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Dizzy: Trying to Taper Zoloft


dizzy

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I want to taper because 100 mg caused frequent vivid horrible nightmares which brought back anxiety symptoms.

 

Felt anxious/depressed for 48 hours each time when switching to 75 mg and 50 mg two weeks apart.

 

Did a 50/25 alternate for a week and went to 25 mg and had bad symptoms for two weeks so went back to 50 mg and started to feel better after 4 days but now symptoms have returned for the last two days.

 

I want to find a level without symptoms and then do 10% taper. Should I return to 75 mg or stick to 50 mg to see if symptoms go away?

 

Over a year ago, was able to taper off prozac over a month with relatively few symptoms. I've heard you can switch from Zoloft to Prozac without tapering first. Is that true? Maybe it would be easier to do this and then taper off prozac based on past experience?

 

Appreciate any help. Thanks!

 

 

Prozac:

01/15 10 mg, 02/15, 20 mg, 03/15 40 mg, 04/15 40->20->10->0 mg

Concerta:

01/15-04/15 18 mg

Zoloft:

25 mg 06/15, 50 mg 08/15, 75 mg 10/15, 100 mg 12/15, 
75 mg 13-Feb-16, 50 mg 2-Mar-16, 50/25 mg 12-Mar-16,
25 mg 19-Mar-16, 50 mg 01-Apr-16

 

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  • Moderator Emeritus

Hi Dizzy, I am moving your topic to the Intro forum since you are new to SA and this is about your particular situation.  You can use your Intro to ask questions, make updates, and generally journal your experience.  By clicking "Follow this thread" at the top, you will be notified of replies to your thread.

 

SG

Started ADs back around 1995 after bad break-up, starting with Prozac.  Switched to Wellbutrin, and then to Effexor in 2002
Effexor XR 2002-2014 up to 225 mg at one point, down to 37.5 mg towards end but back up to 75 mg in 2014; now realize I had W/D as I dropped down, memory very poor about history.  Extreme emotions, poor concentration as I stepped back down, didn't connect the dots!
Summer 2014 reduced to 0 very quickly, was sick of anhedonia/sexual dysfunction due to meds, depression never controlled if not worse. Didn't recognize WD since symptoms built slowly (thought I had ADD! and menopausal on top of it), starting with severe sweats, very bad cog-fog and memory issues, culminating in weight loss, severe anxiety and depression, panic, severe apathy and insomnia by eight months off.  Saw p-doc who put me on Remeron, increased from 7.5 mg/day to 37.5 mg by May 22, 2015; still doing very badly though able to sleep.

June 1. 2015 Reinstated Effexor XR 37.5 mg, Remeron dropped to 30 mg PM. Immediate relief of symptoms, like nothing had ever happened!  Joined SA and began on advice of friend who recognized it was WD all along! Began tapering in July 2015.

Been tapering both meds ever since, focusing on one more than the other or doing no more than 5% of each per month.

12 mg Effexor and 5.8 mg Remeron (mirtazapine SolTabs to make a solution with OraPlus) as of 5/4/2017 

Update 3/14/18: 2.9 mg Remeron and 6 mg Effexor; 6/10/18:  2.6 mg Remeron and 4.9 mg Effexor

 

My intro: http://survivingantidepressants.org/index.php?/topic/9313-squirrellygirl-effexor-withdrawal-etc/page-2#entry196679

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

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  • Moderator Emeritus

I am glad you have found SA - Welcome!

 

It would be helpful for all who travel to your Intro to know your history at a glance, so please fill out your signature block.  Instructions are here:   Please put your Withdrawal History in Signature

 

You are definitely experience withdrawal symptoms from a too-fast taper.  Here, we recommend a 10% reduction method, cutting no more than 10% of your previous dose every four to six weeks.  Also, one should not make a cut if currently experiencing withdrawal symptoms, since the nervous system is already destabilized and adding another cut on top of that will only cause more suffering.

 

We have found that this method keeps the majority of people comfortable and functional as they come off their meds.  Some are so sensitive that even 10% is too much, doing better with 5%.  Some find doing 5% every two weeks more tolerable. 

 

I think that even though you up-dosed to 50 mg, your nervous system still hadn't caught up with the drop from 100.  A 25% cut is huge but can take time to bring on severe withdrawal symptoms, and two weeks is just too short a period of time for your nervous system to have processed that cut.  Then you did another equal cut, so you are now feeling the accumulated cuts plus extra from dropping to 25 in such a short span of time.  Alternating doses further causes instability, since the nervous system is confused as to what it should do, remodel or not?  Consistency is key.

 

 

I will put it to the mods to see what dose you should return to.  I'm thinking 75 mg, but you've been all over the place, very destabilizing.  Please read the following topics in the meantime:

 

Introduction to AD Withdrawal Syndrome

 

About reinstating and stabilizing to reduce withdrawal symptoms

 

Why taper by 10% of my dosage?

 

Keep it Simple, Slow and Stable

 

Brain Remodelling

 
 
SG

Started ADs back around 1995 after bad break-up, starting with Prozac.  Switched to Wellbutrin, and then to Effexor in 2002
Effexor XR 2002-2014 up to 225 mg at one point, down to 37.5 mg towards end but back up to 75 mg in 2014; now realize I had W/D as I dropped down, memory very poor about history.  Extreme emotions, poor concentration as I stepped back down, didn't connect the dots!
Summer 2014 reduced to 0 very quickly, was sick of anhedonia/sexual dysfunction due to meds, depression never controlled if not worse. Didn't recognize WD since symptoms built slowly (thought I had ADD! and menopausal on top of it), starting with severe sweats, very bad cog-fog and memory issues, culminating in weight loss, severe anxiety and depression, panic, severe apathy and insomnia by eight months off.  Saw p-doc who put me on Remeron, increased from 7.5 mg/day to 37.5 mg by May 22, 2015; still doing very badly though able to sleep.

June 1. 2015 Reinstated Effexor XR 37.5 mg, Remeron dropped to 30 mg PM. Immediate relief of symptoms, like nothing had ever happened!  Joined SA and began on advice of friend who recognized it was WD all along! Began tapering in July 2015.

Been tapering both meds ever since, focusing on one more than the other or doing no more than 5% of each per month.

