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Tips for tapering Zoloft (sertraline)


Altostrata
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Hi ChessieCat, and thanks.  

Cymbalta:  Currently 48.5 mg.  Previously 60 mg, 2011-Oct 2020.  

Taper Oct 11-13 (three day reduction of 30 mg relieved many Serotonin Toxicity symptoms but WD became too harsh). Oct 14- 24 (eleven day reduction of 10%, 54 mg).  Oct 25  (began second reduction of 10%, 48.5 mg; holding to stabilize and work on schedule).  

Zoloft  100 mg. 1993-2000 Stopped CT for pregnancy twice, then it pooped out.  Reinstated 2011-2020.    

Taper attempt:  Oct 17-24 (seven days at 87.5 mg was discontinued; reinstated to 100 mg). 

 

Buprenorphine: 8 mg (4 mg 2x day @ 4pm and 1am)  Atenolol: 25 mg (max 2x day; prn).  Xanax: .125 mg (max 3x day; prn; average 2x).  HRT: Transdermal weekly patch.  Melatonin OTC:  2.5 mg, sleep.  Magnesium Citrate OTC: 125 mg, dinner.

Oct-Nov 2020:  Discontinued Simvastatin 20 mg, Magnesium Glycinate, Vitamin D, and Chia Seed Extract. Growing sensitivities.

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On 11/21/2020 at 8:12 PM, AJ716 said:

Just trying to put my mind at ease. 

 

Is putting a Zoloft tablet in an empty capsule alright?  They taste badly.  Is it alright if the pieces are broken before putting them into the capsule?  I'm not doing that yet but thought I might down the road. 

 

You had already reduced your Zoloft from 100mg to 90mg on 11/17/20. 

You reported severe symptoms on day 2: 11/19/20.

You associated it with this drop.

 Making alarming statements telling me that you wanted to die.

You then made this post on day 4 of your new dose of 90 mgs.

 

But by this post one would think you were still taking 100 mgs and not bad tasting pieces broken up to get to 90 mgs. You then reinstated to 100mg on 11/22/20.

 

Please update your signature line with that Zoloft change information.

We will need it for when your finally ready to start uploading your daily drug schedule and symptom notes.

It will be necessary to have a full picture to help assist you then,  Thanks so much.

 

Edited by Colonial

 Starting ds 2 (12.5 CR'S) = 25 MG PAXIL CR 1/21/15: 1 Pill + 10mg liquid (2 weeks) 2/4: 1 Pill + 9mg Lq (3 weeks) 2/25: 1 Pill + 8 mg lq (1 week) 3/4: 1 Pill + 6 mg lq (2 weeks) 3/18/15 1 Pill + 4 mg lq (2 weeks) 4/1/15 1 Pill + 3 mg lq (2 weeks) 4/14/15 1 Pill + 2 mg lq (2 weeks) 4/29/15 1Pill + 1 mg lq (16 days) 5/15/15 1 12.5 mg Pill ONLY (9 days) 5/24/15 12 mgs liquid (8 days) 6/1/15 11mg lq (12 days) 6/13/15 10 mg.  12/3/15 Drop from 8mg to 7.6 (24 days to) 12/27/15 7.2mgs 8/4/16 6.8mgs,  11/1/16 6.4mgs, 2/5/17 6 mgs  4/3/17 5.6mgs, 4/24/17 5.2mg, 6/13/17 4.8mgs, 9/20/17 4.4mgS, 11/23/17 4 mgs, 1/1/18 3.6 mgs, 2/15/18 3.2 mgs. 4/13/18 2.8mgs, 5/11/18 2.4mgs, 6/10/18 2.0 mgs, 8/4/18 1.6mgs,  9/27/18 1.2mgs, 12/24/18 0.8mg, 3/24/19 0.64 mg,(syringe change issue date?) 4/22/19 0.60 mg, 5/24/19 0.60 mg, 7/7/19 0.52 mgs, 8/4/19 0.44mgs, 11/4/19 0.36mgs, 2/1/20 0.28mgs, 3/1/20 0.24mgs (crash April 6) Compound started 6/28/21: 0.24mgs, 8/29/21: 0.22mgs, 10/31/21: 0.20mgs, 1/03/22: 0.18mgs, 3/5/22: 0.16mgs, 5/5/22: 0.14mgs.

