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The Brassmonkey Slide Method of Micro-tapering

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Iowan

Here's my version of a BM Slide calculating spreadsheet. It uses the standard 4 week - 10% reduction. It also takes into account that most scales only measure to the 0.001 g. Please feel free to either incorporate into your other calc docs or delete my post all together. Thanks, Iowan

 

I took a little time today to work on an auto populating Excel spreadsheet for the BrassMonkey Slide Taper method. Please see my attached doc and feel free to download and use. There are 2 tabs. The 1st (4_Wk) tab is if you want to taper every week all the way through to zero. The 2nd (6_Wk) tab is if you want to taper every week for 4 weeks and then hold for 2 weeks before beginning your taper again, (per what's suggested by the original BM Slide Taper method).

 

Obviously, this is just an initial plan that does not take into any account for any unexpected or longer hold times.

 

Once you pick which tapering plan you want to go with, all you need to do is populate the 4 Yellow highlighted cells with your own information. The doc will automatically populate the rest and show you when you will reach zero, if you stick to the plan. Whatever row that the mgai, Weight and mgpw columns zero out is the date that you will be Anti Depressant medication FREE!!!

 

I've pre-populated the the 4 Yellow highlighted cells, to demonstrate how it works. Just write over my pre-populated values with your own, in these 4 cells ONLY.

 

Pre-Populated Values

20 mgai = 20 milligrams of active ingredient, (e.g. a 20 mg pill of Lexapro).

0.310 g Weight = The physical weight of your current dosage, (e.g. a 20 mg pill of Lexapro).

Sunday Day = Day of the week you begin your taper.

07/07/19 Date = Date you begin your taper.

 

God bless!

BM Slide Taper.xlsx


1999: Paxil ?? mgai (Paroxetine Hydrochloride) - stopped cold turkey
2001-03: Celexa ?? mgai (Citalopram Hydrobromide) - switched to Lexapro
2003-August 2015: Lexapro 20 mgai (Escitalopram Oxalate) - rapid 5 mgai increment taper down to 0 mgai
December 2015 - January 2016: Short hospital stay for unknown acute AD WD due to rapid taper
January 2016-February 21, 2016: Prozac ?? mgai (Fluoxetine Hcl) and Wellbutrin ?? mgai (Bupropion Hcl) - switched to Lexapro
February 21, 2016-July 22, 2018: Lexapro 10 mgai  - rapid 5 mgai increment taper down to 5 mgai
July 22, 2018-March 17, 2019: Lexapro 5 mgai - endured horrible waves due to rapid taper
March 17, 2019-April 7, 2019: Lexapro 3.226 mgai - endured horrible wave due to rapid taper
April 7, 2019-April 28, 2019: Lexapro 3.548 mgai - updosed to level out
April 28, 2019: Implemented Brass Monkey Slide taper method (2.5% weekly reduction) - IT’S WORKING!!!
September 2, 2020: Lexapro 0.000 mgai / 0 mgpw / 100% Taper COMPLETE!

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Iowan

Here's an updated version of my BrassMonkey Slide doc. Due to file size restrictions, I had to split the doc into 2 docs. The first tab in each doc provides 'Instructions' and hyperlinks to each of the 2 plans available to choose from within each doc, (listed below).

 

10% Taper Doc

10% Taper over 4 weeks with 2 weeks hold. (True BrassMonkey Slide)
10% Taper over 4 weeks with 0 weeks hold. (Shortest taper plan, but doesn't provide hold weeks)

 

5% Taper Doc

5% Taper over 4 weeks with 2 weeks hold. (Longer but gentler True BrassMonkey Slide)

5% Taper over 4 weeks with 0 weeks hold. (Longer, gentler taper plan, but doesn't provide hold weeks)

