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Terry

Terry: withdrawing from Xanax and Zoloft

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Terry
40 minutes ago, Shep said:

 

This is such great news, Terry! I'm so glad to read about your 4-day window. 

 

Please hold. That is the best advice I can give. You are right to say that it's not a good idea to taper the benzo alongside the AD. 

 

How many hours a night are you sleeping now? 

I generally get between 5 and 6 hours a night, sometimes a little more, but not all in one piece (at least 2  bathroom trips/night).


2007 - 2008          Paxil and Klonopin

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

2012                       Unsuccessful taper of mirtazapine; reinstated.     

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

 

7/19/17 ALPRAZOLAM 0.25 mg. - current  

                SERTRALINE  - 25 mg

Began taper Aug 4, 2017 - 25 mg;  Jan 1, 2018 - 12.5 mg;  Jan 16, 2019 - 2.6 mg;  Jan 5, 2020 - 1.0 mg;   

                Current dose:   Oct 17 - 0.38 mg;

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Shep
2 minutes ago, Terry said:

I generally get between 5 and 6 hours a night, sometimes a little more, but not all in one piece (at least 2  bathroom trips/night).

 

This sounds good, Terry. It shows you can go back to sleep after waking up. You're actually doing better than I am in that respect. I hope your sleep is restorative. 

 

Please keep holding and let us know how you're doing over the next few days. A 4 day window is very good and shows a lot of nervous system resiliency. 


Drug free May 22, 2015 after 30 years of neuroleptics, benzos, z-drugs, so-called "anti"-depressants, and amphetamines 

 

My Success Story:  Shep's Success: "Leaving Plato's Cave"

 

And what is good, Phaedrus, and what is not good — need we ask anyone to tell us these things? ~ Zen and the Art of Motorcycle Maintenance


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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Terry

I've had 8 pretty good days in a row with only minor WD symptoms.  I'm wondering if it's OK to lower my AD dose at this point.  I don't quite know when to make that move.


2007 - 2008          Paxil and Klonopin

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

2012                       Unsuccessful taper of mirtazapine; reinstated.     

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

 

7/19/17 ALPRAZOLAM 0.25 mg. - current  

                SERTRALINE  - 25 mg

Began taper Aug 4, 2017 - 25 mg;  Jan 1, 2018 - 12.5 mg;  Jan 16, 2019 - 2.6 mg;  Jan 5, 2020 - 1.0 mg;   

                Current dose:   Oct 17 - 0.38 mg;

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Terry
On 9/30/2017 at 11:24 AM, Shep said:

 

This sounds good, Terry. It shows you can go back to sleep after waking up. You're actually doing better than I am in that respect. I hope your sleep is restorative. 

 

Please keep holding and let us know how you're doing over the next few days. A 4 day window is very good and shows a lot of nervous system resiliency. 

I've had 8 pretty good days in a row with only minor WD symptoms.  I'm wondering if it's OK to lower my AD dose at this point.  I don't quite know when to make that move.

 

Quote


2007 - 2008          Paxil and Klonopin

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

2012                       Unsuccessful taper of mirtazapine; reinstated.     

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

 

7/19/17 ALPRAZOLAM 0.25 mg. - current  

                SERTRALINE  - 25 mg

Began taper Aug 4, 2017 - 25 mg;  Jan 1, 2018 - 12.5 mg;  Jan 16, 2019 - 2.6 mg;  Jan 5, 2020 - 1.0 mg;   

                Current dose:   Oct 17 - 0.38 mg;

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baroquep

Hi Terry, normally people wait a couple of weeks once they start feeling well before making another change.  And because you were pretty rough for a while there, I'd probably hold another month just to be on the safe side.  After I destabilized back in March, I waited two months to start tapering again.  From my perspective, it's always best to be safe rather than sorry.  