12 mg Effexor and 5.8 mg Remeron (mirtazapine SolTabs to make a solution with OraPlus) as of 5/4/2017 

Update 3/14/18: 2.9 mg Remeron and 6 mg Effexor; 6/10/18:  2.6 mg Remeron and 4.9 mg Effexor

 

My intro: http://survivingantidepressants.org/index.php?/topic/9313-squirrellygirl-effexor-withdrawal-etc/page-2#entry196679

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

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Oh, one more!

 

Tips for tapering Zoloft

Started ADs back around 1995 after bad break-up, starting with Prozac.  Switched to Wellbutrin, and then to Effexor in 2002
Effexor XR 2002-2014 up to 225 mg at one point, down to 37.5 mg towards end but back up to 75 mg in 2014; now realize I had W/D as I dropped down, memory very poor about history.  Extreme emotions, poor concentration as I stepped back down, didn't connect the dots!
Summer 2014 reduced to 0 very quickly, was sick of anhedonia/sexual dysfunction due to meds, depression never controlled if not worse. Didn't recognize WD since symptoms built slowly (thought I had ADD! and menopausal on top of it), starting with severe sweats, very bad cog-fog and memory issues, culminating in weight loss, severe anxiety and depression, panic, severe apathy and insomnia by eight months off.  Saw p-doc who put me on Remeron, increased from 7.5 mg/day to 37.5 mg by May 22, 2015; still doing very badly though able to sleep.

June 1. 2015 Reinstated Effexor XR 37.5 mg, Remeron dropped to 30 mg PM. Immediate relief of symptoms, like nothing had ever happened!  Joined SA and began on advice of friend who recognized it was WD all along! Began tapering in July 2015.

Been tapering both meds ever since, focusing on one more than the other or doing no more than 5% of each per month.

12 mg Effexor and 5.8 mg Remeron (mirtazapine SolTabs to make a solution with OraPlus) as of 5/4/2017 

Update 3/14/18: 2.9 mg Remeron and 6 mg Effexor; 6/10/18:  2.6 mg Remeron and 4.9 mg Effexor

 

My intro: http://survivingantidepressants.org/index.php?/topic/9313-squirrellygirl-effexor-withdrawal-etc/page-2#entry196679

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

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As for switching to Prozac, there are pro's and cons.  We are of the general consensus that it is better to stick with the devil you know.   This topic may help you with understanding using a Prozac Bridge

 

SG

Started ADs back around 1995 after bad break-up, starting with Prozac.  Switched to Wellbutrin, and then to Effexor in 2002
Effexor XR 2002-2014 up to 225 mg at one point, down to 37.5 mg towards end but back up to 75 mg in 2014; now realize I had W/D as I dropped down, memory very poor about history.  Extreme emotions, poor concentration as I stepped back down, didn't connect the dots!
Summer 2014 reduced to 0 very quickly, was sick of anhedonia/sexual dysfunction due to meds, depression never controlled if not worse. Didn't recognize WD since symptoms built slowly (thought I had ADD! and menopausal on top of it), starting with severe sweats, very bad cog-fog and memory issues, culminating in weight loss, severe anxiety and depression, panic, severe apathy and insomnia by eight months off.  Saw p-doc who put me on Remeron, increased from 7.5 mg/day to 37.5 mg by May 22, 2015; still doing very badly though able to sleep.

June 1. 2015 Reinstated Effexor XR 37.5 mg, Remeron dropped to 30 mg PM. Immediate relief of symptoms, like nothing had ever happened!  Joined SA and began on advice of friend who recognized it was WD all along! Began tapering in July 2015.

Been tapering both meds ever since, focusing on one more than the other or doing no more than 5% of each per month.

12 mg Effexor and 5.8 mg Remeron (mirtazapine SolTabs to make a solution with OraPlus) as of 5/4/2017 

Update 3/14/18: 2.9 mg Remeron and 6 mg Effexor; 6/10/18:  2.6 mg Remeron and 4.9 mg Effexor

 

My intro: http://survivingantidepressants.org/index.php?/topic/9313-squirrellygirl-effexor-withdrawal-etc/page-2#entry196679

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

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Hi Dizzy and welcome.

 

My doctor suggested that I do a cross-taper, adding Zoloft to "help" with Paxil tapering. I'm not second-guessing my trusting that doctor, but now I have to deal with two drugs. 

 

Although, Prozac can be different and lots of people recommend doing a "Prozac bridge." 

Current: 2019: 0.04 mg Paxil!! This is real. Soon, after taking Paxil my entire adult life, I will be free.

Long story short: After 18 years on Paxil, "tapered" almost completely off over a month, at doctor's advice in July 2015.

Self-care includes magnesium, reasonable exercise, mindfulness, this forum and nutrition/eating enough food.

Also on 100 mg Zoloft unfortunately!! (which I now will have the knowledge to taper properly)

-------------------------------------------------------------------------------------------

Longer version: On Paxil since 1996--anxiety & depression caused by (undiagnosed) under-eating / eating disorder.

Doctor kept increasing dose, up to 60 mg; it never really helped but said it really was the best "med" for me.

Rapid doctor-led "taper" July 2015, down to 5 mg, with Zoloft as a "cross-taper" = Essentially a cold turkey. 

Severe withdrawal but didn't know it; believed it was my "underlying condition," and kept tapering, 5mg to 4 to 3  to 2 to 1.  

Feb 2016: Found SA! As of June 2016, tapering from 1mg at rate of 5-10% per month, Brassmonkey Slide! 

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Thanks all. I've add my history signature. As you can see, came off prozac fairly rapidly with little symptoms last year so just thought that a bridge from zoloft to prozac might be one way for me to taper given that zoloft has been much more troublesome even though the doctor recommended the standard two week hold between 25 mg drops. I understand now that is way too fast for many. Also liquid zoloft is not available in Canada according to my doctor but I'm thinking liquid prozac might.

 

I just want to get stable without symptoms first and at 50 mg for the last week I'm having good days but still a few bad.

 

Just wondering if I should wait a little longer at 50 mg or when I should think about 75 mg.

 

Thanks again! This site is a godsend! 