10-Pct BM Slide Taper.xlsx


1999: Paxil ?? mgai (Paroxetine Hydrochloride) - stopped cold turkey
2001-03: Celexa ?? mgai (Citalopram Hydrobromide) - switched to Lexapro
2003-August 2015: Lexapro 20 mgai (Escitalopram Oxalate) - rapid 5 mgai increment taper down to 0 mgai
December 2015 - January 2016: Short hospital stay for unknown acute AD WD due to rapid taper
January 2016-February 21, 2016: Prozac ?? mgai (Fluoxetine Hcl) and Wellbutrin ?? mgai (Bupropion Hcl) - switched to Lexapro
February 21, 2016-July 22, 2018: Lexapro 10 mgai  - rapid 5 mgai increment taper down to 5 mgai
July 22, 2018-March 17, 2019: Lexapro 5 mgai - endured horrible waves due to rapid taper
March 17, 2019-April 7, 2019: Lexapro 3.226 mgai - endured horrible wave due to rapid taper
April 7, 2019-April 28, 2019: Lexapro 3.548 mgai - updosed to level out
April 28, 2019: Implemented Brass Monkey Slide taper method (2.5% weekly reduction) - IT’S WORKING!!!
September 2, 2020: Lexapro 0.000 mgai / 0 mgpw / 100% Taper COMPLETE!

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Iowan

I finally got a chance to work in Google Sheets, in order to save on my attachment size and doc space allowed within SA. Please click on the link below to review and use the automated dosage doc that I've created for the BrassMonkey Slide.

 

https://docs.google.com/spreadsheets/d/175I8LTe0QbXboxxtNr7454JN_9TTT4GqbSAxgcHxJls/edit?ts=5d2f1e0c#gid=1066749400

 

Thanks, Iowan


1999: Paxil ?? mgai (Paroxetine Hydrochloride) - stopped cold turkey
2001-03: Celexa ?? mgai (Citalopram Hydrobromide) - switched to Lexapro
2003-August 2015: Lexapro 20 mgai (Escitalopram Oxalate) - rapid 5 mgai increment taper down to 0 mgai
December 2015 - January 2016: Short hospital stay for unknown acute AD WD due to rapid taper
January 2016-February 21, 2016: Prozac ?? mgai (Fluoxetine Hcl) and Wellbutrin ?? mgai (Bupropion Hcl) - switched to Lexapro
February 21, 2016-July 22, 2018: Lexapro 10 mgai  - rapid 5 mgai increment taper down to 5 mgai
July 22, 2018-March 17, 2019: Lexapro 5 mgai - endured horrible waves due to rapid taper
March 17, 2019-April 7, 2019: Lexapro 3.226 mgai - endured horrible wave due to rapid taper
April 7, 2019-April 28, 2019: Lexapro 3.548 mgai - updosed to level out
April 28, 2019: Implemented Brass Monkey Slide taper method (2.5% weekly reduction) - IT’S WORKING!!!
September 2, 2020: Lexapro 0.000 mgai / 0 mgpw / 100% Taper COMPLETE!

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India
On 4/22/2018 at 10:24 PM, Gridley said:

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.   

When I stabilise I’d like to try this method..


1999:  Paroxetine (20mg). Age 16. 2007-2008: Fluoxetine (Prozac) for 1.5 years (age 25) Citalopram 20mg 2002-2005, 2009: Escitalopram (20mg), 2 weeks, (age 26) (adverse manic reaction)/*Valium 5mg/Temazepam 10mg 2010: Mirtazipine (Remeron)( do not remember dosage) 2010, 5 months.                     

2010-2017: Citalopram (20mg) (age 27 to 34) 2016: i.1st Sept- 31st Oct Citalopram 10mg , ii.1st November 2017-30th November 2017, Citalopram 5mg iii.1st December 2017- 4th February 2018, Citalopram 0mg, iv.5th February 2018- March 2018 Citalopram 5mg (10mg every other day) 28th February- tried titration of 5mg ( some adverse effects)

2018: 1st March 2018- 1st June Citalopram 10 mg (tablet form) /started titration 8mg , then 7 mg.2018: June 15th- 10th July Citalopram 10 mg pill every other day 2018: 10th July - 13th Sept Citalopram- 0mg  (CBD oil first month of 0mg, passiflora on and off) 2018 13th Sept Citalopram  2mg ,  approx 16th Sept 4mg , approx 25th Sept 6mg held.  2019: 11 Feb 19: 7mg (instant bad rxn) 12 Feb 19 6mg held 1 May 19 5.4mg held 5 Oct 19 5.36mg 22 Oct 19 5.29mg 30 Oct 19 5.23mg 4/NOV/19 5.18mg 12 Nov 19 5.08mg 20 Nov 19 4.77mg

(Herbal/Supplements since 1st September: Omega Fish Oil 1200mg, 663mg of EPA- 2 tablets a day, magnesium and magnesium bath salts)

I did not die, and yet I lost life’s breath
- Dante

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KMart95

I'm seeing conflicting things from different moderators. Some say a 4 week hold is necessary, and some say a 2 week hold. Which is best? If reducing by 2.5% rather than doing 10% all at once, is a 2 week hold sufficient? 


