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Rabe: how to taper and adjust Viibryd while on Clonazepam


Rabe

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@Sheera Thank you so much for your thoughts and for the gold shark...its wonderful!  I will look at that often...today was another hard day.  SO anxious and uptight and muscles so sore etc etc.  But did get out so that is my goal..to try to do that...even for a bit.  Hugs to you Sheera!!💜

-Nardil 1976 < year, stopped. React to AD's. Klonopin .5BID 1990, 2.5mg til 2016

-Klonopin doubled Jan '16. Taper to 2.25mg May to Nov '16. Bad react to Lexapro, stop. React to Prevacid too, taper off. 

-November '16 Tapered .25mg Klonopin in hospital. Jan '17 started Viibryd, 20mg from Feb to June '17,     

-20mg to 10mg Viibryd from 3/25 to 6/10 2017, 12/15 10% Viibryd taper...back up next day

-Clonazepam 2mg to 1.85mg 4/14 '17 to end November; taper to 1mg Clonazepam in hospital 9/1 tp 9/14 '17

-Feb '18 Amiloride .25mg  5/18 off Amiloride d/t react. Clonaz compounded  

-4/27 '18 Viibryd 9.5mg, 6/11 9.0 mg, 1/27 '19 Viibryd 8.75mg, ; Clonazepam .2mg 530pm and .7mg 1130pm, Premarin .3mg 830PM CARAFATE QID 2/27/19 to 3/5/19

-July 6'19 1/2 10mg Claritin 230pm, stopped it about July 18, started Oct 11 '19, 

-7/27 Viibryd 8.5, 8/29 8.25, 10/24 8.0, 12/19 7.75, Feb '20 7.50, 3/20 7.25, 5/20 7.0, 6/20 6.75, 7/20 6.5, 8/20 6.25, 10/2 20 6.0, 11/25'20 5.75, 1/9/21 5.5, 2/23 5.25

-1015 AM Viibryd, vit D 4,000IU 130, 415 Clonazepam .2mg, 815 Premarin .3mg, 1015 Clonaz .7mg,

  1115 3t fish oil+D 1145 Castor Oil 650mg(4) 1230 Carafate 1/2GM,Methylated B Vit  1/week,Reacted Mag prn

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Thank you for your sweet message on my thread, Rabe.  You are always so kind and caring to me and others even when you are going through so much.  

-1/06 - 3/07 Cymbalta. Fast taper (essentially CT); withdrawal symptoms after 4 mos (didn't realize was WD)

-10/07: 100 mg Zoloft; 1 mg Klonopin - tapered off Klonopin after 4 mos. Several unsuccessful slow tapers of Zoloft; went up and down in dose a lot

-Spring 2013 back on 1 mg Klonopin to counter WD symptoms; switched over 5-6 mos from Zoloft to 35 mg citalopram
-Two attempts at slow tapering citalopram, always increased dose due to WD; also increased Klonopin to 1.25 mg in 2014, then to 1.5 mg in 2015

-8/17-9/17: After holding one year at 20 mg, feeling withdrawal symptoms due to stress - slowly increased to 25 mg. No change in symptoms after 6 months (? tolerance ?)  - decided to start citalopram taper February 2018 (still on Klonopin 1.5 mg).

Supplements: fish oil; magnesium; vitamin D3; curcumin

Citalopram taper:  2/2018 - 12/2019: 25 mg - 11.03 mg I 2020: 10.89 mg - 7.9 mg I 2021: 7.8 mg - 5.26 mg I 2022: 5.2 mg - 3.36 mg I 2023: 3.3 mg - 1.47 mg 2024: 1/5/24: 1.44 mg; 1/19/24: 1.40 mg; 1/26/24: 1.37 mg; 2/2/24: 1.34 mg; 2/9/24: 1.31 mg; 2/23/24: 1.28 mg; 3/1/24: 1.25 mg; 3/8/24: 1.22 mg; 3/15/24: 1.19 mg

 

 

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  • Moderator Emeritus

Hi Rabe,

On 11/16/2018 at 10:03 PM, Rabe said:

I currently have 30 viibryd capsules.  I can use them or tablets.  With the 9mg I either do capsule, tablet or liquid.  Not sure which is 'best'...but have the scale and capsules and all...  

 

Here's the thing though.  The cross over with Vibryd that brassmonkey mentioned awhile back in your thread here.  It's not a good idea to just switch formulations of what you are taking.  My understanding is that next up we are going to begin to cross you over from capsule form of the V(Viibryd) to tablet form.

And......we need to do this gradually, while keeping in mind that you only have the 30 capsules to work with.  I have not, as yet done the math to see if we can complete the cross over, in a cautious manner, with just 30 capsules.  And Rabe......I'll let you know exactly what you need to get to on the scale for the tablets, and the capsules for the combined dose to equal 9 mg.

 

We have you cross over by keeping your total dose intact, for you it's 9 mg.  Then:

1/4 new(tablet) with  3/4 old(capsule) for a week before going to

1/2 and 1/2 then

3/4 and 1/4

then to all tablet

 

So.....that's why I was asking about that.  Are any more capsules available to you.  If no further V capsules are available we will have to speed the cross over a bit is all.  Changing formulations or the type of your medication/drug can and does cause problems for some.......so that's why we go cautiously with the cross over.  So your body gets a good chance to adjust to the change. 

 

And apologies......for one of my last posts regarding using liquid V.  That just takes us off track further.  I think you had felt better on the tablets, and so the decision was made to cross over to tablets again.......before proceeding further with your taper.  Is that right?  I hope so.

 

Do give me a drug/symptom log ASAP too.  Note the date.  Then on the left the time, followed by drug, name of drug, dosage, and then symptoms throughout the day.  Include supplements, meals, sleep.  That really helps us as well, to be objective.......it should help you too.

 

And at present you are weighing out your 9 mg of Viibryd each dose?

It's important, I think, that we just mess with one of your drugs at a time.  So while we are crossing over(not tapering at all) to tablets, no other changes in anything.

 

So, to recap.......a couple days of daily notes from you(you can do them on paper first too) and then post them here.  And let me know if you.......can get more capsules of Viibryd?

Keeping daily notes of your drugs and symptoms

^ aka same thing as drug/symptom logs, a sample of what to include in that simple format

 

Gobble, gobble,

Love, peace, healing, and growth,

mmt

Edited by manymoretodays
spelling, clarity

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

 

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@manymoretodays Thank you...I didnt know that was the thought...so thank you for clarifying that.  I can get more of the compounded capsules and the tablets...supposed to see the doctor Wednesday.  

I just have not been able to find any of the Sandoz Blue CLonazepam tablets which is upsetting.  It is hard to rely on the compounding for all three meds as they are not very accurate, and lowering the viibryd affects the clonazepam as it is.

I need to get the weight of the filler...is that right MMT?  

I have some days to post.  Thank you again!!💜Grateful!!

-Nardil 1976 < year, stopped. React to AD's. Klonopin .5BID 1990, 2.5mg til 2016

-Klonopin doubled Jan '16. Taper to 2.25mg May to Nov '16. Bad react to Lexapro, stop. React to Prevacid too, taper off. 

-November '16 Tapered .25mg Klonopin in hospital. Jan '17 started Viibryd, 20mg from Feb to June '17,     

-20mg to 10mg Viibryd from 3/25 to 6/10 2017, 12/15 10% Viibryd taper...back up next day

-Clonazepam 2mg to 1.85mg 4/14 '17 to end November; taper to 1mg Clonazepam in hospital 9/1 tp 9/14 '17

-Feb '18 Amiloride .25mg  5/18 off Amiloride d/t react. Clonaz compounded  

-4/27 '18 Viibryd 9.5mg, 6/11 9.0 mg, 1/27 '19 Viibryd 8.75mg, ; Clonazepam .2mg 530pm and .7mg 1130pm, Premarin .3mg 830PM CARAFATE QID 2/27/19 to 3/5/19

-July 6'19 1/2 10mg Claritin 230pm, stopped it about July 18, started Oct 11 '19, 

-7/27 Viibryd 8.5, 8/29 8.25, 10/24 8.0, 12/19 7.75, Feb '20 7.50, 3/20 7.25, 5/20 7.0, 6/20 6.75, 7/20 6.5, 8/20 6.25, 10/2 20 6.0, 11/25'20 5.75, 1/9/21 5.5, 2/23 5.25

-1015 AM Viibryd, vit D 4,000IU 130, 415 Clonazepam .2mg, 815 Premarin .3mg, 1015 Clonaz .7mg,

  1115 3t fish oil+D 1145 Castor Oil 650mg(4) 1230 Carafate 1/2GM,Methylated B Vit  1/week,Reacted Mag prn

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@manymoretodays 

On 11/19/2018 at 4:46 PM, manymoretodays said:

And at present you are weighing out your 9 mg of Viibryd each dose?

 No....I have the 9mg Viibryd capsules that had the wide range in weights, along with the Clonazepam, when they all were last filled.  So I am not currently weighing anything.

-Nardil 1976 < year, stopped. React to AD's. Klonopin .5BID 1990, 2.5mg til 2016

-Klonopin doubled Jan '16. Taper to 2.25mg May to Nov '16. Bad react to Lexapro, stop. React to Prevacid too, taper off. 