Keep it Simple, Slow and Stable

Start Small Listen to Your Body


Current Prescription Drugs for Hypothyroidism:  Synthroid 100mcg / Cytomel 5mcg (15 years Pristiq/Effexor)

Tapering Schedule
September 15, 2016 - switched from Pristiq 50mg to Effexor XR 75mg; November 10, 2016 - reduced to 67.5 Effexor XR
December 9, 2016 - reduced 60.75
January 5, 2017 - reduced 54.67
January 30, 2017 - reduced to 49.0
February 20, 2017 - reduced to 44.0 
May 20, 2017 - reduced to 40.25 (holding for additional month due to late onset of withdrawal symptoms after this taper)
July 17, 2017 - reduced to 38.24
August 15, 2017 - reduced to 37.5 (50% of my original dose)

October 15, 2017 - reduced to 35.6

November 12, 2017 - reduced to 33.8
December 15, 2017 - up-dose to 35.6
December 28, 2017 - up-dose to 37.5

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Terry
12 minutes ago, baroquep said:

Hi Terry, normally people wait a couple of weeks once they start feeling well before making another change.  And because you were pretty rough for a while there, I'd probably hold another month just to be on the safe side.  After I destabilized back in March, I waited two months to start tapering again.  From my perspective, it's always best to be safe rather than sorry.  
 

Keep it Simple, Slow and Stable

Start Small Listen to Your Body

I guess I'm so anxious to get to the Xanax taper because I've been reading such horror stories about benzo withdrawal.  It almost makes me want to just hold on the sertrilene and work on reducing the Xanax instead.  I'm really afraid of another terrible withdrawal.


2007 - 2008          Paxil and Klonopin

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

2012                       Unsuccessful taper of mirtazapine; reinstated.     

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

 

7/19/17 ALPRAZOLAM 0.25 mg. - current  

                SERTRALINE  - 25 mg

Began taper Aug 4, 2017 - 25 mg;  Jan 1, 2018 - 12.5 mg;  Jan 16, 2019 - 2.6 mg;  Jan 5, 2020 - 1.0 mg;   

                Current dose:   Oct 17 - 0.38 mg;

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Shep
Just now, Terry said:

I guess I'm so anxious to get to the Xanax taper because I've been reading such horror stories about benzo withdrawal.  It almost makes me want to just hold on the sertrilene and work on reducing the Xanax instead.  I'm really afraid of another terrible withdrawal.

 

I'm going to add to what Baroquep said and also advise holding at least a month.

 

Your best bet not to be one of those benzo horror stories is to let your nervous system stabilize as much as possible so you start your taper out with a strong nervous system. The fact that you were able to stabilize so quickly by spreading your Xanax doses out says your nervous system still has some resiliency. It's not broken. But you do need to nurture it. 

 

From what I'm reading, you're doing really well. Please hold and I bet you feel even better. 

 

 


Drug free May 22, 2015 after 30 years of neuroleptics, benzos, z-drugs, so-called "anti"-depressants, and amphetamines 

 

My Success Story:  Shep's Success: "Leaving Plato's Cave"

 

And what is good, Phaedrus, and what is not good — need we ask anyone to tell us these things? ~ Zen and the Art of Motorcycle Maintenance


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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baroquep

not sure why this link didn't post ... here is another one on stabilizing.  I'll get back to you regarding your other question about tapering sertrilene vs Xanax.

After Reinstating or UpDosing - How Long to Stabilize?


Current Prescription Drugs for Hypothyroidism:  Synthroid 100mcg / Cytomel 5mcg (15 years Pristiq/Effexor)

Tapering Schedule
September 15, 2016 - switched from Pristiq 50mg to Effexor XR 75mg; November 10, 2016 - reduced to 67.5 Effexor XR
December 9, 2016 - reduced 60.75
January 5, 2017 - reduced 54.67
January 30, 2017 - reduced to 49.0
February 20, 2017 - reduced to 44.0 
May 20, 2017 - reduced to 40.25 (holding for additional month due to late onset of withdrawal symptoms after this taper)
July 17, 2017 - reduced to 38.24
August 15, 2017 - reduced to 37.5 (50% of my original dose)

October 15, 2017 - reduced to 35.6

November 12, 2017 - reduced to 33.8
December 15, 2017 - up-dose to 35.6
December 28, 2017 - up-dose to 37.5

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baroquep

Hi again, regarding which to taper first ... I'll attach the link with the information and draw your attention to this:

 

When you are taking an antidepressant and a benzo, if you are not having significant adverse effects from the benzo, consider tapering the antidepressant first for these reasons:

Here is the link to the complete topic:

 

Taking Multiple Psych Drugs - Which Drug to Taper First

Edited by baroquep

Current Prescription Drugs for Hypothyroidism:  Synthroid 100mcg / Cytomel 5mcg (15 years Pristiq/Effexor)