Prozac:

01/15 10 mg, 02/15, 20 mg, 03/15 40 mg, 04/15 40->20->10->0 mg

Concerta:

01/15-04/15 18 mg

Zoloft:

25 mg 06/15, 50 mg 08/15, 75 mg 10/15, 100 mg 12/15, 
75 mg 13-Feb-16, 50 mg 2-Mar-16, 50/25 mg 12-Mar-16,
25 mg 19-Mar-16, 50 mg 01-Apr-16

 

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  • Moderator Emeritus

Hi dizzy,

 

In the case of ADs, past success with one does not necessarily mean that it will be successful again.  Your nervous system has been destabilised by your alternating your doses and tapering too quickly.

 

In the Tips for Tapering Zoloft link that SquirrellyGirl gave you there are instructions for making liquid from Zoloft.

 

"I just want to get stable without symptoms first and at 50 mg for the last week I'm having good days but still a few bad.

 

Just wondering if I should wait a little longer at 50 mg or when I should think about 75 mg."

 

So your symptoms have improved since being on 50 mg for the last week?  This is a good sign.  If the symptoms are tolerable, it may be best to stay on the 50 mg.  The idea is to stabilise on the lowest possible dose.  Keep a record of your symptoms on paper so that if issues arise you can give the details and your situation will be assessed.

 

You will need to be patient and accept that it may take 2-3 months on this dose to become stable enough to do a dose reduction.  It is better to taper slowly and patiently than fast and furious.

 MISSION ACCOMPLISHED:    13 November 2021 -  0mg Pristiq      

Woohoo!!!  Finally off Pristiq   

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

My full tapering program     My Intro (goes to my tapering graph)    My website

PLEASE NOTE:  I am not a medical professional.  I provide information and make suggestions.  I do not provide tapering advice via PM.  Please post questions in your Introduction topic.  Please do not tag me for any reason.  I am an unpaid volunteer and assist members if I am able to and when I have the time.  Thank you for your understanding.

Mid Nov 2021 changed to low carb diet due to diabetes & cholesterol.  Lost 1/16 body weight, BP has reduced a lot. 

Links to my exercises and weights.  I also do 3 x 5.5 min with HIIT on exercise bike with 20 secs/min as fast as I can cycle.

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If 50 mg proves to be intolerable, the collective wisdom says to try between 50 and 75 since there may have been some recovery while at the lower doses.  We never want to exceed where the nervous system is at if we can help it, when it comes to reinstating/up-dosing.

 

SG

Started ADs back around 1995 after bad break-up, starting with Prozac.  Switched to Wellbutrin, and then to Effexor in 2002
Effexor XR 2002-2014 up to 225 mg at one point, down to 37.5 mg towards end but back up to 75 mg in 2014; now realize I had W/D as I dropped down, memory very poor about history.  Extreme emotions, poor concentration as I stepped back down, didn't connect the dots!
Summer 2014 reduced to 0 very quickly, was sick of anhedonia/sexual dysfunction due to meds, depression never controlled if not worse. Didn't recognize WD since symptoms built slowly (thought I had ADD! and menopausal on top of it), starting with severe sweats, very bad cog-fog and memory issues, culminating in weight loss, severe anxiety and depression, panic, severe apathy and insomnia by eight months off.  Saw p-doc who put me on Remeron, increased from 7.5 mg/day to 37.5 mg by May 22, 2015; still doing very badly though able to sleep.

June 1. 2015 Reinstated Effexor XR 37.5 mg, Remeron dropped to 30 mg PM. Immediate relief of symptoms, like nothing had ever happened!  Joined SA and began on advice of friend who recognized it was WD all along! Began tapering in July 2015.

Been tapering both meds ever since, focusing on one more than the other or doing no more than 5% of each per month.

12 mg Effexor and 5.8 mg Remeron (mirtazapine SolTabs to make a solution with OraPlus) as of 5/4/2017 

Update 3/14/18: 2.9 mg Remeron and 6 mg Effexor; 6/10/18:  2.6 mg Remeron and 4.9 mg Effexor

 

My intro: http://survivingantidepressants.org/index.php?/topic/9313-squirrellygirl-effexor-withdrawal-etc/page-2#entry196679

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

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Thanks! This will help a lot so I'm not second guessing so much!

 

Yes, a definite improvement at 50 mg compared to 25 mg so I'll give it more time and hope things settle at 50 mg.

Prozac:

01/15 10 mg, 02/15, 20 mg, 03/15 40 mg, 04/15 40->20->10->0 mg

Concerta:

01/15-04/15 18 mg

Zoloft:

25 mg 06/15, 50 mg 08/15, 75 mg 10/15, 100 mg 12/15, 
75 mg 13-Feb-16, 50 mg 2-Mar-16, 50/25 mg 12-Mar-16,
25 mg 19-Mar-16, 50 mg 01-Apr-16

 

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  • Moderator

Hey Dizzy - 

 

When you find a dose that minimizes your symptoms, please plan to stay there for at least 3 months.  You have been bouncing your doses up and down and up and down again, and that is destabilizing.

 

It's hard to keep your mood stable when your brain is bouncing like a basketball!  So please consider holding for a long time before you start your next taper.

 

It is possible that a bridge to Prozac would work for you - but - you would have to cross taper it.  You can't just quit Zoloft one day and start Prozac the next, like your doctor implied.  Certainly, they are the same class of drugs, but your metabolising of them, well - they are still different drugs, with different patents and different profiles.

 

Some people have trouble when switching from dry to liquid, or from brand name to generic - of the SAME drug.  A bridge to Prozac is more extreme than that.  So if you can stick with the Zoloft, that would be better.

 

Welcome to SA!  I'm glad you found us - sorry you had to - but you will find heaps of information and understanding here.

"Easy, easy - just go easy and you'll finish." - Hawaiian Kapuna

 

Holding is hard work, holding is a blessing. Give your brain time to heal before you try again.

 

My suggestions are not medical advice, you are in charge of your own medical choices.

 

A lifetime of being prescribed antidepressants that caused problems (30 years in total). At age 35 flipped to "bipolar," but was not diagnosed for 5 years. Started my journey in Midwest United States. Crossed the Pacific for love and hope; currently living in Australia.   CT Seroquel 25 mg some time in 2013.   Tapered Reboxetine 4 mg Oct 2013 to Sept 2014 = GONE (3 years on Reboxetine).     Tapered Lithium 900 to 475 MG (alternating with the SNRI) Jan 2014 - Nov 2014, tapered Lithium 475 mg Jan 2015 -  Feb 2016 = GONE (10 years  on Lithium).  Many mistakes in dry cutting dosages were made.


