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Nelly: coming off fluoxetine / Prozac


Nelly

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If you alter the minitablets or beads of XR Venlafaxine by crushing them or dissolving them in a liquid, they become IR. Because you've been crushing them, you have effectively been taking IR.

 

There are two different measurements for the size of a dose. The Strength of the dose as listed on the package or calculated during a taper. It is measured in milligrams and referred to as mgai (milligrams active ingredient). This is the number we talk about when we say shat dose we are taking. The other is the Dose Weight as measured with the scales. This in also measured in milligrams and is referred to as mgpw (milligrams pill weight). We keep records of this to track how much we use to make up each dose.

 

The two weights are directly related so if you reduce one you automatically reduce the other by the same amount.

 

The strength weight and the pill weight will be different because the manufacturers use fillers and coatings to contain the active ingredient. In my case a 40mgai tablet weighted 400mgpw. When you crush a tablet the coating counts as part of the filler, so you need to grind the bits of coating as fine as possible. In reality the weight of the coating is so small it doesn't really matter. The actual weight of the tablet only contributes to the initial calculations for the dose. After that first dose we are taking material from a "supply pile" of crushed tablets so the initial weights no longer apply.

 

When working with crushed tablets and scales there is going to be some minor fluctuations in the daily dose. When calculated out the differences are insignificant, except to the most sensitive people. We are working with a balance of half-life elimination and blood plasma levels of the drug. Both of which are the average readings over several weeks at a time. So, the tiny differences between doses average out to create one constant level.

 

We need to determine what the actual dose strength for the amount you are taking. For that we will need to know several things:

 

The dose strength as listed on the package.

The average weight of 10 of the minitablets.

The weight, from the readout on the scale, of the dose you are taking.

 

Once we determine what dose you are actually taking, we can figure out how to make things stable and create a good taper plan.

 

20 years on Paxil starting at 20mg and working up to 40mg. Sept 2011 started 10% every 6 weeks taper (2.5% every week for 4 weeks then hold for 2 additional weeks), currently at 7.9mg. Oct 2011 CTed 15oz vodka a night, to only drinking 2 beers most nights, totally sober Feb 2013.

Since I wrote this I have continued to decrease my dose by 10% every 6 weeks (2.5% every week for 4 weeks and then hold for an additional 2 weeks). I added in an extra 6 week hold when I hit 10mg to let things settle out even more. When I hit 3mgpw it became hard to split the drop into 4 parts so I switched to dropping 1mgpw (pill weight) every week for 3 weeks and then holding for another 3 weeks.  The 3 + 3 schedule turned out to be too harsh so I cut back to dropping 1mgpw every 4 weeks which is working better.

Final Dose 0.016mg.     Current dose 0.000mg 04-15-2017

 

"It's also important not to become angry, no matter how difficult life is, because you can loose all hope if you can't laugh at yourself and at life in general."  Stephen Hawking

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@brassmonkeyThank you so much for explaining this, i had no idea that this was the case.

Here is the info that you have requested. I hope i have understood you correctly

 

150mg XL dose on package 

 

0.120 ct - Average weight of 10 mini tablets 

(Total weight of 10 mini tablets - 1.260 ct) 

 

0.500 ct - weight from the read out on scale of what i am taking (twice per day) 

 

I am now going to throw a spanner to the works. I spoke to a doctor at my surgery today. She has reluctantly agreed to prescribe me with liquid form. I told her my current dose is 50mg twice per day. 

It would still be very much appreciated if you could help me establish what my actual current dose is.

Thank you so much for your help. X

Prescribed Venlafaxine 150mg ..........

 19 Feb 2019 stopped Venlafaxine 150mg cold turkey. 06 March 2019 restarted Ven 125mg. 04 April 2019 9 mini pills. 02 May 2019 8 mini pills. 01July 2019 7 mini pills. 18 Aug 2019 6 mini pills. 24 Sept 2019 5.50 mini pills. 11 October 2019 5 mini pills. 5th May 2020 Reinstated Ven 125 mg XR 9 pills.

9th Nov 2020 Update Started splitting dose to twice per day

02/02/2021 can’t stabilise without symptoms. 
03/02/21 9 mini pills @ 10am 

Updated.... July 2021 108mg, Sept 2021 107mg, 

tapering steps to be updated

current dose 14 July 2023 80mg

23.07.23 75mg half way ! 

 

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  • Moderator

Thanks Nelly- however I really need those weights to be in miligrams, you listed them as carats and the conversion can be pretty tricky. Make sure your scale is set to grams (g). A reading of 0.500g is the same as 500mg.

 

We've found that doctors aren't really much of a help. They are good for supplying us with the drugs, but we end up handling the taper all on our own. I've been drug free for 5 years but my doctor still things I'm taking 40mg of paxil. Any way get me the numbers and we will get this all sorted.

20 years on Paxil starting at 20mg and working up to 40mg. Sept 2011 started 10% every 6 weeks taper (2.5% every week for 4 weeks then hold for 2 additional weeks), currently at 7.9mg. Oct 2011 CTed 15oz vodka a night, to only drinking 2 beers most nights, totally sober Feb 2013.

Since I wrote this I have continued to decrease my dose by 10% every 6 weeks (2.5% every week for 4 weeks and then hold for an additional 2 weeks). I added in an extra 6 week hold when I hit 10mg to let things settle out even more. When I hit 3mgpw it became hard to split the drop into 4 parts so I switched to dropping 1mgpw (pill weight) every week for 3 weeks and then holding for another 3 weeks.  The 3 + 3 schedule turned out to be too harsh so I cut back to dropping 1mgpw every 4 weeks which is working better.

Final Dose 0.016mg.     Current dose 0.000mg 04-15-2017

 

"It's also important not to become angry, no matter how difficult life is, because you can loose all hope if you can't laugh at yourself and at life in general."  Stephen Hawking

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23 hours ago, brassmonkey said:

Thanks Nelly- however I really need those weights to be in miligrams, you listed them as carats and the conversion can be pretty tricky. Make sure your scale is set to grams (g). A reading of 0.500g is the same as 500mg.

 

We've found that doctors aren't really much of a help. They are good for supplying us with the drugs, but we end up handling the taper all on our own. I've been drug free for 5 years but my doctor still things I'm taking 40mg of paxil. Any way get me the numbers and we will get this all sorted.

@brassmonkey

I feel so stupid sometimes, not able to work things out! Thank you 

Yes, i have certainly found that we understand the safe tapering process that is needed, more than the proffessionals.

How lovely to be free of these drugs! 

Ok, so here i have it....

 

150 mg - dosage on package

0.023 g - average weight of ten mini tablet 

(10 mini tablets total weight - 0.248 g

0.100 g - weight from the read out on the scale, of what i am actually taking twice per day

I  have been thinking about the liquid formula further, and i am still uncertain if this is the best option for me. The reason is, the need to carry the liquid with me in times when i may not be home. Not so practical! 

Anyway, if there is another easier way for me to take my daily dose without having to crush and weigh, i will still consider this, and then decide. 

