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Rabe: how to taper and adjust Viibryd while on Clonazepam

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Rabe
On 11/22/2018 at 2:32 PM, manymoretodays said:

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

Do I put what I weigh back in the capsules or in a jar?

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manymoretodays

Right now you need to put the weighed contents of the capsules in a marked container.  A jar is fine.  I suggested a plastic medicine container just because they are amber colored and have a wide mouth.  The amber color protects medications/drugs from light.

 

Protect from light and label it.......contents of 9 mg Viibryd compounded capsules.  You could label a jar and then put the container/jar in a paper bag.

 

Be careful handling the stuff too.  Use your tweezers and spoon.

 

Filling the nice, big capsules comes later.  After I do all the calculations for you.

 

Do you remember the cross over formula.  The 1/4  and 3/4 to start.  That's when you fill the BIG new capsules. 

I will give you the weights of what to put in the BIG new capsules exactly.

What you need from the tablet/pill supply and what you need from the capsule contents. 

The weight of each of those you will need to see on your scale.  Then you load the NEW capsules and do 7 days using them.

Then we go to the next stage.  1/2 and 1/2 for a week.  New weights.  New BIG capsules filled.

And so forth.

This process will take a total of 28 days and then a further HOLD.

 

And yes, it's possible you feel some degree of W/D symptoms or side effects during this change.  In the long run though, you will be formulating your own Viibryd from the tablets/pills only.  And can begin to control the taper.

We are not tapering now.

Or adjusting any other medications.

During the HOLD, once crossed over....... That's when it might be best to, if needed, work on benzo spacing again with Shep.

 

Okay......and I do see the source of your confusion now.  In the quote.

Thanks Rabe.

 

The weighed capsule contents.  Contents only.  Not the whole capsule.

Just clarifying.

 

 

Edited by manymoretodays

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manymoretodays

Final edits done in my above post Rabe.

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Rabe

@brassmonkey

Hi..could you please tell me what you used or got as a small glass jar?  I remember you saying to use glass not the plastic as the pill contents can stick to it and indeed they do...see that with the pills I crushed before as a trial...all yellow around the side of the plastic med container.  

I have glass things with no covers...or a glass glass...been keeping an eye out but have seen nothing as of yet...but may not be looking for right thing.  Thank you!

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brassmonkey

For a while I used one of the little little glass jars you get with samples of jelly, but it ended up being a bit too big so I ended up with a small square plastic earring box.  Some of the bulk material stuck to the sides, but I wasn't measuring that so it didn't count.  I prefer glass because it's cleaner, that's all.

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DMV64

Hi Rabe!

Checking in on you. How are you doing?

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Rabe

@brassmonkey

Oh...so then the plastic med container is ok...even though powder does coat the sides?  I have plenty of those containers!😳

Also, would it be ok to use the Viibryd capsules that we/are not in the acceptable range right now from what I measured earlier for a crossover or no?  If measure them would it work?  

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bubbles
2 hours ago, brassmonkey said:

For a while I used one of the little little glass jars you get with samples of jelly, but it ended up being a bit too big so I ended up with a small square plastic earring box.  Some of the bulk material stuck to the sides, but I wasn't measuring that so it didn't count.  I prefer glass because it's cleaner, that's all.

 

Is a shot glass too big?

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Rabe

Hmmm...I dont have one but thats a good idea bubbles...thanks.

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Rabe

@bubbles sorry I didnt tag you in the above! Dah!

 

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Rabe

@Shep  Thank you for that!  I really have not put that together...will watch that.  What I do seems so nothing and benign compared to my life before all this...and it has been going on so long.  

