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stela: Zyprexa, Abilify


stela

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Hello, I would like to ask you, how to prepare little doses from Zyprexa 5 mg Velotab. It weighs 16 mg, and my scale is to 1 mg. I am not so good in making liquid form We do not have 2,5 mg Zyprexa in the market. Thanks for advice..

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Hi, I am new here, I have started to taper Zyprexa 5 mg by 10%. I do not have to much experience, so that is why I came to this site to learn from your experiences. I was prescribed ABilify 10 mg, and Zyprexa 5 mg due to psychoses.

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  • Altostrata changed the title to stela Zyprexa
  • Administrator

Welcome, stela.

 

Here are our Tips for tapering off olanzapine (Zyprexa)

 

Please read them and post any questions you may have here in your Introductions topic.

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.

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  • 5 weeks later...

Please, could you advise how to prepare doses of 10% reduction, when the pill weighs 16 mg, and my scale is up to 1mg. I am not good in making liquid. Thanks Dana

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  • Moderator

16mg sounds very small for a whole tablet. What is the exact readout on the display? (0.160, 0.016?)

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

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  • Moderator
manymoretodays

Hi stela, @stela

And welcome aboard. 

On 2/12/2020 at 1:12 PM, brassmonkey said:

16mg sounds very small for a whole tablet. What is the exact readout on the display? (0.160, 0.016?)

 

I wasn't sure if you had seen the ^.

 

Thanks,

L, P, H, and G,

mmt

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. 

None of my posts are intended as medical advice.  Please discuss any decisions about your medical care with a knowledgeable medical provider. manymoretodays

 

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  • 2 weeks later...
  • ChessieCat changed the title to stela: Zyprexa
  • 2 months later...

Hi, i would like to ask you, whether is possible to eliminate symptoms while being on drugs Zyprexa and Abilify, like tiredness, bad concentration and lack of motivation. I am already tapering Zyprexa, but it is slow process. Thank you for your reply.

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  • manymoretodays changed the title to stela: Zyprexa, Abilify
  • Moderator
manymoretodays

Hi stela,  and welcome back,

 

4 hours ago, stela said:

Hi, i would like to ask you, whether is possible to eliminate symptoms while being on drugs Zyprexa and Abilify, like tiredness, bad concentration and lack of motivation. I am already tapering Zyprexa, but it is slow process. Thank you for your reply.

 

I got your most recent stand alone post moved from the relationship forum back here to your introduction.  

This makes it easier for us to see the context of your tapering and symptoms.

 

How have you been doing with the Zyprexa tapering?

Are you still working with the 5 mg(dosage) orally disintegrating tablet?

Have you had a chance to look at:  Tips for tapering off Zyprexa(olanzapine)  topic.

You'll find more about your form of Zyprexa and tapering at the bottom of the topic.

 

Are you still on the Abilify, dose of 10 mg?

 

How long have been on this absurd combination?

Have you a previous history with Antidepressants(AD's), Antipsychotics, or other psychoactive drugs or substances?

 

What does a day look like for you now?  Would you be able to do a days notes, which would include the time on the left, and then on the right note your medications by name and present dose?  Then  keep noting the time on the left, and then also on the right, what you are able to do, with your symptoms.

This should help:

Daily notes with sample post

 

Unfortunately, you are presently on a drug(s) and a drug combination that isn't real easy to overcome the effects of.  The things you mention:  tiredness, bad concentration, and lack of motivation.  These, as I'm sure you know by now, can be side effects or adverse effects of your medication(s).

Fortunately, you are trying to slowly reduce the Zyprexa now.

I don't think the Abilify is quite as brain deadening, as the Zyprexa.  I was never on Abilify.  I was on Zyprexa though.  Ugh......bad memories of that time.

Did they start the Abilify after the Zyprexa?

Has your doctor who gives you these prescriptions checked your liver and kidney function(s) lately?  This can be done easily with blood tests and should be done periodically when on drugs like yours.

