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Ollie, Ollie Oxen Free, Managing The Endgame Taper

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Gridley
Posted (edited)
3 hours ago, bubbles said:

It is getting a little trickier to taper at 10% as I'm currently restricted to 0.1mg increments.

I'm around 2% also.  I'm using the scale and am limited to 1mgpw (mg pill weight) decrements, which with my brand of Lexapro works out to 0.1mgai (active ingredient) decrements.  When I dropped from 4mgpw to 3mgpw the drop was 25%, and when I go from 3mg to 2mg it will be 33% and from 2 to 1 will be 50%. I'm holding longer now, 6 weeks instead of 4.

Edited by Gridley

Gridley Introduction

 

Lexapro 20 mg since 2004.  Began taper using Brassmonkey slide Jan. 2017.   

End 2017 year 1 of taper at 9.25mg 

End 2018 year 2 of taper at 4.1mg

End 2019 year 3 of taper at 1.0mg  

Current from Sept.23, 2020 at 0.05mg

Taper is 99.75% complete.

 

Lorazepam 1 mg 1986-1991 CT, resumed a few months later. CT 2000.  1 mg 2011-2016.  Sept, 2016 increased to 0.5 X 3 in split dose. Sept. 2019 increased to 0.625 X 3 after crossover to new brand

 

Imipramine 75 mg daily since 1986.  Jan. 2016 began every 3-weeks 10% taper, down to 15mg.  Aug 2016, discovered SA, updosed to 25mg and holding.  Taper is 66% complete.  

  

Supplements: omega, vitamins C, E and D3, magnesium glycinate, probiotic, melatonin .33mg


I am not a medical professional and this is not medical advice, but simply information based on my own experience, as well as other members who have survived these drugs.

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Miyan
On 4/23/2020 at 12:50 AM, brassmonkey said:

If a person is stable and not experiencing extreme symptoms by the time they get to 1mgai it is time to switch to a more aggressive taper. That would consist of reductions of 25%, 33%, 50% and 100%.  Holding at each dose for around six weeks. This will give doses of 0.75mgai, 0.5mgai 0.25mgai and finally the jump to "0". Using a hold period of six weeks that will give a total taper time of 18 weeks or three and a half months

@brassmonkey Rather going for 25% 33% 50% 100%. May we go by 4% every week for 25%.

Then may we go another reduction 33% by every two week as 10 or 11% andso.

50% by evey week by 8% 

100% by every week by 16%.

Need clarification.

 


Q42012 - Jun 2018- Escitalopram 10mg.
At apr 2016 feel wow. I think time to quit went to my Gp he advised every other day taper I taper as 5 and 10mg every other days. In first taper hit severe nightmare then went to 10mg as per doc advise.At Jun 2017 - Stopped as CT by frustration  hit severe brain zaps  reinstated 10 mg.
Jul 2017 - 2018 - Escitalopram 10mg
(At 2018 clomipramine i didn't know the exact mg which I was taken hit severe adverse then went to 10mg Escitalopram myself) 
Oct 2018 - May 2019 - taper 10mg to 7.5 and 7.5 to 5mg as every other day taper physical pain went away but racing mind didn't then went to 10mg hit severe RLS.
At Jan 2019 again went to 5mg feel .k mild RLS in 5mg.
Jan2019 - jun 2019- Escitalopram 5mg.
At Jun 2019 I tried every other day 5 and 3.75mg hit severe WD Again reinstate 5mg.
(6 Aug 2019 start taper 4.8mg
6 Aug - 15 Sep 4.8 to 4mg,18 sep to 24 sep - 3.8mg,25 sep to  1 oct - 3.6mg,2 oct to 8 oct - 3.4mg,9 oct to 15 oct -3.2mg,16 oct to 30 oct- 3mg,31 oct to 6 nov - 2.8 mg,7 nov to 13 nov - 2.6 mg,14 nov to 20 nov - 2.4mg,21nov to 27nov - 2.2mg,28nov to 25 dec 19 - 2mg,26dec19 to 8 jan 20 - 1.9mg,9 jan to 22 jan -1.8mg,23 jan to 5 feb --1.7mg,6 feb to 16 feb -1.6mg,17 feb to 26 feb - 1.5mg,27 feb to 7 mar-1.4mg, 8 mar to 17 mar -1.3mg,18 mar to 31 mar -1.2mg,1 apr to 14 apr-1.15mg, 15 apr to 28 apr -1.1mg,29 apr to 10 may -1.05mg, 11 may to 22 may -1mg, 23 may to 1 jun -0.95mg, 2 jun to 12 jun -0.9mg, 13 jun to 22 jun -0.85mg, 23 jun to 6 jul -0.8, 7 jul to23 jul .75, 
24 jul to till now - .725)

Got 2 times Flu symptoms in WD.

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brassmonkey

Miyan-- I am in the process of rewriting this entire article and will be going into a lot more detail there. The numbers and taper schedule in the present article are inaccurate and are going to change.

 

What you are asking would be one way to do it if you are using a liquid. The problem with trying that with a powder is that the divisions are so small and rather inaccurate that it would be more bother than it's worth.


20 years on Paxil starting at 20mg and working up to 40mg. Sept 2011 started 10% every 6 weeks taper (2.5% every week for 4 weeks then hold for 2 additional weeks), currently at 7.9mg. Oct 2011 CTed 15oz vodka a night, to only drinking 2 beers most nights, totally sober Feb 2013.

Since I wrote this I have continued to decrease my dose by 10% every 6 weeks (2.5% every week for 4 weeks and then hold for an additional 2 weeks). I added in an extra 6 week hold when I hit 10mg to let things settle out even more. When I hit 3mgpw it became hard to split the drop into 4 parts so I switched to dropping 1mgpw (pill weight) every week for 3 weeks and then holding for another 3 weeks.  The 3 + 3 schedule turned out to be too harsh so I cut back to dropping 1mgpw every 4 weeks which is working better.

