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Finnishgirl: Starting tapering in drug-resistant situation?


Finnishgirl

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  • Moderator Emeritus
12 hours ago, Shep said:

 

Did you feel better after you took the benzo? 

 

3 hours ago, Finnishgirl said:

Yes. But it takes some time, about 30-45 minutes to notice some improvement. Same thing happened in the evening. Now when I paid attention, I noticed that the feeling started to creep in 2 hours before the benzo.

 

 

It will take time after you take the drug for the improvements to set in - it takes up to 2 hours for the peak concentration level to build up in your system with Ativan. 

 

You had asked about benzo tolerance earlier. Since you're getting relief from the benzo, you know you haven't reached tolerance. This is a good sign.

 

 

 

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Last evening: this general malaise already bad at 7pm, had to go lay down at 7.30pm. Feels in head, chest and stomach. Started to ease out about 1-1,5 hours after the benzo. I remember having this same feeling already in the first months of taking the benzo if the interval between doses grew bigger by incident. Today the malaise set in about 1,5-1 hours before the benzo time (which is in 10 minutes from now). Last night was emotionally better and also today but this physical malaise has grown stronger.

Citalopram for OCD 2008-2012, Drug free 2012-2015, Citalopram for anxiety 2015-2016, Drug free 2016-2017 (pregnancy), Sertralin for OCD 10/2017-04/2019. Tried fast tapering in 2019 for second pregnancy, failed (depression started), reinstated, med did not work anymore. Used Ativan then for 4 moths an tapered down in a few weeks with no problem. Built tolerance and interdose wothdrawal early on Ativan even with 3/day dosing. Since that, depression meds have had no effect.

Until Jun/2021: escitalopram 20mg (monotherapy), Jun/2021-Jul/2021: escitalopram 20mg + bupropion 150mg

Jul/2021-Jul/2021: escitalopram 10mg + clomipramine 10-75mg (tried to switch escitalopram to clomipramine but too bad side effects), 

Jul/2021-Aug/2021: bupropion 150mg (reinstated in hospital) + escitalopram 15mg, Aug/2021-Sept/27/2021: bupropion 300mg (upped dose) + escitalopram 15mg 

Sept/27/2021-Sept/17/2021: Bupropion 150mg (lowered dose) + Trintellix 5-10mg (switched escitalopram to Trintellix)

Sept/17/2021-Dec/8/2021: Trintellix 20mg (dosage doubled after stopping Wellbutrin since Wellbutrin doubles Trintellix's blood concentration with doses 150-300mg)

Dec/8/2021 : Trintellix 18mg, August 2022: crash at 5,8 mg Trintellix, hospitalized

September 2022: Trintellix 20mg, Ativan 1mgx3, mirtazapine 7,5mg, October 2022: Stupid rapid taper attempt of Trintellix 20mg -> 10mg -> 7,5 mg.  Back up to 15mg 10/16/2022.

Trintellix: 12/12/2022 13,94 mg (-7%); 1/9/2023 13,0mg (-7%)

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  • Mentor

@Finnishgirl  Hi, I want to stop by your thread I did a quick scan through it....It sounds like a lot of us around here that end up poly drugged from a to fast a taper or a doctor that doesn't know what's really going on.  My history speaks volumes of that..  Why do doctors throw on several drugs......... we panic and do whatever the doctor says and  take a benzo for sleep and anxiety then add another drug for sleep, pretty soon you are on several and  we don't know if they are even playing nice together or if you are having a adr from one....Or maybe the benzo would have been enough....Not to mention that if you are in withdrawal from one drug adding more many not cover up the Withdrawal and may make it worse.....So is it the drugs that are making me sicker or what....Of course this then perpetuates all the fear and anxiety over what is causing what, withdrawal adr, drugs not playing nice together.  Okay that's my rant..lol  😬 

As you can see I've been there and I still am there lol😒

 

My heart goes out to you♥️  I wish I could tell you what to do and it will all go according to plan....Sadly what works for one does not mean it will work for another....Each one of us are a individual case...because of so many factures ....our own chemical makeup, how our body response to the drug (adr, kindling, inner dose withdrawal,poop out or tolerance) our metabolisms, how much pain we can endure, how much support we get, the list goes on....We all will heal at our own pace🌞 Time, Patience, trust in your bodies ability to heal.  One day at a time.....

