Moderator brassmonkey Posted September 6, 2019 Moderator Share Posted September 6, 2019 If the average weight of the powder from the new capsules is the same as the old then there should be no problem sticking with the 214mgpw. 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. Final Dose 0.016mg. 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 Link to comment
BfromNJ Posted September 6, 2019 Author Share Posted September 6, 2019 @brassmonkey @manymoretodays Okay I have maybe a dumb question. I have 50 mg seroquels that weigh 152 pill weight. I take half for 25 mg (.076 pill weight). I also have 25 mg pills that I dont take because I want to finish up my 50s. The 25 ones weigh .100 roughly. Why do they weigh so much more than half a 50? Shouldn't it be the same .076? Same manufacturer. Shouldn't a 25 mg pill weigh the same as half a 50? Will this mess me up when I do take them or is this maybe because of filler and coating? I am wondering because I'm low on my 50s and I only have uneven halves left, so I am going to start taking the whole 25s. And I also wanted to maybe consider a reduction in the seroquel next, holding on the gabapentin a bit. Will this mess me up? Should I start taking the 25s and then reduce with those? Long story short- shouldn't a 25 mg pill weigh the same as half a 50? And if it weighs more am I getting more med than I want or is it maybe just fillers and coating? 32 minutes ago, brassmonkey said: 9/2018- lexapro low dose few days.11/3/2018- zoloft 2 days 11/7/18 - 11/15/18 - Prozac 9 days, from 10 mg for week, to 20 11/16 inpatient put on Lexapro for a few days, Cymbalta, 2 days 11/24-12/8 - gabapentin 100 mg 3xs per day - a very fast taper 1/7 - tbuspar for three days- blurry vision, jerky eye 1/17/19 - 2/15/19- mirtazapine 15 mg - started taper on 1/30 2/20/19 gabapentin 600 mg. . 12/20- taper finished 2/20/19 - seroquel 25 mg current - taken 10 pm 2/20/19- luvox (generic) 25 mg. 4/6/19 to 18.75 mg .held . Started taper again 1/7/21- 15 mg, 2/7/21- 12.5 mg, 3/7/21 -10 mg, 4/1/21- 9 mg, 5/1/21- 8.1 mg, 5/27/21- updose to 10 mg, 6/21- in patient updose to 50 mg, 6/25/21- reduce to 10 mg (current) . 9/5- split dose 5mg am/5 mg pm. 9/20- 4 mg am/5 mg pm . 9/1/21- took one dose of vistril 50 mg. 9/1/21-accidental double dose of seroquel- 50 mg Link to comment
Moderator Emeritus ChessieCat Posted September 6, 2019 Moderator Emeritus Share Posted September 6, 2019 They probably have more filler in them. You need to try each tablet dose of the drug individually. Treat the information separately. The 25mg tablet weight: x mgpw and contain 25mgai. The 50mg tablet weight: y mgpw and contain 50mgai. * NO LONGER ACTIVE on SA * MISSION ACCOMPLISHED: (6 year taper) 0mg Pristiq on 13th November 2021 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 from Oct 2015 - 13 Nov 2021 LAST DOSE 0.0025mg Post 0 updates start here My tapering program My Intro (goes to tapering graph) VIDEO: Antidepressant Withdrawal Syndrome and its Management Link to comment
Moderator brassmonkey Posted September 7, 2019 Moderator Share Posted September 7, 2019 Actually it's a really smart question and shows that you're paying attention to the details of your taper. Any manufacturer selling prescription drugs in the USA is required to list them in the Drug Registration and Listing System with the FDA. Each pill must be uniquely identifiable by it's shape, size, weight, color and markings. In order to make a pill unique sometimes the weight is what is adjusted. So a 25mgai pill from manufacturer X could weight 100mgpw while the same pill from manufacturer Y could weigh 150mgpw. This would hold true with differences in strength as you are seeing between the 25mgai and the 50mgai pills from the same manufacturer. What it comes down to is, that a 25mgai pill will have 25mgai no matter who manufactured it or what it actually weighs. Same for a 50mgai pill. So if you break a 50mgai pill exactly in half you will get the equivalent of 2 x 25mgai pills. Because of the differences in fillers between the 25mgai and the 50mgai pills it would be a good idea to do a cross taper between them. Then once stable on the 25mgai pills you could do your taper from there. 20 years on Paxil starting at 20mg and working up to 40mg. Sept 2011 started 10% every 6 weeks taper (2.5% every week for 4 weeks then hold for 2 additional weeks), currently at 7.9mg. Oct 2011 CTed 15oz vodka a night, to only drinking 2 beers most nights, totally sober Feb 2013. Since I wrote this I have continued to decrease my dose by 10% every 6 weeks (2.5% every week for 4 weeks and then hold for an additional 2 weeks). I added in an extra 6 week hold when I hit 10mg to let things settle out even more. When I hit 3mgpw it became hard to split the drop into 4 parts so I switched to dropping 1mgpw (pill weight) every week for 3 weeks and then holding for another 3 weeks. The 3 + 3 schedule turned out to be too harsh so I cut back to dropping 1mgpw every 4 weeks which is working better. Final Dose 0.016mg. 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 Link to comment
BfromNJ Posted September 7, 2019 Author Share Posted September 7, 2019 7 hours ago, brassmonkey said: Actually it's a really smart question and shows that you're paying attention to the details of your taper. Any manufacturer selling prescription drugs in the USA is required to list them in the Drug Registration and Listing System with the FDA. Each pill must be uniquely identifiable by it's shape, size, weight, color and markings. In order to make a pill unique sometimes the weight is what is adjusted. So a 25mgai pill from manufacturer X could weight 100mgpw while the same pill from manufacturer Y could weigh 150mgpw. This would hold true with differences in strength as you are seeing between the 25mgai and the 50mgai pills from the same manufacturer. What it comes down to is, that a 25mgai pill will have 25mgai no matter who manufactured it or what it actually weighs. Same for a 50mgai pill. So if you break a 50mgai pill exactly in half you will get the equivalent of 2 x 25mgai pills. Because of the differences in fillers between the 25mgai and the 50mgai pills it would be a good idea to do a cross taper between them. Then once stable on the 25mgai pills you could do your taper from there. okay i see. hopefully i have enough of the old to do a cross taper. Not sure how to even do that, without now having to crush both old and new tablets I guess. Good thing is that it is the same manufacturer. However, I am not sure how that will be once i have to refill the 25s, since I am now on new insurance in a new state. and in looking at the drug list for my new insurance, medicaid, they cover quietipine furmate. right now mine just says quietipine. I have no idea what the difference is. 9/2018- lexapro low dose few days.11/3/2018- zoloft 2 days 11/7/18 - 11/15/18 - Prozac 9 days, from 10 mg for week, to 20 11/16 inpatient put on Lexapro for a few days, Cymbalta, 2 days 11/24-12/8 - gabapentin 100 mg 3xs per day - a very fast taper 1/7 - tbuspar for three days- blurry vision, jerky eye 1/17/19 - 2/15/19- mirtazapine 15 mg - started taper on 1/30 2/20/19 gabapentin 600 mg. . 12/20- taper finished 2/20/19 - seroquel 25 mg current - taken 10 pm 2/20/19- luvox (generic) 25 mg. 4/6/19 to 18.75 mg .held . Started taper again 1/7/21- 15 mg, 2/7/21- 12.5 mg, 3/7/21 -10 mg, 4/1/21- 9 mg, 5/1/21- 8.1 mg, 5/27/21- updose to 10 mg, 6/21- in patient updose to 50 mg, 6/25/21- reduce to 10 mg (current) . 9/5- split dose 5mg am/5 mg pm. 9/20- 4 mg am/5 mg pm . 9/1/21- took one dose of vistril 50 mg. 9/1/21-accidental double dose of seroquel- 50 mg Link to comment
BfromNJ Posted September 7, 2019 Author Share Posted September 7, 2019 my current meds and doses: 5:30 am (or so) - 164 mg (.214 pw) of gabapentin 7:30 am (or so) - probiotic (cheap one, waiting for my better azo womens health to arrive) - 2 azo urinary tract cleanse and protect chewables 12:30 pm - luvox 18.75 mg (.096 pw) - 164 mg (.214 pw) gabapentin 8:30 pm - 164 mg (.214 pw) gabapentin 10:00 pm - 25 mg seroquel 9/2018- lexapro low dose few days.11/3/2018- zoloft 2 days 11/7/18 - 11/15/18 - Prozac 9 days, from 10 mg for week, to 20 11/16 inpatient put on Lexapro for a few days, Cymbalta, 2 days 11/24-12/8 - gabapentin 100 mg 3xs per day - a very fast taper 1/7 - tbuspar for three days- blurry vision, jerky eye 1/17/19 - 2/15/19- mirtazapine 15 mg - started taper on 1/30 2/20/19 gabapentin 600 mg. . 12/20- taper finished 2/20/19 - seroquel 25 mg current - taken 10 pm 2/20/19- luvox (generic) 25 mg. 4/6/19 to 18.75 mg .held . Started taper again 1/7/21- 15 mg, 2/7/21- 12.5 mg, 3/7/21 -10 mg, 4/1/21- 9 mg, 5/1/21- 8.1 mg, 5/27/21- updose to 10 mg, 6/21- in patient updose to 50 mg, 6/25/21- reduce to 10 mg (current) . 9/5- split dose 5mg am/5 mg pm. 9/20- 4 mg am/5 mg pm . 9/1/21- took one dose of vistril 50 mg. 9/1/21-accidental double dose of seroquel- 50 mg Link to comment
