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Zim337: About to start tapering Citalopram and Buspirone


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I have bad brain fog, can’t focus, can’t remember anything, have problems falling asleep and staying asleep. I also get headaches, anxiety, digestive problems, dry mouth, neck and shoulder stiffness, crying spells, and tinnitus.

 

I suspect a lot of these are side effects from taking Citalopram or Buspirone, or both.

 

I have had depressions off and on since I was a teenager.

2003 I had a burnout, and started taking Lyrica for anxiety.

Some years after that I got diagnosed GAD and started taking Citalopram, the doc thought my anxiety was caused by an underlying depression. 

2014 I replaced Lyrica with Buspirone. 

 

I dont know if I am depressed anymore, and I still have anxiety (but less the last 3-4 years) so I am not convinced my meds are doing much.

Im not seeing a psychiatrist ’cause I don’t have insurance. I get my medicine from a GM.

 

A couple of times I tried tapering buspirone on my own (can’t remember when or how, but maybe three times the last six years), but every time it got so bad I had to start taking them again. After reading about tapering and how accelerators and brakes work, I now realize I did it wrong...

 

My plan is to start tapering Citalopram VERY SLOWLY. If it takes years that’s fine, as long as it’s working. I’m pretty sure I will have plenty withdrawal symptoms even if I go slowly.

 

For now I’m reading up on slow tapering, and thinking about how to do it. How much do I go down, and how often? Do I cut pieces off the tablets?

 

I’m glad I found this forum, and any input is welcome, I know basically nothing about tapering.

 

Edited by Gridley

Since 90s Cipramil, Cipralex, Prozac, off and on

2003-14 Lyrica (don’t remember dosage)

2012 - today Citalopram 40mg

2014 - today Buspirone 30mg x 2

2021 starting Citalopram taper

8/2 38mg, 8/9 36, 8/16 34, 8/23 32, 8/30 30, 9/17 RI 30,5

Supplements: Multivit/min, Omega-3, vit B12, D3, E

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  • Moderator
Gridley

Welcome to SA, Zim337.

 

Here are some answers to your questions.

 

We recommend tapering no more than 10% of your current dose every four weeks.

 

Why taper by 10% of my dosage?

 

This link is specifically about tapering Citalopram, including information about the various methods of tapering.  Citalopram comes in a prescription liquid in the U.S., and this is probably the easiest and most accurate way to taper this drug.  We recommend a gradual crossover from tablet to liquid before you start to taper.  You should taper only one drug at a time.

 

3/4 tablet, 1/4 liquid for 3 to 7 days

1/2, 1/2 for 3 to 7 days

1/4 tablet, 3/4 liquid for 3 to 7 days

all liquid thereafter

 

Tips for tapering off citalopram (Celexa)

 

If you can't get the liquid or for another reason are more comfortable tapering the tablet, we can help you with that.  Tapering the tablet involves crushing the tablet between two spoons into a powder (rather than cutting pieces off the tablet) and weighing your dose using a Gemini 20 scale available on Amazon.  We can give you more information on this if that is the method you choose.  Tapering slowly is high recommended , and though it does take a good bit of time, it's the safest and surest way to avoid severe withdrawal.

 

What is withdrawal syndrome.

 

When we take psychiatric medications, the CNS (central nervous system) responds by making changes over the months and years we take the drug(s). When the medication is discontinued, the CNS has to undo all the changes it made. Rebuilding the neurotransmitter production and reactivating the receptor and transporter cells takes time -- during that rebuilding process symptoms occur.  

 

These explain the healing process really well.

 

 

 

We don't recommend a lot of supplements on SA, as many members report being sensitive to them due to our over-reactive nervous systems, but two supplements that we do recommend are magnesium and omega 3 (fish oil). Many people find these to be calming to the nervous system. 

 

 

 

Add in one at a time and at a low dose in case you do experience problems. Get supplements that ae single ingredient (not mixed with other types of supplements).

 

This is your Introduction topic, where you can ask questions and connect with other members.  We're glad you found your way here.

 

 

 

 

 

 

 

Gridley Introduction

 

Lexapro 20 mg since 2004.  Begin Brassmonkey Slide Taper 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  

Oct. 30, 2020  Jump to zero from 0.025mg.  Current dose: 0.000mg

3 year, 10 month taper is 100% complete.

