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ElPsyCongroo Can i cold turkey? (Nortriptyline 10mg perday,4Months,Migraine)


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Can i cold turkey Nortriptyline , i have taken it for 4 month in 10 mg perday

Can i stop suddenly? 

I use antidepressant to cure my migraine.(but now i dont want to use drug to cure my migraine)

I will withdraw or not?(fear, anxiety, "neuro-emotion", etc) (i dont care about migraine)

It's necessary to slow taper?


Thank you :)

14/09/2015 - Starting Nortriptyline 10 mg 


Vitamin,Minerals - Magnesium 600 mg

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  • Moderator Emeritus

Welcome EIPsyCongroo,

Your topic was moved here to our introductions forum. You can use this thread as your ongoing journal to track progress, write about symptoms, ask questions and communicate with the community, add to it whenever you want. Its a good idea to bookmark it or follow it, so its easy to find again.


Please don't suddenly stop taking your medication. We suggest reducing by no more than 10% of the current dose every 4 weeks, this reduces the risk of withdrawal symptoms arising. Please read through this which will explain why:


Why taper by 10% of my dosage?


Here is our nortriptyline tapering information:   Tips for tapering off nortriptyline


Are you taking any other medications?



I'm not a doctor.  My comments are not medical advise. These are my opinions based on my own experience and what I've learned. Please discuss your situation with a medical practitioner who has knowledge of tapering and withdrawal...if you are lucky enough to find one.

My Introduction Thread

Full Drug and Withdrawal History

Brief Summary

Several SSRIs for 13 years starting 1997 (for mild to moderate partly situational anxiety) Xanax PRN ~ Various other drugs over the years for side effects

2 month 'taper' off Lexapro 2010

Short acute withdrawal, followed by 2 -3 months of improvement then delayed protracted withdrawal

DX ADHD followed by several years of stimulants and other drugs trying to manage increasing symptoms

Failed reinstatement of Lexapro and trial of Prozac (became suicidal)

May 2013 Found SA, learned about withdrawal, stopped taking drugs...healing begins.

Protracted withdrawal, with a very sensitized nervous system, slowly recovering as time passes

Supplements which have helped: Vitamin C, Magnesium, Taurine

Bad reactions: Many supplements but mostly fish oil and Vitamin D

June 2016 - Started daily juicing, mostly vegetables and lots of greens.

Aug 2016 - Oct 2016 Best window ever, felt almost completely recovered

Oct 2016 -Symptoms returned - bad days and less bad days.

April 2018 - No windows, but significant improvement, it feels like permanent full recovery is close.

VIDEO: Where did the chemical imbalance theory come from?

VIDEO: How are psychiatric diagnoses made?

VIDEO: Why do psychiatric drugs have withdrawal syndromes?

VIDEO: Can psychiatric drugs cause long-lasting negative effects?

VIDEO: Dr. Claire Weekes




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I'm tapeing Nortriptyline. Mine comes in a capsule that can be easily opened and put in a liquid.


I see you are in Thailand so I'm not sure if it comes in capsule form there. If it does it makes tapering easier, IMHO.

Prozac 1999-2009 quit semi cold turkey.


2012 Placed on Seroquel 25 mg, Tranxene (Clorezepate) 3.75 mg 3x a day, Remeron 30 mg for anxiety/akathesia.


Weaned off Seroquel and Tranxene .to Remeron 15 Mg.

In May 2014 tried quitting Remeron at its lowest dose. Had severe withdrawals.Reinstated Remeron at 30 mg by doctor. August 5 2014 entered hospital. Doctor pulled the Remeron and bridged it to Pamelor (Nortriptyline) 40mg and Zyprexa 2.5mg.After removing the Remeron all my bad symptoms went away and I am stable.


9/11/14 - 7.5 mg tranxene, 40mg Pamelor, Zyprexa 2.5mg

12/29/14 -  20mg Pamelor, 1/6/15,  7/31/15 3.5mg, 8/10/15 3.2 mg, 9/15/15 2.2mg, 10/15/15 1.8mg

(Feb 2016 - 1.4mg Pamelor only -  OFF OF TRANXENE AND ZYPREXA SINCE DEC 2014 BENZO FREE Since 2014. Nortrityline (Pamelor) .8mg Aug 2016

March 2017 DRUG FREE

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  • Moderator Emeritus

Hi , welcome to the site EIPsyCongroo.


As Petunia wrote:    PLEASE do not stop your meds. suddenly.  You risk getting terrible withdrawal symptoms

that can last months or years.  Even though you only took nortriptyline for 4 months.


Start with a small reduction and see how you react.  Give your brain time to adjust after each drop.

