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Using an oral syringe and other tapering techniques


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2 minutes ago, ChessieCat said:

@ktp

 

Please stop being sarcastic and smart.  This isn't a game that we are playing.  It is very serious and if mistakes are made a member could end up suffering.

 

The aim here is to help Kmart work out how to dilute her drug in a simple way they she understands and can do without making mistakes.

 

I agree. It's unfortunate when you come here for support and get made fun of for not understanding something. I specifically said I struggle with math and it was explained in the most complicated way possible. This is why i'm really feeling discouraged about tapering. If you happen to find someone who can simplify it for me, i'd love for you to let me know ! I think a new topic should be opened to help people with diluting liquids.

2009-2018: 15mg Celexa

 

June 2018-January 2019: .5mg-1mg Ativan

 

2010-March 2019: Marvelon 21 (Birth Control) 

 

September 2018-Present: Prozac reinstated 1mg (.25ml) April 21st 2019 , updosed to .32ml June 19, 2019 now holding to stabilize.

 

2015-Present: Myers Cocktails 1-2x month 

 

June 2019-Present: B 50 Complex, Magnesium as needed.

 

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1mL  oral syringe:        

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19 minutes ago, KMart95 said:

I understood that I thought I was taking 1.3mg but I am actually taking 1.28mg.
I understood the calculation of how to get to my next dose.
The options for different ways to dilute made sense to me &
now i'm lost

lost where?  you get how to dilute, now choose how much to start with and a concentration.
choose a concentration for how easy it is to measure;

choose how much to make for how many doses you want to take and / or for simplicity.

 

a more specific question will get you a more specific answer!

 

20090810 Dx GeneralAnxietyDisorder & PanicDisorder.  Rx Pristiq (desvenlafaxine) 50mg.  stable, side effects minor but blurry vision, impotence, others. 

http://survivingantidepressants.org/index.php?/topic/5418-ktp-weaning-from-4yrs-50mg-pristiq/ for more details.

20140210 switch Pristiq50mg (can't cut them!) to Effexor (venlafaxine, V) same drug but easier dose reduction (and mfr TEVA's beads are handily ~= 1mg ea).  20140218 125mgV  0309 112mg 0401:100mg, 410:75, 0506:70, 0512:65, 0525:56, 0614:37.5, 0620:30, 0624:27, 0630:26, 0706:24, 0724:22, 0801:20, 0804:19, 0808:18, 0813:17, 0818:16, 0819:15, 0821:13, 0903:12, 0911:11, 0918:10, 0921:9, 0927:8, 1001:6, 1021:5, missed a day?, darn, it was going so well, or so I thought.  SEVERE ANXIETY, INSOMNIA. WAY TOO QUICK REDUCTIONS! hindsight: 0813:5%/5days, 0818:6%/5days, 0819:6%/1day, 0821:13%/2days, 0903: 7%/14days, 0911:8%/8days, 0918:9%/7days; 0921:10%/3days, 0927:11%/6days, 1001:25%/3days (still okay!) 1021:16%20days.  guideline is 10%/30days =  i am a self-diagnosed idiot

20141103 back to 6mgV, xanax next several days. 1111 insomnia bad, 10mgAmbien slept well. 1112 8mgV no Ambien; miserable. 1113 Ambien+xanax, tough night. 1114 Very Tired. 0.125Xanax, 25mgV at 10, better 10min later. 20141115 37.5mg V +Ambien. miserable month, still insomnia & anxiety. 1214 upped to 75mg V, ate .125Xanax. 1215 37.5mg mornings; force sleep for one week and come back". 20150115 lots of appts lots of chat but we never get to MY agenda = meds discussion.  Upping to 47.5mg mornings (no more xanax-, lunesta-forced sleep) but still anxious.  PAYING BIGTIME FOR TOO-FAST WEANING in OCTOBER 2014!  20150220 50mg V. 20150330 still anxy each am let's try reducing: 45mg V 1/day mornings. 20150511:42mg, 0611:40, 0626:39, 0710:38, 0717:37, 0731:33, 0813:32, 0915:29, 0927:28, 1004:27, 1015:26, 1101:25, 1116:22mg/day.  Still anxiety every morning, this sucks.  20151124 found a shrink who seems to get weaning: 20151125 add 10mg/day Prozac aka fluoxetine F, continue taper V to zero, then taper the F, "easier".  20151203:10mg Prozac=P 19mg V, 1213:10mgP17mgV, daily anx quieter but lurking. 1227:10mgP15mgV, 20160108:10mgP14mgV, 0124:10P13V, 0131:P10,V12. 0215 P10,V11.  0223:P10V10.  0314:P10V9. enjoying relatively quiet brain.  0407 P10V8, 0427P10V7, 0517P10V6, 0611P10V5, 0706P10V4, 0818P10V3, 0921P10V2,  1021P10V1, 20161128Prozac10mgVenlafaxineZERO,

20170115 still anxious upped Prozac to 20mg/day, better anxiety control... 

