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Taper more than one drug at a time?


Rhiannon

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I did a dual drug taper as well till I got to the lower doses of my first drug.   Then I concentrated on that till I was off-now just the Lamictal to go.

 

I'm glad I did the dual taper as well. 

9/2013-4/2014:  After moms death, was prescribed a series of meds for short periods of time that didn't work. Zoloft, Lexapro,  Nortriptyline, Liquid Prozac, Cymbalta. 

1/2014-9/2014. Clonzapam: Given Lamictal, stopped Clonzapam at .125mgs  

1/2015-4 2017 Remeron: 41.25 -0.025mgs

7/2015-11/2018 Lamictal: 200mgs-0.05 mgs Had paradoxical reaction to Lamictal wd, broke my heart to take a benzo but wasn't sleeping. 

3/28/2019 -2/5/ 2021  Clonazapam: 0.625mgs-.00115 Med Free 

July 27th, 2022**Severe Setback due to surgery/ anesthesia. 

9/7/22-10/4/22 Trazadone 50-100mgs for sleep, 10/13/22-11/13/22 Trazadone 1 mg to stabilize

10/4/22-11/20/22 Remeron 7.5mgs (for sleep doesn't work) 11/20/22 7.3 - 12/31/22 6.3 

2023: 1/18/23 6.1 - 6/6/23 3.6  6/16 3.4  6/28 3.0 7/12 2.7  7/28 2.5 8/11 2.2 8/23 2.0  9/5 1.8  9/16 1.6  9/30 1.4  10/13 1.2  10/26 1.0  11/9 0.8  11/22 0.6  12/6 0.4  12/23 0.2.

2024 1/4/24  Remeron/Mirtazapine free 

Additional Support:  Armour Thyroid 75mgs, Magnesium Glycinate 300-500mgs,  L-theanine 

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  • 5 months later...

I am currently tapering down my Olanzapine. I started in 2013 so as you can see it's very slow going :P. Lots of learning along the road but I've gotten A LOT better. I'm almost finished with the Olanzapine but I find that when I drop the dose I tend to have trouble sleeping. So my brother suggested that I start tapering the Lamotrigine I'm taking. So continue at the dose I am at with Olanzapine and begin a micro taper of Lamotrigine. Is this advisable? Thank you all for your time.

This is the best history I can offer right now. There are some medications and/or dates missing from the list. This was copied down by my mom mostly from prescription labels. This will however give you a general idea.

Paxil 20mg June 2001, Zoplicone 7.5 mg February 2002, Carbamazepine 200 mg December 2004, Lamotrigine 25 mg July 2006, Clonazepam 0.5 mg December 2007, Clonazpepam 0.5 mg January 2008, Lithium 300 mg January and February 2008, Lamotrigine 25 mg July 2008, Divalproex 500 mg April 2009, Welbutrin Fall 2009, Olanzapine 10 mg December 2009, Accuphase 75 mg, Remoran Elanzapine (I think she meant Remeron and Olanzapine) and Lithium injected during hospitalization Feb 2010, Clonazepam March 2010, Lithium March 2010,  Lamotrigine March 2010, Clopixol March 2010, Bupropion (Wellbutrin) 100 mg Spring 2010 - June 2013, Lamotrigine 100mg spring 2010 - Present, Lithium 600 mg Spring 2010 until September 2010, Lithium 900 mg Fall 2010 - Present, Olanzapine 1.25 mg Fall 2010 - June 2013, Olanzapine 2.5 mg June 2013 tapered down to 1.25 mg June 2014. June 30th, 2014 increased to 5mg. Olanzapine 5 mg June 30th, 2014. Gradual taper of Olanzapine down to 0.4167 mg where I'm at today November 21st, 2016. Taper continuing.

Medications I was taking on November 25th, 2016:

Once a day at night I take orally:

1. Lithium Carbonate capsules 900 mg

2. Lamotrigine tablet 100 mg 

3. Olanzapine tablet 2.5 mg made into a liquid solution of 0.4167 mg

Current Medications as of today May 20th, 2021: 1. Lithium Carbonate capsules 325 mg that's it.

My introductory post: http://survivingantidepressants.org/index.php?/topic/4922-greenflametiger-bipolar-taper-off-all-meds/

Signature written on September 20th, 2013. Last updated May 20th, 2021

My mantra "Love and Sleep! Love and Sleep!" Love is the most important thing. If you have love and trust, you'll be far better off if mania were to arise. Sleep is a close second because it completely neutralizes manic symptoms. 

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  • 6 months later...

This is not scientific research but the man (a chemist) who speaks at 25.38 on this video (it's in Will Hall's presentation at Psych Drugs Risks and Alternatives conference) - thinks that the drugs he was helping his son come off needed to be tapered at the same relative proportion at the same time.

 

2006 Citalopram 20mg on and off to 2013.  April 2013 - July 2014  Sertraline, Venlafaxine, Fluoxetine, Mirtazapine v. bad reactions. July 2014 - CT Mirtazapine.  July 2014 - February 2016 Medication free, long term w/d.  February - July 2016 Fluoxetine.  Medication free, long term w/d syndrome.  2017 Jan physical breakdown.

2017 February - March Escitalopram, Nortriptyline instated.  Lorazepam, Zopiclone PRN.  April 2017 Lithium Carbonate 250mg 1 wk. 14 August 2017 finish cross to Diazepam 22.5mg daily, stop Zopiclone

Tapers:

Diazepam 

2017 21 August - 30 Dec 21.25mg to 14.5mg 2018 6 Jan - 11 May to 12mg.  2 June updose to 12.25mg - hold. 2019 (0.5mg cuts) 12 Jan - 28 Dec 12mg to 10mg 2020 (0.25mg cuts) - 25 Jan - 29 Dec 9.75mg to 6.25mg 2021 *May have bungled dose and accidentally took 1mg more for about a month (7.25mg), so 4 Jan started again at 6.5mg; 19 Jan 6.25mg; 1 Feb 6.0mg; 23 Feb 5.75mg; 9 Mar 5.5mg; 23 Mar 5.25mg; 9 Apr 5.0mg; 6 May 4.75mg; 13 May 4.5mg; 6 Jun 4mg; 12 July 3.5mg; 2 sep 3.0mg; 15 Sep 2.5mg; 1 Nov 2mg; 15 Nov 1.5mg; 16 Dec 1mg; 26 Dec 0.5mg; 2022 1 Jan - OFF

