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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

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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

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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

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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..

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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? 

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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.

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Guilietta

 

Does anyone use compounded capsules with the BrassMonkey method?

 

Huge thanks to BrassMonkey for this.

 

G.

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Guilietta

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

 

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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.

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Guilietta
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?

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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.

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Guilietta

Thank you. This is very helpful. :)

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