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lilly17: Tapering off Nortriptyline


lilly17

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I am currently taking 25mg of Nortriptyline for migraine headaches and anxiety.  I don't think they are helping me enough to warrant taking them for the rest of my life. I want to taper off. The pills are in capsule form so I am unable to taper by 10 percent. I was planning on taking the 25 mg every other day instead of every day for a month. The next month I would take every 2 days. After that, every 3 days and so on until I discontinue for good. Any opinions on this being an effective method? My doctor said I can just stop since 25mg is a low dose but I have been on the drug for 3 years. I have read terrible stories of people suffering from side effects after stopping cold turkey (even on a low dose).

Edited by baroquep

Nortriptyline (Pamelor) 25mg since July 2014

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Hi Lilly17 and welcome to SA.

 

I am really glad that you have joined before commencing your taper.  SA recommends tapering by 10% of the previous dose with a hold of about 4 weeks to allow the brain to adapt to not getting as much of the drug.  Skipping days is not advisable Skipping Days vs Every Day Dosing Graph

 

It is possible to make your own liquid.  Please see Post #1 of this topic Tips for tapering off nortriptyline

 

Please follow these instructions and create your drug signature.  Please remember to update as you make changes so it remains current and we will be able to see it whenever you post and not have to read back through your topic to get the information.  Thank you.

 

A request: Would you summarize your history in a signature - ALL drugs, doses, dates, and discontinuations & reinstatements, in the last 12-24 months particularly?

  • Please leave out symptoms and diagnoses.
  • A list is easier to understand than one or multiple paragraphs. 
  • Any drugs prior to 24 months ago can just be listed with start and stop years.
  • Please use actual dates or approximate dates (mid-June, Late October) rather than relative time frames (last week, 3 months ago)
  • Spell out months, e.g. "October" or "Oct."; 9/1/2016 can be interpreted as Jan. 9, 2016 or Sept. 1, 2016.
  • Link to Account Settings – Create or Edit a signature.

 

Before you begin tapering what you need to know

Why taper by 10% of my dosage?

Dr Joseph Glenmullen's Withdrawal Symptoms

 

How do you talk to a doctor about tapering and withdrawal?


What should I expect from my doctor about withdrawal symptoms?

 

These really helped me to understand SA's recommendations:

 

Brain Remodelling


Video:  Healing From Antidepressants - Patterns of Recovery

 

This is your own Introduction topic where you can ask questions and journal your progress.  I have added drug tags to your topic (below the title top left) which you can click on to find other members with the same tag.  We encourage members to visit other members so that members can support and encourage each other throughout their taper.

Please DO NOT TAG me - thank you

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

  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

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Lilly,

I tapered Nortriptyline.

 

True, it is in capsule form but in my opinion this makes it much easier to taper because you can open the capsule and place the power in water.

I was able to taper this by 10% measuring it out with a syringe.

Prozac 1999-2009 quit semi cold turkey.

 

2012 Placed on Seroquel 25 mg, Tranxene (Clorezepate) 3.75 mg 3x a day, Remeron 30 mg for anxiety/akathesia.

 

Weaned off Seroquel and Tranxene .to Remeron 15 Mg.

In May 2014 tried quitting Remeron at its lowest dose. Had severe withdrawals.Reinstated Remeron at 30 mg by doctor. August 5 2014 entered hospital. Doctor pulled the Remeron and bridged it to Pamelor (Nortriptyline) 40mg and Zyprexa 2.5mg.After removing the Remeron all my bad symptoms went away and I am stable.

 

9/11/14 - 7.5 mg tranxene, 40mg Pamelor, Zyprexa 2.5mg

12/29/14 -  20mg Pamelor, 1/6/15,  7/31/15 3.5mg, 8/10/15 3.2 mg, 9/15/15 2.2mg, 10/15/15 1.8mg

(Feb 2016 - 1.4mg Pamelor only -  OFF OF TRANXENE AND ZYPREXA SINCE DEC 2014 BENZO FREE Since 2014. Nortrityline (Pamelor) .8mg Aug 2016

March 2017 DRUG FREE

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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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I took the advice offered on this site and began tapering Pamelor by opening up the capsule and mixing the powder with water. The capsules are 25mg.  I mixed the powder with 3 ml of water and have taken .75ml  with a dropper for 2 days. So far so good. I was given the Pamelor for migraines (I have headaches every single day) so the withdrawal symptom I'm most afraid of is an increase in the severity of my headaches. So far the headache pain has not increased. It's only been 2 days but I'm hopeful. I'm planning on taking .75ml for a month and will try decreasing a small amount the next month. I haven't told my doctor I am tapering off. My husband feels I should talk to him but I am very hesitant. He had told me I could stop cold turkey. I tried that a few weeks ago and it was horrible. My headaches were off the chart. I guess I just need some moral support that I am on the right track. 

Nortriptyline (Pamelor) 25mg since July 2014

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  • Moderator Emeritus

that's great news, please let us know how you are doing.  hope all goes well.

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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