Escitalopram - 2022 1 Mar to 9mg; 29 Mar 8mg; 24 May 7mg; 21 Jun 5mg; 19 Jul 4mg; 1 Sep 3mg; 23 Sep 2.5mg; 31 Oct 1.5mg; 22 Nov 0.5mg; 2023 1 Jan 0.25mg; 1 Mar OFF

Nortriptyline  2018 90mg to 2020 1 Dec down to 72.5mg; 2021 20 May 70mg; 8 Jun 67.5mg; 24 Jun 65mg; 31 July 60mg; 12 Oct 55mg; 23 Oct 50mg; 2022 13 Jan 40mg; 22 Jan 30mg; 29 Mar 20mg; 26 Apr 10mg; 3 Aug 5mg; 23 Sep 2.5mg; 2023 1 Jan - OFF

 

1 March 2023 - off all drugs - 6-year taper off three drugs.

 

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  • Administrator

He has a theory, we don't know if it's true. Also, he is not the person who might suffer withdrawal symptoms if his theory is incorrect.

 

We go by symptom pattern. If you change the dosage of more than one drug at a time and you get a bad reaction, we won't know where it's coming from. This creates a huge mess in trying to figure out which drug caused the symptoms and which drug, if any, to updose.

 

Such a mess, in fact, that usually it's anybody's guess and you're pretty much on your own, good luck. You could be experimenting with drug permutations for a long time.

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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Thank you, Altostrata.  Yes, I see the sense in what you say.  And things can get very messy even tapering one at a time.  I will proceed  with caution - and rein in my impatience.  I'm working with Shep on the benzo forum to find the optimum reduction schedule.

2006 Citalopram 20mg on and off to 2013.  April 2013 - July 2014  Sertraline, Venlafaxine, Fluoxetine, Mirtazapine v. bad reactions. July 2014 - CT Mirtazapine.  July 2014 - February 2016 Medication free, long term w/d.  February - July 2016 Fluoxetine.  Medication free, long term w/d syndrome.  2017 Jan physical breakdown.

2017 February - March Escitalopram, Nortriptyline instated.  Lorazepam, Zopiclone PRN.  April 2017 Lithium Carbonate 250mg 1 wk. 14 August 2017 finish cross to Diazepam 22.5mg daily, stop Zopiclone

Tapers:

Diazepam 

2017 21 August - 30 Dec 21.25mg to 14.5mg 2018 6 Jan - 11 May to 12mg.  2 June updose to 12.25mg - hold. 2019 (0.5mg cuts) 12 Jan - 28 Dec 12mg to 10mg 2020 (0.25mg cuts) - 25 Jan - 29 Dec 9.75mg to 6.25mg 2021 *May have bungled dose and accidentally took 1mg more for about a month (7.25mg), so 4 Jan started again at 6.5mg; 19 Jan 6.25mg; 1 Feb 6.0mg; 23 Feb 5.75mg; 9 Mar 5.5mg; 23 Mar 5.25mg; 9 Apr 5.0mg; 6 May 4.75mg; 13 May 4.5mg; 6 Jun 4mg; 12 July 3.5mg; 2 sep 3.0mg; 15 Sep 2.5mg; 1 Nov 2mg; 15 Nov 1.5mg; 16 Dec 1mg; 26 Dec 0.5mg; 2022 1 Jan - OFF

Escitalopram - 2022 1 Mar to 9mg; 29 Mar 8mg; 24 May 7mg; 21 Jun 5mg; 19 Jul 4mg; 1 Sep 3mg; 23 Sep 2.5mg; 31 Oct 1.5mg; 22 Nov 0.5mg; 2023 1 Jan 0.25mg; 1 Mar OFF

Nortriptyline  2018 90mg to 2020 1 Dec down to 72.5mg; 2021 20 May 70mg; 8 Jun 67.5mg; 24 Jun 65mg; 31 July 60mg; 12 Oct 55mg; 23 Oct 50mg; 2022 13 Jan 40mg; 22 Jan 30mg; 29 Mar 20mg; 26 Apr 10mg; 3 Aug 5mg; 23 Sep 2.5mg; 2023 1 Jan - OFF

 

1 March 2023 - off all drugs - 6-year taper off three drugs.

 

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  • 2 months later...
On 8/10/2011 at 6:43 PM, alexjuice said:

Nobody listens when your 'crazy'. You must take drugs to control the 'crazy'. But the drugs cause the 'crazy'. But stopping the drugs also causes the 'crazy'. Of course, you must pay for the drugs as well as time of the people providing them. You weren't crazy until they said you were crazy and put you on the crazy-catch-22 drugs.

 

oholee yes this.

UPDATED: 9/01/2019

Quetiapine:  2000-2005: 50mg;  2005: 100mg;   2008: 400mg;   2011: 100mg;   2014: 300mg;   2014-2017: 400mg;  7/2018-2/2019: 75mg;  1/2019: 68.75mg;  4/2019: completed switch to 3x daily dosing (25mg 8AM, 18.75mg 4PM, 25mg MIDNITE);  5/2019: 68.75mg (switched to all liquid taper using HUMCO suspension agent)  8/2019: 61mg       

Clonazepam:  2008: 2mg then 0.25mg;   2012: 0.5mg;   2014: 1mg;   4/2019: 1mg ~completed switch to 3x daily dosing (0.25mg 8AM, 0.25mg 2PM, 0.5mg 8PM);   8/2019: 1mg (switched to all liquid taper using propylene glycol as solvent)    

Gabapentin:   2011: 100mg;   2011: 200mg TID    2014: 300mg;  2017: 600mg;   2019: 900mg PM;   3/2019: completed switch to 3x daily dosing (300mg q8h)

Prior drugs: Please see this link:    (the remaining dates & meds records will be updated as i receive my complete medical files.)