20190301 finally stable enough to consider weaning again, started skipping one day / week.

20190501 started skipping every 3rd day so 13.3mg/day average.  several days long 1/2life must be why the docs think of prozac as 'self-tapering' i think it just means longer time between upsetting the cart and seeing apples all over the road.  skipping is bad practice, even with longlife prozac: let's do liquid: 20190902 first day of 13mg via 5ml liquid made from 13 20mg caps in 100ml water.  20190921 12mg same way(7.7%/20days).  20191010 11mg (8.3%/20days) 20191031 10mg (9.1%/20days) 20191124 9mg (10.0%/24 days) 20191213 8.5mg (5.6%/20 days) 20191231 8mg (5.9%/20days) 20200120 hit a wall?  going another 20 days at 8mg, just started Lisinopril for hypertension (caused by prozac withdrawal creating less-than-panic-grade anxiety??) and doubled atorvastatin to 40mg.  Minimizing changes in general and had a semi-panic 4am 1/20... BP still wild. 20200208 back to 9mg daily anxiety starting about 1/18.  

20200212 increase to 10mg prozac cap daily.  anxiety still there but clears within hour of drugs.  20200222 still anxy 2 hrs after 10mg, added another 1mg and mucho better.  20200223 11mg early.  anxious enough to be glad i can actually sit.  will wait another 5 days before adding another milligram. 20200229 12mg prozac still anxious.  20200317 13mgProzac still anxious.  20200610 15mgProzac.  bp under control with Losartan50mg (lisinopril cough dictates change)  

20201028 10am met w Dr S.  to switch back to Venlafaxine XR, take 10mg prozac + 37mg VenlafaxineXR for a month or so.  it takes 4-5 weeks for Effexor to kick in.  
20201116 9am started 10mgProzac,37Venlafaxine,40Statin,25Losartan,81Aspirin.  

Nneurologist says probably parkinson, but google says my symptoms could be from prozac.  CarbiDopaLevoDopa (20/100 tablet on occasion, it doesn't seem to do much of anything.  Despite its 8 hour half life she says do 3x/day every day.  tremor is on and off, occasionally strong, usually just annoying, but always left hand/arm which had nerve damage and extensive PT years ago.  scheduling a DAT Scan...

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24 minutes ago, KMart95 said:

I agree. It's unfortunate when you come here for support and get made fun of for not understanding something. I specifically said I struggle with math and it was explained in the most complicated way possible. This is why i'm really feeling discouraged about tapering. If you happen to find someone who can simplify it for me, i'd love for you to let me know ! I think a new topic should be opened to help people with diluting liquids.

First, I didn't make fun of anybody.  I pointed out that dr seuss is a lot easier to read than math explanations, that it's going to take a bit of effort to understand.    I gave you all the math you need, gave you examples, And I used Kmart95-specific numbers, so you could just choose to follow the specific instructions given, then copy the equations used and re-use them for subsequent batches of various reduced concentrations.  

 

You said you wanted to understand, so I explained.  If you like, I can distill the explanations to a very simple set of you-specific instructions you can simply follow.


Please realize there's a lot of room for juggling when doing dilutions: what are your goals?

1 you want easy to measure (meaning a dose that falls midrange of your measuring device),

2 you want to make a reasonable number of doses in a batch not to little not too much,

3 you want to not waste a whole lot of drugs,

4 most important keep it simple and keep accurate records so you really know what you did.

 

So there are several angles from which to approach the issue, and none of them are 'wrong'.  But there probably is a 'best' solution.

 

I'm sorry you didn't get what you wanted; I tried to give you what you requested.  If you'll be specific about what you don't understand, I'm happy to try to clarify.  

20090810 Dx GeneralAnxietyDisorder & PanicDisorder.  Rx Pristiq (desvenlafaxine) 50mg.  stable, side effects minor but blurry vision, impotence, others. 

http://survivingantidepressants.org/index.php?/topic/5418-ktp-weaning-from-4yrs-50mg-pristiq/ for more details.