 

Success stories are a good place to go to when you need to see that people do heal from this.  I also like Baylissa's website   https://mccare.org/       innercompass  https://www.theinnercompass.org/

 

From one stubborn Finn to another.....We can and we will get through this🌞SISU 

 

 

https://www.survivingantidepressants.org/topic/24894-greatful-is-this-withdrawal-or-to-many-med-changes-at-once/

1995? Prozac,  tried several Paxil, Serzone, St John's Wart back to Prozac and Trazodone ct:d Traz

 Lexapro. Tried to stop Crash in 2015  Kindled   Hospitalized, Vybrid, Seroquel, Effexor, Abilify  Pristiq, Wellbutrin-- 2016  ended back on   Prozac and Lamictal 200mg

5/2020  thru 12/2020 taper from 20mg  Prozac  down to 3mg.  Crashed  12/13/2020 Zoloft 50mg 1/29ct  1/29/2021 Seroquel 50mg ct  2/12/2021 Wellbutrin 75mg.  Became hypo manic 2/1  6ct Trazodone 50mg 4/25  25mg 2/5/ 2021 Lamictal 150mg.  2/24  100mg   4/9  75mg   4/21 37.5 

2/16/2021 Seroquel 50xr  3/3 100mg  3/17  150mg  side effects ct   4/3 2021 Lexapro 5mg  4/14  7.5mg  4/30 10mg  5/10  7.5mg 

2021/ 5/16  5mg Lexapro   37.5 Lamictal   25mg trazadone,   xanax  .0625mg  3x a day   

Lexapro  Taper> Sept/01/2021  4.90mg>  Sept/25  4.75mg>   Oct/19 4.69mg > Nov/14 4.2mg    Jan/30/2022-- Split dosing 2x a day All liquid  4.2mg  (2.20mg at 8am & 2mg at 4pm) 2/17 4mg>  2/24  3.8mg  slow taper to  Aug/12/2022 2.04mg  2023> 2mg,  1.90mg, 1.80mg, 1.70mg, 1.5mg, 1.4mg, 1.3mg 1.2mg, 1.1mg, 1mg, 0.9mg, 0.8mg, 0.7mg 0.65mg, 0.6mg, 0.55mg, 0.5mg, 0.45mg, 0.4mg, 0.35mg, 0.3mg, 0.25,mg, back to once a day dosing 0 .1mg, 0.07mg , 0.05mg 4/1/2024   0

Lamictal  taper  4/17/ 2022 25mg, 9/9/ 22 -20mg, 9/25/22- 15mg , 10/20/22-   0

 Trazodone..2023.>down to 14mg, 7mg, 6mg  July 2023   0

Xanax  0.0625 3 x a day,  2023>  0.042 3x a day

Supplements  Magnesium glycinate, Omega 3, D3, vitamin c , zinc, NAC 

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  • 4 weeks later...

Made a 0,5mg cut from Trintellix today. Planning to go 5 percent in 4-6 weeks.

 

There has been no change in my bad situation during the last months and my WD normal has been established.

Citalopram for OCD 2008-2012, Drug free 2012-2015, Citalopram for anxiety 2015-2016, Drug free 2016-2017 (pregnancy), Sertralin for OCD 10/2017-04/2019. Tried fast tapering in 2019 for second pregnancy, failed (depression started), reinstated, med did not work anymore. Used Ativan then for 4 moths an tapered down in a few weeks with no problem. Built tolerance and interdose wothdrawal early on Ativan even with 3/day dosing. Since that, depression meds have had no effect.