Moderator brassmonkey Posted September 7, 2019 Moderator Share Posted September 7, 2019 quietipine furmate is the extended release version, while plain quietipine is the regular version. We have instructions on how to do a crosstaper around here somewhere,I just can't lay my hands on the ATM. 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. Final Dose 0.016mg. 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 Link to comment
BfromNJ Posted September 8, 2019 Author Share Posted September 8, 2019 (edited) @manymoretodays @brassmonkey or anyone else who happens to see this. lol. Ive posted this again below because I was hoping someone could review it for me. Im just thinking about my gabapentin taper im doing now and wondering if I am right in continueing to do so or if I should maybe make another reduction in the fluvoximine or start the seroquel. I ask this because it looking at this, it seems like the worst interactions are between seroquel and fluvoximine, since fluvoximine can actually raise the levels of seroquel in the blood stream. I am wondering if that is giving me more symptoms (such as my urinary issues). I did a drop of fluvoximine of 25% back in April. Did a big drop because i was not on it long and adverse reactions. If i did decide to reduce either one of these, which would make more sense? Do others "take turns" persay with what they reduce? maybe doing one for a while, then reducing another? is there any harm in this? it is at least reducing overall drug load. Or how many on here have done a multidrug taper? is it a matter of reducing each one by 10% or is there more involved with that? I guess what im wondering is if you all were on what i was on what would you do? Im feeling okay overall, besides the urinary issues, which are very difficult. if it wasnt for that, i would be okay. interactions between yoru drugs Moderate gabapentin fluvoxaMINE Applies to: gabapentin, fluvoxamine Using gabapentin together with fluvoxaMINE may increase side effects such as dizziness, drowsiness, confusion, and difficulty concentrating. Some people, especially the elderly, may also experience impairment in thinking, judgment, and motor coordination. You should avoid or limit the use of alcohol while being treated with these medications. Also avoid activities requiring mental alertness such as driving or operating hazardous machinery until you know how the medications affect you. Talk to your doctor if you have any questions or concerns. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor. Switch to professional interaction data Moderate gabapentin QUEtiapine Applies to: gabapentin, quetiapine Using gabapentin together with QUEtiapine may increase side effects such as dizziness, drowsiness, confusion, and difficulty concentrating. Some people, especially the elderly, may also experience impairment in thinking, judgment, and motor coordination. You should avoid or limit the use of alcohol while being treated with these medications. Also avoid activities requiring mental alertness such as driving or operating hazardous machinery until you know how the medications affect you. Talk to your doctor if you have any questions or concerns. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor. Switch to professional interaction data Moderate fluvoxaMINE QUEtiapine Applies to: fluvoxamine, quetiapine FluvoxaMINE may increase the blood levels of QUEtiapine. You may be more likely to experience side effects such as dizziness; drowsiness; dry mouth; constipation; increased appetite; weight gain; increased blood sugar and cholesterol or triglyceride levels; cognitive and motor impairment; involuntary muscle movements involving the face, tongue, or other parts of the body; difficulty swallowing; low blood pressure (especially at the start of treatment or after a dose increase); blood pressure increases (reported in children and teenagers); irregular heart rhythm; and seizures. Let your doctor know if your condition changes or you experience increased side effects. You may need a dose adjustment or more frequent monitoring by your doctor to safely use both medications. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor. Edited September 8, 2019 by ChessieCat reduced font 9/2018- lexapro low dose few days.11/3/2018- zoloft 2 days 11/7/18 - 11/15/18 - Prozac 9 days, from 10 mg for week, to 20 11/16 inpatient put on Lexapro for a few days, Cymbalta, 2 days 11/24-12/8 - gabapentin 100 mg 3xs per day - a very fast taper 1/7 - tbuspar for three days- blurry vision, jerky eye 1/17/19 - 2/15/19- mirtazapine 15 mg - started taper on 1/30 2/20/19 gabapentin 600 mg. . 12/20- taper finished 2/20/19 - seroquel 25 mg current - taken 10 pm 2/20/19- luvox (generic) 25 mg. 4/6/19 to 18.75 mg .held . Started taper again 1/7/21- 15 mg, 2/7/21- 12.5 mg, 3/7/21 -10 mg, 4/1/21- 9 mg, 5/1/21- 8.1 mg, 5/27/21- updose to 10 mg, 6/21- in patient updose to 50 mg, 6/25/21- reduce to 10 mg (current) . 9/5- split dose 5mg am/5 mg pm. 9/20- 4 mg am/5 mg pm . 9/1/21- took one dose of vistril 50 mg. 9/1/21-accidental double dose of seroquel- 50 mg Link to comment
Moderator brassmonkey Posted September 8, 2019 Moderator Share Posted September 8, 2019 We don't recommend tapering more than one drug at a time. Trying to keep track of which one is causing what symptom becomes a real problem even if you try to do the tapers in rotation. We have a number of members who are tapering several drugs at the same time, but it can get really messy. All three of the drugs your are taking list urinary problems as side effects, and their interactions would increase the problem. My guess would be to start with the gabapentin. 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. Final Dose 0.016mg. 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 Link to comment
BfromNJ Posted September 8, 2019 Author Share Posted September 8, 2019 1 hour ago, brassmonkey said: We don't recommend tapering more than one drug at a time. Trying to keep track of which one is causing what symptom becomes a real problem even if you try to do the tapers in rotation. We have a number of members who are tapering several drugs at the same time, but it can get really messy. All three of the drugs your are taking list urinary problems as side effects, and their interactions would increase the problem. My guess would be to start with the gabapentin. Or continue the gabapentin I guess. I've started it already. Thanks brassmonkey. Sorry if I was long winded or repeated myself. I've just at my waist end with these urinary troubles. I'm so misrerable.. 😥 I cant really find relief anyway or distract myself. And if it's not med related, my specialist isn't until 10/9. Gotta love medicaid. 🙄 9/2018- lexapro low dose few days.11/3/2018- zoloft 2 days 11/7/18 - 11/15/18 - Prozac 9 days, from 10 mg for week, to 20 11/16 inpatient put on Lexapro for a few days, Cymbalta, 2 days 11/24-12/8 - gabapentin 100 mg 3xs per day - a very fast taper 1/7 - tbuspar for three days- blurry vision, jerky eye 1/17/19 - 2/15/19- mirtazapine 15 mg - started taper on 1/30 2/20/19 gabapentin 600 mg. . 12/20- taper finished 2/20/19 - seroquel 25 mg current - taken 10 pm 2/20/19- luvox (generic) 25 mg. 4/6/19 to 18.75 mg .held . Started taper again 1/7/21- 15 mg, 2/7/21- 12.5 mg, 3/7/21 -10 mg, 4/1/21- 9 mg, 5/1/21- 8.1 mg, 5/27/21- updose to 10 mg, 6/21- in patient updose to 50 mg, 6/25/21- reduce to 10 mg (current) . 9/5- split dose 5mg am/5 mg pm. 9/20- 4 mg am/5 mg pm . 9/1/21- took one dose of vistril 50 mg. 9/1/21-accidental double dose of seroquel- 50 mg Link to comment
BfromNJ Posted September 11, 2019 Author Share Posted September 11, 2019 Daily logs for 3 days. 9/8 5:30- woke- slept ok. last night was 2nd night of seroquel 25 mg whole tablet , instead of taking half of the 50 mg. same manufacturer -164 mg gabapentin - upon awakening bad urinary urgency and frequency- painful 7:30- probiotic azo women's feminine balance (new) 11:00-overcone with very depressed and anxious feelings. upset very much over urinary issues bc they keep me from doing things. 11:30- urinary symptoms somewhat better 12:30- internal tremor/pulsing/shaking very prominent in foot, leg genitals 12:30- 164 mg gabapentin and 18.75 mg luvox 2:00- urinary issues get alot worse again- persisted through out rest of day 7-10- urinary issues a little better 8:30- 164 mg gabapentin 10:00 - 25 mg seroquel (1/2 of a 50 mg , old pills not new 25 mg, same manufacturer) feel asleep ok. woke up 3:30 am. restless sleep after. 9/9 3:30- woke up. restless sleep after . urinary urgency made it difficult to get back to sleep. 6:30- up. - urinary urgengy and frequency start right away. - 164 mg gabapentin. 10:30- still urgency and frequency. very painful. worse when seated and burns. - continues all day 12:30- 164 mg gabapentin and 18.75 mg luvox - urinary frequency and urgency continues. 4:30- internal tremor in left foot, leg 8:30- 164 mg gabapentin 10:00- 25 mg seroquel troubling symptoms pretty much all day is the urinary frequency and urgency. also, feeling of awful pressure in the abdomen and pain. I've become down and anxious the last two days. my urinary issues are very hard to live with. I'm so uncomfortable. hard to even sit, walk, etc. 9/10 6:30- 164 mg gabapentin - no probiotic (was causing bloating I think - urinary frequency and urgency start 12:30- 164 mg gabapentin and 18.75 mg luvox - urinary frequency and urgency continue, but not as bad today. not as much pressure and discomfort. 