It is all such a learning as we go along process. 

I am so thankful for your help with this. X

 

Prescribed Venlafaxine 150mg ..........

 19 Feb 2019 stopped Venlafaxine 150mg cold turkey. 06 March 2019 restarted Ven 125mg. 04 April 2019 9 mini pills. 02 May 2019 8 mini pills. 01July 2019 7 mini pills. 18 Aug 2019 6 mini pills. 24 Sept 2019 5.50 mini pills. 11 October 2019 5 mini pills. 5th May 2020 Reinstated Ven 125 mg XR 9 pills.

9th Nov 2020 Update Started splitting dose to twice per day

02/02/2021 can’t stabilise without symptoms. 
03/02/21 9 mini pills @ 10am 

Updated.... July 2021 108mg, Sept 2021 107mg, 

tapering steps to be updated

current dose 14 July 2023 80mg

23.07.23 75mg half way ! 

 

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  • Moderator

Going through ADWD and tapering is a pretty intense time, and our brains are not working the way they should, so it is pretty normal to not catch the details or make sense of things right away.

 

I need to make one little correction. If 10 minitablets weigh 0.248g then the average weight for 1 tablet would be 0.025 not 0.023.

Not a big problem as it will only make a very tiny difference on the first dose of your reduction, not enough to be noticed. I'll use 0.025 for my calculations.

 

You mentioned earlier that each capsule contained 3 mini tablets.

The listed strength of the capsule is 150mg. 150 divided by 3 = 50, so each minitablet contains 50mg of active ingredient. (50mgai)

 

This doesn't work. The numbers tell me that the minitablets have twice as much active ingredient as the actual weight of the tablet.

 

Let's double check some numbers.

 

How many minitablets are in a capsule?

What is the readout on the scale for 10 of the minitablets?

 

I much prefer to use the crushed and weighed method. A big reason is the portability. I do a lot of travel and it was so easy to make up several weeks' worth of capsules. No fuss, no bother just pack the pills and go. It does get tricky for the endgame taper, when the doses are so small they are very hard to measure, but there are ways around that, and it will be a while before you get to that point.

20 years on Paxil starting at 20mg and working up to 40mg. Sept 2011 started 10% every 6 weeks taper (2.5% every week for 4 weeks then hold for 2 additional weeks), currently at 7.9mg. Oct 2011 CTed 15oz vodka a night, to only drinking 2 beers most nights, totally sober Feb 2013.

Since I wrote this I have continued to decrease my dose by 10% every 6 weeks (2.5% every week for 4 weeks and then hold for an additional 2 weeks). I added in an extra 6 week hold when I hit 10mg to let things settle out even more. When I hit 3mgpw it became hard to split the drop into 4 parts so I switched to dropping 1mgpw (pill weight) every week for 3 weeks and then holding for another 3 weeks.  The 3 + 3 schedule turned out to be too harsh so I cut back to dropping 1mgpw every 4 weeks which is working better.

Final Dose 0.016mg.     Current dose 0.000mg 04-15-2017

 

"It's also important not to become angry, no matter how difficult life is, because you can loose all hope if you can't laugh at yourself and at life in general."  Stephen Hawking

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On 5/21/2022 at 9:44 PM, brassmonkey said:

Going through ADWD and tapering is a pretty intense time, and our brains are not working the way they should, so it is pretty normal to not catch the details or make sense of things right away.

 

I need to make one little correction. If 10 minitablets weigh 0.248g then the average weight for 1 tablet would be 0.025 not 0.023.

Not a big problem as it will only make a very tiny difference on the first dose of your reduction, not enough to be noticed. I'll use 0.025 for my calculations.

 

You mentioned earlier that each capsule contained 3 mini tablets.

The listed strength of the capsule is 150mg. 150 divided by 3 = 50, so each minitablet contains 50mg of active ingredient. (50mgai)

 

This doesn't work. The numbers tell me that the minitablets have twice as much active ingredient as the actual weight of the tablet.

 

Let's double check some numbers.

 

How many minitablets are in a capsule?

What is the readout on the scale for 10 of the minitablets?

 

I much prefer to use the crushed and weighed method. A big reason is the portability. I do a lot of travel and it was so easy to make up several weeks' worth of capsules. No fuss, no bother just pack the pills and go. It does get tricky for the endgame taper, when the doses are so small they are very hard to measure, but there are ways around that, and it will be a while before you get to that point.

Hi @brassmonkey

Thank you. I hope you are doing ok. 

Sorry, i weighed 10 mini tablets, each one seperate, and got variable weights, so i came up with the weight that cropt up the most.

Here is the info....

150 mg XL capsule contains 12 mini tablets.

Scale reading for 12 mini tablets is 0.303g

Scale reading for 10 mini tablets is 0.253g

12 mini tablets including the capsule reads 0.393g

 

Yes i see now, that it would be much easier to carry the capsules around rather than a bottle of liquid. I hadnt thought of that. The crushing and weighing is ok, but i do get overwhelmed with it, when im not feeling well. I see that now, and when i feel better, it is not so bad. I used to prepare some as you did, but i stopped doing that, and have just been preparing them on a daily basis recently. 

Your help with me finding my options will certainly help. Thank you. X

Prescribed Venlafaxine 150mg ..........

 19 Feb 2019 stopped Venlafaxine 150mg cold turkey. 06 March 2019 restarted Ven 125mg. 04 April 2019 9 mini pills. 02 May 2019 8 mini pills. 01July 2019 7 mini pills. 18 Aug 2019 6 mini pills. 24 Sept 2019 5.50 mini pills. 11 October 2019 5 mini pills. 5th May 2020 Reinstated Ven 125 mg XR 9 pills.

9th Nov 2020 Update Started splitting dose to twice per day

02/02/2021 can’t stabilise without symptoms. 
03/02/21 9 mini pills @ 10am 

Updated.... July 2021 108mg, Sept 2021 107mg, 

tapering steps to be updated

current dose 14 July 2023 80mg

23.07.23 75mg half way ! 

 

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  • Moderator Emeritus
2 hours ago, Nelly said:

Sorry, i weighed 10 mini tablets, each one seperate, and got variable weights, so i came up with the weight that cropt up the most.

 

It is better to weigh 10 mini tablets and then divide the total by 10 which will give you an average mini tablet weight.

* 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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16 hours ago, ChessieCat said:

 

It is better to weigh 10 mini tablets and then divide the total by 10 which will give you an average mini tablet weight.

Hi @CheshireCat

Thank you.

I get it 0.253/10 = 0.0253g

Is that correct ? X

Prescribed Venlafaxine 150mg ..........

 19 Feb 2019 stopped Venlafaxine 150mg cold turkey. 06 March 2019 restarted Ven 125mg. 04 April 2019 9 mini pills. 02 May 2019 8 mini pills. 01July 2019 7 mini pills. 18 Aug 2019 6 mini pills. 24 Sept 2019 5.50 mini pills. 11 October 2019 5 mini pills. 5th May 2020 Reinstated Ven 125 mg XR 9 pills.