-November '16 Tapered .25mg Klonopin in hospital. Jan '17 started Viibryd, 20mg from Feb to June '17,     

-20mg to 10mg Viibryd from 3/25 to 6/10 2017, 12/15 10% Viibryd taper...back up next day

-Clonazepam 2mg to 1.85mg 4/14 '17 to end November; taper to 1mg Clonazepam in hospital 9/1 tp 9/14 '17

-Feb '18 Amiloride .25mg  5/18 off Amiloride d/t react. Clonaz compounded  

-4/27 '18 Viibryd 9.5mg, 6/11 9.0 mg, 1/27 '19 Viibryd 8.75mg, ; Clonazepam .2mg 530pm and .7mg 1130pm, Premarin .3mg 830PM CARAFATE QID 2/27/19 to 3/5/19

-July 6'19 1/2 10mg Claritin 230pm, stopped it about July 18, started Oct 11 '19, 

-7/27 Viibryd 8.5, 8/29 8.25, 10/24 8.0, 12/19 7.75, Feb '20 7.50, 3/20 7.25, 5/20 7.0, 6/20 6.75, 7/20 6.5, 8/20 6.25, 10/2 20 6.0, 11/25'20 5.75, 1/9/21 5.5, 2/23 5.25

-1015 AM Viibryd, vit D 4,000IU 130, 415 Clonazepam .2mg, 815 Premarin .3mg, 1015 Clonaz .7mg,

  1115 3t fish oil+D 1145 Castor Oil 650mg(4) 1230 Carafate 1/2GM,Methylated B Vit  1/week,Reacted Mag prn

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@brassmonkey @manymoretodays

 

Hi guys...I see the doctor today around noon and am wondering if there is anything special I need to tell him or should tell him?  I have notes from the two of you....but just want to be sure I get everything set with him so that we can move forward.  Thank you so much!! 

No blue Sandoz Clonazepam so will talk to him about that and will get reassurance that the Viibryd tablets will be available.  

AM thinking may have to use the Clonazepam capsules to taper...I know brassmonkey that you said that would be ok.  I can take the measurements you sent to me about weighing but Im not sure that will have much meaning to him.  I think he thinks the scale is not a good idea to begin with...he made a face last time when I told him I had gotten one and asked me to play with it to see how it went.  Weights do change on it...wanted to ask if when you weigh would the plastic cover thing be down or up?  Thank you again!

-Nardil 1976 < year, stopped. React to AD's. Klonopin .5BID 1990, 2.5mg til 2016

-Klonopin doubled Jan '16. Taper to 2.25mg May to Nov '16. Bad react to Lexapro, stop. React to Prevacid too, taper off. 

-November '16 Tapered .25mg Klonopin in hospital. Jan '17 started Viibryd, 20mg from Feb to June '17,     

-20mg to 10mg Viibryd from 3/25 to 6/10 2017, 12/15 10% Viibryd taper...back up next day

-Clonazepam 2mg to 1.85mg 4/14 '17 to end November; taper to 1mg Clonazepam in hospital 9/1 tp 9/14 '17

-Feb '18 Amiloride .25mg  5/18 off Amiloride d/t react. Clonaz compounded  

-4/27 '18 Viibryd 9.5mg, 6/11 9.0 mg, 1/27 '19 Viibryd 8.75mg, ; Clonazepam .2mg 530pm and .7mg 1130pm, Premarin .3mg 830PM CARAFATE QID 2/27/19 to 3/5/19

-July 6'19 1/2 10mg Claritin 230pm, stopped it about July 18, started Oct 11 '19, 

-7/27 Viibryd 8.5, 8/29 8.25, 10/24 8.0, 12/19 7.75, Feb '20 7.50, 3/20 7.25, 5/20 7.0, 6/20 6.75, 7/20 6.5, 8/20 6.25, 10/2 20 6.0, 11/25'20 5.75, 1/9/21 5.5, 2/23 5.25

-1015 AM Viibryd, vit D 4,000IU 130, 415 Clonazepam .2mg, 815 Premarin .3mg, 1015 Clonaz .7mg,

  1115 3t fish oil+D 1145 Castor Oil 650mg(4) 1230 Carafate 1/2GM,Methylated B Vit  1/week,Reacted Mag prn

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@manymoretodays

 

11/18

430AM to 530AM up very hot and sweaty, threw off covers and slept again

1000AM-depressed, anxious, crying 

1100AM-yoga and breathing-some better

1140AM-Viibryd 9mg with food

1250PM-felt sick, head hot, anxious, arm anxiety

2PM-ran some errands, tired, eyes red and irritated

3PM-food

330PM-walk

415PM-increased anxiety/agitation

515PM-some better

540PM-Clonazepam .2mg with food

7PM and 8PM-depressed, crying, irritable, 

840PM-Premarin 3mg with food

9PM-some better but then returned..sobbing, tired, foggy, irritable, ears ring so loud, stomach burns, chest burns

1140PM-Clonazepam .7mg 

1210AM-better..to bed

 

11/19

around 5AM-woke hot and sweaty

8AM-woke very tired

10AM-headache

1030AM-inceased anxiety

1030AM-meditation 

1120AM-yoga

1130AM-some better

1140AM-Viibryd 9mg with food

100PM-increased anxiety, short of breath, agitated, heart off

230PM-food

300PM-out for errands

330PM-anxiety continues

445PM-better

540PM-Clonazepam .2mg with food

7PM-dizzy

720PM-not feeling well, anxious, short of breath, head hot, arm anxiety

8PM-food

845PM-premarin 3mg with food

945PM-not feel well, head hot, short of breath, dizzy, anxious

1030PM-depressed, had hot, eyes red and puffy

1115PM-better

1140PM-Clonazepam .7mg with milk 

1215-better..to bed

 

11/20

530AM-woke hot and sweaty

830AM-woke feel better

1000AM-getting ready to go to my daughters

1140AM- Viibryd 9mg with food before left

1230PM-not feeling well, anxious, arm anxiety, vision off...

415PM-better

430PM-driving back feel ok

5PM-stopped by policeman, nothing came of it but scared me, anxious, panicky

530PM-back safe and feel better

540PM-Clonazepam .2mg with food

730PM-not feel well, headache, head hot, anxious, agitated, short of breath

840PM-premarin 3mg with food

900PM-anxious, ears ringing, headache, short of breath

11PM-better 

1140PM-Clonazepam .7mg with food

1215-feel better 

 

I have some earlier ones will send...a start

 

 

 

 

 

 

 

-Nardil 1976 < year, stopped. React to AD's. Klonopin .5BID 1990, 2.5mg til 2016

-Klonopin doubled Jan '16. Taper to 2.25mg May to Nov '16. Bad react to Lexapro, stop. React to Prevacid too, taper off. 

-November '16 Tapered .25mg Klonopin in hospital. Jan '17 started Viibryd, 20mg from Feb to June '17,     

-20mg to 10mg Viibryd from 3/25 to 6/10 2017, 12/15 10% Viibryd taper...back up next day

-Clonazepam 2mg to 1.85mg 4/14 '17 to end November; taper to 1mg Clonazepam in hospital 9/1 tp 9/14 '17

-Feb '18 Amiloride .25mg  5/18 off Amiloride d/t react. Clonaz compounded  

-4/27 '18 Viibryd 9.5mg, 6/11 9.0 mg, 1/27 '19 Viibryd 8.75mg, ; Clonazepam .2mg 530pm and .7mg 1130pm, Premarin .3mg 830PM CARAFATE QID 2/27/19 to 3/5/19

-July 6'19 1/2 10mg Claritin 230pm, stopped it about July 18, started Oct 11 '19, 

-7/27 Viibryd 8.5, 8/29 8.25, 10/24 8.0, 12/19 7.75, Feb '20 7.50, 3/20 7.25, 5/20 7.0, 6/20 6.75, 7/20 6.5, 8/20 6.25, 10/2 20 6.0, 11/25'20 5.75, 1/9/21 5.5, 2/23 5.25

-1015 AM Viibryd, vit D 4,000IU 130, 415 Clonazepam .2mg, 815 Premarin .3mg, 1015 Clonaz .7mg,

  1115 3t fish oil+D 1145 Castor Oil 650mg(4) 1230 Carafate 1/2GM,Methylated B Vit  1/week,Reacted Mag prn

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11/17

1030AM-tired, bit nervous but not bad

1140-Viibryd 9mg with food

315PM increased anxiety and 415PM worse

540PM-Clonazepam .2mg with food

7ishPM-dizzy, anxious, dont feel well

815PM-cold, chills

840PM-premarin 3mg with food

1000PM-increased anxiety

1100PM-better

1130PM-Clonazepam .7mg with milk

1200PM-increased anxiety and depression

100AM-some better

-Nardil 1976 < year, stopped. React to AD's. Klonopin .5BID 1990, 2.5mg til 2016

-Klonopin doubled Jan '16. Taper to 2.25mg May to Nov '16. Bad react to Lexapro, stop. React to Prevacid too, taper off. 