8:30- 164 mg gabapentin 10:00- 25 mg seroquel ( old ones - the 1/2 of 50 tablet, last few nights) 10:30- bed. tinnitus I noticed was horrible. difficult time falling asleep. very restless, anxious, sweaty, nausea notes - urinary issues were a bit better today. tinnitus at bedtime was horrible. I dont know how it didnt bother me earlier. very unusual that I cannot fall asleep, but had extreme anxiousness over tinnitus , was hot, nauseous. felt very off and wrong. back to taking half of the 50 mg seroquel instead of the whole 25 tablet (same manufacturer). but I have been crushing and weighing it because the halves I have now left are uneven and I want to make sure I am getting equal amount. I didnt want to waste them. been doing this two nights now. 9/2018- lexapro low dose few days.11/3/2018- zoloft 2 days 11/7/18 - 11/15/18 - Prozac 9 days, from 10 mg for week, to 20 11/16 inpatient put on Lexapro for a few days, Cymbalta, 2 days 11/24-12/8 - gabapentin 100 mg 3xs per day - a very fast taper 1/7 - tbuspar for three days- blurry vision, jerky eye 1/17/19 - 2/15/19- mirtazapine 15 mg - started taper on 1/30 2/20/19 gabapentin 600 mg. . 12/20- taper finished 2/20/19 - seroquel 25 mg current - taken 10 pm 2/20/19- luvox (generic) 25 mg. 4/6/19 to 18.75 mg .held . Started taper again 1/7/21- 15 mg, 2/7/21- 12.5 mg, 3/7/21 -10 mg, 4/1/21- 9 mg, 5/1/21- 8.1 mg, 5/27/21- updose to 10 mg, 6/21- in patient updose to 50 mg, 6/25/21- reduce to 10 mg (current) . 9/5- split dose 5mg am/5 mg pm. 9/20- 4 mg am/5 mg pm . 9/1/21- took one dose of vistril 50 mg. 9/1/21-accidental double dose of seroquel- 50 mg Link to comment
Mentor ShiningLight Posted September 11, 2019 Mentor Share Posted September 11, 2019 Aw B, sorry re your wave and urinary problems! So unpleasant. 😣☹ Now: 100 mg Zoloft am, 50 mg Trazodone. Daily drug burden decreased from 2050 in 2018 mg to 150 mg 🐢🐢 Zoloft: 1/24/23 increased to 100 mg after suicide attempt 9/17/22 cut 6 mg, 8/14/22 cut 6.5 mg, 5/7/22 cut 12.5 mg 3/20/22 cut 12.5 mg 10/26/21 cut 6 mg 10/17/21 cut 5 mg, 9/17/21 Cut 3 mg, 9/13/21 cut 4 mg, 8/29/21 Cut 2 mg 8/8/21 Cut 3 mg 7/30/21 Zoloft: Converted 25 mg to liquid. Also take 100 mg pill & 25 mg pill=150 mg total🌞 Feb 28, 2021 0 mg Gapapentin 2021 Gaba each dose 4x/day: Feb 27 7 mg (one dose only), Feb 10, 7 mg, Jan 14 10 mg 2020 Current taper schedule from Aug 30-present: drop 8 mg every 2-3 weeks. Aug 20 31 mg, Aug 18, 33 mg, July 29, 35 mg, July 23 38 mg, July 22 40 mg Jun 24 42 mg, Jun 15 44 mg, Jun 9 48 mg, May 22 50 mg, May 14 54 mg, May 7 56 mg, Apr 16 58 mg, Mar 28 60 mg, Mar 18 62 mg. Feb 26 64 mg. Feb 19, 66 mg. Jan 23, 70 mg. 2019 Dec 19, 72 mg. Nov 14 ,76 mg. Aug 8, 80 mg. Aug 6, 85 mg. Jul 26, 90 mg. Jul 11, 95 mg. Jul 16 trazodone from 100 to 50 mg. Jun 17-July 10 Slowly changed gab fr pill to liquid at same dose 100 mg 4x/d. Apr 24 Stopped klon!!! 🌞 Apr 4 Decreased gaba to 400 mg (100 mg 4x/day)-Apr 4, 2019 0.25 klon March 11 Klonopin .5 mg twice daily, varied dose til Apr 15. Started Klon fast taper 25%, short use Mar 16, 450 mg gaba 3x/day cut 600 mg--not exact!--updose after learning w/d Feb 20, 2019 1800 mg gabapentin; MD taper; off 3 days=mvt disorder & autonomic instability. July 2018 temazepam 15 mg 1-2; prn several x/wk til Jan/Feb 2019 when cold turkey, flu illness for months July 2018 started gabapentin 100 3x/day; titrated up to 1800 mg (600 3x/day) Buspar, I forget how much, 2 pills a day Jan 2017-July 2018 cold turkey. On Zoloft since maybe 2004? After trying many. *I speak from my experience. Nothing I say is medical advice. I'm not a doctor. Link to comment
BfromNJ Posted September 11, 2019 Author Share Posted September 11, 2019 7 hours ago, ShiningLight said: Aw B, sorry re your wave and urinary problems! So unpleasant. 😣☹ Yeah sure is. I read you seem to be doing well. That's awesome. 9/2018- lexapro low dose few days.11/3/2018- zoloft 2 days 11/7/18 - 11/15/18 - Prozac 9 days, from 10 mg for week, to 20 11/16 inpatient put on Lexapro for a few days, Cymbalta, 2 days 11/24-12/8 - gabapentin 100 mg 3xs per day - a very fast taper 1/7 - tbuspar for three days- blurry vision, jerky eye 1/17/19 - 2/15/19- mirtazapine 15 mg - started taper on 1/30 2/20/19 gabapentin 600 mg. . 12/20- taper finished 2/20/19 - seroquel 25 mg current - taken 10 pm 2/20/19- luvox (generic) 25 mg. 4/6/19 to 18.75 mg .held . Started taper again 1/7/21- 15 mg, 2/7/21- 12.5 mg, 3/7/21 -10 mg, 4/1/21- 9 mg, 5/1/21- 8.1 mg, 5/27/21- updose to 10 mg, 6/21- in patient updose to 50 mg, 6/25/21- reduce to 10 mg (current) . 9/5- split dose 5mg am/5 mg pm. 9/20- 4 mg am/5 mg pm . 9/1/21- took one dose of vistril 50 mg. 9/1/21-accidental double dose of seroquel- 50 mg Link to comment
BfromNJ Posted September 11, 2019 Author Share Posted September 11, 2019 So what I've noticed about me (or so it seems) is that any withdraw or problems I have with a drop seem to not show up until the 2nd and 3rd weeks. I have to be cognizant of this because it then seems I am not ready to drop again by that next week, I need to level out more. I dont know why this is, since I'm so sensitive I would have thought I'd see it within the 1st week . It just doesnt seem to hit me right away. I really wanted to drop again next week but I may hold a bit. 9/2018- lexapro low dose few days.11/3/2018- zoloft 2 days 11/7/18 - 11/15/18 - Prozac 9 days, from 10 mg for week, to 20 11/16 inpatient put on Lexapro for a few days, Cymbalta, 2 days 11/24-12/8 - gabapentin 100 mg 3xs per day - a very fast taper 1/7 - tbuspar for three days- blurry vision, jerky eye 1/17/19 - 2/15/19- mirtazapine 15 mg - started taper on 1/30 2/20/19 gabapentin 600 mg. . 12/20- taper finished 2/20/19 - seroquel 25 mg current - taken 10 pm 2/20/19- luvox (generic) 25 mg. 4/6/19 to 18.75 mg .held . Started taper again 1/7/21- 15 mg, 2/7/21- 12.5 mg, 3/7/21 -10 mg, 4/1/21- 9 mg, 5/1/21- 8.1 mg, 5/27/21- updose to 10 mg, 6/21- in patient updose to 50 mg, 6/25/21- reduce to 10 mg (current) . 9/5- split dose 5mg am/5 mg pm. 9/20- 4 mg am/5 mg pm . 9/1/21- took one dose of vistril 50 mg. 9/1/21-accidental double dose of seroquel- 50 mg Link to comment
Moderator Emeritus composter Posted September 13, 2019 Moderator Emeritus Share Posted September 13, 2019 Hi B, I'm holding too, after going through a wave during my taper. I'm right there with you on the tinnitus, abdominal pains, and urinary problems (for me it's urinary hesitancy). But I'm starting to see the clouds part and the wave passing. Our individual bodies are so unique. Good that you're starting to find a pattern to be aware of for your taper. The most important thing to learn from this process is to listen to your body and trust your intuition. Godspeed to you. Apr 2018: Began 10 mg Amitriptyline (for headaches & insomnia from concussion). Jul - Aug 2018: Fast taper to 5 mg and then 2.5 mg (too fast, hellish withdrawal at 2.5 mg). Sept 2018: Reinstated 10 mg (many symptoms improved). Oct 2018 - Apr 2019: Updosed & stabilized on 11 mg (2 waves at 3 and 5 months post-withdrawal). Apr 2019 - Apr 2020: Tapered 0.5-0.25 mg per month using compounded pills: 11 mg —> 6 mg. (2 waves at 12 and 16 months post-withdrawal.) Apr 2020 - present: Switched to a liquid taper at rate of 0.1 mg per month. Currently: 1.1 mg. No more waves. Supplements: Omega-3 fish oil, Vit B12, coenzyme Q10, Hawthorn extract (for tachycardia) Tools for insomnia/waves (as needed): Epsom salt foot soaks, 0.5 mg Melatonin, quality time, waves WILL PASS. Lifestyle: Eat real foods, mostly plants; sunlight, walking, yoga; symptom tracking on adapted Glenmullen chart. Link to comment
Mentor ShiningLight Posted September 14, 2019 Mentor Share Posted September 14, 2019 On 9/11/2019 at 1:59 PM, BfromNJ said: So what I've noticed about me (or so it seems) is that any withdraw or problems I have with a drop seem to not show up until the 2nd and 3rd weeks. It's good that you figured this out. Holding sounds like a good idea. I'm hoping these urinary symptoms will go away or at least ease up, the way things come and go in wd. Now: 100 mg Zoloft am, 50 mg Trazodone. Daily drug burden decreased from 2050 in 2018 mg to 150 mg 🐢🐢 Zoloft: 1/24/23 increased to 100 mg after suicide attempt 9/17/22 cut 6 mg, 8/14/22 cut 6.5 mg, 5/7/22 cut 12.5 mg 3/20/22 cut 12.5 mg 10/26/21 cut 6 mg 10/17/21 cut 5 mg, 9/17/21 Cut 3 mg, 9/13/21 cut 4 mg, 8/29/21 Cut 2 mg 8/8/21 Cut 3 mg 7/30/21 Zoloft: Converted 25 mg to liquid. Also take 100 mg pill & 25 mg pill=150 mg total🌞 Feb 28, 2021 0 mg Gapapentin 2021 Gaba each dose 4x/day: Feb 27 7 mg (one dose only), Feb 10, 7 mg, Jan 14 10 mg 2020 Current taper schedule from Aug 30-present: drop 8 mg every 2-3 weeks. Aug 20 31 mg, Aug 18, 33 mg, July 29, 35 mg, July 23 38 mg, July 22 40 mg Jun 24 42 mg, Jun 15 44 mg, Jun 9 48 mg, May 22 50 mg, May 14 54 mg, May 7 56 mg, Apr 16 58 mg, Mar 28 60 mg, Mar 18 62 mg. Feb 26 64 mg. Feb 19, 66 mg. Jan 23, 70 mg. 2019 Dec 19, 72 mg. Nov 14 ,76 mg. Aug 8, 80 mg. Aug 6, 85 mg. Jul 26, 90 mg. Jul 11, 95 mg. Jul 16 trazodone from 100 to 50 mg. Jun 17-July 10 Slowly changed gab fr pill to liquid at same dose 100 mg 4x/d. Apr 24 Stopped klon!!! 🌞 Apr 4 Decreased gaba to 400 mg (100 mg 4x/day)-Apr 4, 2019 0.25 klon March 11 Klonopin .5 mg twice daily, varied dose til Apr 15. Started Klon fast taper 25%, short use Mar 16, 450 mg gaba 3x/day cut 600 mg--not exact!--updose after learning w/d Feb 20, 2019 1800 mg gabapentin; MD taper; off 3 days=mvt disorder & autonomic instability. July 2018 temazepam 15 mg 1-2; prn several x/wk til Jan/Feb 2019 when cold turkey, flu illness for months July 2018 started gabapentin 100 3x/day; titrated up to 1800 mg (600 3x/day) Buspar, I forget how much, 2 pills a day Jan 2017-July 2018 cold turkey. On Zoloft since maybe 2004? After trying many. *I speak from my experience. Nothing I say is medical advice. I'm not a doctor. Link to comment