 

Original Wellbutrin Dose: 6 months from 9/14 to 3/2015, 300 XL 3/15/15: Half to 150 XL ( severe symptoms started on day 12) 4/16/15: 125mg   for 20 days to: 5/6/15:   100mg  for  15 days to: 5/21/15    75mg  for  10 days to: 6/1/15:  56.25mg      13 days to: 6/13/15: 37.25mg    7 days to: 6/20/15  28.12mg   14 days to: 7/4/15  18.75mg, 7 days to: 7/11/15; RAISE BACK TO: 28.12 to 8/14/15: 18.75mg  20 days to :9/3/15 : 12.5mg, 8/4/16 9mg 1/9/17: 8.5mg 2/8/17 8mg, 3/9/17: 7.6  4/9/17  7.2  5/27/17 6.4 6/24/17 5.8, 8/1/17 5.0, 8/29/17 4.2mgs, 10/2/17 3.5mgs, 12/28/17 2.5mgs, 2/27/18 1.7mgs,  4/19/18 0.8 mgs, LAST DOSE: 6/11/18:  3 YEARS, 2 MONTHS, 27 DAYS...

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Hey saviour, 

 

i'm sure one of the mods will be along soon, but since i've just seen this, i'l chime in with an opinion.

 

I think the main answer is it depends. If you do an ultra slow taper, you certainly minimise the chances of experiencing bad w/d symptoms, but to go as far as saying not experiencing any at all, i don't think so. Some people come off these drugs with little problems, whilst for others, it can be a real challenge.

 

Have a look at the tapering section of the forum, and look at the brassmonkey slide technique, it seems to be the most gentle way to taper and you can adjust it to be faster or slower.

Started Lexapro 5mg Mid March 2020

Came off Completely September 2020

Hospitalised september 2021

Slowly worked up to 50mg lamictal and 60mg Prozac

reduced to 20mg Prozac September 2021

Holding 20mg Prozac and 50mg Lamictal for a good while to stabilise. November 2021

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1 hour ago, mva96 said:

Hey saviour, 

 

i'm sure one of the mods will be along soon, but since i've just seen this, i'l chime in with an opinion.

 

I think the main answer is it depends. If you do an ultra slow taper, you certainly minimise the chances of experiencing bad w/d symptoms, but to go as far as saying not experiencing any at all, i don't think so. Some people come off these drugs with little problems, whilst for others, it can be a real challenge.

 

Have a look at the tapering section of the forum, and look at the brassmonkey slide technique, it seems to be the most gentle way to taper and you can adjust it to be faster or slower.

thanks ,i hope more people will see it.

sertraline 25 mg 2014 - currently taking it

 

clonazepam 1 mg 2014 to feb 2018

psychiatrist made an abrupt taper then made me go on a even worse abrupt interruption resulting in terrible withdrawal symptoms.

 

reinstating clonazepam feb 2018 (4 days after stopping taking it)

improvement in symptoms after reinstating it and begging tapering thanks to benzobuddies help.

 

begging tapering clonazepam march 2018

 

last dose clonazepam may 5 2020

terrible symptoms during tapering and after and no improvements so far

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  • Administrator

@savior998, please read this topic from the beginning.

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.

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  • Administrator

The point in gradual tapering is to minimize withdrawal symptoms while you taper and after you come off.

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.

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1 hour ago, Altostrata said:

@savior998, please read this topic from the beginning.

thanks but i have a doubt about if can i just use tap water and nothing more?

sertraline 25 mg 2014 - currently taking it

 

clonazepam 1 mg 2014 to feb 2018

psychiatrist made an abrupt taper then made me go on a even worse abrupt interruption resulting in terrible withdrawal symptoms.

 

reinstating clonazepam feb 2018 (4 days after stopping taking it)

improvement in symptoms after reinstating it and begging tapering thanks to benzobuddies help.

 

begging tapering clonazepam march 2018

 

last dose clonazepam may 5 2020

terrible symptoms during tapering and after and no improvements so far

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  • Administrator

Yes, you can use tap water. If you have doubts about it, you can use filtered water or purified water. Or, you could buy pharmacy liquid base.

 

Please read this topic from the beginning.

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.

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  • 2 months later...

How do I get a 1mg dose from liquid Sertraline when 1ml of the solution is already a 20mg dose?

In summary, cycled through a number of SSRI/SNRI medications in 2010, stayed on 100mg Sertraline for 5 years followed by 5 years on 200mg.

Valium started in 2011-2018 up to doses of 16mg. Tapered off slowly over years. Difficult to distinguish withdrawal symptoms from the symptoms I was already experiencing due to Sertraline tolerance withdrawal

Briefly tried Lamotrigine and Bupropion in 2020.

Started withdrawing from Sertraline in August 2020. Came down by 50mg every 2-3 weeks. Med free since mid Sept 2020.

3 April 2021 - reinstated 1mg Sertraline, April 13th increased dose to 2mg Sertraline, April 16th increased to 5mg for one day. Stopped reinstatement on 19th April.

