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Tattycorum: Introduction


Tattycorum

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On 10/20/2020 at 2:55 PM, Gertie said:

Hi Tattycorum!

 

Just stopping by to see how your tapering is going these days?   I see you have started your exit strategy for sertraline - woo hoo!!  So far so good?  I'm still waiting to see the updated version of BrassMonkey's post to really determine how to plan my daughter's end game.  She's still at 1mg sertraline, but we have slowly started tapering two of her other meds (very long story why, but we both believe it's the right thing for now).

 

You have been such an inspiration and beacon of hope for me, and I love to see your progress.

I hope you are doing well!

xoxo

Gertie

Hi Gertie, Thanks for checking in! I hope things continue to go okay with your daughter's tapering and that you get to calculate the end game soon. Just having it figured out can be so reassuring emotionally -- there are so many unknowns in this whole thing. I'm doing fine here with my tapering. I don't notice any effects each time I reduce (in stark contrast to how I fell apart when I tapered too fast before finding this wonderful site). I do have a chronic auto-immune lung disease, for which I am trying LDN, so I have ups and downs around that, unfortunately. I work hard on remaining positive. (((hugs))) Please keep me posted! 

Love,

Tatty

---

Lorazepam: (2014-15 1-1.5 mg lorazepam (aka Ativan) at night; 2016 to Nov 2018: 0.75 mg lorazepam at night; Dec 2018: dividing dose into 3x a day. Jan 2019: taper 5% every 15 days; Held 9/2019 - 2/2020 at 0.35 mg) 

March 2020 started 2.5% taper every 15 days. Nov 2020 tapering 5% every 15 days. Currently at 0.146 mg Feb 2021
Sertraline: (2005-14 50 mg sertraline (aka Zoloft); 2014-15 200 mg sertraline; 
2016: attempted taper too fast; stabilized at 25 mg)

Jan 2017: began 10% per month taper. Currently on "exit strategy" at 0.084 mg Nov 2020 for 8 weeks, 0.042 for 4 weeks, 0.028 for 2 weeks starting 2/25/21, then 0.014 for 2 weeks, then .007 for a while, now done.

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Hi Tattycorum,

 

It looks like you are almost finished with your sertraline taper.  Good for you!  I'm also tapering sertraline, but I'm probably about a year behind you.  At what point do you plan to "jump off"?  So how is it tapering two drugs at the same time?  I had thought of doing that too, but decided to wait a bit.  Best wishes on your journey!

 

Take care,

Terry

2007 - 2008          Paxil and Klonopin

2008 - 2012           Mirtazapine following abrupt withdrawal from Klonopin/Paxil.  

2012                       Unsuccessful taper of mirtazapine; reinstated.     

7/2013 - 1/2014   Successfully tapered from 7.5 mg

 

7/19/17 ALPRAZOLAM 0.25 mg. - current  

                SERTRALINE  - 25 mg

Began taper Aug 4, 2017 - 25 mg;  Jan 1, 2018 - 12.5 mg;  Jan 16, 2019 - 2.6 mg;  Jan 5, 2020 - 1.0 mg;  Jan 3, 2021 - 0.27 Current dose:   June 1 - 0.055 mg;

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1 hour ago, Terry said:

Hi Tattycorum,

 

It looks like you are almost finished with your sertraline taper.  Good for you!  I'm also tapering sertraline, but I'm probably about a year behind you.  At what point do you plan to "jump off"?  So how is it tapering two drugs at the same time?  I had thought of doing that too, but decided to wait a bit.  Best wishes on your journey!

 

Take care,

Terry

Hi Terry!

I set my exit strategy and jump-off based on Brass Monkey's article, linked below. Once I was at 0.33 mg for a month, using his formula, I created the following ending schedule (I'm actually about a month behind, but as you can see it is six weeks at each of these doses). So, I will be at zero by mid-December - almost exactly four years since I started my micro tapering. Looks like you might be close to starting your ending schedule!?

image.png.fcc3448b09b9fc3fc1b4c9d56b52cf3f.png

So far I'm fine tapering the benzo at the same time (which I only started two years into tapering the sertraline). I'm currently only reducing the benzo by 2.5% every two weeks--half the usual micro taper. I would have followed the normal advice to wait on tapering the benzo until I'm done with sertraline, but I haven't had any withdrawal symptoms triggered by my periodic sertraline reductions, so I'm following my body's guidance. If I do start to react, I'll hold on the benzo until I get to and stay at zero on the sertraline for a while. Good luck!!

 

I hope you are doing well post-surgery. PS, I also have migraine auras (visual migraines). I had them before I started tapering. 