If the Viibryd isn't a problem wonder why taper it first? But guess both are problem...dont know which is necessarily worse...changes from day to day it seems...react to one or other or both.  Thanks again Shep.  I appreciate all that.  I will try to give myself credit...think dont because that little bit is expected I guess from others....and from myself.  Take care!💜

  

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Rabe

@DMV64 Hi DMV...oh...Im ok. Had crazy spell yesterday but seem better today. How are you doing?💜  

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Rabe

12/4

bout 5 hours sleep

1100 yoga

1140 9mg Viibryd with food

1200 to appt and errands at Kohls...feel good

120 got odd headache then anxiety then way increase in anxiety

140 increased anxiety...had just lugged bunch of coats to dressing room to try on...pale, feel cannot get

        air, heart skipped

530 still dont feel well, headache, chest hot, tired

540 .2mg CLonazepam with food

640 some better, stomach not good

840 Premarin .3mg with food

1140 Clonazepam 1140 with food

0100 to bed

 

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brassmonkey

Needs to be something that you can close. You want the powder to stay clean and dry and not get spilled if you knock things over.

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Rabe

@brassmonkey  Went out to find a small glass jar tonight and did!.  Just posted something on the scale sight...about the Gemini giving different weights when weigh same thing a few times...and bouncing between weights...mainly the difference in weight when the same thing is weighed.  Is it okay? Mat posted same concern.

Also wondered about my using some of the older smaller weight Viibryd capsules so that can use them up?  If not thats ok too.  Thank you!

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Rabe

@brassmonkey   So it doesnt matter if the sides of the pharmacy containers have pill residue?  

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Rabe

@brassmonkey @manymoretodays When I know if I can use the smaller weight  Viibryd capsules or nit I will get those weights cause thing is I jsut got new ones and need something to take while weighing and getting ready to cross over...

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Carmie

Hi Rabe, 

 

Thanks for dropping by my thread. Just wanted to pop over n give you some hugs. I hope that you find some things in your day that make you smile. I’m hoping to get out n about in nature soon, probably somewhere near water. I hope you manage to spend some time in nature too. It lifts the spirits.

 

Sending sunshine your way☀️☀️☀️

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Hibari

Rabe, I know you are in the middle of figuring out all the weights.  

 

Just wanted you to know I'm thinking of you and you will get through this. 

 

Hibari 

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Sheera

Hi Rabe—thanks for stopping by my thread. It’s so nice to know we’re in this together. I hope you get your stuff figured out soon. Won’t that feel good when that stress is gone?  Thinking of you—

Hugs—Sheera

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Rabe

@Carmie @Sheera @Hibari Thnak you SO much for popping in.  I am grateful!!  Yes I am really ready...have the viibryd pills and the capsules...I am just waiting to hear I can use the capsules that did not fir into the acceptable range that brassmonkey calculated for me.  I sen them back to the pharmacy but they said they were within 10% so good to go!  Soooo..will be happy to not take them soon but would like to use the others so they are not wasted.  I dont know why I could not if I weighed them all..but just wanted to be sure as they are from different scripts but same dose..just out of range weights.  Suspecting if you empty the capsule it will all even out in the end but I am not going to assume anything because this is all so new and I admittedly have no clue much as to what I am doing as of yet.  Think of you all every day...take care and thank you again for the support!!!💜

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Shep
On 12/5/2018 at 7:09 PM, Rabe said:

@Shep  Thank you for that!  I really have not put that together...will watch that.  What I do seems so nothing and benign compared to my life before all this...and it has been going on so long.  

If the Viibryd isn't a problem wonder why taper it first? But guess both are problem...dont know which is necessarily worse...changes from day to day it seems...react to one or other or both.

 

You're tapering the Viibryd first because removing the benzo will likely disrupt your sleep. Removing Viibryd is least likely to disrupt your sleep. 

 

And maintaining sleep is a priority. 

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brassmonkey

For right now I would not use the old capsules.  The material in them is probably fine, but it will be better to stick with the things we have been arranging for the crossover, because we know for sure what we are working with. I would label them and put them away where they won't accidentally get mixed in with what we are using, but where you can still find them.

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Carmie

I agree with brassmonkey Rabe, 

 

Better safe than sorry. Please listen to brassmonkey’s advice, forget about the old capsules for now. 

 

Also, I know you get really stressed but with the help of all the wonderful people on here you will get there. As Shep said, start with tapering the Viibryd first n then later the Benzo because tapering the Viibryd first is less likely to interfere with sleep. At least if you continue to get enough sleep it will help you to cope.

