Administrator Altostrata Posted August 11, 2022 Administrator Share Posted August 11, 2022 Woo-hoo! 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
Moderator Emeritus ChessieCat Posted August 11, 2022 Moderator Emeritus Share Posted August 11, 2022 Great to hear. Keep plodding along, you will get there. * NO LONGER ACTIVE on SA * MISSION ACCOMPLISHED: (6 year taper) 0mg Pristiq on 13th November 2021 ADs since ~1992: 25+ years - 1 unknown, Prozac (muscle weakness), Zoloft;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 Link to comment
Administrator Karma Posted December 20, 2022 Author Administrator Share Posted December 20, 2022 Just crossed another milestone. I’ve reduced my gabapentin dose by 62.5%. From a dose of 200 mg, I am down to 75 mg and heading for 74 mg. It is slower than originally planned, but it’s going quite smoothly. No undesirable withdrawals. I’m still taking a steady pace of reducing 1 mg every 5 days. Tracking my progress and monitoring my symptoms has been huge. It prevents me from getting impatient and trying to go too fast. Hope this update gives hope to others. Slow and steady wins. Love and light Karma 3 2007 @ 375 mg Effexor - 11/29/2011 - 43.75 mg Effexor (regular) & .625 mg Xanax 200 mg Gabapentin 2/27/21 - 194.5 mg, 5/28/21 - 183 mg, 8/2/21 - 170 mg, 11/28/21 - 150 mg, 4/19/22 - 122 mg; 8//7/22 - 100 mg; 12/17 - 75mg; 8/17 - 45 mg; 10/16 40 mg Xanax taper: 3/11/12 - 0.9375 mg, 3/25/12 - 0.875 mg, 4/6/12 - 0.8125 mg, 4/18/12 - 0.75 ; 10/16 40mg; 1/16 0.6875 mg; at some point 0.625 mg Effexor taper: 1/29/12 - 40.625 mg, 4/29/12 - 39.875 mg, 5/11/12 - Switched to liquid Effexor, 5/25/12 - 38 mg, 7/6/12 - 35 mg, 8/17/12 - 32 mg, 9/14/12 - 30 mg, 10/19/12 - 28 mg, 11/9/12 - 26 mg, 11/30/12 - 24 mg, 01/14/13 - 22 mg. 02/25/13 - 20.8 mg, 03/18/13 - 19.2 mg, 4/15/13 - 17.6 mg, 8/10/13 - 16.4 mg, 9/7/13 - 15.2 mg, 10/19/13 - 14 mg, 1/15/14 - 13.2 mg, 3/1/2014 - 12.6 mg, 5/4/14 - 12 mg, 8/1/14 - 11.4 mg, 8/29/14 - 10.8 mg; 10/14/14 - 10.2 mg; 12/15/14 - 10 mg, 1/11/15 - 9.5 mg, 2/8/15 - 9 mg, 3/21/15 - 8.5 mg, 5/1/15 - 8 mg, 6/9/15 - 7.5 mg, 7/8/15 - 7 mg, 8/22/15 - 6.5 mg, 10/4/15 - 6 mg; 1/1/16 - 5.6 mg; 2/6/16 - 5.2 mg; 4/9 - 4.8 mg; 7/7 4.5 mg; 10/7 4.25 mg; 11/4 4.0 mg; 11/25 3.8 mg; 4/24 3.6 mg; 5/27 3.4 mg; 7/8 3.2 mg ... 10/18 2.8 mg; 1/18 2.6 mg; 4/7 2.4 mg; 5/26 2.15mg; 8/18 1.85 mg; 10/7 1.7 mg; 12/1 1.45 mg; 3/2 1.2 mg; 5/4 0.90 mg; 6/1 0.80 mg; 6/22 0.65 mg; 08/03 0.50 mg, 08/10 0.45 mg, 10/05 0.325 mg, 11/23 0.2 mg, 12/14 0.15 mg, 12/21 0.125 mg, 02/28 0.03125 mg, 2/15 0.015625 mg, 2/29/20 0.00 mg - OFF Effexor I am not a medical professional - this is not medical advice. My suggestions are based on personal experience, reading, observation and anecdotal information posted by other sufferers Link to comment
Moderator Emeritus manymoretodays Posted December 20, 2022 Moderator Emeritus Share Posted December 20, 2022 Yay, and yes Karma! 16 hours ago, Karma said: Tracking my progress and monitoring my symptoms has been huge. It prevents me from getting impatient and trying to go too fast. And I will just put the topic here too, as it is good in going over how to track progress: Recording drug schedule and symptoms to track patterns and progress Even when we don't ask specifically to see the notes, or logs.........I think it can be helpful for each of us to learn how to know, what is doing what, in our journeys and healing paths. Oh Karma. That's great news! Yoo hoo. Gabapentin down to 75 mg from 200 mg. We celebrate! L, P, H, and G, mmt 1 Late 2023- gone to emeritus status, inactive, don't @ me, I can check who I've posted on, and I'm not really here like I used to be......thanks. Started with psycho meds/psychiatric care circa 1988. In retrospect, and on contemplation, situational overwhelm. Rounding up to 30 years of medications(30 medication trials, poly-pharmacy maximum was 3 at one time). 5/28/2015-off Adderal salts 2.5mg. (I had been on that since hospital 10/2014) 12/2015---just holding, holding, holding, with trileptal/oxcarb at 75 mg. 1/2 tab at hs. My last psycho med ever! Tapered @ 10% every 4 weeks, sometimes 2 weeks to 2016 Dec 16, medication free!! Longer signature post here, with current supplements. Herb and alcohol free since 5/15/2016. And.....I quit smoking 11/2021. Lapsed. Redo of quit smoking 9/28/2022. Can you say Hallelujah?(took me long enough)💜 None of my posts are intended as medical advice. Please discuss any decisions about your medical care with a knowledgeable medical provider. My success story: Blue skies ahead, clear sailing Link to comment
Administrator Karma Posted January 14, 2023 Author Administrator Share Posted January 14, 2023 I need some moderator support. I need to go in for some minor surgery in February. I plan to talk to the anesthesiologist prior to surgery to make sure he/she can support my adrenal insufficiency. There is a possibility they will offer me a benzo, either for the day of surgery or possibly five days before surgery when they are asking that I go off all supplements and vitamins. The question is, since I am trying to hold at 0.625 mg alprazolam while tapering gabapentin, would the new benzo, if offered, cause a paradoxical reaction? Mainstream doctors tend not to believe adrenal insufficiency is a thing; they only believe in Addison's disease - so there is that hill to climb - but my PCP understands and is willing to support me on that note. Appreciate any guidance on this. Karma 2007 @ 375 mg Effexor - 11/29/2011 - 43.75 mg Effexor (regular) & .625 mg Xanax 200 mg Gabapentin 2/27/21 - 194.5 mg, 5/28/21 - 183 mg, 8/2/21 - 170 mg, 11/28/21 - 150 mg, 4/19/22 - 122 mg; 8//7/22 - 100 mg; 12/17 - 75mg; 8/17 - 45 mg; 10/16 40 mg Xanax taper: 3/11/12 - 0.9375 mg, 3/25/12 - 0.875 mg, 4/6/12 - 0.8125 mg, 4/18/12 - 0.75 ; 10/16 40mg; 1/16 0.6875 mg; at some point 0.625 mg Effexor taper: 1/29/12 - 40.625 mg, 4/29/12 - 39.875 mg, 5/11/12 - Switched to liquid Effexor, 5/25/12 - 38 mg, 7/6/12 - 35 mg, 8/17/12 - 32 mg, 9/14/12 - 30 mg, 10/19/12 - 28 mg, 11/9/12 - 26 mg, 11/30/12 - 24 mg, 01/14/13 - 22 mg. 02/25/13 - 20.8 mg, 03/18/13 - 19.2 mg, 4/15/13 - 17.6 mg, 8/10/13 - 16.4 mg, 9/7/13 - 15.2 mg, 10/19/13 - 14 mg, 1/15/14 - 13.2 mg, 3/1/2014 - 12.6 mg, 5/4/14 - 12 mg, 8/1/14 - 11.4 mg, 8/29/14 - 10.8 mg; 10/14/14 - 10.2 mg; 12/15/14 - 10 mg, 1/11/15 - 9.5 mg, 2/8/15 - 9 mg, 3/21/15 - 8.5 mg, 5/1/15 - 8 mg, 6/9/15 - 7.5 mg, 7/8/15 - 7 mg, 8/22/15 - 6.5 mg, 10/4/15 - 6 mg; 1/1/16 - 5.6 mg; 2/6/16 - 5.2 mg; 4/9 - 4.8 mg; 7/7 4.5 mg; 10/7 4.25 mg; 11/4 4.0 mg; 11/25 3.8 mg; 4/24 3.6 mg; 5/27 3.4 mg; 7/8 3.2 mg ... 10/18 2.8 mg; 1/18 2.6 mg; 4/7 2.4 mg; 5/26 2.15mg; 8/18 1.85 mg; 10/7 1.7 mg; 12/1 1.45 mg; 3/2 1.2 mg; 5/4 0.90 mg; 6/1 0.80 mg; 6/22 0.65 mg; 08/03 0.50 mg, 08/10 0.45 mg, 10/05 0.325 mg, 11/23 0.2 mg, 12/14 0.15 mg, 12/21 0.125 mg, 02/28 0.03125 mg, 2/15 0.015625 mg, 2/29/20 0.00 mg - OFF Effexor I am not a medical professional - this is not medical advice. My suggestions are based on personal experience, reading, observation and anecdotal information posted by other sufferers Link to comment
Moderator brassmonkey Posted January 15, 2023 Moderator Share Posted January 15, 2023 Hi Karma-- sorry to hear that you are going to have to go under the knife, even a "minor" one can seem daunting. I'm not a benzo expert, so this is just my opinion. While actively tapering I do not think it is a good idea to add anything to the mix that is not absolutely necessary. From what I have seen any benzo used for surgery is mainly for a sedative to calm the nerves of the patient. Sometimes they are used in combination with other meds for "twilight sleep" when full anesthesia is not required. So, in most cases they are "optional", making it a possibility that your doctors will work with you on avoiding them. Having been through a number of procedures it has become obvious to me that the doctors want the patient to be in as pliable a condition as possible before starting, and then to experience zero discomfort post op. To which end they prescribe a boat load of things that are unnecessary. Positive expectations, trust and a good attitude going in are much more important to a patient's wellbeing than deadening them with drugs. Hope that helps, and best of luck. 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 Link to comment
