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The Brassmonkey Slide Method of Micro-tapering


brassmonkey

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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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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 reducti

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 yo

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

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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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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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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  • 2 weeks later...

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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  • Moderator Emeritus

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.

NEW!!!     INTERVIEW with Altostrata, SA's founder    NEW!!! 

 

REMINDER TO SELF:  I don't need the drug now, but my still brain does.

Current from 9 Jan 2021:  Pristiq 0.405 mg

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering Oct 2015 

My tapering program   My Intro (goes to my tapering graph)  My website

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

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  • 3 weeks later...

 

Does anyone use compounded capsules with the BrassMonkey method?

 

Huge thanks to BrassMonkey for this.

 

G.

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  • 1 month later...

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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  • Moderator

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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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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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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  • 2 weeks later...

 

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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  • 1 month later...

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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  • Moderator

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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  • 1 month later...
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 - 50.3.

 

30.12.2020 - 42.4 📌 (current dose)

 

 

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  • Moderator Emeritus
ChessieCat
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

NEW!!!     INTERVIEW with Altostrata, SA's founder    NEW!!! 

 

REMINDER TO SELF:  I don't need the drug now, but my still brain does.

Current from 9 Jan 2021:  Pristiq 0.405 mg

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering Oct 2015 

My tapering program   My Intro (goes to my tapering graph)  My website

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

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  • 3 weeks later...
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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  • Moderator
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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  • 3 months later...

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.

Taper (Lithium 300 mg maintained until off Celexa):

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.

2020 October 3: Reduced Celexa to 27 mg. Started taper. 10% per month as recommended.

2020 October 18: Reduced to 24 mg.

2020 December 4: Reduced to 21 mg.

2020 December 23: Reduced to 20 mg (spacing out taper intervals due to persistent w/d effects)

 

 

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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” ;Vit D 1000iu 6 per day, magnesium bis-glycinate 200mgx3, Omega 3 600mg x3, gaba 600mgx2, Inositol powder

Meditation, tapping, breathing and grounding, tai chi, yoga, art

Aug 21 dropped Prozac; increase Paxil to 15mg

October 2020: continuing to  hold at 15 mg Paxil 

 

 

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  • Moderator Emeritus
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

NEW!!!     INTERVIEW with Altostrata, SA's founder    NEW!!! 

 

REMINDER TO SELF:  I don't need the drug now, but my still brain does.

Current from 9 Jan 2021:  Pristiq 0.405 mg

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering Oct 2015 

My tapering program   My Intro (goes to my tapering graph)  My website

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

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  • 3 months later...
Superwoman
On 4/22/2018 at 3:07 PM, brassmonkey said:

 

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.

 

Could women customize the Brass Monkey Slide to work around a women’s period or would this create problems?  I have been avoiding tapering during the week of my period because my body is more sensitive during this time and WD symptoms sometimes flare up when I am on my period.  I think that many other women also avoid tapering while menstruating.  So, I think that this question will apply to many women. 
 

With the standard 10% taper it is easy to work around my period.  With the Brass Monkey Slide it would not be possible to avoid tapering during menstruation without modifying the taper slightly.  Does the 2 week hold have to be consecutive and at weeks 5 and 6?   Could a woman hold 1 week during her period sometime during weeks 1 through 4 and then 1 week at the end during week 5 or 6?  Or would this cause problems?  Or perhaps a woman could hold during the week of her period and the week after her period.  This modification would still follow the Brass Monkey Slide protocol of 4 reductions of 2.5% (or less) and 2 weeks of holding for a total of 10% or less.  The only difference would be that the 2 weeks of holding would either not be consecutive, or the two weeks of holding would be consecutive, but not necessarily during weeks 5 and 6, depending on how one tailors it.    
 

Idea A Example........

