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Nadine1: Can I open gabapentin capsule and taper by removing small percentages of drug?


Nadine1

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Hello everyone.
I NEED to get off Gabapentin before this goes into a territory that I can't manage. I did a fast taper off of a Benzo after being 5 years on. I am almost 2 years off of that, but STILL still from withdrawals. It's unbelievable. The Gabapentin has not done a thing for me. I have gained over 30 pounds on this drug. Jan 2018 will be two years on this drug. I'm on 600mg. Basically I'm only taking it to take it because it does not a damn thing. It hasn't helped AT ALL with the Benzo symptoms. I have read too many conflicting things about liquid taper from this drug so would prefer not to be steered in that direction unless there is proof that that method has worked with members here.
On the other hand, someone told me the best way to taper Gabapentin is to open the capsule, mix up the ingredients-apparently one side is the actual drug, and the other side is the fillers-  then take a percentage away-I would have had to weigh the capsule ahead. Then I would need to recapsule the drug. I have empty gelatin capsules. What do you guys think of that? And has anyone done that here? Thank you very much. 

5 years of Ativan
Quick taper off Ativan which ended December 2015
Started Gabapentin to help with symptoms. Could not tell if Gabapentin was helping or not in the beginning. Didn't think it was but was too scared to get off back then. 
It's now been almost 2 years on Gabapentin. 
On 600mgf of Gabapentin. Need OFF before things get bad!  

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  • ChessieCat changed the title to Nadine1: Can i open gabapentin capsule and taper by removing small percentages of drug?
  • Moderator Emeritus

Hi Nadine, I am sorry to hear that you are still suffering benzo withdrawal, it really can be brutal and I sympathise. We have a topic for tapering gabapebtin. I suspect that people who have had problems may have tapered too fast, many people think it is ok to taper quickly but it needs careful tapering like any other drug. I am glad that you are here before starting so that you can be fully informed. Neurontin (gabapentin) is available in liquid form so it might be good to start tapering using part tablets or capsules and part liquid if your doctor will prescribe it for you.  We have people who have made a liquid from capsules, it doesn't dissolve completely and needs to be shaken or stirred as the dose is drawn up with a syringe to ensure even distribution. I make a liquid from casules for my taper and it is easy when you get into the routine but it took me a long time to start take the plunge. Once you get to the lowest dose available and it is a capsule you have to weigh or mix with water. I tried weighing but couldn't get it right so went to making liquid and it is much easier for me. 

 

http://survivingantidepressants.org/topic/2309-tips-for-tapering-off-neurontin-gabapentin/?do=findComment&comment=26292

 

Sometimes people  may be able to make bigger drops at first, then go slowly at a lower dose but as you are still suffering from benzo withdrawal I would go cautiously to avoid gabapentin withdrawal also.  

http://survivingantidepressants.org/index.php?/topic/6036-why-taper-paper-demonstrates-importance-of-gradual-change-in-plasma-concentration/

 

 

It would be helpful if you can fill in your signature for us, you can find instructions here.... 

http://survivingantidepressants.org/topic/12364-please-put-your-withdrawal-history-in-your-signature/

 

**I am not a medical professional, if in doubt please consult a doctor with withdrawal knowledge.

 

 

Different drugs occasionally (mostly benzos) 1976 - 1981 (no problem)

1993 - 2002 in and out of hospital. every type of drug + ECT. Staring with seroxat

2002  effexor. 

Tapered  March 2012 to March 2013, ending with 5 beads.

Withdrawal April 2013 . Reinstated 5 beads reduced to 4 beads May 2013

Restarted taper  Nov 2013  

OFF EFFEXOR Feb 2015    :D 

Tapered atenolol and omeprazole Dec 2013 - May 2014

 

Tapering tramadol, Feb 2015 100mg , March 2015 50mg  

 July 2017 30mg.  May 15 2018 25mg

Taking fish oil, magnesium, B12, folic acid, bilberry eyebright for eye pressure. 

 

My story http://survivingantidepressants.org/index.php?/topic/4199-hello-mammap-checking-in/page-33

 

Lesson learned, slow down taper at lower doses. Taper no more than 10% of CURRENT dose if possible

 

 

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Thank you so much for replying. 

So the liquid is working for you? Was it Gabapentin you tapered or was a another drug? Do you know if Gabapentin can cause kindling? 