Suppl's: Deva Vegan Multi & Mineral Supplement w/Greens 1x, Magnesium Lysinate Glycinate Chelate 100mg 4x, vit c 1000mg  2x, zinc gluconate 50mg 1x q.o.d., Allicin Max 180mg TID,  chlorella/spirulina 50/50 blend 2tabs 5x daily

HRT:  300mg oral progesterone h.s., 0.1mg estradiol transdermal patch 2x week

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On 8/15/2011 at 10:31 AM, Rhiannon said:

Definitely don't try to taper a new med or another med while you're still recovering or in withdrawal from tapering a previous med.

 

You can go ahead and push through and let your brain cope as best it can until you get all the way off the meds. Likely you will be symptomatic the whole time. Then once off the meds you can go through the prolonged process of healing from the chaos and damage that has happened.

 

Or you can allow enough healing time now, and then, when things are healed and settled down, start a very slow (it will have to be slower than ever before, because of the previous damage) taper that will allow your brain to heal and recover and adapt as you go, without inducing so much chaos.

 

In fact I almost cringe when people on this forum use the word "healing", about the healing from this kind of trauma caused by the chemistry of psych drugs--not because it's not healing, but because it SO doesn't fit all the assumptions we have about how healing is supposed to go.

 

I almost wish we could call it something else so people would understand, this is not something our bodies know how to do! they're improvising, doing their best, but it's not efficient, it's not always effective, and we need to allow lots of care, and patience, and time, and adjust our expectations.

did you try to taper another med while recovering or in WD from a previous med?

 

what does the "now" mean in your signature Rhianon? does it mean march of 2019 or did you finish tapering earlier? 

UPDATED: 9/01/2019

Quetiapine:  2000-2005: 50mg;  2005: 100mg;   2008: 400mg;   2011: 100mg;   2014: 300mg;   2014-2017: 400mg;  7/2018-2/2019: 75mg;  1/2019: 68.75mg;  4/2019: completed switch to 3x daily dosing (25mg 8AM, 18.75mg 4PM, 25mg MIDNITE);  5/2019: 68.75mg (switched to all liquid taper using HUMCO suspension agent)  8/2019: 61mg       

Clonazepam:  2008: 2mg then 0.25mg;   2012: 0.5mg;   2014: 1mg;   4/2019: 1mg ~completed switch to 3x daily dosing (0.25mg 8AM, 0.25mg 2PM, 0.5mg 8PM);   8/2019: 1mg (switched to all liquid taper using propylene glycol as solvent)    

Gabapentin:   2011: 100mg;   2011: 200mg TID    2014: 300mg;  2017: 600mg;   2019: 900mg PM;   3/2019: completed switch to 3x daily dosing (300mg q8h)

Prior drugs: Please see this link:    (the remaining dates & meds records will be updated as i receive my complete medical files.)

Suppl's: Deva Vegan Multi & Mineral Supplement w/Greens 1x, Magnesium Lysinate Glycinate Chelate 100mg 4x, vit c 1000mg  2x, zinc gluconate 50mg 1x q.o.d., Allicin Max 180mg TID,  chlorella/spirulina 50/50 blend 2tabs 5x daily

HRT:  300mg oral progesterone h.s., 0.1mg estradiol transdermal patch 2x week

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On 8/15/2011 at 10:49 AM, Rhiannon said:

I still think people should not be told that one drug at a time is the only way to go.

 

At the very least, I think people deserve to be told that there's no real scientific evidence that it's better.

 

And in spite of my extremely unstable past history and multiple drugs for many, many years, I'm pretty sure I'm doing better with a multi-drug taper than I would do with one at a time. I feel that I'm more stable staying on the mix and reducing them all slowly than I would be if I tried to pull out just one. My brain has adapted to the full blend. I've had the experience of cutting one drug at a time before, and this, for me, is working better.

 

(Although I have never tapered this slowly before, and I'm certain that it's the slow taper that's 99% responsible for my success. Slow tapering with holds is by FAR the most helpful piece of the puzzle.)

 

And reducing them together does NOT take away the protective effect that they can have synergistically.

 

And since every one of these drugs causes side effects and is toxic, I'm reducing the synergistic toxicity and side effects as well.

 

Because I am NOT saying that you should just cut a bunch of stuff out at once. I am saying SLOWLY TAPER them all at the same time.

 

And I think people need to know that there have been no studies of any kind, no actual proof of any kind, showing that one drug at a time is physiologically advantageous.

 

So: it boils down to:

 

one drug at a time is easier to keep track of and control

 

but

 

multiple drugs at a time can also be controlled if you go VERY VERY SLOWLY AND CAREFULLY--I can't emphasize enough the importance of going slow and holding frequently, but I think that's just as important if you're tapering one drug only;

 

and other than that, we don't know jack, and we need to be honest about that.

 

so i could possibly taper all 3 of my meds at once, but reduce the rate of taper maybe, so that the total reduction amount of all 3 meds comes to less than 10% a month (prefereably even less than that) ?

 

if so, then i would have some hope. if i knew that i wouldn't have to be on these drugs for the next 14-21 years, that i could taper off of them sooner than that, i could relax a bit and feel relieved. 

it's just this unbearable pressure that fills me with dread when i think of spending the same amount of time coming off the meds that i've already wasted being on them...

 

(i wrote the following earlier  today before i read this thread:)

 

WARNING: THIS IS NOT A FEEL GOOD HAPPY-GO-LUCKY POST

(triggers, feeling hopeless, defeatism, pessimistic)

 

ok so i don't feel so great right now...despite sleeping wonderfully last night, and the sun shining... i even soaked up some of the rays earlier outside,

 

well, i also looked at my taper schedules for all 3 psych meds i'm currently on, and added them together with a conservative 6 month HOLD between each...

and depending on how i want to do them (consecutively or combining two tapers nearer to the end)...i'm looking at between 14 and 21 years to taper off of these meds.

 

that's using the 10% reduction rate per month, (actually 2.5% reduction per week totalling 10% per month, with a 2 week hold at the end of the 4 weeks ala the famous Brass Monkey Slide Microtaper).

