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Counting beads in a capsule versus weighing

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CharlieBrown
19 hours ago, drugged said:

Thanks Charlie Brown.  

You're welcome. I think I may have gone a little fast. I can remember taking out more every morning. Until I felt side-effects later in the day from withdrawal, then I would wait those 4-7 days.

 

Because of the shorter half-life, and the length of time you have taken Venlafaxine. If it were me, I would only reduce once I felt that I was "stable" on the slightly lower dose. And then continue to step down, as my blood levels of Venlafaxine "level off" after each reduction... But then again I can't give medical advice! Talking to a Dr. is always good.

 

Also I should mention, as you know. There are more than just "Large and Small" spansule beads. So you might want to categorize the beads into 3 or 4 sizes. I think 3 is fine. S,M,L.

 

The time release difference of a small VS a very small bead, might not be worth counting. I counted mine on a sheet of paper. After separating and discarding beads, I then folded it into a tight V shape funnel, to fit back into the capsule. Pouring back my dose into the capsule, over a bowl to catch any droppings. Any that dropped, after I finished pouring, I would lay down the paper and pour them from the bowl to the paper and then into the capsule again. That way, I was always holding the larger capsule half with my left hand, over the bowl while pouring. (I'm right handed)

 

Then again if you start feeling ill, it would take more time to do the counting... but wouldn't hurt to change to 4 sizes of beads. The beads are usually pretty consistent. As in, they seemed to have set sizes. Like a gravity coin sorter. During production each bead falls through holes to determine their size and how much XR coating is on each bead.

 

Well at least every generic, spansule bead capsule medication I have ever seen in Canada.

(Fluoxetine, Venlafaxine, Sertraline, Dexedrine and Adderall, I'm probably forgetting a couple. Almost generics entirely in fact. Nova, Apotex, Teva and [PMS, Pharma Science Canada] Mostly APO and PMS)

I would assume the medications in the United States have the same or nearly the exact same, standards as Canadian meds. I wouldn't doubt they have the same industrial medical machinery for production.

 

Good luck!

Edited by CharlieBrown
Spansule counting on paper method

Prescribed Various SSRI's, Benzodiazepines and Risperidone in 2009 for Anxiety.

Tapered off SSRI's within one year. Abrupt ending with Risperidone.

Recovered from medication side effects!

My success story: 

 

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Superwoman

Also, does anyone know why the drug companies claim that the capsules should not be opened and the beads should not be divided?  Is there a valid reason for this?


1993-2000: Zoloft few months CT, Prozac 1-2 yrs, Ritalin PRN

2002/2003: Wellbutrin,  Paxil 25mg FT, and Xanax PRN CT (all 3 to 6 months), Adderal 40mg, Strattera 40mg

2003- 2016: Effexor XR 75 mg to 150 mg., Strattera (2002-2008)

2017: Effexor XR 225 mg. Gabapentin 300 mg. Elavil 25 mg.

2018: (Sept.) Effexor XR 187.5 mg, Zoloft 10 mg. (OCT.) FT off Gabapentin (NOV.) FT off Elavil (DEC) FT Effexor to 150 mg.

2019: (JAN.) D/C Zoloft, added Viibryd 10mg (FEB) CT Viibryd, (MAR) Prozac bridge, Effexor xr 112.5mg, (Sept.) Effexor XR 112.5 mg + 0.4 mg (1 bead), (Oct.) Effexor XR 112.5mg, (Dec.28) start 10% taper Effexor XR 101.25 mg, 

2020: (Jan. 25) Effexor XR 91 mg., (Feb. 22) Effexor xr 82 mg., (Mar. 21) 75 mg. 

Supplements:  Vitamin D 5000 IU topical, Probiotic 6 billion CFU, Epsom salt bath 1C 2 to 3 X week, California Poppy 2 droppers, various essential oils 

https://www.survivingantidepressants.org/topic/21446-superwoman-effexor-taper/page/8/?tab=comments#comment-475779

 

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ChessieCat

Probably for legal reasons.


Being very patient.  I'll get there - slowly.  ETA mid 2021

ADs:  25 years - 1 unknown, Prozac (caused muscle weakness), Zoloft/sertraline; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after)

Pristiq:  50mg 2012, 100mg beg 2013 (mild Serotonin Toxicity)

Began tapering Oct 2015  Current from 17 Oct 2020:  Pristiq 0.56 mg (compounded + liquid)

My tapering program

My Intro (goes to my tapering graph)

My website - includes my brief history + links to videos & information on the web

PLEASE NOTE:  I am not a medical professional.  I provide information and make suggestions.

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CharlieBrown
12 hours ago, Superwoman said:

Also, does anyone know why the drug companies claim that the capsules should not be opened and the beads should not be divided?  Is there a valid reason for this?

 

8 hours ago, ChessieCat said:

Probably for legal reasons.

 

Yes, "Tampering" with medication is what it is considered.


Prescribed Various SSRI's, Benzodiazepines and Risperidone in 2009 for Anxiety.

Tapered off SSRI's within one year. Abrupt ending with Risperidone.

Recovered from medication side effects!

My success story: 

 

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ktp

who exactly are "the drug companies" saying don't mess about with capsule contents?  please be aware there are multiple mfrs and more than one way to achieve "extended release".  one is making all the 'drug' beads the same size, and then add one or two or three 'buffer' coatings to delay drug release.   a variation on this adds 3 coatings, one or two or three of them dissolving at faster & slower rates, so you get all the same size beads but you can't tell which are fast and slow.   another is jawbreaker style, in which drug and inert ingredients are mixed then made into 3 different size beads, achieving about the same result.  another, my favorite with venlafaxine is caps from TEVA, which are apparently slow jawbreaker style but all the same size, meaning consistent beads.  (and those TEVA beads happen to come 75 beads in a 75mg capsule, making counting the easy way to go.)  i suggest being very careful to avoid being fooled into believing you have one style when you actually have another.  yes it boils down to legal reasons but not evilly so.
 


20090810 Dx GeneralAnxietyDisorder & PanicDisorder.  Rx Pristiq (desvenlafaxine) 50mg.  stable, side effects minor but blurry vision, impotence, others. 

http://survivingantidepressants.org/index.php?/topic/5418-ktp-weaning-from-4yrs-50mg-pristiq/ for more details.

20140210 switch Pristiq50mg (can't cut them!) to Effexor (venlafaxine, V) same drug but easier dose reduction (and mfr TEVA's beads are handily ~= 1mg ea).  20140218 125mgV  0309 112mg 0401:100mg, 410:75, 0506:70, 0512:65, 0525:56, 0614:37.5, 0620:30, 0624:27, 0630:26, 0706:24, 0724:22, 0801:20, 0804:19, 0808:18, 0813:17, 0818:16, 0819:15, 0821:13, 0903:12, 0911:11, 0918:10, 0921:9, 0927:8, 1001:6, 1021:5, missed a day?, darn, it was going so well, or so I thought.  SEVERE ANXIETY, INSOMNIA. WAY TOO QUICK REDUCTIONS! hindsight: 0813:5%/5days, 0818:6%/5days, 0819:6%/1day, 0821:13%/2days, 0903: 7%/14days, 0911:8%/8days, 0918:9%/7days; 0921:10%/3days, 0927:11%/6days, 1001:25%/3days (still okay!) 1021:16%20days.  guideline is 10%/30days =  i am a self-diagnosed idiot

20141103 back to 6mgV, xanax next several days. 1111 insomnia bad, 10mgAmbien slept well. 1112 8mgV no Ambien; miserable. 1113 Ambien+xanax, tough night. 1114 Very Tired. 0.125Xanax, 25mgV at 10, better 10min later. 20141115 37.5mg V +Ambien. miserable month, still insomnia & anxiety. 1214 upped to 75mg V, ate .125Xanax. 1215 37.5mg mornings; force sleep for one week and come back". 20150115 lots of appts lots of chat but we never get to MY agenda = meds discussion.  Upping to 47.5mg mornings (no more xanax-, lunesta-forced sleep) but still anxious.  PAYING BIGTIME FOR TOO-FAST WEANING in OCTOBER 2014!  20150220 50mg V. 20150330 still anxy each am let's try reducing: 45mg V 1/day mornings. 20150511:42mg, 0611:40, 0626:39, 0710:38, 0717:37, 0731:33, 0813:32, 0915:29, 0927:28, 1004:27, 1015:26, 1101:25, 1116:22mg/day.  Still anxiety every morning, this sucks.  20151124 found a shrink who seems to get weaning: 20151125 add 10mg/day Prozac aka fluoxetine F, continue taper V to zero, then taper the F, "easier".  20151203:10mg Prozac=P 19mg V, 1213:10mgP17mgV, daily anx quieter but lurking. 1227:10mgP15mgV, 20160108:10mgP14mgV, 0124:10P13V, 0131:P10,V12. 0215 P10,V11.  0223:P10V10.  0314:P10V9. enjoying relatively quiet brain.  0407 P10V8, 0427P10V7, 0517P10V6, 0611P10V5, 0706P10V4, 0818P10V3, 0921P10V2,  1021P10V1, 20161128Prozac10mgVenlafaxineZERO,

20170115 still anxious upped Prozac to 20mg/day, better anxiety control... 