Week 1: Reduce 2.5 %

Week 2: Reduce 2.5 %
Week 3: Hold, On Period

Week 4: Reduce 2.5%
Week 5: Reduce 2.5%
Week 6: Hold

 

This is just an example.  The weeks holding would depend on what week a woman is menstruating.  So, in the above example a woman would hold during week 3.  However, if a woman was menstruating on week 2 she would hold during week 2.

 

Idea B Example.....

 

Week 1: Taper 2.5%
Week 2: Hold, On Period

Week 3: Hold

Week 4: Taper 2.5%
Week 5: Taper 2.5%
Week 6: Taper 2.5%

1993-2000: Zoloft few months CT, Prozac 1-2 yrs, Ritalin PRN

2002/2003: Wellbutrin,  Paxil 25mg FT, and Xanax PRN CT (all 3 to 6 months), Adderal 40mg, Strattera 40mg

2003- 2016: Effexor XR 75 mg to 150 mg., Strattera (2002-2008)

2017: Effexor XR 225 mg. Gabapentin 300 mg. Elavil 25 mg.

2018: (Sept.) Effexor XR 187.5 mg, Zoloft 10 mg. (OCT.) FT off Gabapentin (NOV.) FT off Elavil (DEC) FT Effexor to 150 mg.

2019: (JAN.) D/C Zoloft, added Viibryd 10mg (FEB) CT Viibryd, (MAR) Prozac bridge, Effexor xr 112.5mg, (Sept.) Effexor XR 112.5 mg + 0.4 mg (1 bead), (Oct.) Effexor XR 112.5mg, (Dec.28) start 10% taper Effexor XR 101.25 mg, 

2020: (Jan. 25) Effexor XR 91 mg., (Feb. 22) Effexor xr 82 mg., (Mar. 21) 75 mg. 

Supplements:  Vitamin D 5000 IU topical, Probiotic 6 billion CFU, Epsom salt bath 1C 2 to 3 X week, California Poppy 2 droppers, various essential oils 

https://www.survivingantidepressants.org/topic/21446-superwoman-effexor-taper/page/8/?tab=comments#comment-475779

 

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brassmonkey

I have seen a lot of discussion regarding the affects of hormonal cycles on tapering and think this might be something we should look into further. Thank you for bring up the subject.

 

The final two week hold, weeks 5 & 6, are designed to be consecutive. The WD symptoms created during the reduction phase are not always full resolved by the end of week four (4), the the hold period for weeks 5 & 6 is added as a wash out period to let the body catch up and resolve the symptoms. So it is important that it be maintained.

 

However, there is no problem with adding an extra hold period during the reduction phase. One could say reduce on week one and week two, then continue to hold at the week two level during the TOM, then restart with the week three and four reduction after things have settled down. Week four would then be followed by the normal week 5 & 6 hold. The extra hold time would rotate through the schedule because of the differences in timing and could probably be skipped when it aligns with the week 5 & 6 hold. That would be up to the individual and how they are reacting at the 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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Superwoman
2 hours ago, brassmonkey said:

I have seen a lot of discussion regarding the affects of hormonal cycles on tapering and think this might be something we should look into further. Thank you for bring up the subject.

 

The final two week hold, weeks 5 & 6, are designed to be consecutive. The WD symptoms created during the reduction phase are not always full resolved by the end of week four (4), the the hold period for weeks 5 & 6 is added as a wash out period to let the body catch up and resolve the symptoms. So it is important that it be maintained.

 

However, there is no problem with adding an extra hold period during the reduction phase. One could say reduce on week one and week two, then continue to hold at the week two level during the TOM, then restart with the week three and four reduction after things have settled down. Week four would then be followed by the normal week 5 & 6 hold. The extra hold time would rotate through the schedule because of the differences in timing and could probably be skipped when it aligns with the week 5 & 6 hold. That would be up to the individual and how they are reacting at the time.