9th Nov 2020 Update Started splitting dose to twice per day

02/02/2021 can’t stabilise without symptoms. 
03/02/21 9 mini pills @ 10am 

Updated.... July 2021 108mg, Sept 2021 107mg, 

tapering steps to be updated

current dose 14 July 2023 80mg

23.07.23 75mg half way ! 

 

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  • Moderator

Oh good, these numbers make more sense.

 

150 mg XL capsule contains 12 mini tablets.

Scale reading for 12 mini tablets is 0.303g

Scale reading for 10 mini tablets is 0.253g

12 mini tablets including the capsule reads 0.393g

 

Using both sets of numbers we get an average weight of 0.025g or 25mgpw (milligrams pill weight) for each minitablet.

 

If the strength of each capsule in 150mgai (milligrams active ingredient) and there are 12 minitablets per capsule: 150/12 = 12.5. So, the strength of each minitablet it 12.5mgai.

 

If we divide the pill strength by the pill weight, we get what is called the Active Ingredient Concentration (AIC) for these minitablets.

This would be 12.5/25 = 0.5. Meaning that each 1mg of tablets contains 0.5mgai of medication. This is a number to keep in mind for later.

 

Now that we know this, we need to know exactly how you are taking your dose. You have mentioned several different ways. Both a total of 8 minitablets or 100mg a day. I understand that you are splitting the dose in half morning and evening, no problem with that. How are you actually measuring the dose?

 

I know this has been a lot of questions, but each little step counts and we want to get things right. We're almost there.

20 years on Paxil starting at 20mg and working up to 40mg. Sept 2011 started 10% every 6 weeks taper (2.5% every week for 4 weeks then hold for 2 additional weeks), currently at 7.9mg. Oct 2011 CTed 15oz vodka a night, to only drinking 2 beers most nights, totally sober Feb 2013.

Since I wrote this I have continued to decrease my dose by 10% every 6 weeks (2.5% every week for 4 weeks and then hold for an additional 2 weeks). I added in an extra 6 week hold when I hit 10mg to let things settle out even more. When I hit 3mgpw it became hard to split the drop into 4 parts so I switched to dropping 1mgpw (pill weight) every week for 3 weeks and then holding for another 3 weeks.  The 3 + 3 schedule turned out to be too harsh so I cut back to dropping 1mgpw every 4 weeks which is working better.

Final Dose 0.016mg.     Current dose 0.000mg 04-15-2017

 

"It's also important not to become angry, no matter how difficult life is, because you can loose all hope if you can't laugh at yourself and at life in general."  Stephen Hawking

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3 hours ago, brassmonkey said:

Oh good, these numbers make more sense.

 

150 mg XL capsule contains 12 mini tablets.

Scale reading for 12 mini tablets is 0.303g

Scale reading for 10 mini tablets is 0.253g

12 mini tablets including the capsule reads 0.393g

 

Using both sets of numbers we get an average weight of 0.025g or 25mgpw (milligrams pill weight) for each minitablet.

 

If the strength of each capsule in 150mgai (milligrams active ingredient) and there are 12 minitablets per capsule: 150/12 = 12.5. So, the strength of each minitablet it 12.5mgai.

 

If we divide the pill strength by the pill weight, we get what is called the Active Ingredient Concentration (AIC) for these minitablets.

This would be 12.5/25 = 0.5. Meaning that each 1mg of tablets contains 0.5mgai of medication. This is a number to keep in mind for later.

 

Now that we know this, we need to know exactly how you are taking your dose. You have mentioned several different ways. Both a total of 8 minitablets or 100mg a day. I understand that you are splitting the dose in half morning and evening, no problem with that. How are you actually measuring the dose?

 

I know this has been a lot of questions, but each little step counts and we want to get things right. We're almost there.

@brassmonkey

Thats some calculation! Thank you.

I understand the importance of getting it right. 

I am crushing 5 mini tablets in the morning & 5 mini tablets in the evening. 12 hours apart. I am then taking a weight of 50 mg twice per day of powder. X

Prescribed Venlafaxine 150mg ..........

 19 Feb 2019 stopped Venlafaxine 150mg cold turkey. 06 March 2019 restarted Ven 125mg. 04 April 2019 9 mini pills. 02 May 2019 8 mini pills. 01July 2019 7 mini pills. 18 Aug 2019 6 mini pills. 24 Sept 2019 5.50 mini pills. 11 October 2019 5 mini pills. 5th May 2020 Reinstated Ven 125 mg XR 9 pills.

9th Nov 2020 Update Started splitting dose to twice per day

02/02/2021 can’t stabilise without symptoms. 
03/02/21 9 mini pills @ 10am 

Updated.... July 2021 108mg, Sept 2021 107mg, 

tapering steps to be updated

current dose 14 July 2023 80mg

23.07.23 75mg half way ! 

 

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  • Moderator

Okay, so you are taking 100mgpw as weighed on the scale a day, dived into 2 doses, morning and evening.

 

I mentioned the AIC (0.5mgai/mgpw). Using that number, we can calculate that the strength of your dose is 50mgai per day. Which you are taking as 25mgai in the morning and 25mgai in the evening.

 

Daily dose 50mgai (25mgai X 2)

 

This is the dose that we use when we talk about in your posts. But you need to keep records of both, because you will be measuring your dose using the mgpw number. The nice thing is these two numbers are in direct proportion to each other. If you change one you change the other by the exact same amount. So, if you reduce the weight of you dose by 10% you also reduce the strength of that dose by the same 10%.

 

I'm going to leave this post here, but also copy it to your intro thread because it is becoming very specific to your personal experience, we can continue the discussion there.

20 years on Paxil starting at 20mg and working up to 40mg. Sept 2011 started 10% every 6 weeks taper (2.5% every week for 4 weeks then hold for 2 additional weeks), currently at 7.9mg. Oct 2011 CTed 15oz vodka a night, to only drinking 2 beers most nights, totally sober Feb 2013.

Since I wrote this I have continued to decrease my dose by 10% every 6 weeks (2.5% every week for 4 weeks and then hold for an additional 2 weeks). I added in an extra 6 week hold when I hit 10mg to let things settle out even more. When I hit 3mgpw it became hard to split the drop into 4 parts so I switched to dropping 1mgpw (pill weight) every week for 3 weeks and then holding for another 3 weeks.  The 3 + 3 schedule turned out to be too harsh so I cut back to dropping 1mgpw every 4 weeks which is working better.

Final Dose 0.016mg.     Current dose 0.000mg 04-15-2017

 

"It's also important not to become angry, no matter how difficult life is, because you can loose all hope if you can't laugh at yourself and at life in general."  Stephen Hawking

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  • Moderator

@Nelly We've been having quite a discussion on a different thread but it is time to move it here so you will have better records.

 

Okay, so you are taking 100mgpw as weighed on the scale a day, dived into 2 doses, morning and evening.