Tapering Schedule
September 15, 2016 - switched from Pristiq 50mg to Effexor XR 75mg; November 10, 2016 - reduced to 67.5 Effexor XR
December 9, 2016 - reduced 60.75
January 5, 2017 - reduced 54.67
January 30, 2017 - reduced to 49.0
February 20, 2017 - reduced to 44.0 
May 20, 2017 - reduced to 40.25 (holding for additional month due to late onset of withdrawal symptoms after this taper)
July 17, 2017 - reduced to 38.24
August 15, 2017 - reduced to 37.5 (50% of my original dose)

October 15, 2017 - reduced to 35.6

November 12, 2017 - reduced to 33.8
December 15, 2017 - up-dose to 35.6
December 28, 2017 - up-dose to 37.5

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Madeleine

So glad to hear you are feeling better and sleeping better!!!!   Don't rush and it should be fine. 


Dec 1, 2016. 10 mg zyprexa for 1.5 month. Started taper mid-Jan. 2017. Cut 1.25 mg every 2 weeks; smaller cuts 2.5 mg down. Stopped at .6 mg. May 7, 2017: zyprexa free. 
Zoloft: Dec1, 2016, 200 mg. Started taper: Jun12, 2017: 197.5 mg; Jun19,:195 mg; July 2:185mg; July 9,:180 mg; July16,: 175; July 23: 170; July 30: 165; Aug6: 160; Aug13: 155; Aug. 20: 150; Aug.27: 146 mg; Sept3: 145 mg; Sept10:143 mg; Sept17:140 mg....Nov5: 122 mg...Dec3:112.5 mg; Jan14, 2018: 95 mg...Jan28: 90 mg; Feb21:80 mg; Mar11: 75 mg; May2:70 mg; May15: 68 mg; May28: 65 mg; Jun9: 62 mg;Jun25: 60 mg:July22: 55 mg; Aug25: 45 mg. Aug28: 50 mg...Oct 28: 38 mg; Dec.4: 30 mg; Jan8,2019: 25mg; Feb6: 23.5 mg; Apr1:17.5mg; May1:1 mg; May 5: 18;  May 18:15mg; June 16:12.5mg; Sept 10:11 mg; Sept.16:10 mg; Oct. 1: 9mg; Nov. 27: 8mg; Dec.5: 7mg; Jan.1,2020, 6 mg; Feb1: 5 mg; May 1: 2.5 mg; Jn 1: 2 mg; Jy 1: 1.5 mg
Spreadsheet: https://docs.google.com/spreadsheets/d/1pw4tjImAJ92OIVyRvZoZYjqxiKMk7wvp-ljiIi1olRo/edit#gid=0

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Terry
34 minutes ago, Shep said:

 

I'm going to add to what Baroquep said and also advise holding at least a month.

 

Your best bet not to be one of those benzo horror stories is to let your nervous system stabilize as much as possible so you start your taper out with a strong nervous system. The fact that you were able to stabilize so quickly by spreading your Xanax doses out says your nervous system still has some resiliency. It's not broken. But you do need to nurture it. 

 

From what I'm reading, you're doing really well. Please hold and I bet you feel even better. 

 

 

Thanks, Shep.  I guess I really need patience in this process.  I've tapered before, quite slowly, and was successful, but I only had an AD to get rid of.


2007 - 2008          Paxil and Klonopin

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

2012                       Unsuccessful taper of mirtazapine; reinstated.     

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

 

7/19/17 ALPRAZOLAM 0.25 mg. - current  

                SERTRALINE  - 25 mg

Began taper Aug 4, 2017 - 25 mg;  Jan 1, 2018 - 12.5 mg;  Jan 16, 2019 - 2.6 mg;  Jan 5, 2020 - 1.0 mg;   

                Current dose:   Oct 17 - 0.38 mg;

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Terry
31 minutes ago, baroquep said:

Hi again, regarding which to taper first ... I'll attach the link with the information and draw your attention to this:

 

When you are taking an antidepressant and a benzo, if you are not having significant adverse effects from the benzo, consider tapering the antidepressant first for these reasons:

Here is the link to the complete topic:

 

Taking Multiple Psych Drugs - Which Drug to Taper First

Thanks, Baroquep.  I'll have to check this out.