 

Your Welcome.  The idea B example that I gave has a two week hold in it.  So if I understand correctly this idea would not work because there still needs to be a hold at weeks 5 and 6.  But I could add a hold at the TOM as an additional hold, and maintain the weeks 5 and 6 hold.   This would make it a 10% reduction over 8 weeks versus over 6 weeks.  Is this correct?  Just clarifying.  I was trying to figure out a way to work around my cycle, but still keep it to a 10% reduction over 6 weeks as I did not want the taper to take any longer than it already will.   

 

4 hours ago, Superwoman said:

Idea B Example.....

 

Week 1: Taper 2.5%
Week 2: Hold, On Period

Week 3: Hold

Week 4: Taper 2.5%
Week 5: Taper 2.5%
Week 6: Taper 2.5%

 

1993-2000: Zoloft few months CT, Prozac 1-2 yrs, Ritalin PRN

2002/2003: Wellbutrin,  Paxil 25mg FT, and Xanax PRN CT (all 3 to 6 months), Adderal 40mg, Strattera 40mg

2003- 2016: Effexor XR 75 mg to 150 mg., Strattera (2002-2008)

2017: Effexor XR 225 mg. Gabapentin 300 mg. Elavil 25 mg.

2018: (Sept.) Effexor XR 187.5 mg, Zoloft 10 mg. (OCT.) FT off Gabapentin (NOV.) FT off Elavil (DEC) FT Effexor to 150 mg.

2019: (JAN.) D/C Zoloft, added Viibryd 10mg (FEB) CT Viibryd, (MAR) Prozac bridge, Effexor xr 112.5mg, (Sept.) Effexor XR 112.5 mg + 0.4 mg (1 bead), (Oct.) Effexor XR 112.5mg, (Dec.28) start 10% taper Effexor XR 101.25 mg, 

2020: (Jan. 25) Effexor XR 91 mg., (Feb. 22) Effexor xr 82 mg., (Mar. 21) 75 mg. 

Supplements:  Vitamin D 5000 IU topical, Probiotic 6 billion CFU, Epsom salt bath 1C 2 to 3 X week, California Poppy 2 droppers, various essential oils 

https://www.survivingantidepressants.org/topic/21446-superwoman-effexor-taper/page/8/?tab=comments#comment-475779

 

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Superwoman
2 hours ago, brassmonkey said:

 

I have seen a lot of discussion regarding the affects of hormonal cycles on tapering and think this might be something we should look into further. Thank you for bring up the subject

 

Serotonin levels in the body and brain are lower when menstruating or right before.  Add this to the sudden drop in serotonin that you get from reducing an AD and this may add up to greater than a 10% drop from the brains stand point.  That is my theory at least.   

1993-2000: Zoloft few months CT, Prozac 1-2 yrs, Ritalin PRN

2002/2003: Wellbutrin,  Paxil 25mg FT, and Xanax PRN CT (all 3 to 6 months), Adderal 40mg, Strattera 40mg

2003- 2016: Effexor XR 75 mg to 150 mg., Strattera (2002-2008)

2017: Effexor XR 225 mg. Gabapentin 300 mg. Elavil 25 mg.

2018: (Sept.) Effexor XR 187.5 mg, Zoloft 10 mg. (OCT.) FT off Gabapentin (NOV.) FT off Elavil (DEC) FT Effexor to 150 mg.

2019: (JAN.) D/C Zoloft, added Viibryd 10mg (FEB) CT Viibryd, (MAR) Prozac bridge, Effexor xr 112.5mg, (Sept.) Effexor XR 112.5 mg + 0.4 mg (1 bead), (Oct.) Effexor XR 112.5mg, (Dec.28) start 10% taper Effexor XR 101.25 mg, 

2020: (Jan. 25) Effexor XR 91 mg., (Feb. 22) Effexor xr 82 mg., (Mar. 21) 75 mg. 