 

this means i will be 60-67 years old when i complete the taper. that's 14-21 years of daily measuring out doses with a syringe and a flask, and individual dosing about 5 times per day. (8am, 2pm, 4pm, 8pm, and midnite) 

 

i feel deflated, defeated...and i haven't even really begun!

(i mean i have begun, i began to taper off in my own awkward way trying to cut unscored pills into pieces back in oct of 2017..)

but i haven't begun the process involving measuring out 3 liquid doses+ a day, and i am looking at these numbers, these years, these DECADES of monotonous measuring and careful watching of my clock/phone alarms every single day with no breaks!

and it just seems impossible. or maybe i should use the word unfeasable. aw hell i just don't want to do it! 

 

what kind of life is that?!!!

seriously, i'm asking myself, who in their right mind would willingly enter into a 14-21 year long contract daily measuring out doses with a syringe and a flask, and individual dosing about 5 times per day... to be honest it just sounds like a prison sentence.

a LONG prison sentence. and at the end of it if i don't have dementia ~ YAY ~ i'll be too old to be hired for meaningful work. 

 

i'm an ARTIST. i want to be able to paint and sell my work again, i want to travel, i want to be free of the drugs numbing me. i can't get disability because i never worked enough credits in a row to earn it. i only held odd jobs or waitressed or did under the table short jobs between my times of total disability from the drugs. i tried 3 times to get disability and the lawyers said the same thing. so i have no retirement to fall back on. if my Hubby lives as long as me, i'll have his love. but what kind of life...i don't mean to sound suicidal, i don't actually want to die, i am just very disheartened at the prospects ahead of me during the long taper off of these drugs. 

 

14-21 years of this. i'm wondering if Dr.Shipko was right. have i been on too many heavy psych meds for too long to come off? what will there be waiting for me at the end of this if i can actually endure it? 

 

there's this one member Happy2Heal  who says she made it thru 43 years of being drugged and came out of it successfully after a long taper.

so...maybe i can heal too.

 

the question is, 46 years are past, wasted...the next 14-21 look miserable. do i want to go through with it.  do i want to go through with it? so much wasted time... 

maybe i should just taper down to a certain point. but all 3 meds are so harmful, they will continue to harm me as long as i'm on them. god why did i ever get on these drugs at all?

 

sorry to bum yall out...i just have nowhere else to say these things. 

 

 

 

 

UPDATED: 9/01/2019

Quetiapine:  2000-2005: 50mg;  2005: 100mg;   2008: 400mg;   2011: 100mg;   2014: 300mg;   2014-2017: 400mg;  7/2018-2/2019: 75mg;  1/2019: 68.75mg;  4/2019: completed switch to 3x daily dosing (25mg 8AM, 18.75mg 4PM, 25mg MIDNITE);  5/2019: 68.75mg (switched to all liquid taper using HUMCO suspension agent)  8/2019: 61mg       

Clonazepam:  2008: 2mg then 0.25mg;   2012: 0.5mg;   2014: 1mg;   4/2019: 1mg ~completed switch to 3x daily dosing (0.25mg 8AM, 0.25mg 2PM, 0.5mg 8PM);   8/2019: 1mg (switched to all liquid taper using propylene glycol as solvent)    

Gabapentin:   2011: 100mg;   2011: 200mg TID    2014: 300mg;  2017: 600mg;   2019: 900mg PM;   3/2019: completed switch to 3x daily dosing (300mg q8h)

Prior drugs: Please see this link:    (the remaining dates & meds records will be updated as i receive my complete medical files.)

Suppl's: Deva Vegan Multi & Mineral Supplement w/Greens 1x, Magnesium Lysinate Glycinate Chelate 100mg 4x, vit c 1000mg  2x, zinc gluconate 50mg 1x q.o.d., Allicin Max 180mg TID,  chlorella/spirulina 50/50 blend 2tabs 5x daily

HRT:  300mg oral progesterone h.s., 0.1mg estradiol transdermal patch 2x week

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Not sure if your math is correct, but I'm sorry it will take you so long to taper off your drugs one at a time. If you want to go faster, you'll have to negotiate with your nervous system, not anyone else here.

 

If you taper more than one drug at a time and get a bad reaction, we can't tell which drug is responsible.

 

You would be on your own trying to figure out what to do next: Up or down with which drug?

 

Rhiannon is a laboratory technician. She was very disciplined, an experienced taperer, she understood her drugs, and she was fully capable of making complex tapering decisions by herself. If you think you can do that, by all means, follow Rhiannon's lead, but do not expect us to be able to rescue you from bad decisions.

 

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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On 6/4/2018 at 2:22 AM, neroli said:

This is not scientific research but the man (a chemist) who speaks at 25.38 on this video (it's in Will Hall's presentation at Psych Drugs Risks and Alternatives conference) - thinks that the drugs he was helping his son come off needed to be tapered at the same relative proportion at the same time.

 

this was extremely positive and enlightening!  thx for posting. i like what he said about keeping the overall proportions the same for all 3 meds while reducing/tapering. it's what the body is acclimated to, and he said his son felt less pain during the process whichis encouraging

UPDATED: 9/01/2019

Quetiapine:  2000-2005: 50mg;  2005: 100mg;   2008: 400mg;   2011: 100mg;   2014: 300mg;   2014-2017: 400mg;  7/2018-2/2019: 75mg;  1/2019: 68.75mg;  4/2019: completed switch to 3x daily dosing (25mg 8AM, 18.75mg 4PM, 25mg MIDNITE);  5/2019: 68.75mg (switched to all liquid taper using HUMCO suspension agent)  8/2019: 61mg       

Clonazepam:  2008: 2mg then 0.25mg;   2012: 0.5mg;   2014: 1mg;   4/2019: 1mg ~completed switch to 3x daily dosing (0.25mg 8AM, 0.25mg 2PM, 0.5mg 8PM);   8/2019: 1mg (switched to all liquid taper using propylene glycol as solvent)    

Gabapentin:   2011: 100mg;   2011: 200mg TID    2014: 300mg;  2017: 600mg;   2019: 900mg PM;   3/2019: completed switch to 3x daily dosing (300mg q8h)

Prior drugs: Please see this link:    (the remaining dates & meds records will be updated as i receive my complete medical files.)