Current dose 0.000mg 04-15-2017

 

"It's also important not to become angry, no matter how difficult life is, because you can loose all hope if you can't laugh at yourself and at life in general."  Stephen Hawking

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Miyan

Q42012 - Jun 2018- Escitalopram 10mg.
At apr 2016 feel wow. I think time to quit went to my Gp he advised every other day taper I taper as 5 and 10mg every other days. In first taper hit severe nightmare then went to 10mg as per doc advise.At Jun 2017 - Stopped as CT by frustration  hit severe brain zaps  reinstated 10 mg.
Jul 2017 - 2018 - Escitalopram 10mg
(At 2018 clomipramine i didn't know the exact mg which I was taken hit severe adverse then went to 10mg Escitalopram myself) 
Oct 2018 - May 2019 - taper 10mg to 7.5 and 7.5 to 5mg as every other day taper physical pain went away but racing mind didn't then went to 10mg hit severe RLS.
At Jan 2019 again went to 5mg feel .k mild RLS in 5mg.
Jan2019 - jun 2019- Escitalopram 5mg.
At Jun 2019 I tried every other day 5 and 3.75mg hit severe WD Again reinstate 5mg.
(6 Aug 2019 start taper 4.8mg
6 Aug - 15 Sep 4.8 to 4mg,18 sep to 24 sep - 3.8mg,25 sep to  1 oct - 3.6mg,2 oct to 8 oct - 3.4mg,9 oct to 15 oct -3.2mg,16 oct to 30 oct- 3mg,31 oct to 6 nov - 2.8 mg,7 nov to 13 nov - 2.6 mg,14 nov to 20 nov - 2.4mg,21nov to 27nov - 2.2mg,28nov to 25 dec 19 - 2mg,26dec19 to 8 jan 20 - 1.9mg,9 jan to 22 jan -1.8mg,23 jan to 5 feb --1.7mg,6 feb to 16 feb -1.6mg,17 feb to 26 feb - 1.5mg,27 feb to 7 mar-1.4mg, 8 mar to 17 mar -1.3mg,18 mar to 31 mar -1.2mg,1 apr to 14 apr-1.15mg, 15 apr to 28 apr -1.1mg,29 apr to 10 may -1.05mg, 11 may to 22 may -1mg, 23 may to 1 jun -0.95mg, 2 jun to 12 jun -0.9mg, 13 jun to 22 jun -0.85mg, 23 jun to 6 jul -0.8, 7 jul to23 jul .75, 
24 jul to till now - .725)

Got 2 times Flu symptoms in WD.

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Greenriver

Oh my God, I hope I'm reading this correctly.

 

I'm currently at 2.4mg of Fluoxetine. Do you mean when I reach 1mg, I can start dropping by 25% and potentially be off the stuff in two years? I assumed you had to be very careful with the drops below 1mg, due to how steep the serotonin occupancy curve is at the lower doses.


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

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

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

31 Oct: discontinued Fluoxetine.

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

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

 

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brassmonkey

The actual start point for the Endgame Taper is different for each different drug. But yes, once you get to a very low dose it may be possible to speed things up a bit depending on how your are feeling at the time. Symptom load and your reaction to reductions are quite important in determining things.

 

Please note that this article is in the process of being rewritten to improve it's accuracy. The new article is forthcoming and will contain more detailed information.  For right now this article is more for reference only.


20 years on Paxil starting at 20mg and working up to 40mg. Sept 2011 started 10% every 6 weeks taper (2.5% every week for 4 weeks then hold for 2 additional weeks), currently at 7.9mg. Oct 2011 CTed 15oz vodka a night, to only drinking 2 beers most nights, totally sober Feb 2013.

Since I wrote this I have continued to decrease my dose by 10% every 6 weeks (2.5% every week for 4 weeks and then hold for an additional 2 weeks). I added in an extra 6 week hold when I hit 10mg to let things settle out even more. When I hit 3mgpw it became hard to split the drop into 4 parts so I switched to dropping 1mgpw (pill weight) every week for 3 weeks and then holding for another 3 weeks.  The 3 + 3 schedule turned out to be too harsh so I cut back to dropping 1mgpw every 4 weeks which is working better.

Current dose 0.000mg 04-15-2017

 

"It's also important not to become angry, no matter how difficult life is, because you can loose all hope if you can't laugh at yourself and at life in general."  Stephen Hawking

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Greenriver

Brilliant. One of the most depressing things about tapering is the length of time it takes. I thought I had another 4-5 years left. Honestly, I was debating whether to just admit defeat and stay on the stuff for life. This changes everything 


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

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

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

31 Oct: discontinued Fluoxetine.

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

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

 

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bubbles
On 7/7/2020 at 6:04 AM, Greenriver said:

Brilliant. One of the most depressing things about tapering is the length of time it takes. I thought I had another 4-5 years left. Honestly, I was debating whether to just admit defeat and stay on the stuff for life. This changes everything 

 

it does, doesn't it. I'm at 2.1mg, or 2.1% of my original dose. It would be amazing if I could be off sooner than I'd anticipated, but then I'm also content to leave the last titch for much longer, if it makes the chances of longer term success more likely. Getting off isn't useful if it is followed by needing to go on again etc.

 

Has the thinking changed on those last few percent of the taper? I'd thought that really the end was the part where we needed to go extra slowly.


My thread here at SA: https://www.survivingantidepressants.org/topic/1775-bubbles/page/14/

2005 St John's Wort / 2006-2012 Lexapro 20mg, 2 failed attempts to stop, tapered over 4.5 months in early 2012

January 2013 started Sertraline, over time worked up to 100mg / July 2014 dropped from 100mg to 75mg, held for six months

2015 tapered to 50mg over several months, held for several months, some more drops

2016 Feb 35mg, 6 Mar 33mg, more drops (note big drop (calc error) & up to 25mg), more drops (about 2mg at a time)

2017 - more small drops, more long holds

2018 March at 11mg;  April 20 9mg; June 11 8.1mg; (July 10 7.7mg / July 18 7.3mg); ( Sept 2 7.2mg, Sept 5 7.1mg, Sept 9 7mg); 30 Sept 6.5mg, ? 6mg, 23 Nov 5.5mg) 19 Dec 5mg