20190301 finally stable enough to consider weaning again, started skipping one day / week.

20190501 started skipping every 3rd day so 13.3mg/day average.  several days long 1/2life must be why the docs think of prozac as 'self-tapering' i think it just means longer time between upsetting the cart and seeing apples all over the road.  skipping is bad practice, even with longlife prozac: let's do liquid: 20190902 first day of 13mg via 5ml liquid made from 13 20mg caps in 100ml water.  20190921 12mg same way(7.7%/20days).  20191010 11mg (8.3%/20days) 20191031 10mg (9.1%/20days) 20191124 9mg (10.0%/24 days) 20191213 8.5mg (5.6%/20 days) 20191231 8mg (5.9%/20days) 20200120 hit a wall?  going another 20 days at 8mg, just started Lisinopril for hypertension (caused by prozac withdrawal creating less-than-panic-grade anxiety) and doubled atorvastatin to 40mg.  Minimizing changes in general and had a semi-panic 4am 1/20... BP still wild. 20200208 back to 9mg daily anxiety starting about 1/18.  

20200212 increase to 10mg prozac cap daily.  anxiety still there but clears within hour of drugs.  20200222 still anxy 2 hrs after 10mg, added another 1mg and mucho better.  20200223 11mg early.  anxious enough to be glad i can actually sit.  will wait another 5 days before adding another milligram. 20200229 12mg prozac still anxious.  20200317 13mgProzac still anxious.  20200610 15mgProzac.  bp under control with Losartan50mg (lisinopril cough dictates change)  

20200721 "Parkinsonism" declared by neurologist my TD won't stop but it's largely left arm with symptoms that started 2005 after nerve pinch in neck, still feels like same thing to me.

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Altostrata

Interesting, ktp. Yes, the generic drug makers have to make tweaks in the formulation. Please post that detail in the Tips for Tapering Effexor topic.


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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Superwoman

How can we be sure that we have a consistent release of drug if the some beads are slow release and some are fast release and you don’t know which is which?  Or if the beads have different amounts of extended release coatings?  Does Effexor from the manufacturer Teva provide a consistent release of Effexor because the beads are all the same size?  KTP can you please clarify what “slow jawbreaker” is?  I am a little confused.  Thanks


1993-2000: Zoloft few months CT, Prozac 1-2 yrs, Ritalin PRN

2002/2003: Wellbutrin,  Paxil 25mg FT, and Xanax PRN CT (all 3 to 6 months), Adderal 40mg, Strattera 40mg

2003- 2016: Effexor XR 75 mg to 150 mg., Strattera (2002-2008)

2017: Effexor XR 225 mg. Gabapentin 300 mg. Elavil 25 mg.

2018: (Sept.) Effexor XR 187.5 mg, Zoloft 10 mg. (OCT.) FT off Gabapentin (NOV.) FT off Elavil (DEC) FT Effexor to 150 mg.

2019: (JAN.) D/C Zoloft, added Viibryd 10mg (FEB) CT Viibryd, (MAR) Prozac bridge, Effexor xr 112.5mg, (Sept.) Effexor XR 112.5 mg + 0.4 mg (1 bead), (Oct.) Effexor XR 112.5mg, (Dec.28) start 10% taper Effexor XR 101.25 mg, 

2020: (Jan. 25) Effexor XR 91 mg., (Feb. 22) Effexor xr 82 mg., (Mar. 21) 75 mg. 

Supplements:  Vitamin D 5000 IU topical, Probiotic 6 billion CFU, Epsom salt bath 1C 2 to 3 X week, California Poppy 2 droppers, various essential oils 

https://www.survivingantidepressants.org/topic/21446-superwoman-effexor-taper/page/8/?tab=comments#comment-475779

 

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ktp

> KTP can you please clarify what “slow jawbreaker” is?

By jawbreaker I mean a homogenous solid rock which dissolves continuously and by slow I mean slowly enough to last 24 hours, so you get drug at a pretty continuous rate.
As opposed to tootsie-pop  - a drug 'core' coated with one or more layers of buffer.  like a tootsie pop.

 

[despite my utter failure at weaning from venlafaxine  (see my tedious sig - I got excited at the end and weaned way too quickly), I do believe TEVA's venlafaxine beads are slow jawbreaker style.  the additional fact that they consistently contain as many beads as there are alleged milligrams of drug, TEVA caps make it easy to count your doses down to 9mg, at which point you need to switch to liquid to enable <=10% reductions.]

 


20090810 Dx GeneralAnxietyDisorder & PanicDisorder.  Rx Pristiq (desvenlafaxine) 50mg.  stable, side effects minor but blurry vision, impotence, others. 

http://survivingantidepressants.org/index.php?/topic/5418-ktp-weaning-from-4yrs-50mg-pristiq/ for more details.

20140210 switch Pristiq50mg (can't cut them!) to Effexor (venlafaxine, V) same drug but easier dose reduction (and mfr TEVA's beads are handily ~= 1mg ea).  20140218 125mgV  0309 112mg 0401:100mg, 410:75, 0506:70, 0512:65, 0525:56, 0614:37.5, 0620:30, 0624:27, 0630:26, 0706:24, 0724:22, 0801:20, 0804:19, 0808:18, 0813:17, 0818:16, 0819:15, 0821:13, 0903:12, 0911:11, 0918:10, 0921:9, 0927:8, 1001:6, 1021:5, missed a day?, darn, it was going so well, or so I thought.  SEVERE ANXIETY, INSOMNIA. WAY TOO QUICK REDUCTIONS! hindsight: 0813:5%/5days, 0818:6%/5days, 0819:6%/1day, 0821:13%/2days, 0903: 7%/14days, 0911:8%/8days, 0918:9%/7days; 0921:10%/3days, 0927:11%/6days, 1001:25%/3days (still okay!) 1021:16%20days.  guideline is 10%/30days =  i am a self-diagnosed idiot

20141103 back to 6mgV, xanax next several days. 1111 insomnia bad, 10mgAmbien slept well. 1112 8mgV no Ambien; miserable. 1113 Ambien+xanax, tough night. 1114 Very Tired. 0.125Xanax, 25mgV at 10, better 10min later. 20141115 37.5mg V +Ambien. miserable month, still insomnia & anxiety. 1214 upped to 75mg V, ate .125Xanax. 1215 37.5mg mornings; force sleep for one week and come back". 20150115 lots of appts lots of chat but we never get to MY agenda = meds discussion.  Upping to 47.5mg mornings (no more xanax-, lunesta-forced sleep) but still anxious.  PAYING BIGTIME FOR TOO-FAST WEANING in OCTOBER 2014!  20150220 50mg V. 20150330 still anxy each am let's try reducing: 45mg V 1/day mornings. 20150511:42mg, 0611:40, 0626:39, 0710:38, 0717:37, 0731:33, 0813:32, 0915:29, 0927:28, 1004:27, 1015:26, 1101:25, 1116:22mg/day.  Still anxiety every morning, this sucks.  20151124 found a shrink who seems to get weaning: 20151125 add 10mg/day Prozac aka fluoxetine F, continue taper V to zero, then taper the F, "easier".  20151203:10mg Prozac=P 19mg V, 1213:10mgP17mgV, daily anx quieter but lurking. 1227:10mgP15mgV, 20160108:10mgP14mgV, 0124:10P13V, 0131:P10,V12. 0215 P10,V11.  0223:P10V10.  0314:P10V9. enjoying relatively quiet brain.  0407 P10V8, 0427P10V7, 0517P10V6, 0611P10V5, 0706P10V4, 0818P10V3, 0921P10V2,  1021P10V1, 20161128Prozac10mgVenlafaxineZERO,

20170115 still anxious upped Prozac to 20mg/day, better anxiety control... 