Supplements:  Vitamin D 5000 IU topical, Probiotic 6 billion CFU, Epsom salt bath 1C 2 to 3 X week, California Poppy 2 droppers, various essential oils 

https://www.survivingantidepressants.org/topic/21446-superwoman-effexor-taper/page/8/?tab=comments#comment-475779

 

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brassmonkey

I was thinking just a 1 week TOM hold to be used when needed for a total of 7 weeks. I'm guessing that 1 additional week will be enough as I don't have any practical experience with the subject. Rough estimate says you would be adding the extra hold to two out of three Slide cycles, It will add some extra time to the total taper, so it depends on if the extra relief offsets the added time. There may be a very subjective element to the TOM hold making it an option to use as needed and not required for every Slide cycle, another option for the person to consider.

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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Hi BrassMonkey,

 

I am looking into re-starting my Valium taper using your method or a similar one with minor reductions. I entered in my desired reductions using your calculator taperoff.co

 

Could you explain for the first week, why there is such a big reduction in the dose or am i missing something? Here is what i am seeing on my page.

BrassMonkeymethodRyder1.png

 Cymbalta, Zyprexa, Seroquil, Rispiridone, Valium, Zoloft, Clonazepam,. + 1 other Benzo. Total 11 yrs.

·           April 9th 2018 Hospital. 50mg Zoloft > 0 discontinued. 6mg Clonazepam > 2.5mg over 8 weeks stay.

           October 25th 2019: Hospital:  Clonazepam 1mg > Bridged to 20mg Diazepam.

           

           Anafranil: 1st May 18': 150mg, 1st June: 150mg. 23rd June: 125mg. 6th July: 100mg. 12th July: 75mg 22 July: 62.5mg. 5th August 18: 50mg. 10th November 2018: 45mg. 25th August 2019: 40mg.  Sep '15: 37.5mg.  1st November 2019: 100mg (Re-instated during hospital). 25 morning / 75 night. 22/01/20: 95mg. 03/02: 90mg. Currently 90mg

                          

        Clonazepam: (k) 1st May 18: 2.5mg. 6th July 2018. 1.5mg K. 03 August 2018: 1.25mg K. 17th August > 10 November 2018: 1mg K. Jan - August 2019: (Dosing between 1mg and 0.87mg)  September 10 2019: 0.9mg. Discontinued 25th October 2019.

 

        Diazepam (V): 25th October 2019, 20mg. 22 Dec 2019 19mg. 4 April 20: 18mg,  30 September: 17.5mg , 13 November 20: 17mg

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I would like to be at 16mg by the end of the month. So shouldn't my taper schedule look like this:

 
Week 1: 16.75

Week 2: 16.5

Week 3: 16.25

Week 4: 16.00

 

(two weeks hold for Diazepam).

 

This is the way i would like to do it. Please advise if this is possible.

 Cymbalta, Zyprexa, Seroquil, Rispiridone, Valium, Zoloft, Clonazepam,. + 1 other Benzo. Total 11 yrs.

·           April 9th 2018 Hospital. 50mg Zoloft > 0 discontinued. 6mg Clonazepam > 2.5mg over 8 weeks stay.

           October 25th 2019: Hospital:  Clonazepam 1mg > Bridged to 20mg Diazepam.

           

           Anafranil: 1st May 18': 150mg, 1st June: 150mg. 23rd June: 125mg. 6th July: 100mg. 12th July: 75mg 22 July: 62.5mg. 5th August 18: 50mg. 10th November 2018: 45mg. 25th August 2019: 40mg.  Sep '15: 37.5mg.  1st November 2019: 100mg (Re-instated during hospital). 25 morning / 75 night. 22/01/20: 95mg. 03/02: 90mg. Currently 90mg

                          

        Clonazepam: (k) 1st May 18: 2.5mg. 6th July 2018. 1.5mg K. 03 August 2018: 1.25mg K. 17th August > 10 November 2018: 1mg K. Jan - August 2019: (Dosing between 1mg and 0.87mg)  September 10 2019: 0.9mg. Discontinued 25th October 2019.