-November '16 Tapered .25mg Klonopin in hospital. Jan '17 started Viibryd, 20mg from Feb to June '17,     

-20mg to 10mg Viibryd from 3/25 to 6/10 2017, 12/15 10% Viibryd taper...back up next day

-Clonazepam 2mg to 1.85mg 4/14 '17 to end November; taper to 1mg Clonazepam in hospital 9/1 tp 9/14 '17

-Feb '18 Amiloride .25mg  5/18 off Amiloride d/t react. Clonaz compounded  

-4/27 '18 Viibryd 9.5mg, 6/11 9.0 mg, 1/27 '19 Viibryd 8.75mg, ; Clonazepam .2mg 530pm and .7mg 1130pm, Premarin .3mg 830PM CARAFATE QID 2/27/19 to 3/5/19

-July 6'19 1/2 10mg Claritin 230pm, stopped it about July 18, started Oct 11 '19, 

-7/27 Viibryd 8.5, 8/29 8.25, 10/24 8.0, 12/19 7.75, Feb '20 7.50, 3/20 7.25, 5/20 7.0, 6/20 6.75, 7/20 6.5, 8/20 6.25, 10/2 20 6.0, 11/25'20 5.75, 1/9/21 5.5, 2/23 5.25

-1015 AM Viibryd, vit D 4,000IU 130, 415 Clonazepam .2mg, 815 Premarin .3mg, 1015 Clonaz .7mg,

  1115 3t fish oil+D 1145 Castor Oil 650mg(4) 1230 Carafate 1/2GM,Methylated B Vit  1/week,Reacted Mag prn

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Hugs, Rabe.  I hope the doctor's visit went well. -R

https://www.survivingantidepressants.org/topic/16629-rosetta-ct-may-2011-too-fast-taper-feb-2017/?page=25

2001-2011 Celexa 10 mg raised to 40 mg then 60 mg over this time period

May 2011 OB Doctor's Cold switch Celexa 60 mg to 10 mg Zoloft sertraline (baby born)

2012-2016 - Doctors raised dose of Zoloft up to 150 mg

2016 - Xanax prescribed - as needed - 0.5 mg about every 3 days (bad reaction)

2016 - Stopped Xanax

Late 2016- Began (too fast) taper of Zoloft

Early 2017 - Trazodone prescribed for bedtime (doseage unknown)

Feb 2017 - Completed taper/stopped Trazodone

Drug free since Feb 2017

2017 - Unisom otc very rarely for sleep

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@brassmonkey I want to thank you.  I took all notes I had from you to the doctor today.  He was on board with the numbers you came up with and his eyes are opened to that pharmacy.  

He nodded in agreement to the numbers you sent about the tablets I did weigh and what I would have to weigh out on the scale....glad you two get it cause I dont, but thats ok.  He has been skeptical of my doing this but said with help like you have given he is not worried and is on board!😀 

He gave me 35 Viibryd tablets but asked how many you think I would need....wanted to know if the samples are a problem given they are not dispensed in a large quantity at the same time...he didnt think so but doesnt want to cause problems and could get some boxes of them from the rep if needed. 

He was not happy that Sandoz no longer makes the blue 1mg and asked me to ask whether best to go to a different generic or stick with the compounded capsules.  I told him you are more a fan of the tablets but said I would double check simply because he knows I dont react to anything in those capsules at least.

He is still leery of me doing this and said it will be a learning curve.  I took the scale in as well and some capsules and weighed and reweighed them and though the same capsule came up with bit of different weight it is nothing like the compounding.

He is on board with keeping this stable while crossing over from one form to another.  This from someone who wanted to drop all meds last time!

He still feels the Clonazepam is more of a issue and would like to get rid of at least the .2 dose because I generally feel better at about 5pm and 11pm which tells him. he said, that the further away I get from those CLonazepam doses the better. 

He said to let him know what he can do/needs to do to help and he will.  I think it is your direct factual approach (Im not good at that which Im sure has been apparent)...and maybe being a guy...idk...but he has responded so well to all that you have said and I am truly grateful!!  Thank you again!  Have a good holiday.    

-Nardil 1976 < year, stopped. React to AD's. Klonopin .5BID 1990, 2.5mg til 2016

-Klonopin doubled Jan '16. Taper to 2.25mg May to Nov '16. Bad react to Lexapro, stop. React to Prevacid too, taper off. 

-November '16 Tapered .25mg Klonopin in hospital. Jan '17 started Viibryd, 20mg from Feb to June '17,     

-20mg to 10mg Viibryd from 3/25 to 6/10 2017, 12/15 10% Viibryd taper...back up next day

-Clonazepam 2mg to 1.85mg 4/14 '17 to end November; taper to 1mg Clonazepam in hospital 9/1 tp 9/14 '17

-Feb '18 Amiloride .25mg  5/18 off Amiloride d/t react. Clonaz compounded  

-4/27 '18 Viibryd 9.5mg, 6/11 9.0 mg, 1/27 '19 Viibryd 8.75mg, ; Clonazepam .2mg 530pm and .7mg 1130pm, Premarin .3mg 830PM CARAFATE QID 2/27/19 to 3/5/19

-July 6'19 1/2 10mg Claritin 230pm, stopped it about July 18, started Oct 11 '19, 

-7/27 Viibryd 8.5, 8/29 8.25, 10/24 8.0, 12/19 7.75, Feb '20 7.50, 3/20 7.25, 5/20 7.0, 6/20 6.75, 7/20 6.5, 8/20 6.25, 10/2 20 6.0, 11/25'20 5.75, 1/9/21 5.5, 2/23 5.25

-1015 AM Viibryd, vit D 4,000IU 130, 415 Clonazepam .2mg, 815 Premarin .3mg, 1015 Clonaz .7mg,

  1115 3t fish oil+D 1145 Castor Oil 650mg(4) 1230 Carafate 1/2GM,Methylated B Vit  1/week,Reacted Mag prn

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11/21

up 10AM - food

1140AM Viibryd 9mg with food

315PM-anxiety

400PM-anxiety worse

500PM-some better

540PM-Clonazepam .2mg with food

700PM-chills, frequency, ears ringing loud, anxious

800PM-head hot, little dizzy, increase anxiety, chills, little depressed

840PM-premarin 3mg with food

1000PM-anxiety worse and lasted til after 1115

1140PM-Clonazepam .7mg with milk and snack

1230AM-better ... wish felt like this in day

 

 

-Nardil 1976 < year, stopped. React to AD's. Klonopin .5BID 1990, 2.5mg til 2016

-Klonopin doubled Jan '16. Taper to 2.25mg May to Nov '16. Bad react to Lexapro, stop. React to Prevacid too, taper off. 

-November '16 Tapered .25mg Klonopin in hospital. Jan '17 started Viibryd, 20mg from Feb to June '17,     

-20mg to 10mg Viibryd from 3/25 to 6/10 2017, 12/15 10% Viibryd taper...back up next day

-Clonazepam 2mg to 1.85mg 4/14 '17 to end November; taper to 1mg Clonazepam in hospital 9/1 tp 9/14 '17

-Feb '18 Amiloride .25mg  5/18 off Amiloride d/t react. Clonaz compounded  

-4/27 '18 Viibryd 9.5mg, 6/11 9.0 mg, 1/27 '19 Viibryd 8.75mg, ; Clonazepam .2mg 530pm and .7mg 1130pm, Premarin .3mg 830PM CARAFATE QID 2/27/19 to 3/5/19

-July 6'19 1/2 10mg Claritin 230pm, stopped it about July 18, started Oct 11 '19, 

-7/27 Viibryd 8.5, 8/29 8.25, 10/24 8.0, 12/19 7.75, Feb '20 7.50, 3/20 7.25, 5/20 7.0, 6/20 6.75, 7/20 6.5, 8/20 6.25, 10/2 20 6.0, 11/25'20 5.75, 1/9/21 5.5, 2/23 5.25

-1015 AM Viibryd, vit D 4,000IU 130, 415 Clonazepam .2mg, 815 Premarin .3mg, 1015 Clonaz .7mg,

  1115 3t fish oil+D 1145 Castor Oil 650mg(4) 1230 Carafate 1/2GM,Methylated B Vit  1/week,Reacted Mag prn

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  • Moderator Emeritus
On 11/20/2018 at 11:27 PM, Rabe said:

Weights do change on it...wanted to ask if when you weigh would the plastic cover thing be down or up?  Thank you again!

Hi Rabe!  Have you seen this video?  It might help.

GEM20 Digital Scale

Is this your scale?  It looks like the cover is only for protection when not in use.  So the cover would be up when you are using the scale.

And here is a little more on that from Shep, as far as use of your scale, in this post  Shep's post September 25

The link I gave you to the scale video is the second link in that post from Shep.  You may just want to look at that video now, so you are more familiar with the scale.

 

15 hours ago, Rabe said:

He gave me 35 Viibryd tablets but asked how many you think I would need....wanted to know if the samples are a problem given they are not dispensed in a large quantity at the same time...he didnt think so but doesnt want to cause problems and could get some boxes of them from the rep if needed. 

That's great.  How may of the V(Viibryd) capsules do you have left now?  We will be "crossing over"(see my post on Monday on that, if you don't recall), to tablets from your compounded capsule amounts of V. 

Here's the post from brassmonkey going over the weights of your V:  November 12 post

I notice that he is referring to the weights of tablets.......and from the proceeding narratives I think you may have weighed capsules. If the average mgpw calculated are for your present Viibryd compounded capsules, then that's great.  If not, you need to go ahead and weigh your Viibryd compounded capsule contents again.

So we can get to working on your cross over to Viibryd tablets.

 

Thank you for the notes/logs.  I was a little worried regarding your being stopped while driving by a policeman.  Are you able to find times in the day where driving is safe and you can pay attention to the road, etc.?   Or perhaps consider arranging to go with someone when symptoms are bad and fears/anxiety is up?  Or when the downs are not so bad as well?