BfromNJ Posted September 15, 2019 Author Share Posted September 15, 2019 @brassmonkey @manymoretodays so i need some help with math. I have new gabapentin capsules - new manufacturer. couldnt be avoided, since i moved to another state and have new insurance. So, I have done two drops already with the old , 8.3% and 10%. Old (in pill weight) starting pill weight - .260 first drop pill weight - .238 second drop pill weight -.214 (what i take now) New (in pill weight) starting pill weight - .254 So, i figure with my new 10% reduction this week, i will have dropped a total of .068 in pill weight, based on my old pill. So, .254 - .068 = .186. I figure this is my new pill weight for this time around. Am i correct? Or am I looking too much into it and dont even have to worry about this? do i just go off my original numbers? does it matter when they are capsules that i am opening and emptying anyway? I think I will stick with the .186. It seems to be like a 3% difference, since based on math of the old pills, my new dose would have been .193. 9/2018- lexapro low dose few days.11/3/2018- zoloft 2 days 11/7/18 - 11/15/18 - Prozac 9 days, from 10 mg for week, to 20 11/16 inpatient put on Lexapro for a few days, Cymbalta, 2 days 11/24-12/8 - gabapentin 100 mg 3xs per day - a very fast taper 1/7 - tbuspar for three days- blurry vision, jerky eye 1/17/19 - 2/15/19- mirtazapine 15 mg - started taper on 1/30 2/20/19 gabapentin 600 mg. . 12/20- taper finished 2/20/19 - seroquel 25 mg current - taken 10 pm 2/20/19- luvox (generic) 25 mg. 4/6/19 to 18.75 mg .held . Started taper again 1/7/21- 15 mg, 2/7/21- 12.5 mg, 3/7/21 -10 mg, 4/1/21- 9 mg, 5/1/21- 8.1 mg, 5/27/21- updose to 10 mg, 6/21- in patient updose to 50 mg, 6/25/21- reduce to 10 mg (current) . 9/5- split dose 5mg am/5 mg pm. 9/20- 4 mg am/5 mg pm . 9/1/21- took one dose of vistril 50 mg. 9/1/21-accidental double dose of seroquel- 50 mg Link to comment
Moderator Emeritus manymoretodays Posted September 16, 2019 Moderator Emeritus Share Posted September 16, 2019 (edited) I found the old calculations ^ Okay old capsules: 260 mgpw : 200 mgai first drop was 8.5% of a taper 238 mgpw: 183 mgai next drop of 10% from above 214 mgpw: 164.7 mgai (and I'll round up to 165 mgai) Which is your present dose of 165 mgai New capsules starting pw is: 254 mgpw : 200 mgai? This would be the weight of 2 100 mgai(dose strength). Reading out on your scale .254. Is this correct? So with the new capsules contents weighing a bit less, here's what I get for your present dose of 165 mgai: 254 mgpw: 200 mgai 210 mgpw: 165 mgai Current dose of 165 mgai with your new capsules weighs 210 mgpw (on your scale you'll see .210, as the scale is in grams) Next drop of 10% I multiplied both the weight(mgpw) 210 mgpw X .90= 189 mgpw and the dose, 165 mgai X .90= 148.5 mgai 189mgpw: 148.5 mgai 9 hours ago, BfromNJ said: So, i figure with my new 10% reduction this week, i will have dropped a total of .068 in pill weight, based on my old pill. So, .254 - .068 = .186. I figure this is my new pill weight for this time around. Am i correct? I got 189 mgpw based on your new pill/capsule contents weight, you got 186 mgpw So......I'm seeing a difference from your old to new. I would go with the weights of the new, on your next drop, and also when you switch over to the new manufacturer too. It sounds like you may have already made the switch? Did you follow? And double check me too. Kind of late here and my eyes are bugging out a bit now, after all my editing corrections...... L, P, H, and G, mmt Edited September 16, 2019 by manymoretodays new dose calculations moved to the right place, added quote Late 2023- gone to emeritus status, inactive, don't @ me, I can check who I've posted on, and I'm not really here like I used to be......thanks. Started with psycho meds/psychiatric care circa 1988. In retrospect, and on contemplation, situational overwhelm. Rounding up to 30 years of medications(30 medication trials, poly-pharmacy maximum was 3 at one time). 5/28/2015-off Adderal salts 2.5mg. (I had been on that since hospital 10/2014) 12/2015---just holding, holding, holding, with trileptal/oxcarb at 75 mg. 1/2 tab at hs. My last psycho med ever! Tapered @ 10% every 4 weeks, sometimes 2 weeks to 2016 Dec 16, medication free!! Longer signature post here, with current supplements. Herb and alcohol free since 5/15/2016. And.....I quit smoking 11/2021. Lapsed. Redo of quit smoking 9/28/2022. Can you say Hallelujah?(took me long enough)💜 None of my posts are intended as medical advice. Please discuss any decisions about your medical care with a knowledgeable medical provider. My success story: Blue skies ahead, clear sailing Link to comment
BfromNJ Posted September 16, 2019 Author Share Posted September 16, 2019 6 hours ago, manymoretodays said: I found the old calculations ^ Okay old capsules: 260 mgpw : 200 mgai first drop was 8.5% of a taper 238 mgpw: 183 mgai next drop of 10% from above 214 mgpw: 164.7 mgai (and I'll round up to 165 mgai) Which is your present dose of 165 mgai New capsules starting pw is: 254 mgpw : 200 mgai? This would be the weight of 2 100 mgai(dose strength). Reading out on your scale .254. Is this correct? So with the new capsules contents weighing a bit less, here's what I get for your present dose of 165 mgai: 254 mgpw: 200 mgai 210 mgpw: 165 mgai Current dose of 165 mgai with your new capsules weighs 210 mgpw (on your scale you'll see .210, as the scale is in grams) Next drop of 10% I multiplied both the weight(mgpw) 210 mgpw X .90= 189 mgpw and the dose, 165 mgai X .90= 148.5 mgai 189mgpw: 148.5 mgai I got 189 mgpw based on your new pill/capsule contents weight, you got 186 mgpw So......I'm seeing a difference from your old to new. I would go with the weights of the new, on your next drop, and also when you switch over to the new manufacturer too. It sounds like you may have already made the switch? Did you follow? And double check me too. Kind of late here and my eyes are bugging out a bit now, after all my editing corrections...... L, P, H, and G, mmt I am totally confused. Lol. But thank you so much for doing this. Sorry for the buggy eyes. Lol. You are so kind to do this. I thought I had the math correct. But I was close! I find it easier when calculating i dont talk mg, lol just the pill weight on the scale. So i should go with the .186 right? Also, what i did start to do today was cross taper my old and new, before i drop. Since I take now .214, I am taking .107 pw of old and .107 pw of new. Since I have a few of my old ones left. Or should it have been .107 of old and .105 of new? Or is this really a negligible amount? 9/2018- lexapro low dose few days.11/3/2018- zoloft 2 days 11/7/18 - 11/15/18 - Prozac 9 days, from 10 mg for week, to 20 11/16 inpatient put on Lexapro for a few days, Cymbalta, 2 days 11/24-12/8 - gabapentin 100 mg 3xs per day - a very fast taper 1/7 - tbuspar for three days- blurry vision, jerky eye 1/17/19 - 2/15/19- mirtazapine 15 mg - started taper on 1/30 2/20/19 gabapentin 600 mg. . 12/20- taper finished 2/20/19 - seroquel 25 mg current - taken 10 pm 2/20/19- luvox (generic) 25 mg. 4/6/19 to 18.75 mg .held . Started taper again 1/7/21- 15 mg, 2/7/21- 12.5 mg, 3/7/21 -10 mg, 4/1/21- 9 mg, 5/1/21- 8.1 mg, 5/27/21- updose to 10 mg, 6/21- in patient updose to 50 mg, 6/25/21- reduce to 10 mg (current) . 9/5- split dose 5mg am/5 mg pm. 9/20- 4 mg am/5 mg pm . 9/1/21- took one dose of vistril 50 mg. 9/1/21-accidental double dose of seroquel- 50 mg Link to comment