2019 (micro drops over two weeks 24 Mar 4.9mg, 28 Mar 4.8mg, 31 Mar 4.7mg, 4 Apr 4.6mg, 7 Apr 4.5mg / 22 April 4.4mg, 26 April 4.3mg, 2 May 4.2mg, 5 May 4.1mg, 9 May 4mg), 3 Oct 3.9mg, (20 Oct 3.8mg, 27 Oct 3.7mg, 3 Nov 3.6mg), 24 Nov 3.5mg, 8 Dec 3.4mg, 15 Dec 3.3mg, 22 Dec 3.2mg

2020 19 Jan 3.1mg, 26 Jan 3.0mg; 1 Mar 2.9, 7 Mar 2.8, May (some drops here) 24 May 2.5, May 29 2.4, June 21 2.3, June 28 2.2mg,  July 4 2.1mg, July 24 (or maybe a bit before) 2mg

Current Sertraline: July 24: 2 mg / Armour Thyroid / endless allergy meds, erg

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Greenriver
14 hours ago, bubbles said:

 

it does, doesn't it. I'm at 2.1mg, or 2.1% of my original dose. It would be amazing if I could be off sooner than I'd anticipated, but then I'm also content to leave the last titch for much longer, if it makes the chances of longer term success more likely. Getting off isn't useful if it is followed by needing to go on again etc.

 

Has the thinking changed on those last few percent of the taper? I'd thought that really the end was the part where we needed to go extra slowly.

I hope it’s true. I don’t quite understand it myself. Perhaps at 1mg the drug has less of a hold on you, so to speak, and you can drop quicker. If not, I might just switch to low-dose Citalopram and be done with tapering for a while. Life is too short. Prozac gives me unpleasant blood pumping stimulation, even at low doses. If I can get off it in two years or less though, I’ll stick it out. Perhaps once I reach 1mg the stimulation will lessen


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

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

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

31 Oct: discontinued Fluoxetine.

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

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

 

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ChessieCat

I've personally decided not to risk it.  It will be 5 years at the end of this October since I started tapering off 100mg Pristiq.  It's also cost me a lot of money for compounded capsules, although I was very fortunate that my pharmacist was charging me the lowest he could and never increased the price over the whole time ($15 per 100 capsules).  One day I will go back over my credit card statements and work out how much it has cost.  Thankfully I haven't had to pay full cost for my regular prescription (subsidised because I receive unemployment benefits) which also meant that I have been able to keep taking the brand, not generic.

 

The way I see it is that I've managed to be patient and get this far with very little issues so if the total takes 6 years so be it.  It could be that I might be able to get off in 6 months, but I don't know if going faster would cause problems.  After such a long time a few more months is not going to make much difference.

 

When I first came to SA I had hoped to be off by my 60th birthday.  I will be nearly 64 when I'm off.  But I'm doing okay withdrawal-wise and that is the main thing. 


Being very patient.  I'll get there - slowly.  ETA mid 2021

ADs:  25 years - 1 unknown, Prozac (caused muscle weakness), Zoloft/sertraline; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after)

Pristiq:  50mg 2012, 100mg beg 2013 (mild Serotonin Toxicity)

Began tapering Oct 2015  Current from 12 Sept 2020:  Pristiq 0.625 mg (compounded)

My tapering program

My Intro (goes to my tapering graph)

My website - includes my brief history + links to videos & information on the web

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

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bubbles
10 hours ago, ChessieCat said:

I've personally decided not to risk it.  It will be 5 years at the end of this October since I started tapering off 100mg Pristiq.  It's also cost me a lot of money for compounded capsules, although I was very fortunate that my pharmacist was charging me the lowest he could and never increased the price over the whole time ($15 per 100 capsules).

 

That's an incredible price. I pay much more though I think I've found a good local supplier. Yes, it's expensive!

 

I'm not sure if I'll risk it or not. With capsules it isn't difficult to go down in 0.1mg increments - that's quite a small portion of my highest dose of 100mg. If I make the sertraline suspension I think I can do smaller cuts easily enough. I know, for me, that reinstating a tiny bit of the drug hasn't worked  in the past - when I've reinstated it's been back to square one, so I can't risk that happening. I will await the rewrite of the original post and evaluate then. But ultimately I want to be off, unscathed, and if I have to do that slowly, then so be it.


My thread here at SA: https://www.survivingantidepressants.org/topic/1775-bubbles/page/14/

2005 St John's Wort / 2006-2012 Lexapro 20mg, 2 failed attempts to stop, tapered over 4.5 months in early 2012

January 2013 started Sertraline, over time worked up to 100mg / July 2014 dropped from 100mg to 75mg, held for six months

2015 tapered to 50mg over several months, held for several months, some more drops

2016 Feb 35mg, 6 Mar 33mg, more drops (note big drop (calc error) & up to 25mg), more drops (about 2mg at a time)

2017 - more small drops, more long holds

2018 March at 11mg;  April 20 9mg; June 11 8.1mg; (July 10 7.7mg / July 18 7.3mg); ( Sept 2 7.2mg, Sept 5 7.1mg, Sept 9 7mg); 30 Sept 6.5mg, ? 6mg, 23 Nov 5.5mg) 19 Dec 5mg

2019 (micro drops over two weeks 24 Mar 4.9mg, 28 Mar 4.8mg, 31 Mar 4.7mg, 4 Apr 4.6mg, 7 Apr 4.5mg / 22 April 4.4mg, 26 April 4.3mg, 2 May 4.2mg, 5 May 4.1mg, 9 May 4mg), 3 Oct 3.9mg, (20 Oct 3.8mg, 27 Oct 3.7mg, 3 Nov 3.6mg), 24 Nov 3.5mg, 8 Dec 3.4mg, 15 Dec 3.3mg, 22 Dec 3.2mg

2020 19 Jan 3.1mg, 26 Jan 3.0mg; 1 Mar 2.9, 7 Mar 2.8, May (some drops here) 24 May 2.5, May 29 2.4, June 21 2.3, June 28 2.2mg,  July 4 2.1mg, July 24 (or maybe a bit before) 2mg

Current Sertraline: July 24: 2 mg / Armour Thyroid / endless allergy meds, erg

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Gridley
13 hours ago, Greenriver said:

Perhaps at 1mg the drug has less of a hold on you,

 

I don't know.  I did fine with dropping increasingly larger percentages from 1mgai (active ingredient) down to 0.4mgai over the past several months.  But  I've seen a considerable ramp up of symptoms since I dropped from 0.4mgai to 0.3mgai (a 25% drop). I'm using the scale and because of its limitations, I can reduce no less than 0.1mgai (for my brand of Lexapro that's 1mg pill weight), so I'm going to have to compensate with longer holds.


