Caspur Posted March 20, 2019 Share Posted March 20, 2019 (edited) All, This is a must listen interview. It mentions SA as the most expansive and helpful resource that was used by Mark Horowitz during his own experience with antidepressant withdrawal. Its so refreshing to hear a psychiatrist speaking the truth!! Its just brilliant for the the cause! Peer-Support Groups Were Right, Guidelines Were Wrong: Dr. Mark Horowitz on Tapering Off Antidepressants Cheers Caspur Edited March 21, 2019 by Shep re-formated link 2011 - started Venlafaxine (again) at 75mg Raised to 150 mg at some point - unsure of dates. Reduced back down to 75 mg. Doctor advised this would be a lifetime, maintenance dose 2017 - Side effects now intolerable. Started taper from June 15th - 5% dose reduction steps (two 12 hourly doses). 2017 - October 20th - took last dose of Venlafaxine - 4 mg. Debilitating symptoms followed. 2017/18 - diazepam - 8mg/day for 1 month - 7 week taper Feb 2018 2017/18 - duloxetine - max 90mg - now stopped 2018 - Feb 25mg quetiapine, increased to 50mg. 2018 - March/April - increased venlafaxine slowly (10mg steps) to 75 mg/day. Recovery from withdrawal followed. 2018 - July 13 - stopped quetiapine after 2 month taper. Late July - had to reinstate quetiapine due to intolerable withdrawal. Now tapering from 25mg 2019 - June - stopped quetiapine after 10 month taper. Mild insomnia only symptom. 2021 - June - venlafaxine approx 6.0 mg see Taper history details Link to comment Share on other sites More sharing options...
Caspur Posted March 20, 2019 Author Share Posted March 20, 2019 Admins, Is it possible to pin this interview please. Its a must listen for everyone! Cheers Caspur 2011 - started Venlafaxine (again) at 75mg Raised to 150 mg at some point - unsure of dates. Reduced back down to 75 mg. Doctor advised this would be a lifetime, maintenance dose 2017 - Side effects now intolerable. Started taper from June 15th - 5% dose reduction steps (two 12 hourly doses). 2017 - October 20th - took last dose of Venlafaxine - 4 mg. Debilitating symptoms followed. 2017/18 - diazepam - 8mg/day for 1 month - 7 week taper Feb 2018 2017/18 - duloxetine - max 90mg - now stopped 2018 - Feb 25mg quetiapine, increased to 50mg. 2018 - March/April - increased venlafaxine slowly (10mg steps) to 75 mg/day. Recovery from withdrawal followed. 2018 - July 13 - stopped quetiapine after 2 month taper. Late July - had to reinstate quetiapine due to intolerable withdrawal. Now tapering from 25mg 2019 - June - stopped quetiapine after 10 month taper. Mild insomnia only symptom. 2021 - June - venlafaxine approx 6.0 mg see Taper history details Link to comment Share on other sites More sharing options...
Oliver1974 Posted March 20, 2019 Share Posted March 20, 2019 How do I contact Dr. Horowitz? May 2018- 75 mg Zoloft - 75 mg Trazadone - 0.75 mg Xanax March 2019- 75 mg Zoloft- 2 mg / 1 ml liquid Diazepam August 2019 - ended diazepam taper - 75 mg Zoloft My intro thread: Oliver1974: sertraline / Zoloft tapering My benzo thread: Oliver1974: Benzo withdrawal and backache Link to comment Share on other sites More sharing options...
Moderator Emeritus ChessieCat Posted March 20, 2019 Moderator Emeritus Share Posted March 20, 2019 Hi Oliver and welcome to SA, You may not need to contact Dr Horowitz. There is a wealth of information on this site. Please click on the link and start an Introduction topic telling us about your own situation. This topic provides information about-survivingantidepressantsorg See also: Important topics in the Tapering forum and FAQ * 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 Share on other sites More sharing options...
Moderator Emeritus Shep Posted March 21, 2019 Moderator Emeritus Share Posted March 21, 2019 23 hours ago, Caspur said: All, This is a must listen interview. It mentions SA as the most expansive and helpful resource that was used by Mark Horowitz during his own experience with antidepressant withdrawal. Its so refreshing to hear a psychiatrist speaking the truth!! Its just brilliant for the the cause! Peer-Support Groups Were Right, Guidelines Were Wrong: Dr. Mark Horowitz on Tapering Off Antidepressants Cheers Caspur Thanks for posting this, Caspur. SA members and Alto were mentioned: Quote The website that was far and away the most helpful was Surviving Antidepressants, run by Altostrata. It’s a wonderful resource with a quite incredible number of people involved in it. I think there are hundreds of thousands of posts and tens of thousands of people all talking about experiences that were just like mine. And it was the first time that I felt that I had a handle on things when I went on that website. And I soon learned that people came down off their medication much more slowly than guidelines recommended. And I began following their guides, thinking it’s useful that these people were around, but how come I need to go to peer support websites for this, when there are so many doctors and psychiatrists and professors around? Why is this? Why is the best information around on a peer support network? Link to comment Share on other sites More sharing options...
