Casey: tapering citalopram and then librium

[Casey]

Hi members, moderators, and administration. I(member Marsha) have started this thread for my husband. He is too ill to do it. I do all of the calculations and prepare his citalopram capsules for him. An addiction doctor controlled his librium taper to this point. He was taking 40 mgs citalopram and we made the first reduction all of September. He had issues with insomnia but when we made the second reduction to 32.4 mgs he had severe insomnia and other withdrawal symptoms that after 7 days starting today October 7 have updosed 5%. To 34.2 mgs. We will wait until he stabilizes before reducing again. Next reduction will be 5% instead of 10%. He was taking 5 mgs of librium but increased to 10 mgs. We will see how he does with a 5%taper. Any suggestions are greatly appreciated.

Edited July 19, 2016 by scallywag
tags added

[Altostrata]

Hello, Marsha on behalf of Casey.

 

Please put all his drugs in the Drug Interactions Checker http://www.drugs.com/drug_interactions.htmland post the results in this topic.

 

Is he taking omega-3 fish oil and magnesium supplements, see
http://survivingantidepressants.org/index.php?/topic/36-king-of-supplements-omega-3-fatty-acids-fish-oil/
http://survivingantidepressants.org/index.php?/topic/1300-magnesium-natures-calcium-channel-blocker/
 

These are often deficient in our diets.

[Marsha]

How do I post the drug interactions to this topic from the drug interactions checker?

[Fresh]

Hi Marsha ,  here you go.

 

Interactions between your selected drugs

Moderate atenolol  chlordiazepoxide

Applies to: atenolol, Librium (chlordiazepoxide)

Atenolol and chlordiazePOXIDE may have additive effects in lowering your blood pressure. You may experience headache, dizziness, lightheadedness, fainting, and/or changes in pulse or heart rate. These side effects are most likely to be seen at the beginning of treatment, following a dose increase, or when treatment is restarted after an interruption. Let your doctor know if you develop these symptoms and they do not go away after a few days or they become troublesome. Avoid driving or operating hazardous machinery until you know how the medications affect you, and use caution when getting up from a sitting or lying position. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data

Moderate hydrocodone  cetirizine

Applies to: Norco (acetaminophen / hydrocodone), cetirizine

Using cetirizine together with HYDROcodone may increase side effects such as dizziness, drowsiness, and difficulty concentrating. Some people may also experience impairment in thinking and judgment. You should avoid or limit the use of alcohol while being treated with these medications. Also avoid activities requiring mental alertness such as driving or operating hazardous machinery until you know how the medications affect you. It is important to tell yourdoctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data

Moderate gabapentin  cetirizine

Applies to: gabapentin, cetirizine

Using cetirizine together with gabapentin may increase side effects such as dizziness, drowsiness, and difficulty concentrating. Some people may also experience impairment in thinking and judgment. You should avoid or limit the use of alcohol while being treated with these medications. Also avoid activities requiring mental alertness such as driving or operating hazardous machinery until you know how the medications affect you. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data

Moderate chlordiazepoxide  citalopram

Applies to: Librium (chlordiazepoxide), citalopram

Using chlordiazePOXIDE together with citalopram may increase side effects such as dizziness, drowsiness, and difficulty concentrating. Some people may also experience some impairment in thinking and judgment. You should avoid or limit the use of alcohol while being treated with these medications. Avoid driving or operating hazardous machinery until you know how the medications affect you. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data

Moderate albuterol  citalopram

Applies to: albuterol, citalopram

Using albuterol together with citalopram can increase the risk of an irregular heart rhythm that may be serious and potentially life-threatening, although it is a rare side effect. You may be more susceptible if you have aheart condition called congenital long QT syndrome, other cardiac diseases, conduction abnormalities, or electrolyte disturbances (for example, magnesium or potassium loss due to severe or prolonged diarrhea or vomiting). The risk exists even when albuterol or similar medications are given by oral inhalation directly into the lungs, and more so if these products are overused. Do not exceed the dose and frequency of use recommended on the product label or prescribed by your doctor. Talk to your doctor if you have any questions or concerns. Your doctor may already be aware of the risks, but has determined that this is the best course of treatment for you and has taken appropriate precautions and is monitoring you closely for any potential complications. You should seek immediate medical attention if you develop sudden dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations during treatment with these medications. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data