Gridley Introduction

 

Lexapro 20 mg since 2004.  Began taper using Brassmonkey slide Jan. 2017.   

End 2017 year 1 of taper at 9.25mg 

End 2018 year 2 of taper at 4.1mg

End 2019 year 3 of taper at 1.0mg  

Current from Sept.23, 2020 at 0.05mg

Taper is 99.75% complete.

 

Lorazepam 1 mg 1986-1991 CT, resumed a few months later. CT 2000.  1 mg 2011-2016.  Sept, 2016 increased to 0.5 X 3 in split dose. Sept. 2019 increased to 0.625 X 3 after crossover to new brand

 

Imipramine 75 mg daily since 1986.  Jan. 2016 began every 3-weeks 10% taper, down to 15mg.  Aug 2016, discovered SA, updosed to 25mg and holding.  Taper is 66% complete.  

  

Supplements: omega, vitamins C, E and D3, magnesium glycinate, probiotic, melatonin .33mg


I am not a medical professional and this is not medical advice, but simply information based on my own experience, as well as other members who have survived these drugs.

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Greenriver
On 7/9/2020 at 4:28 PM, Gridley said:

 

I don't know.  I did fine with dropping increasingly larger percentages from 1mgai (active ingredient) down to 0.4mgai over the past several months.  But  I've seen a considerable ramp up of symptoms since I dropped from 0.4mgai to 0.3mgai (a 25% drop). I'm using the scale and because of its limitations, I can reduce no less than 0.1mgai (for my brand of Lexapro that's 1mg pill weight), so I'm going to have to compensate with longer holds.

Can you still feel the drug's effects/side-effects at the dosage you're on? 


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

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

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

31 Oct: discontinued Fluoxetine.

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

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

 

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Greenriver

Would you say the withdrawal symptoms are just as bad as when you were dropping down from the higher dosage range?


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

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

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

31 Oct: discontinued Fluoxetine.

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

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

 

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Gridley
Posted (edited)
3 hours ago, Greenriver said:

Can you still feel the drug's effects/side-effects at the dosage you're on? 

I have had withdrawal symptoms (not side effects) to varying degrees for all of the taper down from 20mg.  The large majority of the time these symptoms have been tolerable, what we can WDnormal, not feeling good, not feeling too bad, without big swings in either direction).

 

Regarding your second question, are the symptoms just as bad as when I was dropping from the higher doses: as I said in my first post, right now they're worse but generally they've been about the same throughout the taper, some days better than others but within the same range of WDnormal.

 

Keep in mind that I'm on two other drugs, one of which I tapered too fast before discovering SA and then reinstated, so that might be contributing to my symptoms.

  

Edited by Gridley

Gridley Introduction

 

Lexapro 20 mg since 2004.  Began taper using Brassmonkey slide Jan. 2017.   

End 2017 year 1 of taper at 9.25mg 

End 2018 year 2 of taper at 4.1mg

End 2019 year 3 of taper at 1.0mg  

Current from Sept.23, 2020 at 0.05mg

Taper is 99.75% complete.

 

Lorazepam 1 mg 1986-1991 CT, resumed a few months later. CT 2000.  1 mg 2011-2016.  Sept, 2016 increased to 0.5 X 3 in split dose. Sept. 2019 increased to 0.625 X 3 after crossover to new brand

 

Imipramine 75 mg daily since 1986.  Jan. 2016 began every 3-weeks 10% taper, down to 15mg.  Aug 2016, discovered SA, updosed to 25mg and holding.  Taper is 66% complete.  

  

Supplements: omega, vitamins C, E and D3, magnesium glycinate, probiotic, melatonin .33mg


I am not a medical professional and this is not medical advice, but simply information based on my own experience, as well as other members who have survived these drugs.

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Greenriver

Cheers, that's good to know the withdrawal symptoms are roughly the same at the lower doses. It must be very low receptor occupancy at your dosage. Well done getting that far. Hope your final journey to 0mg isn't too torturous.  I'm hoping the side-effects from Prozac (excessive stimulation and brain fog) will lessen at the lower doses. 2.4mg is still about 47% receptor occupancy. 1mg is about 29%.

 

It is kind of fascinating how monstrous these drugs are. Real witches' brew stuff.  I just found out my Mum's Doctor offered her antidepressants for insomnia. She suffers from mild stress due to money worries and it's affecting her sleep. She told my Mum they're completely non-addictive. Unbelievable. Thankfully she declined.


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

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

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

31 Oct: discontinued Fluoxetine.

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

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

 

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Gertie

Greenriver, would you mind sharing with me how you calculate receptor occupancy percentages?  I've read the Seratonoin Transporter Occupancy paper and looked at the graphs, but still don't get how to actually do the calculations.  My daughter, unfortunately, is on sertraline AND amitriptyline, so I'm interested in finding it out for both....


(my daughter: 19yrs old)  

Sertraline: prescribed by pediatric psychiatrist

2010 Aug 6:  START 50mg (may have started at 25? cannot find records) / 2010 Aug 17:  75mg / 2010 Sept 3: 100mg  / 2010 Sept 10: 150mg / 2010 Oct 8: 75mg (new Dr.) / 2010 Nov 17: 100mg / 2012 Mar 15: 125mg (that Dr. retired and was replaced by new Dr. who started up dosing) / 2012 May 14: 150mg / 2016 Sept 1: 100mg /  2017 July 27: 50mg / 2019: July 1 - Aug 10 6-week taper from 50 to 0mg / 2019 Nov 6: begin severe withdrawal symptoms / 2019 Nov 10: Reinstate 1mg*

 

Other meds: (for genetic neurological movement disorder HSP diagnosed Sept 2016, prescribed by neurologist)

2017 May: begin:  Amitriptyline 25mg*  / Baclofen 20mg*  

2018 Oct:  begin  Noscapine Base 200mg / 2020 Apr 20: reduce to 150mg

                                                                                                                                                                           

*Currently taking:     Sertraline 1mg / Amitriptyline 25mg / Baclofen 20mg / Noscapine Base 150mg

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Gridley
On 7/10/2020 at 4:57 PM, Greenriver said:

 I'm hoping the side-effects from Prozac (excessive stimulation and brain fog) will lessen at the lower doses.