2009-2018: 15mg Celexa

 

June 2018-January 2019: .5mg-1mg Ativan

 

2010-March 2019: Marvelon 21 (Birth Control) 

 

September 2018-Present: Prozac reinstated 1mg (.25ml) April 21st 2019 , updosed to .32ml June 19, 2019 now holding to stabilize.

 

2015-Present: Myers Cocktails 1-2x month 

 

June 2019-Present: B 50 Complex, Magnesium as needed.

 

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ChessieCat

If you do a 10% BrassMonkey Slide taper you are making 10% reduction over a 6 week period, which is an average of 6.66% reduction per month.  You can choose to make a smaller reduction using the same tapering method.  To calculate the average monthly taper rate (not the amount you reduce by), you divide the x% by 6 and then multiply by 4.

 

SA's "regular" tapering protocol is to make a 10% (or less) reduction and then stay on that dose for 4 weeks.  The next month you would then make another "full" reduction.

 

The benefit of doing the BrassMonkey method of tapering is that if after 1 week (during the 4 week period) or at the end of the 6 week period you are still feeling symptomatic you can hold for longer on that dose.  This may be better for members who find that doing the "regular" 10% reduction in one go brings on withdrawal symptoms.  This may start to happen as a member gets to the lower doses.  The BrassMonkey Slide gives you more control over your taper because the withdrawal symptoms after a partial reduction are probably not as bad as after a "regular" reduction.  This also means that a member is less likely to need/feel the need to make an updose, which keeps the dosing more consistent, instead of going up and down and up and down in dosing.

 

An explanation of the BrassMonkey Slide:

 

Reduce every week for 4 weeks (holding for 1 week each time) and then hold for an extra two weeks

 

Or you could say reduce every week for 4 weeks and then hold for 3 weeks (which is the 1 week after the 4th reduction and then the extra two weeks)

 

or explaining in it a detailed way:

 

Day 1 of Week 1:  reduce

Day 1 of Week 2:  reduce

Day 1 of Week 3:  reduce

Day 1 of Week 4:  reduce

From day 1 of Week 5:  hold

From day 1 of Week 6:  hold

 

Week 7 is then the start of the new reduction cycle so start from Day 1 of Week 1 above.


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 12 Sept 2020:  Pristiq 0.625 mg (compounded)

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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Giulietta

 

Does anyone use compounded capsules with the BrassMonkey method?

 

Huge thanks to BrassMonkey for this.

 

G.


2014-present  Lamotrigine ER 600 mg (sz)

2000 - present  Clonazepam 1 mg (.25 mg am;.75 mg pm)

2000 - present  Gabapentin 1000 mg (sz)

2014-2019   Lisinopril 2.5 mg

2010-present Lorazepam/Ativan .5 mg prn only  (sz)

 

2005-2018/19   Assorted SSRIs taken intermittently, incl. dulox.

(6/2015-4/2020) Unwitting 20 mg duloxetine CT Dec 2018. Prev. CT from 20 mg  9/2018.

Suplmnts:  omega 3 fatty acid, CoQ10,  Calcium  Citrate with Vit D3/Mages.

I am not a medical professional. My comments are not medical advice.  They  are based on personal experience.

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Giulietta

Hello Tom,

 

What do you do when you are down to 1 mg (5 beads)? These beads are enteric coated and cannot be crushed (dulox/cymbalta).

 

The average capsule has 100 beads/capsule - so:

 

1 mg = 5 beads

.8 = 4 beads

.6 = 3 beads

.4 = 2 beads

.2 = 1 beads

and finally zilch! :)

 

I couldn't find on this topic  so sorry if I overlooked this.