 

Ativan 1 mg to 1.875mg 1986-2020, two CT's and reinstatements

Nov. 2020, 7-week Ativan-Valium crossover to 18.75mg 

Feb. 2021, begin 10%/4 week taper.  Current dose as of Sept 13: 9mg 

Taper is 52% complete.

 

Imipramine 75 mg daily since 1986.  Jan-Sept 2016 tapered to 16mg.  

Held until Aug 2021, tapered for 4 weeks to 14.4mg and holding.  

Taper is 80% complete.  

  

Supplements: omega-3, vitamins C, E and D3, magnesium glycinate, probiotic, zinc, melatonin .3mg


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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  • Gridley changed the title to Zim337: About to start tapering Citalopram and Buspirone

Hi and thanks Gridley. Thats a lot of good info!

Since I am taking one accelerator and one brake, should I expect the brake effect to get stronger? Maybe I should taper the citalopram to something like 75% and then switch and do the buspirone to 75%?

Since 90s Cipramil, Cipralex, Prozac, off and on

2003-14 Lyrica (don’t remember dosage)

2012 - today Citalopram 40mg

2014 - today Buspirone 30mg x 2

2021 starting Citalopram taper

8/2 38mg, 8/9 36, 8/16 34, 8/23 32, 8/30 30, 9/17 RI 30,5

Supplements: Multivit/min, Omega-3, vit B12, D3, E

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  • Moderator
Gridley
Posted (edited)
31 minutes ago, Zim337 said:

 

Since I am taking one accelerator and one brake, should I expect the brake effect to get stronge

That is definitely a possibility.  As I got lower on my accelerator, Lexapro, the brake effects of my other two drugs increased.

 

31 minutes ago, Zim337 said:

Maybe I should taper the citalopram to something like 75% and then switch and do the buspirone to 75%?

That's an option.  It's not the approach we generally recommend, but I've read members' reports who tapered part of the way down on one then switched to the other drug.  It's something to keep in the back of your mind and revisit when you get closer to that point.  I considered stopping my Lexapro taper and tapering Ativan once it became clear that Ativan might not be available in Ecuador.  I opted to continue the Lexapro taper mainly because I wanted to be off the Lexapro and to do things one at a time.

Edited by Gridley

Gridley Introduction

 

Lexapro 20 mg since 2004.  Begin Brassmonkey Slide Taper 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  

Oct. 30, 2020  Jump to zero from 0.025mg.  Current dose: 0.000mg

3 year, 10 month taper is 100% complete.

 

Ativan 1 mg to 1.875mg 1986-2020, two CT's and reinstatements

Nov. 2020, 7-week Ativan-Valium crossover to 18.75mg 

Feb. 2021, begin 10%/4 week taper.  Current dose as of Sept 13: 9mg 

Taper is 52% complete.

 

Imipramine 75 mg daily since 1986.  Jan-Sept 2016 tapered to 16mg.  

Held until Aug 2021, tapered for 4 weeks to 14.4mg and holding.  

Taper is 80% complete.  

  

Supplements: omega-3, vitamins C, E and D3, magnesium glycinate, probiotic, zinc, melatonin .3mg


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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After reading about waves and windows I have one main question: Will I feel worse than I do now?

I’ve had my share of windows and waves, probably because of my fast taperings (of my brake, not the accelerator) and going right back to original dosage. During my worst ones I had constant panic and anxiety for weeks and was suicidal, I might prefer to stay on my medicin rather than experiencing that again.

My normal is bad enough in the mornings, hopelessness, dystalgia, stress, anxiety. I usually feel okay from around 3 p.m. and the rest of the evening.

Since 90s Cipramil, Cipralex, Prozac, off and on

2003-14 Lyrica (don’t remember dosage)

2012 - today Citalopram 40mg

2014 - today Buspirone 30mg x 2

2021 starting Citalopram taper

8/2 38mg, 8/9 36, 8/16 34, 8/23 32, 8/30 30, 9/17 RI 30,5

Supplements: Multivit/min, Omega-3, vit B12, D3, E

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I smoke (tobacco), and I drink coffee, but not alcohol. I understand that I need to quit coffee, and wait til I’m wd normal before I start my taper.
But what about smoking, can that worsen wd? I have googled the site but not found a lot about it so far.