 

  In regards to a previous question to me about coconut water........it just did not agree with my digestion, that's why my trial of that was short lived.

 

And okay......I also saw this part as far as what your Dr thought.

15 hours ago, Rabe said:

He is on board with keeping this stable while crossing over from one form to another.  This from someone who wanted to drop all meds last time!

He still feels the Clonazepam is more of a issue and would like to get rid of at least the .2 dose because I generally feel better at about 5pm and 11pm which tells him. he said, that the further away I get from those CLonazepam doses the better.  

He said to let him know what he can do/needs to do to help and he will.  I think it is your direct factual approach (Im not good at that which Im sure has been apparent)...and maybe being a guy...idk...but he has responded so well to all that you have said and I am truly grateful!!  Thank you again!  Have a good holiday.    

I'll go ahead and flag your notes, and ask a couple of the other moderators what they think on this.

 

Happy Gratitude day Rabe,

Love, peace, healing, and growth,

mmt

Good job too Rabe, on the consistent dosing of your drugs.  The timing looks consistent within 10 minutes.  All for now.  B)🖤

Edited by manymoretodays
formating

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

@manymoretodays

Hi...happy thanksgiving.  

What I weighed for brass were both tablets.  Problem is I am not able to get the blue Sandoz clonazepam tablets...not made.  But it is used (bulk powder) for the compounded capsules.  My concerns that that will be discontinued as well.  I did not do well wit any other Clonazepam generic and the brand seemed too strong.  Makes me wonder about staying on it.  

 

I watched all the videos on the scale as well as some others.  I was just wondering about the hood cause of air..doctor asked me.

 

I have 20 of Viibryd capsules that I just got last week..he hasn't sent me back the others that were out of range...I do have a few of those here as well...from other batch that weren't so good.  I can order more if need be.

 

Hi...happy thanksgiving.  Yes the police stop tuesday sent men nearly over the top...fought a panic attack the rest of way home, gauging myself in the stomach to try to stop it.  Was not fun!  Then yesterday was driving back from store and was a policeman behind me suddenly and I panicked just from that because he seemed so close...but nothing happened.  Was very scary the other night. Resting today.  It was that there was a big truck in front of me and I must have missed the sign that took the speed from 45 to 35...he let me go but it just really upended my nervous system...hate that it is so sensitive!! Oh well...thank you!

 

 

 

 

 

-Nardil 1976 < year, stopped. React to AD's. Klonopin .5BID 1990, 2.5mg til 2016

-Klonopin doubled Jan '16. Taper to 2.25mg May to Nov '16. Bad react to Lexapro, stop. React to Prevacid too, taper off. 

-November '16 Tapered .25mg Klonopin in hospital. Jan '17 started Viibryd, 20mg from Feb to June '17,     

-20mg to 10mg Viibryd from 3/25 to 6/10 2017, 12/15 10% Viibryd taper...back up next day

-Clonazepam 2mg to 1.85mg 4/14 '17 to end November; taper to 1mg Clonazepam in hospital 9/1 tp 9/14 '17

-Feb '18 Amiloride .25mg  5/18 off Amiloride d/t react. Clonaz compounded  

-4/27 '18 Viibryd 9.5mg, 6/11 9.0 mg, 1/27 '19 Viibryd 8.75mg, ; Clonazepam .2mg 530pm and .7mg 1130pm, Premarin .3mg 830PM CARAFATE QID 2/27/19 to 3/5/19

-July 6'19 1/2 10mg Claritin 230pm, stopped it about July 18, started Oct 11 '19, 

-7/27 Viibryd 8.5, 8/29 8.25, 10/24 8.0, 12/19 7.75, Feb '20 7.50, 3/20 7.25, 5/20 7.0, 6/20 6.75, 7/20 6.5, 8/20 6.25, 10/2 20 6.0, 11/25'20 5.75, 1/9/21 5.5, 2/23 5.25

-1015 AM Viibryd, vit D 4,000IU 130, 415 Clonazepam .2mg, 815 Premarin .3mg, 1015 Clonaz .7mg,

  1115 3t fish oil+D 1145 Castor Oil 650mg(4) 1230 Carafate 1/2GM,Methylated B Vit  1/week,Reacted Mag prn

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  • Administrator

Rabe, do you feel better or worse after taking Viibryd each day?

 

As you've lowered the Viibryd dosage, have the symptoms you feel around 1 p.m. gotten better, worse, or the same?

 

Please keep the clonazepam dosing very regular, same dosages at the same times each day.

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

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And thank you for making a note re the doctor.  I have thought about it and he just does better being the doctor or with men.  His receptionist is very controlling and I remember him saying to me 'oh dont listen to her...I never do.'  And my daughter is quite assertive and he was to call her once when he put me back in the hospital and he said to me 'well I have to go make that phone call that I am dreading'...or something like that.  It just seems he hs some issues there for whatever reason.  But he is a good person....I just want him to be comfortable and I want him to be open and able as best can to listening and hearing what is being presented to him...

-Nardil 1976 < year, stopped. React to AD's. Klonopin .5BID 1990, 2.5mg til 2016

-Klonopin doubled Jan '16. Taper to 2.25mg May to Nov '16. Bad react to Lexapro, stop. React to Prevacid too, taper off. 

-November '16 Tapered .25mg Klonopin in hospital. Jan '17 started Viibryd, 20mg from Feb to June '17,     

-20mg to 10mg Viibryd from 3/25 to 6/10 2017, 12/15 10% Viibryd taper...back up next day

-Clonazepam 2mg to 1.85mg 4/14 '17 to end November; taper to 1mg Clonazepam in hospital 9/1 tp 9/14 '17

-Feb '18 Amiloride .25mg  5/18 off Amiloride d/t react. Clonaz compounded  

-4/27 '18 Viibryd 9.5mg, 6/11 9.0 mg, 1/27 '19 Viibryd 8.75mg, ; Clonazepam .2mg 530pm and .7mg 1130pm, Premarin .3mg 830PM CARAFATE QID 2/27/19 to 3/5/19

-July 6'19 1/2 10mg Claritin 230pm, stopped it about July 18, started Oct 11 '19, 

-7/27 Viibryd 8.5, 8/29 8.25, 10/24 8.0, 12/19 7.75, Feb '20 7.50, 3/20 7.25, 5/20 7.0, 6/20 6.75, 7/20 6.5, 8/20 6.25, 10/2 20 6.0, 11/25'20 5.75, 1/9/21 5.5, 2/23 5.25

-1015 AM Viibryd, vit D 4,000IU 130, 415 Clonazepam .2mg, 815 Premarin .3mg, 1015 Clonaz .7mg,

  1115 3t fish oil+D 1145 Castor Oil 650mg(4) 1230 Carafate 1/2GM,Methylated B Vit  1/week,Reacted Mag prn

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@Altostrata   Happy Thaksgiveig...thank you for stopping...means a lot.  Feel worse sometimes within hour or so then fades, then get anxious and agitated later  and better bout 5ish.  Afternoon Clonazepam doesnt always go well either.

Right now its 1245...took it at 1143 and am just in last minutes not feeling well...head hot, heart skipped, dizzy isn't exactly it...just off...SOB, agitated.

When dose was lowered I was better think but has been awhile and lowered both nearly together.  I do remember in residential the doctor saying you probably get anxious later in afternoon or early evening and I said yes how did you know?  He said you are withdrawing...and I said how can that be when Im not tapering.  Just remembered that.

Would value your thoughts...thank you again.

-Nardil 1976 < year, stopped. React to AD's. Klonopin .5BID 1990, 2.5mg til 2016

-Klonopin doubled Jan '16. Taper to 2.25mg May to Nov '16. Bad react to Lexapro, stop. React to Prevacid too, taper off. 

-November '16 Tapered .25mg Klonopin in hospital. Jan '17 started Viibryd, 20mg from Feb to June '17,     

-20mg to 10mg Viibryd from 3/25 to 6/10 2017, 12/15 10% Viibryd taper...back up next day

-Clonazepam 2mg to 1.85mg 4/14 '17 to end November; taper to 1mg Clonazepam in hospital 9/1 tp 9/14 '17

-Feb '18 Amiloride .25mg  5/18 off Amiloride d/t react. Clonaz compounded  

-4/27 '18 Viibryd 9.5mg, 6/11 9.0 mg, 1/27 '19 Viibryd 8.75mg, ; Clonazepam .2mg 530pm and .7mg 1130pm, Premarin .3mg 830PM CARAFATE QID 2/27/19 to 3/5/19

-July 6'19 1/2 10mg Claritin 230pm, stopped it about July 18, started Oct 11 '19, 

-7/27 Viibryd 8.5, 8/29 8.25, 10/24 8.0, 12/19 7.75, Feb '20 7.50, 3/20 7.25, 5/20 7.0, 6/20 6.75, 7/20 6.5, 8/20 6.25, 10/2 20 6.0, 11/25'20 5.75, 1/9/21 5.5, 2/23 5.25

-1015 AM Viibryd, vit D 4,000IU 130, 415 Clonazepam .2mg, 815 Premarin .3mg, 1015 Clonaz .7mg,

  1115 3t fish oil+D 1145 Castor Oil 650mg(4) 1230 Carafate 1/2GM,Methylated B Vit  1/week,Reacted Mag prn

Link to comment

Hi.  I'm thinking of you today.  I'm really glad to see you are getting everything sorted out.  You are going to get through this.  