20140210 switch Pristiq50mg (can't cut them!) to Effexor (venlafaxine, V) same drug but easier dose reduction (and mfr TEVA's beads are handily ~= 1mg ea).  20140218 125mgV  0309 112mg 0401:100mg, 410:75, 0506:70, 0512:65, 0525:56, 0614:37.5, 0620:30, 0624:27, 0630:26, 0706:24, 0724:22, 0801:20, 0804:19, 0808:18, 0813:17, 0818:16, 0819:15, 0821:13, 0903:12, 0911:11, 0918:10, 0921:9, 0927:8, 1001:6, 1021:5, missed a day?, darn, it was going so well, or so I thought.  SEVERE ANXIETY, INSOMNIA. WAY TOO QUICK REDUCTIONS! hindsight: 0813:5%/5days, 0818:6%/5days, 0819:6%/1day, 0821:13%/2days, 0903: 7%/14days, 0911:8%/8days, 0918:9%/7days; 0921:10%/3days, 0927:11%/6days, 1001:25%/3days (still okay!) 1021:16%20days.  guideline is 10%/30days =  i am a self-diagnosed idiot

20141103 back to 6mgV, xanax next several days. 1111 insomnia bad, 10mgAmbien slept well. 1112 8mgV no Ambien; miserable. 1113 Ambien+xanax, tough night. 1114 Very Tired. 0.125Xanax, 25mgV at 10, better 10min later. 20141115 37.5mg V +Ambien. miserable month, still insomnia & anxiety. 1214 upped to 75mg V, ate .125Xanax. 1215 37.5mg mornings; force sleep for one week and come back". 20150115 lots of appts lots of chat but we never get to MY agenda = meds discussion.  Upping to 47.5mg mornings (no more xanax-, lunesta-forced sleep) but still anxious.  PAYING BIGTIME FOR TOO-FAST WEANING in OCTOBER 2014!  20150220 50mg V. 20150330 still anxy each am let's try reducing: 45mg V 1/day mornings. 20150511:42mg, 0611:40, 0626:39, 0710:38, 0717:37, 0731:33, 0813:32, 0915:29, 0927:28, 1004:27, 1015:26, 1101:25, 1116:22mg/day.  Still anxiety every morning, this sucks.  20151124 found a shrink who seems to get weaning: 20151125 add 10mg/day Prozac aka fluoxetine F, continue taper V to zero, then taper the F, "easier".  20151203:10mg Prozac=P 19mg V, 1213:10mgP17mgV, daily anx quieter but lurking. 1227:10mgP15mgV, 20160108:10mgP14mgV, 0124:10P13V, 0131:P10,V12. 0215 P10,V11.  0223:P10V10.  0314:P10V9. enjoying relatively quiet brain.  0407 P10V8, 0427P10V7, 0517P10V6, 0611P10V5, 0706P10V4, 0818P10V3, 0921P10V2,  1021P10V1, 20161128Prozac10mgVenlafaxineZERO,

20170115 still anxious upped Prozac to 20mg/day, better anxiety control... 

20190301 finally stable enough to consider weaning again, started skipping one day / week.

20190501 started skipping every 3rd day so 13.3mg/day average.  several days long 1/2life must be why the docs think of prozac as 'self-tapering' i think it just means longer time between upsetting the cart and seeing apples all over the road.  skipping is bad practice, even with longlife prozac: let's do liquid: 20190902 first day of 13mg via 5ml liquid made from 13 20mg caps in 100ml water.  20190921 12mg same way(7.7%/20days).  20191010 11mg (8.3%/20days) 20191031 10mg (9.1%/20days) 20191124 9mg (10.0%/24 days) 20191213 8.5mg (5.6%/20 days) 20191231 8mg (5.9%/20days) 20200120 hit a wall?  going another 20 days at 8mg, just started Lisinopril for hypertension (caused by prozac withdrawal creating less-than-panic-grade anxiety??) and doubled atorvastatin to 40mg.  Minimizing changes in general and had a semi-panic 4am 1/20... BP still wild. 20200208 back to 9mg daily anxiety starting about 1/18.  