 

I mentioned the AIC (0.5mgai/mgpw). Using that number, we can calculate that the strength of your dose is 50mgai per day. Which you are taking as 25mgai in the morning and 25mgai in the evening.

 

Daily dose 50mgai (25mgai X 2)

 

This is the dose that we use when we talk about in your posts. But you need to keep records of both, because you will be measuring your dose using the mgpw number. The nice thing is these two numbers are in direct proportion to each other. If you change one you change the other by the exact same amount. So, if you reduce the weight of you dose by 10% you also reduce the strength of that dose by the same 10%.

 

Now that we know how much you are actually taking, where do you want to go from here?

20 years on Paxil starting at 20mg and working up to 40mg. Sept 2011 started 10% every 6 weeks taper (2.5% every week for 4 weeks then hold for 2 additional weeks), currently at 7.9mg. Oct 2011 CTed 15oz vodka a night, to only drinking 2 beers most nights, totally sober Feb 2013.

Since I wrote this I have continued to decrease my dose by 10% every 6 weeks (2.5% every week for 4 weeks and then hold for an additional 2 weeks). I added in an extra 6 week hold when I hit 10mg to let things settle out even more. When I hit 3mgpw it became hard to split the drop into 4 parts so I switched to dropping 1mgpw (pill weight) every week for 3 weeks and then holding for another 3 weeks.  The 3 + 3 schedule turned out to be too harsh so I cut back to dropping 1mgpw every 4 weeks which is working better.

Final Dose 0.016mg.     Current dose 0.000mg 04-15-2017

 

"It's also important not to become angry, no matter how difficult life is, because you can loose all hope if you can't laugh at yourself and at life in general."  Stephen Hawking

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  • Moderator Emeritus

@Nelly I've moved the whole conversation (18 posts in total) from the tips for tapering topic to your 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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12 hours ago, brassmonkey said:

@Nelly We've been having quite a discussion on a different thread but it is time to move it here so you will have better records.

 

Okay, so you are taking 100mgpw as weighed on the scale a day, dived into 2 doses, morning and evening.

 

I mentioned the AIC (0.5mgai/mgpw). Using that number, we can calculate that the strength of your dose is 50mgai per day. Which you are taking as 25mgai in the morning and 25mgai in the evening.

 

Daily dose 50mgai (25mgai X 2)

 

This is the dose that we use when we talk about in your posts. But you need to keep records of both, because you will be measuring your dose using the mgpw number. The nice thing is these two numbers are in direct proportion to each other. If you change one you change the other by the exact same amount. So, if you reduce the weight of you dose by 10% you also reduce the strength of that dose by the same 10%.

 

Now that we know how much you are actually taking, where do you want to go from here?

@brassmonkey

Thank you for this, i need to get my head around it. 

I want an easier way of taking my dose, preferably without having to crush and weigh. Im not sure liquid is the answer. 

Thank you so much for helping me xx

Prescribed Venlafaxine 150mg ..........

 19 Feb 2019 stopped Venlafaxine 150mg cold turkey. 06 March 2019 restarted Ven 125mg. 04 April 2019 9 mini pills. 02 May 2019 8 mini pills. 01July 2019 7 mini pills. 18 Aug 2019 6 mini pills. 24 Sept 2019 5.50 mini pills. 11 October 2019 5 mini pills. 5th May 2020 Reinstated Ven 125 mg XR 9 pills.

9th Nov 2020 Update Started splitting dose to twice per day

02/02/2021 can’t stabilise without symptoms. 
03/02/21 9 mini pills @ 10am 

Updated.... July 2021 108mg, Sept 2021 107mg, 

tapering steps to be updated

current dose 14 July 2023 80mg

23.07.23 75mg half way ! 

 

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Hi @brassmonkey

I now have in my possession 150ml Venlafaxine oral solution 37.5mg/5ml

Package states each 5ml contains 37.5mg of Venlafaxine (as Hydrochloride)

Based on 100mg the instructions say take 50mg (6.7mis) twice per day

So, based on your calculations  how much should i take please? As i am wondering that this solution is concentrated? 

It does not need to be stored in the fridge, nor does ir say to shake the bottle (just my observation)

This info doesnt sound too bad. I think i just worry too much.

 

Im getting there, thank you again and again. Mastering this will help me. X

 

 

Prescribed Venlafaxine 150mg ..........

 19 Feb 2019 stopped Venlafaxine 150mg cold turkey. 06 March 2019 restarted Ven 125mg. 04 April 2019 9 mini pills. 02 May 2019 8 mini pills. 01July 2019 7 mini pills. 18 Aug 2019 6 mini pills. 24 Sept 2019 5.50 mini pills. 11 October 2019 5 mini pills. 5th May 2020 Reinstated Ven 125 mg XR 9 pills.

9th Nov 2020 Update Started splitting dose to twice per day

02/02/2021 can’t stabilise without symptoms. 
03/02/21 9 mini pills @ 10am 

Updated.... July 2021 108mg, Sept 2021 107mg, 

tapering steps to be updated

current dose 14 July 2023 80mg

23.07.23 75mg half way ! 

 

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  • Moderator

This is a very concentrated liquid with each 1mL containing 7.5mgai of strength.

 

We established in my previous post that you are taking a dose of 50mgai a day split into two parts 25mgai morning and 25mgai evening. To get the same amount of active ingredient using this liquid you would have to take 6.66mL a day or 3.33mL twice a day.

 

DO NOT just start taking the liquid. Some people have trouble using the liquid, their bodies just don't like it. To change over to the liquid, it is best to do a cross taper over several weeks. This makes the transition easier and will point up any problems along the way.

 

Cross Over: Changing form (eg tablet to liquid) of drug OR changing brand of same drug - Tapering - Surviving Antidepressants

 

20 years on Paxil starting at 20mg and working up to 40mg. Sept 2011 started 10% every 6 weeks taper (2.5% every week for 4 weeks then hold for 2 additional weeks), currently at 7.9mg. Oct 2011 CTed 15oz vodka a night, to only drinking 2 beers most nights, totally sober Feb 2013.

Since I wrote this I have continued to decrease my dose by 10% every 6 weeks (2.5% every week for 4 weeks and then hold for an additional 2 weeks). I added in an extra 6 week hold when I hit 10mg to let things settle out even more. When I hit 3mgpw it became hard to split the drop into 4 parts so I switched to dropping 1mgpw (pill weight) every week for 3 weeks and then holding for another 3 weeks.  The 3 + 3 schedule turned out to be too harsh so I cut back to dropping 1mgpw every 4 weeks which is working better.

Final Dose 0.016mg.     Current dose 0.000mg 04-15-2017

 

"It's also important not to become angry, no matter how difficult life is, because you can loose all hope if you can't laugh at yourself and at life in general."  Stephen Hawking

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1 hour ago, brassmonkey said:

This is a very concentrated liquid with each 1mL containing 7.5mgai of strength.

