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The Brassmonkey Slide Method of Micro-tapering

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ADMIN NOTE Every nervous system is different. You may find a modification of the below method suits yours better. It is only a suggestion of a place to start if you're very sensitive to dosage reductions. Listen to your body and tailor this method to it.

 

Here is an online calculator based on the Brassmonkey Slide Method of Micro-tapering http://www.taperoff.co/

 

See also:

 

Calculators:

BrassMonkey Slide Online Calculator

tapering-calculator-at-reversepsychiatryorg

Micro Taper Off calculator with built-in 2 week hold  see this post how to check total reduction is <10%

simple-brassmonkey-slide-tapering-spreadsheet

 

BrassMonkey Slide – Pick your taper rate

 

Micro-taper instead of 10% or 5% decreases
Making a liquid from a tablet or capsules

Using a digital scale to measure doses


 

 

The Brassmonkey Slide Method

 

Starting a taper can be a very scary proposition.  I’ve heard is mentioned repeatedly by our new members and even by members who have been on extended holds and are about to restart. The overwhelming concern is fear of the symptoms that can be unleashed by reducing the drug in question.  I was as bad as anyone else, I was scared to death before I started my taper, and just for that reason.

 

Most of us try to research our taper before we start, so we can make a plan and have some idea what we are getting ourselves into. That research often includes reading a lot of other people’s stories, which can be very upsetting.  This can be a source of a lot of misinformation, out of context statements and vivid details that are hard to ignore.  Which is why we have a large number of forums that give detailed information of how, when and why to taper.

 

The symptoms that are experienced during a taper can be far from pleasant and keeping them at a minimum is a prime goal of any taper plan. With this in mind, the protocol of reducing a person’s dose by 10% of the previous dose every four (4) weeks was established.  Over the years it has proven to be a good starting point and has been very effective for many people.  It does, however, prove to be too harsh for others.

 

The second option is the “micro-taper”.  This involves reducing a tiny amount every few days over a very long time.  It does a great job of reducing symptoms but is very tedious and takes a very long time to complete.  There needs to be something in between.  Something that can reduce the effects of the symptoms and yet doesn’t take forever to complete.  This is where the Brassmonkey Slide Method comes in.

 

The idea behind the Brassmonkey Slide Method is to maintain the speed of a standard 10% taper while reducing the symptom load by taking the reductions in smaller bits.  When I was researching my taper, I observed that there was a large hit of symptoms that occurred several days after the reduction was made.  These symptoms would then peak and decrease over the next several weeks until the person would return to an average state of feeling bad.  My idea was that if the reduction were taken in smaller pieces fairly close together you would experience reduced symptoms for a shorter period of time and by doing reductions back to back, as the symptoms resolved, a person could maintain a 10% reduction and experience reduced symptoms.

 

The basic Brassmonkey Slide Method consists of four (4) weekly reductions of 2.5% in a row with an additional two (2) week hold.  This gives a total reduction of 10% ever six (6) weeks.  Although it isn’t the standard reduction plan it is very close.  The extra two (2) week hold is very necessary to let the cumulative effects of the four (4) reductions settle out and things return to baseline before attempting the next reduction.

 

So, the reduction schedule looks like this:

 

            Week 1 reduce 2.5%

            Week 2 reduce an additional 2.5% (for a total of 5%)

            Week 3 reduce an additional 2.5% (for a total of 7.5%)

            Week 4 reduce an additional 2.5% (for a total of 10%)

            Weeks 5,6 Hold at the last reduction level

 

This schedule proved very effective for the duration of my taper and has been used by many others with great success.  But, it’s not the only way to do it.

 

Some people find that even on this schedule the symptom spike after each drop is just too great.  For them the answer has been to take even smaller reductions.  Any combination of four (4) small reductions and a hold can be used. A reduction of 1.25% a week will yield a total drop of 5% or a reduction of 0.625% would give a total drop of 2.5%.  A very popular method is to reduce by 1% a week. 

 

We need to keep in mind though, the lower the reduction percentage the longer the taper will take to complete. The half-life of a standard 10% taper is six months.  Meaning that six months from now you will be at half of your current dose. If the taper is reduced to 5% the half life doubles to a year. Like wise a 2.5% taper would have a half-life of two years.

 

No matter what the reduction rate is it is very important to maintain the two (2) week hold every round of four (4) reductions. The symptoms that we feel after a drop are only a small part of what is happening to us.  Psych drugs work by making physical changes to the body.  As we taper these changes need to be undone in an orderly manner, so the body can continue to function the way it is meant to.  If we don’t allow time for these changes to be made properly they pile up and pile up until there are just too many of them.  The body then gets very confused and a crash occurs.  That crash will take a long time to correct and stabilize.

 

This behind the scenes repair work is one of the keys to the Brassmonkey Slide Method.  By making smaller reductions the bodies “to do” list is kept to a manageable size and most of the tasks can be completed before the next reduction happens.  Giving the body an extra two (2) weeks helps make sure it has enough time to get it all done. If the reduction is too large then the “to do “ list is also quite large and the body has a much tougher time getting started on the jobs and figuring out what to do first.

 

Another benefit to the Brassmonkey Slide Method is that it feels like it is very proactive.  I see a lot of comments from members who feel like they are not doing enough to help themselves get better.  Making any decision and sticking to it is being proactive with a taper but the long periods of time between decisions can cause people to lose track of that.  By making a controlled reduction in dose every week it makes it appear that things are progressing faster, even though the total reduction is the standard 10%.  This can be quite a boost for people who “want to take control of the situation”.