As a general rule, side effects lessen as dosage decreases.


Gridley Introduction

 

Lexapro 20 mg since 2004.  Began taper using Brassmonkey slide Jan. 2017.   

End 2017 year 1 of taper at 9.25mg 

End 2018 year 2 of taper at 4.1mg

End 2019 year 3 of taper at 1.0mg  

Current from Sept.23, 2020 at 0.05mg

Taper is 99.75% complete.

 

Lorazepam 1 mg 1986-1991 CT, resumed a few months later. CT 2000.  1 mg 2011-2016.  Sept, 2016 increased to 0.5 X 3 in split dose. Sept. 2019 increased to 0.625 X 3 after crossover to new brand

 

Imipramine 75 mg daily since 1986.  Jan. 2016 began every 3-weeks 10% taper, down to 15mg.  Aug 2016, discovered SA, updosed to 25mg and holding.  Taper is 66% complete.  

  

Supplements: omega, vitamins C, E and D3, magnesium glycinate, probiotic, melatonin .33mg


I am not a medical professional and this is not medical advice, but simply information based on my own experience, as well as other members who have survived these drugs.

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Greenriver
On 7/13/2020 at 6:35 PM, Gertie said:

Greenriver, would you mind sharing with me how you calculate receptor occupancy percentages?  I've read the Seratonoin Transporter Occupancy paper and looked at the graphs, but still don't get how to actually do the calculations.  My daughter, unfortunately, is on sertraline AND amitriptyline, so I'm interested in finding it out for both....

 

Sorry Gertie, just getting your message

 

I calculated the serotonin receptor occupancy for Fluoxetine with this equation 86 x 20/(1.944+20). 20 being the dose you're on. So, I'm on 2.4mg of Fluoxetine, so my equation would be 86 x 2.4/(1.944+2.4). I found it on this thread:

 

https://www.survivingantidepressants.org/topic/6036-why-taper-sert-transporter-occupancy-studies-show-importance-of-gradual-change-in-plasma-concentration/page/3/

 

Unfortunately the equation that you would use for Sertaline and Amitriptyline is different from Fluoxetine. I'm not sure exactly as I can't find the info. Does anyone on here know the correct equation for these drugs?


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

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

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

31 Oct: discontinued Fluoxetine.

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

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

 

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hayduke
On 5/17/2020 at 2:47 PM, brassmonkey said:

Thanks Hayduke that's very helpful.  Yes, as you get more information please pass it along.

 

Hi Brassmonkey - I opened a different brand of generic this week, "Olanzapine RBX".  That 2.5mg pill weighs 0.077g.  Cheers


*** I am not a health professional - your actions are your own ***

 

My taper visualised as a graph   |   My intro thread

 

10mg olanzapine 2003-06.  3mg risperidone 2006-2014 gave slight weight loss but mediocre sleep.  Abrupt x-taper to try aripiprazole Dec 2014 increasingly restless (Freddy the blind man could've seen that coming, shame about the pdoc) then back onto 10mg olanzapine after 3 weeks.

Round 1:  2015 10 -> 7 1/2 -> 6 2/3 -> 5mg olanzapine.   Hadn't researched, just decided to try it myself with pill cutter.  Easy enough.  Next cut to 3 1/3mg for 2 weeks had me struggling to function.  Reverted to 5mg, thought that was as far as I could go.

Round 2:  Given Breggin to read, found SA.  Taper from 5 to 2.5mg over five months.  Titrate liquid suspension using Rhi's method.  Cuts and holds all done by feel.  All samples at start of month in mg:

2018:  Feb 5.0 | Mar 4.5 | Apr 4.25 | May 3.7 | Jun 3.3 | Jul 3.1 | Aug 2.9 | Sep 2.5 and six month hold

Round 3:  2.5mg and below.  EMDR work unearthed and resolved root trauma at around 2.1mg

2019:  Jan 2.5 | Feb 2.3 | Mar 2.215 / EMDR / Apr 1.976 | May 1.875 | Jun 1.825 | Jul 1.625 | Aug 1.525 | Sep 1.46 | Oct 1.3 | Nov 1.225 | Dec 1.25

2020:  Jan 1.214 | Feb 1.1 | Mar 1.0 🙂 | Apr 0.88 | May 0.82 | June 0.74 | July 0.69 | Aug 0.61 | Sep 0.59

‘If you think you’re enlightened, spend a week with your family.’  -- Ram Dass

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brassmonkey

Thanks Hayduke- I'll add it to the database.


20 years on Paxil starting at 20mg and working up to 40mg. Sept 2011 started 10% every 6 weeks taper (2.5% every week for 4 weeks then hold for 2 additional weeks), currently at 7.9mg. Oct 2011 CTed 15oz vodka a night, to only drinking 2 beers most nights, totally sober Feb 2013.

Since I wrote this I have continued to decrease my dose by 10% every 6 weeks (2.5% every week for 4 weeks and then hold for an additional 2 weeks). I added in an extra 6 week hold when I hit 10mg to let things settle out even more. When I hit 3mgpw it became hard to split the drop into 4 parts so I switched to dropping 1mgpw (pill weight) every week for 3 weeks and then holding for another 3 weeks.  The 3 + 3 schedule turned out to be too harsh so I cut back to dropping 1mgpw every 4 weeks which is working better.

Current dose 0.000mg 04-15-2017

 

"It's also important not to become angry, no matter how difficult life is, because you can loose all hope if you can't laugh at yourself and at life in general."  Stephen Hawking

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Flowers

Venlafaxine Taper:

 

I have been throughout the taper  weighing the pills and then adding to a 10 ml syringe of water.  My scales will only go down to .0004 which equals a dose of 1.00 mg. Putting this into the syringe I get a dose of .10 mg in 1 ml of water  which I take twice a day giving a  total dose of .20 mg. 