All my love, Rosetta

 

PS.  I tried to send a message, but it says you can't receive them.

https://www.survivingantidepressants.org/topic/16629-rosetta-ct-may-2011-too-fast-taper-feb-2017/?page=25

2001-2011 Celexa 10 mg raised to 40 mg then 60 mg over this time period

May 2011 OB Doctor's Cold switch Celexa 60 mg to 10 mg Zoloft sertraline (baby born)

2012-2016 - Doctors raised dose of Zoloft up to 150 mg

2016 - Xanax prescribed - as needed - 0.5 mg about every 3 days (bad reaction)

2016 - Stopped Xanax

Late 2016- Began (too fast) taper of Zoloft

Early 2017 - Trazodone prescribed for bedtime (doseage unknown)

Feb 2017 - Completed taper/stopped Trazodone

Drug free since Feb 2017

2017 - Unisom otc very rarely for sleep

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  • Moderator Emeritus

Hi again Rabe,

So, what I need now to help you "cross over" to the tablets from the compounded capsules of Viibryd,  are the weights of the capsule contents.

Are the V tablets that you and brassmonkey weighed and got mgpw averages from, the ones that you will be using for the cross over?

After I have the weights of the compounded capsule contents......I can work out an average mgpw and mgai and tell you exactly what you need to see on the scale for each dose.  Of each formula(you'll have compounded capsule and tablet, both.  To put into your capsules that you have.  (See below)

What we are going to do is have you combine compounded capsule ingredients with tablet ingredients, after weighing each, for the dose of 9 mg V.

 

With only 20 compounded capsules left we may have to expediate the process a bit.

That's why I was asking if you could get more compounded capsules awhile back.

Here's that last post of mine:  Monday post from mmt

I don't want you switching right to tablets, without a crossover.  Meantime.....best to stay at the 9 mg dose of the Viibryd.  After the cross over we can get you tapering on the Viibryd again.  As that may be causing adverse reactions.

 

Remember the big capsules that you have......0 or 00?  Those are what you will be using during, and once crossed over to tablet form of the V.

You might want to look at video 2, or the top one in that link I gave you of Shep's post.......as it shows the weighing of crushed tablets too.

Questions about this, please ask.

 

 

Meantime, best to stick with your compounded clonazepam and the same dosages.

 

I'm glad your doctor/prescriber was okay with weighing.  Sometimes, not all of us, share all details with our prescribers.  Yet hopefully........with yours, you are educating here, with your prescriber a bit.......so I'm glad your doctor/prescriber is now open to, and open about all this.

 

Oh.....and I think you are having W/D symptoms too.......from previous tapering.  You have decreased clonazepam in the past.  Most recently you tapered down to 9 mg of the Viibryd.  Your signature says that was done on 18 October.  Withdrawal symptoms don't just occur right after the taper.  They sometimes are prolonged.  Or come in windows and waves.

 

L, P, H, and G,

mmt

 

 

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

@manymoretodays  I thought I responded to that...think I did.  Yes I can get more of the compounded Viibryd...would get them by Monday...have to send them the Viibryd and then they make them and send them back.  They were supposed to send the others back to me that I sent them to check cause of weights but they haven't done that.  I have a few others that are lower weights here as well.

 

The Viibryd taper was end of April and beginning of June...someone had wanted me to put the doses of what I was on as of Oct 18..think it was Shep..so that could see that, so that is what that is.

 

 

-Nardil 1976 < year, stopped. React to AD's. Klonopin .5BID 1990, 2.5mg til 2016

-Klonopin doubled Jan '16. Taper to 2.25mg May to Nov '16. Bad react to Lexapro, stop. React to Prevacid too, taper off. 

-November '16 Tapered .25mg Klonopin in hospital. Jan '17 started Viibryd, 20mg from Feb to June '17,     

-20mg to 10mg Viibryd from 3/25 to 6/10 2017, 12/15 10% Viibryd taper...back up next day

-Clonazepam 2mg to 1.85mg 4/14 '17 to end November; taper to 1mg Clonazepam in hospital 9/1 tp 9/14 '17

-Feb '18 Amiloride .25mg  5/18 off Amiloride d/t react. Clonaz compounded  

-4/27 '18 Viibryd 9.5mg, 6/11 9.0 mg, 1/27 '19 Viibryd 8.75mg, ; Clonazepam .2mg 530pm and .7mg 1130pm, Premarin .3mg 830PM CARAFATE QID 2/27/19 to 3/5/19

-July 6'19 1/2 10mg Claritin 230pm, stopped it about July 18, started Oct 11 '19, 

-7/27 Viibryd 8.5, 8/29 8.25, 10/24 8.0, 12/19 7.75, Feb '20 7.50, 3/20 7.25, 5/20 7.0, 6/20 6.75, 7/20 6.5, 8/20 6.25, 10/2 20 6.0, 11/25'20 5.75, 1/9/21 5.5, 2/23 5.25

-1015 AM Viibryd, vit D 4,000IU 130, 415 Clonazepam .2mg, 815 Premarin .3mg, 1015 Clonaz .7mg,

  1115 3t fish oil+D 1145 Castor Oil 650mg(4) 1230 Carafate 1/2GM,Methylated B Vit  1/week,Reacted Mag prn

Link to comment

@manymoretodays   it was the crazy capsule doses from both meds in Oct....

-Nardil 1976 < year, stopped. React to AD's. Klonopin .5BID 1990, 2.5mg til 2016

-Klonopin doubled Jan '16. Taper to 2.25mg May to Nov '16. Bad react to Lexapro, stop. React to Prevacid too, taper off. 

-November '16 Tapered .25mg Klonopin in hospital. Jan '17 started Viibryd, 20mg from Feb to June '17,     

-20mg to 10mg Viibryd from 3/25 to 6/10 2017, 12/15 10% Viibryd taper...back up next day

-Clonazepam 2mg to 1.85mg 4/14 '17 to end November; taper to 1mg Clonazepam in hospital 9/1 tp 9/14 '17

-Feb '18 Amiloride .25mg  5/18 off Amiloride d/t react. Clonaz compounded  

-4/27 '18 Viibryd 9.5mg, 6/11 9.0 mg, 1/27 '19 Viibryd 8.75mg, ; Clonazepam .2mg 530pm and .7mg 1130pm, Premarin .3mg 830PM CARAFATE QID 2/27/19 to 3/5/19

-July 6'19 1/2 10mg Claritin 230pm, stopped it about July 18, started Oct 11 '19, 

-7/27 Viibryd 8.5, 8/29 8.25, 10/24 8.0, 12/19 7.75, Feb '20 7.50, 3/20 7.25, 5/20 7.0, 6/20 6.75, 7/20 6.5, 8/20 6.25, 10/2 20 6.0, 11/25'20 5.75, 1/9/21 5.5, 2/23 5.25

-1015 AM Viibryd, vit D 4,000IU 130, 415 Clonazepam .2mg, 815 Premarin .3mg, 1015 Clonaz .7mg,

  1115 3t fish oil+D 1145 Castor Oil 650mg(4) 1230 Carafate 1/2GM,Methylated B Vit  1/week,Reacted Mag prn

Link to comment

@Altostrata Seem to have about 1 to 2 hours before later that feel better....around 130 to 330 give or take

-Nardil 1976 < year, stopped. React to AD's. Klonopin .5BID 1990, 2.5mg til 2016

-Klonopin doubled Jan '16. Taper to 2.25mg May to Nov '16. Bad react to Lexapro, stop. React to Prevacid too, taper off. 

-November '16 Tapered .25mg Klonopin in hospital. Jan '17 started Viibryd, 20mg from Feb to June '17,     

-20mg to 10mg Viibryd from 3/25 to 6/10 2017, 12/15 10% Viibryd taper...back up next day

-Clonazepam 2mg to 1.85mg 4/14 '17 to end November; taper to 1mg Clonazepam in hospital 9/1 tp 9/14 '17

-Feb '18 Amiloride .25mg  5/18 off Amiloride d/t react. Clonaz compounded  

-4/27 '18 Viibryd 9.5mg, 6/11 9.0 mg, 1/27 '19 Viibryd 8.75mg, ; Clonazepam .2mg 530pm and .7mg 1130pm, Premarin .3mg 830PM CARAFATE QID 2/27/19 to 3/5/19

-July 6'19 1/2 10mg Claritin 230pm, stopped it about July 18, started Oct 11 '19, 

-7/27 Viibryd 8.5, 8/29 8.25, 10/24 8.0, 12/19 7.75, Feb '20 7.50, 3/20 7.25, 5/20 7.0, 6/20 6.75, 7/20 6.5, 8/20 6.25, 10/2 20 6.0, 11/25'20 5.75, 1/9/21 5.5, 2/23 5.25

-1015 AM Viibryd, vit D 4,000IU 130, 415 Clonazepam .2mg, 815 Premarin .3mg, 1015 Clonaz .7mg,

  1115 3t fish oil+D 1145 Castor Oil 650mg(4) 1230 Carafate 1/2GM,Methylated B Vit  1/week,Reacted Mag prn

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  • Moderator Emeritus

Okay.....good!  We can plan on having you do each step of the cross over for a weeks time.  Yay!

So get me some weights of the compounded V capsule contents.......I just want the weights of what's in the capsules now.  So you'll have to weigh and then put the contents back into the capsules again.  If they are too small for you to do that with.......put the contents in the bigger capsules so you can take your usual dose.