The tedious thread (my intro):  JanCarol ☼ Reboxetine first, then Lithium

The happy thread (my success story):  JanCarol - Undiagnosed  Off all bipolar drugs

My own blog:  https://shamanexplorations.com/shamans-blog/

 

 

I have been psych drug FREE since 1 Feb 2016!

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Thanks. I'll try to think more long term.

 

I'm also taking Vitamin D to help.

 

Any thoughts on Vitamin B or fish oil or any other supplements that might help?

Prozac:

01/15 10 mg, 02/15, 20 mg, 03/15 40 mg, 04/15 40->20->10->0 mg

Concerta:

01/15-04/15 18 mg

Zoloft:

25 mg 06/15, 50 mg 08/15, 75 mg 10/15, 100 mg 12/15, 
75 mg 13-Feb-16, 50 mg 2-Mar-16, 50/25 mg 12-Mar-16,
25 mg 19-Mar-16, 50 mg 01-Apr-16

 

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  • Moderator Emeritus

Vitamin B is known to cause difficulties for those in w/d.

 

Fish oil would be a great thing to take, as would vitamin e and Magnesium.  

2010  Fluoxetine 20mg.  2011  Escitalopram 20mg.  2013 Tapered badly and destabilised CNS.  Effexor 150mg. 

2015 Begin using info at SurvivingAntidepressants.  Cut 10% - bad w/d 2 months, held 1 month. 

Micro-tapering: four weekly 0.4% cuts, hold 4 weeks (struggling with symptoms).

8 month hold.

2017 Micro-tapering: four weekly 1% cuts, hold 4 weeks (symptoms almost non-existent).

2020 Still micro-tapering. Just over 2/3 of the way off effexor. Minimal symptoms, - and sleeping well.
Supplements: Fish oil, vitamin C, iron, oat-straw tea, nettle tea.

My story of healing:ContinuedHealing

***I am not a doctor; please do your own research and be able to take responsibility for decisions you make.*** 

           'The possibility of renewal exists so long as life exists.'  Dr Gabor Mate.

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Almost two weeks in holding at 50 mg (taken in the morning).

 

A few down days but worst symptom is combination of anxiety/sadness just before bed and sometimes still vivid nightmares (which is the reason for tapering along with no perceived benefit for anxiety). Any thoughts on how to deal with this? Hoping this doesn't get much worse and levels at 50 for a while before tapering.

 

Doctor has provided a prescription for a liquid suspension for slower tapering when ready (liquid zoloft is not available in Canada). Would it be better to switch from the pill form to 100% suspension or combine with 25 mg capsule?

Prozac:

01/15 10 mg, 02/15, 20 mg, 03/15 40 mg, 04/15 40->20->10->0 mg

Concerta:

01/15-04/15 18 mg

Zoloft:

25 mg 06/15, 50 mg 08/15, 75 mg 10/15, 100 mg 12/15, 
75 mg 13-Feb-16, 50 mg 2-Mar-16, 50/25 mg 12-Mar-16,
25 mg 19-Mar-16, 50 mg 01-Apr-16

 

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  • Moderator Emeritus

Hi dizzy, that is wonderful that you have your doctor's blessing with your taper.  

 

The switch to liquid can be tricky for some.  We recommend to never do a cut at the same time as you switch to a liquid.  Switching directly from the same dosage dry to liquid can behave like a cut in itself, due to the liquid version absorbing differently.  Better yet would be to take part of your dose dry and part as liquid, so perhaps 25 mg pill and 25 mg liquid for a week to ten days and then 50 mg liquid for another two weeks, keeping notes on paper as to any symptoms that might rise up.  If symptoms do rise up but are mild, just hold as you would after a cut.   If symptoms are severe, then go back to where you last were stable (all dry or 50/50 if you went to full liquid).  I would wait at least two weeks on the full liquid before resuming tapering, just to be sure you are feeling solid.  If you have bobbles with the switch, then hold longer before resuming tapering.

 

Good luck!

SG

Started ADs back around 1995 after bad break-up, starting with Prozac.  Switched to Wellbutrin, and then to Effexor in 2002
Effexor XR 2002-2014 up to 225 mg at one point, down to 37.5 mg towards end but back up to 75 mg in 2014; now realize I had W/D as I dropped down, memory very poor about history.  Extreme emotions, poor concentration as I stepped back down, didn't connect the dots!
Summer 2014 reduced to 0 very quickly, was sick of anhedonia/sexual dysfunction due to meds, depression never controlled if not worse. Didn't recognize WD since symptoms built slowly (thought I had ADD! and menopausal on top of it), starting with severe sweats, very bad cog-fog and memory issues, culminating in weight loss, severe anxiety and depression, panic, severe apathy and insomnia by eight months off.  Saw p-doc who put me on Remeron, increased from 7.5 mg/day to 37.5 mg by May 22, 2015; still doing very badly though able to sleep.

June 1. 2015 Reinstated Effexor XR 37.5 mg, Remeron dropped to 30 mg PM. Immediate relief of symptoms, like nothing had ever happened!  Joined SA and began on advice of friend who recognized it was WD all along! Began tapering in July 2015.

Been tapering both meds ever since, focusing on one more than the other or doing no more than 5% of each per month.

12 mg Effexor and 5.8 mg Remeron (mirtazapine SolTabs to make a solution with OraPlus) as of 5/4/2017 

Update 3/14/18: 2.9 mg Remeron and 6 mg Effexor; 6/10/18:  2.6 mg Remeron and 4.9 mg Effexor

 

My intro: http://survivingantidepressants.org/index.php?/topic/9313-squirrellygirl-effexor-withdrawal-etc/page-2#entry196679

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

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Thanks SG, your's and everyone's input is sooooo much appreciated to help get through a very difficult period.

Prozac:

01/15 10 mg, 02/15, 20 mg, 03/15 40 mg, 04/15 40->20->10->0 mg

Concerta:

01/15-04/15 18 mg

Zoloft:

25 mg 06/15, 50 mg 08/15, 75 mg 10/15, 100 mg 12/15, 
75 mg 13-Feb-16, 50 mg 2-Mar-16, 50/25 mg 12-Mar-16,
25 mg 19-Mar-16, 50 mg 01-Apr-16

 

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Managing on 50 mg for two weeks with some anxiety still when triggered but nightmares (caused by the zoloft) are getting unbearable to the point of dreading going to sleep at night.