 

Thanks, 

 

Giulietta

 


2014-present  Lamotrigine ER 600 mg (sz)

2000 - present  Clonazepam 1 mg (.25 mg am;.75 mg pm)

2000 - present  Gabapentin 1000 mg (sz)

2014-2019   Lisinopril 2.5 mg

2010-present Lorazepam/Ativan .5 mg prn only  (sz)

 

2005-2018/19   Assorted SSRIs taken intermittently, incl. dulox.

(6/2015-4/2020) Unwitting 20 mg duloxetine CT Dec 2018. Prev. CT from 20 mg  9/2018.

Suplmnts:  omega 3 fatty acid, CoQ10,  Calcium  Citrate with Vit D3/Mages.

I am not a medical professional. My comments are not medical advice.  They  are based on personal experience.

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brassmonkey

The end of a taper is where it can get tricky, as you are seeing.  Because of the very small amounts we are dealing with and in this case the predetermined size of the beads, the last few reductions will end up being at a higher percentage than we would like.  But it can't be helped.  At the end of my taper I was having to visually divide a small pile of powder so I ended up with reductions of 25 and 50 percent.  It was all the scales would allow me to do.

 

It looks like reducing by one bead every six weeks is going to be the best option.  I would play it by ear and go slowly maybe extending the hold by several weeks depending on how I felt.


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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Giulietta
7 hours ago, brassmonkey said:

It looks like reducing by one bead every six weeks is going to be the best option.  I would play it by ear and go slowly maybe extending the hold by several weeks depending on how I felt.

 

Thanks. I had wondered how long one would hold on a single bead. So if I am at .8 mg now - I am at 24 weeks ...1/2 year?  Did I calculate wrongly based on about 100 beads per 20 mg capsule?


2014-present  Lamotrigine ER 600 mg (sz)

2000 - present  Clonazepam 1 mg (.25 mg am;.75 mg pm)

2000 - present  Gabapentin 1000 mg (sz)

2014-2019   Lisinopril 2.5 mg

2010-present Lorazepam/Ativan .5 mg prn only  (sz)

 

2005-2018/19   Assorted SSRIs taken intermittently, incl. dulox.

(6/2015-4/2020) Unwitting 20 mg duloxetine CT Dec 2018. Prev. CT from 20 mg  9/2018.

Suplmnts:  omega 3 fatty acid, CoQ10,  Calcium  Citrate with Vit D3/Mages.

I am not a medical professional. My comments are not medical advice.  They  are based on personal experience.

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brassmonkey

That looks right.  100 / 20 = 5 so if 5 beads contains 1mgai that would be correct. 

 

If you just started at .8mgai then yes it will take a minimum of 24 weeks to get to the jump off point.  That is assuming that everything goes smoothly and you don't do any extra hold time.  Because each of your reductions will get progressively bigger, you just did 20%, the next would be 25%, then 33%, 50% and finally 100%, it is very important to listen to your body and watch how you react to each reduction.  You may need to do longer holds each 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.

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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Giulietta

Thank you. This is very helpful. :)


2014-present  Lamotrigine ER 600 mg (sz)

2000 - present  Clonazepam 1 mg (.25 mg am;.75 mg pm)

2000 - present  Gabapentin 1000 mg (sz)

2014-2019   Lisinopril 2.5 mg

2010-present Lorazepam/Ativan .5 mg prn only  (sz)

 

2005-2018/19   Assorted SSRIs taken intermittently, incl. dulox.

(6/2015-4/2020) Unwitting 20 mg duloxetine CT Dec 2018. Prev. CT from 20 mg  9/2018.

Suplmnts:  omega 3 fatty acid, CoQ10,  Calcium  Citrate with Vit D3/Mages.

I am not a medical professional. My comments are not medical advice.  They  are based on personal experience.

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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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Zans

Hey @brassmonkey

 

I am doing liquid taper of Brintellix going down about 4% every two weeks. I am doing this because syringe goes by 0.25 (5ml - 4.8 - 4.6 etc) graduals so it's more convenient to round it up to percentage that allows jump by grads instead of classical 2.5% which doesn't fit in these numbers (I get awkward numbers such as 4.9xxx which even if rounded up to 4.9 still presents issues within syringe increments).