20190301 finally stable enough to consider weaning again, started skipping one day / week.

20190501 started skipping every 3rd day so 13.3mg/day average.  several days long 1/2life must be why the docs think of prozac as 'self-tapering' i think it just means longer time between upsetting the cart and seeing apples all over the road.  skipping is bad practice, even with longlife prozac: let's do liquid: 20190902 first day of 13mg via 5ml liquid made from 13 20mg caps in 100ml water.  20190921 12mg same way(7.7%/20days).  20191010 11mg (8.3%/20days) 20191031 10mg (9.1%/20days) 20191124 9mg (10.0%/24 days) 20191213 8.5mg (5.6%/20 days) 20191231 8mg (5.9%/20days) 20200120 hit a wall?  going another 20 days at 8mg, just started Lisinopril for hypertension (caused by prozac withdrawal creating less-than-panic-grade anxiety) and doubled atorvastatin to 40mg.  Minimizing changes in general and had a semi-panic 4am 1/20... BP still wild. 20200208 back to 9mg daily anxiety starting about 1/18.  

20200212 increase to 10mg prozac cap daily.  anxiety still there but clears within hour of drugs.  20200222 still anxy 2 hrs after 10mg, added another 1mg and mucho better.  20200223 11mg early.  anxious enough to be glad i can actually sit.  will wait another 5 days before adding another milligram. 20200229 12mg prozac still anxious.  20200317 13mgProzac still anxious.  20200610 15mgProzac.  bp under control with Losartan50mg (lisinopril cough dictates change)  

20200721 "Parkinsonism" declared by neurologist my TD won't stop but it's largely left arm with symptoms that started 2005 after nerve pinch in neck, still feels like same thing to me.

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Superwoman

Ktp,

Are the Effexor beads still currently the same size?  I see that the company was bought out a few years ago. I didn’t know if they changed anything.  


1993-2000: Zoloft few months CT, Prozac 1-2 yrs, Ritalin PRN

2002/2003: Wellbutrin,  Paxil 25mg FT, and Xanax PRN CT (all 3 to 6 months), Adderal 40mg, Strattera 40mg

2003- 2016: Effexor XR 75 mg to 150 mg., Strattera (2002-2008)

2017: Effexor XR 225 mg. Gabapentin 300 mg. Elavil 25 mg.

2018: (Sept.) Effexor XR 187.5 mg, Zoloft 10 mg. (OCT.) FT off Gabapentin (NOV.) FT off Elavil (DEC) FT Effexor to 150 mg.

2019: (JAN.) D/C Zoloft, added Viibryd 10mg (FEB) CT Viibryd, (MAR) Prozac bridge, Effexor xr 112.5mg, (Sept.) Effexor XR 112.5 mg + 0.4 mg (1 bead), (Oct.) Effexor XR 112.5mg, (Dec.28) start 10% taper Effexor XR 101.25 mg, 

2020: (Jan. 25) Effexor XR 91 mg., (Feb. 22) Effexor xr 82 mg., (Mar. 21) 75 mg. 

Supplements:  Vitamin D 5000 IU topical, Probiotic 6 billion CFU, Epsom salt bath 1C 2 to 3 X week, California Poppy 2 droppers, various essential oils 

https://www.survivingantidepressants.org/topic/21446-superwoman-effexor-taper/page/8/?tab=comments#comment-475779

 

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ktp

 

3 hours ago, Superwoman said:

Ktp,

Are the Effexor beads still currently the same size?  I see that the company was bought out a few years ago. I didn’t know if they changed anything.  

Effexor is Pfizer's registered trademark for Venlafaxine; I believe they own the drug's patent.  I've never seen it, so I don't know.

TEVA is (was?) a popular manufacturer of the generic drug Venlafaxine, and TEVA's caps contain(ed?) the same number of beads as milligrams of drug.  I haven't seen that since I quit taking V and switched to Fluoxetine (Prozac).

  

I suggest seeking out TEVA and find out if they still make venlafaxine and if yes then the next question is are the beads still homogenous and all the same size.  and are they available to you.  if all are yes, I would recommend them for easy dose reductions down to 9mg.  Beware that my opinion is only that of a slightly experienced layman.  

 

[my current battle is vs Fluoxetine (Prozac), having switched due to trusting a shrink who claimed to understand weaning.  Oops! well he was aware of the need, but nowhere near as aware as users who've tried quitting.  He was simply paying lip service to "prozac bridging" and "longer half-life means easier to wean"; both are poppycock imho.  Knowing what I know now, I wish i'd stuck with the venlafaxine, which had less side effects than fluoxetine.]


20090810 Dx GeneralAnxietyDisorder & PanicDisorder.  Rx Pristiq (desvenlafaxine) 50mg.  stable, side effects minor but blurry vision, impotence, others. 

http://survivingantidepressants.org/index.php?/topic/5418-ktp-weaning-from-4yrs-50mg-pristiq/ for more details.

20140210 switch Pristiq50mg (can't cut them!) to Effexor (venlafaxine, V) same drug but easier dose reduction (and mfr TEVA's beads are handily ~= 1mg ea).  20140218 125mgV  0309 112mg 0401:100mg, 410:75, 0506:70, 0512:65, 0525:56, 0614:37.5, 0620:30, 0624:27, 0630:26, 0706:24, 0724:22, 0801:20, 0804:19, 0808:18, 0813:17, 0818:16, 0819:15, 0821:13, 0903:12, 0911:11, 0918:10, 0921:9, 0927:8, 1001:6, 1021:5, missed a day?, darn, it was going so well, or so I thought.  SEVERE ANXIETY, INSOMNIA. WAY TOO QUICK REDUCTIONS! hindsight: 0813:5%/5days, 0818:6%/5days, 0819:6%/1day, 0821:13%/2days, 0903: 7%/14days, 0911:8%/8days, 0918:9%/7days; 0921:10%/3days, 0927:11%/6days, 1001:25%/3days (still okay!) 1021:16%20days.  guideline is 10%/30days =  i am a self-diagnosed idiot

20141103 back to 6mgV, xanax next several days. 1111 insomnia bad, 10mgAmbien slept well. 1112 8mgV no Ambien; miserable. 1113 Ambien+xanax, tough night. 1114 Very Tired. 0.125Xanax, 25mgV at 10, better 10min later. 20141115 37.5mg V +Ambien. miserable month, still insomnia & anxiety. 1214 upped to 75mg V, ate .125Xanax. 1215 37.5mg mornings; force sleep for one week and come back". 20150115 lots of appts lots of chat but we never get to MY agenda = meds discussion.  Upping to 47.5mg mornings (no more xanax-, lunesta-forced sleep) but still anxious.  PAYING BIGTIME FOR TOO-FAST WEANING in OCTOBER 2014!  20150220 50mg V. 20150330 still anxy each am let's try reducing: 45mg V 1/day mornings. 20150511:42mg, 0611:40, 0626:39, 0710:38, 0717:37, 0731:33, 0813:32, 0915:29, 0927:28, 1004:27, 1015:26, 1101:25, 1116:22mg/day.  Still anxiety every morning, this sucks.  20151124 found a shrink who seems to get weaning: 20151125 add 10mg/day Prozac aka fluoxetine F, continue taper V to zero, then taper the F, "easier".  20151203:10mg Prozac=P 19mg V, 1213:10mgP17mgV, daily anx quieter but lurking. 1227:10mgP15mgV, 20160108:10mgP14mgV, 0124:10P13V, 0131:P10,V12. 0215 P10,V11.  0223:P10V10.  0314:P10V9. enjoying relatively quiet brain.  0407 P10V8, 0427P10V7, 0517P10V6, 0611P10V5, 0706P10V4, 0818P10V3, 0921P10V2,  1021P10V1, 20161128Prozac10mgVenlafaxineZERO,

20170115 still anxious upped Prozac to 20mg/day, better anxiety control... 

20190301 finally stable enough to consider weaning again, started skipping one day / week.