 

With all these changes being made it is a good idea to keep written records.  This will help track your progress, but it will also help keep things from getting confused.  With a constantly changing dose it is very easy to lose track of where you are and start making mistakes.  The records don’t have to be elaborate. I tracked the date of the reduction, the amount of the reduction, the strength of the dose in mgai and the weight that I would measure on the scales in mgpw, on a weekly basis.

 

Mgai, milligrams active ingredient, being the strength of the dose starting with the full strength listed on the bottle and reduced by the percentage of the reduction each week, i.e.33.2mgai.  While mgpw, milligrams pill weight, being the weight of the dose that is measured on the scales, starting with the weight of a whole tablet and decreased by the percentage of the reduction each week, i.e.265mgpw.

 

Example: October 23; 2.5%; 33.2mgai; 265mgpw

 

As with any taper it takes a long time to get off these drugs.  Using the Brassmonkey Slide Method is a way to keep that time as short and as painless as possible, while maintaining a feeling of control and allowing your body to make the changes necessary to heal in an orderly fashion.

 

Edited by Altostrata
Updated admin note

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.

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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wantrelief
1 hour ago, brassmonkey said:

No matter what the reduction rate is it is very important to maintain the two (2) week hold every round of four (4) reductions. The symptoms that we feel after a drop are only a small part of what is happening to us.

Hi Brassmonkey - When you state the importance of a two week hold every round of four reductions, are you referring to folks doing the Slide method or for any taper? 


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

-10/07: 100 mg Zoloft; 1 mg Klonopin - tapered off Klonopin
-Tried several times to slowly taper Zoloft by 10%, then 5% every 4-6 weeks; could never get below approx. 40 mg - spring 2012 experienced major WD symptoms due to stress; tried to updose but no relief, back on Klonopin 1 mg.
-Switched over 5-6 mos from Zoloft to Citalopram. Finished Zoloft 1/13; Citalopram 35 mg and 1 mg Klonopin.
-8/13: 27 mg Citalopram; 1 mg Klonopin

-11/14: 12.6 Citalopram - began to have bad withdrawal symptoms; out of desperation increased to 1.25 mg Klonopin at the beginning of December.  12/13/14 16 mg Citalopram - going to stay here to try to stabilize; stabilized on 16 mg Citalopram after 4-5 months

-7/15 - 3/16: reduced to 15 mg; ~ 2 months later w/d hit hard (probably r/t stress); 6/16 updosed to 20 mg Citalopram and trying to stabilize. Updosed to 1.5 Klonopin as well. Stabilized on 20 mg Citalopram after 4-5 months

8/17-9/17: feeling withdrawal symptoms at 20 mg Citalopram (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 glycinate; vitamin D3; curcumin

Citalopram taper:  2/2018 - 12/2019: 25 mg - 11.03 mg

2020: 1/14/20: 10.89 mg (1.27% drop); 1/22/20: 10.75 mg (1.29% drop); 2/28/20 toe surgery; 4/26/20: 10.62 mg (1.21% drop); 5/3/20: 10.5 mg (1.22% drop); 5/10/20: 10.4 mg (1.24% drop); 5/17/20: 10.2 mg (1.25% drop); 6/7/20: 10.10 mg (1.27% drop); 6/14/20: 9.98 mg (1.19% drop); 6/21/20: 9.85 mg (1.30% drop); 6/28/20: 9.7 mg (1.22% drop); 7/12/20: 9.6 mg (1.23% drop); 7/19/20: 9.5 mg (1.25% drop); 7/26/20: 9.4 mg (1.26% drop); 8/2/20: 9.3 mg (1.28% drop); 8/17/20: 9.14 mg (1.19% drop); 8/31/20: 9.0 mg (1.31% drop); 9/6/20: 8.9 mg (1.22% drop); 9/27/20: 8.8 mg (1.23% drop); 10/4/20: 8.7 mg (1.25% drop); 10/11/20: 8.6 mg (1.27% drop); 10/18/20: 8.5 mg (1.28% drop)

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Gridley

This method is working for me.  Using it, I've gone from 20mg Lexapro to 7.2mg  in 16 months with tolerable WD symptoms and no need to updose. I rate my symptoms daily, with 0 being very mild symptoms and five being extremely bad symptoms, and my log has mostly 0's and 1's, an occasional 2, a few 3's, maybe one 4 and no 5's.  I plan to use it to taper Imipramine when the time comes.   


Gridley Introduction

 

Lexapro 20 mg since 2004.  Began taper using Brassmonkey slide Jan. 2017.   

End 2017 year 1 of taper at 9.25mg 

End 2018 year 2 of taper at 4.1mg

End 2019 year 3 of taper at 1.0mg  

Current from Oct. 21, 2020 at 0.025mg

Taper is 99.875% complete.

 

Lorazepam 1 mg 1986-1991 CT, resumed a few months later. CT 2000.  1 mg 2011-2016.  Sept, 2016 increased to 0.5 X 3 in split dose. Sept. 2019 increased to 0.625 X 3 after crossover to new brand

 

Imipramine 75 mg daily since 1986.  Jan. 2016 began every 3-weeks 10% taper, down to 15mg.  Aug 2016, discovered SA, updosed to 25mg and holding.  Taper is 66% complete.  

  

Supplements: omega, vitamins E and D3, magnesium glycinate, probiotic, melatonin .3mg


I am not a medical professional and this is not medical advice, but simply information based on my own experience, as well as other members who have survived these drugs.