Also, since I'm not too sold on the liquid taper, is there anyone here that has done a weigh the capsule, remove percentage  taper and if so, how did it go? 

Thank you

5 years of Ativan
Quick taper off Ativan which ended December 2015
Started Gabapentin to help with symptoms. Could not tell if Gabapentin was helping or not in the beginning. Didn't think it was but was too scared to get off back then. 
It's now been almost 2 years on Gabapentin. 
On 600mgf of Gabapentin. Need OFF before things get bad!  

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Hi Nadine1 and welcome from me too. I will be starting my gabapentin taper as well and I will be making my own liquid preparation. It's so much easier than weighing. I like mammaP resisted at first but once I started asking how to do it and then implementing I was just fine with it. I will be starting part liquid, part capsules. So I need a little help with my calculations with the gabapentin so I will be going over to my own thread and ask. I think I might try the pharmacy liquid because my homemade water and gabapentin preparation tastes just awful. So like mammaP said, creating your signature (she provided the link for you) is good to do. It lets the moderators like mammaP know how best to assist you.

Edited by Marsha
Added more content

 

88 mcg levothyroxine 

10 mcg liothyronine

25 mg hydrochlorothiazide 

B12 B complex vitamin D3 higher doses for a while to help with deficiencies. 

80 mg aspirin

Nearly 30 years of benzos, antidepressants, antipsychotics, took a lot of them. 

I can feel and enjoy life again even the ups and downs. 

Drug free September 9, 2019

 

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Thank you. I created signature. 

5 years of Ativan
Quick taper off Ativan which ended December 2015
Started Gabapentin to help with symptoms. Could not tell if Gabapentin was helping or not in the beginning. Didn't think it was but was too scared to get off back then. 
It's now been almost 2 years on Gabapentin. 
On 600mgf of Gabapentin. Need OFF before things get bad!  

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Hi Nadine1. Very well done on your signature. I am not a moderator, but one will be along to help you out with your concerns. Hopefully you can read the additional information mammaP provided. It's good to have you here. Try not to be too anxious.  Many of us felt that urge to get off drug or drugs as quickly as possible.  While you are waiting for a moderator to assist you, hopefully you can read over the site to familiarize yourself if you have not already done so. 

 

88 mcg levothyroxine 

10 mcg liothyronine

25 mg hydrochlorothiazide 

B12 B complex vitamin D3 higher doses for a while to help with deficiencies. 

80 mg aspirin

Nearly 30 years of benzos, antidepressants, antipsychotics, took a lot of them. 

I can feel and enjoy life again even the ups and downs. 

Drug free September 9, 2019

 

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  • ChessieCat changed the title to Nadine1: Can I open gabapentin capsule and taper by removing small percentages of drug?

Thank you. When will you start your tapering of Gabapentin? 

5 years of Ativan
Quick taper off Ativan which ended December 2015
Started Gabapentin to help with symptoms. Could not tell if Gabapentin was helping or not in the beginning. Didn't think it was but was too scared to get off back then. 
It's now been almost 2 years on Gabapentin. 
On 600mgf of Gabapentin. Need OFF before things get bad!  

Link to post

Hi Nadine1. Letting my nervous system settle down after my last klonopin reduction. Probably within the month. 

 

88 mcg levothyroxine 

10 mcg liothyronine

25 mg hydrochlorothiazide 

B12 B complex vitamin D3 higher doses for a while to help with deficiencies. 

80 mg aspirin

Nearly 30 years of benzos, antidepressants, antipsychotics, took a lot of them. 

I can feel and enjoy life again even the ups and downs. 

Drug free September 9, 2019

 

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Ok. Will you be doing the liquid taper? Also, how are your symptoms from the Klonopin taper? I've been off for almost two years but I still have electrical sensations. I never expected to still have such symptoms this far out. And sometimes they can be as intense as in the beginning. That's the reason why I stayed this long on Gabapentin. Everyone kept telling me it was not a good idea to taper while I still have symptoms. But now it's going on way too long. I'm caught between a rock and a hard place. I'm just going to take the plunge. The drug is doing nothing for me and I've gained 30 pounds. I've never weighed this much in my life. NONE of my clothes fit. I literally live in one jeans pants ands three shirts. Thanks for listening. 

5 years of Ativan
Quick taper off Ativan which ended December 2015
Started Gabapentin to help with symptoms. Could not tell if Gabapentin was helping or not in the beginning. Didn't think it was but was too scared to get off back then. 
It's now been almost 2 years on Gabapentin. 
On 600mgf of Gabapentin. Need OFF before things get bad!  

