Jump to content

Junebug567: taking a cocktail for 3 years -where to start?


Junebug567

Recommended Posts

Hello,

I am just starting out and learning how to use the forum. I am trying to learn how to taper off olanz.

My meds are olanz., depak., and sertraline. I've been on them for 3 years and would liketo get off of the olanz. because of side effects.

I am on olanz. 7.5 mg; depak. 500 mg; sertral. 100 mg. The olanz. is affecting me the most with blood sugar issues and word-finding issues.

I think I will look for an MD and compounding pharmacy to help me go down by 10%. I don't think I know how to do it myself by crushing tablets.

Thank you. As soon as I figure out how to make a signature file I will.

Edited by Karma
Updated name

On sertraline from Nov. 2000-2017, varying doses

switched to fluoxetine 2017 to March 2018

sertraline 100 mg since March 2018

depakote 500 mg at night since March 2018

olanzapine 15 mg March 2018-summer 2020

olanzapine 7.5 mg fall 2020 to present

would like to taper olanzapine first due to insulin and blood sugar issues

Link to comment

Hello,

I've been on three meds since my first manic episode in March 2018. I was in my early forties when it happened. The hospital put me on olanzapine and depakote. The doctor who saw me after release also put me on sertraline. I think it was long term sertraline use in my 20s and 30s that gave me my first manic episode. I would like to now taper off of them, and would like to know where to start. Do I taper olanzapine first or last? It seems to be causing the most problems. I'm on olanzapine 7.5 mg, depakote 500 mg at night, and sertraline 100 mg. Thank you. I'd attach a signature file (which I created) but am not sure how.

Edited by Gridley

On sertraline from Nov. 2000-2017, varying doses

switched to fluoxetine 2017 to March 2018

sertraline 100 mg since March 2018

depakote 500 mg at night since March 2018

olanzapine 15 mg March 2018-summer 2020

olanzapine 7.5 mg fall 2020 to present

would like to taper olanzapine first due to insulin and blood sugar issues

Link to comment

I have read this whole thread and have learned alot. Where can I find answers about what PAWS is? Are neuroleptics the same as APs? Can a taper lead to cervical dystonia? Thank you for your help.

On sertraline from Nov. 2000-2017, varying doses

switched to fluoxetine 2017 to March 2018

sertraline 100 mg since March 2018

depakote 500 mg at night since March 2018

olanzapine 15 mg March 2018-summer 2020

olanzapine 7.5 mg fall 2020 to present

would like to taper olanzapine first due to insulin and blood sugar issues

Link to comment
  • Administrator

Welcome, @Junebug567

 

Have you seen our Tips for tapering off olanzapine (Zyprexa)?

 

Please let us know how you're doing.

Edited by Karma
Updated name

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.

Link to comment

Hello Altostrata,

Yes, I have read the file about tips for coming off of olanzapine.

From what I have read, and from what was recommended by a different moderator, it seems that tapering the SSRI should happen first, before the olanzapine. To protect sleep. I thought of going down to 5 mg olanzapine and then tapering the SSRI. Would that be ok? I've also just learned about PAWS, and that scares me. I don't want that to happen when I taper the SSRI. Thank you.

On sertraline from Nov. 2000-2017, varying doses

switched to fluoxetine 2017 to March 2018

sertraline 100 mg since March 2018

depakote 500 mg at night since March 2018

olanzapine 15 mg March 2018-summer 2020

olanzapine 7.5 mg fall 2020 to present

would like to taper olanzapine first due to insulin and blood sugar issues

Link to comment
  • Karma changed the title to Junebug567: taking a cocktail for 3 years -where to start?
  • Moderator

Welcome to SA, Junebug567.  Thank you for completing your drug signature.  It is fine.

 

We have other members who have reported mania caused by Zoloft.

 

In terms of which drug to taper first, we generally recommend tapering activating drugs first, leaving sedating drugs to be tapered later in order to help preserve sleep.  SSRI's such as Zoloft are activating.  Benozodiazepines such as Olanzapine and antipsychotics such as Depakote are sedating.

 

Taking multiple psych drugs? Which drug to taper first?

 

Our usual advice would be to taper the activating Zoloft first.  However, in your signature you indicate you'd like to raper the Olanzapine first due to insulin and blood sugar issues.  You will need to weigh the pros and cons to decide which drug to taper first.

 

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

 

Why taper by 10% of my dosage?

 

This link is specifically about tapering Zoloft.  Zoloft comes in a prescription liquid, which is easy and accurate for tapering.  There are other methods, such as making your own liquid and using a digital scale, described in the link.

 

Tips for tapering off sertraline (Zoloft)

 

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 are single ingredient (not mixed with other types of supplements).

 

This is your Introduction topic, where you can complete your drug signature, 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 Jan. 11, 2022: 5.4mg 

Taper is 71% 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.

Link to comment
  • Gridley changed the title to Junebug567: would like to prepare for a taper of 3

thanks for this good information. Is a 10% taper considered fast? Would a 5% taper every 4 weeks be better? SHould I do a liquid taper or shave the tablets?

On sertraline from Nov. 2000-2017, varying doses

switched to fluoxetine 2017 to March 2018

sertraline 100 mg since March 2018

depakote 500 mg at night since March 2018

olanzapine 15 mg March 2018-summer 2020

olanzapine 7.5 mg fall 2020 to present

would like to taper olanzapine first due to insulin and blood sugar issues

Link to comment
  • Moderator

Two intro topics were merged into one to keep your history all in one place.  

 

https://www.survivingantidepressants.org/topic/24839-junebug567-taking-a-cocktail-for-3-years-where-to-start/?do=findComment&comment=532743

 

Above linked post was moved from another intro thread.  

 

@Junebug567Please post questions and discussion about your situation in this one thread, to avoid confusion and duplication of efforts.  Thank you.  

 

Edited by getofflex

***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, Nov 21 0.05, Dec. 17 0.04

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

Link to comment

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
×
×
  • Create New...

Important Information

Terms of Use Privacy Policy