 

We established in my previous post that you are taking a dose of 50mgai a day split into two parts 25mgai morning and 25mgai evening. To get the same amount of active ingredient using this liquid you would have to take 6.66mL a day or 3.33mL twice a day.

 

DO NOT just start taking the liquid. Some people have trouble using the liquid, their bodies just don't like it. To change over to the liquid, it is best to do a cross taper over several weeks. This makes the transition easier and will point up any problems along the way.

 

Cross Over: Changing form (eg tablet to liquid) of drug OR changing brand of same drug - Tapering - Surviving Antidepressants

 

@brassmonkeythank you for helping me with this. I have read the cross over advice.

It scares me. I get overwhelmed with it.

I will give it some more consideration. X

Prescribed Venlafaxine 150mg ..........

 19 Feb 2019 stopped Venlafaxine 150mg cold turkey. 06 March 2019 restarted Ven 125mg. 04 April 2019 9 mini pills. 02 May 2019 8 mini pills. 01July 2019 7 mini pills. 18 Aug 2019 6 mini pills. 24 Sept 2019 5.50 mini pills. 11 October 2019 5 mini pills. 5th May 2020 Reinstated Ven 125 mg XR 9 pills.

9th Nov 2020 Update Started splitting dose to twice per day

02/02/2021 can’t stabilise without symptoms. 
03/02/21 9 mini pills @ 10am 

Updated.... July 2021 108mg, Sept 2021 107mg, 

tapering steps to be updated

current dose 14 July 2023 80mg

23.07.23 75mg half way ! 

 

Link to comment
  • 3 months later...

I am suffering from deep emotional pain at the moment and waiting for it to pass. 

Today i called my 94 year old mum and asked her why she has never showed me any love. Why has she been horrible to us? All she could say was i had to work and bring you all up (she never worked more than a few hours). She then put the phone down on me. I was hoping to say more but i didnt get the chance. I felt a little relief, but not enough. I needed to ask her before she dies. I wanted closure. My sister who i knew would be with my mum said in the background....leave it! 

I long for someone just to hold me forever, not to say anything, just hold me and love me. But if they did live me i wouldnt feel it, because i cant. Just hold me. 

No matter how much effort i put in to heal myself, i cant shift my feelings of detachment and loneliness. I have being saying for a long time im ready to go know. The pain is too much. My dog has kept me alive for the past 8 years, but how much longer i can hang on i dont know. 

I have some sort of neuropathy which is contributing to my feelings of dread. This is under investigation at the moment. But im talking about that deep emotional pain that nothing will take away. No doubt the pain and sadness and memiries will intensify as i taper. Current dose is 97mg of venlafaxine from 150mg over the past approx 3 years.

I want to share something that i dont talk about. I have grinded my teeth all my life. I wear mouth guards. I talk in my sleep, a lot, which has been highlighted to me recently, which has raised my anguish and got me thinking more. Another thing i do, which is very embarrassing, but i feel it needs sharing, in the hope that i can find out the underlying cause, is i pick my nose in my sleep. I noticed this approx. 15 years ago. It has become my apparent again recently. I wake myself up doing it. I am feeling seriosly psychologically unwell. I wont be taking anymore drugs. The whole purpose of me tapering is to feel. To not be numbed. To be able to think. Im working through it, but why is there nowhere to turn for the right therapy. Not counseling, but real good quality proffesional help that isnt a waste of time. I am tired of talking about my emotional distress and sadness, which has only ever been addressed by switching me from one antidepressant to another. You just couldnt make it up. 

I feel no regret for calling my mum today.

Thank you for reading and being there x

 

Prescribed Venlafaxine 150mg ..........

 19 Feb 2019 stopped Venlafaxine 150mg cold turkey. 06 March 2019 restarted Ven 125mg. 04 April 2019 9 mini pills. 02 May 2019 8 mini pills. 01July 2019 7 mini pills. 18 Aug 2019 6 mini pills. 24 Sept 2019 5.50 mini pills. 11 October 2019 5 mini pills. 5th May 2020 Reinstated Ven 125 mg XR 9 pills.

9th Nov 2020 Update Started splitting dose to twice per day

02/02/2021 can’t stabilise without symptoms. 
03/02/21 9 mini pills @ 10am 

Updated.... July 2021 108mg, Sept 2021 107mg, 

tapering steps to be updated

current dose 14 July 2023 80mg

23.07.23 75mg half way ! 

 

Link to comment
  • 2 weeks later...

Hi,

 

I have read Your latest post, and I can relate to You, my mother also never showed me any love and said I should be grateful that she gives me food and roof over my head...

 

I also grind my teeth to end it more lightly, we all have things that we wish would turn up differently, Your mother's treatment of You is her fault and not Yours, You were only a child.

 

Wishing You a lifelong window!

V.

Duloxetine 2016/17 - 30/60mg/30mg, c/t, light WD.

Sertraline June 2019 50mg ADR

Clorazepate June 2019 20-15-10mg for 3 weeks then sparsely until 2022, 2 times per month max and very low dose (5mg)

Clorazepate Jan2022 10mg 5 days 2,5mg 2 days then off

Venlafaxine June 2019 75mg ADR, 17,5mg, titrated to 37,5mg

Venlafaxine Jan 2022 Covid, hard ADR on 37,5mg, reduced to 20mg ADR, tried ct, crash,

Venlafaxine 22Jan22 reinstated 9,4mg, too low/ 01Feb22- 12mg/ 12Feb- 11,25mg/ 16Feb- 11mg/ 20Feb- 10,8mg/ 24Feb22-10,575mg/ 16Mar22- 10,46mg/ 26Mar22- 10,35mg/ 26Apr22- 10mg/ 01Oct- 9,9mg/ 13Nov- 9,7mg

01Jan24-7,5mg

MAR24

Due to another sudden intolerance had to fast taper venlafaxine to 1,14mg 

Seems like all of this time I was in benzo withdrawal, because when I took it now in desperation to help it made me feel worse, tried reinstatement first 1mg, then 0,05mg both made me feel worse.

Link to comment
  • 4 months later...

Hello

I am reaching out in desperation. Im sorry i havent been here for a while neither have i updated my signature. My current dose of VENSIR iXL s 94mg. Original prescribing dose 150mg. I have been crushing and weighing my dose and taking 12 hours apart. I have been tapering over years. My biggest reduction over the past couple of years has been 4 mg. My last reduction on January 2nd was 2 mg. On 8th January 2023 i had what i now understand to be a meltdown. This was brought on by my then partner lying to me. I have been in this state since. I gained access to my medical records in December 2022 to try to make some sense of my struggles and behaviours all my life. Briefly, i now kniw i have an Autistic Spectrum Disorder. There is reference to this in my medical recirds  but no diagnosis. I know in my heart and mind that this is me. It is like a light bulb moment. I have asked my doctor earlier this week to refer me for an assessment. In the mean time, i am confused and desperate to know what do do in regards to the drugs. What if now to feel better i have to take a drug to feel better. I have done so well, with reducing the VENSIR, but it gas been hard, and i am now feeling so unwell with anxiety low mood and like my insides have been ripped out of me. All i want to do is sleep, i wake and i feel the same dreadful painful symotoms. I am autistic i know. I now want to feel better and dont feel like i can do this on my own. I dont want to feel like this anymore. I dont want to increase the VENSIR as i dont think that this is the right drug for me. Can anyone help me prepare for speaking to the doctorfir some relief of my symptoms please? What if he suggests switching the drug to something else or suggests adding another drug? I have been so good at helping myself and being kind to myself but at the moment i am really struggling to do this. I need some temporary relief. I would really value some advise and guidance, from you with lived experience. Thank you 😊 💓 

Prescribed Venlafaxine 150mg ..........