Caspur Posted March 21, 2019 Author Share Posted March 21, 2019 Hi Shep, Thanks for the reply. From the perspective of all the promotion of using the harm reduction approach to tapering on this forum and many Facebook groups, the interview is priceless. Even more so coming from a medical professional. FYI, I've also just posted a link to a report on prescribed drug dependence published by the Welsh Government following a petition lodged by another persion with lived experience of protracted withdrawal. Its here in the last comment I made: Cheers Caspur 2011 - started Venlafaxine (again) at 75mg Raised to 150 mg at some point - unsure of dates. Reduced back down to 75 mg. Doctor advised this would be a lifetime, maintenance dose 2017 - Side effects now intolerable. Started taper from June 15th - 5% dose reduction steps (two 12 hourly doses). 2017 - October 20th - took last dose of Venlafaxine - 4 mg. Debilitating symptoms followed. 2017/18 - diazepam - 8mg/day for 1 month - 7 week taper Feb 2018 2017/18 - duloxetine - max 90mg - now stopped 2018 - Feb 25mg quetiapine, increased to 50mg. 2018 - March/April - increased venlafaxine slowly (10mg steps) to 75 mg/day. Recovery from withdrawal followed. 2018 - July 13 - stopped quetiapine after 2 month taper. Late July - had to reinstate quetiapine due to intolerable withdrawal. Now tapering from 25mg 2019 - June - stopped quetiapine after 10 month taper. Mild insomnia only symptom. 2021 - June - venlafaxine approx 6.0 mg see Taper history details Link to comment Share on other sites More sharing options...
DeterminedAnna Posted March 21, 2019 Share Posted March 21, 2019 (edited) Thank you for posting this @Caspur Not trying to steal your thunder, and apologies if i'm duplicating something elsewhere on the site, but I looked up Dr Horowitz on Twitter (https://twitter.com/markhoro). He tweeted a link to the full paper in the Lancet, which is free for two weeks with registration. https://www.thelancet.com/journals/lanpsy/article/PIIS2215-0366(19)30032-X/fulltext?fbclid=IwAR1eBoF7LwWyOD9Nq6IWDk9-CY77GkDA1wjgLZae2TxCWxc_UMdTMpH8Nq4 I have registered with the Lancet to get this paper for free. I haven't got the brainpower to comment on this paper other than it's a fantastic move in the right direction. Thank you again Caspur. Edited March 23, 2019 by Shep removed link to copyrighted material LATEST SITUATION *GSK-BRANDED LIQUID SEROXAT* CURRENTLY HOLDING AT 4.84MG LIQUID SEROXAT (PAROXETINE) DAILY, FOLLOWING 5% TAPER SINCE JUNE 2020 AS FOLLOWS: 1 APR 21: UPDOSE TO (AND HOLDING SINCE) 4.84MG PER DAY, AS 4MG LUNCHTIME, 0.84MG EVENING PREVIOUS TAPERING SINCE JUNE 2020: 13 Mar 21 (CRASHED 19 MAR 21) 4.72mg per day, as 4mg lunchtime, 0.72mg evening | 13 Feb 21: 4.96mg per day, as 4.24mg lunchtime, 0.72mg evening | 16 Jan 21: 5.2mg per day, as 4.48mg lunchtime, 0.72mg evening | 19 Dec 20: 5.48mg per day, as 4.76mg lunchtime, 0.72mg evening | 21 Nov 20: 5.76mg per day, as 5.04mg lunchtime, 0.72mg evening | 24 Oct 20: 6.04mg per day, as 5.32mg lunchtime, 0.72mg evening | 26 Sept 20: 6.36mg per day, as 5.64mg lunchtime; 0.72mg evening | 29 Aug 20: 6.68mg per day, as 5.96mg lunchtime; 0.72mg evening | 1 Aug 20: 7mg per day, as 6.28mg lunchtime; 0.72mg evening (bereavement, didn't reduce) | 4 Jul 20: 7mg per day, as 6.28mg lunchtime; 0.72mg evening | 6 Jun 20: 7.36mg per day, as 6.64mg lunchtime; 0.72mg evening *OTHER MEDS/SUPPLEMENTS* Since my March 2021 crash (above), I have very occasionally taken a benzo, and increased some of my supplements. Please see this document. ———————————————————————————————— PREVIOUSLY From 12 May 19 to 5 Jun 20 inclusive: 7.72mg per day, as 7mg lunchtime; 0.72mg evening. Split my doses in May 2019 as I suspect half-life is more of a factor at lower doses. Further history here. Link to comment Share on other sites More sharing options...
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