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Snowyowl16

I have been reducing by 2.5% weekly because the 10% drop made me feel sick for almost a week after the drop. Using the 2.5% drop I have only minimal symptoms. I hadn't thought of the 2 week hold however. Hmmmmm


Start citalopram late 2004 20 mg/d, tapered to 10 mg 1xd on for several years

Citalopram 5 mg 1xd, occasional attempt to taper; off citalopram 4 months Aug. 2016

Venlafaxine 37.5 mg 2 months Nov, Dec 2016 stopped ct and change to citalopram 10 mg/d severe withdrawal with daily nausea 

Citalopram 20mg/day April 2017 - Feb 21, 2018, Citalopram 15 mg/day Feb. 21 - 3/3/2018

Citalopram 20 mg/day 3/4/18, Citalopram 18 mg 1xd 3/5 - 4/1,

Citalopram 17 mg 4/2, 16.6 mg 4/16, 16.2 mg 4/23, 16 mg 5/14, 15.8 mg 5/18, 15.6 mg 5/22, 15.4 mg 5/29, 15.2 mg 6/5, 15 mg 6/12,

14.6 mg 7/21, 14.2 mg 7/28, 14 mg 8/4, 13.6mg 8/18, 13.2 mg 8/25, 13 mg 9/1, 12.6 mg 9/22, 9/25 13 mg, 11/9 12.8 mg, back to 13 mg after a few days. 1/9/19 12.8 mg, 1/14 12.6 mg, 1/20 12.4 mg, 1/27 12.2mg, 2/4 12 mg, 2/24 11.8 ,3/1 11.6, 3/6 11.4, 3/11 11.2, 3/14 11, by 4/28 10 mg.

Nov. 1 9.8 mg, Nov 8 9.6 mg, Nov 22 9.5 mg, slow taper down to 9 mg 1/27/2020. Slow taper down to 8 mg Sept 1 2020.

 

Supplements/other: multivitamin, vitamin d 2000 u 1xd,, melatonin 1.5 mg 1xd prn, magnesium, Propranolol 10 mg 3xd April 2015 Propranolol Sr 60 mg/day Feb. 2016 (?), alprazolam 0.125 mg prn  (rarely taken) approx. <2 yrs 

ranitidine 150 mg 2xd 3/26- stopped 5/29, prn currently. Change to famotidine 20 mg 1 to 2/day.

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brassmonkey

Hi Wantrelief--  in this case it is specific to the people using the Slide Method.  It is however, a good idea to throw in a hold now and then when using the standard 10% taper also.  especially of you are making reductions every four (4) weeks.  This is due to the reasons I gave above, there has to be enough time allowed for the healing going on in the background to get done.  Otherwise the "to do" list gets out of control and people lose control of their taper.


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.

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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StarEyes

Thank you for this, Brassmonkey.  You are exactly right: I did feel scared to start my taper, especially after reading other people's stories. It is encouraging and reassuring to know that your individual take on the slow taper idea has helped you and Gridley. Because I have had such bad experiences in the past trying to get off antidepressants, I have decided to to go a step slower and cut  2.5% of the Lexapro (mgpw) every two weeks, for a 5% reduction each month. If I'm able to make it to 10mg, I will try a nice long hold of at six months to a year to make sure I'm stable, i.e, I'm not going to go to freak out and stop sleeping.

 

I'm on week two. I get that this will take years if I'm able to complete it,  but it's the only way I'll be sure I gave my brain the best possible chance to recover. If I stop sleeping on this gentle of a taper, then I know I need the drug to function, much as I'd love to be rid of it.

 

 


Trazadone  150mg 1988-1993; 1994-2006. Successful tapers in 1993 and 2006.

Klonopin 1-2 mg    1994-2006. Successful taper in 2006.

Zoloft      150mg        1998-2004.  Unsuccessful taper. Swtiched to:

Lexapro 20mg (though briefly at 30mg over 10 years ago)       2004-2018 Tried getting off 4x. Wound up completely unable to sleep. Last time was November-March 2017.

All attempts to taper were 50% reductions, over a period between 2 and 9 months, except when I cut my 30mg to 20mg at one point 10+ years ago without any trouble).

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Centime

Thanks for all this info, Brassmonkey. Very useful. I’m going to try your method.


Long history with many psych drugs beginning in 1987. Went through two too-fast Paxil withdrawals in the past. Ended up in ER both times. I successfully got off Wellbutrin, and (occasional only) Seroquel, Concerta, and Klonopin over six months. Current supplements: multivitamin, probiotic, D3, magnesium, CBD. Current drugs: Ranitidine 300 mg. for acid reflux, Paxil (tapering off).

 

Paxil Taper History, 2018/2019

Jan.1: 60 mg. May 1: 55 mg. May 13: 50 mg. June 3: 47.5 mg. June 14: 45 mg. June 21: 42.5 mg. July 5: 40 mg. Switched to figuring by weight. 40 mg. = .704 July 22: .686. July 29: .669. August 5: .652. August 12: .635. September 2: 30 mg. October 2: 25 mg. November 2: 22 mg. December 1: 20 mg. January 6: 18 mg. Now using a digital scale and an emery board to taper. January 16: I decided to go back on the drugs after a year of tapering. I’m more depressed than ever, and do not believe it’s withdrawal. Thank you, everyone, for your support, advice, and kindness. Centime.

 

 

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Rabe

Yes thank you for the really detailed account brfssmonkey.  I am going to take those thoughts to my doctor.  I finally dropped the Viibryd by 5%  yesterday...was terrified after December!  But made it through yesterday...didnot do very much and actually got out today.  The anxiety and headache thus far have been the only bad things...I remember you saying it takes 4 days for the body to get to a steady state again so will feel better after 4 days...is that right?  