 

Do this at your best time of day.  As it might be a bit of a challenge I expect. 

And give me weights for 5- 10 V capsule contents.

 

And okay.  So no further tapers of the V, since June of 2018.  Thanks.

 

 

 

 

Edited by manymoretodays

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

 

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  • Moderator Emeritus

Ahhh.....so Rabe, I'm not sure we are on the same page here.  Yes, the weights will vary a bit in your capsules.  However, you need to keep some capsules to work with so we can get this crossover going.  Then, after the cross over......we can begin tapering again.  With the Viibryd.

Or......would you like to HOLD again, while we do a similar cross over to clonazepam tablets? 

I'm of the mind now, myself, that as you can continue to get the compounded clonazepam with the blue Sandoz tablets in them.......that you might consider just staying put with that.  For the more immediate future.

Just think about it.  Okay.

Best,

mmt

Edited by manymoretodays
spelling

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

 

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@manymoretodays 

 

I had no idea I had to open the capsules.  Sorry....this is first heard bout that.  I was to get the weight of the rice filler is all....  I dont know that they will open easily....but I will give it a whirl.  

2 hours ago, manymoretodays said:

Ahhh.....so Rabe, I'm not sure we are on the same page here.  Yes, the weights will vary a bit in your capsules.  However, you need to keep some capsules to work with so we can get this crossover going.

I have 20 capsules...I'm saying that I also have others that I sent back to them per brassmonkey, along with some of the clonazepam capsules as well, because the weights went from .217 to .272 or so and was told that was ridiculous and it was.  They didnt vary a little they varied a lot.  You could see they were filled to different levels...so sent some back for them to check.  They were to return them and have not.  I'll call tomorrow and see what they are doing and how many they have.  I can order more as I said.  So I need 28 capsules or so?  The most recent ones I got are much better.

2 hours ago, manymoretodays said:

I'm of the mind now, myself, that as you can continue to get the compounded clonazepam with the blue Sandoz tablets in them.......that you might consider just staying put with that.  For the more immediate future.

Thats what I was asking about earlier....they are compounding with the blue sandoz now but Im concerned that if it is off the market (Sandoz no longer makes the clonazepam) it will not be available much longer so I need to check with the pharmacy on that as well because its the only tablet I have been ok with r/t fillers and dye etc.  So right now I have no Clonazepam tablets to cross over to.  I misunderstood all this for sure.  I would have to change generics, cross over, and taper....if Im understanding?

2 hours ago, manymoretodays said:

So you'll have to weigh and then put the contents back into the capsules again. 

  I had no idea I had to open the capsules.  Sorry....  I was to get the weight of the rice filler is all....  

 feeling a bit upended with all this but thats ok...it will sink in.

Let me get information tomorrow from the pharmacy, send them some viibryd tablets and get more capsules at least and I will let you know what they say about how many viibryd capsules they have and about the sandoz powder availability down road for the clonazepam capsules.

 

 

-Nardil 1976 < year, stopped. React to AD's. Klonopin .5BID 1990, 2.5mg til 2016

-Klonopin doubled Jan '16. Taper to 2.25mg May to Nov '16. Bad react to Lexapro, stop. React to Prevacid too, taper off. 

-November '16 Tapered .25mg Klonopin in hospital. Jan '17 started Viibryd, 20mg from Feb to June '17,     

-20mg to 10mg Viibryd from 3/25 to 6/10 2017, 12/15 10% Viibryd taper...back up next day

-Clonazepam 2mg to 1.85mg 4/14 '17 to end November; taper to 1mg Clonazepam in hospital 9/1 tp 9/14 '17

-Feb '18 Amiloride .25mg  5/18 off Amiloride d/t react. Clonaz compounded  

-4/27 '18 Viibryd 9.5mg, 6/11 9.0 mg, 1/27 '19 Viibryd 8.75mg, ; Clonazepam .2mg 530pm and .7mg 1130pm, Premarin .3mg 830PM CARAFATE QID 2/27/19 to 3/5/19

-July 6'19 1/2 10mg Claritin 230pm, stopped it about July 18, started Oct 11 '19, 

-7/27 Viibryd 8.5, 8/29 8.25, 10/24 8.0, 12/19 7.75, Feb '20 7.50, 3/20 7.25, 5/20 7.0, 6/20 6.75, 7/20 6.5, 8/20 6.25, 10/2 20 6.0, 11/25'20 5.75, 1/9/21 5.5, 2/23 5.25

-1015 AM Viibryd, vit D 4,000IU 130, 415 Clonazepam .2mg, 815 Premarin .3mg, 1015 Clonaz .7mg,

  1115 3t fish oil+D 1145 Castor Oil 650mg(4) 1230 Carafate 1/2GM,Methylated B Vit  1/week,Reacted Mag prn

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@manymoretodays  

Hi Rabe--  Yes, you can taper with compounded capsules.  You need to know the strength of the capsule and the average weight of the powder in them to figure the reduction.

 

This is what brassmonkey sent while back...so I was thinking I would just be using the capsules...like open those and just use that and make a reduction but I must really have misunderstood...

In any case I will find out more from the pharmacy tomorrow...Im sorry....I am feeling really agitated, irritated, and unsettled by it all...not sure why...but thank you!!

-Nardil 1976 < year, stopped. React to AD's. Klonopin .5BID 1990, 2.5mg til 2016

-Klonopin doubled Jan '16. Taper to 2.25mg May to Nov '16. Bad react to Lexapro, stop. React to Prevacid too, taper off. 

-November '16 Tapered .25mg Klonopin in hospital. Jan '17 started Viibryd, 20mg from Feb to June '17,     

-20mg to 10mg Viibryd from 3/25 to 6/10 2017, 12/15 10% Viibryd taper...back up next day

-Clonazepam 2mg to 1.85mg 4/14 '17 to end November; taper to 1mg Clonazepam in hospital 9/1 tp 9/14 '17

-Feb '18 Amiloride .25mg  5/18 off Amiloride d/t react. Clonaz compounded  

-4/27 '18 Viibryd 9.5mg, 6/11 9.0 mg, 1/27 '19 Viibryd 8.75mg, ; Clonazepam .2mg 530pm and .7mg 1130pm, Premarin .3mg 830PM CARAFATE QID 2/27/19 to 3/5/19

-July 6'19 1/2 10mg Claritin 230pm, stopped it about July 18, started Oct 11 '19, 

-7/27 Viibryd 8.5, 8/29 8.25, 10/24 8.0, 12/19 7.75, Feb '20 7.50, 3/20 7.25, 5/20 7.0, 6/20 6.75, 7/20 6.5, 8/20 6.25, 10/2 20 6.0, 11/25'20 5.75, 1/9/21 5.5, 2/23 5.25

-1015 AM Viibryd, vit D 4,000IU 130, 415 Clonazepam .2mg, 815 Premarin .3mg, 1015 Clonaz .7mg,

  1115 3t fish oil+D 1145 Castor Oil 650mg(4) 1230 Carafate 1/2GM,Methylated B Vit  1/week,Reacted Mag prn

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@manymoretodays Sorry...could you let me know how many capsules would be ideal for the cross over?  I will get them.

-Nardil 1976 < year, stopped. React to AD's. Klonopin .5BID 1990, 2.5mg til 2016

-Klonopin doubled Jan '16. Taper to 2.25mg May to Nov '16. Bad react to Lexapro, stop. React to Prevacid too, taper off. 

-November '16 Tapered .25mg Klonopin in hospital. Jan '17 started Viibryd, 20mg from Feb to June '17,     

-20mg to 10mg Viibryd from 3/25 to 6/10 2017, 12/15 10% Viibryd taper...back up next day

-Clonazepam 2mg to 1.85mg 4/14 '17 to end November; taper to 1mg Clonazepam in hospital 9/1 tp 9/14 '17

-Feb '18 Amiloride .25mg  5/18 off Amiloride d/t react. Clonaz compounded  

-4/27 '18 Viibryd 9.5mg, 6/11 9.0 mg, 1/27 '19 Viibryd 8.75mg, ; Clonazepam .2mg 530pm and .7mg 1130pm, Premarin .3mg 830PM CARAFATE QID 2/27/19 to 3/5/19

-July 6'19 1/2 10mg Claritin 230pm, stopped it about July 18, started Oct 11 '19, 

-7/27 Viibryd 8.5, 8/29 8.25, 10/24 8.0, 12/19 7.75, Feb '20 7.50, 3/20 7.25, 5/20 7.0, 6/20 6.75, 7/20 6.5, 8/20 6.25, 10/2 20 6.0, 11/25'20 5.75, 1/9/21 5.5, 2/23 5.25

-1015 AM Viibryd, vit D 4,000IU 130, 415 Clonazepam .2mg, 815 Premarin .3mg, 1015 Clonaz .7mg,

  1115 3t fish oil+D 1145 Castor Oil 650mg(4) 1230 Carafate 1/2GM,Methylated B Vit  1/week,Reacted Mag prn

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  • Moderator Emeritus

Hi Rabe,

Is this a mail order compounded pharmacy that you are using?

Try to worry too much about it all.  It sounds like you do like to be prepared and this is a good thing.

You are also smart.....also a good thing.

I'm afraid if you keep calling the pharmacy that they will begin to get annoyed. 

 

My biggest confusion has come with the seeming exchange of the terms tablets and compounded capsules.