 

Have a look: 
Drug interaction Report- from Drugs.com- Zyprexa, Abilify

 

Tell us a little more, in the way of the notes, and your current tapering.......when you can.

And just keep on, keeping on, doing the best you can for now........and finding the best times for focus, and movement, and some social.

 

You can also look at the Symptoms and Self Care forum for helps and ideas to cope.

You can also put symptoms by name, into the top right search box there, to find topics and discussions around your symptoms.

 

Glad to see you back.  Some of the other members may stop by with ideas on coping too! ❤️

 

Love, peace, healing, and growth,

manymoretodays(mmt)

 

 

@stela

Edited by manymoretodays
spell, additional

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. 

None of my posts are intended as medical advice.  Please discuss any decisions about your medical care with a knowledgeable medical provider. manymoretodays

 

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Hi, thanks for the reply. I was originaly on Abilify, and later when i got psychosis due to withrawal symtoms, they added Zyprexa. Now I am tapering Zyprexa and I am on 2.5 mg from 10. Going slowly.

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  • Moderator
manymoretodays

That's great on the Zyprexa!  And on going slowly.

 

stela,

this will be helpful for us going forward too:

Please summarize your withdrawal history in your signature

 

What is your sleep and activity level like now?  Any "psychosis" ?

Are you able to get some outside exercise time in every day?

And......do you have any on the ground(real people) level support for tapering?  No worries, if not, many of us do go it alone.

 

I am currently struggling with motivation, concentration, darkness(down) now too!  I was pretty exhausted there for a bit, that has thankfully past.

So.....we can challenge each other.  (I always bounce back and have maintained off drugs now for over 3 years.)

 

L, P, H, and G,

mmt

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. 

None of my posts are intended as medical advice.  Please discuss any decisions about your medical care with a knowledgeable medical provider. manymoretodays

 

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  • 2 months later...

microtapering

 

Hello, I am microtapering Zyprexa and I make my own liquid of it The solution is 300 ml water, and 2,5 mg Zyprexa I take off 1 ml per day So the tapering should last 10 months. I would like to ask you whether this method is fine even for lower doses, where the cut is 10% per month, but form original dose Is it OK, or what should I do? Can  you advice? 

 

Edited by ChessieCat
added topic title
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  • Moderator Emeritus

SA recommends tapering by calculating the 10% reduction on the current dose.

 

Please see the graphs at the bottom of Post #1 of this topic which shows the different in tapering based on original dose and current dose.

 

Why taper by 10% of my dosage?

 

It is okay to reduce by a set amount UNTIL you reach the point where the reduction is MORE than 10%, then you will need to start calculating on the current dose.

So close to the end!!!

🏁

Current from 16 October 2021:  Pristiq 0.005mg

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

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

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

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  • Moderator
manymoretodays

stela,

I'm a little worried that you might be going a bit too fast stela.   

How long have you been doing the 2.5 oral disintigrating tablet in 300 mL of water? 

Or are you using a 5 mg oral disintegrating tablet in water?

 

And how is that going?  Any WD symptoms?  Or are you just planning for later, or planning ahead?

 

On 8/13/2020 at 8:12 AM, stela said:

Hi, thanks for the reply. I was originaly on Abilify, and later when i got psychosis due to withrawal symtoms, they added Zyprexa. Now I am tapering Zyprexa and I am on 2.5 mg from 10. Going slowly.

 

How quickly did you go down to 2.5 mg from 10 mg?  If you could put that in a signature, that would help.  And then note your other drug(s) too.  I think you might be on Abilify too still?

On 8/14/2020 at 6:07 PM, manymoretodays said:

stela,

this will be helpful for us going forward too:

Please summarize your withdrawal history in your signature

 

Just click on that link for the how to on a signature and give it a try.  We just need the last 12-24 months of your tapering history.  You'll see.  And thankyou.  Just ask if you have any difficulties doing that.  The signature is what you see below other members posts.  And helps us all know, at a glance, your tapering history.