 

I have been reading Brass Monkey's article on when to take the plunge to drop off.  As I can no longer weigh the pills, if I read the article  correctly I am to take the pill weighed out at .0004 and divide it into 4. The amount of pill is very tiny now but on a dark surface I can do this.  Then discard a quarter of this amount and put the remainder in the syringe as normal. Take this dose for 6 weeks and then take off another quarter and so on. 

 

I hope I am correct?   Would be grateful if someone could clarify as I am no mathematician!

 

Best Wishes

 

Flowers

 

(have also posted in my thread)

 


2.15 yrs on 20 to 30 mgs CITALOPRAM.  MAY 2014 Increased to 40 mgs per day.
SEPT/NOV 2014 tapered in 6 weeks down to 10 mgs as per Dr instructions due to violent nightmares/palpitations
 Given Noctamid (lormetazepam) to help with anxiety. On average took 2mg per day for 8 weeks.No taper was advised.
DEC 2014 WD severe. Nervous tic in eyes, limbs, muscle pain, fluct. temp,weakness,depression,anxiety,nausea,giddy,unstable when walking.
DEC 2014 Different Dr suggested taking 20mgs CIT. BROMAZEPAM 3mgs up to 3 x daily for anxiety.DEC 9 2014 Updose CIT to 30mgs. Only taking BROMAZEPAM in emergency.DEC 31 2014 Settling at 30mg CIT - helping with depression. No Brom for 2wks.
 Found SA.APR 2015 Trying to stabilise on 30mgs CIT.  JAN 2016 Started Cit Taper reducing by 5% per month.  28.5 mgs 
FEB  Taper held bereavement. APR Taper resumed 27mgs . MAY 25.50 mgs .  JUNE 24 mgs .  JULY I stupidly mixed up my BP meds with CIT. Consequently took no CIT for 3 days and doubled my BP meds. Waiting for the fallout....Holding for a while until any chance of repercussions have abated. SEPT taper resumed to  22.5 mgs . OCT 21 mgs .NOV 19.95 mgs DEC crashed. 2017: FEB 3rd updose to 20.5 mgs to try to stabilise.FEB.switched over to 75mgs of Venlafaxine XR for 3 weeks.Too stimulating so switching back to Cit. 12 March 37.5 Ven and 20 Cit. 21 March 18mg Ven 20mg Cit. 4 April 9mg Ven 20mg Cit. Xanax .50mg when needed.  13 April 0 mgs Ven, 20mg Citalopram. Xanax .50 mg per day. 5 May reinstated a small amount of Ven to stabilize  1 mg twice a day. 20 mg Citalopram at night. Xanax .25 mg twice per day.

Other Meds: Losartan (Blood Pressure)Started 1993 at  50 mgs at night.  Seretide (Asthma) Started 1996 at 1 puff twice a day. Jan 2019 Antibiotic Ceclor 500mgs twice a day for bronchitis and  Atrovent 2ml capsules twice a day for asthma. Finished the course of both Jan 17. 

XANAX  Jan 27  - Feb 3 2019 Failed Valium Crossover.   Feb 14 2019  Updosed Xanax by .0625  Feb 17 2019 Decreased Xanax by .0625. Back to .50mg daily.  Update Xanax 28.2.20 tapered to .1250 mg 8am .25 mg midnight.

Current Meds 28.2.19: CITALOPRAM  20mg  taken at midnight. VENLAFAXINE  .9 mg twice a day at 8am and 10pm.  XANAX .50 mg split into 4 doses per day. 10am .0625mg / 2pm .1250mg/ 6pm .0625mg / midnight .25mg. LOSARTAN 50 mgs taken at midnight.  SERETIDE 1 puff taken at 8am and 10pm.   7.7.19 VENLAFAXINE UPDATE: Started tapering 10% every 4 weeks. Current Dose  .4 mg twice a day at 8am and 10 pm.  2.9.19 .36 mg twice a day. 1.10.19  .32 mg twice a day. 26.11.19 .29 mg twice a day. 26.12.19 .26 mg twice a day. 23.1.20  .23 mg twice a day.  20.2.20 .21 mg twice a day.20.3.20  .19 mg twice a day. 21.4.20 .17 mg twice a day. 19.5.20 .13 mg twice a day 18.6.20 .11mg twice a day.  18.7.20 .10 mg twice a day . 1.9.20 .09 mg twice a day. XANAX UPDATE: 28.2.20 .1250 am . 25 midnight. 

 

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Terry

@brassmonkey  Don't mean to bug you, but how's the article re-write coming?  I'm trying to wait patiently. 😇


2007 - 2008          Paxil and Klonopin

2008 - 2012           Mirtazapine following abrupt withdrawal from Klonopin/Paxil.  

2012                       Unsuccessful taper of mirtazapine; reinstated.     

7/2013 - 1/2014   Successfully tapered from 7.5 mg

 

7/19/17 ALPRAZOLAM 0.25 mg. - current  

                SERTRALINE  - 25 mg

Began taper Aug 4, 2017 - 25 mg;  Jan 1, 2018 - 12.5 mg;  Jan 16, 2019 - 2.6 mg;  Jan 5, 2020 - 1.0 mg;   

                Current dose - Sept 8 - 0.41 mg;

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brassmonkey

Hi Terry-- The new article has been causing a lot of discussion between Alto and myself, there have been some general direction and small technique questions that needed to be worked out.  I'm in the middle of the revised draft right now, it's taking a lot longer than expected because of all the permutations that need to be addressed. The upshot is that the Endgame Taper is different from a regular taper because of managing the small amounts of medication involved and the fact that it is directed by listening to ones body for when to make reductions, instead of following a schedule.