 19 Feb 2019 stopped Venlafaxine 150mg cold turkey. 06 March 2019 restarted Ven 125mg. 04 April 2019 9 mini pills. 02 May 2019 8 mini pills. 01July 2019 7 mini pills. 18 Aug 2019 6 mini pills. 24 Sept 2019 5.50 mini pills. 11 October 2019 5 mini pills. 5th May 2020 Reinstated Ven 125 mg XR 9 pills.

9th Nov 2020 Update Started splitting dose to twice per day

02/02/2021 can’t stabilise without symptoms. 
03/02/21 9 mini pills @ 10am 

Updated.... July 2021 108mg, Sept 2021 107mg, 

tapering steps to be updated

current dose 14 July 2023 80mg

23.07.23 75mg half way ! 

 

Link to comment

In this video You can learn how basically all psychiatric diagnoses are made up without any science backing them up:

 

https://youtu.be/-Nd40Uy6tbQ

 

Rather than switching or adding drugs (which is as likely to provide relief as worsen the suffering) maybe try a longer hold to try to stabilise.

 

Maybe some day in a very distant future science and medical communities will know how the brain works and then they can provide real evidenced based care, not some laughable "it gives some of the people some relief, but we don't know why" care.

 

Wishing You a lifelong window!

V.

Duloxetine 2016/17 - 30/60mg/30mg, c/t, light WD.

Sertraline June 2019 50mg ADR

Clorazepate June 2019 20-15-10mg for 3 weeks then sparsely until 2022, 2 times per month max and very low dose (5mg)

Clorazepate Jan2022 10mg 5 days 2,5mg 2 days then off

Venlafaxine June 2019 75mg ADR, 17,5mg, titrated to 37,5mg

Venlafaxine Jan 2022 Covid, hard ADR on 37,5mg, reduced to 20mg ADR, tried ct, crash,

Venlafaxine 22Jan22 reinstated 9,4mg, too low/ 01Feb22- 12mg/ 12Feb- 11,25mg/ 16Feb- 11mg/ 20Feb- 10,8mg/ 24Feb22-10,575mg/ 16Mar22- 10,46mg/ 26Mar22- 10,35mg/ 26Apr22- 10mg/ 01Oct- 9,9mg/ 13Nov- 9,7mg

01Jan24-7,5mg

MAR24

Due to another sudden intolerance had to fast taper venlafaxine to 1,14mg 

Seems like all of this time I was in benzo withdrawal, because when I took it now in desperation to help it made me feel worse, tried reinstatement first 1mg, then 0,05mg both made me feel worse.

Link to comment
1 hour ago, Vasherr said:

In this video You can learn how basically all psychiatric diagnoses are made up without any science backing them up:

 

https://youtu.be/-Nd40Uy6tbQ

 

Rather than switching or adding drugs (which is as likely to provide relief as worsen the suffering) maybe try a longer hold to try to stabilise.

 

Maybe some day in a very distant future science and medical communities will know how the brain works and then they can provide real evidenced based care, not some laughable "it gives some of the people some relief, but we don't know why" care.

 

Wishing You a lifelong window!

V.

 

Prescribed Venlafaxine 150mg ..........

 19 Feb 2019 stopped Venlafaxine 150mg cold turkey. 06 March 2019 restarted Ven 125mg. 04 April 2019 9 mini pills. 02 May 2019 8 mini pills. 01July 2019 7 mini pills. 18 Aug 2019 6 mini pills. 24 Sept 2019 5.50 mini pills. 11 October 2019 5 mini pills. 5th May 2020 Reinstated Ven 125 mg XR 9 pills.

9th Nov 2020 Update Started splitting dose to twice per day

02/02/2021 can’t stabilise without symptoms. 
03/02/21 9 mini pills @ 10am 

Updated.... July 2021 108mg, Sept 2021 107mg, 

tapering steps to be updated

current dose 14 July 2023 80mg

23.07.23 75mg half way ! 

 

Link to comment

@VasherrThank you for your response and sharing the link. It is a reminder and i am grateful. Link shared on 

Prescribed Venlafaxine 150mg ..........

 19 Feb 2019 stopped Venlafaxine 150mg cold turkey. 06 March 2019 restarted Ven 125mg. 04 April 2019 9 mini pills. 02 May 2019 8 mini pills. 01July 2019 7 mini pills. 18 Aug 2019 6 mini pills. 24 Sept 2019 5.50 mini pills. 11 October 2019 5 mini pills. 5th May 2020 Reinstated Ven 125 mg XR 9 pills.

9th Nov 2020 Update Started splitting dose to twice per day

02/02/2021 can’t stabilise without symptoms. 
03/02/21 9 mini pills @ 10am 

Updated.... July 2021 108mg, Sept 2021 107mg, 

tapering steps to be updated

current dose 14 July 2023 80mg

23.07.23 75mg half way ! 

 

Link to comment
  • 3 months later...
  • Administrator

Hello, @Nelly, how are you doing?

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.

Link to comment
  • 4 weeks later...

@Altostrata

Hi

Im doing ok thank you.

I am now down to 80mg! 5mg off halfway!  I'm very pleased. I feel no worse than when on 150mg. Some days are good, some just ok. 

I am pursuing a diagnosis for an Autism Spectrum Disorder. No formal diagnosis yet, just informal observations. Which will explain my struggles all my life. I know some dont agree with a diagnosis for an ASD, but it is important to me. Its me and i am proud to achieve what i have. 

I wonder how many others are wrongly diagnosed and drugged. I find it very interesting. 

I will continue with my tapering, but it is not taking over my life. 

Thank you for thinking of me.

I will be watching BBC 1 next week. Thank you for all that you are doing.

I need to update my signature x

Prescribed Venlafaxine 150mg ..........

 19 Feb 2019 stopped Venlafaxine 150mg cold turkey. 06 March 2019 restarted Ven 125mg. 04 April 2019 9 mini pills. 02 May 2019 8 mini pills. 01July 2019 7 mini pills. 18 Aug 2019 6 mini pills. 24 Sept 2019 5.50 mini pills. 11 October 2019 5 mini pills. 5th May 2020 Reinstated Ven 125 mg XR 9 pills.