Moderator Emeritus manymoretodays Posted September 16, 2019 Moderator Emeritus Share Posted September 16, 2019 (edited) 5 hours ago, BfromNJ said: I am totally confused. Lol. But thank you so much for doing this. Sorry for the buggy eyes. Lol. You are so kind to do this. I thought I had the math correct. But I was close! I find it easier when calculating i dont talk mg, lol just the pill weight on the scale. So i should go with the .186 right? Also, what i did start to do today was cross taper my old and new, before i drop. Since I take now .214, I am taking .107 pw of old and .107 pw of new. Since I have a few of my old ones left. Or should it have been .107 of old and .105 of new? Or is this really a negligible amount? Okay, and good you are doing a cross-taper then now. We went over that on the previous page, I believe and decided you would do 1/2 old and 1/2 new for 3-7 days, rather than the usual formula......for practical reasons and ease. https://www.survivingantidepressants.org/topic/19756-bfromnj-mirtazapine-taper/?do=findComment&comment=442687 ^ this was regarding your quietipine. Same principle applies here, though. Gabapentin: I would go with the .210 pill weight for your new capsules, which for each 1/2 dose.......yes, you are correct, that would be .105 of new, in pill weight. Then when you get to using all new capsule contents for your doses, just HOLD for another week, or longer, if you are noticing WD symptoms. No reason you have to rush on into another taper. Hoping you'll be able to use the new manufactured pills/capsules for a long time now.....so the pause in tapering, will be insignificant after some time passes. Basically, you can treat it like a dose change event. Quetiapine: And as you've alluded to, changing forms of quetiapine too, recently, a HOLD is wise, before further tapering of gabapentin. Best is one dose change event at a time. You've had to do 2, due to new prescriptions, and manufacturing changes in both. Which, from my understanding, you could not avoid or control. Let's let any potential bumps settle. Gabapentin: When you are crossed over, your new pill weight will be .210 Giving you a dose strength of 165 mgai, which you take twice a day........total daily dose at present is 330 mgai/day. We need you to understand and report current doses in mgai, so look it all over, both the quoted post and explanations, in the meantime. An update can be done to your signature as well, right here Account settings, signature It looks like you stopped updating back on the 5th of June, when you were at 494 mg/day or 494 mgai. Presently, you are crossing over(you don't have to put that in the signature, there's not room) and are taking 330 mgai/day. Note the date when you did that last reduction. And your current dose of 330 mgai. So.......when you do your next taper, I think you should go with .189 , as that will be a 10% reduction with your new pills/capsules. So, no, I don't want you to go with .186. On 9/6/2019 at 1:00 PM, brassmonkey said: If the average weight of the powder from the new capsules is the same as the old then there should be no problem sticking with the 214mgpw. Your average weight differs with the new and the old. It's not the same. Best to go with the new weight of 210 mgpw. I like accuracy as much as possible, and I think your body will appreciate it too. Best, and L, P, H, and G, mmt Edited September 16, 2019 by manymoretodays bolding, clarity Late 2023- gone to emeritus status, inactive, don't @ me, I can check who I've posted on, and I'm not really here like I used to be......thanks. Started with psycho meds/psychiatric care circa 1988. In retrospect, and on contemplation, situational overwhelm. Rounding up to 30 years of medications(30 medication trials, poly-pharmacy maximum was 3 at one time). 5/28/2015-off Adderal salts 2.5mg. (I had been on that since hospital 10/2014) 12/2015---just holding, holding, holding, with trileptal/oxcarb at 75 mg. 1/2 tab at hs. My last psycho med ever! Tapered @ 10% every 4 weeks, sometimes 2 weeks to 2016 Dec 16, medication free!! Longer signature post here, with current supplements. Herb and alcohol free since 5/15/2016. And.....I quit smoking 11/2021. Lapsed. Redo of quit smoking 9/28/2022. Can you say Hallelujah?(took me long enough)💜 None of my posts are intended as medical advice. Please discuss any decisions about your medical care with a knowledgeable medical provider. My success story: Blue skies ahead, clear sailing Link to comment
BfromNJ Posted September 16, 2019 Author Share Posted September 16, 2019 1 hour ago, manymoretodays said: would go with the .210 pill weight for your new capsules, which for each 1/2 dose.......yes, you are correct, that would be .105 of new, in pill weight. Then when you get to using all new capsule contents for your doses, just HOLD for another week, or longer, if you are noticing WD symptoms. No reason you have to rush on into another taper. Hoping you'll be able to use the new manufactured pills/capsules for a long time now.....so the pause in tapering, will be insignificant after some time passes. Basically, you can treat it like a dose change event. Okay so for the half old, I do .105 as well? So .105 old and .105 new? I did wrong today then and used .107 old (since its half of .214) and .105 of new (since its half of .210) . I took two doses already today. I only have three days of old capsules anyway. 9/2018- lexapro low dose few days.11/3/2018- zoloft 2 days 11/7/18 - 11/15/18 - Prozac 9 days, from 10 mg for week, to 20 11/16 inpatient put on Lexapro for a few days, Cymbalta, 2 days 11/24-12/8 - gabapentin 100 mg 3xs per day - a very fast taper 1/7 - tbuspar for three days- blurry vision, jerky eye 1/17/19 - 2/15/19- mirtazapine 15 mg - started taper on 1/30 2/20/19 gabapentin 600 mg. . 12/20- taper finished 2/20/19 - seroquel 25 mg current - taken 10 pm 2/20/19- luvox (generic) 25 mg. 4/6/19 to 18.75 mg .held . Started taper again 1/7/21- 15 mg, 2/7/21- 12.5 mg, 3/7/21 -10 mg, 4/1/21- 9 mg, 5/1/21- 8.1 mg, 5/27/21- updose to 10 mg, 6/21- in patient updose to 50 mg, 6/25/21- reduce to 10 mg (current) . 9/5- split dose 5mg am/5 mg pm. 9/20- 4 mg am/5 mg pm . 9/1/21- took one dose of vistril 50 mg. 9/1/21-accidental double dose of seroquel- 50 mg Link to comment
BfromNJ Posted September 16, 2019 Author Share Posted September 16, 2019 1 hour ago, manymoretodays said: When you are crossed over, your new pill weight will be .210 Giving you a dose strength of 165 mgai, which you take twice a day........total daily dose at present is 330 mgai/day. We need you to understand and report current doses in mgai, so look it all over, both the quoted post and explanations, in the meantime. An update can be done to your signature as well, right here Account settings, signature It looks like you stopped updating back on the 5th of June, when you were at 494 mg/day or 494 mgai. Presently, you are crossing over(you don't have to put that in the signature, there's not room) and are taking 330 mgai/day. Note the date when you did that last reduction. And your current dose of 330 mgai. No it's not 330 mg a day. Its 494 mg a day. I updated signature to be a bit more clear, I hope ..lol. 9/2018- lexapro low dose few days.11/3/2018- zoloft 2 days 11/7/18 - 11/15/18 - Prozac 9 days, from 10 mg for week, to 20 11/16 inpatient put on Lexapro for a few days, Cymbalta, 2 days 11/24-12/8 - gabapentin 100 mg 3xs per day - a very fast taper 1/7 - tbuspar for three days- blurry vision, jerky eye 1/17/19 - 2/15/19- mirtazapine 15 mg - started taper on 1/30 2/20/19 gabapentin 600 mg. . 12/20- taper finished 2/20/19 - seroquel 25 mg current - taken 10 pm 2/20/19- luvox (generic) 25 mg. 4/6/19 to 18.75 mg .held . Started taper again 1/7/21- 15 mg, 2/7/21- 12.5 mg, 3/7/21 -10 mg, 4/1/21- 9 mg, 5/1/21- 8.1 mg, 5/27/21- updose to 10 mg, 6/21- in patient updose to 50 mg, 6/25/21- reduce to 10 mg (current) . 9/5- split dose 5mg am/5 mg pm. 9/20- 4 mg am/5 mg pm . 9/1/21- took one dose of vistril 50 mg. 9/1/21-accidental double dose of seroquel- 50 mg Link to comment
BfromNJ Posted September 16, 2019 Author Share Posted September 16, 2019 1 hour ago, manymoretodays said: Quetiapine: And as you've alluded to, changing forms of quetiapine too, recently, a HOLD is wise, before further tapering of gabapentin. Best is one dose change event at a time. You've had to do 2, due to new prescriptions, and manufacturing changes in both. Which, from my understanding, you could not avoid or control. Let's let any potential bumps settle. I am not going to even think about this right now. Lol. My head hurts. And I still have like 6 weeks or more of my old quietipine left. So I do not need to change this for a bit now. And I'm going to double check with pharmacy to see if they can get the same maufacturer. But the formula is different, its fumarate. I'm told by them it's still immediate release, just different formula. Something to do with salts. 9/2018- lexapro low dose few days.11/3/2018- zoloft 2 days 11/7/18 - 11/15/18 - Prozac 9 days, from 10 mg for week, to 20 11/16 inpatient put on Lexapro for a few days, Cymbalta, 2 days 11/24-12/8 - gabapentin 100 mg 3xs per day - a very fast taper 1/7 - tbuspar for three days- blurry vision, jerky eye 1/17/19 - 2/15/19- mirtazapine 15 mg - started taper on 1/30 2/20/19 gabapentin 600 mg. . 12/20- taper finished 2/20/19 - seroquel 25 mg current - taken 10 pm 2/20/19- luvox (generic) 25 mg. 4/6/19 to 18.75 mg .held . Started taper again 1/7/21- 15 mg, 2/7/21- 12.5 mg, 3/7/21 -10 mg, 4/1/21- 9 mg, 5/1/21- 8.1 mg, 5/27/21- updose to 10 mg, 6/21- in patient updose to 50 mg, 6/25/21- reduce to 10 mg (current) . 9/5- split dose 5mg am/5 mg pm. 9/20- 4 mg am/5 mg pm . 9/1/21- took one dose of vistril 50 mg. 9/1/21-accidental double dose of seroquel- 50 mg Link to comment