 

One reason for the rewrite is that my original article indicated that the Endgame Taper could be seen as going much faster than a regular taper because of the way the Dry Cut dosing must be handled. When, in fact, it can end up being slower, depending on how one's body react. You still have a ways to go with your taper. I'm making a rough estimate of a Target Exit Dose of 0.07mg. This is just a rough estimate for a point to aim for and not a hard and fast number. Seeing as how you are at 0.50mg currently, it would be a good idea to really start paying attention to how your body reacts to each reduction.  Any spike in symptoms would be a signal to take a hold and let things stabilize before continuing. We don't want to be paranoid about the feelings, but rather let our body call the shots and do what it asks for and not what we think is best for it.


20 years on Paxil starting at 20mg and working up to 40mg. Sept 2011 started 10% every 6 weeks taper (2.5% every week for 4 weeks then hold for 2 additional weeks), currently at 7.9mg. Oct 2011 CTed 15oz vodka a night, to only drinking 2 beers most nights, totally sober Feb 2013.

Since I wrote this I have continued to decrease my dose by 10% every 6 weeks (2.5% every week for 4 weeks and then hold for an additional 2 weeks). I added in an extra 6 week hold when I hit 10mg to let things settle out even more. When I hit 3mgpw it became hard to split the drop into 4 parts so I switched to dropping 1mgpw (pill weight) every week for 3 weeks and then holding for another 3 weeks.  The 3 + 3 schedule turned out to be too harsh so I cut back to dropping 1mgpw every 4 weeks which is working better.

Current dose 0.000mg 04-15-2017

 

"It's also important not to become angry, no matter how difficult life is, because you can loose all hope if you can't laugh at yourself and at life in general."  Stephen Hawking

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Miyan
On 4/21/2020 at 1:22 AM, brassmonkey said:

Using a hold period of six weeks this will give a total taper time of 18 weeks or three and a half months

@brassmonkey 18 weeks means Four and a half months?


Q42012 - Jun 2018- Escitalopram 10mg.
At apr 2016 feel wow. I think time to quit went to my Gp he advised every other day taper I taper as 5 and 10mg every other days. In first taper hit severe nightmare then went to 10mg as per doc advise.At Jun 2017 - Stopped as CT by frustration  hit severe brain zaps  reinstated 10 mg.
Jul 2017 - 2018 - Escitalopram 10mg
(At 2018 clomipramine i didn't know the exact mg which I was taken hit severe adverse then went to 10mg Escitalopram myself) 
Oct 2018 - May 2019 - taper 10mg to 7.5 and 7.5 to 5mg as every other day taper physical pain went away but racing mind didn't then went to 10mg hit severe RLS.
At Jan 2019 again went to 5mg feel .k mild RLS in 5mg.
Jan2019 - jun 2019- Escitalopram 5mg.
At Jun 2019 I tried every other day 5 and 3.75mg hit severe WD Again reinstate 5mg.
(6 Aug 2019 start taper 4.8mg
6 Aug - 15 Sep 4.8 to 4mg,18 sep to 24 sep - 3.8mg,25 sep to  1 oct - 3.6mg,2 oct to 8 oct - 3.4mg,9 oct to 15 oct -3.2mg,16 oct to 30 oct- 3mg,31 oct to 6 nov - 2.8 mg,7 nov to 13 nov - 2.6 mg,14 nov to 20 nov - 2.4mg,21nov to 27nov - 2.2mg,28nov to 25 dec 19 - 2mg,26dec19 to 8 jan 20 - 1.9mg,9 jan to 22 jan -1.8mg,23 jan to 5 feb --1.7mg,6 feb to 16 feb -1.6mg,17 feb to 26 feb - 1.5mg,27 feb to 7 mar-1.4mg, 8 mar to 17 mar -1.3mg,18 mar to 31 mar -1.2mg,1 apr to 14 apr-1.15mg, 15 apr to 28 apr -1.1mg,29 apr to 10 may -1.05mg, 11 may to 22 may -1mg, 23 may to 1 jun -0.95mg, 2 jun to 12 jun -0.9mg, 13 jun to 22 jun -0.85mg, 23 jun to 6 jul -0.8, 7 jul to23 jul .75, 
24 jul to till now - .725)

Got 2 times Flu symptoms in WD.

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brassmonkey

Good catch Miyan. Thanks for the edit I'll take care of that.


20 years on Paxil starting at 20mg and working up to 40mg. Sept 2011 started 10% every 6 weeks taper (2.5% every week for 4 weeks then hold for 2 additional weeks), currently at 7.9mg. Oct 2011 CTed 15oz vodka a night, to only drinking 2 beers most nights, totally sober Feb 2013.

Since I wrote this I have continued to decrease my dose by 10% every 6 weeks (2.5% every week for 4 weeks and then hold for an additional 2 weeks). I added in an extra 6 week hold when I hit 10mg to let things settle out even more. When I hit 3mgpw it became hard to split the drop into 4 parts so I switched to dropping 1mgpw (pill weight) every week for 3 weeks and then holding for another 3 weeks.  The 3 + 3 schedule turned out to be too harsh so I cut back to dropping 1mgpw every 4 weeks which is working better.

Current dose 0.000mg 04-15-2017

 

"It's also important not to become angry, no matter how difficult life is, because you can loose all hope if you can't laugh at yourself and at life in general."  Stephen Hawking

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Greenriver
On 8/4/2020 at 9:22 PM, brassmonkey said:

Hi Terry-- The new article has been causing a lot of discussion between Alto and myself, there have been some general direction and small technique questions that needed to be worked out.  I'm in the middle of the revised draft right now, it's taking a lot longer than expected because of all the permutations that need to be addressed. The upshot is that the Endgame Taper is different from a regular taper because of managing the small amounts of medication involved and the fact that it is directed by listening to ones body for when to make reductions, instead of following a schedule.

 

One reason for the rewrite is that my original article indicated that the Endgame Taper could be seen as going much faster than a regular taper because of the way the Dry Cut dosing must be handled. When, in fact, it can end up being slower, depending on how one's body react. You still have a ways to go with your taper. I'm making a rough estimate of a Target Exit Dose of 0.07mg. This is just a rough estimate for a point to aim for and not a hard and fast number. Seeing as how you are at 0.50mg currently, it would be a good idea to really start paying attention to how your body reacts to each reduction.  Any spike in symptoms would be a signal to take a hold and let things stabilize before continuing. We don't want to be paranoid about the feelings, but rather let our body call the shots and do what it asks for and not what we think is best for it.