20190501 started skipping every 3rd day so 13.3mg/day average.  several days long 1/2life must be why the docs think of prozac as 'self-tapering' i think it just means longer time between upsetting the cart and seeing apples all over the road.  skipping is bad practice, even with longlife prozac: let's do liquid: 20190902 first day of 13mg via 5ml liquid made from 13 20mg caps in 100ml water.  20190921 12mg same way(7.7%/20days).  20191010 11mg (8.3%/20days) 20191031 10mg (9.1%/20days) 20191124 9mg (10.0%/24 days) 20191213 8.5mg (5.6%/20 days) 20191231 8mg (5.9%/20days) 20200120 hit a wall?  going another 20 days at 8mg, just started Lisinopril for hypertension (caused by prozac withdrawal creating less-than-panic-grade anxiety) and doubled atorvastatin to 40mg.  Minimizing changes in general and had a semi-panic 4am 1/20... BP still wild. 20200208 back to 9mg daily anxiety starting about 1/18.  

20200212 increase to 10mg prozac cap daily.  anxiety still there but clears within hour of drugs.  20200222 still anxy 2 hrs after 10mg, added another 1mg and mucho better.  20200223 11mg early.  anxious enough to be glad i can actually sit.  will wait another 5 days before adding another milligram. 20200229 12mg prozac still anxious.  20200317 13mgProzac still anxious.  20200610 15mgProzac.  bp under control with Losartan50mg (lisinopril cough dictates change)  

20200721 "Parkinsonism" declared by neurologist my TD won't stop but it's largely left arm with symptoms that started 2005 after nerve pinch in neck, still feels like same thing to me.

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Superwoman

What kind of empty capsules should we get?  I see gelatin capsules and veggie capsules on Amazon.  Some are colored and some are clear.  Would the colored ones be better so that the light does not effect the bead properties?


1993-2000: Zoloft few months CT, Prozac 1-2 yrs, Ritalin PRN

2002/2003: Wellbutrin,  Paxil 25mg FT, and Xanax PRN CT (all 3 to 6 months), Adderal 40mg, Strattera 40mg

2003- 2016: Effexor XR 75 mg to 150 mg., Strattera (2002-2008)

2017: Effexor XR 225 mg. Gabapentin 300 mg. Elavil 25 mg.

2018: (Sept.) Effexor XR 187.5 mg, Zoloft 10 mg. (OCT.) FT off Gabapentin (NOV.) FT off Elavil (DEC) FT Effexor to 150 mg.

2019: (JAN.) D/C Zoloft, added Viibryd 10mg (FEB) CT Viibryd, (MAR) Prozac bridge, Effexor xr 112.5mg, (Sept.) Effexor XR 112.5 mg + 0.4 mg (1 bead), (Oct.) Effexor XR 112.5mg, (Dec.28) start 10% taper Effexor XR 101.25 mg, 

2020: (Jan. 25) Effexor XR 91 mg., (Feb. 22) Effexor xr 82 mg., (Mar. 21) 75 mg. 

Supplements:  Vitamin D 5000 IU topical, Probiotic 6 billion CFU, Epsom salt bath 1C 2 to 3 X week, California Poppy 2 droppers, various essential oils 

https://www.survivingantidepressants.org/topic/21446-superwoman-effexor-taper/page/8/?tab=comments#comment-475779

 

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Superwoman

https://capsuleconnection.com/capsule-sizing-info/

 

Above is a useful reference that I found that lists the measurements of the various sizes of capsules 


1993-2000: Zoloft few months CT, Prozac 1-2 yrs, Ritalin PRN

2002/2003: Wellbutrin,  Paxil 25mg FT, and Xanax PRN CT (all 3 to 6 months), Adderal 40mg, Strattera 40mg

2003- 2016: Effexor XR 75 mg to 150 mg., Strattera (2002-2008)

2017: Effexor XR 225 mg. Gabapentin 300 mg. Elavil 25 mg.

2018: (Sept.) Effexor XR 187.5 mg, Zoloft 10 mg. (OCT.) FT off Gabapentin (NOV.) FT off Elavil (DEC) FT Effexor to 150 mg.

2019: (JAN.) D/C Zoloft, added Viibryd 10mg (FEB) CT Viibryd, (MAR) Prozac bridge, Effexor xr 112.5mg, (Sept.) Effexor XR 112.5 mg + 0.4 mg (1 bead), (Oct.) Effexor XR 112.5mg, (Dec.28) start 10% taper Effexor XR 101.25 mg, 

2020: (Jan. 25) Effexor XR 91 mg., (Feb. 22) Effexor xr 82 mg., (Mar. 21) 75 mg. 

Supplements:  Vitamin D 5000 IU topical, Probiotic 6 billion CFU, Epsom salt bath 1C 2 to 3 X week, California Poppy 2 droppers, various essential oils 

https://www.survivingantidepressants.org/topic/21446-superwoman-effexor-taper/page/8/?tab=comments#comment-475779

 

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drugged
On 7/20/2018 at 11:51 PM, WantoffVen said:

I am very confused by this bead thing. Hypothetically let's say I want to take ten beads. Can I just swallow those ten beads or do they have to be in a capsule? If they must go into a capsule, where do I get empty capsules? Thanks for help.

 

I just count out the number of beads I need and swallow them with water.  I don't know whether that's the right way or the wrong way but my former psychiatrist told me that a capsule wasn't necessary and that I could just take the beads.  I double checked with a pharmacist and was told the same thing.  fwiw


1994  Venlafaxine XR 300mg, 2003 tapered, 2004 off briefly back to 37.5 then 75mg, held, June 2019 up to  150mg, Aug.12 tapered down to 112.5mgs, Oct. 21, 2019 96mg;  Dec. 8, 2019  90mg, Jan. 8 2020 81mg, Feb. 4, 75mg;

2003/2004? Diazepam 10mg/bedtime

2013 Lyrica 300mg to 25mg; April 6, 2020 17mg; April 28, <5mg; May 7, 2020 Lyrica 0 mg!

2013 Tramadol 50mg tablets, 200mg/day divided

2005? Trazodone 50mg bedtime, Feb. 12, 2020 40mg, March 7, 25mg; Oct 1 20mg

2009? Zolpidem 5mg at bedtime. Nov. 9, 2019 Zolpidem 0 mg! 

1990? Omeprazole 20mg in morning.

2010? Levothyroxine 75mcg morning

2011? Liothyronine 5mcg morning

1999? Buspirone 30mg twice a day  August 2019 15mg once a day,  Oct.21, 2019 2.5mg evening  Oct. 25, 2019 Buspirone 0 mg!

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Gridley
20 minutes ago, drugged said:

I could just take the beads.

 

Correct.


Gridley Introduction

 

Lexapro 20 mg since 2004.  Began taper using Brassmonkey slide Jan. 2017.   

End 2017 year 1 of taper at 9.25mg 

End 2018 year 2 of taper at 4.1mg

End 2019 year 3 of taper at 1.0mg  

Current from Oct. 21, 2020 at 0.025mg

Taper is 99.875% complete.

 

Lorazepam 1 mg 1986-1991 CT, resumed a few months later. CT 2000.  1 mg 2011-2016.  Sept, 2016 increased to 0.5 X 3 in split dose. Sept. 2019 increased to 0.625 X 3 after crossover to new brand

 

Imipramine 75 mg daily since 1986.  Jan. 2016 began every 3-weeks 10% taper, down to 15mg.  Aug 2016, discovered SA, updosed to 25mg and holding.  Taper is 66% complete.  

  

Supplements: omega, vitamins E and D3, magnesium glycinate, probiotic, melatonin .3mg


I am not a medical professional and this is not medical advice, but simply information based on my own experience, as well as other members who have survived these drugs.

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Superwoman
On 9/27/2019 at 10:23 PM, Superwoman said:

Also, does anyone know why the drug companies claim that the capsules should not be opened and the beads should not be divided?  Is there a valid reason for this?

I emailed the drug company Aurobindo and asked them this question.  See below...

 

Me:

“I have had an extremely difficult time tapering Effexor xr.  Why does the drug pamphlet say that the capsules should not be opened up and the beads divided?  I think that opening up the capsules and dividing the beads would make it easier to taper Effexor xr, with less withdrawal.“


Aurobindo’s response:

 

Hello,

 

As per our manufacturing unit, Venlafaxine ER capsules are Extended release and should be taken whole.  Venlafaxine hydrochloride extended-release capsule contains spheroids, which release the drug slowly into the digestive tract. Opening the capsules can disrupt the release of the medication. Hope this information helps.