Administrator Karma Posted January 15, 2023 Author Administrator Share Posted January 15, 2023 Thanks, Brass. I appreciate your thoughts on this. The problem is, as I understand it, I have to go without all my adrenal support 5 days prior because my adrenal support is herbals and homeopathics. It’s a bleeding concern. When my adrenals destabilize I either start shaking and sweating when faced with a stressor or if I think I’m making it ok, it throws my circadian rhythm off and I end up with elevated heart rate in the evening because I get adrenaline surges. A lot of times I can drink a teaspoon of Celtic sea salt in water and bring the elevated heart rate down in 15 minutes. Sometimes not. If they are amenable to it, I can manage that with stress doses of hydrocortisone. That’s just 5 mg to 10 mg doses. It gives my system the normal cortisol healthy adrenals would produce anyway. That shuts down the adrenaline. I am getting a consult with the anesthesiologist for adrenal support during the procedure. I have huge resistance to main stream allopathic medicine and unfortunately that causes me to set myself up for anxiety. I’d still like to know if a paradoxical reaction is possible. Keep in mind I am just tapering gabapentin right now. Karma 2007 @ 375 mg Effexor - 11/29/2011 - 43.75 mg Effexor (regular) & .625 mg Xanax 200 mg Gabapentin 2/27/21 - 194.5 mg, 5/28/21 - 183 mg, 8/2/21 - 170 mg, 11/28/21 - 150 mg, 4/19/22 - 122 mg; 8//7/22 - 100 mg; 12/17 - 75mg; 8/17 - 45 mg; 10/16 40 mg Xanax taper: 3/11/12 - 0.9375 mg, 3/25/12 - 0.875 mg, 4/6/12 - 0.8125 mg, 4/18/12 - 0.75 ; 10/16 40mg; 1/16 0.6875 mg; at some point 0.625 mg Effexor taper: 1/29/12 - 40.625 mg, 4/29/12 - 39.875 mg, 5/11/12 - Switched to liquid Effexor, 5/25/12 - 38 mg, 7/6/12 - 35 mg, 8/17/12 - 32 mg, 9/14/12 - 30 mg, 10/19/12 - 28 mg, 11/9/12 - 26 mg, 11/30/12 - 24 mg, 01/14/13 - 22 mg. 02/25/13 - 20.8 mg, 03/18/13 - 19.2 mg, 4/15/13 - 17.6 mg, 8/10/13 - 16.4 mg, 9/7/13 - 15.2 mg, 10/19/13 - 14 mg, 1/15/14 - 13.2 mg, 3/1/2014 - 12.6 mg, 5/4/14 - 12 mg, 8/1/14 - 11.4 mg, 8/29/14 - 10.8 mg; 10/14/14 - 10.2 mg; 12/15/14 - 10 mg, 1/11/15 - 9.5 mg, 2/8/15 - 9 mg, 3/21/15 - 8.5 mg, 5/1/15 - 8 mg, 6/9/15 - 7.5 mg, 7/8/15 - 7 mg, 8/22/15 - 6.5 mg, 10/4/15 - 6 mg; 1/1/16 - 5.6 mg; 2/6/16 - 5.2 mg; 4/9 - 4.8 mg; 7/7 4.5 mg; 10/7 4.25 mg; 11/4 4.0 mg; 11/25 3.8 mg; 4/24 3.6 mg; 5/27 3.4 mg; 7/8 3.2 mg ... 10/18 2.8 mg; 1/18 2.6 mg; 4/7 2.4 mg; 5/26 2.15mg; 8/18 1.85 mg; 10/7 1.7 mg; 12/1 1.45 mg; 3/2 1.2 mg; 5/4 0.90 mg; 6/1 0.80 mg; 6/22 0.65 mg; 08/03 0.50 mg, 08/10 0.45 mg, 10/05 0.325 mg, 11/23 0.2 mg, 12/14 0.15 mg, 12/21 0.125 mg, 02/28 0.03125 mg, 2/15 0.015625 mg, 2/29/20 0.00 mg - OFF Effexor I am not a medical professional - this is not medical advice. My suggestions are based on personal experience, reading, observation and anecdotal information posted by other sufferers Link to comment
Moderator brassmonkey Posted January 16, 2023 Moderator Share Posted January 16, 2023 I get it. It's my impression that paradoxical reactions are caused by any of several things: a buildup of the offending substance, or a sensitization to the offending substance due to poor dosing habits, or a massive reinstatement while suffering WD symptoms. None of which seem to be the case here. I would try to stay away from anything that played with your gaba receptors. The adrenal reaction sounds quite similar to a hypoglycemic episode. Possibly similar treatment could help as a stop-gap. I'm talking off the top of my head here, but it might help. 1 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 Link to comment
Administrator Karma Posted January 16, 2023 Author Administrator Share Posted January 16, 2023 4 hours ago, brassmonkey said: The adrenal reaction sounds quite similar to a hypoglycemic episode. Possibly similar treatment could help as a stop-gap Thanks, Brass. Can you say more about a hypoglycemic episode and it’s similar treatment? Karma 2007 @ 375 mg Effexor - 11/29/2011 - 43.75 mg Effexor (regular) & .625 mg Xanax 200 mg Gabapentin 2/27/21 - 194.5 mg, 5/28/21 - 183 mg, 8/2/21 - 170 mg, 11/28/21 - 150 mg, 4/19/22 - 122 mg; 8//7/22 - 100 mg; 12/17 - 75mg; 8/17 - 45 mg; 10/16 40 mg Xanax taper: 3/11/12 - 0.9375 mg, 3/25/12 - 0.875 mg, 4/6/12 - 0.8125 mg, 4/18/12 - 0.75 ; 10/16 40mg; 1/16 0.6875 mg; at some point 0.625 mg Effexor taper: 1/29/12 - 40.625 mg, 4/29/12 - 39.875 mg, 5/11/12 - Switched to liquid Effexor, 5/25/12 - 38 mg, 7/6/12 - 35 mg, 8/17/12 - 32 mg, 9/14/12 - 30 mg, 10/19/12 - 28 mg, 11/9/12 - 26 mg, 11/30/12 - 24 mg, 01/14/13 - 22 mg. 02/25/13 - 20.8 mg, 03/18/13 - 19.2 mg, 4/15/13 - 17.6 mg, 8/10/13 - 16.4 mg, 9/7/13 - 15.2 mg, 10/19/13 - 14 mg, 1/15/14 - 13.2 mg, 3/1/2014 - 12.6 mg, 5/4/14 - 12 mg, 8/1/14 - 11.4 mg, 8/29/14 - 10.8 mg; 10/14/14 - 10.2 mg; 12/15/14 - 10 mg, 1/11/15 - 9.5 mg, 2/8/15 - 9 mg, 3/21/15 - 8.5 mg, 5/1/15 - 8 mg, 6/9/15 - 7.5 mg, 7/8/15 - 7 mg, 8/22/15 - 6.5 mg, 10/4/15 - 6 mg; 1/1/16 - 5.6 mg; 2/6/16 - 5.2 mg; 4/9 - 4.8 mg; 7/7 4.5 mg; 10/7 4.25 mg; 11/4 4.0 mg; 11/25 3.8 mg; 4/24 3.6 mg; 5/27 3.4 mg; 7/8 3.2 mg ... 10/18 2.8 mg; 1/18 2.6 mg; 4/7 2.4 mg; 5/26 2.15mg; 8/18 1.85 mg; 10/7 1.7 mg; 12/1 1.45 mg; 3/2 1.2 mg; 5/4 0.90 mg; 6/1 0.80 mg; 6/22 0.65 mg; 08/03 0.50 mg, 08/10 0.45 mg, 10/05 0.325 mg, 11/23 0.2 mg, 12/14 0.15 mg, 12/21 0.125 mg, 02/28 0.03125 mg, 2/15 0.015625 mg, 2/29/20 0.00 mg - OFF Effexor I am not a medical professional - this is not medical advice. My suggestions are based on personal experience, reading, observation and anecdotal information posted by other sufferers Link to comment
Moderator brassmonkey Posted January 18, 2023 Moderator Share Posted January 18, 2023 Sorry it took so long to get back to you Karma. Interestingly enough I read you above post yesterday, then just a few hours later I started to have a hypoglycemic episode. Haven't had one in months. I can feel it coming on by the buildup of tension in my body, especially in my arms, and back, which decide they don't want to do the things I tell them to, such as move. I start to get lightheaded and nauseous. Which rapidly increase. Left unchecked this leads to anxiety and intense sweating. The anxiety morphs into extreme agitation and things just keep getting worse. The best thing I have found to treat it is a quick "sugar rush". If it is mild and I catch it early a Snickers Bar works wonders. If I let it go for a few minutes I resort to a large spoonful of brown sugar followed by some "rainbow trail mix" (as good as a Snickers bar). After that I just roll with the sensations until they start to resolve, which usually takes fifteen or twenty minutes. The symptoms you describe sounded very similar to this. It may be possible that a jolt of sugar when things start to go south could break the cycle and help you out. The thing about the Snickers Bar or trail mix is that they contain a good dose of sugar, a bit a caffeine in the chocolate and some protein to buffer it. 1 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 Link to comment
