher level of withdrawal--after about 2 months of slowly decreasing my daily dose, I moved to every other day for 2 weeks, then every third day for 2 weeks, then every fourth day for 2 weeks and then every fifth. If I could do it again, I'd stick with daily doses but decrease the size of the dose regularly. 

 

And, of course, if I could do it again, I'd pick an antidepressant that doesn't cause such intense withdrawal when it's time to taper off.

 

 

I'm also here because of Lexapro but came only 40 days after I quit 2.5 mg. By then I was in such a state that I could barely write.

 

Maybe you will be lucky and be 'at the end of it' after 10 days but in case it doesn't happen like it didn't for many of us, I'm glad you are here so that you can get more support. My first symptoms were exactly as you describe: extreme irritability... but unfortunately it got a lot worse...

 

take care!

 

bubble

Current: 9/2022 Xanax 0.08, Lexapro 2

2020 Xanax 0.26 (down from 2 mg in 2013), Lexapro 2.85 mg (down from 5 mg 2013)

Amitriptyline (tricyclic AD) and clonazepam for 3 months to treat headache in 1996 
1999. - present Xanax prn up to 3 mg.
2000-2005 Prozac CT twice, 2005-2010 Zoloft CT 3 times, 2010-2013 Escitalopram 10 mg
went from 2.5 to zero on 7 Aug 2013, bad crash 40 days after
reinstated to 5 mg Escitalopram 4Oct 2013 and holding liquid Xanax every 5 hours
28 Jan 2014 Xanax 1.9, 18 Apr  2015 1 mg,  25 June 2015 Lex 4.8, 6 Aug Lexapro 4.6, 1 Jan 2016 0.64  Xanax     9 month hold

24 Sept 2016 4.5 Lex, 17 Oct 4.4 Lex (Nov 0.63 Xanax, Dec 0.625 Xanax), 1 Jan 2017 4.3 Lex, 24 Jan 4.2, 5 Feb 4.1, 24 Mar 4 mg, 10 Apr 3.9 mg, May 3.85, June 3.8, July 3.75, 22 July 3.7, 15 Aug 3.65, 17 Sept 3.6, 1 Jan 2018 3.55, 19 Jan 3.5, 16 Mar 3.4, 14 Apr 3.3, 23 May 3.2, 16 June 3.15, 15 Jul 3.1, 31 Jul 3, 21 Aug 2.9 26 Sept 2.85, 14 Nov Xan 0.61, 1 Dec 0.59, 19 Dec 0.58, 4 Jan 0.565, 6 Feb 0.55, 20 Feb 0.535, 1 Mar 0.505, 10 Mar 0.475, 14 Mar 0.45, 4 Apr 0.415, 13 Apr 0.37, 21 Apr 0.33, 29 Apr 0.29, 10 May 0.27, 17 May 0.25, 28 May 0.22, 19 June 0.22, 21 Jun updose to 0.24, 24 Jun updose to 0.26

Supplements: Omega 3 + Vit E, Vit C, D, magnesium, Taurine, probiotic 

I'm not a medical professional. Any advice I give is based on my own experience and reading. 

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I just want to point out here that I found it difficult to make my own solution of lexapro in just water. Even though I ground it to a fine powder using a mortar and pestle, It tending to stick to the sides of the glass of all utensils ( graduated cylinder, eye dropper, pipette etc) making it impossible for me to feel confident in even dosing.

 

I suspect that it is the filling agent used for the particular tablets I use ( Cipralex made by Lundbeck in Turkey… it is brand NOT generic. The tablets are 20 mg. and oblong in shape) but can't be positive.

 

This is very different than my experience with making a solution using the same technique with generic xanax ( alprazolam) .

 

I only mention this in case someone else experiences frustration with trying to make a uniform solution of this drug for tapering.

 

I have decided to go with a combination of 10 mg tablets and a professionally made , brand solution.

 

Because of cost I purchase Lexapro from Sky Drugs & it is a high quality product…at least it works.

 

RU

Fall 1995 xanax, zoloft. switched to Serzone

1996- spring 2003serzone/ xanax/ lightbox.

b]Fall 2003- Fall 2004? Lexapro 10 mg. Light box /4 mg. xanax.[/b]

2004 - Fall of 2009 10 mg Lex, 150 mg Wellbutrin XL % 4 mg xanax

November 2009- Sept. 2011 10 mg lex., 300 Well. XL, 4 mg Xanax [/b

Sept.2012- July 2012 20 mg Lex 300 Well. XL, 4 mg Xanax

My mantra " go slow & with the flow "

3/2/13.. Began equal dosing 5 Xs /day xanax, while simultaneously incorporating a 2.5 % drop ( from 3.5 mg/day to 3.4 mg/day)

4/6/13 dropped from 300 mg. Wellbutrin XL to 150 mg. Difficult but DONE! Down to 3.3 mg xanax/ day / 6/10/13 3 mg xanax/day; 7/15/2013 2.88mg xanax/day.

10/ 1/2013...... 2.5 mg xanax… ( switched to tablets again) WOO HOO!!!!!! Holding here… cont. with Lexapro.

1/ 2/2014.. tapered to 18mg ( by weight) of a 26 mg ( by weight) pill of 20 mg tab. lexapro. goal is 13mg (by weight OR 10 mg by ingredient content) and STOPPED. Feeling very down with unbalanced, unpredictable WD symptoms.

1/2/2014- ??? Taking a brain-healing break from tapering anything after actively tapering something for 1.5 years. So… daily doses as of 2/2/2014: 18 mg by weight Lex, 150 mg Well. XL, 2.5 mg xanax, down from 26 mg by weight Lex., 300 mg well. XL, 4 mg xanax in August, 2012. I'll take it. :) 5/8/14 started equivalent dose liquid./ tabs. 5/13/14 1.5 % cut.

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