1993-2000: Zoloft few months CT, Prozac 1-2 yrs, Ritalin PRN

2002/2003: Wellbutrin,  Paxil 25mg FT, and Xanax PRN CT (all 3 to 6 months), Adderal 40mg, Strattera 40mg

2003- 2016: Effexor XR 75 mg to 150 mg., Strattera (2002-2008)

2017: Effexor XR 225 mg. Gabapentin 300 mg. Elavil 25 mg.

2018: (Sept.) Effexor XR 187.5 mg, Zoloft 10 mg. (OCT.) FT off Gabapentin (NOV.) FT off Elavil (DEC) FT Effexor to 150 mg.

2019: (JAN.) D/C Zoloft, added Viibryd 10mg (FEB) CT Viibryd, (MAR) Prozac bridge, Effexor xr 112.5mg, (Sept.) Effexor XR 112.5 mg + 0.4 mg (1 bead), (Oct.) Effexor XR 112.5mg, (Dec.28) start 10% taper Effexor XR 101.25 mg, 

2020: (Jan. 25) Effexor XR 91 mg., (Feb. 22) Effexor xr 82 mg., (Mar. 21) 75 mg. 

Supplements:  Vitamin D 5000 IU topical, Probiotic 6 billion CFU, Epsom salt bath 1C 2 to 3 X week, California Poppy 2 droppers, various essential oils 

https://www.survivingantidepressants.org/topic/21446-superwoman-effexor-taper/page/8/?tab=comments#comment-475779

 

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sunnysideup69
12 minutes ago, Superwoman said:

. Opening the capsules can disrupt the release of the medication. Hope this information helps.

 

Oh my god, that is SUCH A STUPID ANSWER!!!  😂 HOW, exactly, does opening a capsule disrupt the release....it makes absolutely no sense. Aurobindo are idiots.


January 2008 to April 2015 Citalopram 20mg to 5mg, reducing in 50 per cent leaps. Jumped off at 5mg

March 2016 used MDMA triggered setback

April 2016 Citalopram 10mg October 2016 cut to 5mg, May 2017 cut to 2.5mg

May 2018 used MDMA triggered setback

June 2018 Citalopram 2.5mg up to 10mg, then back to 5mg

July/ August 2018 7.5mg, then 10mg

June 2019 updosed to 20mg Citalopram

August 2019 cold switch to Venlafaxine 75mg XR

 

 

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brassmonkey

For some drugs the capsule itself is part of the time release mechanism. The capsule can be formulated to dissolve at a specific rate so the medication is delivered to the correct part of the digestive tract.  Some medications can not be exposed to stomach acid and have to be delivered to the intestine before they can be absorbed correctly.  Otherwise they react badly with the acid and don't function properly. So removing them from the capsule can greatly change their effectiveness.  Also it is the type of response that is expected from a drug company.  It's a matter of CYA.  People messing about with their medications opens them up to a lot of legal problems which they don't want.


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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Superwoman

@brassmonkey

 

I thought that the extended release mechanism of Effexor xr is in the coating of the beads not the capsule itself?


1993-2000: Zoloft few months CT, Prozac 1-2 yrs, Ritalin PRN

2002/2003: Wellbutrin,  Paxil 25mg FT, and Xanax PRN CT (all 3 to 6 months), Adderal 40mg, Strattera 40mg

2003- 2016: Effexor XR 75 mg to 150 mg., Strattera (2002-2008)

2017: Effexor XR 225 mg. Gabapentin 300 mg. Elavil 25 mg.

2018: (Sept.) Effexor XR 187.5 mg, Zoloft 10 mg. (OCT.) FT off Gabapentin (NOV.) FT off Elavil (DEC) FT Effexor to 150 mg.

2019: (JAN.) D/C Zoloft, added Viibryd 10mg (FEB) CT Viibryd, (MAR) Prozac bridge, Effexor xr 112.5mg, (Sept.) Effexor XR 112.5 mg + 0.4 mg (1 bead), (Oct.) Effexor XR 112.5mg, (Dec.28) start 10% taper Effexor XR 101.25 mg, 

2020: (Jan. 25) Effexor XR 91 mg., (Feb. 22) Effexor xr 82 mg., (Mar. 21) 75 mg. 

Supplements:  Vitamin D 5000 IU topical, Probiotic 6 billion CFU, Epsom salt bath 1C 2 to 3 X week, California Poppy 2 droppers, various essential oils 

https://www.survivingantidepressants.org/topic/21446-superwoman-effexor-taper/page/8/?tab=comments#comment-475779

 

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brassmonkey

That's part of the system too.  It is more common to have it as part of the bead themselves, which is why you shouldn't cut or crush the beads. It all depends on the medication as to how the delivery system is devised.


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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drugged
13 hours ago, Superwoman said:

@brassmonkey

 

I thought that the extended release mechanism of Effexor xr is in the coating of the beads not the capsule itself?

I can't speak to the specific brand mentioned but, before starting my first Effexor XR taper, I asked my pharmacist this very question and was told that the capsule was just a conveyance and it wouldn't make a bit of difference if I took the beads out and threw the capsule away.  I was taking capsules made by Pfizer at the time.


1994  Venlafaxine XR 300mg, 2003 tapered, 2004 off briefly back to 37.5 then 75mg, held, June 2019 up to  150mg, Aug.12 tapered down to 112.5mgs, Oct. 21, 2019 96mg;  Dec. 8, 2019  90mg, Jan. 8 2020 81mg, Feb. 4, 75mg;

2003/2004? Diazepam 10mg/bedtime

2013 Lyrica 300mg to 25mg; April 6, 2020 17mg; April 28, <5mg; May 7, 2020 Lyrica 0 mg!

2013 Tramadol 50mg tablets, 200mg/day divided

2005? Trazodone 50mg bedtime, Feb. 12, 2020 40mg, March 7, 25mg; Oct 1 20mg

2009? Zolpidem 5mg at bedtime. Nov. 9, 2019 Zolpidem 0 mg! 

1990? Omeprazole 20mg in morning.

2010? Levothyroxine 75mcg morning

2011? Liothyronine 5mcg morning

1999? Buspirone 30mg twice a day  August 2019 15mg once a day,  Oct.21, 2019 2.5mg evening  Oct. 25, 2019 Buspirone 0 mg!

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Superwoman

Is weighing beads more accurate and precise than counting beads?  Do people have less withdrawal with the weighing method?


1993-2000: Zoloft few months CT, Prozac 1-2 yrs, Ritalin PRN

2002/2003: Wellbutrin,  Paxil 25mg FT, and Xanax PRN CT (all 3 to 6 months), Adderal 40mg, Strattera 40mg

2003- 2016: Effexor XR 75 mg to 150 mg., Strattera (2002-2008)

2017: Effexor XR 225 mg. Gabapentin 300 mg. Elavil 25 mg.

2018: (Sept.) Effexor XR 187.5 mg, Zoloft 10 mg. (OCT.) FT off Gabapentin (NOV.) FT off Elavil (DEC) FT Effexor to 150 mg.

2019: (JAN.) D/C Zoloft, added Viibryd 10mg (FEB) CT Viibryd, (MAR) Prozac bridge, Effexor xr 112.5mg, (Sept.) Effexor XR 112.5 mg + 0.4 mg (1 bead), (Oct.) Effexor XR 112.5mg, (Dec.28) start 10% taper Effexor XR 101.25 mg, 

2020: (Jan. 25) Effexor XR 91 mg., (Feb. 22) Effexor xr 82 mg., (Mar. 21) 75 mg. 

Supplements:  Vitamin D 5000 IU topical, Probiotic 6 billion CFU, Epsom salt bath 1C 2 to 3 X week, California Poppy 2 droppers, various essential oils 

https://www.survivingantidepressants.org/topic/21446-superwoman-effexor-taper/page/8/?tab=comments#comment-475779

 

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Superwoman
On 1/13/2020 at 12:35 PM, Superwoman said:

I emailed the drug company Aurobindo and asked them this question.  See below...

 

Me:

“I have had an extremely difficult time tapering Effexor xr.  Why does the drug pamphlet say that the capsules should not be opened up and the beads divided?  I think that opening up the capsules and dividing the beads would make it easier to taper Effexor xr, with less withdrawal.“


Aurobindo’s response:

 

Hello,

 

As per our manufacturing unit, Venlafaxine ER capsules are Extended release and should be taken whole.  Venlafaxine hydrochloride extended-release capsule contains spheroids, which release the drug slowly into the digestive tract. Opening the capsules can disrupt the release of the medication. Hope this information helps.