You may be able to go faster than recommended . . . wait and see how you respond to that first drop.

Try reading What Is Withdrawal Syndrome  here  http://survivingantidepressants.org/index.php?/topic/603-what-is-withdrawal-syndrome/


Best wishes ,  Fresh

1987-1997 pertofran , prothiaden , Prozac 1997-2002 Zoloft 2002-2004 effexor 2004-2010 Lexapro 40mg

2010-2012Cymbalta 120mg

Sept. 2012 -decreased 90mg in 6months. Care taken over by Dr Lucire in March 2013 , decreased last 30mg at 2mg per week over 3 months. July 21 , 2013- last dose of Cymbalta

Protracted withdrawal syndrome kicked in badly Jan.2014 Unrelenting akathisia until May 2014. Voluntary hosp. admission. Cocktail of Seroquel, Ativan and mirtazapine and I was well enough to go home after 14 days. Stopped all hosp. meds in next few months.

July 2014 felt v.depressed - couldn't stop crying. Started pristiq 50mg. Felt improvement within days and continued to improve, so stayed on 50mg for 8 months.

Began taper 28 Feb. 2015. Pristiq 50mg down to 45mg. Had one month of w/d symptoms. Started CES therapy in March. No w/d symptoms down to 30mg.

October 2015 , taking 25mg Pristiq. Capsules compounded with slow-release additive.

March 2016 , 21mg

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Thank you all of you and sorry to reply late  , I am new on here and found this site is full of kind people ;)


My first tablets is on 14/09/2015, so , it's about 3 month for taking Nortriptyline 10mg

In this months , I forgot to take Nortriptyline 2 times(On 11 and 14 December).That day, I feel very bad and the feeling likes depress or anxious.


I decide to not stop suddenly and  taper by 10% (reduce the dose by 10% every 4 weeks) to avoid the withdrawal symptom.



Can you suggest When should i taper, now or wait until next month?, because i didn't take meds for 2 time in this month.

14/09/2015 - Starting Nortriptyline 10 mg 


Vitamin,Minerals - Magnesium 600 mg

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This is my calculate for tapering off (reduce the dose by 10% every 4 weeks )




1)10% of 10mg = 1 mg >>> 10mg - 1mg = 9mg
2)10% of 9mg  = 0.9 mg >>> 9mg  - 0.9mg = 8.1mg
3)10% of 8.1mg = 0.81 mg >>> 8.1mg - 0.81mg = 7.29mg --> 7.3mg
4)10% of 7.29mg = 0.729 mg >>> 7.29mg - 0.729mg = 6.561mg -->6.6mg
5)10% of 6.561mg = 0.6561 mg  >>> 6.561mg - 0.6561 mg = 5.9049mg -->5.9mg
6)10% of 5.9049mg = 0.59049 mg >>> 5.9049mg - 0.59049mg = 5.31441mg -->5.3mg
7)10% of 10 = 0.531441 mg >>> 5.31441mg - 0.531441mg = 4.782969mg--> 4.8mg
8)10% of 4.782969 = 0.4782969 mg >>> 4.782969mg - 0.4782969mg = 4.3046721mg --> 4.3
9)10% of 4.3046721 =  0.43046721 mg >>> 4.3046721mg - 0.43046721mg = 3.87420489mg --> 3.9
10)10% of  3.87420489 = 0.387420489 mg >>> 3.87420489mg - 0.387420489mg = 3.486784401mg -->3.5
11)10% of 3.486784401 = 0.3486784401 mg >>> 3.486784401mg - 0.3486784401mg = 3.1381059609mg -->3.1
12)10% of 3.1381059609 = 0.31381059609 mg >>> 3.1381059609mg - 0.31381059609mg = 2.82429536481mg --> 2.8
13)10% of 2.82429536481 = 0.282429536481 mg >>> 2.82429536481mg - 0.282429536481mg = 2.541865828329mg --> 2.5
14)10% of 2.541865828329 = 0.2541865828329 mg >>> 2.541865828329mg - 0.2541865828329mg = 2.2876792454961mg --> 2.3
15)10% of 2.2876792454961 = 0.22876792454961 mg >>> 2.2876792454961mg - 0.22876792454961mg = 2.05891132094649mg --> 2.1
16)10% of 2.05891132094649 = 0.205891132094649 mg >>> 2.05891132094649mg - 0.205891132094649mg = 1.853020188851841mg --> 1.9
17)10% of 1.853020188851841 = 0.1853020188851841 mg >>> 1.853020188851841mg - 0.1853020188851841mg = 1.6677181699666569mg --> 1.7
18)10% of 1.6677181699666569 = 0.16677181699666569 mg >>> 1.6677181699666569mg - 0.16677181699666569mg = 1.50094635296999121mg --> 1.5
19)10% of 1.50094635296999121 = 0.150094635296999121 mg >>> 1.50094635296999121mg - 0.150094635296999121mg = 1.350851717672992089mg --> 1.4
20)10% of 1.350851717672992089 = 0.1350851717672992089 mg >>> 1.350851717672992089mg - 0.1350851717672992089mg = 1.2157665459056928801mg --> 1.2
21)10% of 1.2157665459056928801 = 0.12157665459056928801 mg >>> 1.2157665459056928801mg - 0.12157665459056928801mg = 1.09418989131512359209mg --> 1.1
22)10% of 1.09418989131512359209 = 0.109418989131512359209 mg >>> 1.09418989131512359209mg - 0.109418989131512359209mg = 0.984770902183611232881mg --> 1.0  = stop =  1years and 10 months


