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PRINT OUT: Leaflet - Guidance on stopping antidepressants by Royal College


ipuka

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Found this recently - it sums up  much of what is in this forum (in my opinion), and validates it as well!

https://www.rcpsych.ac.uk/mental-health/treatments-and-wellbeing/stopping-antidepressants

 

January 22 - present - 2.5 mg Zyprexa

September 2022-January 2023 Lexapro 10 mg - stopped due to side effects; replaced with Zyprexa 2.5. mg

May 2022 - tapered off  - last dose .1 mg Lexapro

January 2021 - 5 mg Lexapro

September 2020 - 7.5 mg Lexapro.

June 2020 - 10 mg Lexapro

February 2019 - 10 mg Lexapro. Attempted tapering off 3-4 times (before finding this site).

April 2019 - Lorazepam .5 mg as needed (rarely used). CT March 2020

*I speak from my own experience. What I say is not medical advice. I'm not a doctor.

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  • Moderator Emeritus

This has already been posted in the In the Media forum as well as added to the how-to-talk-to-a-doctor-about-tapering and the helping-family-understand topics.

 

Generally we would merge topics about the same thing but because this is VERY RELEVANT and needs to be publicised I will leave it here in the tapering forum as well.

 

CEPUK - Major milestone: Royal College releases new guidance on stopping antidepressants

* NO LONGER ACTIVE on SA *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

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  • ChessieCat changed the title to PRINT OUT: Leaflet - Guidance on stopping antidepressants by Royal College
  • ChessieCat pinned this topic
  • 1 year later...

This is very relevant. 

2008-2012: Cymbalta, Zyprexa, Valium (5 days supply),

2012 - Seroquel x 4 weeks C/T. 

2014 - Seroquel x 2 Weeks C/T. Crossed to Risperidone 3mg for 6months until December.

2014 - Stopped Risperidone. Xfer > Anti-Depressant 200mg Zoloft and 6mg Clonazepam. 

2018 - 150mg Clomipromine changed Anti-depressant. Tapered Benzo to 1mg Clonazepam. 2019 - xfer to 20mg Diazepam. 

 

Currently:

Anafranil: 75mg. 17th Dec 2022 70mg. 27th Dec 22: 75mg, 14 January 23': 70mg. 16-26th January: 50mg (too fast drop no sleep). Jan 28th 2023: 70mg. 20 Feb 2023: 65mg. 11/06: 60mg 9/08: 55mg 15/08/23 : 50mg
3/03/2024: 60mg (Updose)

 

        Diazepam (V): 25th Oct 2019' 20mg. 22 Dec 19' 19mg. 04 Apr 2020' 18mg,  30 September 20' 17.5mg , 13 Nov 2020' 17mg. 01 January 2021: 16mg, 13th Aug 21' 15mg. 1st Nov' 2021 14.5mg. 1st Dec' 2021 14mg. 13 January 2022: 13.5mg, 11 Feb: 13mg.  11 April 22' 12.5mg, 12 May 22': 12mg, 6th September 2022: 11mg Valium. 9th October: 10.5mg, 25th Oct 10mg. 12 March 23: 9.5mg 2 April: 9.25mg 23 April: 9mg 12/05: 8.75 26/05: 8.5 12/09: 8.25 21/09: 8.5. 3/10: 8.25 17/10: 8mg 20th Nov Brassmonkey: (7.9.,7.8, 7.75) 5 Feb: 7.25mg. 23 Feb: 7mg 

*.      Have tried to go at faster rate than 0.5mg but is currently too fast. 

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  • Mentor

Also new NICE guidance published April 2022:

 

 https://www.nice.org.uk/guidance/NG215

am not a medical professional. I provide information and make suggestions based on my own experience and SA guidelines. I am unable to respond to private messages. 

Mirtazepine 15mg Nov 2018 -April 2019  April - Sept 2019 Mirtazepine down to around 6mg - skipping days to taper

October 2019 - Dec 2019 unwell from failed taper including jumping about in doses 

15 December 2019 to 13 June 2021 15mg Mirtazepine 

14 June 2021 started brass monkey Slide.  
2021: 23 August 12.3mg, 28 October 11.1mg, 6 Dec 10mg

2022: 12 Feb 8.5, 25 Oct 4.5mg

2023: 16 Jan 3.6mg, 28 Sept 1.8mg

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  • 2 weeks later...
  • Mentor

I mentioned this new guidance to my GP in a medication review (which I had not been looking forward to).  He had not heard about it. The review went extremely well, he didn’t try to interfere with my BrassMonkey taper and said he’d look at the new guidance. I have since heard from him that he will be sharing the guidance with the rest of his team. I was so happy to hear this ☺️☺️☺️

am not a medical professional. I provide information and make suggestions based on my own experience and SA guidelines. I am unable to respond to private messages. 

Mirtazepine 15mg Nov 2018 -April 2019  April - Sept 2019 Mirtazepine down to around 6mg - skipping days to taper

October 2019 - Dec 2019 unwell from failed taper including jumping about in doses 

15 December 2019 to 13 June 2021 15mg Mirtazepine 

14 June 2021 started brass monkey Slide.  
2021: 23 August 12.3mg, 28 October 11.1mg, 6 Dec 10mg

2022: 12 Feb 8.5, 25 Oct 4.5mg

2023: 16 Jan 3.6mg, 28 Sept 1.8mg

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  • 2 months later...

This PDF is brilliant.  I wish I'd been smart enough to read it when I first came to this site.   I think it concisely sums up much of the knowledge I've learned here.  

I am not a doctor and do not offer any medical advice, only my own experience.  Consult your physician.

2011-2015 tapered off 300MG of Effexor.  Back in the Paxil Progress days.  No rebound.   

2005-2021:  450 mg Bupropion XL Daily

2021 Buporopion May 450mg/June 400mg/July 375mg/Aug 10th 360mg/

2021 Dec - 150mg IR, 3x day = 450mg Bup, Heritage manufacturer-yellow color pill. 

2022 May 3 - 3 x 150mg IR Bup, Avet brand(pharmacist said they merged with Heritage-orange color) -migraines

REINSTATED-BACK TO MY LAST STABLE DOSE/TIME RELEASE

2022 June 5 - switched back to 3 x 150mg XL one time per day= 450 mg total Bup-Apotex brand

CURRENT TAPER 2022 Aug 31 - 450MG to 412MG IR Bup//Sep. 28, 2022: 412mg to 375mg//Oct 26, 2022: 375mg to 365 mg//Nov 21, 2022: 365mg to 327mg//Dec 27, 2022: 327 mg to 290 mg//Dec 31, 2022:  290mg to 262mg//Jan 28, 2023:  262mg to 190mg//Feb. 19, 2023:  190mg to 140mg//Mar. 18, '23:  140mg to 100mg//

 

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