Follow up emails....


Me....

I don’t understand.  According to the drug label below, the capsules can be opened and the contents sprinkled on applesauce.  You said that opening the capsule can disrupt the release of the medication.  Why would the drug label say that the capsule can be opened, if doing so can disrupt the release of the medication?  Is the extended release properties in the capsule itself or only the beads?
 
 

2 DOSAGE AND ADMINISTRATION

 

Venlafaxine hydrochloride extended-release capsules should be administered in a single dose with food, either in the morning or in the evening at approximately the same time each day [see CLINICAL PHARMACOLOGY (12.3)]. Each capsule should be swallowed whole with fluid and not divided, crushed, chewed, or placed in water or it may be administered by carefully opening the capsule and sprinkling the entire contents on a spoonful of applesauce. This drug/food mixture should be swallowed immediately without chewing and followed with a glass of water to ensure complete swallowing of the pellets (spheroids

 

Hello,

 

My apologies in the typo error. Dividing the contents of capsule will not provide the correct dosage and is not recommended. What dosage are you currently taking or tapering to? Once you provide your response I can forward to the manufacturing unit and they can clarify further.

 

Thanks & kind regards,

 

Jasleen Gupta, Pharm. D

Manager, Pharmacovigilance                     

 

279 Princeton-Hightstown Rd

East Windsor, NJ 08520-1401

JGupta@AurobindoUSA.com
732.839.9400- option 2

Fax -732.289.6189
 

Me....

Is the capsule itself extended release or are only the beads themself extended release?  Calculating the correct dosage is not an Issue.  It is simple math.  I am currently taking 101.25mg if Effexor xr.  I tapered from 112mg Effexor xr. by removing 10% of the beads.  

 

Me 1/25/20

 

Is there a pharmacologist if a chemist who I can talk with?

 

No response


1993-2000: Zoloft few months CT, Prozac 1-2 yrs, Ritalin PRN

2002/2003: Wellbutrin,  Paxil 25mg FT, and Xanax PRN CT (all 3 to 6 months), Adderal 40mg, Strattera 40mg

2003- 2016: Effexor XR 75 mg to 150 mg., Strattera (2002-2008)

2017: Effexor XR 225 mg. Gabapentin 300 mg. Elavil 25 mg.

2018: (Sept.) Effexor XR 187.5 mg, Zoloft 10 mg. (OCT.) FT off Gabapentin (NOV.) FT off Elavil (DEC) FT Effexor to 150 mg.

2019: (JAN.) D/C Zoloft, added Viibryd 10mg (FEB) CT Viibryd, (MAR) Prozac bridge, Effexor xr 112.5mg, (Sept.) Effexor XR 112.5 mg + 0.4 mg (1 bead), (Oct.) Effexor XR 112.5mg, (Dec.28) start 10% taper Effexor XR 101.25 mg, 

2020: (Jan. 25) Effexor XR 91 mg., (Feb. 22) Effexor xr 82 mg., (Mar. 21) 75 mg. 

Supplements:  Vitamin D 5000 IU topical, Probiotic 6 billion CFU, Epsom salt bath 1C 2 to 3 X week, California Poppy 2 droppers, various essential oils 

https://www.survivingantidepressants.org/topic/21446-superwoman-effexor-taper/page/8/?tab=comments#comment-475779

 

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Altostrata

You can taper by counting beads or by weighing beads. Weighing beads is probably more accurate at low doses.

 

Do not expect any information about tapering from the drug manufacturer.


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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gardenlady
On 2/3/2020 at 1:51 PM, Altostrata said:

You can taper by counting beads or by weighing beads. Weighing beads is probably more accurate at low doses.

My experience was that the opposite is true.  Weighing beads worked at high doses.  Once I got down to a lower dose, I had to count beads as the weight was too low to register accurately on the scale. 


 

2016-Aug-Prescribed 2 mg Ativan & 10 mg Ambien; Oct-c/o from 20 mg Lexapro to 60 mg Cymbalta; Nov-Dec-Tapered off 10 mg Ambien    

2017-Jan-Feb c/o from 1.75 mg Ativan to 13 mg Valium & begin daily liquid micro taper; May-taper Cymbalta 60 mg to 48 mg with severe withdrawals.  Begin 11 month Cymbalta hold.

2018-Jan 11 completed Valium taper; Apr-Resume Cymbalta taper.  Interval dose progress: Apr 43 mg; May 40 mg; Jul 35 mg; Sep 29 mg; Dec 21 mg; 

2019- Apr 14 mg; Jun 11 mg; Aug 9 mg; Oct 7 mg; Nov 6 mg

2020-Jan 5.2 mg; Feb 4.8 mg; Mar 4.3 mg; Apr 3.9 mg; May 3.5 mg; Jun 3.3 mg; Jul 2.9 mg; Aug 2.7 mg; 28 Sep 2.4 mg/12 beads; 25 Oct 2.2 mg/11 beads

 

 

 

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Superwoman

I found a novel way to count beads.  Below are the tools that I used....
 

7213F45A-49E3-4B57-80EC-1BFE1753F528.jpeg.5041196e5af0a0ec36722b5e8abed8c2.jpeg

This is a tray that I found in my kitchen cabinet.  The textured indented design on it works great for dividing out beads.  I got this at a local grocery store a long time ago.  I don’t remember which one.  I think it was from the bakery section and had cake or cookies or something on it.  I looked at the baking section at Meijers and I did not see this plate there.  Maybe try Krogers.  I know this tray is still made b/c I saw someone had brought in this plate to work with fudge squares on it.   I think that a school lunch tray would also work.

F915FFED-F464-41C7-85CE-8E552A0D4828.jpeg.da940eeb99fabdde664fdb22cd3e273d.jpeg

Sorry the picture is upside down.  I don’t know how to fix that.  My husband made me the pill rack.  He said it was very easy.  If you are not handy like my husband (he is a skilled tradesman), they do sell pill racks.  My husband also made me the tiny funnel.  You can also buy tiny funnels online.  The device to the side of the pill rack is a pimple popper tool.  You can buy this at any drug store in the cosmetic section.  The pimple popper tool works wonderfully for dividing and moving the beads.  
 

Below is a baby snot sucker 🤣.  It works well to suck up those tiny AD beads.  I was having difficulty picking up those pesky little beads so I started looking for something that could suck up the beads.  Pretty resourceful, huh.  The device plays you lullaby’s 😂.  The lullaby’s are actually rather soothing for my anxiety lol 🤣.  I got it for $20 or $30 at Walmart. 
 

BC3DF770-73DE-4D08-88C0-04982764A92A.jpeg.67e14a433144f880443fc48d56cfd73e.jpeg


1993-2000: Zoloft few months CT, Prozac 1-2 yrs, Ritalin PRN

2002/2003: Wellbutrin,  Paxil 25mg FT, and Xanax PRN CT (all 3 to 6 months), Adderal 40mg, Strattera 40mg

2003- 2016: Effexor XR 75 mg to 150 mg., Strattera (2002-2008)

2017: Effexor XR 225 mg. Gabapentin 300 mg. Elavil 25 mg.

2018: (Sept.) Effexor XR 187.5 mg, Zoloft 10 mg. (OCT.) FT off Gabapentin (NOV.) FT off Elavil (DEC) FT Effexor to 150 mg.

2019: (JAN.) D/C Zoloft, added Viibryd 10mg (FEB) CT Viibryd, (MAR) Prozac bridge, Effexor xr 112.5mg, (Sept.) Effexor XR 112.5 mg + 0.4 mg (1 bead), (Oct.) Effexor XR 112.5mg, (Dec.28) start 10% taper Effexor XR 101.25 mg, 

2020: (Jan. 25) Effexor XR 91 mg., (Feb. 22) Effexor xr 82 mg., (Mar. 21) 75 mg. 