Since 90s Cipramil, Cipralex, Prozac, off and on

2003-14 Lyrica (don’t remember dosage)

2012 - today Citalopram 40mg

2014 - today Buspirone 30mg x 2

2021 starting Citalopram taper

8/2 38mg, 8/9 36, 8/16 34, 8/23 32, 8/30 30, 9/17 RI 30,5

Supplements: Multivit/min, Omega-3, vit B12, D3, E

Link to post
  • 2 months later...
Zim337

Ok, so this is not the right place to ask about smoking.

 

Started decaf today, replacing 1 of 3 cups first week. Next week 2 of 3. Expecting headaches, but might not be able to tell them from my usual daily headaches.

 

Planning to start tapering Citalopram june 28th, if I am feeling ok off caffeine. Going to follow Brassmonkey’s 5% taper i think. If that works after some months maybe go up to 10%.
 

I am starting a new job shortly, and really need improved sleep, memory, and focus for that. 

Since 90s Cipramil, Cipralex, Prozac, off and on

2003-14 Lyrica (don’t remember dosage)

2012 - today Citalopram 40mg

2014 - today Buspirone 30mg x 2

2021 starting Citalopram taper

8/2 38mg, 8/9 36, 8/16 34, 8/23 32, 8/30 30, 9/17 RI 30,5

Supplements: Multivit/min, Omega-3, vit B12, D3, E

Link to post
Zim337

Started Omega-3 today, 500 mg. I have been taking a vitamin and mineral supplement since oct 2020, so I think I’ll keep taking them. I’m unsure, but it seems better to stay on them than to change something only three weeks before starting taper. 

Since 90s Cipramil, Cipralex, Prozac, off and on

2003-14 Lyrica (don’t remember dosage)

2012 - today Citalopram 40mg

2014 - today Buspirone 30mg x 2

2021 starting Citalopram taper

8/2 38mg, 8/9 36, 8/16 34, 8/23 32, 8/30 30, 9/17 RI 30,5

Supplements: Multivit/min, Omega-3, vit B12, D3, E

Link to post
jutland86

Hi Zim337

 

Just wanted to wish you all the best when you start to taper. I my self was once on 40 mg of citalopram. I got better each time I got on a lower dose. For it wasn't that difficult going from 20 mg to 10 mg, but when I recently started to taper from 10 mg I did it the wrong way, so now I'm holding at 7,5 mg. So go slow.

 

All the best

2010/2011-?: Citaloprapm 40mg, 30 and 20 mg

For the last couple of years: Citalopram 10 mg

Beginning may 2021: After advice from GP skipped doses (10 mg)

Mid may 2021: Went to 10 mg on one day and 5 the other day due to withdrawal

End may 2021: ~7,5 mg (Started cutting 10 mg in quarters to keep track of when to take what)

Beginning of june 2021: 7,5 mg (started on homemade liquid)

2021: Jul 7,5 mg, Aug 7,5

 

Suppl AM: Fish oil, NAC, Vit B Complex, multivitamin, vit D, ashwagandha

Suppl PM: Magnesium 200 mg, L-theanine 400 mg

https://www.survivingantidepressants.org/topic/24975-jutland86-advice-for-a-guy-from-denmark-wanting-to-taper/

 

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Hi jutland,

Thank you for your support and great advice, I will definetly go slow. Im thinking when i get to down to half dosage Ill take a longer break to make sure im really stable before I continue. Im not in a hurry.

Since 90s Cipramil, Cipralex, Prozac, off and on

2003-14 Lyrica (don’t remember dosage)

2012 - today Citalopram 40mg

2014 - today Buspirone 30mg x 2

2021 starting Citalopram taper

8/2 38mg, 8/9 36, 8/16 34, 8/23 32, 8/30 30, 9/17 RI 30,5

Supplements: Multivit/min, Omega-3, vit B12, D3, E

Link to post

Got my second covid shot yesterday. I think it’ll be alright to start my tapering the 28th, it’ll be two weeks. Depending on if it makes me sick or not.