2007 - 2008          Paxil and Klonopin

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

2012                       Unsuccessful taper of mirtazapine; reinstated.     

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

 

7/19/17 ALPRAZOLAM 0.25 mg. - current  

                SERTRALINE  - 25 mg

Began taper Aug 4, 2017 - 25 mg;  Jan 1, 2018 - 12.5 mg;  Jan 16, 2019 - 2.6 mg;  Jan 5, 2020 - 1.0 mg;   

                Current dose:   Oct 17 - 0.38 mg;

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Terry
18 hours ago, Madeleine said:

So glad to hear you are feeling better and sleeping better!!!!   Don't rush and it should be fine. 

Thanks, Madeleine.  So far today hasn't been as good as the previous week.  I'm hoping it will be better soon.  I'm afraid if I go very slowly on tapering the AD I won't be able to get rid of the benzo for several years down the road.


2007 - 2008          Paxil and Klonopin

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

2012                       Unsuccessful taper of mirtazapine; reinstated.     

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

 

7/19/17 ALPRAZOLAM 0.25 mg. - current  

                SERTRALINE  - 25 mg

Began taper Aug 4, 2017 - 25 mg;  Jan 1, 2018 - 12.5 mg;  Jan 16, 2019 - 2.6 mg;  Jan 5, 2020 - 1.0 mg;   

                Current dose:   Oct 17 - 0.38 mg;

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baroquep

Hi Terry, how are things?  thought that this link might help to explain how the central nervous system stabilizes and the reason we recommend holding for so long after a change.  CNS healing tends to follow a windows and waves pattern of stabilization and you'll want to make sure that when you start tapering again, as Shep also pointed out, from a position of strength rather than when still on shaky ground.  If I were you, I'd hold where you are for at least a couple of months which will allow you enough time to track your patterns to ensure that you are on an upward trend over a long period of time.     


Windows and Waves Pattern of Stabilization

Rate Symptoms Daily to Check Patterns and Progress

 


Current Prescription Drugs for Hypothyroidism:  Synthroid 100mcg / Cytomel 5mcg (15 years Pristiq/Effexor)

Tapering Schedule
September 15, 2016 - switched from Pristiq 50mg to Effexor XR 75mg; November 10, 2016 - reduced to 67.5 Effexor XR
December 9, 2016 - reduced 60.75
January 5, 2017 - reduced 54.67
January 30, 2017 - reduced to 49.0
February 20, 2017 - reduced to 44.0 
May 20, 2017 - reduced to 40.25 (holding for additional month due to late onset of withdrawal symptoms after this taper)
July 17, 2017 - reduced to 38.24
August 15, 2017 - reduced to 37.5 (50% of my original dose)

October 15, 2017 - reduced to 35.6

November 12, 2017 - reduced to 33.8
December 15, 2017 - up-dose to 35.6
December 28, 2017 - up-dose to 37.5

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Terry
1 hour ago, baroquep said:

Hi Terry, how are things?  thought that this link might help to explain how the central nervous system stabilizes and the reason we recommend holding for so long after a change.  CNS healing tends to follow a windows and waves pattern of stabilization and you'll want to make sure that when you start tapering again, as Shep also pointed out, from a position of strength rather than when still on shaky ground.  If I were you, I'd hold where you are for at least a couple of months which will allow you enough time to track your patterns to ensure that you are on an upward trend over a long period of time.     


Windows and Waves Pattern of Stabilization

Rate Symptoms Daily to Check Patterns and Progress

 

Things seem to be going quite well.  The last two weeks have been mostly good, with very  minor symptoms.  Do I need to be totally symptom free before tapering again?


2007 - 2008          Paxil and Klonopin

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

2012                       Unsuccessful taper of mirtazapine; reinstated.     

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

 

7/19/17 ALPRAZOLAM 0.25 mg. - current  

                SERTRALINE  - 25 mg

Began taper Aug 4, 2017 - 25 mg;  Jan 1, 2018 - 12.5 mg;  Jan 16, 2019 - 2.6 mg;  Jan 5, 2020 - 1.0 mg;   

                Current dose:   Oct 17 - 0.38 mg;

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baroquep

Glad to hear that things are going relatively well, that is very good news.   I just wanted to point out that you might want to do a good long hold before you start tapering.  Some people do taper while experiencing minor withdrawal, but for me personally, the goal is a symptom free taper.  I won't do another decrease until I am pretty much symptom free both emotionally and physically.  At the beginning of my taper, I was feeling really good, amazing actually, and thought I could go start tapering at a good pace right away despite the warnings of one of the moderators here to do a nice long hold and, surprise, surprise, I ended up crashing pretty badly and had to do a three month hold.  When I see what to me, appears that a member is getting an itch to get started before a person is really ready, it's a red flag to me and just trying to ensure that the next step that you take is going to be a smooth one :) 