BfromNJ Posted September 16, 2019 Author Share Posted September 16, 2019 @manymoretodays I think my math is a bit off still. Here's a simple recap: .254 is new pill weight average per dose for new formula (starting). Old was .260. I'm now at .214. Which is a total reduction of .046 weight. So if I take .046 off of .254, my new formula current dose comes to .208. Is that the right way to figure or no? 9/2018- lexapro low dose few days.11/3/2018- zoloft 2 days 11/7/18 - 11/15/18 - Prozac 9 days, from 10 mg for week, to 20 11/16 inpatient put on Lexapro for a few days, Cymbalta, 2 days 11/24-12/8 - gabapentin 100 mg 3xs per day - a very fast taper 1/7 - tbuspar for three days- blurry vision, jerky eye 1/17/19 - 2/15/19- mirtazapine 15 mg - started taper on 1/30 2/20/19 gabapentin 600 mg. . 12/20- taper finished 2/20/19 - seroquel 25 mg current - taken 10 pm 2/20/19- luvox (generic) 25 mg. 4/6/19 to 18.75 mg .held . Started taper again 1/7/21- 15 mg, 2/7/21- 12.5 mg, 3/7/21 -10 mg, 4/1/21- 9 mg, 5/1/21- 8.1 mg, 5/27/21- updose to 10 mg, 6/21- in patient updose to 50 mg, 6/25/21- reduce to 10 mg (current) . 9/5- split dose 5mg am/5 mg pm. 9/20- 4 mg am/5 mg pm . 9/1/21- took one dose of vistril 50 mg. 9/1/21-accidental double dose of seroquel- 50 mg Link to comment
Moderator Emeritus manymoretodays Posted September 16, 2019 Moderator Emeritus Share Posted September 16, 2019 (edited) 1 hour ago, BfromNJ said: No it's not 330 mg a day. Its 494 mg a day. I updated signature to be a bit more clear, I hope ..lol. Yes, I forgot to multiply the 165 mgai by 3 doses. I had only multiplied by 2 doses. I got 495 mgai when I rounded up. So okay, and you made the reduction to that on the 21 of August. Good then, on no changes with the quetiapine for now. 1 hour ago, BfromNJ said: I think my math is a bit off still. Here's a simple recap: .254 is new pill weight average per dose for new formula (starting). Old was .260. I'm now at .214. Which is a total reduction of .046 weight. .254 is new pill weight average per dose for new formula (starting). .254 must be pill weight for 2 capsules? Each capsule contains 100 mgai. So the contents of 2 would contain 200mgai. mgai just means the dose strength is all. Just like what is listed on your prescription label. And then you got an average weight per 2 capsules of .254. With the old you had an average weight of .260. Which when you move the decimal over 3 places, you then get 254 mgpw. mgpw again, is the pill weight in milligrams of 2 capsules. Your scale has the decimal point, because it reads out in grams. I'm just working out the dose strength and then pill weight for your new capsules. Taking into account the dose that you are currently on. You are not so much off with your maths, just doing it differently. You can't just reduce by the same amount that you did with your old capsules, with your new. 1 hour ago, BfromNJ said: So if I take .046 off of .254, my new formula current dose comes to .208. Is that the right way to figure or no? No. I'd go with the .210. Or 210 mgpw as expressed below. 8 hours ago, BfromNJ said: New capsules starting pw is: 254 mgpw : 200 mgai? This would be the weight of 2 100 mgai(dose strength). Reading out on your scale .254. Is this correct? So with the new capsules contents weighing a bit less, here's what I get for your present dose of 165 mgai: 254 mgpw: 200 mgai 210 mgpw: 165 mgai I came up with .210 for a weight with your new capsules per dose. I expressed it as 210mgpw. The : sign is for equivalency. 210mgpw: 165 mgai. And that's for one dose only. 165mgai multiplied by 3 doses per day is 495 mgai. I think that I did not multiply for all 3 doses must have confused you, as well as getting used to the terms.....mgpw and mgai. Never mind the spelling of quetiapine. I often take it all to paper, as well. To double check and for further understanding. Maybe you can do that? 1 hour ago, BfromNJ said: I am not going to even think about this right now. Lol. My head hurts. And I still have like 6 weeks or more of my old quietipine left. So I do not need to change this for a bit now. And I'm going to double check with pharmacy to see if they can get the same maufacturer. But the formula is different, its fumarate. I'm told by them it's still immediate release, just different formula. Something to do with salts. Oh man.....now you tell me! My gosh, I'm swamped today as it is. However, I appreciate the thank you. And you're welcome. I may bow on out of further calculations for you though.....if you can't spend more than an hour or less, attempting to understand. Or go back and retrieve prior posts to study and look at yourself. It takes some time for me too BfromNJ. And compliments on trying to get this all worked out before you actually do anything. I mean that's great. It really is. Have a great week. And further edit to add a mild apology, as I just did the same......and probably replied before I should have. A lot going on today, here, on the ground, and just reacted to your reacting/replying so fast, and did the same. Fingers crossed I can take care of a few priority situations on the ground here, before any further responses. Thanks for understanding, if you do. I put at least an hour into each of those responses.....and then only to find out that you might change tracks anyway and check with the pharmacy......which was something I thought you had done weeks ago. ((((( for us both))))) L, P, H, and G, mmt Edited September 16, 2019 by manymoretodays Late 2023- gone to emeritus status, inactive, don't @ me, I can check who I've posted on, and I'm not really here like I used to be......thanks. Started with psycho meds/psychiatric care circa 1988. In retrospect, and on contemplation, situational overwhelm. Rounding up to 30 years of medications(30 medication trials, poly-pharmacy maximum was 3 at one time). 5/28/2015-off Adderal salts 2.5mg. (I had been on that since hospital 10/2014) 12/2015---just holding, holding, holding, with trileptal/oxcarb at 75 mg. 1/2 tab at hs. My last psycho med ever! Tapered @ 10% every 4 weeks, sometimes 2 weeks to 2016 Dec 16, medication free!! Longer signature post here, with current supplements. Herb and alcohol free since 5/15/2016. And.....I quit smoking 11/2021. Lapsed. Redo of quit smoking 9/28/2022. Can you say Hallelujah?(took me long enough)💜 None of my posts are intended as medical advice. Please discuss any decisions about your medical care with a knowledgeable medical provider. My success story: Blue skies ahead, clear sailing Link to comment
BfromNJ Posted September 16, 2019 Author Share Posted September 16, 2019 56 minutes ago, manymoretodays said: Yes, I forgot to multiply the 165 mgai by 3 doses. I had only multiplied by 2 doses. I got 495 mgai when I rounded up. So okay, and you made the reduction to that on the 21 of August. Good then, on no changes with the quetiapine for now. .254 is new pill weight average per dose for new formula (starting). .254 must be pill weight for 2 capsules? Each capsule contains 100 mgai. So the contents of 2 would contain 200mgai. mgai just means the dose strength is all. Just like what is listed on your prescription label. And then you got an average weight per 2 capsules of .254. With the old you had an average weight of .260. Which when you move the decimal over 3 places, you then get 254 mgpw. mgpw again, is the pill weight in milligrams of 2 capsules. Your scale has the decimal point, because it reads out in grams. I'm just working out the dose strength and then pill weight for your new capsules. Taking into account the dose that you are currently on. You are not so much off with your maths, just doing it differently. You can't just reduce by the same amount that you did with your old capsules, with your new. No. I'd go with the .210. Or 210 mgpw as expressed below. I came up with .210 for a weight with your new capsules per dose. I expressed it as 210mgpw. The : sign is for equivalency. 210mgpw: 165 mgai. And that's for one dose only. 165mgai multiplied by 3 doses per day is 495 mgai. I think that I did not multiply for all 3 doses must have confused you, as well as getting used to the terms.....mgpw and mgai. Never mind the spelling of quetiapine. I often take it all to paper, as well. To double check and for further understanding. Maybe you can do that? Oh man.....now you tell me! My gosh, I'm swamped today as it is. However, I appreciate the thank you. And you're welcome. I may bow on out of further calculations for you though.....if you can't spend more than an hour or less, attempting to understand. Or go back and retrieve prior posts to study and look at yourself. It takes some time for me too BfromNJ. And compliments on trying to get this all worked out before you actually do anything. I mean that's great. It really is. Have a great week. And further edit to add a mild apology, as I just did the same......and probably replied before I should have. A lot going on today, here, on the ground, and just reacted to your reacting/replying so fast, and did the same. Fingers crossed I can take care of a few priority situations on the ground here, before any further responses. Thanks for understanding, if you do. I put at least an hour into each of those responses.....and then only to find out that you might change tracks anyway and check with the pharmacy......which was something I thought you had done weeks ago. ((((( for us both))))) L, P, H, and G, mmt Oh no. Please I didnt mean to upset you. I wasnt changing tracks. What I meant was I was just going to check and see if they COULD get the same maufacturer of quietipine, just in case. They couldn't for the gabapentin. But all I meant was that I dont need to think about it at this very moment. The only reason I have so much left is that I have decided to take the 25 mg I have, I wasnt going to because originally I was taking half of a 50. Never mind that it's too much right now. I'm sorry for all of that. Truly sorry. You have been a tremendous help and support for me. 