20200212 increase to 10mg prozac cap daily.  anxiety still there but clears within hour of drugs.  20200222 still anxy 2 hrs after 10mg, added another 1mg and mucho better.  20200223 11mg early.  anxious enough to be glad i can actually sit.  will wait another 5 days before adding another milligram. 20200229 12mg prozac still anxious.  20200317 13mgProzac still anxious.  20200610 15mgProzac.  bp under control with Losartan50mg (lisinopril cough dictates change)  

20201028 10am met w Dr S.  to switch back to Venlafaxine XR, take 10mg prozac + 37mg VenlafaxineXR for a month or so.  it takes 4-5 weeks for Effexor to kick in.  
20201116 9am started 10mgProzac,37Venlafaxine,40Statin,25Losartan,81Aspirin.  

Nneurologist says probably parkinson, but google says my symptoms could be from prozac.  CarbiDopaLevoDopa (20/100 tablet on occasion, it doesn't seem to do much of anything.  Despite its 8 hour half life she says do 3x/day every day.  tremor is on and off, occasionally strong, usually just annoying, but always left hand/arm which had nerve damage and extensive PT years ago.  scheduling a DAT Scan...

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  • Moderator

Some of the posts discussing KMart's liquid tapering/diluting of liquid have been moved to KMart's intro topic so that she will have it there to reference and this topic about using oral syringes etc can stay on topic.

NEW!!!              INTERVIEW with Altostrata, SA's founder               NEW!!! 

 

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  Current from 14 Nov 2020:  Pristiq 0.50 mg

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.

 

REMINDER TO SELF:  I don't need the drug now, but my still brain does.

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On 8/29/2019 at 9:34 PM, ktp said:

warning this will be hard to read. 

Prozac liquid comes from the mfr at 20mg prozac per 5ml liquid. 

How are you measuring 0.14ml?  that's way too tiny a volume to measure with a 5ml syringe, which typically has 0.2ml markings.  I'd trust that syringe to be close enough to measure 2.4ml but even that is quite error-prone. 

 

First of all, thanks for the response. I've been using a 1ml syringe.

 

Quote

 

 

Quote

 

to your second question, yes your math is correct - 

if you start with 1part in 20, to get 0.1 part in 20, add 9*20 water to get 0.1part in 20.

actually thats 1part in 200 same as 0.1part in 20.

to change 1mg/5ml to 0.1mg/5ml, add 9 * 5ml water, gets you 1mg 50ml aka 0.1mg/5ml.

or as you stated it, 1mg/ml add 9ml to get 0.1mg/ml.

 

sure hope that helps.

 

I did make a dilution starting last week. I diluted as I described above and used a 3ml syringe, so instead of .14 in a 1ml syringe, I took 1.4ml in a 3ml syringe. I also never knew how to properly use a syringe until I was reading in here so no more bubbles! 

 

 

 

1998-2002 Zoloft and Doxepin 

2007-2016 Klonopin (discontinued 2013), Wellbutrin, Doxepin, Prozac (2016)

As of 1/1/2017

  • Wellbutrin, 300mg
  • Doxepin 85mg
  • Prozac 20mg

9/2017 Doxepin dropped to 75mg

1/2018 Prozac dropped to 10mg (5ml of a 20mg solution)

9/2018-12/2018 Prozac taper, .2ml every 2 weeks

2/2019 Prozac at .6ml (2.4mg I think)

 

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  • 1 month later...
On 8/30/2019 at 7:38 PM, ktp said:

Q1) liquid Paxil concentration is 1mL = 2 mg.  My current dose is .3 mL or .6 mg and I plan to stay here a while. I'm using .5 mL syringes right now but I have plenty of 1 mL syringes and a few 5 mLs. 

 

A1) at 2mg/ml and needing 0.6mg you need to take 0.3ml which is pretty tiny but doable with a 1ml or smaller syringe.  But if you dilute, you could take a larger volume, much easier to measure. 

For 10 days of med, measure out 3ml from the Rx bottle, add 27ml water, and you have 6mg drug in 30ml liquid.  your dose is 0.6mg so take 3ml each day. 

 

 

 

I'm getting ready to dilute and would love for ktp or anyone else to check my math. I don't want 10 days of med since I don't want to store it longer than 4 days. But I do want to have extra because it's hard to measure when you're down to a tiny amount. So how about this: 

 

2 mL of liquid Paxil plus 18 mL water makes a solution of 4 mg in 20 mL. It's actually the same concentration in the suggested method above, just a smaller amount. So .6 mg would be 3 mL of this solution, same as above. I already dropped to .58 mg, so my dose of this proposed solution would be 2.9 mL. When I want to drop .01 mg, I reduce the dose by .05 mL. So when I drop to .57 mg I'll take 2.85 mL. 