Suppl's: Deva Vegan Multi & Mineral Supplement w/Greens 1x, Magnesium Lysinate Glycinate Chelate 100mg 4x, vit c 1000mg  2x, zinc gluconate 50mg 1x q.o.d., Allicin Max 180mg TID,  chlorella/spirulina 50/50 blend 2tabs 5x daily

HRT:  300mg oral progesterone h.s., 0.1mg estradiol transdermal patch 2x week

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On 8/15/2011 at 10:49 AM, Rhiannon said:

 I'm pretty sure I'm doing better with a multi-drug taper than I would do with one at a time. I feel that I'm more stable staying on the mix and reducing them all slowly than I would be if I tried to pull out just one. My brain has adapted to the full blend. I've had the experience of cutting one drug at a time before, and this, for me, is working better.

 

 I'm certain that it's the slow taper that's 99% responsible for my success. Slow tapering with holds is by FAR the most helpful piece of the puzzle.) And reducing them together does NOT take away the protective effect that they can have synergistically.

And since every one of these drugs causes side effects and is toxic, I'm reducing the synergistic toxicity and side effects as well. 

 

Because I am NOT saying that you should just cut a bunch of stuff out at once. I am saying SLOWLY TAPER them all at the same time.  there have been no studies of any kind, no actual proof of any kind, showing that one drug at a time is physiologically advantageous.

 

So: it boils down to: one drug at a time is easier to keep track of and control 

but

multiple drugs at a time can also be controlled if you go VERY VERY SLOWLY AND CAREFULLY--I can't emphasize enough the importance of going slow and holding frequently

 

did you finish your taper off of everything yet? your signature says "now" but no dates, so i don't know if you're still here or if you left. i'd like to know how your taper is going, or how it ended.

 

also, since you tapered several simultaneously, did you use the 2.5% reduction per week totaling 10% reduction per month with a 2 week hold ala Brass Monkey Slide Microtaper,  or did you use a less than 2.5% reduction per drug across the board so that your TOTAL drug reduction for all meds was less than 10% per month?

 

i'm curious about how you managed to keep your percentage/drug ratios the same while tapering. did you use a formula? 

UPDATED: 9/01/2019

Quetiapine:  2000-2005: 50mg;  2005: 100mg;   2008: 400mg;   2011: 100mg;   2014: 300mg;   2014-2017: 400mg;  7/2018-2/2019: 75mg;  1/2019: 68.75mg;  4/2019: completed switch to 3x daily dosing (25mg 8AM, 18.75mg 4PM, 25mg MIDNITE);  5/2019: 68.75mg (switched to all liquid taper using HUMCO suspension agent)  8/2019: 61mg       

Clonazepam:  2008: 2mg then 0.25mg;   2012: 0.5mg;   2014: 1mg;   4/2019: 1mg ~completed switch to 3x daily dosing (0.25mg 8AM, 0.25mg 2PM, 0.5mg 8PM);   8/2019: 1mg (switched to all liquid taper using propylene glycol as solvent)    

Gabapentin:   2011: 100mg;   2011: 200mg TID    2014: 300mg;  2017: 600mg;   2019: 900mg PM;   3/2019: completed switch to 3x daily dosing (300mg q8h)

Prior drugs: Please see this link:    (the remaining dates & meds records will be updated as i receive my complete medical files.)

Suppl's: Deva Vegan Multi & Mineral Supplement w/Greens 1x, Magnesium Lysinate Glycinate Chelate 100mg 4x, vit c 1000mg  2x, zinc gluconate 50mg 1x q.o.d., Allicin Max 180mg TID,  chlorella/spirulina 50/50 blend 2tabs 5x daily

HRT:  300mg oral progesterone h.s., 0.1mg estradiol transdermal patch 2x week

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Rhiannon hasn't logged in since January, 2017.  Please see her Introduction topic:  

 

 

* NO LONGER ACTIVE on SA *

MISSION ACCOMPLISHED:  (6 year taper)      0mg Pristiq  on 13th November 2021

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

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hmm  the last post i can find from her there is in 2015...

 

Edited by ChessieCat
removed quote

UPDATED: 9/01/2019

Quetiapine:  2000-2005: 50mg;  2005: 100mg;   2008: 400mg;   2011: 100mg;   2014: 300mg;   2014-2017: 400mg;  7/2018-2/2019: 75mg;  1/2019: 68.75mg;  4/2019: completed switch to 3x daily dosing (25mg 8AM, 18.75mg 4PM, 25mg MIDNITE);  5/2019: 68.75mg (switched to all liquid taper using HUMCO suspension agent)  8/2019: 61mg       

Clonazepam:  2008: 2mg then 0.25mg;   2012: 0.5mg;   2014: 1mg;   4/2019: 1mg ~completed switch to 3x daily dosing (0.25mg 8AM, 0.25mg 2PM, 0.5mg 8PM);   8/2019: 1mg (switched to all liquid taper using propylene glycol as solvent)    

Gabapentin:   2011: 100mg;   2011: 200mg TID    2014: 300mg;  2017: 600mg;   2019: 900mg PM;   3/2019: completed switch to 3x daily dosing (300mg q8h)

Prior drugs: Please see this link:    (the remaining dates & meds records will be updated as i receive my complete medical files.)