Current Prescription Drugs for Hypothyroidism:  Synthroid 100mcg / Cytomel 5mcg (15 years Pristiq/Effexor)

Tapering Schedule
September 15, 2016 - switched from Pristiq 50mg to Effexor XR 75mg; November 10, 2016 - reduced to 67.5 Effexor XR
December 9, 2016 - reduced 60.75
January 5, 2017 - reduced 54.67
January 30, 2017 - reduced to 49.0
February 20, 2017 - reduced to 44.0 
May 20, 2017 - reduced to 40.25 (holding for additional month due to late onset of withdrawal symptoms after this taper)
July 17, 2017 - reduced to 38.24
August 15, 2017 - reduced to 37.5 (50% of my original dose)

October 15, 2017 - reduced to 35.6

November 12, 2017 - reduced to 33.8
December 15, 2017 - up-dose to 35.6
December 28, 2017 - up-dose to 37.5

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Terry

I have a tapering question.  I have been diluting my sertraline with water to get the right dosage and am noticing that there are fine particles in the solution.  I have to swirl the solution and then immediately draw it into a syringe.  I can always see some of these particles sticking to the bottom of the glass.  It seems to be working OK for me now, but when it gets down to the low doses I'm wondering how accurate this method will be.  


2007 - 2008          Paxil and Klonopin

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

2012                       Unsuccessful taper of mirtazapine; reinstated.     

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

 

7/19/17 ALPRAZOLAM 0.25 mg. - current  

                SERTRALINE  - 25 mg

Began taper Aug 4, 2017 - 25 mg;  Jan 1, 2018 - 12.5 mg;  Jan 16, 2019 - 2.6 mg;  Jan 5, 2020 - 1.0 mg;   

                Current dose:   Oct 17 - 0.38 mg;

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ChessieCat

The tablets contain fillers which don't dissolve.

 

On 27/07/2012 at 11:44 AM, Altostrata said:

You will be able to see particles swirling around in the water (some of the filler used in tablets and capsules is insoluble).

 


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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Terry
49 minutes ago, ChessieCat said:

The tablets contain fillers which don't dissolve.

Thanks ChessieCat.  I was concerned that I might have to go to a compounding pharmacy for this prescription, and I don't know if, or how well my insurance might cover that.  Now that I know, I'll just continue making my own dilutions.  So far, so good!


2007 - 2008          Paxil and Klonopin

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

2012                       Unsuccessful taper of mirtazapine; reinstated.     

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

 

7/19/17 ALPRAZOLAM 0.25 mg. - current  

                SERTRALINE  - 25 mg

Began taper Aug 4, 2017 - 25 mg;  Jan 1, 2018 - 12.5 mg;  Jan 16, 2019 - 2.6 mg;  Jan 5, 2020 - 1.0 mg;   

                Current dose:   Oct 17 - 0.38 mg;

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Terry

I have been feeling really good the last 3 weeks, so I guess I'm tapering OK.  Tomorrow I plan to make the next cut.  Wish I could taper the alprazolam at the same time.


2007 - 2008          Paxil and Klonopin

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

2012                       Unsuccessful taper of mirtazapine; reinstated.     

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

 

7/19/17 ALPRAZOLAM 0.25 mg. - current  

                SERTRALINE  - 25 mg

Began taper Aug 4, 2017 - 25 mg;  Jan 1, 2018 - 12.5 mg;  Jan 16, 2019 - 2.6 mg;  Jan 5, 2020 - 1.0 mg;   

                Current dose:   Oct 17 - 0.38 mg;

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Terry

Maybe I've heard this before, but I'm wondering why it's inadvisable to taper both a benzo and an AD at the same time.  It could certainly shorten the time to be med-free.

 


2007 - 2008          Paxil and Klonopin

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

2012                       Unsuccessful taper of mirtazapine; reinstated.     

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

 

7/19/17 ALPRAZOLAM 0.25 mg. - current  

                SERTRALINE  - 25 mg

Began taper Aug 4, 2017 - 25 mg;  Jan 1, 2018 - 12.5 mg;  Jan 16, 2019 - 2.6 mg;  Jan 5, 2020 - 1.0 mg;   

                Current dose:   Oct 17 - 0.38 mg;

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Madeleine

It's inadvisable as you can't manage symptoms, as you won't know which decrease is causing what symptoms. If you get withdrawal symptoms, you won't know if it's the cut to the AD, to the benzo or a combination.  If you do one at a time, then you know, and you can slow down that one, and hold if need be, then start cutting again when you stabilize. 