 

Is this all correct??

Trying to get off Paxil since 2007. Was tapering by 0.1 mg every 4-5 weeks. Had awful crash in November 2015 at .5 mg; updosed gradually to 2 mg. 

 

Doing better and tapering again, much slower this time.  2016: Dropped from 2 mg to 1.62 mg.  2017:  1.62 mg to 1.2 mg. 2018: 1.2 mg to .76 mg. 2019: .76 mg to .56 mg. CURRENT DOSE: 11/9/20 .36 mg 

 

Started Klonopin in November 2015 to deal with crash. 1/10/16 started milk titration taper from .5 mg. Finished taper 12/6/17. Still take Klonopin for agoraphobia 2 - 3 times a week. 

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looks good to me.

 

20090810 Dx GeneralAnxietyDisorder & PanicDisorder.  Rx Pristiq (desvenlafaxine) 50mg.  stable, side effects minor but blurry vision, impotence, others. 

http://survivingantidepressants.org/index.php?/topic/5418-ktp-weaning-from-4yrs-50mg-pristiq/ for more details.

20140210 switch Pristiq50mg (can't cut them!) to Effexor (venlafaxine, V) same drug but easier dose reduction (and mfr TEVA's beads are handily ~= 1mg ea).  20140218 125mgV  0309 112mg 0401:100mg, 410:75, 0506:70, 0512:65, 0525:56, 0614:37.5, 0620:30, 0624:27, 0630:26, 0706:24, 0724:22, 0801:20, 0804:19, 0808:18, 0813:17, 0818:16, 0819:15, 0821:13, 0903:12, 0911:11, 0918:10, 0921:9, 0927:8, 1001:6, 1021:5, missed a day?, darn, it was going so well, or so I thought.  SEVERE ANXIETY, INSOMNIA. WAY TOO QUICK REDUCTIONS! hindsight: 0813:5%/5days, 0818:6%/5days, 0819:6%/1day, 0821:13%/2days, 0903: 7%/14days, 0911:8%/8days, 0918:9%/7days; 0921:10%/3days, 0927:11%/6days, 1001:25%/3days (still okay!) 1021:16%20days.  guideline is 10%/30days =  i am a self-diagnosed idiot

20141103 back to 6mgV, xanax next several days. 1111 insomnia bad, 10mgAmbien slept well. 1112 8mgV no Ambien; miserable. 1113 Ambien+xanax, tough night. 1114 Very Tired. 0.125Xanax, 25mgV at 10, better 10min later. 20141115 37.5mg V +Ambien. miserable month, still insomnia & anxiety. 1214 upped to 75mg V, ate .125Xanax. 1215 37.5mg mornings; force sleep for one week and come back". 20150115 lots of appts lots of chat but we never get to MY agenda = meds discussion.  Upping to 47.5mg mornings (no more xanax-, lunesta-forced sleep) but still anxious.  PAYING BIGTIME FOR TOO-FAST WEANING in OCTOBER 2014!  20150220 50mg V. 20150330 still anxy each am let's try reducing: 45mg V 1/day mornings. 20150511:42mg, 0611:40, 0626:39, 0710:38, 0717:37, 0731:33, 0813:32, 0915:29, 0927:28, 1004:27, 1015:26, 1101:25, 1116:22mg/day.  Still anxiety every morning, this sucks.  20151124 found a shrink who seems to get weaning: 20151125 add 10mg/day Prozac aka fluoxetine F, continue taper V to zero, then taper the F, "easier".  20151203:10mg Prozac=P 19mg V, 1213:10mgP17mgV, daily anx quieter but lurking. 1227:10mgP15mgV, 20160108:10mgP14mgV, 0124:10P13V, 0131:P10,V12. 0215 P10,V11.  0223:P10V10.  0314:P10V9. enjoying relatively quiet brain.  0407 P10V8, 0427P10V7, 0517P10V6, 0611P10V5, 0706P10V4, 0818P10V3, 0921P10V2,  1021P10V1, 20161128Prozac10mgVenlafaxineZERO,

20170115 still anxious upped Prozac to 20mg/day, better anxiety control... 

20190301 finally stable enough to consider weaning again, started skipping one day / week.