 

Is there anything I can do to reduce the vivid dreams?

Prozac:

01/15 10 mg, 02/15, 20 mg, 03/15 40 mg, 04/15 40->20->10->0 mg

Concerta:

01/15-04/15 18 mg

Zoloft:

25 mg 06/15, 50 mg 08/15, 75 mg 10/15, 100 mg 12/15, 
75 mg 13-Feb-16, 50 mg 2-Mar-16, 50/25 mg 12-Mar-16,
25 mg 19-Mar-16, 50 mg 01-Apr-16

 

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  • Moderator Emeritus

HI Dizzy, 

 

I'm sorry the nightmares have been so bad.  I think this is a symptom that should subside in time.  You've been through some wildly large dosage swings and are probably still settling out, and as you do the nightmares should subside.  The main thing is not to let the secondary fear come up, as you said that you are getting anxious about going to bed.

 

Just try to tell yourself that this is from instability and that it is temporary.  Maybe try an epsom salt bath before bed, a glass of warm milk, some meditation at bedtime.  Surf the symptom and self-care forum to see what others have tried.  You might even try some EFT before bed.  :Emotional Freedom Techniques, or "tapping," can be used to address anything from the emotional to physical, anxiety to pain etc.  So, if it were me, I would start with "Even though I have these nightmares, I deeply and completely love and accept myself."  Then, continue with "these nightmares" as you go through the tapping points.  Here is a link about tapping that teaches how to do it:

 

http://www.emofree.com

 

I hope you get some relief soon - hang in there!

 

SG

Started ADs back around 1995 after bad break-up, starting with Prozac.  Switched to Wellbutrin, and then to Effexor in 2002
Effexor XR 2002-2014 up to 225 mg at one point, down to 37.5 mg towards end but back up to 75 mg in 2014; now realize I had W/D as I dropped down, memory very poor about history.  Extreme emotions, poor concentration as I stepped back down, didn't connect the dots!
Summer 2014 reduced to 0 very quickly, was sick of anhedonia/sexual dysfunction due to meds, depression never controlled if not worse. Didn't recognize WD since symptoms built slowly (thought I had ADD! and menopausal on top of it), starting with severe sweats, very bad cog-fog and memory issues, culminating in weight loss, severe anxiety and depression, panic, severe apathy and insomnia by eight months off.  Saw p-doc who put me on Remeron, increased from 7.5 mg/day to 37.5 mg by May 22, 2015; still doing very badly though able to sleep.

June 1. 2015 Reinstated Effexor XR 37.5 mg, Remeron dropped to 30 mg PM. Immediate relief of symptoms, like nothing had ever happened!  Joined SA and began on advice of friend who recognized it was WD all along! Began tapering in July 2015.

Been tapering both meds ever since, focusing on one more than the other or doing no more than 5% of each per month.

12 mg Effexor and 5.8 mg Remeron (mirtazapine SolTabs to make a solution with OraPlus) as of 5/4/2017 

Update 3/14/18: 2.9 mg Remeron and 6 mg Effexor; 6/10/18:  2.6 mg Remeron and 4.9 mg Effexor

 

My intro: http://survivingantidepressants.org/index.php?/topic/9313-squirrellygirl-effexor-withdrawal-etc/page-2#entry196679

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

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Thank you for your great support SG.  

Prozac:

01/15 10 mg, 02/15, 20 mg, 03/15 40 mg, 04/15 40->20->10->0 mg

Concerta:

01/15-04/15 18 mg

Zoloft:

25 mg 06/15, 50 mg 08/15, 75 mg 10/15, 100 mg 12/15, 
75 mg 13-Feb-16, 50 mg 2-Mar-16, 50/25 mg 12-Mar-16,
25 mg 19-Mar-16, 50 mg 01-Apr-16

 

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  • Moderator Emeritus

:-)  Let us know what happens!

 

SG

Started ADs back around 1995 after bad break-up, starting with Prozac.  Switched to Wellbutrin, and then to Effexor in 2002
Effexor XR 2002-2014 up to 225 mg at one point, down to 37.5 mg towards end but back up to 75 mg in 2014; now realize I had W/D as I dropped down, memory very poor about history.  Extreme emotions, poor concentration as I stepped back down, didn't connect the dots!
Summer 2014 reduced to 0 very quickly, was sick of anhedonia/sexual dysfunction due to meds, depression never controlled if not worse. Didn't recognize WD since symptoms built slowly (thought I had ADD! and menopausal on top of it), starting with severe sweats, very bad cog-fog and memory issues, culminating in weight loss, severe anxiety and depression, panic, severe apathy and insomnia by eight months off.  Saw p-doc who put me on Remeron, increased from 7.5 mg/day to 37.5 mg by May 22, 2015; still doing very badly though able to sleep.

June 1. 2015 Reinstated Effexor XR 37.5 mg, Remeron dropped to 30 mg PM. Immediate relief of symptoms, like nothing had ever happened!  Joined SA and began on advice of friend who recognized it was WD all along! Began tapering in July 2015.

Been tapering both meds ever since, focusing on one more than the other or doing no more than 5% of each per month.

12 mg Effexor and 5.8 mg Remeron (mirtazapine SolTabs to make a solution with OraPlus) as of 5/4/2017 

Update 3/14/18: 2.9 mg Remeron and 6 mg Effexor; 6/10/18:  2.6 mg Remeron and 4.9 mg Effexor

 

My intro: http://survivingantidepressants.org/index.php?/topic/9313-squirrellygirl-effexor-withdrawal-etc/page-2#entry196679

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

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Forgot to mention Concerta so updated my signature. For ADD and really helps with focus. Possible that as a stimulant that it could contribute to nightmares but it only lasts for 12 hours.

 

Maybe I should try a few days without it to see if it helps?

Prozac:

01/15 10 mg, 02/15, 20 mg, 03/15 40 mg, 04/15 40->20->10->0 mg

Concerta:

01/15-04/15 18 mg

Zoloft:

25 mg 06/15, 50 mg 08/15, 75 mg 10/15, 100 mg 12/15, 
75 mg 13-Feb-16, 50 mg 2-Mar-16, 50/25 mg 12-Mar-16,
25 mg 19-Mar-16, 50 mg 01-Apr-16

 

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  • Moderator

Hey Dizzy - I'm confused:

 

 

Doctor has provided a prescription for a liquid suspension for slower tapering when ready (liquid zoloft is not available in Canada). Would it be better to switch from the pill form to 100% suspension or combine with 25 mg capsule?