Administrator Karma Posted January 22, 2023 Author Administrator Share Posted January 22, 2023 @brassmonkey, thanks for the explanation. Mine is definitely related to my adrenals, but it is interesting how similar the experiences are. Since everything is interconnected, I may try a bite of chocolate the next time I start shaking. Thanks for the tip. Went through my pre-op testing on Friday. Talked to the anesthesiologist and the doctor again. The anesthesiologist gets my condition and assured me her team is familiar with it and ready to support me. She also talked to me about the vital signs they monitor and really set my mind at ease. She did not offer any additional sedatives or anything else (Yay!). What a world of difference from the performing doctor who basically waived off my concerns the first time I told her about it - not an uncommon reaction, unfortunately. They are still going to take me off of most of my supplements, but will allow me to keep some of them. I really had to push to get them to go through my supplements item-by-item to determine what I could keep and what I basically had to fast. I get to keep my Celtic sea salt, which is my emergency rescue for adrenal imbalance. Not surprisingly, they are good with me stress dosing hydrocortisone (HC) if I get anxiety from going off of my supplements. (Not recommending HC to anyone - I have it available due to a condition discovered over 15 years ago by healthcare professionals who understood my condition and who continue to help me manage it to this day. I tapered off of HC after about 10 years of daily treatment by around November 2020 and now only use it in stress doses). When I think about it, it make sense that main stream doctors are more comfortable with prescription drugs than supplements. It is just jarring when I have been working with functional practitioners for over 17 years. I look at this whole experience as an opportunity for spiritual growth. I realize my resistance amounts to opinions I have that I identify with (Eckart Tolle defines that as ego). I had to recognize that and accept where I am and that sometimes we have to turn to allopathic medicine for certain situations. I let go of that resistance. Eckart Tolle teaches that sometimes you are stuck in the mud. Instead of cursing the mud you have to accept that you are stuck in the mud and then you can simply take action to get out of the mud. Sorry for the long post. Love and light, Karma 1 2007 @ 375 mg Effexor - 11/29/2011 - 43.75 mg Effexor (regular) & .625 mg Xanax 200 mg Gabapentin 2/27/21 - 194.5 mg, 5/28/21 - 183 mg, 8/2/21 - 170 mg, 11/28/21 - 150 mg, 4/19/22 - 122 mg; 8//7/22 - 100 mg; 12/17 - 75mg; 8/17 - 45 mg; 10/16 40 mg Xanax taper: 3/11/12 - 0.9375 mg, 3/25/12 - 0.875 mg, 4/6/12 - 0.8125 mg, 4/18/12 - 0.75 ; 10/16 40mg; 1/16 0.6875 mg; at some point 0.625 mg Effexor taper: 1/29/12 - 40.625 mg, 4/29/12 - 39.875 mg, 5/11/12 - Switched to liquid Effexor, 5/25/12 - 38 mg, 7/6/12 - 35 mg, 8/17/12 - 32 mg, 9/14/12 - 30 mg, 10/19/12 - 28 mg, 11/9/12 - 26 mg, 11/30/12 - 24 mg, 01/14/13 - 22 mg. 02/25/13 - 20.8 mg, 03/18/13 - 19.2 mg, 4/15/13 - 17.6 mg, 8/10/13 - 16.4 mg, 9/7/13 - 15.2 mg, 10/19/13 - 14 mg, 1/15/14 - 13.2 mg, 3/1/2014 - 12.6 mg, 5/4/14 - 12 mg, 8/1/14 - 11.4 mg, 8/29/14 - 10.8 mg; 10/14/14 - 10.2 mg; 12/15/14 - 10 mg, 1/11/15 - 9.5 mg, 2/8/15 - 9 mg, 3/21/15 - 8.5 mg, 5/1/15 - 8 mg, 6/9/15 - 7.5 mg, 7/8/15 - 7 mg, 8/22/15 - 6.5 mg, 10/4/15 - 6 mg; 1/1/16 - 5.6 mg; 2/6/16 - 5.2 mg; 4/9 - 4.8 mg; 7/7 4.5 mg; 10/7 4.25 mg; 11/4 4.0 mg; 11/25 3.8 mg; 4/24 3.6 mg; 5/27 3.4 mg; 7/8 3.2 mg ... 10/18 2.8 mg; 1/18 2.6 mg; 4/7 2.4 mg; 5/26 2.15mg; 8/18 1.85 mg; 10/7 1.7 mg; 12/1 1.45 mg; 3/2 1.2 mg; 5/4 0.90 mg; 6/1 0.80 mg; 6/22 0.65 mg; 08/03 0.50 mg, 08/10 0.45 mg, 10/05 0.325 mg, 11/23 0.2 mg, 12/14 0.15 mg, 12/21 0.125 mg, 02/28 0.03125 mg, 2/15 0.015625 mg, 2/29/20 0.00 mg - OFF Effexor I am not a medical professional - this is not medical advice. My suggestions are based on personal experience, reading, observation and anecdotal information posted by other sufferers Link to comment
Mentor littlebird Posted January 23, 2023 Mentor Share Posted January 23, 2023 11 hours ago, Karma said: Went through my pre-op testing on Friday. Talked to the anesthesiologist and the doctor again. The anesthesiologist gets my condition and assured me her team is familiar with it and ready to support me. She also talked to me about the vital signs they monitor and really set my mind at ease. Going in for surgery is so daunting! Hoping it’s full of ease and comfort and quick healing. 11 hours ago, Karma said: I look at this whole experience as an opportunity for spiritual growth. I realize my resistance amounts to opinions I have that I identify with (Eckart Tolle defines that as ego). I had to recognize that and accept where I am and that sometimes we have to turn to allopathic medicine for certain situations. I let go of that resistance. Eckart Tolle teaches that sometimes you are stuck in the mud. Instead of cursing the mud you have to accept that you are stuck in the mud and then you can simply take action to get out of the mud. I think I needed this. I am very stuck in the mud this weekend, and perhaps instead of struggling and cursing the mud, I just need to accept that I’m stuck in this mud. Radical acceptance strikes again! Pronouns: they/them/theirs Started on Prozac in early 2000s to treat cPTSD, been on various cocktails ever since. 2002-2004, 2017-2022: Buspar, tapered down to 0 2016-present: 100mg Seroquel for sleep -> May 2023: 90mg -> June 2023: 81mg -> September 2023: 72mg -> switched to brand name, much too strong, down to 60mg -> October 2023: 54mg -> November 2023: 50mg -> January 2024: 45mg -> April 2024: 40.5mg 2016-Present: 100mg Wellbutrin SR -> January 2023: 75mg IR (37.5mg 2x a day) -> February 2023 (33.75mg 2x a day) -> July 2023 (30.37mg 2x a day) -> August 2023: 27.33mg 2x a day 2018-present: 25mg Pristiq 2015-present: 600mg Gabapentin (200mg 3x a day) -> December 2022: 300mg Gabapentin (100mg 3x a day) per GP's recommendation after side effects -> March 2023: 90mg 3x a day (switched to liquid suspension) -> April 2023: 81mg 3x a day -> September 2023: bad generic, switched back to homemade liquid; too strong after bad generic, down to 70mg 3x a day, still bad. Adjusted slowly till at 60mg 3x a day, much better. Long hold till -> December 2023: 54mg, still feels too high after November Seroquel switch from brand name to generic, doc recommended 50mg which feels better -> January 2024: When Wellbutrin went down, Gabapentin started putting me to sleep, went down to 45mg, then 41mg to stay awake, so far so good -> February 2024: 36mg, still too high, 34mg -> March 2024: 31mg, STILL too high, 30mg Supplements: Multivitamin w/magnesium, probiotics, digestive enzymes, anti-viral nitric oxide nose spray as needed Link to comment
Moderator brassmonkey Posted January 23, 2023 Moderator Share Posted January 23, 2023 Best of luck with the procedure. Acceptance and contentment are the keys to life. 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 Link to comment
Administrator Karma Posted February 2, 2023 Author Administrator Share Posted February 2, 2023 Procedure was successful. They did give me Versed prior to anesthesia, but it all went well. I just have to work off the after surgery bloating, now. The anesthesiologist listened to me and made adjustments when I had concerns about the drugs she was planning to use. In case you are wondering, I am always in control with my healthcare and I speak up for myself, even when I am scared. Everyone should. Hopefully, I am done with mainstream allopathic medicine now. It’s not my world. It was a very foreign environment after working with functional doctors and nutritionists for over 17 years. But I have to admit, everyone was wonderful to me and the anesthesiologist was actually impressed with my mission and success coming off antidepressants, antipsychotic and benzo drugs. Love and light, Karma 1 2007 @ 375 mg Effexor - 11/29/2011 - 43.75 mg Effexor (regular) & .625 mg Xanax 200 mg Gabapentin 2/27/21 - 194.5 mg, 5/28/21 - 183 mg, 8/2/21 - 170 mg, 11/28/21 - 150 mg, 4/19/22 - 122 mg; 8//7/22 - 100 mg; 12/17 - 75mg; 8/17 - 45 mg; 10/16 40 mg Xanax taper: 3/11/12 - 0.9375 mg, 3/25/12 - 0.875 mg, 4/6/12 - 0.8125 mg, 4/18/12 - 0.75 ; 10/16 40mg; 1/16 0.6875 mg; at some point 0.625 mg Effexor taper: 1/29/12 - 40.625 mg, 4/29/12 - 39.875 mg, 5/11/12 - Switched to liquid Effexor, 5/25/12 - 38 mg, 7/6/12 - 35 mg, 8/17/12 - 32 mg, 9/14/12 - 30 mg, 10/19/12 - 28 mg, 11/9/12 - 26 mg, 11/30/12 - 24 mg, 01/14/13 - 22 mg. 02/25/13 - 20.8 mg, 03/18/13 - 19.2 mg, 4/15/13 - 17.6 mg, 8/10/13 - 16.4 mg, 9/7/13 - 15.2 mg, 10/19/13 - 14 mg, 1/15/14 - 13.2 mg, 3/1/2014 - 12.6 mg, 5/4/14 - 12 mg, 8/1/14 - 11.4 mg, 8/29/14 - 10.8 mg; 10/14/14 - 10.2 mg; 12/15/14 - 10 mg, 1/11/15 - 9.5 mg, 2/8/15 - 9 mg, 3/21/15 - 8.5 mg, 5/1/15 - 8 mg, 6/9/15 - 7.5 mg, 7/8/15 - 7 mg, 8/22/15 - 6.5 mg, 10/4/15 - 6 mg; 1/1/16 - 5.6 mg; 2/6/16 - 5.2 mg; 4/9 - 4.8 mg; 7/7 4.5 mg; 10/7 4.25 mg; 11/4 4.0 mg; 11/25 3.8 mg; 4/24 3.6 mg; 5/27 3.4 mg; 7/8 3.2 mg ... 10/18 2.8 mg; 1/18 2.6 mg; 4/7 2.4 mg; 5/26 2.15mg; 8/18 1.85 mg; 10/7 1.7 mg; 12/1 1.45 mg; 3/2 1.2 mg; 5/4 0.90 mg; 6/1 0.80 mg; 6/22 0.65 mg; 08/03 0.50 mg, 08/10 0.45 mg, 10/05 0.325 mg, 11/23 0.2 mg, 12/14 0.15 mg, 12/21 0.125 mg, 02/28 0.03125 mg, 2/15 0.015625 mg, 2/29/20 0.00 mg - OFF Effexor I am not a medical professional - this is not medical advice. My suggestions are based on personal experience, reading, observation and anecdotal information posted by other sufferers Link to comment