Moderate baclofen  citalopram

Applies to: baclofen, citalopram

Using baclofen together with citalopram may increase side effects such as dizziness, drowsiness, and difficulty concentrating. Some people may also experience some impairment in thinking and judgment. You should avoid or limit the use of alcohol while being treated with these medications. Avoid driving or operating hazardous machinery until you know how the medications affect you. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data

Moderate hydrocodone  citalopram

Applies to: Norco (acetaminophen / hydrocodone), citalopram

Using HYDROcodone together with citalopram may increase side effects such as dizziness, drowsiness, and difficulty concentrating. Some people may also experience some impairment in thinking and judgment. You should avoid or limit the use of alcohol while being treated with these medications. Avoid driving or operating hazardous machinery until you know how the medications affect you. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data

Moderate gabapentin  citalopram

Applies to: gabapentin, citalopram

Using gabapentin together with citalopram may increase side effects such as dizziness, drowsiness, and difficulty concentrating. Some people may also experience some impairment in thinking and judgment. You should avoid or limit the use of alcohol while being treated with these medications. Avoid driving or operating hazardous machinery until you know how the medications affect you. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data

Moderate cetirizine  citalopram

Applies to: cetirizine, citalopram

Using cetirizine together with citalopram may increase side effects such as dizziness, drowsiness, and difficulty concentrating. Some people may also experience impairment in thinking and judgment. You should avoid or limit the use of alcohol while being treated with these medications. Also avoid activities requiring mental alertness such as driving or operating hazardous machinery until you know how the medications affect you. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data

Moderate atenolol  formoterol

Applies to: atenolol, Dulera (formoterol / mometasone)

Using atenolol together with formoterol may reduce the benefits of both medications, since they have opposing effects in the body. In addition, atenolol can sometimes cause narrowing of the airways, which may worsen your breathing problems or trigger severe asthmatic attacks. You may not be able to use atenolol if you have frequent asthma attacks or severe asthma or COPD (chronic obstructive pulmonary disease), or you may need a dose adjustment and more frequent monitoring of your lung function to safely use both medications. Talk to your doctor if you have any questions or concerns. Your doctor may be able to prescribe alternatives that do not interact. Let your doctor know if you experience wheezing, shortness of breath, chest tightness, or other breathing difficulties during treatment with these medications. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data

Moderate albuterol  formoterol

Applies to: albuterol, Dulera (formoterol / mometasone)

Consumer information for this interaction is not currently available.

MONITOR: Coadministration of beta-2 adrenergic agonists with other adrenergic agents may potentiate the risk of cardiovascular side effects. Beta-2 adrenergic agonists can produce clinically significant cardiovascular effects including increases in pulse rate and systolic or diastolic blood pressure as well as ECG changes such as flattening of the T wave, prolongation of the QTc interval, and ST segment depression. The risk is lower when beta-2 adrenergic agonists are inhaled at normally recommended dosages. However, these effects may be more common when the drugs are administered systemically or when recommended dosages are exceeded.

MANAGEMENT: Caution is advised if beta-2 adrenergic agonists are used concomitantly with other adrenergic agents, particularly in patients with cardiovascular disorders such as coronary insufficiency, cardiac arrhythmias, hypertrophic obstructive cardiomyopathy, or hypertension. Blood pressure and heart rate should be closely monitored.

Moderate pseudoephedrine  formoterol

Applies to: pseudoephedrine, Dulera (formoterol / mometasone)

Consumer information for this interaction is not currently available.