Until Jun/2021: escitalopram 20mg (monotherapy), Jun/2021-Jul/2021: escitalopram 20mg + bupropion 150mg

Jul/2021-Jul/2021: escitalopram 10mg + clomipramine 10-75mg (tried to switch escitalopram to clomipramine but too bad side effects), 

Jul/2021-Aug/2021: bupropion 150mg (reinstated in hospital) + escitalopram 15mg, Aug/2021-Sept/27/2021: bupropion 300mg (upped dose) + escitalopram 15mg 

Sept/27/2021-Sept/17/2021: Bupropion 150mg (lowered dose) + Trintellix 5-10mg (switched escitalopram to Trintellix)

Sept/17/2021-Dec/8/2021: Trintellix 20mg (dosage doubled after stopping Wellbutrin since Wellbutrin doubles Trintellix's blood concentration with doses 150-300mg)

Dec/8/2021 : Trintellix 18mg, August 2022: crash at 5,8 mg Trintellix, hospitalized

September 2022: Trintellix 20mg, Ativan 1mgx3, mirtazapine 7,5mg, October 2022: Stupid rapid taper attempt of Trintellix 20mg -> 10mg -> 7,5 mg.  Back up to 15mg 10/16/2022.

Trintellix: 12/12/2022 13,94 mg (-7%); 1/9/2023 13,0mg (-7%)

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Hi @Finnishgirl:  I am wishing you lots of luck as you start your taper from Trintellix.  I hope this first cut goes smoothly for you.  Thinking of you, WR.

-1/06 - 3/07 Cymbalta. Fast taper (essentially CT); withdrawal symptoms after 4 mos (didn't realize was WD)

-10/07: 100 mg Zoloft; 1 mg Klonopin - tapered off Klonopin after 4 mos. Several unsuccessful slow tapers of Zoloft; went up and down in dose a lot

-Spring 2013 back on 1 mg Klonopin to counter WD symptoms; switched over 5-6 mos from Zoloft to 35 mg citalopram
-Two attempts at slow tapering citalopram, always increased dose due to WD; also increased Klonopin to 1.25 mg in 2014, then to 1.5 mg in 2015

-8/17-9/17: After holding one year at 20 mg, feeling withdrawal symptoms due to stress - slowly increased to 25 mg. No change in symptoms after 6 months (? tolerance ?)  - decided to start citalopram taper February 2018 (still on Klonopin 1.5 mg).

Supplements: fish oil; magnesium; vitamin D3; curcumin

Citalopram taper:  2/2018 - 12/2019: 25 mg - 11.03 mg I 2020: 10.89 mg - 7.9 mg I 2021: 7.8 mg - 5.26 mg I 2022: 5.2 mg - 3.36 mg I 2023: 3.3 mg - 1.47 mg 2024: 1/5/24: 1.44 mg; 1/19/24: 1.40 mg; 1/26/24: 1.37 mg; 2/2/24: 1.34 mg; 2/9/24: 1.31 mg; 2/23/24: 1.28 mg; 3/1/24: 1.25 mg; 3/8/24: 1.22 mg; 3/15/24: 1.19 mg; 3/29/24: 1.17 mg; 4/5/24: 1.14 mg; 4/13/24: 1.11 mg; 4/20/24: 1.09 mg

 

 

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58 minutes ago, wantrelief said:

 

Hi @Finnishgirl:  I am wishing you lots of luck as you start your taper from Trintellix.  I hope this first cut goes smoothly for you.  Thinking of you, WR.

Thank you sweet WR ❤️ I hope so too! I also have some autoimmune stuff going on in my brain (similar to long covid) so starting an autoimmune diet and considering FMT. 

Citalopram for OCD 2008-2012, Drug free 2012-2015, Citalopram for anxiety 2015-2016, Drug free 2016-2017 (pregnancy), Sertralin for OCD 10/2017-04/2019. Tried fast tapering in 2019 for second pregnancy, failed (depression started), reinstated, med did not work anymore. Used Ativan then for 4 moths an tapered down in a few weeks with no problem. Built tolerance and interdose wothdrawal early on Ativan even with 3/day dosing. Since that, depression meds have had no effect.