And we are just working on the Viibryd right now.  Okay?

 

We are not doing anything different with the clonazepam now.  You just need to keep taking, what you are taking, at the same times of the clonazepam now.

 

I'll need you to tell me the weights of both compounded capsule contents, as well as tablet/pill weights.  Of the Viibryd compounded capsule contents AND of the Viibryd tablets/pills.

So let's just call compounded capsules just that.  And tablets tablets/pills.'  And stick with the Viibryd.

I think ideally 28 to 30 capsules will do.  And you said you presently have 20.   And I am referring to the compounded capsules that you get from the pharmacy.  Not the empty 0 or OO capsules.

 

Soooo....... you can work on weighing now.

We are just determining the averages of the pw for both of these now.  Compounded capsules and tablets/pills of Viibryd only.

pw= pill weight  (even though some of the contents are from capsules we still want to get the avgpw to work with).

And I'm going to get it all calculated so that I can tell you exactly what weight you need of each on your scale when it comes time to begin the cross over.

This is all about Viibryd only now.

Each compounded capsule has 9mgai Viibryd 

Each pill/tablet has 10 mgai Viibryd

 

We are doing this for exactly this reason:

5 hours ago, Rabe said:

@manymoretodays   it was the crazy capsule doses from both meds in Oct....

As you noticed things seemed to change after this, the change in the formulation or going to the compounded versions.  

Brassmonkey passed along the information on your "cross taper",  to us, mods..........as he may not be able to check in too much for awhile. 

 

 

What did you get weighed on November 12th?  If those were tablets/pills of Viibryd, and you still have that batch of tablet/pills of Viibryd we can use those weights. 

I know you weighed clonazepam too.  But I don't need that information right now.

 

All we are doing is going back to using tablets/pills of Viibryd for your further tapering of Viibryd.  After we cross over to tablets/pills completely.

I think they must be using the same tablets/pills in your compounded capsules. 

You'll be making your own doses of Viibryd essentially.......eventually, without the compounding pharmacy.  Weighing and loading up capsules.

 

There are no changes to generic and back or any of that going on.  It sounds like the pharmacy may have already reassured you that they use the blueSandoz tablets in compounding your clonazepam doses.  And they weren't sure if there would be any tablets/pills available yet?

 

I hope that's reassuring.  I often explain things the long way.  Sorry you are feeling agitated and unsettled.  Doing the best I can, Rabe.

 

L, P, H, and growth,

mmt

 

Edited by manymoretodays

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

 

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@manymoretodays 

1 hour ago, manymoretodays said:

Is this a mail order compounded pharmacy that you are using?

No...I send viibryd tablets to them for compounding and they send the capsules to me because I cannot be assured that I can make the drive to & from

1 hour ago, manymoretodays said:

And we are just working on the Viibryd right now.  Okay?

 

 

2 hours ago, manymoretodays said:

It sounds like the pharmacy may have already reassured you that they use the blueSandoz tablets in compounding your clonazepam doses.  And they weren't sure if there would be any tablets/pills available yet?

Yes....unless pharmacy tells me they will soon not be able to continue making compounded Clonazepam capsules with Sandoz blue powder...that would be a game changer because of all the other generics that I've reacted to.  I will call them and find out...I need to call about my Viibryd capsules being sent back to me anyway 

1 hour ago, manymoretodays said:

I'll need you to tell me the weights of both compounded capsule contents, as well as tablet/pill weights.  Of the Viibryd compounded capsule contents AND of the Viibryd tablets/pills.

New ones will be different in weight for sure so as soon as I have the 30 capsules in hand will weigh them?   They are very small..how does one get them apart and back together..he said their gel caps are uniform weight but i wouldn't take that to the bank 

1 hour ago, manymoretodays said:

What did you get weighed on November 12th?  If those were tablets/pills of Viibryd, and you still have that batch of tablet/pills of Viibryd we can use those weights. 

I weighed Viibryd tablets but had only 11 or 12...I have more now that he gave me samples Wed so I'll mix them all together and weigh from all of them.

 Does one need to reweigh each time the doctor gives me new samples?

1 hour ago, manymoretodays said:

I think they must be using the same tablets/pills in your compounded capsules

Yes...I send them the samples the doctor gives me and they compound them

2 hours ago, manymoretodays said:

Sorry you are feeling agitated and unsettled.  Doing the best I can, Rabe.

It was just my worst time of day...3 to 5 give or take. Had very stressful event Tuesday(the police, driving at night...dont do well with either), stressful day yesterday with doctors and did too much I think, and then did drive to see my daughter today though was so so anxious/panicked because she was so upset...Im not feeling well at all...I dont know where I mixed up capsules and tablets...its all confusing to you Im sure and I will try to be clearer.  Thank you for everything, MMT. 💜

-Nardil 1976 < year, stopped. React to AD's. Klonopin .5BID 1990, 2.5mg til 2016

-Klonopin doubled Jan '16. Taper to 2.25mg May to Nov '16. Bad react to Lexapro, stop. React to Prevacid too, taper off. 

-November '16 Tapered .25mg Klonopin in hospital. Jan '17 started Viibryd, 20mg from Feb to June '17,     

-20mg to 10mg Viibryd from 3/25 to 6/10 2017, 12/15 10% Viibryd taper...back up next day

-Clonazepam 2mg to 1.85mg 4/14 '17 to end November; taper to 1mg Clonazepam in hospital 9/1 tp 9/14 '17

-Feb '18 Amiloride .25mg  5/18 off Amiloride d/t react. Clonaz compounded  

-4/27 '18 Viibryd 9.5mg, 6/11 9.0 mg, 1/27 '19 Viibryd 8.75mg, ; Clonazepam .2mg 530pm and .7mg 1130pm, Premarin .3mg 830PM CARAFATE QID 2/27/19 to 3/5/19

-July 6'19 1/2 10mg Claritin 230pm, stopped it about July 18, started Oct 11 '19, 

-7/27 Viibryd 8.5, 8/29 8.25, 10/24 8.0, 12/19 7.75, Feb '20 7.50, 3/20 7.25, 5/20 7.0, 6/20 6.75, 7/20 6.5, 8/20 6.25, 10/2 20 6.0, 11/25'20 5.75, 1/9/21 5.5, 2/23 5.25

-1015 AM Viibryd, vit D 4,000IU 130, 415 Clonazepam .2mg, 815 Premarin .3mg, 1015 Clonaz .7mg,

  1115 3t fish oil+D 1145 Castor Oil 650mg(4) 1230 Carafate 1/2GM,Methylated B Vit  1/week,Reacted Mag prn

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  • Moderator

Hi Rabe--  I'm so glad that your doctor is on board with what you're doing and is willing to help.  Good job on talking him around.

 

MMT is doing an excellent job of getting this all sorted, there are so many little details that need to be kept straight so it will lead to a lot of repeating the same questions several times.  I'm sorry if it all gets frustrating, but we want to get it right the first time.

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

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@brassmonkey  Thank you brassmonkey...I appreciate that.  Take care.

-Nardil 1976 < year, stopped. React to AD's. Klonopin .5BID 1990, 2.5mg til 2016

-Klonopin doubled Jan '16. Taper to 2.25mg May to Nov '16. Bad react to Lexapro, stop. React to Prevacid too, taper off. 

-November '16 Tapered .25mg Klonopin in hospital. Jan '17 started Viibryd, 20mg from Feb to June '17,     

-20mg to 10mg Viibryd from 3/25 to 6/10 2017, 12/15 10% Viibryd taper...back up next day

-Clonazepam 2mg to 1.85mg 4/14 '17 to end November; taper to 1mg Clonazepam in hospital 9/1 tp 9/14 '17

-Feb '18 Amiloride .25mg  5/18 off Amiloride d/t react. Clonaz compounded  

-4/27 '18 Viibryd 9.5mg, 6/11 9.0 mg, 1/27 '19 Viibryd 8.75mg, ; Clonazepam .2mg 530pm and .7mg 1130pm, Premarin .3mg 830PM CARAFATE QID 2/27/19 to 3/5/19

-July 6'19 1/2 10mg Claritin 230pm, stopped it about July 18, started Oct 11 '19, 

-7/27 Viibryd 8.5, 8/29 8.25, 10/24 8.0, 12/19 7.75, Feb '20 7.50, 3/20 7.25, 5/20 7.0, 6/20 6.75, 7/20 6.5, 8/20 6.25, 10/2 20 6.0, 11/25'20 5.75, 1/9/21 5.5, 2/23 5.25

-1015 AM Viibryd, vit D 4,000IU 130, 415 Clonazepam .2mg, 815 Premarin .3mg, 1015 Clonaz .7mg,

  1115 3t fish oil+D 1145 Castor Oil 650mg(4) 1230 Carafate 1/2GM,Methylated B Vit  1/week,Reacted Mag prn

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@Rabe thinking about you—hoping today is less stressful. 

 

Sheera

Started Lamictal and Brintellix in November 2015

May 2016 Discontinued Lamictal 100 to 50 and then stopped completely.

October 20, 2016 discontinued Brintellex 10 to 5 then went from 5 to 0 on November 10, 2016.

 

Currently off all antidepressants

 

Current Supplements:  L-Theanine, Natural Progesterone, L-Methylfolate, Vitamin D, Omega-3's, Probiotic

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  • Moderator Emeritus

Hi Rabe,

 

Tough holiday time for you I bet.  ((((Rabe))))  Sending hugs and butterfly wings.  Do you have places to go nearby that are within walking distance?  Or even just walks for the sake of walks are good too.  Bundled up for the brisk weather, that I assume you might be having.