 

Tomorrow is my first caffeine-free day. I haven’t had any problems so far, gone from five cups a day to one today in maybe four weeks, and none tomoroow. Lucky!

Since 90s Cipramil, Cipralex, Prozac, off and on

2003-14 Lyrica (don’t remember dosage)

2012 - today Citalopram 40mg

2014 - today Buspirone 30mg x 2

2021 starting Citalopram taper

8/2 38mg, 8/9 36, 8/16 34, 8/23 32, 8/30 30, 9/17 RI 30,5

Supplements: Multivit/min, Omega-3, vit B12, D3, E

Link to post
  • 2 months later...

I started my taper with 5% a week for 5 weeks. I should only have done four weeks but I got over confident and wanted to get down to 30mg - 3/4 of a 40mg tablet.

 

Fifth and sixth week I started feeling different, had some anxiety attacks during week five, and week six (this week) I had low grade anxiety in the afternoons every day. It feels like my body is full of bees. A doctor once told me that is common with anxiety because your not breathing right, and you have too much co2 in your body. 

I don’t sleep well, and I’m sure that makes everything worse. But that is not because of the taper, I have slept bad for years.

 

Work has been tough as well, I’m not sure what caused what. I’m on a new job where I have to learn a lot of new things, plus I need to make a good impression. When I feel like this I have difficulties focusing and it takes longer to understand things. My brain is spinning and everything makes me nervous and unsure.

 

I will stay on this dosage until I feel better. It’s a disappointment to feel bad after only five weeks of tapering, but all in all it’s good, no bad breakdowns or suicidal thoughts.

 

Since 90s Cipramil, Cipralex, Prozac, off and on

2003-14 Lyrica (don’t remember dosage)

2012 - today Citalopram 40mg

2014 - today Buspirone 30mg x 2

2021 starting Citalopram taper

8/2 38mg, 8/9 36, 8/16 34, 8/23 32, 8/30 30, 9/17 RI 30,5

Supplements: Multivit/min, Omega-3, vit B12, D3, E

Link to post

I just realized I ”tapered” 25% in 5 weeks. More like a dive than a taper. Now Im scared. No wonder I’ve been feeling bad these last two weeks. How could this happen?

 

I cant believe I got it so wrong. Brain fog, memory problems, etc, are my main reasons for wanting to stop taking these drugs, but still, now that I realize it it’s so obvious, one fourth of a pill is 25%.

 

It’s the middle of the night and I’m panicking, not a good place to be. I don’t know what to do, probably go up to 36 mg tomorrow, which would be 10% off the original dose (right?). And then stay there and ride it out. 

 

I read all I could find about Brassmonkeys microtapering, checked with the calculator so many times in the months before starting this, and I still got it wrong.

 

I feel like I’m in a bad dream. And I know what’s coming, I tried to quit this medicin several times on my own before I found SA, going way too fast. And now I did it again, by mistake. It’s going to be two very bad weeks.

 

 

Since 90s Cipramil, Cipralex, Prozac, off and on

2003-14 Lyrica (don’t remember dosage)

2012 - today Citalopram 40mg

2014 - today Buspirone 30mg x 2

2021 starting Citalopram taper

8/2 38mg, 8/9 36, 8/16 34, 8/23 32, 8/30 30, 9/17 RI 30,5

Supplements: Multivit/min, Omega-3, vit B12, D3, E

Link to post

After reading about RI yesterday evening I think going back to 10% is too much. This is so scary. I know I can’t stay on 30 mg, but since I just started tapering I have no idea how my body will react, plus that you never really know. Its been 6 weeks total since I started. I know that when I was lowering my meds on my own before coming here (too fast) I felt good for maybe the first six weeks, and then the wd hit. 

I’m gonna have to guess what dosage to stay on, and I hate to guess. Especially about this.