 What benzo(s) are you on? And how much? I don't see it in your signature.  

 


Dec 1, 2016. 10 mg zyprexa for 1.5 month. Started taper mid-Jan. 2017. Cut 1.25 mg every 2 weeks; smaller cuts 2.5 mg down. Stopped at .6 mg. May 7, 2017: zyprexa free. 
Zoloft: Dec1, 2016, 200 mg. Started taper: Jun12, 2017: 197.5 mg; Jun19,:195 mg; July 2:185mg; July 9,:180 mg; July16,: 175; July 23: 170; July 30: 165; Aug6: 160; Aug13: 155; Aug. 20: 150; Aug.27: 146 mg; Sept3: 145 mg; Sept10:143 mg; Sept17:140 mg....Nov5: 122 mg...Dec3:112.5 mg; Jan14, 2018: 95 mg...Jan28: 90 mg; Feb21:80 mg; Mar11: 75 mg; May2:70 mg; May15: 68 mg; May28: 65 mg; Jun9: 62 mg;Jun25: 60 mg:July22: 55 mg; Aug25: 45 mg. Aug28: 50 mg...Oct 28: 38 mg; Dec.4: 30 mg; Jan8,2019: 25mg; Feb6: 23.5 mg; Apr1:17.5mg; May1:1 mg; May 5: 18;  May 18:15mg; June 16:12.5mg; Sept 10:11 mg; Sept.16:10 mg; Oct. 1: 9mg; Nov. 27: 8mg; Dec.5: 7mg; Jan.1,2020, 6 mg; Feb1: 5 mg; May 1: 2.5 mg; Jn 1: 2 mg; Jy 1: 1.5 mg
Spreadsheet: https://docs.google.com/spreadsheets/d/1pw4tjImAJ92OIVyRvZoZYjqxiKMk7wvp-ljiIi1olRo/edit#gid=0

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ChessieCat
2 hours ago, Madeleine said:

If you do one at a time, then you know, and you can slow down that one, and hold if need be, then start cutting again when you stabilize. 

 

I agree with Madeleine.

 

2 hours ago, Terry said:

It could certainly shorten the time to be med-free.

 

If you do two at the same time you will not know what is causing any issues which arise.  This could result in you updosing one or both drugs which in the long run will end up taking longer to get off.


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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Terry
3 hours ago, Madeleine said:

It's inadvisable as you can't manage symptoms, as you won't know which decrease is causing what symptoms. If you get withdrawal symptoms, you won't know if it's the cut to the AD, to the benzo or a combination.  If you do one at a time, then you know, and you can slow down that one, and hold if need be, then start cutting again when you stabilize. 

 What benzo(s) are you on? And how much? I don't see it in your signature.  

 

I'm on alprazolam, 0.25 mg.  I can't remember how to get to my signature to change it.


2007 - 2008          Paxil and Klonopin

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

2012                       Unsuccessful taper of mirtazapine; reinstated.     

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

 

7/19/17 ALPRAZOLAM 0.25 mg. - current  

                SERTRALINE  - 25 mg

Began taper Aug 4, 2017 - 25 mg;  Jan 1, 2018 - 12.5 mg;  Jan 16, 2019 - 2.6 mg;  Jan 5, 2020 - 1.0 mg;   

                Current dose:   Oct 17 - 0.38 mg;

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Terry
1 hour ago, ChessieCat said:

 

I agree with Madeleine.

 

 

If you do two at the same time you will not know what is causing any issues which arise.  This could result in you updosing one or both drugs which in the long run will end up taking longer to get off.

It's just very hard to think it'll take me 5 years or so to get off drugs I started in July.