20190501 started skipping every 3rd day so 13.3mg/day average.  several days long 1/2life must be why the docs think of prozac as 'self-tapering' i think it just means longer time between upsetting the cart and seeing apples all over the road.  skipping is bad practice, even with longlife prozac: let's do liquid: 20190902 first day of 13mg via 5ml liquid made from 13 20mg caps in 100ml water.  20190921 12mg same way(7.7%/20days).  20191010 11mg (8.3%/20days) 20191031 10mg (9.1%/20days) 20191124 9mg (10.0%/24 days) 20191213 8.5mg (5.6%/20 days) 20191231 8mg (5.9%/20days) 20200120 hit a wall?  going another 20 days at 8mg, just started Lisinopril for hypertension (caused by prozac withdrawal creating less-than-panic-grade anxiety??) and doubled atorvastatin to 40mg.  Minimizing changes in general and had a semi-panic 4am 1/20... BP still wild. 20200208 back to 9mg daily anxiety starting about 1/18.  

20200212 increase to 10mg prozac cap daily.  anxiety still there but clears within hour of drugs.  20200222 still anxy 2 hrs after 10mg, added another 1mg and mucho better.  20200223 11mg early.  anxious enough to be glad i can actually sit.  will wait another 5 days before adding another milligram. 20200229 12mg prozac still anxious.  20200317 13mgProzac still anxious.  20200610 15mgProzac.  bp under control with Losartan50mg (lisinopril cough dictates change)  

20201028 10am met w Dr S.  to switch back to Venlafaxine XR, take 10mg prozac + 37mg VenlafaxineXR for a month or so.  it takes 4-5 weeks for Effexor to kick in.  
20201116 9am started 10mgProzac,37Venlafaxine,40Statin,25Losartan,81Aspirin.  

Nneurologist says probably parkinson, but google says my symptoms could be from prozac.  CarbiDopaLevoDopa (20/100 tablet on occasion, it doesn't seem to do much of anything.  Despite its 8 hour half life she says do 3x/day every day.  tremor is on and off, occasionally strong, usually just annoying, but always left hand/arm which had nerve damage and extensive PT years ago.  scheduling a DAT Scan...

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On 10/19/2019 at 9:54 PM, ktp said:

looks good to me.

 

 

Thank you so much for your help!

Trying to get off Paxil since 2007. Was tapering by 0.1 mg every 4-5 weeks. Had awful crash in November 2015 at .5 mg; updosed gradually to 2 mg. 

 

Doing better and tapering again, much slower this time.  2016: Dropped from 2 mg to 1.62 mg.  2017:  1.62 mg to 1.2 mg. 2018: 1.2 mg to .76 mg. 2019: .76 mg to .56 mg. CURRENT DOSE: 11/9/20 .36 mg 

 

Started Klonopin in November 2015 to deal with crash. 1/10/16 started milk titration taper from .5 mg. Finished taper 12/6/17. Still take Klonopin for agoraphobia 2 - 3 times a week. 

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  • 9 months later...
Rachelina

I just realized it's been about a year since I started diluting my liquid Paxil, so I thought I'd give a quick update. It's going great. The solution that I make is ten times less concentrated than the original liquid, which means my measurement is ten times more accurate. That is huge. Liquid Paxil is so concentrated that any tiny variation in the amount taken, which is impossible to avoid with syringes, makes a big difference in the dose you are getting. This makes consistent daily dosing almost impossible, and I think that was a factor in how badly I was doing last year before starting to dilute. The other advantage of diluting is that I get to make drops as small as I want them, whereas before the smallest drop I could make was .02 mg.

 

I knew for years that I was not getting accurate doses due to the high concentration of the liquid, but postponed diluting because I was afraid to change anything, afraid I wouldn't be able to figure out how to actually do it, afraid I would get the math wrong. Someone in this thread kindly got me started, and actually, it's totally easy. It's hardly any more work than before.  So I just wanted to recommend dilution to anyone tapering a highly concentrated liquid medication. It will be vastly more accurate, which becomes more and more important the lower you get in dose.

Trying to get off Paxil since 2007. Was tapering by 0.1 mg every 4-5 weeks. Had awful crash in November 2015 at .5 mg; updosed gradually to 2 mg. 

 

Doing better and tapering again, much slower this time.  2016: Dropped from 2 mg to 1.62 mg.  2017:  1.62 mg to 1.2 mg. 2018: 1.2 mg to .76 mg. 2019: .76 mg to .56 mg. CURRENT DOSE: 11/9/20 .36 mg 

 

Started Klonopin in November 2015 to deal with crash. 1/10/16 started milk titration taper from .5 mg. Finished taper 12/6/17. Still take Klonopin for agoraphobia 2 - 3 times a week. 

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