Moderator brassmonkey Posted February 2, 2023 Moderator Share Posted February 2, 2023 I'm so glad that everything went well. Sounds like you had a great team to work with. 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 Link to comment
Mentor littlebird Posted February 2, 2023 Mentor Share Posted February 2, 2023 2 hours ago, Karma said: Procedure was successful. Yaaaay, glad to hear it! Hope recovery is quick and full of ease. Pronouns: they/them/theirs Started on Prozac in early 2000s to treat cPTSD, been on various cocktails ever since. 2002-2004, 2017-2022: Buspar, tapered down to 0 2016-present: 100mg Seroquel for sleep -> May 2023: 90mg -> June 2023: 81mg -> September 2023: 72mg -> switched to brand name, much too strong, down to 60mg -> October 2023: 54mg -> November 2023: 50mg -> January 2024: 45mg -> April 2024: 40.5mg 2016-Present: 100mg Wellbutrin SR -> January 2023: 75mg IR (37.5mg 2x a day) -> February 2023 (33.75mg 2x a day) -> July 2023 (30.37mg 2x a day) -> August 2023: 27.33mg 2x a day 2018-present: 25mg Pristiq 2015-present: 600mg Gabapentin (200mg 3x a day) -> December 2022: 300mg Gabapentin (100mg 3x a day) per GP's recommendation after side effects -> March 2023: 90mg 3x a day (switched to liquid suspension) -> April 2023: 81mg 3x a day -> September 2023: bad generic, switched back to homemade liquid; too strong after bad generic, down to 70mg 3x a day, still bad. Adjusted slowly till at 60mg 3x a day, much better. Long hold till -> December 2023: 54mg, still feels too high after November Seroquel switch from brand name to generic, doc recommended 50mg which feels better -> January 2024: When Wellbutrin went down, Gabapentin started putting me to sleep, went down to 45mg, then 41mg to stay awake, so far so good -> February 2024: 36mg, still too high, 34mg -> March 2024: 31mg, STILL too high, 30mg Supplements: Multivitamin w/magnesium, probiotics, digestive enzymes, anti-viral nitric oxide nose spray as needed Link to comment
Terry Posted February 2, 2023 Share Posted February 2, 2023 @KarmaHope you're doing well post-surgery. If I may, I'd like to ask if you're done tapering Xanax. I'm currently in my second year of tapering alprazolam (Xanax) and wondering how you did with your taper, and if you have any advice for someone in the midst of it all. I'm anxious to be done with it, but know I need to be patient. Thanks, Terry 2007 - 2008 Paxil and Klonopin 2008 - 2012 Mirtazapine following CT from Klonopin and Paxil. 2012 Unsuccessful taper of mirtazapine; reinstated. 7/2013 - 1/2014 Successfully tapered mirtazapine from 7.5 mg to 0.00. Sertraline (Zoloft) Taper Aug 4, 2017 - July 18, 2021 - Current dose 0.00 Alprazolam (Xanax) July 19, 2017 - Nov 15, 2021 - 0.25 mg. Began 10% taper Nov 16, 2021 - 0.25 Jan 11, 2022 - 0.203; Jan 13, 2023 - 0.0499; Jan 21, 2024 - 0.0137; Mar 17, 2024 - 0.0092; Taper is 96% complete. Link to comment
Administrator Karma Posted February 3, 2023 Author Administrator Share Posted February 3, 2023 @Terry, thanks for the well wishes. The last drug I will taper off is alprazolam. I’ve made attempts throughout the years, but I’ve been advised to taper off the most activating drugs first. Currently working on tapering down Gabapentin. I was able to go from 1 mg of alprazolam down to 0.625 mg over time. I got .25 mg pills, cut them in quarters and gently stepped down. But, the withdrawals made me quite irritable. I will probably look into getting alprazolam compounded at a compounding pharmacy when I start that taper in earnest. My best advice: Log your symptoms, only go at the pace you can comfortably handle and have some patience. These drugs can be unforgiving. You have to keep in mind that coming off these drugs is like removing a trellis from a plant. You have to remove it slowly to allow the plant (your nervous system) to rebuild its strength and stand on its own without the trellis (alprazolam). Love and light, Karma 2007 @ 375 mg Effexor - 11/29/2011 - 43.75 mg Effexor (regular) & .625 mg Xanax 200 mg Gabapentin 2/27/21 - 194.5 mg, 5/28/21 - 183 mg, 8/2/21 - 170 mg, 11/28/21 - 150 mg, 4/19/22 - 122 mg; 8//7/22 - 100 mg; 12/17 - 75mg; 8/17 - 45 mg; 10/16 40 mg Xanax taper: 3/11/12 - 0.9375 mg, 3/25/12 - 0.875 mg, 4/6/12 - 0.8125 mg, 4/18/12 - 0.75 ; 10/16 40mg; 1/16 0.6875 mg; at some point 0.625 mg Effexor taper: 1/29/12 - 40.625 mg, 4/29/12 - 39.875 mg, 5/11/12 - Switched to liquid Effexor, 5/25/12 - 38 mg, 7/6/12 - 35 mg, 8/17/12 - 32 mg, 9/14/12 - 30 mg, 10/19/12 - 28 mg, 11/9/12 - 26 mg, 11/30/12 - 24 mg, 01/14/13 - 22 mg. 02/25/13 - 20.8 mg, 03/18/13 - 19.2 mg, 4/15/13 - 17.6 mg, 8/10/13 - 16.4 mg, 9/7/13 - 15.2 mg, 10/19/13 - 14 mg, 1/15/14 - 13.2 mg, 3/1/2014 - 12.6 mg, 5/4/14 - 12 mg, 8/1/14 - 11.4 mg, 8/29/14 - 10.8 mg; 10/14/14 - 10.2 mg; 12/15/14 - 10 mg, 1/11/15 - 9.5 mg, 2/8/15 - 9 mg, 3/21/15 - 8.5 mg, 5/1/15 - 8 mg, 6/9/15 - 7.5 mg, 7/8/15 - 7 mg, 8/22/15 - 6.5 mg, 10/4/15 - 6 mg; 1/1/16 - 5.6 mg; 2/6/16 - 5.2 mg; 4/9 - 4.8 mg; 7/7 4.5 mg; 10/7 4.25 mg; 11/4 4.0 mg; 11/25 3.8 mg; 4/24 3.6 mg; 5/27 3.4 mg; 7/8 3.2 mg ... 10/18 2.8 mg; 1/18 2.6 mg; 4/7 2.4 mg; 5/26 2.15mg; 8/18 1.85 mg; 10/7 1.7 mg; 12/1 1.45 mg; 3/2 1.2 mg; 5/4 0.90 mg; 6/1 0.80 mg; 6/22 0.65 mg; 08/03 0.50 mg, 08/10 0.45 mg, 10/05 0.325 mg, 11/23 0.2 mg, 12/14 0.15 mg, 12/21 0.125 mg, 02/28 0.03125 mg, 2/15 0.015625 mg, 2/29/20 0.00 mg - OFF Effexor I am not a medical professional - this is not medical advice. My suggestions are based on personal experience, reading, observation and anecdotal information posted by other sufferers Link to comment
Administrator Karma Posted February 11, 2023 Author Administrator Share Posted February 11, 2023 New question for the moderators. I’ll lead with background. I work for an global company. In the two decades I’ve worked here, I’ve managed to avoid international travel, but I may have to travel to Europe for business in the coming months. I take my alprazolam dose at 7 PM my time and gabapentin at 8 PM my time. There is an 8 hour time difference between where I live and where I will be going. We fly overnight. What recommendations do you have for when would I should take my meds to avoid causing withdrawals? Or how I should shift my doses for the week I’d be abroad? Thanks Karma 1 2007 @ 375 mg Effexor - 11/29/2011 - 43.75 mg Effexor (regular) & .625 mg Xanax 200 mg Gabapentin 2/27/21 - 194.5 mg, 5/28/21 - 183 mg, 8/2/21 - 170 mg, 11/28/21 - 150 mg, 4/19/22 - 122 mg; 8//7/22 - 100 mg; 12/17 - 75mg; 8/17 - 45 mg; 10/16 40 mg Xanax taper: 3/11/12 - 0.9375 mg, 3/25/12 - 0.875 mg, 4/6/12 - 0.8125 mg, 4/18/12 - 0.75 ; 10/16 40mg; 1/16 0.6875 mg; at some point 0.625 mg Effexor taper: 1/29/12 - 40.625 mg, 4/29/12 - 39.875 mg, 5/11/12 - Switched to liquid Effexor, 5/25/12 - 38 mg, 7/6/12 - 35 mg, 8/17/12 - 32 mg, 9/14/12 - 30 mg, 10/19/12 - 28 mg, 11/9/12 - 26 mg, 11/30/12 - 24 mg, 01/14/13 - 22 mg. 02/25/13 - 20.8 mg, 03/18/13 - 19.2 mg, 4/15/13 - 17.6 mg, 8/10/13 - 16.4 mg, 9/7/13 - 15.2 mg, 10/19/13 - 14 mg, 1/15/14 - 13.2 mg, 3/1/2014 - 12.6 mg, 5/4/14 - 12 mg, 8/1/14 - 11.4 mg, 8/29/14 - 10.8 mg; 10/14/14 - 10.2 mg; 12/15/14 - 10 mg, 1/11/15 - 9.5 mg, 2/8/15 - 9 mg, 3/21/15 - 8.5 mg, 5/1/15 - 8 mg, 6/9/15 - 7.5 mg, 7/8/15 - 7 mg, 8/22/15 - 6.5 mg, 10/4/15 - 6 mg; 1/1/16 - 5.6 mg; 2/6/16 - 5.2 mg; 4/9 - 4.8 mg; 7/7 4.5 mg; 10/7 4.25 mg; 11/4 4.0 mg; 11/25 3.8 mg; 4/24 3.6 mg; 5/27 3.4 mg; 7/8 3.2 mg ... 10/18 2.8 mg; 1/18 2.6 mg; 4/7 2.4 mg; 5/26 2.15mg; 8/18 1.85 mg; 10/7 1.7 mg; 12/1 1.45 mg; 3/2 1.2 mg; 5/4 0.90 mg; 6/1 0.80 mg; 6/22 0.65 mg; 08/03 0.50 mg, 08/10 0.45 mg, 10/05 0.325 mg, 11/23 0.2 mg, 12/14 0.15 mg, 12/21 0.125 mg, 02/28 0.03125 mg, 2/15 0.015625 mg, 2/29/20 0.00 mg - OFF Effexor I am not a medical professional - this is not medical advice. My suggestions are based on personal experience, reading, observation and anecdotal information posted by other sufferers Link to comment