 

Sending sunshine your way☀️☀️

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Rabe

@brassmonkey Thank you for that BM...grateful...and thank you for the fear post...doesnt apply to me...🙄😳😱le...

Actually its beyond fear...yes....all three you mention and more it seems if thats possible...I just get paralyzed.  Thank you again.  Will try to find some information on the sight because living like this is not going to work.  Blessings!  Hope your shoulder is doing well.

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Rabe

@Carmie  Thank yo uso much Carmie..so much!  💜

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Rabe

I am going to try the .1mg Clonazepam capsules again...2 and 7 of them and see if they are better at all...more consistent.  Was not going to change but the doctor had already called them in and I see him in 2 weeks anyway so thought I could try them and if not better I can always go back to the .2 and .7s in 2 weeks.  The pharmacist is only sending a month of them instead of the 3 months which is nice and then will prorate if I want to continue on them which is also nice of her. 

This morning I woke with bad headache and heart off...but had to take one of  smaller weight capsules of  CLonazepam that are not in range at all cause all I have til new ones come.  But also on edge this morning so who knows.  Going to try to go for a short walk.  Was grateful to get out yesterday a bit....

feel better around 500 so go but traffic here is so awful then...but worth it.... and later at night gives me a nice break as well...had a bath and to bed.  Grateful!!  Love and hugs to all....ugh this headache!!  😡  The cold air should help! 😳 

 

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wantrelief

Hi Rabe - I am so glad you get some moments that are better.  I am really sorry about the headache.....I know how awful headaches can be and waking up with one is particularly hard.  I am glad you were able to get out a bit yesterday and hope you are able to go for your walk today.  Hopefully the cold air will shock the headache away!  Thinking about you - WR.

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Rabe

@wantrelief  Oh thank you so much WR...I did get out for a walk...not real long but cold and the sun felt good...headache was some better after walk but returned...at least was a break. Just anxious now.  It is a nice day.  Will get out in the sun once more today I hope.  Hope things are better for you today WR.  Sure am thinking about you!!💜

 

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Rabe

@manymoretodays  Hi MMT...I just wanted to say thank you for all you have done.  I understand your thoughts and concerns.  Things are a bit complicated and I make them more so because of my fears...reading brass monkeys post helped me identify them..all three of them....and there are more I know....spirals seem to be my favorite geo design.

Deciding on which capsules in itself was paralyzing which seems ridiculous today but was overwhelming at the time.  Oh well.....learning curve.  

Than you again.  You and all the mods are such a blessing to so many!!

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neroli

Hello Rabe

 

Popping in to say hello and good to hear that you are almost ready to go.  Had a walk with a friend today who mentioned she had been to Wisconsin and that made me think of you.  I've been a bit slack communicating with people this weekend - an energy thing.

 

So just wanted to say I can only observe in awe at the grit and determination you have dealing with these symptoms and the mind-boggling drug adjustments and preparation for reducing.

 

Trojan.

 

Neroli 💜

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Rosetta

All my love, Rabe.  A bath sounds nice.  I hope you were able to enjoy it. -R

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Rabe

@Rosetta @neroli wanted to say thank you for stopping...

Today has not been good...started out bad...then had lots of anxiety...got out and walked and distracted and things got bit better...walked again a bit and ran couple errands tonight....but tonight the anxiety is the worst it has been in a long long time! 😢 I cannot sit still...cant do much of anything it seems.  S thank you all again...I am truly grateful.  Going to go...perhaps a bath...warm milk...love and hugs to all!💜

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neroli

Sorry to hear that, Rabe.  Very uncomfortable (not an adequate word, I know) when the anxiety is up.  Wishing you some relief and ways for you to cope.

 

Neroli 💜

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Rabe

@brassmonkey I know you are getting ready for a most special journey...I am lost...am I to weigh the capsules.  I was set to do that and  

am understanding no because of the .1mg Clonazepam capsules coming Monday...though Shep had said that is not a dose change.  Thank you so much.

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