Suppl's: Deva Vegan Multi & Mineral Supplement w/Greens 1x, Magnesium Lysinate Glycinate Chelate 100mg 4x, vit c 1000mg  2x, zinc gluconate 50mg 1x q.o.d., Allicin Max 180mg TID,  chlorella/spirulina 50/50 blend 2tabs 5x daily

HRT:  300mg oral progesterone h.s., 0.1mg estradiol transdermal patch 2x week

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Just noticed this:  Rhi's success story

* NO LONGER ACTIVE on SA *

MISSION ACCOMPLISHED:  (6 year taper)      0mg Pristiq  on 13th November 2021

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

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i have been tapering lexapro and valium at the same time.

so far it has been okay, but it is at a really slow pace. (see my signature for tapering speed)

 

i have been having more symptoms lately. so i think i will focus on finishing up the lex taper first and go back to the valium.

the valium has been difficult to taper

june 2014 to feb  2015- on xanax 0.25 to 1mg/day- then CT - jan 2016 - panic attack, went on 3.75mg remeron to sleep march 2016- CT remeron (because it caused me tinnitus)- deep depression, couldn't sleep because of  intrusive Tinnitus

april to june 2016- valium 4mg, xanax as needed, lunesta 3mg

june 2016 - valium 4mg, lexapro 10mg

oct 2016- valium 2mg, lexapro 10mg- hold

march 2017- started daily micro liquid taper of valium and lex- -taper speed 0.0033mg valium daily and 0.033mg lex daily

may 2018- valium 1mg, lexapro 2.4mg - i had to slow down the rate of my daily micro taper considerably

LAST dose of Lexapro: 0.05mg on 05/17/19

LAST dose of valium: 0.04mg on 08/18/19

April 26th 2020- intense panic attack that lasted 4 days, akatisia, 0 sleep- suicidal, almost hospitalized- took rescue doses over 2 days- total: 1.5mg xanax, 18mg valium, 2x5mg lexapro

 

 

 

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7 hours ago, xyz said:

so i think i will focus on finishing up the lex taper first and go back to the valium.

the valium has been difficult to taper

 

That would be a good idea and what SA recommends.

Gridley Introduction

 

Lexapro 20 mg since 2004.  Begin Brassmonkey Slide Taper Jan. 2017.   

End 2017 year 1 of taper at 9.25mg 

End 2018 year 2 of taper at 4.1mg

End 2019 year 3 of taper at 1.0mg  

Oct. 30, 2020  Jump to zero from 0.025mg.  Current dose: 0.000mg

3 year, 10 month taper is 100% complete.

 

Ativan 1 mg to 1.875mg 1986-2020, two CT's and reinstatements

Nov. 2020, 7-week Ativan-Valium crossover to 18.75mg Valium

Feb. 2021, begin 10%/4 week taper of 18.75mg Valium 

End 2021  year 1 of Valium taper at 6mg

End 2022 year 2 of Valium taper at 2.75mg 

End 2023 year 3 of Valium taper at 1mg

Jan. 24, 2024: Hold at 1mg and shift to Imipramine taper.

Taper is 95% complete.

 

Imipramine 75 mg daily since 1986.  Jan.-Sept. 2016 tapered to 14.4mg  

March 22, 2022: Begin 10%/4 week taper

Aug. 5, 2022: hold at 9.5mg and shift to Valium taper

Jan. 24, 2024: Resume Imipramine taper.  Current dose as of Feb. 22: 7.6mg

Taper is 90% complete.  

  

Supplements: multiple, quercetin, omega-3, vitamins C, E and D3, magnesium glycinate, probiotics, zinc, melatonin .3mg, anti-candida, iron, serrapeptase, nattokinase


I am not a medical professional and this is not medical advice but simply information based on my own experience, as well as other members who have survived these drugs.

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11 hours ago, ChessieCat said:

Just noticed this:  Rhi's success story

 

thanks for this...well i wonder what happened to Rhiannon after 2016?

 

she is really inspiring, i'd love to know how she's doing now, or how the story ended if the taper didn't work out...either way, no judgement! i just want to know how she's been doing. 

UPDATED: 9/01/2019

Quetiapine:  2000-2005: 50mg;  2005: 100mg;   2008: 400mg;   2011: 100mg;   2014: 300mg;   2014-2017: 400mg;  7/2018-2/2019: 75mg;  1/2019: 68.75mg;  4/2019: completed switch to 3x daily dosing (25mg 8AM, 18.75mg 4PM, 25mg MIDNITE);  5/2019: 68.75mg (switched to all liquid taper using HUMCO suspension agent)  8/2019: 61mg       

Clonazepam:  2008: 2mg then 0.25mg;   2012: 0.5mg;   2014: 1mg;   4/2019: 1mg ~completed switch to 3x daily dosing (0.25mg 8AM, 0.25mg 2PM, 0.5mg 8PM);   8/2019: 1mg (switched to all liquid taper using propylene glycol as solvent)    

Gabapentin:   2011: 100mg;   2011: 200mg TID    2014: 300mg;  2017: 600mg;   2019: 900mg PM;   3/2019: completed switch to 3x daily dosing (300mg q8h)

Prior drugs: Please see this link:    (the remaining dates & meds records will be updated as i receive my complete medical files.)

Suppl's: Deva Vegan Multi & Mineral Supplement w/Greens 1x, Magnesium Lysinate Glycinate Chelate 100mg 4x, vit c 1000mg  2x, zinc gluconate 50mg 1x q.o.d., Allicin Max 180mg TID,  chlorella/spirulina 50/50 blend 2tabs 5x daily

HRT:  300mg oral progesterone h.s., 0.1mg estradiol transdermal patch 2x week

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Rhiannon is doing fine. She went back to her normal busy life.

 

@noearthlyfamily Want to make sure you see this:

 

18 hours ago, Altostrata said:

If you think you can do that, by all means, follow Rhiannon's lead, but do not expect us to be able to rescue you from bad decisions.

 

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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59 minutes ago, Altostrata said:

Rhiannon is doing fine. She went back to her normal busy life.

 

@noearthlyfamily Want to make sure you see this:

 

  19 hours ago, Altostrata said:

If you think you can do that, by all means, follow Rhiannon's lead, but do not expect us to be able to rescue you from bad decisions.

 

 

oh yeah, i hear you, 100% loud and clear. 