Can the 2.5% be done with the Viibryd as well...any of the medications?  Thank you!


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

-Klonopin doubled Jan '16. Tapered to 2.25mg May '16 to Nov '16, Heart raced after 1 Lexapro, stopped. Reacting to Prevacid to tapered off. Nov

-November '16 Tapered .25mg Klonopin in hospital. Jan 2 '17 started Viibryd, 20mg from 2/20 to 6/10 '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 Viibryd 8.25 -10/18 Carafate 1/2 NOC-10/24 Viibryd 8.0, 12/6 Viibryd 7.75, K+ 10meq qd

-NOW 1115am-Viibryd 7.75mg, 3pm-K+ 5mg, 515pm-Clonaz .2mg, 6pm-K+ 5mg, 830pm-Premarin .3mg,1115pm-Clonaz .9mg, 115am Carafate .5gm.

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Rabe

Also wondering, I was going to hold for 4 weeks after this 5% drop but am wondering if I can drop again sooner?  I had started some trauma work but gratefully Shep said that is discouraged during WD...so I am stopping.  I had such an awful awful number of days after it!!!  Sat at the lake and cried and wanted to quit! Yikes!

 

Edited by ChessieCat
correct Step to Shep

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

-Klonopin doubled Jan '16. Tapered to 2.25mg May '16 to Nov '16, Heart raced after 1 Lexapro, stopped. Reacting to Prevacid to tapered off. Nov

-November '16 Tapered .25mg Klonopin in hospital. Jan 2 '17 started Viibryd, 20mg from 2/20 to 6/10 '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 Viibryd 8.25 -10/18 Carafate 1/2 NOC-10/24 Viibryd 8.0, 12/6 Viibryd 7.75, K+ 10meq qd

-NOW 1115am-Viibryd 7.75mg, 3pm-K+ 5mg, 515pm-Clonaz .2mg, 6pm-K+ 5mg, 830pm-Premarin .3mg,1115pm-Clonaz .9mg, 115am Carafate .5gm.

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brassmonkey

That's one of the nice things about it Rabe, the Brassmonkey Slide Method can be used with any medication that you can taper. We have people tapering ADs, APs, PPIs, and Benzos. It doesn't have to be just tablets either, liquids can be reduced in the same manner.

 

Four weeks between reductions in the minimum recommended hold period.  The body is doing a lot of healing in the background that we don't even notice, but if that healing can't keep up with the pace of the reductions it builds up and builds up until the body can't keep up and goes on strike.  That strike is usually in the form of a crash which will take months to stabilize from before a taper can be restarted.  In the long run it ends up taking more time to try and go faster then it does to go slowly and it can be a lot more painful.


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.

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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DoctorMussyWasHere

This method sounds excellent, thanks BrassMonkey. I'm following this topic.


I am here as a supporter to certain individuals undergoing withdrawal, and to learn from and contribute to the forum where possible.

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Brooke57

Thank you! I’m going to try this. I have a question and sorry if it has been answered and I missed it. After I complete the first taper of 10%, for my second taper do I calculate 10% off my original bead weight (I’m weighing beads) or the weight with the first 10% gone?

Thank you :)

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brassmonkey

Hi Brooke-- The 10% calculation is taken off of the dose that your are just completing, which is referred to as the "previous dose", or as you stated the weight of the first 10% gone.

 

Welcome to SA.  Would you please start a thread in the Introduction forum and tell us about yourself.  Once we get to know you we an offer more specific information and support.

 

Brassmonkey


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.

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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Moonpie

This may seem like a silly question, but I am not a math whiz. I have been reducing my Ativan by weight. Next will be Lexapro. You're method sounds great. I am going to try it. Question is what do I multiply The Weight by to reduce it to 2.5% a week. The weight of my 10mg Lexapro is .169 M mg.  Thank you. Moonpie


1.5 mg Ativan - .5 mg  three x daily -start date 9/16 - taper start 2/17.  1/07/2017 tapering A.m. and pm doses .001 every 4 days.  Prescribed for a thyroid medication mess up made thyroid go crazy for 8 months.
Also on Buspar .5 divided into 2 even doses AM and PM- Start date 9/2016 - Lexapro .PM - 5 mg start date 11/2016 increased to 10 mg 2/17.

Current: 3 doses  doses at 8AM - 2 PM and bedtime (varies) reduced from pill weight  from .069 to .035 on each dose. Tapering .001 every 4 days of midday dose.  As of 1-29-2018 .011 - AM and PM dose .030, holding. 

Current, 5/2/18: Ativan a.m. dose .030 and p.m. dose .018 (tapering by weight. ) Tapered off midday dose 3-15-18. Tapered off p.m. dose 7-16-18. Over half way tapering off last dose - morning dose. All other med doses remain the same. OFF ATIVAN! 11-16-2018

Very very sensitive to Ativan. 

1-1-2019 Began tapering Lexapro.  .001 mmg every 4 days. 9-15-19 At .093 in weight from beginning weight of .152.  Still tapering .001 every 4 days 1-1-2020 .069

N.P. Desiccated Thyroid.  12-22-17 reduced  from  75 mg. to 67.5 daily  Bio-identical female hormones. Bi-est/Prog cream 1 time daily.  .04-6-2020 Lexapro at .050 in weight. Buspar .5 divided into 2 doses am and pm  4-22-2020 Lexapro taper .047  6-15-2020 Lexapro taper .037  8-21-2020 .020  10-10-2020 .012

My intro: Moonpie:. Need help and supporting tapering off of Ativan

My benzo thread: Moonpie: Need help Ativan weight tapering

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StarEyes

Hi Moonpie,

 

I had trouble figuring this out at first, too. To reduce by 2.5%, you would multiply your full dose of 16.9 grams pill weight by 97.5% (.975) which equals 16.47. Then, the next time you reduce you'd multiply the 16.47 by 97.5% again, and so on.