2007 - 2008          Paxil and Klonopin

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

2012                       Unsuccessful taper of mirtazapine; reinstated.     

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

 

7/19/17 ALPRAZOLAM 0.25 mg. - current  

                SERTRALINE  - 25 mg

Began taper Aug 4, 2017 - 25 mg;  Jan 1, 2018 - 12.5 mg;  Jan 16, 2019 - 2.6 mg;  Jan 5, 2020 - 1.0 mg;   

                Current dose:   Oct 17 - 0.38 mg;

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baroquep

Hi Terry, so glad to hear that you are doing a lot better now, know that it was a little rough there for a while and it's good to see that people can and do get better with a little patience and perseverance.  Will have to echo what both Madeleine and ChessieCat have said, it is much better to taper one drug at a time and to take as much time as you need to get off of these drugs safely.  I tried speeding up my taper at the beginning of the year and it set me back a few months.  Wishing you continued healing and that your taper is uneventful on your journey off these drugs, no matter how long it takes :)  

Keep it Simple, Slow and Stable


Current Prescription Drugs for Hypothyroidism:  Synthroid 100mcg / Cytomel 5mcg (15 years Pristiq/Effexor)

Tapering Schedule
September 15, 2016 - switched from Pristiq 50mg to Effexor XR 75mg; November 10, 2016 - reduced to 67.5 Effexor XR
December 9, 2016 - reduced 60.75
January 5, 2017 - reduced 54.67
January 30, 2017 - reduced to 49.0
February 20, 2017 - reduced to 44.0 
May 20, 2017 - reduced to 40.25 (holding for additional month due to late onset of withdrawal symptoms after this taper)
July 17, 2017 - reduced to 38.24
August 15, 2017 - reduced to 37.5 (50% of my original dose)

October 15, 2017 - reduced to 35.6

November 12, 2017 - reduced to 33.8
December 15, 2017 - up-dose to 35.6
December 28, 2017 - up-dose to 37.5

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Terry
On 10/24/2017 at 3:47 PM, ChessieCat said:

The tablets contain fillers which don't dissolve.

 

 

I talked to my pharmacist today and she told me that sertraline should not be diluted with water.  Maybe that's why I always have particles in my dilutions.  I'm not sure why that is, but she just told me to talk to my doctor.  Her method of tapering was to go to a daily half tablet, then every other day, etc., etc., which I think we all know doesn't work.  I'm not going to talk to my doctor, first because he will discourage me from tapering and second because I'm sure his tapering plan would be similar to the pharmacist's.


2007 - 2008          Paxil and Klonopin

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

2012                       Unsuccessful taper of mirtazapine; reinstated.     

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

 

7/19/17 ALPRAZOLAM 0.25 mg. - current  

                SERTRALINE  - 25 mg

Began taper Aug 4, 2017 - 25 mg;  Jan 1, 2018 - 12.5 mg;  Jan 16, 2019 - 2.6 mg;  Jan 5, 2020 - 1.0 mg;   

                Current dose:   Oct 17 - 0.38 mg;

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ChessieCat

From Page 1 of tips-for-tapering-off-seroquel-quetiapine

 

On 09/08/2014 at 5:55 AM, mammaP said:

You could ask your doctor to switch you over to immediate release tablets and make a liquid from them as above.  Many members make their own liquid from their tablets and get on fine with it. 


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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Terry

Has anyone else used just water to dilute sertraline for tapering?  My pharmacist says I can't do it, tho she didn't explain why.  I can see that there are particles which don't dissolve, but was told by one of the moderators that those could be just fillers.  I'm wondering if anyone has experienced doing a full taper with this method.


2007 - 2008          Paxil and Klonopin

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

2012                       Unsuccessful taper of mirtazapine; reinstated.     

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

 

7/19/17 ALPRAZOLAM 0.25 mg. - current  

                SERTRALINE  - 25 mg

Began taper Aug 4, 2017 - 25 mg;  Jan 1, 2018 - 12.5 mg;  Jan 16, 2019 - 2.6 mg;  Jan 5, 2020 - 1.0 mg;   

                Current dose:   Oct 17 - 0.38 mg;

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Terry
On 11/11/2017 at 6:02 PM, ChessieCat said:

This link is for seroquel, not sertraline.


2007 - 2008          Paxil and Klonopin

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

2012                       Unsuccessful taper of mirtazapine; reinstated.     

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

 

7/19/17 ALPRAZOLAM 0.25 mg. - current  

                SERTRALINE  - 25 mg

Began taper Aug 4, 2017 - 25 mg;  Jan 1, 2018 - 12.5 mg;  Jan 16, 2019 - 2.6 mg;  Jan 5, 2020 - 1.0 mg;   

                Current dose:   Oct 17 - 0.38 mg;

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Terry

I had been feeling so good and now nearly 2 weeks after making a cut of 10% I only slept until 3 AM, am having anxiety, chills, and was crying this morning.  We are hosting our children and grandchildren on Thanksgiving and I'm wondering if I'll be tough enough to do everything.  I'm thinking that trying to make dilutions of sertraline with water may be my problem, as it doesn't dissolve well.  Advice, anyone?