MONITOR: Coadministration of beta-2 adrenergic agonists with other adrenergic agents may potentiate the risk of cardiovascular side effects. Beta-2 adrenergic agonists can produce clinically significant cardiovascular effects including increases in pulse rate and systolic or diastolic blood pressure as well as ECG changes such as flattening of the T wave, prolongation of the QTc interval, and ST segment depression. The risk is lower when beta-2 adrenergic agonists are inhaled at normally recommended dosages. However, these effects may be more common when the drugs are administered systemically or when recommended dosages are exceeded.

MANAGEMENT: Caution is advised if beta-2 adrenergic agonists are used concomitantly with other adrenergic agents, particularly in patients with cardiovascular disorders such as coronary insufficiency, cardiac arrhythmias, hypertrophic obstructive cardiomyopathy, or hypertension. Blood pressure and heart rate should be closely monitored.

Moderate citalopram  formoterol

Applies to: citalopram, Dulera (formoterol / mometasone)

Using formoterol together with citalopram can increase the risk of an irregular heart rhythm that may be serious and potentially life-threatening, although it is a rare side effect. You may be more susceptible if you have a heart condition called congenital long QT syndrome, other cardiac diseases, conduction abnormalities, or electrolyte disturbances (for example, magnesium or potassium loss due to severe or prolonged diarrhea or vomiting). The risk may exist even when formoterol or similar medications are given by oral inhalation directly into the lungs, and more so if these products are overused. Do not exceed the dose and frequency of use recommended on the product label or prescribed by your doctor. Talk to your doctor if you have any questions or concerns. Your doctor may already be aware of the risks, but has determined that this is the best course of treatment for you and has taken appropriate precautions and is monitoring you closely for any potential complications. You should seek immediate medical attention if you develop sudden dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations during treatment with these medications. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data

Moderate baclofen  cetirizine

Applies to: baclofen, cetirizine

Using cetirizine together with baclofen may increase side effects such as dizziness, drowsiness, and difficulty concentrating. Some people may also experience impairment in thinking and judgment. You should avoid or limit the use of alcohol while being treated with these medications. Also avoid activities requiring mental alertness such as driving or operating hazardous machinery until you know how the medications affect you. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data

Moderate chlordiazepoxide  cetirizine

Applies to: Librium (chlordiazepoxide), cetirizine

Using cetirizine together with chlordiazePOXIDE may increase side effects such as dizziness, drowsiness, and difficulty concentrating. Some people may also experience impairment in thinking and judgment. You should avoid or limit the use of alcohol while being treated with these medications. Also avoid activities requiring mental alertness such as driving or operating hazardous machinery until you know how the medications affect you. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data

Moderate atenolol  terazosin

Applies to: atenolol, terazosin

Using terazosin and atenolol together can have increased effects on your blood pressure. You may be more likely to experience side effects such as dizziness, weakness, headache, flushing, fainting, and irregular heartbeat, especially if you have been on atenolol and are starting treatment with terazosin. These effects may also occur following a dose increase of terazosin or when terazosin is restarted after an interruption. Let your doctor know if you develop these symptoms and they do not go away after a few days or they become troublesome. You may need a dose adjustment or more frequent monitoring of your blood pressure to safely use both medications. Taking the terazosin dose just before going to bed may help. Avoid driving or operating hazardous machinery until you know how these medications affect you, and use caution when getting up from a sitting or lying position. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data

Moderate chlordiazepoxide  terazosin

Applies to: Librium (chlordiazepoxide), terazosin

Terazosin and chlordiazePOXIDE may have additive effects in lowering your blood pressure. You may experience headache, dizziness, lightheadedness, fainting, and/or changes in pulse or heart rate. These side effects are most likely to be seen at the beginning of treatment, following a dose increase, or when treatment is restarted after an interruption. Let your doctor know if you develop these symptoms and they do not go away after a few days or they become troublesome. Avoid driving or operating hazardous machinery until you know how the medications affect you, and use caution when getting up from a sitting or lying position. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data