9th Nov 2020 Update Started splitting dose to twice per day

02/02/2021 can’t stabilise without symptoms. 
03/02/21 9 mini pills @ 10am 

Updated.... July 2021 108mg, Sept 2021 107mg, 

tapering steps to be updated

current dose 14 July 2023 80mg

23.07.23 75mg half way ! 

 

Link to comment
  • 4 weeks later...

Hi

I am now down to 80mg per day. I have been crushing and weighing vensir xl  and splitting the dose and taking twice per day  😀 I am preparing for my next reduction. I was thinking of taking a break from crushing and weighing and tapering for a little while. I thought that for my next reduction to 75mg, I would ask for 75mg capsules XL and take once a day instead of crushing and weighing. However I have realised that the weight includes the fillers, so am I right in thinking that if I took a 75mg capsule whole without crushing, I would in fact be increasing my dose? 

So, would I be better to use the opportunity to switch to beads? I’m not sure what to do, but I don’t want to increase my dose unnecessarily. Does what I say make sense or am I more confused than I thought? Obviously, if it’s necessary to continue to crush and weigh then that is what I will do. 

I would appreciate some guidance on this please. Thank you x

Prescribed Venlafaxine 150mg ..........

 19 Feb 2019 stopped Venlafaxine 150mg cold turkey. 06 March 2019 restarted Ven 125mg. 04 April 2019 9 mini pills. 02 May 2019 8 mini pills. 01July 2019 7 mini pills. 18 Aug 2019 6 mini pills. 24 Sept 2019 5.50 mini pills. 11 October 2019 5 mini pills. 5th May 2020 Reinstated Ven 125 mg XR 9 pills.

9th Nov 2020 Update Started splitting dose to twice per day

02/02/2021 can’t stabilise without symptoms. 
03/02/21 9 mini pills @ 10am 

Updated.... July 2021 108mg, Sept 2021 107mg, 

tapering steps to be updated

current dose 14 July 2023 80mg

23.07.23 75mg half way ! 

 

Link to comment

The scale reading for 40mg crushed is 0.080g twice per day

12 mini tablets whole weigh 0.300g

Prescribed Venlafaxine 150mg ..........

 19 Feb 2019 stopped Venlafaxine 150mg cold turkey. 06 March 2019 restarted Ven 125mg. 04 April 2019 9 mini pills. 02 May 2019 8 mini pills. 01July 2019 7 mini pills. 18 Aug 2019 6 mini pills. 24 Sept 2019 5.50 mini pills. 11 October 2019 5 mini pills. 5th May 2020 Reinstated Ven 125 mg XR 9 pills.

9th Nov 2020 Update Started splitting dose to twice per day

02/02/2021 can’t stabilise without symptoms. 
03/02/21 9 mini pills @ 10am 

Updated.... July 2021 108mg, Sept 2021 107mg, 

tapering steps to be updated

current dose 14 July 2023 80mg

23.07.23 75mg half way ! 

 

Link to comment
  • Mentor

If you’re wanting to switch to beads, I think when you’re at 75mg , that would be a good time. However, note that you currently are not at 75mg. If you switch now, you would be doing a taper and switch at the same time. This is generally not a good idea. It may be better to do it your current way of crushing tablets until you are stabilized at the 75mg dose first, then switching to the beads.

 

Also, note that if you do switch to beads, it most-likely will induce some WD symptoms as it will be a new brand + the dosage may not be quite what you were previously measuring. You’ll need to hold for a period of time after the switch.

 

57 minutes ago, Nelly said:

However I have realised that the weight includes the fillers, so am I right in thinking that if I took a 75mg capsule whole without crushing, I would in fact be increasing my dose?


No, this is not accurate. The same fillers exist in the crushed amount as they do in the intact tablet. You want to go by the amount of active ingredient. The amount on your scale (mgpw) is not the same as your dose. In other words, your current 80mgai (active ingredient) dose should weigh much more on your scale than 80mg.

Edited by FindRest

1988-1996  Various AD’s, all classifications.  1996-2019  Effexor XR 37.5mg to 150mg. Jan 2017 onward, 37.5 mg.

2019  Apr 11 - July 24: Trials of Latuda then Rexulti. CT'd off per dr.  Jul 24: CT Effexor (per dr)  Sep 9-19: Viibryd, CT (per dr).  Sep 23-27: Trintellix. CT (per dr).  Sep 28 - Oct 24:  Prozac 10mg.  Oct 24:  Stop Prozac, began Pristiq 25mg->50->25mg.

2020  Feb 1: CT Pristiq. Feb 1: Reinstated Effexor XR (10 large beads) gradually increasing to 22 beads (15L+7M) or 9.072mgai on Mar, 2020.

2021  Started Jan w 21 beads (13L+8M) or 8.47mgai ended Dec: 17 beads (7L+9M+1S) or 6.19mgai. Severe COVID + TIA.

2022  Ended yr w 14 beads (3L+5M+5S+1XS) or 4.5mgai. Major jaw injury during year + family tragedy.

2023  Jan: 13 beads (2L+5M+5S+1XS) or 4.2mgai; Feb: 12 beads (2L+4M+5S+1XS) or 3.9mgai; Mar: 11 beads (2L+4M+4S+1XS) or 3.6mgai, Apr: 10 beads (2L+3M+4S+1XS) or 3.3mgai; Jun: 9 beads (2L+3M+3S+1XS) or 3mgai,

 

Current: July, 2023: Effexor XR -  9 beads (2L+3M+3S+1XS) or 2.7 mgai

Other current meds: Ambien 10mg 3.935mg , clonazepam .125mg .107mg, omeprazoleSynthroid, Premarin.  Supplements: D3, C, probiotic, K2-MK7, Mg Glycinate

Link to comment
19 hours ago, FindRest said:

You want to go by the amount of active ingredient. The amount on your scale (mgpw) is not the same as your dose. In other words, your current 80mgai (active ingredient) dose should weigh much more on scale than 80mg.

Thank you, i will take that advise and stabilise at 75mg before i switch.²

 

Im sorry but im confused about this bit. 

My current dose of 40mg twice per day weighs 0.080g on the scale x

 

Prescribed Venlafaxine 150mg ..........

 19 Feb 2019 stopped Venlafaxine 150mg cold turkey. 06 March 2019 restarted Ven 125mg. 04 April 2019 9 mini pills. 02 May 2019 8 mini pills. 01July 2019 7 mini pills. 18 Aug 2019 6 mini pills. 24 Sept 2019 5.50 mini pills. 11 October 2019 5 mini pills. 5th May 2020 Reinstated Ven 125 mg XR 9 pills.

9th Nov 2020 Update Started splitting dose to twice per day

02/02/2021 can’t stabilise without symptoms. 
03/02/21 9 mini pills @ 10am 

Updated.... July 2021 108mg, Sept 2021 107mg, 

tapering steps to be updated

current dose 14 July 2023 80mg

23.07.23 75mg half way ! 

 

Link to comment
  • Mentor
1 hour ago, Nelly said:

Im sorry but im confused about this bit. 