 

So my plan is:

 

reduce approx 4% - two weeks hold

reduce another 4% - two weeks hold + one week additional

 

This similar to your method but instead of total 10% I end uplowering 8% and "resting" 1 additional week instead of two. I figured since overall load gets reduced by 8% instead of 10% I can rest one instead of two weeks. Obviously any issues and I'll hold longer.

 

Do you think it's still as legit as your method?

 

Thanks

 

 


Paroxetin 20mg, Lexatonil 3mg - 5 pills total in December 2019 - CT.

 

Coaxil12.5mg, Fluanxol 1mg, Olanzapine 5mg, Bromazepam 3mg, Mirtazapine 30mg, Relanium injections, Zolpidem 10mg  full January - March 2019. CT all.

 

Finlepsin 1/4, Olanzapine 2.5mg, Relanium 5mg, Brintellix 20mg, Imovan mid April - early May 2019. CT all.

 

Brintellix 10mg 2019 May

Brintellix 5mg June - July

Brintellix 5mg August, 4.5mg September 7th - 4.6mg - 5mg ; November 21st - 4.8g December 5th - 4.6mg December 19th - 4.4mg January 3th - 4.2mg 17th - 4mg

 

 

 

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brassmonkey

I see no problem with this.  Let us know how it goes.


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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Nivsch
On 1/29/2019 at 3:32 PM, ChessieCat said:

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

But here there are 3 weeks of hold (not 2) - 1.67, 1.67, 1.67...


2010-2015 Cipramil 20-40mg. half-year break in the middle which was tough.

2015-2020 Venlafaxine 150-225 mg. Venlafaxine duloxetine cross taper details 

150 for half-year then 225 for a period than stabilized in ~187.5 (1.25 pills) for 2 years than reduced to ~168.5 (1.125 pills).

3.2020 - Duloxetine 60mg.

19.05.2020 - started to taper - 59! 20.5 - 58.5

June 2020: 57. end of June - 55.5

July-August 2020: 5.7 - 54, 9.7 - 52, 12.7 - updose to 53+, 19.7 - 52.3, 26.7 - 51.8, 4.8 51.3, 11.8 - 50.8, 15.8 - updose to 51.0, 17.8 - 50.5.

19.8.2020 - 50.3 📌 (current dose)

 

If you see the withdrawal not as a withdrawal but as a cross-taper of the drug with more nature, more walking, more sunlight and more self care, it will be a lot easier. 🌲🌱

🏯☀️

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ChessieCat
Posted (edited)
6 hours ago, Nivsch said:

But here there are 3 weeks of hold (not 2) - 1.67, 1.67, 1.67...

 

There are two different ways of saying the same thing.

 

Reduce once a week for 4 weeks (each reduction means taking the dose for 1 week) and hold for an additional 2 weeks, OR reduce for 4 weeks and hold for 3 weeks(instead of 1 week) after the 4th reduction.

 

I will use the doses from above as an example.

 

Start of week 1, reduce and hold for 1 week     dose 1.86

Start of week 2, reduce and hold for 1 week     dose 1.81

Start of week 3, reduce and hold for 1 week     dose 1.77

 

Start of week 4, reduce and hold for 1 week     dose 1.67

Hold for 2 more weeks, ie weeks 5 and 6          dose 1.67

 

OR

 

Start of week 4, reduce and hold for 3 weeks     dose 1.67

 

I hope that helps.

 

Edited by ChessieCat
clarified

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 12 Sept 2020:  Pristiq 0.625 mg (compounded)

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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bmi197143
On 4/22/2018 at 7:54 PM, brassmonkey said:

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.

Can you please help me with my taper I would like to use your method as the meds are giving really bad side effects. I am not good at math so need help in the dose amount per week. I am currently taking .017 mg Amitriptyline a day and .030 Ropinerole a day can you help with numbers for a a 4 week taper and 2 week hold .


July 2015 to present 100 mg losartan.                                               

July 2019 25 mg Amitriptyline.         

July 2019 1mg Alprazolam.               