Moderate atenolol  albuterol

Applies to: atenolol, albuterol

Using atenolol together with albuterol may reduce the benefits of both medications, since they have opposing effects in the body. In addition, atenolol can sometimes cause narrowing of the airways, which may worsen your breathing problems or trigger severe asthmatic attacks. You may not be able to use atenolol if you have frequent asthma attacks or severe asthma or COPD (chronic obstructive pulmonary disease), or you may need a dose adjustment and more frequent monitoring of your lung function to safely use both medications. Talk to your doctor if you have any questions or concerns. Your doctor may be able to prescribe alternatives that do not interact. Let your doctor know if you experience wheezing, shortness of breath, chest tightness, or other breathing difficulties during treatment with these medications. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data

Moderate albuterol  pseudoephedrine

Applies to: albuterol, pseudoephedrine

Consumer information for this interaction is not currently available.

MONITOR: Coadministration of beta-2 adrenergic agonists with other adrenergic agents may potentiate the risk of cardiovascular side effects. Beta-2 adrenergic agonists can produce clinically significant cardiovascular effects including increases in pulse rate and systolic or diastolic blood pressure as well as ECG changes such as flattening of the T wave, prolongation of the QTc interval, and ST segment depression. The risk is lower when beta-2 adrenergic agonists are inhaled at normally recommended dosages. However, these effects may be more common when the drugs are administered systemically or when recommended dosages are exceeded.

MANAGEMENT: Caution is advised if beta-2 adrenergic agonists are used concomitantly with other adrenergic agents, particularly in patients with cardiovascular disorders such as coronary insufficiency, cardiac arrhythmias, hypertrophic obstructive cardiomyopathy, or hypertension. Blood pressure and heart rate should be closely monitored.

Moderate atenolol  baclofen

Applies to: atenolol, baclofen

Atenolol and baclofen may have additive effects in lowering your blood pressure. You may experience headache, dizziness, lightheadedness, fainting, and/or changes in pulse or heart rate. These side effects are most likely to be seen at the beginning of treatment, following a dose increase, or when treatment is restarted after an interruption. Let your doctor know if you develop these symptoms and they do not go away after a few days or they become troublesome. Avoid driving or operating hazardous machinery until you know how the medications affect you, and use caution when getting up from a sitting or lying position. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data

Moderate chlordiazepoxide  baclofen

Applies to: Librium (chlordiazepoxide), baclofen

Using chlordiazePOXIDE together with baclofen may increase side effects such as dizziness, drowsiness, and difficulty concentrating. Some people may also experience some impairment in thinking and judgment. You should avoid or limit the use of alcohol while being treated with these medications. Avoid driving or operating hazardous machinery until you know how the medications affect you. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data

Moderate terazosin  baclofen

Applies to: terazosin, baclofen

Terazosin and baclofen may have additive effects in lowering your blood pressure. You may experience headache, dizziness, lightheadedness, fainting, and/or changes in pulse or heart rate. These side effects are most likely to be seen at the beginning of treatment, following a dose increase, or when treatment is restarted after an interruption. Let your doctor know if you develop these symptoms and they do not go away after a few days or they become troublesome. Avoid driving or operating hazardous machinery until you know how the medications affect you, and use caution when getting up from a sitting or lying position. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data

Moderate chlordiazepoxide  hydrocodone

Applies to: Librium (chlordiazepoxide), Norco (acetaminophen / hydrocodone)

Using chlordiazePOXIDE together with HYDROcodone may increase side effects such as dizziness, drowsiness, and difficulty concentrating. Some people may also experience some impairment in thinking and judgment. You should avoid or limit the use of alcohol while being treated with these medications. Avoid driving or operating hazardous machinery until you know how the medications affect you. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data