😁 and if you only knew how much time I do spend on numbers. Lol. My parents say I should be a pharmacist. Lol. And okay on the .210! That's my magic gabapentin number. So for tonight's dose with my crossover its .105 of new and .107 of old. Since new is .210 and old is .214. Once I'm on all new I will be using .210. Right? 9/2018- lexapro low dose few days.11/3/2018- zoloft 2 days 11/7/18 - 11/15/18 - Prozac 9 days, from 10 mg for week, to 20 11/16 inpatient put on Lexapro for a few days, Cymbalta, 2 days 11/24-12/8 - gabapentin 100 mg 3xs per day - a very fast taper 1/7 - tbuspar for three days- blurry vision, jerky eye 1/17/19 - 2/15/19- mirtazapine 15 mg - started taper on 1/30 2/20/19 gabapentin 600 mg. . 12/20- taper finished 2/20/19 - seroquel 25 mg current - taken 10 pm 2/20/19- luvox (generic) 25 mg. 4/6/19 to 18.75 mg .held . Started taper again 1/7/21- 15 mg, 2/7/21- 12.5 mg, 3/7/21 -10 mg, 4/1/21- 9 mg, 5/1/21- 8.1 mg, 5/27/21- updose to 10 mg, 6/21- in patient updose to 50 mg, 6/25/21- reduce to 10 mg (current) . 9/5- split dose 5mg am/5 mg pm. 9/20- 4 mg am/5 mg pm . 9/1/21- took one dose of vistril 50 mg. 9/1/21-accidental double dose of seroquel- 50 mg Link to comment
BfromNJ Posted September 16, 2019 Author Share Posted September 16, 2019 Hello. I have a question regarding gabapentin. thought here would be best place for it, since its a general question. I thought I read here or somewhere else that since gabapentin is metabolized by the kidneys and not the liver, that when tapering it, it will not cause paradoxyl effects of other meds (in my case, luvox and seroquel), because the other meds are metabolized by the liver. Am i correct in this? or did i imagine it? lol. 9/2018- lexapro low dose few days.11/3/2018- zoloft 2 days 11/7/18 - 11/15/18 - Prozac 9 days, from 10 mg for week, to 20 11/16 inpatient put on Lexapro for a few days, Cymbalta, 2 days 11/24-12/8 - gabapentin 100 mg 3xs per day - a very fast taper 1/7 - tbuspar for three days- blurry vision, jerky eye 1/17/19 - 2/15/19- mirtazapine 15 mg - started taper on 1/30 2/20/19 gabapentin 600 mg. . 12/20- taper finished 2/20/19 - seroquel 25 mg current - taken 10 pm 2/20/19- luvox (generic) 25 mg. 4/6/19 to 18.75 mg .held . Started taper again 1/7/21- 15 mg, 2/7/21- 12.5 mg, 3/7/21 -10 mg, 4/1/21- 9 mg, 5/1/21- 8.1 mg, 5/27/21- updose to 10 mg, 6/21- in patient updose to 50 mg, 6/25/21- reduce to 10 mg (current) . 9/5- split dose 5mg am/5 mg pm. 9/20- 4 mg am/5 mg pm . 9/1/21- took one dose of vistril 50 mg. 9/1/21-accidental double dose of seroquel- 50 mg Link to comment
Moderator Emeritus ChessieCat Posted September 16, 2019 Moderator Emeritus Share Posted September 16, 2019 From https://www.drugbank.ca/drugs/DB00996 Quote Gabapentin, an analog of GABA, is used as an anticonvulsant to treat partial seizures, amyotrophic lateral sclerosis (ALS), and painful neuropathies. Potential uses include monotherapy of refractory partial seizure disorders, and treatment of spasticity in multiple sclerosis, tremor. mood disorders, and attenuation of disruptive behaviors in dementia. Gabapentin has high lipid solubility, is not metabolized by the liver, has no protein binding, and doesn't possess the usual drug interactions. * NO LONGER ACTIVE on SA * MISSION ACCOMPLISHED: (6 year taper) 0mg Pristiq on 13th November 2021 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 from Oct 2015 - 13 Nov 2021 LAST DOSE 0.0025mg Post 0 updates start here My tapering program My Intro (goes to tapering graph) VIDEO: Antidepressant Withdrawal Syndrome and its Management Link to comment
Moderator Emeritus ChessieCat Posted September 16, 2019 Moderator Emeritus Share Posted September 16, 2019 This information was already in the information provided in the post made by Alto in the gabapentin topic. I have added emphasis to it so that it is easier to see. * NO LONGER ACTIVE on SA * MISSION ACCOMPLISHED: (6 year taper) 0mg Pristiq on 13th November 2021 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 from Oct 2015 - 13 Nov 2021 LAST DOSE 0.0025mg Post 0 updates start here My tapering program My Intro (goes to tapering graph) VIDEO: Antidepressant Withdrawal Syndrome and its Management Link to comment
BfromNJ Posted September 16, 2019 Author Share Posted September 16, 2019 11 minutes ago, ChessieCat said: This information was already in the information provided in the post made by Alto in the gabapentin topic. I have added emphasis to it so that it is easier to see. Thank you. i missed it. so i am reading it correctly right? 9/2018- lexapro low dose few days.11/3/2018- zoloft 2 days 11/7/18 - 11/15/18 - Prozac 9 days, from 10 mg for week, to 20 11/16 inpatient put on Lexapro for a few days, Cymbalta, 2 days 11/24-12/8 - gabapentin 100 mg 3xs per day - a very fast taper 1/7 - tbuspar for three days- blurry vision, jerky eye 1/17/19 - 2/15/19- mirtazapine 15 mg - started taper on 1/30 2/20/19 gabapentin 600 mg. . 12/20- taper finished 2/20/19 - seroquel 25 mg current - taken 10 pm 2/20/19- luvox (generic) 25 mg. 4/6/19 to 18.75 mg .held . Started taper again 1/7/21- 15 mg, 2/7/21- 12.5 mg, 3/7/21 -10 mg, 4/1/21- 9 mg, 5/1/21- 8.1 mg, 5/27/21- updose to 10 mg, 6/21- in patient updose to 50 mg, 6/25/21- reduce to 10 mg (current) . 9/5- split dose 5mg am/5 mg pm. 9/20- 4 mg am/5 mg pm . 9/1/21- took one dose of vistril 50 mg. 9/1/21-accidental double dose of seroquel- 50 mg Link to comment
Mentor ShiningLight Posted September 17, 2019 Mentor Share Posted September 17, 2019 I thought paradoxical reactions weren't neccesarily from the drugs themselves, but from a stressed out nervous system that can interpret even a "brake" as a threat? Now: 100 mg Zoloft am, 50 mg Trazodone. Daily drug burden decreased from 2050 in 2018 mg to 150 mg 🐢🐢 Zoloft: 1/24/23 increased to 100 mg after suicide attempt 9/17/22 cut 6 mg, 8/14/22 cut 6.5 mg, 5/7/22 cut 12.5 mg 3/20/22 cut 12.5 mg 10/26/21 cut 6 mg 10/17/21 cut 5 mg, 9/17/21 Cut 3 mg, 9/13/21 cut 4 mg, 8/29/21 Cut 2 mg 8/8/21 Cut 3 mg 7/30/21 Zoloft: Converted 25 mg to liquid. Also take 100 mg pill & 25 mg pill=150 mg total🌞 Feb 28, 2021 0 mg Gapapentin 2021 Gaba each dose 4x/day: Feb 27 7 mg (one dose only), Feb 10, 7 mg, Jan 14 10 mg 2020 Current taper schedule from Aug 30-present: drop 8 mg every 2-3 weeks. Aug 20 31 mg, Aug 18, 33 mg, July 29, 35 mg, July 23 38 mg, July 22 40 mg Jun 24 42 mg, Jun 15 44 mg, Jun 9 48 mg, May 22 50 mg, May 14 54 mg, May 7 56 mg, Apr 16 58 mg, Mar 28 60 mg, Mar 18 62 mg. Feb 26 64 mg. Feb 19, 66 mg. Jan 23, 70 mg. 2019 Dec 19, 72 mg. Nov 14 ,76 mg. Aug 8, 80 mg. Aug 6, 85 mg. Jul 26, 90 mg. Jul 11, 95 mg. Jul 16 trazodone from 100 to 50 mg. Jun 17-July 10 Slowly changed gab fr pill to liquid at same dose 100 mg 4x/d. Apr 24 Stopped klon!!! 🌞 Apr 4 Decreased gaba to 400 mg (100 mg 4x/day)-Apr 4, 2019 0.25 klon March 11 Klonopin .5 mg twice daily, varied dose til Apr 15. Started Klon fast taper 25%, short use Mar 16, 450 mg gaba 3x/day cut 600 mg--not exact!--updose after learning w/d Feb 20, 2019 1800 mg gabapentin; MD taper; off 3 days=mvt disorder & autonomic instability. July 2018 temazepam 15 mg 1-2; prn several x/wk til Jan/Feb 2019 when cold turkey, flu illness for months July 2018 started gabapentin 100 3x/day; titrated up to 1800 mg (600 3x/day) Buspar, I forget how much, 2 pills a day Jan 2017-July 2018 cold turkey. On Zoloft since maybe 2004? After trying many. *I speak from my experience. Nothing I say is medical advice. I'm not a doctor. Link to comment
Moderator Emeritus ChessieCat Posted September 17, 2019 Moderator Emeritus Share Posted September 17, 2019 2 minutes ago, ShiningLight said: I thought paradoxical reactions weren't neccesarily from the drugs themselves, but from a stressed out nervous system that can interpret even a "brake" as a threat? From wiki: A paradoxical reaction or paradoxical effect is an effect of a chemical substance, mostly a medical drug, opposite to the effect which would normally be expected. An example of a paradoxical reaction is pain caused by a pain relief medication. * NO LONGER ACTIVE on SA * MISSION ACCOMPLISHED: (6 year taper) 0mg Pristiq on 13th November 2021 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 from Oct 2015 - 13 Nov 2021 LAST DOSE 0.0025mg Post 0 updates start here My tapering program My Intro (goes to tapering graph) VIDEO: Antidepressant Withdrawal Syndrome and its Management Link to comment