 

stela, when do you take your zyprexa and abilify each day?   And what are your present doses.  Could you note that in a reply, right here, on your introduction page?

 

And the why taper by 10% link is a definite read for you.  ChessieCat gave you that.

Here is the Tapering Zyprexa(olanzapine) topic as well, again, for your perusal.

 

I'm just wanting you to go slow, be cautious, to have a successful taper this time.

 

L, P, H, and G,

mmt

Edited by manymoretodays

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. 

None of my posts are intended as medical advice.  Please discuss any decisions about your medical care with a knowledgeable medical provider. manymoretodays

 

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microtapering

 

 

Hello,  can somebody help me with daily liquid microtapering? 

Edited by ChessieCat
added topic title
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I have 2,5 mg Zyprexa HOw do I make my own water solution, when I intend to take off 1 ml o the solution daily.  How much water to add?  Thank you

 

 

 

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  • Moderator Emeritus

I've moved you new post here.

 

Please post questions in your Introduction topic.  The mods regularly check the Introduction forum for new posts by members.

 

This way your history is in one place and you don't need to repeat yourself.

So close to the end!!!

🏁

Current from 16 October 2021:  Pristiq 0.005mg

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

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

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

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  • Moderator Emeritus

Manymoretodays has requested that you create your drug signature.

 

She has also asked you some questions.  Please answer them.

 

See this post: 

 

So close to the end!!!

🏁

Current from 16 October 2021:  Pristiq 0.005mg

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

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

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

Link to post

   

How long have you been doing the 2.5 oral disintigrating tablet in 300 mL of water? I have been doing the solution for 3 months. 

Or are you using a 5 mg oral disintegrating tablet in water? Yes, I do. 

 

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  • Moderator
manymoretodays

Hi stela ,

Okay and thank you.

 

On 11/1/2020 at 2:30 AM, stela said:

How long have you been doing the 2.5 oral disintigrating tablet in 300 mL of water? I have been doing the solution for 3 months. 

Or are you using a 5 mg oral disintegrating tablet in water? Yes, I do. 

 

I am still a little confused by the above.  Do you mean that you are NOW just using the 2.5 mg oral disintegrating tab of Zyprexa in the 300 mL of water?

 

On 11/1/2020 at 2:34 AM, stela said:

It is going pretty well, I do not have any withdrawals I am on 1,8 mg Zyprexa, and 10 mg Abilify. 

 

That's good then.  No WD(withdrawal). 

I come up with  1.8 mg of Zyprexa would then be in 216 mL of water.  Based on 2.5 mg in 300 mL of water.

And then from the starting dose of 2.5 mg, 3 months ago,  you are now  28% decreased from 2.5 mg.  Which is not too bad.  That goes with our harm reduction,  why taper by 10% of my dose.

Generally, we do recommend, holding at each dose, for at least 4  weeks, before another taper. 

And then, each subsequent reduction, is based on the previous dose, rather than the starting dose.  So your next taper would be based on your current dose of 1.8 mg.

And no other medications right now?

 

Please summarize your withdrawal history in your signature

If you just click on the arrow at the top right it will take you to the first post in the link.  And then just follow the instructions there.  Please let us know if you have difficulty with that and we can help guide you.  Sometimes it's a language difficulty, or computer usage difficulty.........but it is so helpful for us to see signatures.  You'll see other members signatures below their posts.

 

L, P, H, and G,

mmt

Edited by manymoretodays
clarity

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. 

None of my posts are intended as medical advice.  Please discuss any decisions about your medical care with a knowledgeable medical provider. manymoretodays

 

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  • 2 weeks later...
  • Moderator
manymoretodays
3 hours ago, stela said:

Hi, thank you for your reply. I pull off extra 1ml every day, so I do not hold for 4 weeks Is it OK? 