UPDATED: 9/01/2019

Quetiapine:  2000-2005: 50mg;  2005: 100mg;   2008: 400mg;   2011: 100mg;   2014: 300mg;   2014-2017: 400mg;  7/2018-2/2019: 75mg;  1/2019: 68.75mg;  4/2019: completed switch to 3x daily dosing (25mg 8AM, 18.75mg 4PM, 25mg MIDNITE);  5/2019: 68.75mg (switched to all liquid taper using HUMCO suspension agent)  8/2019: 61mg       

Clonazepam:  2008: 2mg then 0.25mg;   2012: 0.5mg;   2014: 1mg;   4/2019: 1mg ~completed switch to 3x daily dosing (0.25mg 8AM, 0.25mg 2PM, 0.5mg 8PM);   8/2019: 1mg (switched to all liquid taper using propylene glycol as solvent)    

Gabapentin:   2011: 100mg;   2011: 200mg TID    2014: 300mg;  2017: 600mg;   2019: 900mg PM;   3/2019: completed switch to 3x daily dosing (300mg q8h)

Prior drugs: Please see this link:    (the remaining dates & meds records will be updated as i receive my complete medical files.)

Suppl's: Deva Vegan Multi & Mineral Supplement w/Greens 1x, Magnesium Lysinate Glycinate Chelate 100mg 4x, vit c 1000mg  2x, zinc gluconate 50mg 1x q.o.d., Allicin Max 180mg TID,  chlorella/spirulina 50/50 blend 2tabs 5x daily

HRT:  300mg oral progesterone h.s., 0.1mg estradiol transdermal patch 2x week

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  • 6 months later...
  • Moderator Emeritus
On 3/21/2019 at 7:15 PM, noearthlyfamily said:

did you try to taper another med while recovering or in WD from a previous med?

 

what does the "now" mean in your signature Rhianon? does it mean march of 2019 or did you finish tapering earlier? 

 

Oi, when I first started tapering I was in so much WD from a bunch of stuff that had happened months before--I had CT a couple of things, restarted them and started a bunch of new stuff. That first year was pure hell. I finally got into the really slow tapering and managed to settle down but it was a couple more years before I started feeling what you could call "good" at any time.

 

I will fix the "now" and put a date, sorry about that.

Started on Prozac and Xanax in 1992 for PTSD after an assault. One drug led to more, the usual story. Got sicker and sicker, but believed I needed the drugs for my "underlying disease". Long story...lost everything. Life savings, home, physical and mental health, relationships, friendships, ability to work, everything. Amitryptiline, Prozac, bupropion, buspirone, flurazepam, diazepam, alprazolam, Paxil, citalopram, lamotrigine, gabapentin...probably more I've forgotten. 

Started multidrug taper in Feb 2010.  Doing a very slow microtaper, down to low doses now and feeling SO much better, getting my old personality and my brain back! Able to work full time, have a full social life, and cope with stress better than ever. Not perfect, but much better. After 23 lost years. Big Pharma has a lot to answer for. And "medicine for profit" is just not a great idea.

 

Feb 15 2010:  300 mg Neurontin  200 Lamictal   10 Celexa      0.65 Xanax   and 5 mg Ambien 

Feb 10 2014:   62 Lamictal    1.1 Celexa         0.135 Xanax    1.8 Valium

Feb 10 2015:   50 Lamictal      0.875 Celexa    0.11 Xanax      1.5 Valium

Feb 15 2016:   47.5 Lamictal   0.75 Celexa      0.0875 Xanax    1.42 Valium    

2/12/20             12                       0.045               0.007                   1 

May 2021            7                       0.01                  0.0037                1

Feb 2022            6                      0!!!                     0.00167               0.98                2.5 mg Ambien

Oct 2022       4.5 mg Lamictal    (off Celexa, off Xanax)   0.95 Valium    Ambien, 1/4 to 1/2 of a 5 mg tablet 

 

I'm not a doctor. Any advice I give is just my civilian opinion.

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On 3/22/2019 at 11:13 AM, noearthlyfamily said:

 

thanks for this...well i wonder what happened to Rhiannon after 2016?

 

she is really inspiring, i'd love to know how she's doing now, or how the story ended if the taper didn't work out...either way, no judgement! i just want to know how she's been doing. 

 

You can pick up my Rhiannon's Intro if you want. I have been doing pretty well, had a wobble this summer when I went off the citalopram a little too fast. I'm still tapering very slowly and doing pretty well most of the time. Once I'm sure I've settled from this reinstatement of citalopram I will update my success story too.

Started on Prozac and Xanax in 1992 for PTSD after an assault. One drug led to more, the usual story. Got sicker and sicker, but believed I needed the drugs for my "underlying disease". Long story...lost everything. Life savings, home, physical and mental health, relationships, friendships, ability to work, everything. Amitryptiline, Prozac, bupropion, buspirone, flurazepam, diazepam, alprazolam, Paxil, citalopram, lamotrigine, gabapentin...probably more I've forgotten. 

Started multidrug taper in Feb 2010.  Doing a very slow microtaper, down to low doses now and feeling SO much better, getting my old personality and my brain back! Able to work full time, have a full social life, and cope with stress better than ever. Not perfect, but much better. After 23 lost years. Big Pharma has a lot to answer for. And "medicine for profit" is just not a great idea.

 

Feb 15 2010:  300 mg Neurontin  200 Lamictal   10 Celexa      0.65 Xanax   and 5 mg Ambien 

Feb 10 2014:   62 Lamictal    1.1 Celexa         0.135 Xanax    1.8 Valium

Feb 10 2015:   50 Lamictal      0.875 Celexa    0.11 Xanax      1.5 Valium

Feb 15 2016:   47.5 Lamictal   0.75 Celexa      0.0875 Xanax    1.42 Valium    

2/12/20             12                       0.045               0.007                   1 

May 2021            7                       0.01                  0.0037                1

Feb 2022            6                      0!!!                     0.00167               0.98                2.5 mg Ambien

Oct 2022       4.5 mg Lamictal    (off Celexa, off Xanax)   0.95 Valium    Ambien, 1/4 to 1/2 of a 5 mg tablet 

 

I'm not a doctor. Any advice I give is just my civilian opinion.

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On 3/21/2019 at 8:57 PM, noearthlyfamily said:

 

did you finish your taper off of everything yet? your signature says "now" but no dates, so i don't know if you're still here or if you left. i'd like to know how your taper is going, or how it ended.