 

Beware, though: weights of the same medication can vary significantly.  I initially weighed my 20mg Lexapro pill, and it weighed 25 grams. So I cut from there. Later,  I found a post saying to be sure to weigh at least several of the pills and take an average weight. It turns out my Lexapro varied from 25. 2 to 25.8. By cutting 2.5% of 25 grams I may have inadvertently made a 5% cut instead of 2.5%, and I did feel weepy those two weeks. So I held the 5% until 4 weeks were up, since I'm doing a 2.5% cut every two weeks.

 

So far, so good. Good luck on your Lexapro taper.

 

StarEyes


Trazadone  150mg 1988-1993; 1994-2006. Successful tapers in 1993 and 2006.

Klonopin 1-2 mg    1994-2006. Successful taper in 2006.

Zoloft      150mg        1998-2004.  Unsuccessful taper. Swtiched to:

Lexapro 20mg (though briefly at 30mg over 10 years ago)       2004-2018 Tried getting off 4x. Wound up completely unable to sleep. Last time was November-March 2017.

All attempts to taper were 50% reductions, over a period between 2 and 9 months, except when I cut my 30mg to 20mg at one point 10+ years ago without any trouble).

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Rabe

Brassmonkey I have a question.  What if your worse symptoms seem to come around 12 to 14 days or so after you decrease?  Do you still drop every week?  I get this kind of almost too good feeling the first week usually...maybe that will change...and then after bout another week symptoms start up.  Thank you!


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

-Klonopin doubled Jan '16. Tapered to 2.25mg May '16 to Nov '16, Heart raced after 1 Lexapro, stopped. Reacting to Prevacid to tapered off. Nov

-November '16 Tapered .25mg Klonopin in hospital. Jan 2 '17 started Viibryd, 20mg from 2/20 to 6/10 '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 Viibryd 8.25 -10/18 Carafate 1/2 NOC-10/24 Viibryd 8.0, 12/6 Viibryd 7.75, K+ 10meq qd

-NOW 1115am-Viibryd 7.75mg, 3pm-K+ 5mg, 515pm-Clonaz .2mg, 6pm-K+ 5mg, 830pm-Premarin .3mg,1115pm-Clonaz .9mg, 115am Carafate .5gm.

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bubbles

Hi @brassmonkey

 

Do you vary the  method according to the half life of the drug? I'm wondering about applying this to the sertraline.  Sertraline has a 23-26 hour half life but also has an active metabolite with a 66 hour half life. I *think* that means that the sertraline is at steady state after two weeks. I'm thinking that a pattern could be:

 

Start 8.1mg

week 1 7.9mg

week 2 7.7mg

week 3 7.5mg

week 4 7.3mg

week 5 hold

week 6 hold

 

That is 10%, over four weeks, then a two week hold. However, it would take the two weeks to get to steady state, which means that there is almost only one week at the new normal before starting over again.

 

I'm wondering if something like this might be better:

 

Start 8.1mg

week 1 7.9mg

week 2 7.6mg

week 3 7.3mg

week 4 hold

week 5 hold

week 6 hold

 

Or, is it a trial and error sort of thing?


My thread here at SA: https://www.survivingantidepressants.org/topic/1775-bubbles/page/14/

2005 St John's Wort / 2006-2012 Lexapro 20mg, 2 failed attempts to stop, tapered over 4.5 months in early 2012

January 2013 started Sertraline, over time worked up to 100mg / July 2014 dropped from 100mg to 75mg, held for six months

2015 tapered to 50mg over several months, held for several months, some more drops

2016 Feb 35mg, 6 Mar 33mg, more drops (note big drop (calc error) & up to 25mg), more drops (about 2mg at a time)

2017 - more small drops, more long holds

2018 March at 11mg;  April 20 9mg; June 11 8.1mg; (July 10 7.7mg / July 18 7.3mg); ( Sept 2 7.2mg, Sept 5 7.1mg, Sept 9 7mg); 30 Sept 6.5mg, ? 6mg, 23 Nov 5.5mg) 19 Dec 5mg

2019 (micro drops over two weeks 24 Mar 4.9mg, 28 Mar 4.8mg, 31 Mar 4.7mg, 4 Apr 4.6mg, 7 Apr 4.5mg / 22 April 4.4mg, 26 April 4.3mg, 2 May 4.2mg, 5 May 4.1mg, 9 May 4mg), 3 Oct 3.9mg, (20 Oct 3.8mg, 27 Oct 3.7mg, 3 Nov 3.6mg), 24 Nov 3.5mg, 8 Dec 3.4mg, 15 Dec 3.3mg, 22 Dec 3.2mg

2020 19 Jan 3.1mg, 26 Jan 3.0mg; 1 Mar 2.9, 7 Mar 2.8, May (some drops here) 24 May 2.5, May 29 2.4, June 21 2.3, June 28 2.2mg,  July 4 2.1mg, July 24 (or maybe a bit before) 2mg

Current Sertraline: July 24: 2 mg / Armour Thyroid / endless allergy meds, erg

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brassmonkey

Hi bubbles-  Good questions.  What I have described is the baseline model for the Brassmonkey Slide Method.  It's a jumping off point for people to modify if it is required. Longer holds are always a good thing. Taking into account the half life of a drug and its time to steady state are certainly factors that should be taken into consideration when designing a personal taper. The dynamics of paxil and  sertraline are almost identical so there shouldn't be any problem using the same method for both of them.  Your second example is a quite workable plan.