 

 

Hi stela,  ^ this may be okay for awhile.  You are decreasing just a small amount daily, in dosage.  I think when you get down further in dosage, it may be better to go down by just a fixed amount with a good HOLD period after.  Otherwise, I'm concerned that that dose drops might cumulatively catch up with you, and you'll begin to feel WD.

 

On 11/2/2020 at 8:33 PM, manymoretodays said:

Do you mean that you are NOW just using the 2.5 mg oral disintegrating tab of Zyprexa in the 300 mL of water?

 

And okay, if this is what you are doing now, ^,  Each 1 mL of solution is approximate to .00083 mg.  So each present decrease is very small.

 

How are you doing/feeling now? 

When do you take your Abilify-10 mg and when do you take your Zyprexa? The time, or hour that you take each of them.

 

Please attend to some of my questions in my previous post, above your last one, and give a try at a Signature.

 

Thankyou.

L, P, H, and G,

mmt

Edited by manymoretodays

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. 

None of my posts are intended as medical advice.  Please discuss any decisions about your medical care with a knowledgeable medical provider. manymoretodays

 

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hi manymoretodays, thanks for your reaction. i take abilify in the morning, and zyprexa in the evening. yes, the daily drop is tiny, so it is working for now. if i get to the lower doses, i do not exactly how to measure the way you mentioned. this method i found on benzo bodies, do you think it is different with AP?

 

Thanks dana

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  • Moderator Emeritus

Please create your drug signature following the instructions in this link:

 

Instructions:  Withdrawal History Signature
 

Thank you.

So close to the end!!!

🏁

Current from 16 October 2021:  Pristiq 0.005mg

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

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

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

Link to post
  • Moderator
manymoretodays
5 hours ago, stela said:

hi manymoretodays, thanks for your reaction. i take abilify in the morning, and zyprexa in the evening. yes, the daily drop is tiny, so it is working for now. if i get to the lower doses, i do not exactly how to measure the way you mentioned. this method i found on benzo bodies, do you think it is different with AP?

 

Thanks dana

 

We can help you figure it out.

 

We generally have members do AP's, with the same recommends that we use for AD's.

See:

Why taper by 10% of my dosage?

 

Please try and get a signature done, stela. 

And give me some further clarity as to your Zyprexa liquid too. 

What type and strength of zyprexa are you putting in the 300 mL of water?

 

Thank you very much in advance. B)

 

Best, L, P, H, and G,

mmt

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. 

None of my posts are intended as medical advice.  Please discuss any decisions about your medical care with a knowledgeable medical provider. manymoretodays

 

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  • 5 months later...

HI, I would like to ask you, what is the best way to taper 10 mg Aripiprazol. This is my second attempt, first one I went too fast and got psychosis. Thank you for your reply. 

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  • Moderator
getofflex

Previous post was moved to your Intro topic to keep your history all in one place.  Please keep all questions and discussion of your situation in this one thread to prevent confusion and duplication of effort.  Thank you.  

***Please note this is not medical advice.  Discuss any decisions about your medical care with a doctor who understands psych meds and how to withdraw from them, if you can find one.

Lexapro   Started Apr 15 '02 - 10 mg;  Apr 2 '20  0.18 mg; Jul 16  0.17 mg, Aug 23  0.16 mg, Oct 7  0.15 mg, Nov 8 - 0.14, Jan 16 '21 - 0.13, Feb 7 - 0.12, Feb 22 - 0.11, Mar 26 - 0.10, May 21 - 0.09, June 15 - 0.08 Aug 16 - 0.07, Oct 6 - 0.06 

Ibuprofen 800 mg, or Tylenol 1000 mg as needed

other meds: Levothyroxine 75 mg

Trazodone nightly, stopped in late 2019

Xanax on occasion, stopped in late 2019

magnesium in small amounts at breakfast, 3 PM 

suppl AM: fish oil, flax oil, vit C, vit E, calcium

suppl PM: magnesium 350 mg, GABA 750 mg, Estroven, melatonin 2.5 mg

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