Administrator Altostrata Posted February 11, 2023 Administrator Share Posted February 11, 2023 Hi, @Karma If I were you, I'd use the world clock and translate your drug schedule for the different time zones you'll be in. You can set your current time zone for an appointment in Google Calendar and it will automagically show you the local time for the appointment. If you don't use Google Calendar, there probably are apps that will do this -- keep the appointment consistent across time zones. 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
Administrator Karma Posted February 11, 2023 Author Administrator Share Posted February 11, 2023 @Altostrata, thanks. If I understand correctly, you recommend I take them at the same time according to my body’s clock. So 7PM local time is 3AM at my destination. Unless I have insomnia, I won’t be awake at that time. Perhaps I shift it by an hour, I generally wake by 4AM my time so I could take the alprazolam upon waking and the gabapentin an hour later. Do you think taking the alprazolam in the morning will make me drowsy or just avoid anxiety withdrawals? Thanks Karma 2007 @ 375 mg Effexor - 11/29/2011 - 43.75 mg Effexor (regular) & .625 mg Xanax 200 mg Gabapentin 2/27/21 - 194.5 mg, 5/28/21 - 183 mg, 8/2/21 - 170 mg, 11/28/21 - 150 mg, 4/19/22 - 122 mg; 8//7/22 - 100 mg; 12/17 - 75mg; 8/17 - 45 mg; 10/16 40 mg Xanax taper: 3/11/12 - 0.9375 mg, 3/25/12 - 0.875 mg, 4/6/12 - 0.8125 mg, 4/18/12 - 0.75 ; 10/16 40mg; 1/16 0.6875 mg; at some point 0.625 mg Effexor taper: 1/29/12 - 40.625 mg, 4/29/12 - 39.875 mg, 5/11/12 - Switched to liquid Effexor, 5/25/12 - 38 mg, 7/6/12 - 35 mg, 8/17/12 - 32 mg, 9/14/12 - 30 mg, 10/19/12 - 28 mg, 11/9/12 - 26 mg, 11/30/12 - 24 mg, 01/14/13 - 22 mg. 02/25/13 - 20.8 mg, 03/18/13 - 19.2 mg, 4/15/13 - 17.6 mg, 8/10/13 - 16.4 mg, 9/7/13 - 15.2 mg, 10/19/13 - 14 mg, 1/15/14 - 13.2 mg, 3/1/2014 - 12.6 mg, 5/4/14 - 12 mg, 8/1/14 - 11.4 mg, 8/29/14 - 10.8 mg; 10/14/14 - 10.2 mg; 12/15/14 - 10 mg, 1/11/15 - 9.5 mg, 2/8/15 - 9 mg, 3/21/15 - 8.5 mg, 5/1/15 - 8 mg, 6/9/15 - 7.5 mg, 7/8/15 - 7 mg, 8/22/15 - 6.5 mg, 10/4/15 - 6 mg; 1/1/16 - 5.6 mg; 2/6/16 - 5.2 mg; 4/9 - 4.8 mg; 7/7 4.5 mg; 10/7 4.25 mg; 11/4 4.0 mg; 11/25 3.8 mg; 4/24 3.6 mg; 5/27 3.4 mg; 7/8 3.2 mg ... 10/18 2.8 mg; 1/18 2.6 mg; 4/7 2.4 mg; 5/26 2.15mg; 8/18 1.85 mg; 10/7 1.7 mg; 12/1 1.45 mg; 3/2 1.2 mg; 5/4 0.90 mg; 6/1 0.80 mg; 6/22 0.65 mg; 08/03 0.50 mg, 08/10 0.45 mg, 10/05 0.325 mg, 11/23 0.2 mg, 12/14 0.15 mg, 12/21 0.125 mg, 02/28 0.03125 mg, 2/15 0.015625 mg, 2/29/20 0.00 mg - OFF Effexor I am not a medical professional - this is not medical advice. My suggestions are based on personal experience, reading, observation and anecdotal information posted by other sufferers Link to comment
Administrator Altostrata Posted February 11, 2023 Administrator Share Posted February 11, 2023 6 hours ago, Karma said: Do you think taking the alprazolam in the morning will make me drowsy or just avoid anxiety withdrawals? I don't know. If you usually wake at 4 a.m., it may not make you drowsy because you'll be peaking in those daytime hormones. 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
Moderator brassmonkey Posted February 12, 2023 Moderator Share Posted February 12, 2023 The big question is, how does your body react if you don't take your dose on time? The key that I have found is to go with the flow and not worry about it too much. There is so much distraction that your body will be confused anyway and may not notice the difference. Especially if you don't obsess about it. I would assume that there is a reason you dose those medications at those times. It is important to keep up with that schedule, as you don't want to take a sedating medication in the morning if you usually take it at night. Travel days are the worst schedule wise. Setting an alarm and taking them on your normal schedule is the best way. I usually use a timer instead of an alarm. Smartphones autocorrect the time as you change zones, which can really throw things off. But a "twelve hour timer" doesn't care about time zones. Once at the destination I would revert to my normal dosing schedule according to when I would wake up. Morning dose as part of my morning routine and evening dose sometime in the evening. It is very easy to lose track of timing and miss doses too. Especially on travel days. So, if you are not too sensitive to the timing of your doses I would do the best I could on travel days and then "go native" at the destination. Once you get back home there will be some travel hangover for about a week, try to get back on your "normal schedule" and it should settle out fairly quickly. I always carry two days' worth of doses in my pocket and keep the bulk supplies in my carryon. You mentioned that you will be flying at night. If this is true then, if at all possible, get the "A" seat in front of the wing. (The window seat on the left side facing the front of the plane). The flight will take you north over Greenland and Iceland. We currently are nicely into "solar maximum" for sunspot activity, which means that there will be a very good chance of seeing the Northern Light. It is a truly amazing sight. 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 Link to comment
rmce72a Posted February 12, 2023 Share Posted February 12, 2023 Brassmonkey, I read with interest all you had to say to Karma about sugar and helping with adrenals. I have been avoiding sugar, but often I have symptoms that feel like a hypoglycemic episode. Also, sometimes within an hour or so after eating, I feel an intense hunger even though I have just eaten a meal, which could be something called reactive diabetes. My diet is very limited since I have many, many food sensitivities, but I have also never had a blood sugar problem that I know of. My blood work always shows that my glucose is ok. Do you think I should try your recommendations to Karma when this happens? I know in general sugar consumption is frowned upon here and I have cut out all sugar except for a tablespoon on my lunch oatmeal. Prozac 10mg 1990-1999 -1999-2018 Effexor XR 75 mg capsules -2018 Dr direct switched me from Effexor 75XR to Cymbalta 20mg XR and 20 mg Metoprolol following irregular heartbeat incident -Late 2019 began worsening anxiety/ depression symptoms -2020 Dr direct switched back to 75 mg Effex XR Symptoms worsened -2021 Changed Dr and began therapy for GAD and worsening physical symptoms -2022 Found this forum and began slow taper by removing beads - 6/7 - 6/10 Effexor 73.2mg 6/11-6/14 Effexor 72.9mg nightmares, tinnitus, anxiety; 6/15- Effexor XR 72.6mg 6/16 - 6/20 Effexor XR 72.8 nausea, heart palpitations, anxiety, tinnitus 6/22-7/4 hold Effexor XR 72.9-73.1 7/5-7/11 Effexor XR 72.62 7/12 - 7/15 Effexor 72.6 bad symptoms 7/16-7/17 Effexor XR upped to 72.9 7/18 Effexor XR 72.9 most symptoms gone hold at 72.9 - 73.0 8/26 - 9/6 Trying to keep dosage under 73. Holding around 72.9 sometime 72.86 due to bead count Having symptoms most days. 9/6-9/23 Holding at about 72.9-73. Still very ill. No improvement. 9/23 - 11/23 Still keeping dose around 72.9-73 11-23-Jan 14 Held until one week ago. Dropped to 72.75-72.81 terrible WD 1/14- present Worse WD symptoms. Back to 73.10. Cannot seem to stabilize. 2/2 - present Holding at about 73 hoping to stabilize 3/19 - present Dropped to aprox 92.9-92.88. (vary from day to day.) Holding Take only Clarinex 5mg for allergies and the Effexor 73 XR. I cannot take any supplements. No caffeine, sugar, soy, gluten, dairy. Link to comment