 


2007 - 2008          Paxil and Klonopin

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

2012                       Unsuccessful taper of mirtazapine; reinstated.     

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

 

7/19/17 ALPRAZOLAM 0.25 mg. - current  

                SERTRALINE  - 25 mg

Began taper Aug 4, 2017 - 25 mg;  Jan 1, 2018 - 12.5 mg;  Jan 16, 2019 - 2.6 mg;  Jan 5, 2020 - 1.0 mg;   

                Current dose:   Oct 17 - 0.38 mg;

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ChessieCat

Sorry about the wrong link.  Here is the correct one:

 

Tips for tapering off Zoloft (sertraline)

 

"Make your own liquid
Many people make their own Zoloft liquid out of tablets and water. See How to make a liquid from tablets or capsules"


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.

Share this post


Link to post
Terry

I had been feeling quite good on 15.5 mg sertraline so decided to taper 10% to 14.0 mg.  I held there for 12 days but began having WD symptoms.  I then decided to go back up to 15.5 mg, but on day 7 I'm still not feeling as good as I had before tapering.  Should I have toughed out the WD at 14.0 mg?  Any advice would be appreciated.


2007 - 2008          Paxil and Klonopin

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

2012                       Unsuccessful taper of mirtazapine; reinstated.     

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

 

7/19/17 ALPRAZOLAM 0.25 mg. - current  

                SERTRALINE  - 25 mg

Began taper Aug 4, 2017 - 25 mg;  Jan 1, 2018 - 12.5 mg;  Jan 16, 2019 - 2.6 mg;  Jan 5, 2020 - 1.0 mg;   

                Current dose:   Oct 17 - 0.38 mg;

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ChessieCat

I've been doing a cautious taper and sometimes experience withdrawal symptoms.  When this happens I ask myself am I able to live with them if they continue.  Several times the answer was no, and I updosed by a small amount, not gone back to the previous dose.

 

After 12 days your brain would have made some adaptation to being on a lower dose so it would not have needed the previous dose.  Increasing by 0.5mg may have been enough.

 

However we do need to accept that there will be times of discomfort.  We need to learn to sit with the discomfort, provided that the discomfort is not unbearable, if our goal is to get off the drug.  It is important to learn non drug techniques to get us through the uncomfortable times and not rely on a drug.

 

You may want to consider reducing by 5% next time you taper.  Or use a different taper method:

 

Brass Monkey Slide

 

Rhi's "Start Small, Listen to Your Body" Taper Plan

 

Micro-taper instead of 10% or 5% decreases


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.

Share this post


Link to post
Terry

Thanks so much Chessie, for the advice and the links.  Sometimes I feel like I don't have the strength to endure much anymore.  


2007 - 2008          Paxil and Klonopin

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

2012                       Unsuccessful taper of mirtazapine; reinstated.     

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

 

7/19/17 ALPRAZOLAM 0.25 mg. - current  

                SERTRALINE  - 25 mg

Began taper Aug 4, 2017 - 25 mg;  Jan 1, 2018 - 12.5 mg;  Jan 16, 2019 - 2.6 mg;  Jan 5, 2020 - 1.0 mg;   

                Current dose:   Oct 17 - 0.38 mg;

Share this post


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Terry
On 11/27/2017 at 3:13 PM, ChessieCat said:

However we do need to accept that there will be times of discomfort.  We need to learn to sit with the discomfort, provided that the discomfort is not unbearable, if our goal is to get off the drug. 

Correct me if I have the wrong Idea.  I thought it was necessary to be stabilized, without any WD symptoms, before starting another taper.  So if I understand your statement, you can have discomfort and still proceed with the next taper?  And what exactly does it mean to be stabilized?


2007 - 2008          Paxil and Klonopin

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

2012                       Unsuccessful taper of mirtazapine; reinstated.     

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

 

7/19/17 ALPRAZOLAM 0.25 mg. - current  

                SERTRALINE  - 25 mg

Began taper Aug 4, 2017 - 25 mg;  Jan 1, 2018 - 12.5 mg;  Jan 16, 2019 - 2.6 mg;  Jan 5, 2020 - 1.0 mg;   

                Current dose:   Oct 17 - 0.38 mg;

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