Supplements:  Vitamin D 5000 IU topical, Probiotic 6 billion CFU, Epsom salt bath 1C 2 to 3 X week, California Poppy 2 droppers, various essential oils 

https://www.survivingantidepressants.org/topic/21446-superwoman-effexor-taper/page/8/?tab=comments#comment-475779

 

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Superwoman

This is a chart that I created to log your taper data.  It has columns for Reduction Cycle, Percent Reduced, Start date, end date, start dose MGAI, End dose MGAI, Beads removed, remaining beads and notes/symptoms.  Please free to use.  
Antidepressant Reduction Chart.docx

 
  • It may not open correctly on your phone.  You need to open it on Microsoft word to view it in a chart format. 

1993-2000: Zoloft few months CT, Prozac 1-2 yrs, Ritalin PRN

2002/2003: Wellbutrin,  Paxil 25mg FT, and Xanax PRN CT (all 3 to 6 months), Adderal 40mg, Strattera 40mg

2003- 2016: Effexor XR 75 mg to 150 mg., Strattera (2002-2008)

2017: Effexor XR 225 mg. Gabapentin 300 mg. Elavil 25 mg.

2018: (Sept.) Effexor XR 187.5 mg, Zoloft 10 mg. (OCT.) FT off Gabapentin (NOV.) FT off Elavil (DEC) FT Effexor to 150 mg.

2019: (JAN.) D/C Zoloft, added Viibryd 10mg (FEB) CT Viibryd, (MAR) Prozac bridge, Effexor xr 112.5mg, (Sept.) Effexor XR 112.5 mg + 0.4 mg (1 bead), (Oct.) Effexor XR 112.5mg, (Dec.28) start 10% taper Effexor XR 101.25 mg, 

2020: (Jan. 25) Effexor XR 91 mg., (Feb. 22) Effexor xr 82 mg., (Mar. 21) 75 mg. 

Supplements:  Vitamin D 5000 IU topical, Probiotic 6 billion CFU, Epsom salt bath 1C 2 to 3 X week, California Poppy 2 droppers, various essential oils 

https://www.survivingantidepressants.org/topic/21446-superwoman-effexor-taper/page/8/?tab=comments#comment-475779

 

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Superwoman

@Altostrata

 

I came up with a unique method for tapering by counting and dividing beads.  I tried to post the video, but it said it was too big.  How can I post the video?   I think that the video would be very helpful to others.  The video is around 4 minutes long.  I was able to post some pictures of the tools that I used, but not the video.  


1993-2000: Zoloft few months CT, Prozac 1-2 yrs, Ritalin PRN

2002/2003: Wellbutrin,  Paxil 25mg FT, and Xanax PRN CT (all 3 to 6 months), Adderal 40mg, Strattera 40mg

2003- 2016: Effexor XR 75 mg to 150 mg., Strattera (2002-2008)

2017: Effexor XR 225 mg. Gabapentin 300 mg. Elavil 25 mg.

2018: (Sept.) Effexor XR 187.5 mg, Zoloft 10 mg. (OCT.) FT off Gabapentin (NOV.) FT off Elavil (DEC) FT Effexor to 150 mg.

2019: (JAN.) D/C Zoloft, added Viibryd 10mg (FEB) CT Viibryd, (MAR) Prozac bridge, Effexor xr 112.5mg, (Sept.) Effexor XR 112.5 mg + 0.4 mg (1 bead), (Oct.) Effexor XR 112.5mg, (Dec.28) start 10% taper Effexor XR 101.25 mg, 

2020: (Jan. 25) Effexor XR 91 mg., (Feb. 22) Effexor xr 82 mg., (Mar. 21) 75 mg. 

Supplements:  Vitamin D 5000 IU topical, Probiotic 6 billion CFU, Epsom salt bath 1C 2 to 3 X week, California Poppy 2 droppers, various essential oils 

https://www.survivingantidepressants.org/topic/21446-superwoman-effexor-taper/page/8/?tab=comments#comment-475779

 

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Altostrata

Put the video in your Google Drive and then post a link to it here, allowing read-only access to anyone who clicks on the link. If you don't know how to do this, please ask a teenager.


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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Superwoman

1993-2000: Zoloft few months CT, Prozac 1-2 yrs, Ritalin PRN

2002/2003: Wellbutrin,  Paxil 25mg FT, and Xanax PRN CT (all 3 to 6 months), Adderal 40mg, Strattera 40mg

2003- 2016: Effexor XR 75 mg to 150 mg., Strattera (2002-2008)

2017: Effexor XR 225 mg. Gabapentin 300 mg. Elavil 25 mg.

2018: (Sept.) Effexor XR 187.5 mg, Zoloft 10 mg. (OCT.) FT off Gabapentin (NOV.) FT off Elavil (DEC) FT Effexor to 150 mg.

2019: (JAN.) D/C Zoloft, added Viibryd 10mg (FEB) CT Viibryd, (MAR) Prozac bridge, Effexor xr 112.5mg, (Sept.) Effexor XR 112.5 mg + 0.4 mg (1 bead), (Oct.) Effexor XR 112.5mg, (Dec.28) start 10% taper Effexor XR 101.25 mg, 

2020: (Jan. 25) Effexor XR 91 mg., (Feb. 22) Effexor xr 82 mg., (Mar. 21) 75 mg. 

Supplements:  Vitamin D 5000 IU topical, Probiotic 6 billion CFU, Epsom salt bath 1C 2 to 3 X week, California Poppy 2 droppers, various essential oils 

https://www.survivingantidepressants.org/topic/21446-superwoman-effexor-taper/page/8/?tab=comments#comment-475779

 

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Superwoman
1 hour ago, Superwoman said:

The link above is a video that I made of me tapering Effexor Xr.  It is a method I developed using a baby nasal aspirator to suck up beads and a home made pill rack and funnel.  @Altostrata, SA members, are you able to open the link?  This method would work for tapering any pill with beads.


1993-2000: Zoloft few months CT, Prozac 1-2 yrs, Ritalin PRN

2002/2003: Wellbutrin,  Paxil 25mg FT, and Xanax PRN CT (all 3 to 6 months), Adderal 40mg, Strattera 40mg

2003- 2016: Effexor XR 75 mg to 150 mg., Strattera (2002-2008)

2017: Effexor XR 225 mg. Gabapentin 300 mg. Elavil 25 mg.

2018: (Sept.) Effexor XR 187.5 mg, Zoloft 10 mg. (OCT.) FT off Gabapentin (NOV.) FT off Elavil (DEC) FT Effexor to 150 mg.

2019: (JAN.) D/C Zoloft, added Viibryd 10mg (FEB) CT Viibryd, (MAR) Prozac bridge, Effexor xr 112.5mg, (Sept.) Effexor XR 112.5 mg + 0.4 mg (1 bead), (Oct.) Effexor XR 112.5mg, (Dec.28) start 10% taper Effexor XR 101.25 mg, 

2020: (Jan. 25) Effexor XR 91 mg., (Feb. 22) Effexor xr 82 mg., (Mar. 21) 75 mg. 

Supplements:  Vitamin D 5000 IU topical, Probiotic 6 billion CFU, Epsom salt bath 1C 2 to 3 X week, California Poppy 2 droppers, various essential oils 

https://www.survivingantidepressants.org/topic/21446-superwoman-effexor-taper/page/8/?tab=comments#comment-475779

 

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Superwoman

https://drive.google.com/file/d/15b4bNWYHDyx_iAnKX5k1j0121zcz-W34/view?usp=drivesdk
 

I went in and changed the permissions so that it is public.  Someone informed me that they could not open it.  Let me know if it viewable now?  Thanks


1993-2000: Zoloft few months CT, Prozac 1-2 yrs, Ritalin PRN

2002/2003: Wellbutrin,  Paxil 25mg FT, and Xanax PRN CT (all 3 to 6 months), Adderal 40mg, Strattera 40mg

2003- 2016: Effexor XR 75 mg to 150 mg., Strattera (2002-2008)

2017: Effexor XR 225 mg. Gabapentin 300 mg. Elavil 25 mg.

2018: (Sept.) Effexor XR 187.5 mg, Zoloft 10 mg. (OCT.) FT off Gabapentin (NOV.) FT off Elavil (DEC) FT Effexor to 150 mg.

2019: (JAN.) D/C Zoloft, added Viibryd 10mg (FEB) CT Viibryd, (MAR) Prozac bridge, Effexor xr 112.5mg, (Sept.) Effexor XR 112.5 mg + 0.4 mg (1 bead), (Oct.) Effexor XR 112.5mg, (Dec.28) start 10% taper Effexor XR 101.25 mg, 

2020: (Jan. 25) Effexor XR 91 mg., (Feb. 22) Effexor xr 82 mg., (Mar. 21) 75 mg. 