Moderate baclofen  hydrocodone

Applies to: baclofen, Norco (acetaminophen / hydrocodone)

Using baclofen together with HYDROcodone may increase side effects such as dizziness, drowsiness, and difficulty concentrating. Some people may also experience some impairment in thinking and judgment. You should avoid or limit the use of alcohol while being treated with these medications. Avoid driving or operating hazardous machinery until you know how the medications affect you. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data

Moderate chlordiazepoxide  gabapentin

Applies to: Librium (chlordiazepoxide), gabapentin

Using chlordiazePOXIDE together with gabapentin may increase side effects such as dizziness, drowsiness, and difficulty concentrating. Some people may also experience some impairment in thinking and judgment. You should avoid or limit the use of alcohol while being treated with these medications. Avoid driving or operating hazardous machinery until you know how the medications affect you. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data

Moderate baclofen  gabapentin

Applies to: baclofen, gabapentin

Using baclofen together with gabapentin may increase side effects such as dizziness, drowsiness, and difficulty concentrating. Some people may also experience some impairment in thinking and judgment. You should avoid or limit the use of alcohol while being treated with these medications. Avoid driving or operating hazardous machinery until you know how the medications affect you. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data

Moderate hydrocodone  gabapentin

Applies to: Norco (acetaminophen / hydrocodone), gabapentin

Using HYDROcodone together with gabapentin may increase side effects such as dizziness, drowsiness, and difficulty concentrating. Some people may also experience some impairment in thinking and judgment. You should avoid or limit the use of alcohol while being treated with these medications. Avoid driving or operating hazardous machinery until you know how the medications affect you. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data

Minor albuterol  mometasone

Applies to: albuterol, Dulera (formoterol / mometasone)

Consumer information for this minor interaction is not currently available. Some minor drug interactions may not be clinically relevant in all patients. Minor drug interactions do not usually cause harm or require a change in therapy. However, your healthcare provider can determine if adjustments to your medications are needed.

[Marsha]

Thank you so very much Fresh. It's no wonder he feels so bad all the time. And then adding the withdrawal symptoms on top of these drugs. He also has a defibrillator/pacemaker implanted and it is working forty percent of the time. I really fear for his safety. I fear I will lose him. He has been a stalwart presence all throughout my psychiatric abuse by a very dangerous psychiatrist. That same doctor put him on citalopram and xanax and he was never depressed. He was having panic because he could not breathe. I am going to make sure that he tapers ever so carefully to prevent extra stress on his heart and lungs. Thank you to everyone on this site.

[Casey]

This is Marsha on behalf of Casey. He feels better tonight. He finally got to sleep last night. We'll look into magnesium supplement butnot omega 3 fish oil. I hhave read that it is linked to prostate cancer. We'll see if he can taper at 5 percent. And try to hold there awhile.

[Altostrata]

Good to hear, Marsha.

 

Could be Casey can make 5% decreases a little more often than every 4 weeks.

[Casey]

This is Marsha on behalf of Casey. Even though Casey's insomnia has abated, he is still experiencing dizziness, inability to concentrate, elevated blood pressure and pulse, and he says he just feels crappy all over. These withdrawal symptoms have not diminished. We are pretty sure he will have to wait another three weeks before reducing 5 percent again. Thank you for all the help for both Casey and myself.

[Petunia]

Hi Marsha and Casey,

Thanks for letting us know how you are doing, yes, if Casey is still having symptoms its best to wait before making another cut.

[Marsha]

Hi Marsha and Casey,

Thanks for letting us know how you are doing, yes, if Casey is still having symptoms its best to wait before making another cut.

Thank you Petunia for your concern and advice. We waited a full month and Casey stabilized. We made a 5 percent reduction October 28 and Casey had the same withdrawal symptoms but this time not nearly as severe as when we tried the 10 percent reduction in which we had to go up 5 percent. So it looks like it's going to be 5 percent reductions every month for him.