 

This "liquid suspension" is for Prozac, then, since you do not have liquid Zoloft in Canada?  This is confusing.  Stay on your 50 mg - I think you will stabilize just fine on 50 mg of Zoloft.

 

Not being able to get liquid zoloft is not a big deal.  You can make your own liquid.

 

I know that you said:  

 

 

Over a year ago, was able to taper off prozac over a month with relatively few symptoms.

 

But you have been through a lot of drug dosage changes in the past year - your system could be sensitized and it wouldn't matter which drug you were on, and you could end up with 2 lots of withdrawals instead of one. In addition to being risky, bridging to Prozac is tricky - it would be easier (in my opinion) to just make liquid zoloft.  Lots of people in here make their own liquids.

 

Also the Concerta - needs to be tapered.  Usual deal:  10% of current dose per month.  Just quitting could cause problems.  And yes, it is very activating. DO NOT taper 2 drugs at once! 

 

I wouldn't do anything with it yet, but when you get stable on the Zoloft - remember I suggested 3 months? - after that, you might consider holding on the Zoloft and starting to taper the Concerta.

"Easy, easy - just go easy and you'll finish." - Hawaiian Kapuna

 

Holding is hard work, holding is a blessing. Give your brain time to heal before you try again.

 

My suggestions are not medical advice, you are in charge of your own medical choices.

 

A lifetime of being prescribed antidepressants that caused problems (30 years in total). At age 35 flipped to "bipolar," but was not diagnosed for 5 years. Started my journey in Midwest United States. Crossed the Pacific for love and hope; currently living in Australia.   CT Seroquel 25 mg some time in 2013.   Tapered Reboxetine 4 mg Oct 2013 to Sept 2014 = GONE (3 years on Reboxetine).     Tapered Lithium 900 to 475 MG (alternating with the SNRI) Jan 2014 - Nov 2014, tapered Lithium 475 mg Jan 2015 -  Feb 2016 = GONE (10 years  on Lithium).  Many mistakes in dry cutting dosages were made.


The tedious thread (my intro):  JanCarol ☼ Reboxetine first, then Lithium

The happy thread (my success story):  JanCarol - Undiagnosed  Off all bipolar drugs

My own blog:  https://shamanexplorations.com/shamans-blog/

 

 

I have been psych drug FREE since 1 Feb 2016!

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Cool. Thanks JanCarol.

 

To explain (or maybe it's me that's confused). Zoloft only comes in capsule form in Canada. To get a liquid suspension, I have to take my capsule paper prescription to a local pharmacist that makes liquid suspensions. Only one such pharmacist in my city does this (and just two in our province of 500,000 people.

 

I actually don't want to taper the Concerta as I find it very helpful. My understanding is that it only stays in your system for 12 hours, so for the remaining 12 hours, it's not even in my system. Anecdotal I know but when you google zoloft nightmares, the search result lights up like a pinball machine, but not a lot for concerta. Also zoloft lists vivid dreams as a side effect but not concerta. That said, I do think that the stimulant nature of the zoloft can increase anxiety during the day while it is active and this anxiety side effect can carry over into the evening. Wouldn't have thought that a concerta taper would be necessary given that it is only active for 12 hours but I understand that everything is not always as it seems.

 

But again, I'd prefer to stay on the concerta as I find it really helps with ADD. The zoloft did nothing for anxiety, just made it worse because of the extreme nightmares.

 

I'd much prefer to taper the zoloft first which is still my plan.

 

On another note, with a 10% taper of latest dose approach, it never would go to zero and I know some go down to fractions of a milligram, when does one decide to finally drop to 0 mg? I can't seem to find many examples of this or successful tapers.

 

Thanks so much for your input. It really helps with second guessing to be able to learn from others instead of reinventing the wheel.

Prozac:

01/15 10 mg, 02/15, 20 mg, 03/15 40 mg, 04/15 40->20->10->0 mg

Concerta:

01/15-04/15 18 mg

Zoloft:

25 mg 06/15, 50 mg 08/15, 75 mg 10/15, 100 mg 12/15, 
75 mg 13-Feb-16, 50 mg 2-Mar-16, 50/25 mg 12-Mar-16,
25 mg 19-Mar-16, 50 mg 01-Apr-16

 

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Dizzy.  There is a topic in the tapering forum , about tapering to zero . when do you just drop off?  Unfortunately , the link is not working .

If you click on this link :  and scroll down to the bottom of the page , you should find it .

 

http://survivingantidepressants.org/index.php?/topic/300-important-topics-in-the-tapering-forum-and-faq

 

Ali

Many SSRI's and SSNRI's over 20 years. Zoloft for 7 years followed by Effexor, Lexapro, Prozac, Cymbalta, Celexa, Pristiq, Valdoxan, Mianserin and more - on and off. No tapering. Cold turkey off Valdoxan - end of May 2014

 

                                                  Psych Drug - free since May 2014
.
         

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Ali, unfortunately, that link is broken which makes me wonder.

Prozac:

01/15 10 mg, 02/15, 20 mg, 03/15 40 mg, 04/15 40->20->10->0 mg

Concerta:

01/15-04/15 18 mg

Zoloft:

25 mg 06/15, 50 mg 08/15, 75 mg 10/15, 100 mg 12/15, 
75 mg 13-Feb-16, 50 mg 2-Mar-16, 50/25 mg 12-Mar-16,
25 mg 19-Mar-16, 50 mg 01-Apr-16

 

Link to comment

Ali's link is broken but I did find this one...

 

http://survivingantidepressants.org/index.php?/topic/7843-experiences-after-tapering-to-zero/

 

I can't find a single example on SD of a successful taper on off an SSRI like Zoloft with a short half life. Admittedly, this is a little disconcerting.