Since 90s Cipramil, Cipralex, Prozac, off and on

2003-14 Lyrica (don’t remember dosage)

2012 - today Citalopram 40mg

2014 - today Buspirone 30mg x 2

2021 starting Citalopram taper

8/2 38mg, 8/9 36, 8/16 34, 8/23 32, 8/30 30, 9/17 RI 30,5

Supplements: Multivit/min, Omega-3, vit B12, D3, E

Link to post
  • Mentor

@Zim337

 

How are you feeling since you tapered to 30 mg? It hasn’t been 4 weeks since your last taper, so I would continue to hold a little while longer. Then maybe taper 5%? And see how you feel? Or try the Brassmonkey Slide. A lot of members have great success with it. Here’s a link to it:

 

 

Just know you’re not alone here. It’s a hard thing to do. But that’s why we are all here. To learn the correct way to get off these drugs and support each other along the way.

 

Take care,

 Frogie xx

PREVIOUS medications and discontinuations: Have been on medications since 1996. 

 Valium, Gabapentin, Lamictal and Prilosec from 2000 to 2015 with a fast taper by a psychiatrist.

 Liquid Lexapro Nov, 2016 to 31-March, 2019 Lexapro free!!! (total Lexapro taper was 4 years-started with pill form)

---CURRENT MEDICATIONS:Supplements:Milk Thistle, Metamucil, Magnesium Citrate, Vitamin D3, Levothyroxine 25mcg, Vitamin C, Calcium

 Xanax 1mg three times a day June, 2000 to 19-September, 2020 Went from .150 grams (average weight of 1 Xanax) three times a day to .003 grams three times a day.

19-September, 2020 Xanax free!!! (total Xanax taper was 15-1/2 months-1-June, 2019-19-September, 2020)

 

 

I am not a medical professional. The suggestions I make are based on personal experience.

Link to post
20 hours ago, Frogie said:

@Zim337

 

How are you feeling since you tapered to 30 mg? It hasn’t been 4 weeks since your last taper, so I would continue to hold a little while longer. Then maybe taper 5%? And see how you feel? Or try the Brassmonkey Slide. A lot of members have great success with it. Here’s a link to it:

 

 

Just know you’re not alone here. It’s a hard thing to do. But that’s why we are all here. To learn the correct way to get off these drugs and support each other along the way.

 

Take care,

 Frogie xx

@Frogie thank you for your calming words, I was panicky when I realized what I did (and still am) and couldn’t think clearly. I can barely work like I am now so I cant stay on this dosage. What you think about going up 2 mg, to 38? 
Thanks, Zim

Since 90s Cipramil, Cipralex, Prozac, off and on

2003-14 Lyrica (don’t remember dosage)

2012 - today Citalopram 40mg

2014 - today Buspirone 30mg x 2

2021 starting Citalopram taper

8/2 38mg, 8/9 36, 8/16 34, 8/23 32, 8/30 30, 9/17 RI 30,5

Supplements: Multivit/min, Omega-3, vit B12, D3, E

Link to post
  • Mentor
6 hours ago, Zim337 said:

@Frogie thank you for your calming words, I was panicky when I realized what I did (and still am) and couldn’t think clearly. I can barely work like I am now so I cant stay on this dosage. What you think about going up 2 mg, to 38? 
Thanks, Zim

Can you hold a lit while longer and see if you level out? If you don’t think you can, if I were you, I wouldn’t go up 2 mg all at once. Maybe try going up 0.5 mg for a week or so and see if that helps. It takes about 4 days for the dosage to go through your bloodstream.

PREVIOUS medications and discontinuations: Have been on medications since 1996. 

 Valium, Gabapentin, Lamictal and Prilosec from 2000 to 2015 with a fast taper by a psychiatrist.

 Liquid Lexapro Nov, 2016 to 31-March, 2019 Lexapro free!!! (total Lexapro taper was 4 years-started with pill form)

---CURRENT MEDICATIONS:Supplements:Milk Thistle, Metamucil, Magnesium Citrate, Vitamin D3, Levothyroxine 25mcg, Vitamin C, Calcium

 Xanax 1mg three times a day June, 2000 to 19-September, 2020 Went from .150 grams (average weight of 1 Xanax) three times a day to .003 grams three times a day.

19-September, 2020 Xanax free!!! (total Xanax taper was 15-1/2 months-1-June, 2019-19-September, 2020)

 

 

I am not a medical professional. The suggestions I make are based on personal experience.