 

Best,

Tatty

 

 

 

---

Lorazepam: (2014-15 1-1.5 mg lorazepam (aka Ativan) at night; 2016 to Nov 2018: 0.75 mg lorazepam at night; Dec 2018: dividing dose into 3x a day. Jan 2019: taper 5% every 15 days; Held 9/2019 - 2/2020 at 0.35 mg) 

March 2020 started 2.5% taper every 15 days. Nov 2020 tapering 5% every 15 days. Currently at 0.146 mg Feb 2021
Sertraline: (2005-14 50 mg sertraline (aka Zoloft); 2014-15 200 mg sertraline; 
2016: attempted taper too fast; stabilized at 25 mg)

Jan 2017: began 10% per month taper. Currently on "exit strategy" at 0.084 mg Nov 2020 for 8 weeks, 0.042 for 4 weeks, 0.028 for 2 weeks starting 2/25/21, then 0.014 for 2 weeks, then .007 for a while, now done.

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  • Moderator

Hi Tatty-- It's nice to see that people are reading my articles and putting them to good use. Part of what I have been rewriting for the revised article is the information about when to make the final jump to "0". We are creating a new term called the Theoretical Exit Dose which would be the final dose before making the jump. We are trying to make that dose as small as practically possible to decrease the possibility of symptoms cropping up. In working with the new calculations that would put the new Theoretical Exit dose for your medication at 0.031mgai. That would require two more reductions than what you have planned out. The kicker is that this is a Theoretical Exit Point not a hard and fast one. The big thing is to listen to your body, as you are doing and make adjustments accordingly. If all is going well and you are having no symptoms, then the 0.084 would probably be fine, but if you want to play it safe, I would suggest making the additional reductions before making the jump.

 

Congratulations on getting this far, keep up the good work, and let us know how it is progressing.

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.

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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  • 4 months later...
Tattycorum

I was originally planning to taper and exit as above, but in response to Brass Monkey's advice, and after realizing I could increase my dilution to allow for even more gradual tapering, I am doing this:

image.png.6f501fb1dff06abe2cd4e1420cb1419b.png

I'm at .028 now and have not had any withdrawal symptoms during this exit taper schedule, I'm grateful to say. 

---

Lorazepam: (2014-15 1-1.5 mg lorazepam (aka Ativan) at night; 2016 to Nov 2018: 0.75 mg lorazepam at night; Dec 2018: dividing dose into 3x a day. Jan 2019: taper 5% every 15 days; Held 9/2019 - 2/2020 at 0.35 mg) 

March 2020 started 2.5% taper every 15 days. Nov 2020 tapering 5% every 15 days. Currently at 0.146 mg Feb 2021
Sertraline: (2005-14 50 mg sertraline (aka Zoloft); 2014-15 200 mg sertraline; 
2016: attempted taper too fast; stabilized at 25 mg)

Jan 2017: began 10% per month taper. Currently on "exit strategy" at 0.084 mg Nov 2020 for 8 weeks, 0.042 for 4 weeks, 0.028 for 2 weeks starting 2/25/21, then 0.014 for 2 weeks, then .007 for a while, now done.

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  • Moderator
brassmonkey

I'm so pleased that things are going well with your Endgame Taper. Keep listening to your body and don't rush things, even if you are feeling good.

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.

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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Hi Tatty-

Thanks so much for the update on your exit strategy.  I always look forward to your updates and suggestions.  My daughter is still holding firm at 1mg zoloft (it's been over a year at that dose after we "rescued" her from an improper too fast taper), and instead since last summer we've been slowly tapering her off amitriptyline and noscapine concurrently, at 2.5% every two weeks of each, which is going really well.  

However, she's thinking at year end, when she will be at 10mg amitriptyline (which will be one full pill), she might hold there and switch to tapering off the 1mg zoloft instead, just because it's a little overwelming measuring three different meds each week, and I honestly think she'd like the feeling of being able to say she's gotten completely rid of one.  I was thinking that it might take a couple of years to go from 1mg all the way down to zero at 10%/month, but looking at your table makes me feel a LOT more hopeful!

I also want to give a shout out to @brassmonkeyand thank you for all of your helpful articles.  We refer to them more than you know.  I'm excited about your new calculations for Theoretical Exit Doses.  From above, I now have one for Zoloft which is awesome.  I'm looking forward to the reworked End Game article to see the plan for amitriptyline as well.

Cheers!

Gertie

xoxo

 

(my daughter: 20yrs old)  

Sertraline*: 2010: Aug 6:  START 50mg, Aug 17:  75mg, Sept 3: 100mg, Sept 10: 150mg, Oct 8: 75mg, Nov 17: 100mg / 2012:  Mar 15: 125mg, May 14: 150mg / 2016: Sept 1: 100mg /  2017: July 27: 50mg / 2019: July 1 - Aug 10 6-week taper from 50 to 0mg, Nov 6: begin severe withdrawal symptoms,  Nov 10: Reinstate 1mg

 

Other meds: (for genetic neurological movement disorder HSP diagnosed Sept 2016, prescribed by neurologist)

2017 May: begin: Baclofen* 20mg

2017 May: begin: Amitriptyline* 25mg  / 2020: Apr 20: reduced by 5% due to interaction with Noscapine, Jul 20: started 2%/month taper.