Supplements:  Vitamin D 5000 IU topical, Probiotic 6 billion CFU, Epsom salt bath 1C 2 to 3 X week, California Poppy 2 droppers, various essential oils 

https://www.survivingantidepressants.org/topic/21446-superwoman-effexor-taper/page/8/?tab=comments#comment-475779

 

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FindRest

Thanks, @Superwoman! I was able to view it just fine. Do you use brand name Effexor? I do and my beads don’t look near as uniform as yours do. Love the tray and using the pimple popper!!! I’m going to start using mine! :) 


1988-1996  Various AD’s, all classifications.  

1996-2019  Effexor XR 37.5mg to 150mg. Jan 2017 onward, 37.5 mg.

2019  Apr 11: Latuda 20mg added to Effexor.  Apr 22: L to 40mg.  May 14: L to 20mg.  May 27: L to 10 mg for 3 days then ct (dr’s orders). Continue Effexor 37.5.  Jun 10: Rexulti .5 mg added. Incr to 1mg.  Jun 15: Rex to .5mg.  Jul 1-24: taper Rex to .25mg over couple of weeks then off.  Jul 24: CT Effexor (per dr’s orders)  Sep 9-19: Viibryd (low dose, not sure mg), CT (dr’s orders).  Sep 23-27: Trintellix (low dose). CT (dr’s orders).  Sep 28:  Prozac 10mg.  Oct 24:  Began rapid taper off Prozac (every other day for wk) began Pristiq 25mg for 10 days, then 50mg after that.  Dec 31-Jan 31, 2020:  Pristiq 25mg. 

2020  Feb 1: CT Pristiq due to serious side effects incl high BP w pre-existing heart condition.   Feb 1: Effexor XR (10 large beads from 37.5 capsule).  Feb 3: 14 L beads.  Feb 15: 14 L beads+2 med beads.  Feb 17: 15L + 5M beads (25mgbw or 7.56mgai).

Current: Mar 1, 2020: Effexor XR (15 large beads + 7 medium beads, 30mgbw or 9.072mgai)

 

Other current meds: Ambien 10mg nightly (2012), clonazepam .125mg nightly (May, 2019), omeprazole 20mg (alt w famotidine 20mg, since Oct 2019), Synthroid 125 mcg (1985), Premarin .625mg (2002), Miralax capful/day (2014), fluticasone nasal once/day (mid-2018), cetirizine 10mg nightly (late-2018) .  Supplements: D3 25mcg, probiotic

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Superwoman
4 minutes ago, FindRest said:

Thanks, @Superwoman! I was able to view it just fine. Do you use brand name Effexor? I do and my beads don’t look near as uniform as yours do. Love the tray and using the pimple popper!!! I’m going to start using mine! :) 

Thanks.  If someone finds this tray can you post on here where you find it please?   I can’t remember where I found it for sure.  The tray works perfect for tapering.  I use generic Effexor Aurobindo brand.  There looks to be 3 different sizes of beads in mine. 


1993-2000: Zoloft few months CT, Prozac 1-2 yrs, Ritalin PRN

2002/2003: Wellbutrin,  Paxil 25mg FT, and Xanax PRN CT (all 3 to 6 months), Adderal 40mg, Strattera 40mg

2003- 2016: Effexor XR 75 mg to 150 mg., Strattera (2002-2008)

2017: Effexor XR 225 mg. Gabapentin 300 mg. Elavil 25 mg.

2018: (Sept.) Effexor XR 187.5 mg, Zoloft 10 mg. (OCT.) FT off Gabapentin (NOV.) FT off Elavil (DEC) FT Effexor to 150 mg.

2019: (JAN.) D/C Zoloft, added Viibryd 10mg (FEB) CT Viibryd, (MAR) Prozac bridge, Effexor xr 112.5mg, (Sept.) Effexor XR 112.5 mg + 0.4 mg (1 bead), (Oct.) Effexor XR 112.5mg, (Dec.28) start 10% taper Effexor XR 101.25 mg, 

2020: (Jan. 25) Effexor XR 91 mg., (Feb. 22) Effexor xr 82 mg., (Mar. 21) 75 mg. 

Supplements:  Vitamin D 5000 IU topical, Probiotic 6 billion CFU, Epsom salt bath 1C 2 to 3 X week, California Poppy 2 droppers, various essential oils 

https://www.survivingantidepressants.org/topic/21446-superwoman-effexor-taper/page/8/?tab=comments#comment-475779

 

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Superwoman

I will post some more tips and info about the method later.  


1993-2000: Zoloft few months CT, Prozac 1-2 yrs, Ritalin PRN

2002/2003: Wellbutrin,  Paxil 25mg FT, and Xanax PRN CT (all 3 to 6 months), Adderal 40mg, Strattera 40mg

2003- 2016: Effexor XR 75 mg to 150 mg., Strattera (2002-2008)

2017: Effexor XR 225 mg. Gabapentin 300 mg. Elavil 25 mg.

2018: (Sept.) Effexor XR 187.5 mg, Zoloft 10 mg. (OCT.) FT off Gabapentin (NOV.) FT off Elavil (DEC) FT Effexor to 150 mg.

2019: (JAN.) D/C Zoloft, added Viibryd 10mg (FEB) CT Viibryd, (MAR) Prozac bridge, Effexor xr 112.5mg, (Sept.) Effexor XR 112.5 mg + 0.4 mg (1 bead), (Oct.) Effexor XR 112.5mg, (Dec.28) start 10% taper Effexor XR 101.25 mg, 

2020: (Jan. 25) Effexor XR 91 mg., (Feb. 22) Effexor xr 82 mg., (Mar. 21) 75 mg. 

Supplements:  Vitamin D 5000 IU topical, Probiotic 6 billion CFU, Epsom salt bath 1C 2 to 3 X week, California Poppy 2 droppers, various essential oils 

https://www.survivingantidepressants.org/topic/21446-superwoman-effexor-taper/page/8/?tab=comments#comment-475779

 

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Altostrata

Ingenious! Thanks for sharing this.

 

Why do you use the scissors? Do you find it difficult to twist open the capsule? Do the scissors damage any of the beads?


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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Superwoman
4 minutes ago, Altostrata said:

Ingenious! Thanks for sharing this.

 

Why do you use the scissors? Do you find it difficult to twist open the capsule? Do the scissors damage any of the beads?

Thanks Alto.  I thought it was pretty clever.  Not to toot my horn or anything.  I am very innovative and good at coming up with ideas and my husband is very handy.  So we make a good team.  
 

Yes, my capsules are very difficult to open.  I had maybes 2 or 3 broken beads per capsule.  I was careful how I cut it.  I don’t know if the broken beads were from cutting it open or not.  They could have been broken from the start.  I had many more crushed beads from struggling to open the capsules.   I will post some more information and tips.  


1993-2000: Zoloft few months CT, Prozac 1-2 yrs, Ritalin PRN

2002/2003: Wellbutrin,  Paxil 25mg FT, and Xanax PRN CT (all 3 to 6 months), Adderal 40mg, Strattera 40mg

2003- 2016: Effexor XR 75 mg to 150 mg., Strattera (2002-2008)

2017: Effexor XR 225 mg. Gabapentin 300 mg. Elavil 25 mg.

2018: (Sept.) Effexor XR 187.5 mg, Zoloft 10 mg. (OCT.) FT off Gabapentin (NOV.) FT off Elavil (DEC) FT Effexor to 150 mg.

2019: (JAN.) D/C Zoloft, added Viibryd 10mg (FEB) CT Viibryd, (MAR) Prozac bridge, Effexor xr 112.5mg, (Sept.) Effexor XR 112.5 mg + 0.4 mg (1 bead), (Oct.) Effexor XR 112.5mg, (Dec.28) start 10% taper Effexor XR 101.25 mg, 

2020: (Jan. 25) Effexor XR 91 mg., (Feb. 22) Effexor xr 82 mg., (Mar. 21) 75 mg. 

Supplements:  Vitamin D 5000 IU topical, Probiotic 6 billion CFU, Epsom salt bath 1C 2 to 3 X week, California Poppy 2 droppers, various essential oils 

https://www.survivingantidepressants.org/topic/21446-superwoman-effexor-taper/page/8/?tab=comments#comment-475779

 

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