Moderator Emeritus manymoretodays Posted September 17, 2019 Moderator Emeritus Share Posted September 17, 2019 8 hours ago, BfromNJ said: I'm sorry for all of that. Truly sorry. You have been a tremendous help and support for me. 😁 and if you only knew how much time I do spend on numbers. Lol. My parents say I should be a pharmacist. Lol. And okay on the .210! That's my magic gabapentin number. So for tonight's dose with my crossover its .105 of new and .107 of old. Since new is .210 and old is .214. Once I'm on all new I will be using .210. Right? Okay. Good to know. Ordinarily I too, like spending time on numbers.......as well as enjoy it. And on all the pharmacology. And I like supporting/educating/empowering others to move toward a good life worth living. Just so crazy busy for me right now and my biorhythms have shifted too! Just saying......as my usual early mornings here, are near impossible. And by this time of the day, I'm beat. I'll figure out something doable soon, for regular time to devote here. And yes. Once you are on all new you will be using .210 or 210 mgpw for each of your 3 doses. Total daily dose then will be 495 mgai. Once you've settled into that, at that point......on to the next taper. Unless......circumstances and actions on your part keep you on the same manufacturer. If that proves to be the case, then you can do a taper when you are assured of that. Nitey nite termite. L, P, H, and G, and just another Monday for this mod, mmt Late 2023- gone to emeritus status, inactive, don't @ me, I can check who I've posted on, and I'm not really here like I used to be......thanks. Started with psycho meds/psychiatric care circa 1988. In retrospect, and on contemplation, situational overwhelm. Rounding up to 30 years of medications(30 medication trials, poly-pharmacy maximum was 3 at one time). 5/28/2015-off Adderal salts 2.5mg. (I had been on that since hospital 10/2014) 12/2015---just holding, holding, holding, with trileptal/oxcarb at 75 mg. 1/2 tab at hs. My last psycho med ever! Tapered @ 10% every 4 weeks, sometimes 2 weeks to 2016 Dec 16, medication free!! Longer signature post here, with current supplements. Herb and alcohol free since 5/15/2016. And.....I quit smoking 11/2021. Lapsed. Redo of quit smoking 9/28/2022. Can you say Hallelujah?(took me long enough)💜 None of my posts are intended as medical advice. Please discuss any decisions about your medical care with a knowledgeable medical provider. My success story: Blue skies ahead, clear sailing Link to comment
BfromNJ Posted September 17, 2019 Author Share Posted September 17, 2019 Daily log 9/16- things to note- -started taking new maufacturer of gabapentin today 50/50 crosstaper of old and new -for past few nights, started taking a 25 mg seroquel instead of half of 50. its same manufacturer. 6:00 - 164 mg gabapentin - mild urinary symptoms the morning 12:30- 164 mg gabapentin and 18.75 mg luvox 2:00- legs feel activated and funny. --short of breath --fatigue - tingling in side of head - no bothersome urinary symptoms 7:00- activated legs continue. -tingling in various parts of body. - internal tremor/pulsing in left foot, leg, groin. I'm beginning in wonder if this is related to that nerve that starts at the ankle area? it is also known to affect the bladder? 8:30- 164 mg gabapentin 10:00- 25 mg seroquel -had twitches and jerks when falling asleep. - slept thru night 9/2018- lexapro low dose few days.11/3/2018- zoloft 2 days 11/7/18 - 11/15/18 - Prozac 9 days, from 10 mg for week, to 20 11/16 inpatient put on Lexapro for a few days, Cymbalta, 2 days 11/24-12/8 - gabapentin 100 mg 3xs per day - a very fast taper 1/7 - tbuspar for three days- blurry vision, jerky eye 1/17/19 - 2/15/19- mirtazapine 15 mg - started taper on 1/30 2/20/19 gabapentin 600 mg. . 12/20- taper finished 2/20/19 - seroquel 25 mg current - taken 10 pm 2/20/19- luvox (generic) 25 mg. 4/6/19 to 18.75 mg .held . Started taper again 1/7/21- 15 mg, 2/7/21- 12.5 mg, 3/7/21 -10 mg, 4/1/21- 9 mg, 5/1/21- 8.1 mg, 5/27/21- updose to 10 mg, 6/21- in patient updose to 50 mg, 6/25/21- reduce to 10 mg (current) . 9/5- split dose 5mg am/5 mg pm. 9/20- 4 mg am/5 mg pm . 9/1/21- took one dose of vistril 50 mg. 9/1/21-accidental double dose of seroquel- 50 mg Link to comment
BfromNJ Posted September 17, 2019 Author Share Posted September 17, 2019 9 hours ago, manymoretodays said: Okay. Good to know. Ordinarily I too, like spending time on numbers.......as well as enjoy it. And on all the pharmacology. And I like supporting/educating/empowering others to move toward a good life worth living. Just so crazy busy for me right now and my biorhythms have shifted too! Just saying......as my usual early mornings here, are near impossible. And by this time of the day, I'm beat. I'll figure out something doable soon, for regular time to devote here. And yes. Once you are on all new you will be using .210 or 210 mgpw for each of your 3 doses. Total daily dose then will be 495 mgai. Once you've settled into that, at that point......on to the next taper. Unless......circumstances and actions on your part keep you on the same manufacturer. If that proves to be the case, then you can do a taper when you are assured of that. Nitey nite termite. L, P, H, and G, and just another Monday for this mod, mmt what may interfere with my next taper is the seroquel change. although i think i can fit one more reduction in before then. I am going to do my research on that. talk to the pharmacist and see if they can either get me the regular version, not the fumarate, or in the least the same manufacturer . Im not too confident in that, but its worth asking. I am going to also ask what the difference is between the quietipine and quietipine fumarate. I know its something to do with salts. both are immediate release. You have yourself i wonderful day, you deserve it! 9/2018- lexapro low dose few days.11/3/2018- zoloft 2 days 11/7/18 - 11/15/18 - Prozac 9 days, from 10 mg for week, to 20 11/16 inpatient put on Lexapro for a few days, Cymbalta, 2 days 11/24-12/8 - gabapentin 100 mg 3xs per day - a very fast taper 1/7 - tbuspar for three days- blurry vision, jerky eye 1/17/19 - 2/15/19- mirtazapine 15 mg - started taper on 1/30 2/20/19 gabapentin 600 mg. . 12/20- taper finished 2/20/19 - seroquel 25 mg current - taken 10 pm 2/20/19- luvox (generic) 25 mg. 4/6/19 to 18.75 mg .held . Started taper again 1/7/21- 15 mg, 2/7/21- 12.5 mg, 3/7/21 -10 mg, 4/1/21- 9 mg, 5/1/21- 8.1 mg, 5/27/21- updose to 10 mg, 6/21- in patient updose to 50 mg, 6/25/21- reduce to 10 mg (current) . 9/5- split dose 5mg am/5 mg pm. 9/20- 4 mg am/5 mg pm . 9/1/21- took one dose of vistril 50 mg. 9/1/21-accidental double dose of seroquel- 50 mg Link to comment
Mentor ShiningLight Posted September 18, 2019 Mentor Share Posted September 18, 2019 Hey B, I came across some info that I thought may be helpful to you. Not sure if it's been suggested to you yet. Saw on @WiggleIt's thread that pelvic floor physical therapist specialist was helpful for her urinary withdrawal related symptoms. Now: 100 mg Zoloft am, 50 mg Trazodone. Daily drug burden decreased from 2050 in 2018 mg to 150 mg 🐢🐢 Zoloft: 1/24/23 increased to 100 mg after suicide attempt 9/17/22 cut 6 mg, 8/14/22 cut 6.5 mg, 5/7/22 cut 12.5 mg 3/20/22 cut 12.5 mg 10/26/21 cut 6 mg 10/17/21 cut 5 mg, 9/17/21 Cut 3 mg, 9/13/21 cut 4 mg, 8/29/21 Cut 2 mg 8/8/21 Cut 3 mg 7/30/21 Zoloft: Converted 25 mg to liquid. Also take 100 mg pill & 25 mg pill=150 mg total🌞 Feb 28, 2021 0 mg Gapapentin 2021 Gaba each dose 4x/day: Feb 27 7 mg (one dose only), Feb 10, 7 mg, Jan 14 10 mg 2020 Current taper schedule from Aug 30-present: drop 8 mg every 2-3 weeks. Aug 20 31 mg, Aug 18, 33 mg, July 29, 35 mg, July 23 38 mg, July 22 40 mg Jun 24 42 mg, Jun 15 44 mg, Jun 9 48 mg, May 22 50 mg, May 14 54 mg, May 7 56 mg, Apr 16 58 mg, Mar 28 60 mg, Mar 18 62 mg. Feb 26 64 mg. Feb 19, 66 mg. Jan 23, 70 mg. 2019 Dec 19, 72 mg. Nov 14 ,76 mg. Aug 8, 80 mg. Aug 6, 85 mg. Jul 26, 90 mg. Jul 11, 95 mg. Jul 16 trazodone from 100 to 50 mg. Jun 17-July 10 Slowly changed gab fr pill to liquid at same dose 100 mg 4x/d. Apr 24 Stopped klon!!! 🌞 Apr 4 Decreased gaba to 400 mg (100 mg 4x/day)-Apr 4, 2019 0.25 klon March 11 Klonopin .5 mg twice daily, varied dose til Apr 15. Started Klon fast taper 25%, short use Mar 16, 450 mg gaba 3x/day cut 600 mg--not exact!--updose after learning w/d Feb 20, 2019 1800 mg gabapentin; MD taper; off 3 days=mvt disorder & autonomic instability. July 2018 temazepam 15 mg 1-2; prn several x/wk til Jan/Feb 2019 when cold turkey, flu illness for months July 2018 started gabapentin 100 3x/day; titrated up to 1800 mg (600 3x/day) Buspar, I forget how much, 2 pills a day Jan 2017-July 2018 cold turkey. On Zoloft since maybe 2004? After trying many. *I speak from my experience. Nothing I say is medical advice. I'm not a doctor. Link to comment
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