Moderator brassmonkey Posted February 13, 2023 Moderator Share Posted February 13, 2023 For many, especially those in ADWD, sugar can act as a stimulant. For people whose nervous system is in an uproar because of WD this can be a problem. Which is why we recommend against overindulging. However, the body id fueled by sugar. What we eat is converted into sugar to provide energy for daily activities. Any excess sugar is converted into fat and stored for future use, when it will be converted back into sugar. But the sugar we eat is not the sugar the body uses, so it has to be "digested" and converted into the right stuff. This process takes time and is a big part of why we have low energy points throughout the day. For many people what we see as a hypoglycemic episode is an exaggerated "afternoon slump". The suggestions I made are for treating this sort of experience and I don't see why they wouldn't be helpful for you. As with anything we suggest, I would start small and work up to see what works best for you. The "minimum effective dose" is what we are looking for. 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 Link to comment
rmce72a Posted February 13, 2023 Share Posted February 13, 2023 Thank you, Brassmonkey. I have been faithfully following your microtapering advice even though I can't drop anywhere close to a 5-10 per cent taper. I have gone from 75 to 73 in almost 9 months and still have daily symptoms that make life miserable. When I tried to drop to 72.7 in early January, it was a disaster, so I am back to 72.95-73.10. I am beginning to think I am a lost cause for discontinuing ADs and just find a better one that the dreaded Effexor I have taken for 24 years. Any time I read something here that might provide some relief, I investigate in hope of finding something...anything...that will give me some quality of life. Thank you for all your information. I appreciate more than you can ever know. Rebecca Prozac 10mg 1990-1999 -1999-2018 Effexor XR 75 mg capsules -2018 Dr direct switched me from Effexor 75XR to Cymbalta 20mg XR and 20 mg Metoprolol following irregular heartbeat incident -Late 2019 began worsening anxiety/ depression symptoms -2020 Dr direct switched back to 75 mg Effex XR Symptoms worsened -2021 Changed Dr and began therapy for GAD and worsening physical symptoms -2022 Found this forum and began slow taper by removing beads - 6/7 - 6/10 Effexor 73.2mg 6/11-6/14 Effexor 72.9mg nightmares, tinnitus, anxiety; 6/15- Effexor XR 72.6mg 6/16 - 6/20 Effexor XR 72.8 nausea, heart palpitations, anxiety, tinnitus 6/22-7/4 hold Effexor XR 72.9-73.1 7/5-7/11 Effexor XR 72.62 7/12 - 7/15 Effexor 72.6 bad symptoms 7/16-7/17 Effexor XR upped to 72.9 7/18 Effexor XR 72.9 most symptoms gone hold at 72.9 - 73.0 8/26 - 9/6 Trying to keep dosage under 73. Holding around 72.9 sometime 72.86 due to bead count Having symptoms most days. 9/6-9/23 Holding at about 72.9-73. Still very ill. No improvement. 9/23 - 11/23 Still keeping dose around 72.9-73 11-23-Jan 14 Held until one week ago. Dropped to 72.75-72.81 terrible WD 1/14- present Worse WD symptoms. Back to 73.10. Cannot seem to stabilize. 2/2 - present Holding at about 73 hoping to stabilize 3/19 - present Dropped to aprox 92.9-92.88. (vary from day to day.) Holding Take only Clarinex 5mg for allergies and the Effexor 73 XR. I cannot take any supplements. No caffeine, sugar, soy, gluten, dairy. Link to comment
Administrator Karma Posted February 25, 2023 Author Administrator Share Posted February 25, 2023 On 2/12/2023 at 1:53 PM, brassmonkey said: So, if you are not too sensitive to the timing of your doses I would do the best I could on travel days and then "go native" at the destination. Yeah, that's going to be a problem. I am very sensitive to my dose timing. If I go so much as 2-1/2 hours beyond my dose time, I am in full body anxiety. If I take my med and am focusing on something, I stay awake until I'm ready to sleep. But I slip into withdrawal pretty quickly if I miss a dose. I missed a dose a couple of weeks ago and was certain I had taken the med (so I didn't go check my pill case). I wasn't able to sleep at all. Tried meditation, deep breathing, focusing on just my breath, mantras - nothing worked. When I rose from bed in the morning, I was totally wired. It wasn't until that evening that I discovered I hadn't taken the alprazolam. That evening got back on schedule and was fine. But that wasn't fun. On 2/12/2023 at 1:53 PM, brassmonkey said: There is so much distraction that your body will be confused anyway and may not notice the difference. Especially if you don't obsess about it Unfortunately, I am obsessive. I've had too many bad experiences that have caused me to be obsessive. I literally set an alarm on my phone to remind me to take that med at night. I can shift it up to a couple of hours, but I get withdrawal anxiety fairly quickly. Here is what I was thinking. Based on the possible flight schedules I could take my med at the normal time traveling over. I can sleep on planes, so can get some rest. Once there it will be morning, I'd be somewhat short on sleep, but I believe I can stay awake all day once I arrive. In the evening at my destination, I could take my med at 7:00 PM CET (destination time). That shortens the time in between doses to 16 hours rather than 24 hours. Might be ok. I think coming back and getting on my normal time may be a bit trickier. Its a 10 hour flight back leaving either late morning or early afternoon. I'd take alprazolam around 7:00 PM CET (could go earlier) on the flight. That is about six hours into the flight (could be less). We arrive about four hours later. Once back home, I think I'd take my med at my normal 7:00 PM local time. But that will compress the time between doses down to 8 hours between doses and that seems like it will cause an issue. Perhaps I could take half my dose at 7:00 PM and the other half when I wake in the morning and then get back on my normal schedule? Or force myself to wait a few hours later to take my normal dose and the next night get back on my normal schedule. Any thoughts on this? Thanks Karma 2007 @ 375 mg Effexor - 11/29/2011 - 43.75 mg Effexor (regular) & .625 mg Xanax 200 mg Gabapentin 2/27/21 - 194.5 mg, 5/28/21 - 183 mg, 8/2/21 - 170 mg, 11/28/21 - 150 mg, 4/19/22 - 122 mg; 8//7/22 - 100 mg; 12/17 - 75mg; 8/17 - 45 mg; 10/16 40 mg Xanax taper: 3/11/12 - 0.9375 mg, 3/25/12 - 0.875 mg, 4/6/12 - 0.8125 mg, 4/18/12 - 0.75 ; 10/16 40mg; 1/16 0.6875 mg; at some point 0.625 mg Effexor taper: 1/29/12 - 40.625 mg, 4/29/12 - 39.875 mg, 5/11/12 - Switched to liquid Effexor, 5/25/12 - 38 mg, 7/6/12 - 35 mg, 8/17/12 - 32 mg, 9/14/12 - 30 mg, 10/19/12 - 28 mg, 11/9/12 - 26 mg, 11/30/12 - 24 mg, 01/14/13 - 22 mg. 02/25/13 - 20.8 mg, 03/18/13 - 19.2 mg, 4/15/13 - 17.6 mg, 8/10/13 - 16.4 mg, 9/7/13 - 15.2 mg, 10/19/13 - 14 mg, 1/15/14 - 13.2 mg, 3/1/2014 - 12.6 mg, 5/4/14 - 12 mg, 8/1/14 - 11.4 mg, 8/29/14 - 10.8 mg; 10/14/14 - 10.2 mg; 12/15/14 - 10 mg, 1/11/15 - 9.5 mg, 2/8/15 - 9 mg, 3/21/15 - 8.5 mg, 5/1/15 - 8 mg, 6/9/15 - 7.5 mg, 7/8/15 - 7 mg, 8/22/15 - 6.5 mg, 10/4/15 - 6 mg; 1/1/16 - 5.6 mg; 2/6/16 - 5.2 mg; 4/9 - 4.8 mg; 7/7 4.5 mg; 10/7 4.25 mg; 11/4 4.0 mg; 11/25 3.8 mg; 4/24 3.6 mg; 5/27 3.4 mg; 7/8 3.2 mg ... 10/18 2.8 mg; 1/18 2.6 mg; 4/7 2.4 mg; 5/26 2.15mg; 8/18 1.85 mg; 10/7 1.7 mg; 12/1 1.45 mg; 3/2 1.2 mg; 5/4 0.90 mg; 6/1 0.80 mg; 6/22 0.65 mg; 08/03 0.50 mg, 08/10 0.45 mg, 10/05 0.325 mg, 11/23 0.2 mg, 12/14 0.15 mg, 12/21 0.125 mg, 02/28 0.03125 mg, 2/15 0.015625 mg, 2/29/20 0.00 mg - OFF Effexor I am not a medical professional - this is not medical advice. My suggestions are based on personal experience, reading, observation and anecdotal information posted by other sufferers Link to comment