[Casey]

This is Marsha on behalf of Casey. Casey is still having withdrawal symptoms that he can't seem to tolerate with a 5% reduction. He wants to go back up to 34.2 mgs stabilize, increase his librium to 25 mgs then start to taper the citalopram again. I think the doctor should not have crossed him over to 25 mgs of librium from 2 mgs of xanax without letting the librium build up first. I feel he is still having withdrawal symptoms from that switch and it is making the citalopram taper too difficult for him. Does anyone have any ideas? We appreciate any suggestions.

[Altostrata]

Marsha, that sounds like a reasonable plan, aim for stability.

[Casey]

this is Marsha on behalf of Casey. Casey is experiencing akathisia from being on the citalopram and now it has been over a month since his last reduction and he is still feeling occaisional akathisia. he has it today. he gets it intermittenly throughout his taper. can he safely taper again now?

[Fresh]

Hi Marsha ,  have the other symptoms that came after his last decrease resolved?  

 

If he feels stable apart from the akathisia , It should be alright.

[Casey]

Hi Marsha ,  have the other symptoms that came after his last decrease resolved?  

 

If he feels stable apart from the akathisia , It should be alright.

Thank you Fresh. Yes he his stable.

[Marsha]

Hi. This is Marsha on behalf of Casey. Casey has tapered from 40 mgs of citalopram to 25.07 mgs. His doctor prescribed 60 20 mg tablets. He is going to take one 20 mg tablet and make up the rest as a liquid. To get the 5.07 mgs would I dissolve a 20 mg tablet in 20 ml water and then draw up 5 ml of liquid? I have 3ml syringes.

[Fresh]

That's exactly right Marsha. Check that citalopram is a med. that's safe to make into liquid , and keep it in the fridge.

[Casey]

this is marsha on behalf of casey. so today I started the transition from tablets to liquid. i gave him one 20 mg tablet and 5 ml of liquid that I prepared by dissolving a 20 mg tablet into 20 ml of water, stirred vigorously and drew up 5 ml of liquid. It's really hard to be fast enough to draw it up before it settles . I hope he got the correct dosage. This is new and I am not comfortable with this method. It just doesn;t look like I am getting an even mixture when i draw it up. Would someone be kind enough to guide me a little? thank you. I found this website just in time. The doctors were going to have him take off 10 mg at a time. We found a doctor who is agreeable to this tapering schedule. It is interesting because when I went to this same doctor and showed him Dr Breggins book he was almost offended and said that he had debated with dr breggin in the past. It is so funny, he doesn't even know he is helping casey to taper properly. His only comment was, "Well I guess some people can come off drugs fast with no problems, but I guess you are not one of them.

[ChessieCat]

Hi Casey/Marsha,

 

Squirrelygirl (I think) suggested on someone's topic to try Karo or pancake syrup.  Dissolve tablet in a bit of water then top up with syrup.  Of course that will be dependent upon any dietary requirements/tolerance.

[Fresh]

YUmmm , that sounds tasty , lol.

 

You can buy liquid suspensions at the chemist that are thicker and distribute particles evenly.

See http://survivingantidepressants.org/index.php?/topic/3068-pharmaceutical-liquids-to-make-suspensions/

[mammaP]

Hi Marsha, I make a liquid with tramadol and have the same problem with the powder settling. I mix mine in elderflower cordial, 5 ml to 50mg. I use a kids syringe, measure 5 ml of cordial into a medicine cup, then draw up the amount to be discarded with a 1ml syringe. The cordial is thicker than water with a high sugar content but no additives to react with the tramadol. The powder stays suspended long enough to get out the right amount.  Because I take it right away there isn't a problem with it deteriorating.  