Prozac:

01/15 10 mg, 02/15, 20 mg, 03/15 40 mg, 04/15 40->20->10->0 mg

Concerta:

01/15-04/15 18 mg

Zoloft:

25 mg 06/15, 50 mg 08/15, 75 mg 10/15, 100 mg 12/15, 
75 mg 13-Feb-16, 50 mg 2-Mar-16, 50/25 mg 12-Mar-16,
25 mg 19-Mar-16, 50 mg 01-Apr-16

 

Link to comment

Dizzy.  Yes. The link is busted , but it's just a technical error.  There is no " conspiracy theory "  going on.  I thought if you went directly to the topic, that it might link up  but apparently not.  That's ok.

Suffice to say , that as you get lower in dose , you have to be more careful.

 

Why taper? Paper demonstrates importance of gradual change in plasma concentration

 

Ali

Many SSRI's and SSNRI's over 20 years. Zoloft for 7 years followed by Effexor, Lexapro, Prozac, Cymbalta, Celexa, Pristiq, Valdoxan, Mianserin and more - on and off. No tapering. Cold turkey off Valdoxan - end of May 2014

 

                                                  Psych Drug - free since May 2014
.
         

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Thanks Ali G.

 

I found this person's experience interesting who managed to get off an SSRI but there are not very many success stories I can find.

 

http://motherboard.vice.com/read/when-the-antidepressants-are-worse-than-the-depression

Prozac:

01/15 10 mg, 02/15, 20 mg, 03/15 40 mg, 04/15 40->20->10->0 mg

Concerta:

01/15-04/15 18 mg

Zoloft:

25 mg 06/15, 50 mg 08/15, 75 mg 10/15, 100 mg 12/15, 
75 mg 13-Feb-16, 50 mg 2-Mar-16, 50/25 mg 12-Mar-16,
25 mg 19-Mar-16, 50 mg 01-Apr-16

 

Link to comment

Dizzy. I myself , have been on all the SSRI's under the sun. I'm 23 months off the last one.The only symptoms I have now are  withdrawal insomnia - getting better , and some neuro - emotions.  I won't go into all the symptoms that have gone , now . I'm saving that for my update , but suffice to say , there is a lot of healing , that has happened !

Ali

Many SSRI's and SSNRI's over 20 years. Zoloft for 7 years followed by Effexor, Lexapro, Prozac, Cymbalta, Celexa, Pristiq, Valdoxan, Mianserin and more - on and off. No tapering. Cold turkey off Valdoxan - end of May 2014

 

                                                  Psych Drug - free since May 2014
.
         

Link to comment

I'm glad to hear that AliG. Thanks.

Prozac:

01/15 10 mg, 02/15, 20 mg, 03/15 40 mg, 04/15 40->20->10->0 mg

Concerta:

01/15-04/15 18 mg

Zoloft:

25 mg 06/15, 50 mg 08/15, 75 mg 10/15, 100 mg 12/15, 
75 mg 13-Feb-16, 50 mg 2-Mar-16, 50/25 mg 12-Mar-16,
25 mg 19-Mar-16, 50 mg 01-Apr-16

 

Link to comment

I want to taper because 100 mg caused frequent vivid horrible nightmares which brought back anxiety symptoms.

 

Felt anxious/depressed for 48 hours each time when switching to 75 mg and 50 mg two weeks apart.

 

Did a 50/25 alternate for a week and went to 25 mg and had bad symptoms for two weeks so went back to 50 mg and started to feel better after 4 days but now symptoms have returned for the last two days.

 

I want to find a level without symptoms and then do 10% taper. Should I return to 75 mg or stick to 50 mg to see if symptoms go away?

 

Over a year ago, was able to taper off prozac over a month with relatively few symptoms. I've heard you can switch from Zoloft to Prozac without tapering first. Is that true? Maybe it would be easier to do this and then taper off prozac based on past experience?

 

Appreciate any help. Thanks!

 

Hi, I am also currently tapering off Zoloft. I have also had the same experience as you and I think it is because the taper is too fast. Trust me, I want to throw the pills down the toilet but I really can't. I learned I was going too fast after trying to endure weeks and weeks of misery and finally caved in and took a higher dose. My personal strategy is that I put the dose I am currently on into a pill box for a month, and I don't think too much about withdrawal throughout the day and just mindlessly take a pill every morning. When I finally reach the end of the months pill box, I know I have taken approximately a months worth and I ask myself what the next step is. I would look at what happened to you as a positive thing because now you know that you can't go that fast. I also was at 100mg and said to myself "This is no big deal" so went down to 75 and then 50.. and after a couple of weeks I went back up to 75. So it's a learning curve I guess - 2 steps forward one step back. I hope this helped~! 

2005/6-2013 - A wild rollercoaster of meds I can't remmeber, i was on 40mg of zyprexa at one point daily
2014 200mg Zoloft /5mg Saphris
2015 April 200mg Zoloft /5mg Saphris
2015 May 200mg Zoloft / 400mg Seroquel
2015 June 200mg Zoloft / 300mg Seroquel
2015 July 150mg Zoloft / 200mg Seroquel
2015 August 125mg Zoloft / 100mg Seroquel
2015 September 100mg Zoloft / 50mg Seroquel
2015 October 50mg Zoloft
2015 November 75mg Zoloft

2016 November 100mg Zoloft; 112.5mg Clozaril 

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Yes that does help. Part of me thinks that I should just taper to 25 mg and wait out the symptoms. However, these messages are convincing me that I need to move slow.

 

Thank you for sharing your experience. I'm still not convinced that I shouldn't be taking a higher dose but I'm stuck between a rock and a hard place. Higher dosing makes the violent vivid nightmares worse and lower doses leaves me with a depression that I never experienced before Zoloft (prescribed for anxiety). 50 mg leaves me somewhere in between.

 

These people should be sued to discourage such widespread use of these drugs with false information.

 

Thanks again. I wish you success with your tapering. Good luck!