Moderator brassmonkey Posted February 25, 2023 Moderator Share Posted February 25, 2023 It sounds like the sensitivity could be a problem. Your plan for the outbound flight sounds pretty good. I find staying awake for the arrival day to be pretty tough at times, but doable. For coming home. It sounds good up until your arrival. Instead of starting right back up with your normal schedule at 7pm. What about slipping it several hours till 10 or 11, to avoid the extreme compression. Then slip the morning dose a little less and slide back into the normal schedule over several days. I know I'm always pretty wiped out when getting back and it takes several days just to normalize my sleep schedule, so slipping your dosing schedule might just work. 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 Link to comment
Administrator Karma Posted February 27, 2023 Author Administrator Share Posted February 27, 2023 @brassmonkey Thanks for weighing in on this. I suspect if I have to travel to Europe for work, I’ll need to take time off when I get back to normalize my sleep and recover from jet lag. Your input gives me some confidence that it is doable, albeit with some disruption that I can potentially overcome. Thanks, so much for working through this with me, Karma 2007 @ 375 mg Effexor - 11/29/2011 - 43.75 mg Effexor (regular) & .625 mg Xanax 200 mg Gabapentin 2/27/21 - 194.5 mg, 5/28/21 - 183 mg, 8/2/21 - 170 mg, 11/28/21 - 150 mg, 4/19/22 - 122 mg; 8//7/22 - 100 mg; 12/17 - 75mg; 8/17 - 45 mg; 10/16 40 mg Xanax taper: 3/11/12 - 0.9375 mg, 3/25/12 - 0.875 mg, 4/6/12 - 0.8125 mg, 4/18/12 - 0.75 ; 10/16 40mg; 1/16 0.6875 mg; at some point 0.625 mg Effexor taper: 1/29/12 - 40.625 mg, 4/29/12 - 39.875 mg, 5/11/12 - Switched to liquid Effexor, 5/25/12 - 38 mg, 7/6/12 - 35 mg, 8/17/12 - 32 mg, 9/14/12 - 30 mg, 10/19/12 - 28 mg, 11/9/12 - 26 mg, 11/30/12 - 24 mg, 01/14/13 - 22 mg. 02/25/13 - 20.8 mg, 03/18/13 - 19.2 mg, 4/15/13 - 17.6 mg, 8/10/13 - 16.4 mg, 9/7/13 - 15.2 mg, 10/19/13 - 14 mg, 1/15/14 - 13.2 mg, 3/1/2014 - 12.6 mg, 5/4/14 - 12 mg, 8/1/14 - 11.4 mg, 8/29/14 - 10.8 mg; 10/14/14 - 10.2 mg; 12/15/14 - 10 mg, 1/11/15 - 9.5 mg, 2/8/15 - 9 mg, 3/21/15 - 8.5 mg, 5/1/15 - 8 mg, 6/9/15 - 7.5 mg, 7/8/15 - 7 mg, 8/22/15 - 6.5 mg, 10/4/15 - 6 mg; 1/1/16 - 5.6 mg; 2/6/16 - 5.2 mg; 4/9 - 4.8 mg; 7/7 4.5 mg; 10/7 4.25 mg; 11/4 4.0 mg; 11/25 3.8 mg; 4/24 3.6 mg; 5/27 3.4 mg; 7/8 3.2 mg ... 10/18 2.8 mg; 1/18 2.6 mg; 4/7 2.4 mg; 5/26 2.15mg; 8/18 1.85 mg; 10/7 1.7 mg; 12/1 1.45 mg; 3/2 1.2 mg; 5/4 0.90 mg; 6/1 0.80 mg; 6/22 0.65 mg; 08/03 0.50 mg, 08/10 0.45 mg, 10/05 0.325 mg, 11/23 0.2 mg, 12/14 0.15 mg, 12/21 0.125 mg, 02/28 0.03125 mg, 2/15 0.015625 mg, 2/29/20 0.00 mg - OFF Effexor I am not a medical professional - this is not medical advice. My suggestions are based on personal experience, reading, observation and anecdotal information posted by other sufferers Link to comment
Moderator Emeritus Shep Posted March 1, 2023 Moderator Emeritus Share Posted March 1, 2023 @KarmaSounds like you've got this all worked out really good with Brassmonkey's sage advice. I'll just add that if you currently take your drugs with a meal or snack, try and do so while you're traveling, if possible. Being very sensitive to timing may also mean you're also sensitive to absorption. Consistency is always best. You may want to pack some healthy, easily-transportable snacks so you don't feel pressured to indulge in the wrong foods, etc. Remove all of the variables you can that can cause upticks in symptoms. On 2/24/2023 at 9:19 PM, Karma said: I think coming back and getting on my normal time may be a bit trickier. Its a 10 hour flight back leaving either late morning or early afternoon. I'd take alprazolam around 7:00 PM CET (could go earlier) on the flight. That is about six hours into the flight (could be less). We arrive about four hours later. Once back home, I think I'd take my med at my normal 7:00 PM local time. But that will compress the time between doses down to 8 hours between doses and that seems like it will cause an issue. Perhaps I could take half my dose at 7:00 PM and the other half when I wake in the morning and then get back on my normal schedule? Or force myself to wait a few hours later to take my normal dose and the next night get back on my normal schedule. On 2/25/2023 at 4:49 PM, brassmonkey said: For coming home. It sounds good up until your arrival. Instead of starting right back up with your normal schedule at 7pm. What about slipping it several hours till 10 or 11, to avoid the extreme compression. Then slip the morning dose a little less and slide back into the normal schedule over several days. Brassmonkey's plan sounds really good. Gradual moves are good. But, Karma, if your travel dosing schedule sets you up for interdose withdrawal with the benzo, make sure you have a short guided meditation or breathing exercise at the ready on your phone or laptop so you can slip on some headphones or earbuds and take some deep, healing breaths. Just having things like that at the ready can be helpful for a feeling of security. You mention being a bit obsessive over your dose timing and such. As long as you don't go into a worry spiral, that kind of observance and dedication will likely work in your favor. You'll be more careful to tend to your diet and stay hydrated and use all of the great non-drug coping skills you've picked up along the way. If you're into restorative yoga, this is a great one, gentle, designed for the weary traveler in need of restoration: Yoga For Travel | Yoga With Adriene video (24 minutes) You've come a long way already, Karma. I'm sure you'll do fine. Link to comment
Administrator Karma Posted April 23, 2023 Author Administrator Share Posted April 23, 2023 I am holding the gabapentin taper. I've been feeling off for over a month now. My adrenals just don't feel stable and I've been a bit irritable. I thought it was aftereffect from the minor surgery, it turns out, I have an infection in my jaw bone threatening the health of two molars. The good news is that I am not in any pain and we found it during a routine cleaning and exam. Yes, after minor surgery in the earlier part of the year, now I need dental surgery. I am ever so grateful for the great major medical and dental insurance I am blessed with! It's a day procedure in-office, scheduled across 3 hours. I need endodontal and periodontal work, scheduled one right after the other. They've offered to sedate me with a benzo, but for now, I've declined. I'm sure antibiotics and pain meds will follow the surgery. But its a common antibiotic I've used before. If I can, I will avoid any narcotics. Any thoughts or suggestions on remaining stable through this other than just holding the gabapentin taper? Does anyone think accepting the benzo (triazolam) is a better idea? Thanks Karma 2007 @ 375 mg Effexor - 11/29/2011 - 43.75 mg Effexor (regular) & .625 mg Xanax 200 mg Gabapentin 2/27/21 - 194.5 mg, 5/28/21 - 183 mg, 8/2/21 - 170 mg, 11/28/21 - 150 mg, 4/19/22 - 122 mg; 8//7/22 - 100 mg; 12/17 - 75mg; 8/17 - 45 mg; 10/16 40 mg Xanax taper: 3/11/12 - 0.9375 mg, 3/25/12 - 0.875 mg, 4/6/12 - 0.8125 mg, 4/18/12 - 0.75 ; 10/16 40mg; 1/16 0.6875 mg; at some point 0.625 mg Effexor taper: 1/29/12 - 40.625 mg, 4/29/12 - 39.875 mg, 5/11/12 - Switched to liquid Effexor, 5/25/12 - 38 mg, 7/6/12 - 35 mg, 8/17/12 - 32 mg, 9/14/12 - 30 mg, 10/19/12 - 28 mg, 11/9/12 - 26 mg, 11/30/12 - 24 mg, 01/14/13 - 22 mg. 02/25/13 - 20.8 mg, 03/18/13 - 19.2 mg, 4/15/13 - 17.6 mg, 8/10/13 - 16.4 mg, 9/7/13 - 15.2 mg, 10/19/13 - 14 mg, 1/15/14 - 13.2 mg, 3/1/2014 - 12.6 mg, 5/4/14 - 12 mg, 8/1/14 - 11.4 mg, 8/29/14 - 10.8 mg; 10/14/14 - 10.2 mg; 12/15/14 - 10 mg, 1/11/15 - 9.5 mg, 2/8/15 - 9 mg, 3/21/15 - 8.5 mg, 5/1/15 - 8 mg, 6/9/15 - 7.5 mg, 7/8/15 - 7 mg, 8/22/15 - 6.5 mg, 10/4/15 - 6 mg; 1/1/16 - 5.6 mg; 2/6/16 - 5.2 mg; 4/9 - 4.8 mg; 7/7 4.5 mg; 10/7 4.25 mg; 11/4 4.0 mg; 11/25 3.8 mg; 4/24 3.6 mg; 5/27 3.4 mg; 7/8 3.2 mg ... 10/18 2.8 mg; 1/18 2.6 mg; 4/7 2.4 mg; 5/26 2.15mg; 8/18 1.85 mg; 10/7 1.7 mg; 12/1 1.45 mg; 3/2 1.2 mg; 5/4 0.90 mg; 6/1 0.80 mg; 6/22 0.65 mg; 08/03 0.50 mg, 08/10 0.45 mg, 10/05 0.325 mg, 11/23 0.2 mg, 12/14 0.15 mg, 12/21 0.125 mg, 02/28 0.03125 mg, 2/15 0.015625 mg, 2/29/20 0.00 mg - OFF Effexor I am not a medical professional - this is not medical advice. My suggestions are based on personal experience, reading, observation and anecdotal information posted by other sufferers Link to comment