Link to post

Hi Nadine. Yes I will be doing the liquid taper starting out with mid day dose. I feel pretty good right now following my last klonopin reduction. So if you have decided to start tapering the gabapentin, perhaps you could begin with a small test reduction maybe 2 or 3 percent? Do you know how to do the reduction or need help? Let us know?  Also write down on paper to journal your daily symptoms and see if anything changes for you. Write down your formula for you reduction also. Your notes can really help you to gauge when to hold and when to resume your taper. There is much information here to help you out as you begin and through your tapering process. I also suffered from weight issues as many here have. Try not make that your focus. Get as much rest and sleep as you can, eat healthy food. I find also that daily gentle to moderate exercise is very calming and restorative. When do you plan to start your taper? 

 

88 mcg levothyroxine 

10 mcg liothyronine

25 mg hydrochlorothiazide 

B12 B complex vitamin D3 higher doses for a while to help with deficiencies. 

80 mg aspirin

Nearly 30 years of benzos, antidepressants, antipsychotics, took a lot of them. 

I can feel and enjoy life again even the ups and downs. 

Drug free September 9, 2019

 

Link to post

Thank you so much for responding. Not many people respond I've noticed. Thank you. 

Yes, I need help with the reductions. I take 600mg total: 200 around 4pm, 100 at 9pm, and 300 at 11pm. I would like to start with the 4pm dose. I would like to eliminate the percentage from that does. What do you think? 

Yes, I will keep a journal. I called pfizer today asking how to reduce the drug. I told them I was having a hard time. I told them how I had reduced prior and that going by 100mg at a time, is proving to be difficult. They said there was another way but they couldn't tell me. They could only tell a medical professional. I said, what!? Yes, that happened. Anyway I asked my pharmacist if they could speak to her. She called them with my case number and they faxed over what we both thought was going to be a "WAY OUT." Well, not so. It was a fax showing that there is withdrawal symptoms associated with gabapentin reduction and, "Pfizer does not have any specific recommendations regarding tapering prior to discontinuation of gabapentin. Or the management of signs and symptoms."


They also said that gabapentin is not approved for anything other than seizures, and that it should not be used for anything other than seizures. I found this funny because gabapentin is used for everything under the sun. And where are these doctors getting info that they can prescribe it as such? PFIZER. Bloody liars!

5 years of Ativan
Quick taper off Ativan which ended December 2015
Started Gabapentin to help with symptoms. Could not tell if Gabapentin was helping or not in the beginning. Didn't think it was but was too scared to get off back then. 
It's now been almost 2 years on Gabapentin. 
On 600mgf of Gabapentin. Need OFF before things get bad!  

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  • Moderator Emeritus
1 hour ago, Nadine1 said:

Not many people respond I've noticed.

 

SA is staffed by unrostered volunteers who are experiencing their own withdrawal and life issues and we assist as we are able.  The response from members can be spasmodic because they are also suffering or if they are feeling a bit better are hopefully managing to live their lives so are not spending as much time on the site.

 

There are drug tags at the top left under the topic title.  If you click on those you will find other members who have the same tags.  Being a peer support site it is good for SA  members to visit and post on other peoples topics so you can encourage and support each other.

 

Have you heard of Gwen Olsen, a pharma rep for 15 years?

 


Interview:  Confessions of an Rx Drug Pusher (51 minutes Gwen Olsen - ex pharmaceutical representative)
 
Edited by ChessieCat

NEW!!!     INTERVIEW with Altostrata, SA's founder    NEW!!! 

 

Plodding along inch by inch:  12" = 1',  3' =  36 " or 1 yard,  1760 yards  = 63,360" or 1 mile

Current from 17 Apr 2021:  Pristiq 0.2665mg  now holding each dose for 3 weeks

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 Oct 2015 

My tapering program   My Intro (goes to my tapering graph)  My website

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

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OK, thank you. Appreciate it. Yes I heard of her. I will go look up the drug tags. Thank you for responding.

5 years of Ativan
Quick taper off Ativan which ended December 2015
Started Gabapentin to help with symptoms. Could not tell if Gabapentin was helping or not in the beginning. Didn't think it was but was too scared to get off back then. 
It's now been almost 2 years on Gabapentin. 
On 600mgf of Gabapentin. Need OFF before things get bad!  

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