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

[ElPsyCongroo]

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

[Petunia]

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?

 

Petunia.

[chicken]

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.

[Fresh]

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

[ElPsyCongroo]

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.

[ElPsyCongroo]

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?

[ChessieCat]

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.

 

CC

[nz11]

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.