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.

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

Hi Rabe-- is that the symptom pattern for doing a full 10% reduction at one time?  The symptom pattern will be different when making a series of smaller tapers on successive weeks.  Possibly moving the drips to two weeks apart might help.  It would slow things down, but symptom reduction is the object not speed of taper.


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.

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

Moonpie and StarEyes-- that's the way it works.  Multiply your current dose by .975 to get the weight of your new dose.

 

There is going to be a small variation in the total weight of the tablets, it's a manufacturing thing and is very hard to work around.  However, the difference is very small.  When you work out the AIC (active ingredient concentration) of the drug, divide the strength by the total weight of the tablet, you will find that the difference is insignificant. In your cans MoonPie the AIC is .017 mg or written out the long way 0.000017 grams. Compare this to your full strength of 0.010 grams and you can see that it isn't a whole lot.  Unless a person is extremely sensitive to the drug it is a non factor.  The way around it is to crush the tablets into a fine powder and only weigh out the amount you need from a supply pile.  Also work with an average weight calculated from a number of tablets to determine your starting dose and go from there.


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.

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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DoctorMussyWasHere
7 hours ago, brassmonkey said:

DoctorMussy-- thank you for all the help with the calculator, it's really appreciated.

 

Brass

 

Thank you, Brass. I thought my 2-year journey had failed, but the suggestion of gentler taper has been well-received,

and I am eternally grateful that essentially we are all working together to map the escape-route.


I am here as a supporter to certain individuals undergoing withdrawal, and to learn from and contribute to the forum where possible.

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PH1

Brassmonkey,

 

I just want to say thank you from the bottom of my heart for your words of wisdom and willingness to share your experiences with all of us.   You are truly a blessing to me and thousands of others.   

 

God bless you!


2010:  Escitalopram (Lexapro) 10 mg.   Mirtazapine (Remeron) 15 mg. 

2011:    Tapered Mirtazapine: 5 month successful taper.  Then tapered Lexapro:  4 month successful taper

May 2011 to August 2017:   No medications, full recovery

September 6, 2017:  started Mirtazapine (Remeron) 15 mg  - due to severe sudden insomnia (I believe caused by statin use)

November 16, 2017:   started Escitalopram (Lexapro) 10 mg

January 1, 2018:  Started taper of 15 mg Mirtazapine (Remeron)  -- went too fast the first few months, now micro-tapering

June 16, 2018:  Started taper of 10 mg Escitalopram (Lexapro) --  alternating micro-tapering with Mirtazapine

On 1/1/2019:  3.00 Mirtazapine,  5.37 Escitalopram;     On 7/1/2019:  1.90 Mirtazapine,  3.96  Escitalopram;   On 1/1/2020:  1.30 Mirtazapine,  3.35 Escitalopram;  On 7/1/2020:  0.40 Mirtazapine,  3.00  Escitalopram

Current (mgai):   0.09 mg  Mirtazapine;   2.69 mg  Escitalopram

Supplements:  Fish Oil, Curcumin, bio active B vitamins, zinc, magnesium glycinate, Vitamin D, Vitamin C

 

"Therefore do not worry about tomorrow, for tomorrow will worry about itself. Each day has enough trouble of its own."  Matthew 6:34

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Rossho

Hi brassmonkey. Quick question. You state that a 10% taper with the slide method has a 5 month half life. Is this with reducing by your current dose or by a percentage of your starting dose? 


Stilnox january 2014 - may 2014 10-20mg a day

Stilnox august 2016 one month use 10 mg a day 

Xanax 2 weeks september 2016 1.5 - 3 mg a day, viscious withdrawal.

Valium reinstated October 2017 - march 2018. Fast tapered.

Risperdal october 2017 to present 1.5 mg.

Celexa December 2017 to present 20 mg

 

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Gridley

The percentage reduction, whether with the standard 10% every-four-weeks taper of with the Brassmonkey 2 1/2% per week taper, is always a percentage of your current dose.

 

With the standard 10% taper every four weeks, you will be at half your current dose in 6 months.  

 

With the Brassmonkey taper, you will be at half your current dose in 9 months.  The additional time is because there is a 2-week hold after the fourth 2 1/2% weekly taper.


Gridley Introduction

 

Lexapro 20 mg since 2004.  Began taper using Brassmonkey slide Jan. 2017.   

End 2017 year 1 of taper at 9.25mg 

End 2018 year 2 of taper at 4.1mg

End 2019 year 3 of taper at 1.0mg  

Current from Oct. 21, 2020 at 0.025mg

Taper is 99.875% complete.

 

Lorazepam 1 mg 1986-1991 CT, resumed a few months later. CT 2000.  1 mg 2011-2016.  Sept, 2016 increased to 0.5 X 3 in split dose. Sept. 2019 increased to 0.625 X 3 after crossover to new brand

 

Imipramine 75 mg daily since 1986.  Jan. 2016 began every 3-weeks 10% taper, down to 15mg.  Aug 2016, discovered SA, updosed to 25mg and holding.  Taper is 66% complete.  

  

Supplements: omega, vitamins E and D3, magnesium glycinate, probiotic, melatonin .3mg


I am not a medical professional and this is not medical advice, but simply information based on my own experience, as well as other members who have survived these drugs.