 

        Diazepam (V): 25th October 2019, 20mg. 22 Dec 2019 19mg. 4 April 20: 18mg,  30 September: 17.5mg , 13 November 20: 17mg

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brassmonkey

It looks like you asked for a reduction of 5% a week, which would give some very large reduction amounts.

 

To go from 16.75 to 16 in four steps would be a reduction of 1.125% a week or 4.5% for the total Slide Cycle. This is would be an asymptotic calculation off of the original dose so it would be an increasing percentage removed from the same number. Divide the target dose by the current dose and subtract from 1 to get the total percentage of reduction.

 

The correct taper schedule for the first Cycle would be;

 

Week 1: 16.75mgai - 1.125% or 16.75mgai X .989 = 16.55mgai

Week 2: 16.75mgai - 2.25% or 16.75mgai X .975 = 16.33mgai

Week 3: 16.75mgai - 3.375 or 16.75mgai X .966 = 16.18mgai

Weeks 4-6 16.75mgai - 4.5% or 16.75mgai X .955 = 16mgai

 

The schedule you suggested would be a linear reduction (16.75, 16.5, 16.25, 16) which would cause a slight increase in symptoms over the course of the reduction. While the asymptotic taper starts with the largest reduction and trails off to a smaller one allowing the bulk of the symptoms the longest time to resolve while still giving the same amount of reduction.

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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Brass, that is some complex stuff for my brain brother.

 

5 hours ago, brassmonkey said:

To go from 16.75 to 16 in four steps would be a reduction of 1.125% a week or 4.5% for the total Slide Cycle.

 

The correct taper schedule for the first Cycle would be;

 

Week 1: 16.75mgai - 1.125% or 16.75mgai X .989 = 16.55mgai

Week 2: 16.75mgai - 2.25% or 16.75mgai X .975 = 16.33mgai

Week 3: 16.75mgai - 3.375 or 16.75mgai X .966 = 16.18mgai

Weeks 4-6 16.75mgai - 4.5% or 16.75mgai X .955 = 16mgai

 

First, why does the formula multiply by increased percentages per week (Bold numbers), and how you go those numbers ?

Secondly, the numbers in blue. How did you get those ?

 

Sorry for the questions, i am trying my best to understand and compute it correctly.

6 hours ago, brassmonkey said:

The schedule you suggested would be a linear reduction (16.75, 16.5, 16.25, 16) which would cause a slight increase in symptoms over the course of the reduction. While the asymptotic taper starts with the largest reduction and trails off

 

Will the linear reduction work, it just involves less maths for me to compute and i can pop it straight in.

 Cymbalta, Zyprexa, Seroquil, Rispiridone, Valium, Zoloft, Clonazepam,. + 1 other Benzo. Total 11 yrs.

·           April 9th 2018 Hospital. 50mg Zoloft > 0 discontinued. 6mg Clonazepam > 2.5mg over 8 weeks stay.

           October 25th 2019: Hospital:  Clonazepam 1mg > Bridged to 20mg Diazepam.

           

           Anafranil: 1st May 18': 150mg, 1st June: 150mg. 23rd June: 125mg. 6th July: 100mg. 12th July: 75mg 22 July: 62.5mg. 5th August 18: 50mg. 10th November 2018: 45mg. 25th August 2019: 40mg.  Sep '15: 37.5mg.  1st November 2019: 100mg (Re-instated during hospital). 25 morning / 75 night. 22/01/20: 95mg. 03/02: 90mg. Currently 90mg

                          

        Clonazepam: (k) 1st May 18: 2.5mg. 6th July 2018. 1.5mg K. 03 August 2018: 1.25mg K. 17th August > 10 November 2018: 1mg K. Jan - August 2019: (Dosing between 1mg and 0.87mg)  September 10 2019: 0.9mg. Discontinued 25th October 2019.

 

        Diazepam (V): 25th October 2019, 20mg. 22 Dec 2019 19mg. 4 April 20: 18mg,  30 September: 17.5mg , 13 November 20: 17mg

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brassmonkey

You are aiming for a total reduction of 4.5% spread over four (4) steps. This gives a change of 1.125% of the original dose for each step.  Each step will reduce the original dose by an additional 1.125%.