My current dose of 40mg twice per day weighs 0.080g on the scale x


Are you saying that your current daily dose is 40mgai per day and you take 20mg ai twice a day, or is it 80mgai and you take 40mgai twice a day?

 

Mgai = mg active ingredient, also is dose represented on pill bottle/pkg.  Mgpw = mg pill weight on scale. The weight on the scale is NOT the same as your “dose” or mgai. That must be calculated based upon the original weight of your mini-tabs. I think you know this already based on brassmonkey’s posts here previously, but want to make sure you understand this.

 

How much does each current dose weigh on your scale … IOW, if you take two doses a day, how much does one of them weigh?

Edited by FindRest

1988-1996  Various AD’s, all classifications.  1996-2019  Effexor XR 37.5mg to 150mg. Jan 2017 onward, 37.5 mg.

2019  Apr 11 - July 24: Trials of Latuda then Rexulti. CT'd off per dr.  Jul 24: CT Effexor (per dr)  Sep 9-19: Viibryd, CT (per dr).  Sep 23-27: Trintellix. CT (per dr).  Sep 28 - Oct 24:  Prozac 10mg.  Oct 24:  Stop Prozac, began Pristiq 25mg->50->25mg.

2020  Feb 1: CT Pristiq. Feb 1: Reinstated Effexor XR (10 large beads) gradually increasing to 22 beads (15L+7M) or 9.072mgai on Mar, 2020.

2021  Started Jan w 21 beads (13L+8M) or 8.47mgai ended Dec: 17 beads (7L+9M+1S) or 6.19mgai. Severe COVID + TIA.

2022  Ended yr w 14 beads (3L+5M+5S+1XS) or 4.5mgai. Major jaw injury during year + family tragedy.

2023  Jan: 13 beads (2L+5M+5S+1XS) or 4.2mgai; Feb: 12 beads (2L+4M+5S+1XS) or 3.9mgai; Mar: 11 beads (2L+4M+4S+1XS) or 3.6mgai, Apr: 10 beads (2L+3M+4S+1XS) or 3.3mgai; Jun: 9 beads (2L+3M+3S+1XS) or 3mgai,

 

Current: July, 2023: Effexor XR -  9 beads (2L+3M+3S+1XS) or 2.7 mgai

Other current meds: Ambien 10mg 3.935mg , clonazepam .125mg .107mg, omeprazoleSynthroid, Premarin.  Supplements: D3, C, probiotic, K2-MK7, Mg Glycinate

Link to comment
  • 3 weeks later...

Thank you @ 

@FindRest

I am now on 75mg per day. The scale reads 0.075 g . I take this twice per day. 

I am going to stabilise on 75mg and then switch. I think i would prefer the bead weighing and counting process when i am ready to switch and taper further. Are the beads XL or IR please? 

I hope this makes sense x

Prescribed Venlafaxine 150mg ..........

 19 Feb 2019 stopped Venlafaxine 150mg cold turkey. 06 March 2019 restarted Ven 125mg. 04 April 2019 9 mini pills. 02 May 2019 8 mini pills. 01July 2019 7 mini pills. 18 Aug 2019 6 mini pills. 24 Sept 2019 5.50 mini pills. 11 October 2019 5 mini pills. 5th May 2020 Reinstated Ven 125 mg XR 9 pills.

9th Nov 2020 Update Started splitting dose to twice per day

02/02/2021 can’t stabilise without symptoms. 
03/02/21 9 mini pills @ 10am 

Updated.... July 2021 108mg, Sept 2021 107mg, 

tapering steps to be updated

current dose 14 July 2023 80mg

23.07.23 75mg half way ! 

 

Link to comment
  • Mentor
6 hours ago, Nelly said:

am now on 75mg per day. The scale reads 0.075 g . I take this twice per day. 

 

I’m still a bit confused. Is this what you are saying:

 

1) Your total dose per day (mgai) is 75mg, and 

2) You take half of this, 37.5 mgai, twice a day

3) Each 37.5 weighs .075g.

 

Yes, the beads are XL and XR. make sure to get the ones with many tiny beads in them, not just a few mini-tabs.

1988-1996  Various AD’s, all classifications.  1996-2019  Effexor XR 37.5mg to 150mg. Jan 2017 onward, 37.5 mg.

2019  Apr 11 - July 24: Trials of Latuda then Rexulti. CT'd off per dr.  Jul 24: CT Effexor (per dr)  Sep 9-19: Viibryd, CT (per dr).  Sep 23-27: Trintellix. CT (per dr).  Sep 28 - Oct 24:  Prozac 10mg.  Oct 24:  Stop Prozac, began Pristiq 25mg->50->25mg.

2020  Feb 1: CT Pristiq. Feb 1: Reinstated Effexor XR (10 large beads) gradually increasing to 22 beads (15L+7M) or 9.072mgai on Mar, 2020.

2021  Started Jan w 21 beads (13L+8M) or 8.47mgai ended Dec: 17 beads (7L+9M+1S) or 6.19mgai. Severe COVID + TIA.

2022  Ended yr w 14 beads (3L+5M+5S+1XS) or 4.5mgai. Major jaw injury during year + family tragedy.

2023  Jan: 13 beads (2L+5M+5S+1XS) or 4.2mgai; Feb: 12 beads (2L+4M+5S+1XS) or 3.9mgai; Mar: 11 beads (2L+4M+4S+1XS) or 3.6mgai, Apr: 10 beads (2L+3M+4S+1XS) or 3.3mgai; Jun: 9 beads (2L+3M+3S+1XS) or 3mgai,

 

Current: July, 2023: Effexor XR -  9 beads (2L+3M+3S+1XS) or 2.7 mgai

Other current meds: Ambien 10mg 3.935mg , clonazepam .125mg .107mg, omeprazoleSynthroid, Premarin.  Supplements: D3, C, probiotic, K2-MK7, Mg Glycinate

Link to comment

Hi @FindRest thank you

I confuse myself too 😅 

Nowhere on the scale does it read mgai.

The modes are g/oz/gn/dwt/ct/ozt

My dosage reads 0.075g twice per day which i believe is a total of 75mg per day. This is crushed powder of XL mini tablets, hence splitting the dose. X

 

Prescribed Venlafaxine 150mg ..........

 19 Feb 2019 stopped Venlafaxine 150mg cold turkey. 06 March 2019 restarted Ven 125mg. 04 April 2019 9 mini pills. 02 May 2019 8 mini pills. 01July 2019 7 mini pills. 18 Aug 2019 6 mini pills. 24 Sept 2019 5.50 mini pills. 11 October 2019 5 mini pills. 5th May 2020 Reinstated Ven 125 mg XR 9 pills.

9th Nov 2020 Update Started splitting dose to twice per day

02/02/2021 can’t stabilise without symptoms. 
03/02/21 9 mini pills @ 10am 

Updated.... July 2021 108mg, Sept 2021 107mg, 

tapering steps to be updated

current dose 14 July 2023 80mg

23.07.23 75mg half way ! 

 

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