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ChessieCat

 

If asking questions specific to your own situation,

 

please post the question in your own Introduction topic

 

post a link to the question here in the BrassMonkey Slide topic.

 

Posting in your own topic will keep your history in one place.

 

After posting in your own topic copy link by right clicking on the share icon (top right of post) and select copy link location, then click in the reply box here in this topic and right click paste, or Ctrl + V. 
 

 

Edited by ChessieCat

Being very patient.  I'll get there - slowly.  ETA mid 2021

ADs:  25 years - 1 unknown, Prozac (caused muscle weakness), Zoloft/sertraline; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after)

Pristiq:  50mg 2012, 100mg beg 2013 (mild Serotonin Toxicity)

Began tapering Oct 2015  Current from 17 Oct 2020:  Pristiq 0.56 mg (compounded + liquid)

My tapering program

My Intro (goes to my tapering graph)

My website - includes my brief history + links to videos & information on the web

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

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ChessieCat

I've moved posts specific to a member's own situation to their own Intro topics.

 

I've left general posts here for the information of other members.


Being very patient.  I'll get there - slowly.  ETA mid 2021

ADs:  25 years - 1 unknown, Prozac (caused muscle weakness), Zoloft/sertraline; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after)

Pristiq:  50mg 2012, 100mg beg 2013 (mild Serotonin Toxicity)

Began tapering Oct 2015  Current from 17 Oct 2020:  Pristiq 0.56 mg (compounded + liquid)

My tapering program

My Intro (goes to my tapering graph)

My website - includes my brief history + links to videos & information on the web

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

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Pokeshaw

 


7 yrs Lexapro 10 mg. Mar/2011 - 1 month taper. Severe W/D. Multiple symptoms.Gallbladder and parathyroid surgery in Aug and Oct. Disability 3 months.  Dec/2011 reinstated 5mg Lex and went back to work. very bad shape.

By Aug/2012 - self tapered to 1.25 mg cutting pills. -very bad shape. Nov/2012  Dr. Hinz neuro-replete. up and down. Aug/2013 at aprox 1.0 mg Lex stopped neuro-replete ~Oct 2013 Found this site  ~ began using compounded Lexapro and have been micro tapering since then and holding as needed.

11/6/2013 -  0.6 mg

2/1/2018 - .135 mg  Now reducing 5-10% per month 

4/1/18 - .1 mg

4/17/18 - changed delivery from compounded individual caps to aliquot. went from .1 mg to .09 aliquot

7/4/2018 - .09 mg Holding due to wave of W/D symptoms

7/22/18 updosed to .1 mg aliquot

9/30/18 - reduced to .0975 aliquot

2/1/19 - updosed to .1 mg aliquot due to instability bad wave W/D

9/12/19 - back to .1 mg individual caps since could not get stable using aliquot

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ChessieCat

For members who prefer visual information:

 

BRASSMONKEY SLIDE – Pick your taper rate

 

Calculation:  Average monthly % reduction = weekly % x 4 divided by 6 x 4

 

Wkly %                 Mthly %               = av Mnthly %

Reduction           Reduction              Reduction

for 4 wks             to calc wkly %

 

0.1                          0.4                          0.27

0.2                          0.8                          0.53

0.25                        1                              0.67

0.5                          2                              1.33

0.75                        3                              2

1                              4                              2.67

1.25                        5                              3.33

1.5                          6                              4

1.75                        7                              4.67

2                              8                              5.33

2.25                        9                              6

2.5                          10                           6.67

 

Edited by ChessieCat
removed the amounts >10% mthly reduction

Being very patient.  I'll get there - slowly.  ETA mid 2021

ADs:  25 years - 1 unknown, Prozac (caused muscle weakness), Zoloft/sertraline; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after)

Pristiq:  50mg 2012, 100mg beg 2013 (mild Serotonin Toxicity)

Began tapering Oct 2015  Current from 17 Oct 2020:  Pristiq 0.56 mg (compounded + liquid)

My tapering program

My Intro (goes to my tapering graph)

My website - includes my brief history + links to videos & information on the web

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

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Pokeshaw
On 1/19/2019 at 4:41 PM, ChessieCat said:

 

If asking questions specific to your own situation,

 

please post the question in your own Introduction topic

 

post a link to the question here in the BrassMonkey Slide topic.

 

Posting in your own topic will keep your history in one place.

 

After posting in your own topic copy link by right clicking on the share icon (top right of post) and select copy link location, then click in the reply box here in this topic and right click paste, or Ctrl + V. 
 

 

Hi Chessie - Thanks for the above. I think I did what you suggested. See my post here from Jan 19th. Can you confirm that I did it right. I am a bit confused. I would like to be able to communicate with BrassMonkey now and then so I want to be sure to do it right so that he will see it.   Thanks!  Poke


7 yrs Lexapro 10 mg. Mar/2011 - 1 month taper. Severe W/D. Multiple symptoms.Gallbladder and parathyroid surgery in Aug and Oct. Disability 3 months.  Dec/2011 reinstated 5mg Lex and went back to work. very bad shape.

By Aug/2012 - self tapered to 1.25 mg cutting pills. -very bad shape. Nov/2012  Dr. Hinz neuro-replete. up and down. Aug/2013 at aprox 1.0 mg Lex stopped neuro-replete ~Oct 2013 Found this site  ~ began using compounded Lexapro and have been micro tapering since then and holding as needed.