 

Reduction 1 will be 1.125% less than the original dose,

Reduction 2 will be 2.25% less that the original dose,

Reduction 3 will be 3.375% less than the original dose

Reduction 4 will be 4.5% less than the original dose.

 

The blue numbers are the standard multiplier for each calculation. It is determined by subtracting the percentage as a decimal from 1. 

 

1 - 0.01125 = 0.989

1 - 0.0225 = 0.975

1 - 0.0375 = 0.966

1 - 0.045 = 0.955

 

Multiplying the original dose by that number will give the dose for that percent reduction. It works for both the strength of the dose and the weight of the dose.

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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Ok, So the final part is multiply 0.989 x 16.75 = Week 1. Can i ask why you chose to multiply by 16.75 and not the original 17mg which is my starting dose ?

 

Many Thanks, Ryder.

 

 

 Cymbalta, Zyprexa, Seroquil, Rispiridone, Valium, Zoloft, Clonazepam,. + 1 other Benzo. Total 11 yrs.

·           April 9th 2018 Hospital. 50mg Zoloft > 0 discontinued. 6mg Clonazepam > 2.5mg over 8 weeks stay.

           October 25th 2019: Hospital:  Clonazepam 1mg > Bridged to 20mg Diazepam.

           

           Anafranil: 1st May 18': 150mg, 1st June: 150mg. 23rd June: 125mg. 6th July: 100mg. 12th July: 75mg 22 July: 62.5mg. 5th August 18: 50mg. 10th November 2018: 45mg. 25th August 2019: 40mg.  Sep '15: 37.5mg.  1st November 2019: 100mg (Re-instated during hospital). 25 morning / 75 night. 22/01/20: 95mg. 03/02: 90mg. Currently 90mg

                          

        Clonazepam: (k) 1st May 18: 2.5mg. 6th July 2018. 1.5mg K. 03 August 2018: 1.25mg K. 17th August > 10 November 2018: 1mg K. Jan - August 2019: (Dosing between 1mg and 0.87mg)  September 10 2019: 0.9mg. Discontinued 25th October 2019.

 

        Diazepam (V): 25th October 2019, 20mg. 22 Dec 2019 19mg. 4 April 20: 18mg,  30 September: 17.5mg , 13 November 20: 17mg

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brassmonkey

Ya, caught me on that one. I read some of the numbers wrong. Let's start again.

 

Reducing from 17mgai to 16mgai will be a 6% total reduction that will be divided into four parts of 1.5% each. This will give different multipliers of:

 

Week 1: 17 X .985 = 16.75

Week 2: 17 X .97 = 16.5

Week 3: 17 X .955 = 16.25

Weeks 4 - 6: 17 X .94 = 16

 

So in actuality you original schedule was correct and I have added a lot of confusion for nothing, for which I apologize.

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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  • 3 weeks later...

Is it necessary to use this method with Fluoxetine?

 

Could it even be counterproductive?

Past four years: Fluoxetine, 10mg; currently tapered down to 2.8mg. 

Diazepam, 5mg, once daily (goes up to 8mg sometimes during taper). 

1999-2016: Mainly sertraline but also Venlafaxine  and Paroxetine. 

31 Oct: discontinued Fluoxetine.

1 Nov 2019: started Sertraline, 12.5mg, once every two days. 

13 Nov 2019: Reinstated Fluoxetine due to adverse effects from Sertraline. Plan to start Citalopram once stabilised on Fluoxetine 

 

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The Brassmonkey Slide Method is just one of the options available to taper. It has shown to work well with the different drugs we deal with. To the best of my knowledge there have not been any reports of people having problems using it. It can be a bit tedious with all the calculations required, but other than that. We try to present a variety of tapering strategies with their pros and cons so each member can make an informed decision as to which method seems right for them.

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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