Moderator Emeritus Shep Posted April 24, 2023 Moderator Emeritus Share Posted April 24, 2023 17 hours ago, Karma said: They've offered to sedate me with a benzo, but for now, I've declined. I'm sure antibiotics and pain meds will follow the surgery. But its a common antibiotic I've used before. If I can, I will avoid any narcotics. Any thoughts or suggestions on remaining stable through this other than just holding the gabapentin taper? Does anyone think accepting the benzo (triazolam) is a better idea? I'm sorry you're having to go through another medical procedure, especially so soon after having surgery. If you do opt for the triazolam, you may want to space it apart from your other drugs, as there are moderate drug interactions with gabapentin and Xanax. You're currently taking 0.625 mg of Xanax a day. According to the equivalency chart, Xanax and Triazolam are equivalent in their doses. You may ask the doctor what dose you'll be given and possibly skip your Xanax for that day in order to opt for the Triazolam. However, please check with your doctor first since this is for a surgical procedure. It may not be necessary to skip the Xanax, as a one-off of a different benzo may not cause any problems. It may be comparable to taking a rescue dose. Also, if you can, I would avoid the fluoroquinolone antibiotics -- these are dangerous for people tapering benzodiazepines because they displace benzodiazepines from their binding sites on GABA-receptors and can send you straight into acute withdrawal. Here is a list of fluoroquinolone antibiotics to avoid if possible - Fluoroquinolone antibiotics. Link to comment
Administrator Karma Posted April 24, 2023 Author Administrator Share Posted April 24, 2023 Thanks @Shep This just solidifies my resolve to go without sedation. They will use a local anesthetic and I anticipate being numb for quite some time. But that’s ok. That is better than any reaction to mixing drugs. Thanks for the reminder about the antibiotics. I had a really bad experience with Cipro and vowed never to take it again. I actually checked with the doctor and they will use amoxicillin. I‘ve taken it before without any issues. We will be increasing my supplements and probiotics to recover from the assault on my microbiome. I’m grateful we found this tooth thing before I started to have any pain from it and I’m grateful for the referral to these specialists who use the most advanced technology for these procedures. I’m hoping once I get through this that that is it for this year! Thanks for your support and checking into those drug interactions for me. Karma 1 2007 @ 375 mg Effexor - 11/29/2011 - 43.75 mg Effexor (regular) & .625 mg Xanax 200 mg Gabapentin 2/27/21 - 194.5 mg, 5/28/21 - 183 mg, 8/2/21 - 170 mg, 11/28/21 - 150 mg, 4/19/22 - 122 mg; 8//7/22 - 100 mg; 12/17 - 75mg; 8/17 - 45 mg; 10/16 40 mg Xanax taper: 3/11/12 - 0.9375 mg, 3/25/12 - 0.875 mg, 4/6/12 - 0.8125 mg, 4/18/12 - 0.75 ; 10/16 40mg; 1/16 0.6875 mg; at some point 0.625 mg Effexor taper: 1/29/12 - 40.625 mg, 4/29/12 - 39.875 mg, 5/11/12 - Switched to liquid Effexor, 5/25/12 - 38 mg, 7/6/12 - 35 mg, 8/17/12 - 32 mg, 9/14/12 - 30 mg, 10/19/12 - 28 mg, 11/9/12 - 26 mg, 11/30/12 - 24 mg, 01/14/13 - 22 mg. 02/25/13 - 20.8 mg, 03/18/13 - 19.2 mg, 4/15/13 - 17.6 mg, 8/10/13 - 16.4 mg, 9/7/13 - 15.2 mg, 10/19/13 - 14 mg, 1/15/14 - 13.2 mg, 3/1/2014 - 12.6 mg, 5/4/14 - 12 mg, 8/1/14 - 11.4 mg, 8/29/14 - 10.8 mg; 10/14/14 - 10.2 mg; 12/15/14 - 10 mg, 1/11/15 - 9.5 mg, 2/8/15 - 9 mg, 3/21/15 - 8.5 mg, 5/1/15 - 8 mg, 6/9/15 - 7.5 mg, 7/8/15 - 7 mg, 8/22/15 - 6.5 mg, 10/4/15 - 6 mg; 1/1/16 - 5.6 mg; 2/6/16 - 5.2 mg; 4/9 - 4.8 mg; 7/7 4.5 mg; 10/7 4.25 mg; 11/4 4.0 mg; 11/25 3.8 mg; 4/24 3.6 mg; 5/27 3.4 mg; 7/8 3.2 mg ... 10/18 2.8 mg; 1/18 2.6 mg; 4/7 2.4 mg; 5/26 2.15mg; 8/18 1.85 mg; 10/7 1.7 mg; 12/1 1.45 mg; 3/2 1.2 mg; 5/4 0.90 mg; 6/1 0.80 mg; 6/22 0.65 mg; 08/03 0.50 mg, 08/10 0.45 mg, 10/05 0.325 mg, 11/23 0.2 mg, 12/14 0.15 mg, 12/21 0.125 mg, 02/28 0.03125 mg, 2/15 0.015625 mg, 2/29/20 0.00 mg - OFF Effexor I am not a medical professional - this is not medical advice. My suggestions are based on personal experience, reading, observation and anecdotal information posted by other sufferers Link to comment
Moderator Emeritus Carmie Posted April 25, 2023 Moderator Emeritus Share Posted April 25, 2023 Dear Karma, sorry to hear you have an infection and need dental surgery. Glad to hear though that you’re not in any pain. Hoping all goes well with the surgery, sending hugs🤗 Seroquel. 2019:➡️ From 7.25mg to 5.80mg✔️ 2020➡️From 5.60 to 4.80✔️ 2021➡️From 4.60 to 4.0✔️ 2022➡️From 3.95 to 3.55✔️2023➡️ Jan 26=3.50✔️March 17=3.45✔️ June12=3.40✔️ July30=3.35✔️ Sep14=3.30✔️ Oct31=3.25✔️ 2024➡️Jan15=3.20✔️ Feb19=3.15✔️ March26=3.10✔️This is NOT medical advice.Consult your doctor. Link to comment
Administrator Karma Posted July 20, 2023 Author Administrator Share Posted July 20, 2023 It’s time for an update and a mini celebration. Dental surgery went well. I had a bone graft and a root canal using a Fotona Laser. A bone graft takes about six months to regenerate the bone and about a year to fully heal. They didn’t tell me that part until six weeks after the surgery . I’ve looked at it hard and even if I’d known about how long it takes to heal, I still would have done these procedures. The only thing is that I feel the tooth 🦷. It’s not a toothache, but I feel it. Turns out that’s the tendons healing. I didn’t know they cut the tendons. It’s all good for now. Mini celebration 🎉 I’m at 50 mg Gabapentin, down from 200 mg, a 75% reduction overall. It’s taken longer than expected (doesn’t it always). I started out reducing 1 mg every 4 days and then as the reduction became a higher percentage of my original dose, I extended the time between reductions. Currently, I am reducing by 1 mg every 7 days. I will switch to reducing by 0.50 mg, likely back to every 4 days and see how it goes when I go to the next incremental drop. All good here otherwise. Love and light, Karma 2 2007 @ 375 mg Effexor - 11/29/2011 - 43.75 mg Effexor (regular) & .625 mg Xanax 200 mg Gabapentin 2/27/21 - 194.5 mg, 5/28/21 - 183 mg, 8/2/21 - 170 mg, 11/28/21 - 150 mg, 4/19/22 - 122 mg; 8//7/22 - 100 mg; 12/17 - 75mg; 8/17 - 45 mg; 10/16 40 mg Xanax taper: 3/11/12 - 0.9375 mg, 3/25/12 - 0.875 mg, 4/6/12 - 0.8125 mg, 4/18/12 - 0.75 ; 10/16 40mg; 1/16 0.6875 mg; at some point 0.625 mg Effexor taper: 1/29/12 - 40.625 mg, 4/29/12 - 39.875 mg, 5/11/12 - Switched to liquid Effexor, 5/25/12 - 38 mg, 7/6/12 - 35 mg, 8/17/12 - 32 mg, 9/14/12 - 30 mg, 10/19/12 - 28 mg, 11/9/12 - 26 mg, 11/30/12 - 24 mg, 01/14/13 - 22 mg. 02/25/13 - 20.8 mg, 03/18/13 - 19.2 mg, 4/15/13 - 17.6 mg, 8/10/13 - 16.4 mg, 9/7/13 - 15.2 mg, 10/19/13 - 14 mg, 1/15/14 - 13.2 mg, 3/1/2014 - 12.6 mg, 5/4/14 - 12 mg, 8/1/14 - 11.4 mg, 8/29/14 - 10.8 mg; 10/14/14 - 10.2 mg; 12/15/14 - 10 mg, 1/11/15 - 9.5 mg, 2/8/15 - 9 mg, 3/21/15 - 8.5 mg, 5/1/15 - 8 mg, 6/9/15 - 7.5 mg, 7/8/15 - 7 mg, 8/22/15 - 6.5 mg, 10/4/15 - 6 mg; 1/1/16 - 5.6 mg; 2/6/16 - 5.2 mg; 4/9 - 4.8 mg; 7/7 4.5 mg; 10/7 4.25 mg; 11/4 4.0 mg; 11/25 3.8 mg; 4/24 3.6 mg; 5/27 3.4 mg; 7/8 3.2 mg ... 10/18 2.8 mg; 1/18 2.6 mg; 4/7 2.4 mg; 5/26 2.15mg; 8/18 1.85 mg; 10/7 1.7 mg; 12/1 1.45 mg; 3/2 1.2 mg; 5/4 0.90 mg; 6/1 0.80 mg; 6/22 0.65 mg; 08/03 0.50 mg, 08/10 0.45 mg, 10/05 0.325 mg, 11/23 0.2 mg, 12/14 0.15 mg, 12/21 0.125 mg, 02/28 0.03125 mg, 2/15 0.015625 mg, 2/29/20 0.00 mg - OFF Effexor I am not a medical professional - this is not medical advice. My suggestions are based on personal experience, reading, observation and anecdotal information posted by other sufferers Link to comment
Moderator Emeritus Shep Posted July 20, 2023 Moderator Emeritus Share Posted July 20, 2023 @Karma Very glad to read your dental surgery went well and you are on the way to a full, albeit a lengthy, recovery. Wishing you well on the continuation of your gabapentin taper. Link to comment
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