Main symptoms as of Nov 2020: Chronic headaches accompanied by feelings of deep despair, stomach ache/nausea, brain fog and memory issues, disturbed circadian rhythm.

End March 2021 symptoms: Extreme suicidal akathisia and restlessness, anxiety, insomnia, morning surges of panic, panic throughout the day. Unbearable.

April - suicidal akathisia, cortisol surges through the night, insomnia, shaking, GI issues

Supplements: Melatonin 2.5mg a night

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  • Moderator Emeritus

You will need to dilute it with bottled or distilled water.

 

Measure 20mL water and add 1mL liquid sertraline to it.  Each 1mL = 1mg drug.  Or if you prefer you could add 1mL liquid sertraline to a larger measured quantity, eg to 40mL water then each 1mL = 0.5mg drug.

 

Cover and refrigerate what you do not use.  I do not know how long you could keep this.  Check with your pharmacist.  

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

 

MISSION ACCOMPLISHED:    (6 year taper)      0mg Pristiq      on 13th November 2021

Woohoo!!!  Finally off Pristiq    Post 0 updates start here

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.  Please DO NOT TAG me - thank you.

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  • 1 month later...

I wondered if I can ask a question? 

 

How do you challenge the GP/CCG decision to not issue Sertaline liquid on the grounds of cost? Surely this is not ethical prescribing. 

 

I am on 85mg and the prepare 10ml I dissolve a 25mg tablet in water and syringe out 10ml - not good but the best I can do. will be holding this dose for now until I restablise and get a new job as feel this is a contributing stressor. I work 3 days plus voluntary work. So pretty much a full time week for me.

 

One of my biggest gripes it being told no, when the NHS put me on this stuff in the first place without full informed consent. Mum is on 14 (Fourteen) different tablets in care so you can see psychologically how harmful I feel this is.

 

I have asked a few GPs now and get same answer. Has anyone tried challenging or appealing formally in the UK? 

 

Dawn  

2013 Citalopram 50mg  2014 February Sertraline 50mg 2014 September Fluoxitine 20mg 2015 May Fluoxitine 20mg (Liquid to reduce off)

2015 Septmber Lofepramine 70mg 2016 May Lofepramine 70mg (Liquid to reduce off) 2016 Dec Zopiclone (to aid short term insomnia)

2017 August Amitriptyline 10mg 2016 October Venlafaxine 37.5  rising to 225mg January 2018  2018 January Sertraline 50mg rising to 150mg

2021 January Sertraline 125mg/150mg alternate days (GP advise ... Started micro taper and found this website....2021 May 100mg daily  2021 September 95mg daily December 2021 85mg daily. Vitamins; Selenium / Vitamin D high strength / Evening primrose oil  1000mg High Strength / Omega 3 High Strength / Folic Acid.

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  • 5 months later...

Help, I'm slightly below 50mg and am using 100mg pills (which I break into half, then shave one half of it). Should I switch to 50mg pills, while I still can? Would shaving them off be more precise? I imagine that half of a 100mg pill is slightly bulkier than a 50mg pill, and would therefore make tapering faster/more inaccurate.

2000: Paxil, low dose. 2001: Paxil, quickly tapered off. 2006: Zoloft, 25mg. 2007: Wellbutrin, low dose, discontinued after a week or a month. 2007-2009: Zoloft, increasing dose (up to 75mg). 2009-2011: Zoloft, failed withdrawal attempts (cold-turkey; fast tapering). 2009-2011: Trying out Cymbalta, Celexa, Prozac, Lexapro, Ambien, Ativan, and Xanax. 2012-2015: Zoloft, 100mg to 200mg. 2013: Trazadone for Zoloft-induced insomnia, 25mg to 50mg.  2015: Trileptal, dose?, withdrew; Bupropion, up to 200mg. 2016: Zoloft, 137mg, Bupropion, 150mg, Trazodone, 25mg.

05/21/16: Began Zoloft taper - 10% from 150mg - 137ish mg

06/23/16: Zoloft taper - 125mg

08/03/16: Bupropion XL taper - cut 150mg pill in crude half (mistake)

10/31: Zoloft successfully down to 100mg. Staying on 100mg for 2-3 months to let my brain rest.

11/09: Wellbutrin SR prescribed, 150mg once a day, for withdrawal.

12/11: Wellbutrin SR, twice daily - minus 18ishmg = 112.50mg

09/30/17: Off Wellbutrin SR successfully. Zoloft taper: 90ish mg (shaving it off). Trazodone: still at 50mg.

June 2018: Zoloft: 80ish (shaving off). Trazodone: 6mg. End of 2018: Off Trazodone.

01/20: Zoloft: 70ish?

08/20: Still around 80 or 70. Tapering by only 15 shaves each month.

04/2021: 50mg!

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