Can you keep going with the daily logs too, please, Rabe?  Give us 2 or 3 days again at a time when you post them here please.  Thank you.  You did well with that.

 

So.....on the Viibryd:

And yes, we need to work with just the contents of the capsules.  The capsules themselves will vary in weight and throw things off if we try to add them into the equation.  Also on the compounded capsules, the contents should all be the same strength (mgai).  Once the average weight of the capsules is determined the contents could be all placed in a small bottle as a "bulk supply".  We need the average weight to calculate the AIC (Active Ingredient Concentration) for the compounded powder and from there we can calculate the target dose weight (mgpw) that you need to measure.  That can be taken from the "bulk supply" to make up the new doses. 

 

Things needed:

30  9 mg compounded capsules of V. 

30 10 mg tablets/pills of V. 

0 or 00 capsules(the ones you purchased and will fill).  A nice bulk supply.......say 100 or so.

Perseverance and practice with your scale.  And yourself.  And everyone else.(I know it's tough, very tough right now Rabe)

2 small containers for your bulk supply:

1 for the compounded capsule contents. 

1 for the crushed 10 mg Viibryd pills/tablets.

 

Best Rabe.

Love, peace, healing, and growth,

mmt

 


 

 

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

 

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  • Moderator Emeritus

Oh.....and this question from Alto:

On 11/22/2018 at 11:00 AM, Altostrata said:

Rabe, do you feel better or worse after taking Viibryd each day?

 

As you've lowered the Viibryd dosage, have the symptoms you feel around 1 p.m. gotten better, worse, or the same?

 

Please keep the clonazepam dosing very regular, same dosages at the same times each day.

 

On 11/22/2018 at 11:48 AM, Rabe said:

@Altostrata   Happy Thaksgiveig...thank you for stopping...means a lot.  Feel worse sometimes within hour or so then fades, then get anxious and agitated later  and better bout 5ish.  Afternoon Clonazepam doesnt always go well either.

Right now its 1245...took it at 1143 and am just in last minutes not feeling well...head hot, heart skipped, dizzy isn't exactly it...just off...SOB, agitated.

When dose was lowered I was better think but has been awhile and lowered both nearly together.  I do remember in residential the doctor saying you probably get anxious later in afternoon or early evening and I said yes how did you know?  He said you are withdrawing...and I said how can that be when Im not tapering.  Just remembered that.

Would value your thoughts...thank you again.

 

Rabe,

If you remember back in April, May, and June.  Do you think the 1 p.m. symptoms are better or worse since you lowered your dose of Viibryd?  Your answer to Alto's second question is a little unclear.

I found you went to the compounded capsules of Viibryd, from your narratives.......when you first went down to 9.5 mgai.  And then it's a bit unclear, as to when.......but you next got compounded capsules of Viibryd that contained 9mgai.  (mgai= milligram active ingrediant of your drug).

So you have decreased by 10% from your original10 mgai dose.  That's what you were on last January.

 

Edited by manymoretodays
urgh!!!! 10 mgai, not 9!

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

 

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@brassmonkey@manymoretodays I did want to ask  ... I have to get more of the clonazepam and was thinking of going back to the .1capsules instead of the .2 and .7...is that ok?

-Nardil 1976 < year, stopped. React to AD's. Klonopin .5BID 1990, 2.5mg til 2016

-Klonopin doubled Jan '16. Taper to 2.25mg May to Nov '16. Bad react to Lexapro, stop. React to Prevacid too, taper off. 

-November '16 Tapered .25mg Klonopin in hospital. Jan '17 started Viibryd, 20mg from Feb to June '17,     

-20mg to 10mg Viibryd from 3/25 to 6/10 2017, 12/15 10% Viibryd taper...back up next day

-Clonazepam 2mg to 1.85mg 4/14 '17 to end November; taper to 1mg Clonazepam in hospital 9/1 tp 9/14 '17

-Feb '18 Amiloride .25mg  5/18 off Amiloride d/t react. Clonaz compounded  

-4/27 '18 Viibryd 9.5mg, 6/11 9.0 mg, 1/27 '19 Viibryd 8.75mg, ; Clonazepam .2mg 530pm and .7mg 1130pm, Premarin .3mg 830PM CARAFATE QID 2/27/19 to 3/5/19

-July 6'19 1/2 10mg Claritin 230pm, stopped it about July 18, started Oct 11 '19, 

-7/27 Viibryd 8.5, 8/29 8.25, 10/24 8.0, 12/19 7.75, Feb '20 7.50, 3/20 7.25, 5/20 7.0, 6/20 6.75, 7/20 6.5, 8/20 6.25, 10/2 20 6.0, 11/25'20 5.75, 1/9/21 5.5, 2/23 5.25

-1015 AM Viibryd, vit D 4,000IU 130, 415 Clonazepam .2mg, 815 Premarin .3mg, 1015 Clonaz .7mg,

  1115 3t fish oil+D 1145 Castor Oil 650mg(4) 1230 Carafate 1/2GM,Methylated B Vit  1/week,Reacted Mag prn

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I have been having lots of problems with being dehydrated...cant seem to stay hydrated...trying to get that resolved somehow but my doctor is gone as of last week...went back to a different job somewhere...kinda lost.  Went to see Nina yesterday but left early cause of the cramping and dizziness and fatigue...hating all this right about now! Sometimes hope escapes..🙁

-Nardil 1976 < year, stopped. React to AD's. Klonopin .5BID 1990, 2.5mg til 2016

-Klonopin doubled Jan '16. Taper to 2.25mg May to Nov '16. Bad react to Lexapro, stop. React to Prevacid too, taper off. 

-November '16 Tapered .25mg Klonopin in hospital. Jan '17 started Viibryd, 20mg from Feb to June '17,     

-20mg to 10mg Viibryd from 3/25 to 6/10 2017, 12/15 10% Viibryd taper...back up next day

-Clonazepam 2mg to 1.85mg 4/14 '17 to end November; taper to 1mg Clonazepam in hospital 9/1 tp 9/14 '17

-Feb '18 Amiloride .25mg  5/18 off Amiloride d/t react. Clonaz compounded  

-4/27 '18 Viibryd 9.5mg, 6/11 9.0 mg, 1/27 '19 Viibryd 8.75mg, ; Clonazepam .2mg 530pm and .7mg 1130pm, Premarin .3mg 830PM CARAFATE QID 2/27/19 to 3/5/19

-July 6'19 1/2 10mg Claritin 230pm, stopped it about July 18, started Oct 11 '19, 

-7/27 Viibryd 8.5, 8/29 8.25, 10/24 8.0, 12/19 7.75, Feb '20 7.50, 3/20 7.25, 5/20 7.0, 6/20 6.75, 7/20 6.5, 8/20 6.25, 10/2 20 6.0, 11/25'20 5.75, 1/9/21 5.5, 2/23 5.25

-1015 AM Viibryd, vit D 4,000IU 130, 415 Clonazepam .2mg, 815 Premarin .3mg, 1015 Clonaz .7mg,

  1115 3t fish oil+D 1145 Castor Oil 650mg(4) 1230 Carafate 1/2GM,Methylated B Vit  1/week,Reacted Mag prn

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3 hours ago, Rabe said:

Sometimes hope escapes

I liked how said this, Rabe, and indeed, it does....especially when we are feeling so ill.  Perhaps there is hope in your ability to go to Nina's yesterday.  You had to leave earlier than you had anticipated but you got there which has not been possible for you on many days.  It must be difficult to also lose your doctor who knew your "story" and have to start over on that front....it is understandable you would feel lost with that but you will figure it out, my friend.  I am thinking about you, Rabe, and sending lots of hugs - WR.

-1/06 - 3/07 Cymbalta. Fast taper (essentially CT); withdrawal symptoms after 4 mos (didn't realize was WD)

-10/07: 100 mg Zoloft; 1 mg Klonopin - tapered off Klonopin after 4 mos. Several unsuccessful slow tapers of Zoloft; went up and down in dose a lot

-Spring 2013 back on 1 mg Klonopin to counter WD symptoms; switched over 5-6 mos from Zoloft to 35 mg citalopram
-Two attempts at slow tapering citalopram, always increased dose due to WD; also increased Klonopin to 1.25 mg in 2014, then to 1.5 mg in 2015

-8/17-9/17: After holding one year at 20 mg, feeling withdrawal symptoms due to stress - slowly increased to 25 mg. No change in symptoms after 6 months (? tolerance ?)  - decided to start citalopram taper February 2018 (still on Klonopin 1.5 mg).

Supplements: fish oil; magnesium; vitamin D3; curcumin

Citalopram taper:  2/2018 - 12/2019: 25 mg - 11.03 mg I 2020: 10.89 mg - 7.9 mg I 2021: 7.8 mg - 5.26 mg I 2022: 5.2 mg - 3.36 mg I 2023: 3.3 mg - 1.47 mg 2024: 1/5/24: 1.44 mg; 1/19/24: 1.40 mg; 1/26/24: 1.37 mg; 2/2/24: 1.34 mg; 2/9/24: 1.31 mg; 2/23/24: 1.28 mg; 3/1/24: 1.25 mg; 3/8/24: 1.22 mg; 3/15/24: 1.19 mg

 

 

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