2018 Oct:  begin  Noscapine Base* 200mg / 2020 Apr 20: reduce to 150mg due to unavailability due to Covid19.  Withdrawal symptoms ensued.  Was able to get more late May.  Stayed at 150mg until stabilized.  2020 Aug 2 began 3.5%/month taper.

                                                                                                                                                                           

*Currently taking:     Sertraline 1mg / Amitriptyline 17.15mg / Baclofen 20mg / Noscapine Base 110mg

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Krisseyb
On 2/28/2021 at 9:58 AM, Tattycorum said:

I was originally planning to taper and exit as above, but in response to Brass Monkey's advice, and after realizing I could increase my dilution to allow for even more gradual tapering, I am doing this:

image.png.6f501fb1dff06abe2cd4e1420cb1419b.png

I'm at .028 now and have not had any withdrawal symptoms during this exit taper schedule, I'm grateful to say. 

So excited for you. I know this has been a long process, but you’re almost there! 🙌🏼
I will be there soon. Well, 3 years and 10 months. Haha! 

2005-2017 started on AD for sleep then on and off Paxil, Zoloft, Lexapro, and others that I can't remember

2017 Lexapro 10 mg

2018 Jan-Tried getting off lexapro. (within about a 4-6 week period) 

2018 March- Got back on Lexapro 10mg

2018 June Switched to Wellbutrin. (don't remember dosage)

2018 August Switched to Sertraline. 25 mg, 50, 75, then back down to 50 

2019 December...back on Sertraline 25 mg 

2020 January-switched back to Escitalopram 5 mg

2020 March-December Escitalopram 10 mg

2021 Jan-started BMS taper w/2 wk hold (using liquid form)

2021 March 7.97mg

Occasionally .25mg Melatonin (as needed)

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  • 2 months later...
Gertie

Hi Tatty,

 

Just stopping by to see how you are feeling these days?  Based on the taper schedule you posted above, I'm guessing you went to zero some time in March?  I'm hoping it was a smooth ride for you across the finish line!!!

 

xoxo

Gertie

(my daughter: 20yrs old)  

Sertraline*: 2010: Aug 6:  START 50mg, Aug 17:  75mg, Sept 3: 100mg, Sept 10: 150mg, Oct 8: 75mg, Nov 17: 100mg / 2012:  Mar 15: 125mg, May 14: 150mg / 2016: Sept 1: 100mg /  2017: July 27: 50mg / 2019: July 1 - Aug 10 6-week taper from 50 to 0mg, Nov 6: begin severe withdrawal symptoms,  Nov 10: Reinstate 1mg

 

Other meds: (for genetic neurological movement disorder HSP diagnosed Sept 2016, prescribed by neurologist)

2017 May: begin: Baclofen* 20mg

2017 May: begin: Amitriptyline* 25mg  / 2020: Apr 20: reduced by 5% due to interaction with Noscapine, Jul 20: started 2%/month taper.

2018 Oct:  begin  Noscapine Base* 200mg / 2020 Apr 20: reduce to 150mg due to unavailability due to Covid19.  Withdrawal symptoms ensued.  Was able to get more late May.  Stayed at 150mg until stabilized.  2020 Aug 2 began 3.5%/month taper.

                                                                                                                                                                           

*Currently taking:     Sertraline 1mg / Amitriptyline 17.15mg / Baclofen 20mg / Noscapine Base 110mg

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Tattycorum
13 hours ago, Gertie said:

Hi Tatty,

 

Just stopping by to see how you are feeling these days?  Based on the taper schedule you posted above, I'm guessing you went to zero some time in March?  I'm hoping it was a smooth ride for you across the finish line!!!

 

xoxo

Gertie

Hi Gertie! I actually dragged it out a bit longer, halving the amount of solution I was taking down to the limits of my dropper, and so I just finished May 4. So far, it has been quite smooth. Fingers crossed! Thanks for asking! I hope things are going well for your daughter. (((hugs)))

---

Lorazepam: (2014-15 1-1.5 mg lorazepam (aka Ativan) at night; 2016 to Nov 2018: 0.75 mg lorazepam at night; Dec 2018: dividing dose into 3x a day. Jan 2019: taper 5% every 15 days; Held 9/2019 - 2/2020 at 0.35 mg) 

March 2020 started 2.5% taper every 15 days. Nov 2020 tapering 5% every 15 days. Currently at 0.146 mg Feb 2021
Sertraline: (2005-14 50 mg sertraline (aka Zoloft); 2014-15 200 mg sertraline; 
2016: attempted taper too fast; stabilized at 25 mg)

Jan 2017: began 10% per month taper. Currently on "exit strategy" at 0.084 mg Nov 2020 for 8 weeks, 0.042 for 4 weeks, 0.028 for 2 weeks starting 2/25/21, then 0.014 for 2 weeks, then .007 for a while, now done.

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