cathnz Posted February 25, 2020 Share Posted February 25, 2020 I know how important it is to only taper when your cns is stable, but there's obviously situations where this isn't possible... like if you've hit tolerance or having an adverse reaction. What's the best way through this? Aug 2004 - Dec 2006: Aropax ( 20mg - 30mg). Aug 2007: Fluoxetine (for 3 weeks). Sept 07 - July 12: Lexapro ( 10mg - 20mg). Pooped out July 12. Titrated down off Lexapro over 3 weeks and switched to Paroxetine (with Xanax to cover switch for 2 weeks). Aug 2012 - Aug 2019: Paroxetine (titrated up to 20mg in first few weeks,, dose reduced to 15mg . for 7 years until it 'pooped out'. 4th Aug 2019 - Reduced dose of paroxetine to 10mg (for 1 day) - under phychiatrists directions. Last dose of paroxetine. 5th Aug 2019 - Switch to 15mg Mirtazapine. 5th Aug - 15th Aug 2019 - 15mg Mirtazapine plus intermitent use of Lorazapm (0.25- 0.5 . Also used 12.5mg Quetiapine for 3 nights for sleep. 23rd Aug 2019 - Ended up in crisis team. Mirtazapine increased to 30mg. Diazapam 10mg twice daily. 30th Aug 2019 - Mirtazapine 30mg + Diazapam reduced to 7.5mg twice daily 6th Sept 2019 - Mirtazapine 30mg + Diazapam reduced to 5mg twice daily 13th Sept 2019 - Mirtazapine increased to 45mg. Diazapam increased back up to 10mg twice daily. 20th Sept - 29th Sept 2019: Mirtazapine 45mg. Diazapam being reduced from 10mg down to 0mg this week (in 2mg increments couple of days). 30th Sept - Thursday 3rd Oct 2019: Mirtazapine 45mg. WORST ANXIETY EVER. Akathisia. Couldn't stay still. Suicidal idealization. Friday 4th October - present: Reduced from 45mg to 30mg (straight drop to alleviate akathisia - reduction definitely helped alot but still not gone completely) , Vit B6, Curcumin, Magnesium (no adverse effects from adding these supplements - have helped akathisia somewhat). * Everything done from 23rd August under care of outpatient crisis team management. Untitled document.docx Link to comment Share on other sites More sharing options...
Moderator Emeritus manymoretodays Posted February 26, 2020 Moderator Emeritus Share Posted February 26, 2020 Hi again cathnz, And oof, just looking at your signature is tough. The Valium rapid taper. Tough stuff you are going through now, no doubt. I would say really listen to your body, as you are making changes and as to what it might be telling you. Takes awhile to get in tune with your bodies wisdom. And have faith too. In yourself, your ability to bounce back and repair, your own resiliency. L, P, H, and G, mmt Have you also popped this question on your introduction page? I'm sorry I'm not familiar with your case yet. And the details of why the more rapid tapers. I do see some, in your signature, so thank you, for getting that going too. And will be interested in what other mods or members might have to offer on this topic. 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 Share on other sites More sharing options...
Moderator Emeritus manymoretodays Posted February 27, 2020 Moderator Emeritus Share Posted February 27, 2020 I am going to link to this topic, as I think it applies to your question: 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 Share on other sites More sharing options...
Administrator Altostrata Posted February 28, 2020 Administrator Share Posted February 28, 2020 cathy, your situation is very particular to you. There are no general rules to answer your question. This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner. "It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein All postings © copyrighted. Link to comment Share on other sites More sharing options...
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