11/6/2013 -  0.6 mg

2/1/2018 - .135 mg  Now reducing 5-10% per month 

4/1/18 - .1 mg

4/17/18 - changed delivery from compounded individual caps to aliquot. went from .1 mg to .09 aliquot

7/4/2018 - .09 mg Holding due to wave of W/D symptoms

7/22/18 updosed to .1 mg aliquot

9/30/18 - reduced to .0975 aliquot

2/1/19 - updosed to .1 mg aliquot due to instability bad wave W/D

9/12/19 - back to .1 mg individual caps since could not get stable using aliquot

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ChessieCat

BrassMonkey is on holidays at the moment.  He may pop in every now and then.

 

Posting the link here in this topic will allow him to see it, but also keep your history and the responses in your Introduction topic.


Being very patient.  I'll get there - slowly.  ETA mid 2021

ADs:  25 years - 1 unknown, Prozac (caused muscle weakness), Zoloft/sertraline; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after)

Pristiq:  50mg 2012, 100mg beg 2013 (mild Serotonin Toxicity)

Began tapering Oct 2015  Current from 17 Oct 2020:  Pristiq 0.56 mg (compounded + liquid)

My tapering program

My Intro (goes to my tapering graph)

My website - includes my brief history + links to videos & information on the web

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

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ChessieCat

 


Being very patient.  I'll get there - slowly.  ETA mid 2021

ADs:  25 years - 1 unknown, Prozac (caused muscle weakness), Zoloft/sertraline; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after)

Pristiq:  50mg 2012, 100mg beg 2013 (mild Serotonin Toxicity)

Began tapering Oct 2015  Current from 17 Oct 2020:  Pristiq 0.56 mg (compounded + liquid)

My tapering program

My Intro (goes to my tapering graph)

My website - includes my brief history + links to videos & information on the web

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

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ChessieCat

Just found a small issue with this calculator:  Micro Taper Off calculator with built-in 2 week hold

 

Using the calculator for the following the total reduction would be higher than 10%.

 

You would have to round up the 1.67 to 1.68.

 

How to work out the percentage:

 

(Start dose - end dose) divided by start dose x 100 = % reduction

 

(1.86 - 1.67) divided by 1.86 x 100 = 10.215%

 

(1.86 - 1.68) divided by 1.86 x 100 = 9.6774%

 

Starting dose

1.86

 

1.81

1.77

1.72

1.67

1.67

1.67


Being very patient.  I'll get there - slowly.  ETA mid 2021

ADs:  25 years - 1 unknown, Prozac (caused muscle weakness), Zoloft/sertraline; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after)

Pristiq:  50mg 2012, 100mg beg 2013 (mild Serotonin Toxicity)

Began tapering Oct 2015  Current from 17 Oct 2020:  Pristiq 0.56 mg (compounded + liquid)

My tapering program

My Intro (goes to my tapering graph)

My website - includes my brief history + links to videos & information on the web

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

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ChessieCat

Meeto has a question:

 

51 minutes ago, Meeto said:

I noticed a two week hold is recommended presumably to stabilize.  My question is, I am kindled was in WD before tapering.  It usually takes about 4 months for me to stabilize from any drop.  I've only dropped 1.2 mg in a year.  Should I just hold the two weeks and keep going anyways regardless of how I feel?

 


Being very patient.  I'll get there - slowly.  ETA mid 2021

ADs:  25 years - 1 unknown, Prozac (caused muscle weakness), Zoloft/sertraline; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after)

Pristiq:  50mg 2012, 100mg beg 2013 (mild Serotonin Toxicity)

Began tapering Oct 2015  Current from 17 Oct 2020:  Pristiq 0.56 mg (compounded + liquid)

My tapering program

My Intro (goes to my tapering graph)

My website - includes my brief history + links to videos & information on the web

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

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CharlieZ

Got a question..

instead of doing 2.5% a week at once, can I do 1.25% for 3 days, then 1.25% the next 4?

 

so instead of reducing the whole 2.5% at once, spread it out over the week so it has even less of a shock to the body? 

 

I have been micro tapering, but feel like I need something in the middle between cut and holds and micro tapering as I feel like not seeing the numbers drop fast enough is mentally defeating.

 

one last question. For the highly sensitive people like myself who have been on the med for 15 years, is 10% too much? If so, what % would you recommend from your experience helping others?

Thanks for your help. 

 


Klonopin for 12 years 

On and off lexapro multiple times 

Valium since October of 2015

Finished Lexapro taper 9-15-18

Re-started Valium taper 2-15-19

current dose of Valium - 3.56mg (4-16-19)

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brassmonkey

Hi CharlieZ.  I think there is a typo in your first sentence, but I can see where you're going with it.  We really need more information before we an make any recommendations, so it would be a good idea to start an intro thread for yourself in the introduction forum.  Welcome to SA.

 

Brassmonkey


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.

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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CharlieZ
On 4/1/2019 at 3:44 PM, brassmonkey said:

Hi CharlieZ.  I think there is a typo in your first sentence, but I can see where you're going with it.  We really need more information before we an make any recommendations, so it would be a good idea to start an intro thread for yourself in the introduction forum.  Welcome to SA.

 

Brassmonkey

Where is there a typo?

i was asking, instead of doing 2.5% a week, couldn’t u do 1.25% for 3 days, then 1.25 for 4days. (Breaking the 2.5% a week down even smaller for gentler shock to the CNS. 

 

Hopefully that cleared it up. 

 

 


Klonopin for 12 years 

On and off lexapro multiple times 

Valium since October of 2015

Finished Lexapro taper 9-15-18

Re-started Valium taper 2-15-19

current dose of Valium - 3.56mg (4-16-19)

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