 

also, since you tapered several simultaneously, did you use the 2.5% reduction per week totaling 10% reduction per month with a 2 week hold ala Brass Monkey Slide Microtaper,  or did you use a less than 2.5% reduction per drug across the board so that your TOTAL drug reduction for all meds was less than 10% per month?

 

i'm curious about how you managed to keep your percentage/drug ratios the same while tapering. did you use a formula? 

 

I am going to give an update here because I know people come here all the time and see this subject thread and have questions. I am actually amazed Alto has left it up, because I'm sure it causes a lot of trouble for her.

 

I haven't changed my mind about tapering multiple meds together. I am still glad I did it this way and for me, I think it's been easier on my body this way, since I was on so many  meds and they all interact and I hate them all. I still feel like I do better with taking them down together. 

 

HOWEVER, AND THIS IS IMPORTANT:

1.  As Alto says, if you get into trouble tapering multiple meds, you aren't going to be easily able to figure out which one caused the problem, and it's going to make it hard to fix, and you could end up suffering as a result for longer than necessary. You definitely will not be able to get assistance from the mods here, because they also have no way of knowing what caused the problem. The multi-med taper is very much a do-it-yourself proposition, and you and only you are responsible for the results, and for the consequences.

2. As far as I know this is only safe if you go very slowly. I think I may have made one or two 5% cuts along the way but a typical cut for me is 1 to 3%. 

3.  You absolutely must keep track of your body's responses and learn to know your own body very well.

 

In answer to the specific questions above, I don't think I have ever cut as much as a total 10% in one month, and if I did I would definitely need to hold for a couple of months after and I would probably feel much worse than I like to feel.

 

I was more methodical at first and tried to make the total cut percentage add up to something like 5-7 percent and hold that for a month or two. Nowadays, I do something more like, cut one med by 3 percent and either hold the others or cut them by just 1 percent or less at a time, and after a couple of times then switch and cut one of the other ones more and hold the others. So it's more of a staggered thing. I don't use a formula, I just eyeball it now. But that's after many years. At first I kept careful records and measurements and calculated all my percentages individually and combined.

 

I am tapering the Valium differently than the others, didn't taper it at all at first and now I tend to go very very slowly with it if I cut at all, because WD from Vali causes so much insomnia, and insomnia makes EVERYthing harder. I will probably bring it down more as I bring the others down but I expect Valium will be the last drug I finally taper off, if I do ever get all the way off of it.

 

My philosophy is "take the lowest possible dose of the fewest possible meds." Still working on it. I've found that getting to low doses has given me back my life, though.

 

I will probably disappear from here again after I get to feeling better, because I really do have a lot of other projects I need to be getting on with and right now I'm stalled on all of those. Eventually I'll be picking those back up. If I'm not here, I'm probably doing fine, because if I run into trouble, this place is the first place I look to for information and support.

Started on Prozac and Xanax in 1992 for PTSD after an assault. One drug led to more, the usual story. Got sicker and sicker, but believed I needed the drugs for my "underlying disease". Long story...lost everything. Life savings, home, physical and mental health, relationships, friendships, ability to work, everything. Amitryptiline, Prozac, bupropion, buspirone, flurazepam, diazepam, alprazolam, Paxil, citalopram, lamotrigine, gabapentin...probably more I've forgotten. 

Started multidrug taper in Feb 2010.  Doing a very slow microtaper, down to low doses now and feeling SO much better, getting my old personality and my brain back! Able to work full time, have a full social life, and cope with stress better than ever. Not perfect, but much better. After 23 lost years. Big Pharma has a lot to answer for. And "medicine for profit" is just not a great idea.

 

Feb 15 2010:  300 mg Neurontin  200 Lamictal   10 Celexa      0.65 Xanax   and 5 mg Ambien 

Feb 10 2014:   62 Lamictal    1.1 Celexa         0.135 Xanax    1.8 Valium

Feb 10 2015:   50 Lamictal      0.875 Celexa    0.11 Xanax      1.5 Valium

Feb 15 2016:   47.5 Lamictal   0.75 Celexa      0.0875 Xanax    1.42 Valium    

2/12/20             12                       0.045               0.007                   1 

May 2021            7                       0.01                  0.0037                1

Feb 2022            6                      0!!!                     0.00167               0.98                2.5 mg Ambien

Oct 2022       4.5 mg Lamictal    (off Celexa, off Xanax)   0.95 Valium    Ambien, 1/4 to 1/2 of a 5 mg tablet 

 

I'm not a doctor. Any advice I give is just my civilian opinion.

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  • 1 month later...
On 10/3/2019 at 10:21 PM, Rhiannon said:

 

Oi, when I first started tapering I was in so much WD from a bunch of stuff that had happened months before--I had CT a couple of things, restarted them and started a bunch of new stuff. That first year was pure hell. I finally got into the really slow tapering and managed to settle down but it was a couple more years before I started feeling what you could call "good" at any time.

 

I will fix the "now" and put a date, sorry about that.

Quote

I am tapering 4 meds at the same time.  Cymbalta, olanzapine, mirtazapine and Ativan.  I am,tapering at 5% every 10:days.  I can’t afford to stay on the drugs any longer as my medical,insurance won’t pay for,them.  I would appreciate any advice 

 

June 30th dosages and times tskenzypr
currently tapering zyprexa @3% every 2 week
August 05
Can anybody advise which of the following I should be tapering first.  I am currently on 
cymbalta. 12.36 mg
zyprexa. .75 mg taken at 10pm. 
 mirtazapine 2.8 mg
lorazepam. .5 mg taken at 10pm
Having bad withdrawals as have been multi tapering
August 9
I know I have been very wrong for not following advice given before.   Please can I start over and get help.  
Realised i I made a mistake with my signature on 30th June.  Cymbalta should have been13.2mg not 18.2mg.  
August 15th
dose unchanged 
1st May 2022
24 beads cymbalta 4mg, tapering,  to September 10  on 1.2 mg
2mg Ativan, February had tapered to 0, February 15- 1 mg, tapering to September 10- 0.68 mg( divided into 2 doses of 0.34 mg 12 hours apart)
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