I kind of thought it was a bit too good to be true. 5-6 years sounds more realistic to me than 18 months. Oh the joys.


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

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

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

31 Oct: discontinued Fluoxetine.

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

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

 

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brassmonkey

It should be somewhere in between. If you are able to maintain our recommended schedule of 10% every 4 weeks you should be at 0.06mg in about two years.


20 years on Paxil starting at 20mg and working up to 40mg. Sept 2011 started 10% every 6 weeks taper (2.5% every week for 4 weeks then hold for 2 additional weeks), currently at 7.9mg. Oct 2011 CTed 15oz vodka a night, to only drinking 2 beers most nights, totally sober Feb 2013.

Since I wrote this I have continued to decrease my dose by 10% every 6 weeks (2.5% every week for 4 weeks and then hold for an additional 2 weeks). I added in an extra 6 week hold when I hit 10mg to let things settle out even more. When I hit 3mgpw it became hard to split the drop into 4 parts so I switched to dropping 1mgpw (pill weight) every week for 3 weeks and then holding for another 3 weeks.  The 3 + 3 schedule turned out to be too harsh so I cut back to dropping 1mgpw every 4 weeks which is working better.

Current dose 0.000mg 04-15-2017

 

"It's also important not to become angry, no matter how difficult life is, because you can loose all hope if you can't laugh at yourself and at life in general."  Stephen Hawking

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ChessieCat
3 hours ago, brassmonkey said:

It should be somewhere in between. If you are able to maintain our recommended schedule of 10% every 4 weeks you should be at 0.06mg in about two years.

 

But remember to hold when necessary.  It is silly to push ahead just to get off the drug.  Some members have tried to go too quickly and it is taking/took them longer.  Some have ended up on different or additional drugs.  Some because destabilised and don't return to their previous stability.

 

Patience is the key.  Even being a mod here for 4 years and tapering for nearly 5 years somebody suggested to me the other day that it would be a good idea for me to hold for a while.  I'm recovering from a back injury and have been taking codeine, antihistamine and ibuprofen and I also had a tooth extracted a few weeks ago.  And of course the covid situation is also an added stress at the moment.


Being very patient.  I'll get there - slowly.  ETA mid 2021

ADs:  25 years - 1 unknown, Prozac (caused muscle weakness), Zoloft/sertraline; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after)

Pristiq:  50mg 2012, 100mg beg 2013 (mild Serotonin Toxicity)

Began tapering Oct 2015  Current from 12 Sept 2020:  Pristiq 0.625 mg (compounded)

My tapering program

My Intro (goes to my tapering graph)

My website - includes my brief history + links to videos & information on the web

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

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Greenriver

Two years isn't too bad. Even though I'm on a low dose now (2.4mg), I get really bad stimulation, especially at night. That's what makes me impatient to get off it. I don't remember getting this on the higher doses (10mg) of Prozac. I don't think its linked to withdrawal either, as I've been holding since January. It almost feels like my body is now allergic to the Prozac. In June I tried to switch over to Citalopram, 4mg,  but bottled it after a week. I did notice though that when I stopped the Prozac five days before I initiated the Citalopram, the stimulation completely vanished and my hair stopped falling out. Even the texture of it changed. My whole body felt relaxed and calm. When I told a friend that, he actually start shouting at me that I need to stop cold turkey. My family have the same view, that I'm somehow a weak person for not having the courage to just come off it. Unfortunately most people I know have no insight into withdrawal and just assume it is a three week affair.


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

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

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

31 Oct: discontinued Fluoxetine.

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

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

 

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bubbles
On 8/7/2020 at 7:47 AM, ChessieCat said:

 

But remember to hold when necessary.  It is silly to push ahead just to get off the drug.  Some members have tried to go too quickly and it is taking/took them longer.  Some have ended up on different or additional drugs.  Some because destabilised and don't return to their previous stability.

 

Yes me, though there were reasons for the faster attempt. Still, I was destabilised and ended up on another drug and had to restabilise and start over again. This time I'm at the six year mark and think I have another year to go. Or more, it will depend on how things go. This time I've had many, many long holds and gone slowly, it's been much better.


My thread here at SA: https://www.survivingantidepressants.org/topic/1775-bubbles/page/14/

2005 St John's Wort / 2006-2012 Lexapro 20mg, 2 failed attempts to stop, tapered over 4.5 months in early 2012

January 2013 started Sertraline, over time worked up to 100mg / July 2014 dropped from 100mg to 75mg, held for six months

2015 tapered to 50mg over several months, held for several months, some more drops

2016 Feb 35mg, 6 Mar 33mg, more drops (note big drop (calc error) & up to 25mg), more drops (about 2mg at a time)

2017 - more small drops, more long holds

2018 March at 11mg;  April 20 9mg; June 11 8.1mg; (July 10 7.7mg / July 18 7.3mg); ( Sept 2 7.2mg, Sept 5 7.1mg, Sept 9 7mg); 30 Sept 6.5mg, ? 6mg, 23 Nov 5.5mg) 19 Dec 5mg

2019 (micro drops over two weeks 24 Mar 4.9mg, 28 Mar 4.8mg, 31 Mar 4.7mg, 4 Apr 4.6mg, 7 Apr 4.5mg / 22 April 4.4mg, 26 April 4.3mg, 2 May 4.2mg, 5 May 4.1mg, 9 May 4mg), 3 Oct 3.9mg, (20 Oct 3.8mg, 27 Oct 3.7mg, 3 Nov 3.6mg), 24 Nov 3.5mg, 8 Dec 3.4mg, 15 Dec 3.3mg, 22 Dec 3.2mg

2020 19 Jan 3.1mg, 26 Jan 3.0mg; 1 Mar 2.9, 7 Mar 2.8, May (some drops here) 24 May 2.5, May 29 2.4, June 21 2.3, June 28 2.2mg,  July 4 2.1mg, July 24 (or maybe a bit before) 2mg

Current Sertraline: July 24: 2 mg / Armour Thyroid / endless allergy meds, erg

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