[Casey]

this is marsha on behalf of casey. casey is still tapering at 5% of current dose every 28 days. he had a sinus infection and he picked up his antibiotic and i noticed it was z-pac so i told him to get something else which he did. no problems but sinus is still problematic and he was given predisone for five days and when he was done he really had a hard time. severe brain fog fatigue slept all day and all night for three days . seems to have abated now but he still does not have much energy. just wanted to update his progress.

[Casey]

this is Marsha on behalf of casey. We're not sure what is going on with casey. He saw his doctor last week and the doctor said that casey should not have been tapered off the benzo first (well he is taking just 15 mgs of librium which he had to practicly beg for.) But his doctor sees that the way the addiction doctor tapered him was wrong as well. 2 mgs xanax to 25 mgs librium in one day. then 5 mgs off until he was down to 5 mgs and started having trouble sleeping.. He updosed to 15 mgs and started the citalopram taper. I think his autonomic nervous system has become a little unstable. He is having digestive problems, brain fog and memory problems. I think he might be doing too much physical activity. He is working out in the heat on cars to help us out financially and to get another car because ours broke and we are going to have the state buy it and retire it. He has been out there every day for several hours and although it is not aerobic activity it does take strength and lifting. He has been tapering his citalopram by 2 1/2 percent every two weeks and is taking part liquid part pill form. We have both been under a lot of stress with our health problems and my geodon recovery plus what I have described above. We could not even go to our meeting today because he was so messed up with brain fog. I was afraid to leave him because I was not sure if it was his heart acting up. We are both in our sixties and he has been steadily declining with this citalopram taper. I have suggested to him maybe to try and hold for a while but like I was, he doesn't comprehend that he is becoming unstable possibly. I would sure like to help him but not sure how. He basically didn't sleep due to panic nocturnal panic attacks for two years and that's how he got put on benzos and citalopram when he was actually sick with heart trouble, copd, and several other issues. His doctor has recently had more training in tapering benzos and antidepressants and has said he should have been tapered off the citalopram first. 

[Altostrata]

Marsha, please list all the drugs Casey is taking now, with their dosages, in a post in this topic.

 

Has the dosage schedule of any of the drugs changed recently, besides citalopram?

[Casey]

Marsha, please list all the drugs Casey is taking now, with their dosages, in a post in this topic.

 

Has the dosage schedule of any of the drugs changed recently, besides citalopram?

Here are the drugs and dosages:                                                                                                                                                                                                                                                                                                                                               librium 15 mgs

      gabapentin 900 mgs

      baclofen 50 mgs

      zyrtec 10 mgs

      sudogest 30 mgs

      terazosin 5 mgs

      fluticasone propionate 50 mcg for sinus antibiotic didn't work to see ent next week

      dulera 100/5 mcg

      citalopram 21.50 (1.50 is liquid) mgs

      Vitamin C 1000 mgs

No dosage changes but he frequently forgets to take his pills on time and sometimes forgets his nightime pills.

[Altostrata]

Skipping doses of any of the 5 psychiatric or hypertension drugs he's taking could cause uncomfortable symptoms.

 

Three drugs simultaneously for asthma or allergies also seems excessive and probably cause additional drug-drug interactions. Perhaps you could ask your doctor which of these 3 is absolutely necessary.

 

Please ask him to work in the shade.

[Casey]

This is Marsha in behalf of Casey. Casey reached 0.00 mg of citalopram on February 27 2019

He is doing well. He tapered carefully for three and a half years. 

[Gracee]

This is wonderful news. 😃  Congratulations to you both.

G.

 

[Carmie]

On 2/28/2019 at 1:59 PM, Casey said:

This is Marsha in behalf of Casey. Casey reached 0.00 mg of citalopram on February 27 2019

He is doing well. He tapered carefully for three and a half years. 

 

Hi Marsha, 

 

That’s great news that Casey is no longer on his meds. Could you please keep us updated as to how Casey continues to do. I’m glad he’s doing really well at the moment, that’s definitely good news. Does he have any withdrawal symptoms?

 

Could you please update his signature. Thank you💚