Link to post

@Frogie I took your advice, went up 0.5mg, and it worked well! No more shaky nerves and constant anxiety. Feels like I won the lottery!!

I have read a lot but never picked up that it takes four days for the dosage to go through the bloodstream, thank you for that!

Today I started liquid Citalopram, Im going to take a 20 mg tablet a day plus the rest in liquid. It’s so much easier, no math in the morning when I’m not clear in my head. The bottle was +100$, but it has 300 doses/20 mg, so for me it’ll last over 600 days, since I’m taking 10,5 mg now and am tapering. 

Thanks again Frogie 🌼🌼

Since 90s Cipramil, Cipralex, Prozac, off and on

2003-14 Lyrica (don’t remember dosage)

2012 - today Citalopram 40mg

2014 - today Buspirone 30mg x 2

2021 starting Citalopram taper

8/2 38mg, 8/9 36, 8/16 34, 8/23 32, 8/30 30, 9/17 RI 30,5

Supplements: Multivit/min, Omega-3, vit B12, D3, E

Link to post
  • Mentor

I’m so glad it worked to go up just a little amount.

 

It sounds like you’re doing so much better.

 

The liquid will be so much easier to work with when it comes to tapering, you’ll be able to get exact doses and no crushing and weighing tablets. 
 

Keep me updated on how you’re doing. I’m so glad I could help😊

 

Take care,

 Frogie xx

PREVIOUS medications and discontinuations: Have been on medications since 1996. 

 Valium, Gabapentin, Lamictal and Prilosec from 2000 to 2015 with a fast taper by a psychiatrist.

 Liquid Lexapro Nov, 2016 to 31-March, 2019 Lexapro free!!! (total Lexapro taper was 4 years-started with pill form)

---CURRENT MEDICATIONS:Supplements:Milk Thistle, Metamucil, Magnesium Citrate, Vitamin D3, Levothyroxine 25mcg, Vitamin C, Calcium

 Xanax 1mg three times a day June, 2000 to 19-September, 2020 Went from .150 grams (average weight of 1 Xanax) three times a day to .003 grams three times a day.

19-September, 2020 Xanax free!!! (total Xanax taper was 15-1/2 months-1-June, 2019-19-September, 2020)

 

 

I am not a medical professional. The suggestions I make are based on personal experience.

Link to post

Hello @Zim337, @Frogie,

 

ive read your thread and iam glad that you are feeling better.

 

Just a thought, you should check the shelf-life of the bottle of the liquid citalopram once its opened (the leaflet should have this information).

From what i read in a lot of threads, it usually last for about 4 to 6 weeks.

 

Greetings!

2021 IMPORTANT WITHDRAWAL SURVEY, PLEASE PARTICIPATE: https://uelpsych.eu.qualtrics.com/jfe/form/SV_0AR9IsQ61jsiXBk

 

non-native speaker of english

3-March 2020: started Mirtazapine 15mg
3-March to 6-april aprx cutting to 0 mg
6-April to 20-April -> ~ 7,5 mg,

21-April to 31-April -> 15 mg,

1-May to 13-May -> ~ 10 mg (approx),

15-May to 19-July -> 15 mg (psychosomatic clinic)
started taper with scale and file: 19-July 2020 -> 14 mg (-6,6%), 08-August -> 12 mg (-14,3 %), 27-August -> 10 mg (-16,6 %), 15-September -> 8 mg (-20 %, bad idea, heavy WD) 23-September -> 10.2 mg (+20 %, 102 mgpw), 2021: 12-April to 12-May crossover from solid pill to DIY liquid, still 10,2 mg with windows and waves...

 

Supplements: 1 x ~125 mg magnesiumbiglycinate before bed, low histamin diet

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@Nomansland Thanks! There is no best before date on the bottle… I will definetly look into that.

Since 90s Cipramil, Cipralex, Prozac, off and on

2003-14 Lyrica (don’t remember dosage)

2012 - today Citalopram 40mg

2014 - today Buspirone 30mg x 2

2021 starting Citalopram taper

8/2 38mg, 8/9 36, 8/16 34, 8/23 32, 8/30 30, 9/17 RI 30,5

Supplements: Multivit/min, Omega-3, vit B12, D3, E

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