9, 8.1, 7.3, 6.6, 5.9, 5.3, 4.8, 4.3, 3.9, 3.5, 3.1, 2.8, 2.5, 2.3, 2.1, 1.9, 1.7, 1.5, 1.4, 1.2, 1.1, 1.0 mg


It takes 1 years and 10 months 


Is it right or not that i can stop when my dose is 1.0 mg?

14/09/2015 - Starting Nortriptyline 10 mg 


Vitamin,Minerals - Magnesium 600 mg

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  • Moderator Emeritus

Hi EIPsyCongroo,


The easier way to calculate is 10 x 0.9 which is 90% of 10.


Once you get to 1 mg you will need to see how you go.  According to people on this site it is when you get down to the last low doses that tapering and jumping off can be hard.


And welcome, you joined a very supportive site.




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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wow, 20 decimal places my calculater can only do 7 ! what are you using a computer from NASA?


Personally Id see how you feel after the first drop if no issues as Fresh says you may be able to get off faster ...i mean you have only been on for 3 months.

Its not as if you have been taking this drug for 3 years or 10 years. I believe there is a good chance you wont need to take 22 months.


Note here that the rate is not fixed.....listen to your body.


from Petu's link :


  The 10% method protects everyone and you have the option of tapering faster if you can tolerate it.

Follow this harm reduction approach to starting your taper:

  • Initially, make a 10% reduction and hold there for a MONTH. It can take several weeks for withdrawal symptoms to emerge. Do that again the second month.
  • If you have very minor or no symptoms from these 2 reductions, you can try reducing by 10% (calculated on the last dosage) every 3 weeks. Do that twice. If no problems, reduce by 10% every 2 weeks. Do that twice.
  • If no problems after 4.5 months of very gradual reduction, you may be able to reduce by 10% every week.
  • If significant withdrawal symptoms appear, make smaller cuts or go slower. Listen to your body.

Thought for the day: Lets stand up, and let’s speak out , together. G Olsen

We have until the 14th. Feb 2018. 

URGENT REQUEST Please consider submitting  for the petition on Prescribed Drug Dependence and Withdrawal currently awaiting its third consideration at the Scottish Parliament. You don't even have to be from Scotland. By clicking on the link below you can read some of the previous submissions but be warned many of them are quite harrowing.


Please tell them about your problems taking and withdrawing from antidepressants and/or benzos.

Send by email to petitions@parliament.scot and quote PE01651 in the subject heading. Keep to a maximum of 3 sides of A4 and you can't name for legal reasons any doctor you have consulted. Tell them if you wish to remain anonymous. We need the numbers to help convince the committee members we are not isolated cases. You have until mid February. Thank you

Recovering paxil addict

None of the published articles shed light on what ssri's ... actually do or what their hazards might be. Healy 2013. 

This is so true, with anything you get on these drugs, dependance, tapering, withdrawal symptoms, side effects, just silent. And if there is something mentioned then their is a serious disconnect between what is said and reality! 

  "Every time I read of a multi-person shooting, I always presume that person had just started a SSRI or had just stopped."  Dr Mosher. Me too! 

Over two decades later, the number of antidepressant prescriptions a year is slightly more than the number of people in the Western world. Most (nine out of 10) prescriptions are for patients who faced difficulties on stopping, equating to about a tenth of the population. These patients are often advised to continue treatment because their difficulties indicate they need ongoing treatment, just as a person with diabetes needs insulin. Healy 2015

I believe the ssri era will soon stand as one of the most shameful in the history of medicine. Healy 2015

Let people help people ... in a natural, kind, non-addictive (and non-big pharma) way. J Broadley 2017



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