Prozac:

01/15 10 mg, 02/15, 20 mg, 03/15 40 mg, 04/15 40->20->10->0 mg

Concerta:

01/15-04/15 18 mg

Zoloft:

25 mg 06/15, 50 mg 08/15, 75 mg 10/15, 100 mg 12/15, 
75 mg 13-Feb-16, 50 mg 2-Mar-16, 50/25 mg 12-Mar-16,
25 mg 19-Mar-16, 50 mg 01-Apr-16

 

Link to comment

My tentative schedule:

  • 45 mg (May 31)
  • 40 mg (Jun 21)
  • 36 mg (Jul 12)
  • 32 mg (Aug 5)
  • 29 mg (Aug 26)
  • 26 mg (Sep 16)
  • 23 mg (Oct 7)
  • 21 mg (Oct 28)
  • 19 mg (Nov 18)
  • 17 mg (Dec 9)
  • 15 mg (Dec 30)
  • 13 mg (Jan 20/17)
  • 11 mg (Feb 10)
  • 9 mg (Mar 3)
  • 7 mg (Mar 31)
  • 5 mg (Apr 21)
  • 3 mg (May 12)
  • 2 mg (Jun 3)
  • 1 mg (Jun 24)
  • 0 mg (Jul 15)

Subject to change depending on tolerance.

Prozac:

01/15 10 mg, 02/15, 20 mg, 03/15 40 mg, 04/15 40->20->10->0 mg

Concerta:

01/15-04/15 18 mg

Zoloft:

25 mg 06/15, 50 mg 08/15, 75 mg 10/15, 100 mg 12/15, 
75 mg 13-Feb-16, 50 mg 2-Mar-16, 50/25 mg 12-Mar-16,
25 mg 19-Mar-16, 50 mg 01-Apr-16

 

Link to comment
  • Moderator Emeritus

Hi Dizzy, 

 

Your proposed taper looks pretty good until you get down to 17 mg; from there you drop by 2 mg pretty consistently until 3 mg, which are cuts that are greater than 10%.  This becomes problematic down at the low end because of the fact that receptor occupancy falls off precipitously with small cuts, causing big instability and WD!!  See this paper to get a nice visual illustration of how this works:

 

http://www.mediafire...0yp2c8pbjrziaab 

 

The graphs start on the fourth page.  See the steepness of those curves as you drop below the minimum effective dose of each drug?  Interesting how it is the same for all the drugs tested!

 

This is why the last part of the taper is the hardest!

 

SG

Started ADs back around 1995 after bad break-up, starting with Prozac.  Switched to Wellbutrin, and then to Effexor in 2002
Effexor XR 2002-2014 up to 225 mg at one point, down to 37.5 mg towards end but back up to 75 mg in 2014; now realize I had W/D as I dropped down, memory very poor about history.  Extreme emotions, poor concentration as I stepped back down, didn't connect the dots!
Summer 2014 reduced to 0 very quickly, was sick of anhedonia/sexual dysfunction due to meds, depression never controlled if not worse. Didn't recognize WD since symptoms built slowly (thought I had ADD! and menopausal on top of it), starting with severe sweats, very bad cog-fog and memory issues, culminating in weight loss, severe anxiety and depression, panic, severe apathy and insomnia by eight months off.  Saw p-doc who put me on Remeron, increased from 7.5 mg/day to 37.5 mg by May 22, 2015; still doing very badly though able to sleep.

June 1. 2015 Reinstated Effexor XR 37.5 mg, Remeron dropped to 30 mg PM. Immediate relief of symptoms, like nothing had ever happened!  Joined SA and began on advice of friend who recognized it was WD all along! Began tapering in July 2015.

Been tapering both meds ever since, focusing on one more than the other or doing no more than 5% of each per month.

12 mg Effexor and 5.8 mg Remeron (mirtazapine SolTabs to make a solution with OraPlus) as of 5/4/2017 

Update 3/14/18: 2.9 mg Remeron and 6 mg Effexor; 6/10/18:  2.6 mg Remeron and 4.9 mg Effexor

 

My intro: http://survivingantidepressants.org/index.php?/topic/9313-squirrellygirl-effexor-withdrawal-etc/page-2#entry196679

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

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  • Moderator Emeritus

Oops, that link is just for a png of two drugs.  Here's a link for the whole article:

 

http://ils.unc.edu/bmh/neoref/this.dir.unneeded/schizophrenia/review/tmp/352.pdf

 

SG

Started ADs back around 1995 after bad break-up, starting with Prozac.  Switched to Wellbutrin, and then to Effexor in 2002
Effexor XR 2002-2014 up to 225 mg at one point, down to 37.5 mg towards end but back up to 75 mg in 2014; now realize I had W/D as I dropped down, memory very poor about history.  Extreme emotions, poor concentration as I stepped back down, didn't connect the dots!
Summer 2014 reduced to 0 very quickly, was sick of anhedonia/sexual dysfunction due to meds, depression never controlled if not worse. Didn't recognize WD since symptoms built slowly (thought I had ADD! and menopausal on top of it), starting with severe sweats, very bad cog-fog and memory issues, culminating in weight loss, severe anxiety and depression, panic, severe apathy and insomnia by eight months off.  Saw p-doc who put me on Remeron, increased from 7.5 mg/day to 37.5 mg by May 22, 2015; still doing very badly though able to sleep.

June 1. 2015 Reinstated Effexor XR 37.5 mg, Remeron dropped to 30 mg PM. Immediate relief of symptoms, like nothing had ever happened!  Joined SA and began on advice of friend who recognized it was WD all along! Began tapering in July 2015.

Been tapering both meds ever since, focusing on one more than the other or doing no more than 5% of each per month.

12 mg Effexor and 5.8 mg Remeron (mirtazapine SolTabs to make a solution with OraPlus) as of 5/4/2017 

Update 3/14/18: 2.9 mg Remeron and 6 mg Effexor; 6/10/18:  2.6 mg Remeron and 4.9 mg Effexor

 

My intro: http://survivingantidepressants.org/index.php?/topic/9313-squirrellygirl-effexor-withdrawal-etc/page-2#entry196679

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

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Thanks SG, I've seen those graphs before and understand their implication.

 

But if I always go 10% of prior dose, then by definition, I would never stop.

 

Eventually with any taper to zero, one would have to make a step greater than 10%. The eventual last step taper to 0 mg will always be a 100% drop.

 

What is a better taper when I would eventually get to stop?

Prozac:

01/15 10 mg, 02/15, 20 mg, 03/15 40 mg, 04/15 40->20->10->0 mg

Concerta:

01/15-04/15 18 mg

Zoloft:

25 mg 06/15, 50 mg 08/15, 75 mg 10/15, 100 mg 12/15, 
75 mg 13-Feb-16, 50 mg 2-Mar-16, 50/25 mg 12-Mar-16,
25 mg 19-Mar-16, 50 mg 01-Apr-16

 

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