August 2019 50 mg Ropinerole.     

March 2020 25 mg Amitriptyline.   

March 2020 25 mg Ropinerole.       

April 2020 10mg Amitriptyline.       

Ct for 7 days end of May both Amitriptyline and Ropinerole.         

May 25 2020 RI Amitriptyline at .017mg by weight(3.4 mgai)  and .030mg Ropinerole                                                    

Currently at .012mg Amitriptyline and .010 Ropinerole (both numbers reflect the current weight of doses not dose strength, mmt)

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brassmonkey

Hi BMI-- it will be best if we could talk about this over on your intro thread because it is specific to your taper. I asked a few questions over 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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Bruci

Ive  been on SSRIs off and on for 30 years. I have been advised by a tapering counsellor that a 10% reduction is too high because “ it can produce withdrawal which can risk the REM Sleep Disorder or Serotonin Syndrome or the 3 options the FDA warns of which is suicide, hostility or psychosis - none of which are worth the risk in my opinion!”

 

She recommend a reduction of about 1 1/3 years for each 5 years on SSRI to taper off safely. After 30 years that would take me approximately EIGHT YEARS to get off!! I am currently on 30 mg Celexa.

 

Can this be true? That is an extremely long time!

 

Bruci


1980s: First diagnosed with depression. Treated with a tricyclic. 1988: Switched to Prozac 20 mg after triclyclic stopped working. 1990s to 2010: On and off Prozac. Increased dose led to side effects. 

2010: Work stress led to increased depression/anxiety. Tried several SSRIs but tolerated none of them. Put on Zyprexa. 

2011: Work burnout and breakdown. Hospitalized for suicidal depression. Switched to Seroquel. Prozac increased to 80 mg.

2017: Started psychotherapy. Helped a lot. Switched to Celexa 40 mg and lithium 300 mg. 

2019: Stopped Seroquel. Lost weight.

2020 June: Added Wellbutrin to try and correct sexual dysfunction. Could not tolerate Wellbutrin.

2020 July: Decreased Celexa to 30 mg in attempt to alleviate sexual dysfunction. Worked somewhat.

2020 August: Decreased Celexa to 20 mg. Sexual function improved but w/d effects started. 

2020 September: Maintaining Celexa at 20 mg. Experiencing w/d effects - fatigue, dysphoria, mood instability

2020 September 13: Increased Celexa to 30 mg due to w/d effects. Still on lithium 300 mg/day.

 

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jordidog

Who knows what is true but I believe in slower than slow taper. I’m sensitive to the med changed and will start at 1% for 6-8 months to be determined by how I feel 

I will get my Paxil compounded to 14.85 mg as at 15 mg now


 

1994 began Paxil 20. Jan2018-began taper @ 2.5 mg every 6 wks. 10mg Paxil on May 12/2018

May 2019 - 9.75 mg Paxil; July 12/19 9.5 mg

July 20/19 -9.75 mg

Aug  12/19 10 mg Paxil 10 mg Prozac, “Prozac bridge” ;zoplicone,Vit D 1000iu

CBD every day, magnesium bis-glycinate 200mgx3,Omega 3 600mg x3, gaba 600mgx2

Meditation, tapping ,DARE resources, exercise in pool

Aug 21 dropped Prozac; increase Paxil to 15mg

 

 

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ChessieCat
2 hours ago, Bruci said:

I have been advised by a tapering counsellor that a 10% reduction is too high

 

The 10% taper is a starting point.  Some people can taper faster whilst some need to go slower.

 

SA also suggests that members listen to their body/symptoms and taper/hold according to those.

 

Please see Post #1 of this topic:  why-taper-by-10-of-my-dosage

 

This is in Post #1:

 

On 8/6/2011 at 6:43 AM, Altostrata said:

The 10% taper recommendation is a harm reduction approach to going off psychiatric drugs. While it is not a guarantee you will have trouble-free withdrawal, we believe this conservative tapering method will cause harm to the fewest number of people.

 

And also see:

 

why-taper-sert-transporter-occupancy-studies-show-importance-of-gradual-change-in-plasma-concentration

 

 

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 12 Sept 2020:  Pristiq 0.625 mg (compounded)

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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