Until Jun/2021: escitalopram 20mg (monotherapy), Jun/2021-Jul/2021: escitalopram 20mg + bupropion 150mg

Jul/2021-Jul/2021: escitalopram 10mg + clomipramine 10-75mg (tried to switch escitalopram to clomipramine but too bad side effects), 

Jul/2021-Aug/2021: bupropion 150mg (reinstated in hospital) + escitalopram 15mg, Aug/2021-Sept/27/2021: bupropion 300mg (upped dose) + escitalopram 15mg 

Sept/27/2021-Sept/17/2021: Bupropion 150mg (lowered dose) + Trintellix 5-10mg (switched escitalopram to Trintellix)

Sept/17/2021-Dec/8/2021: Trintellix 20mg (dosage doubled after stopping Wellbutrin since Wellbutrin doubles Trintellix's blood concentration with doses 150-300mg)

Dec/8/2021 : Trintellix 18mg, August 2022: crash at 5,8 mg Trintellix, hospitalized

September 2022: Trintellix 20mg, Ativan 1mgx3, mirtazapine 7,5mg, October 2022: Stupid rapid taper attempt of Trintellix 20mg -> 10mg -> 7,5 mg.  Back up to 15mg 10/16/2022.

Trintellix: 12/12/2022 13,94 mg (-7%); 1/9/2023 13,0mg (-7%)

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  • Moderator

Just read through your story, Finnishgirl, and sending positive thoughts for your upcoming taper. 

 

Pre- October 2022: Wellbutrin, Escitalopram, CitalopramSertraline, Adderall IR, Vyvanse, Propranolol, Buspar, Ativan, and Latuda

Oct 13, 2022 - Oct 24, 2022 and Oct 31, 2022 - Present: Zyprexa (2.5 mg). Jan 14, 2023 -> Began transition to liquid suspension. Jan 29, 2023 = 2.375mg -> Feb 12, 2023 = 2.25mg -> Feb 27, 2023 = 2.14mg -> Mar 12, 2023 = 2.025mg -> Mar 27, 2023 = 1.93mg -> Apr 10, 2023 = 1.82mg -> Apr 23, 2023 = 1.74mg -> May 7, 2023 = 1.64mg -> May 21, 2023 = 1.56mg -> June 4, 2023 = 1.48mg -> June 19, 2023 = 1.4mg -> July 2, 2023 = 1.33mg -> July 16, 2023 = 1.26mg -> July 31, 2023 = 1.2mg -> Aug 13, 2023 = 1.14mg -> Aug 27, 2023 = 1.08mg -> Sep 13, 2023 = 1.02mg -> Jan 22, 2024 = 0.97mg -> Feb 4, 2024 = 0.92mg -> Feb 19, 2024 = 0.87mg -> Mar 3, 2024 = 0.83mg -> Mar 17, 2024 = 0.78mg -> Mar 31, 2024 = 0.74mg -> Apr 14, 2023 = 0.7mg

Oct 14, 2022 - Present: Prozac (40mg) upped from 20mg on Nov 1, 2022.

Oct 31, 2022 - Present: Gabapentin (300mg 3x day) -> May 3, 2023 = 300mg 2x day -> Oct 1, 2023 = 570mg -> Oct 15, 2023 = 540mg -> Oct 29, 2023 = 510mg -> Nov 13, 2023 = 484mg -> Nov 27, 2023 = 460mg -> Dec 9, 2023 = 436mg -> Dec 24, 2023 = 414mg -> Jan 7, 2024 = 400mg

 

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4 minutes ago, FireflyFyte said:

Just read through your story, Finnishgirl, and sending positive thoughts for your upcoming taper. 

Thank you sweet Firefly ❤️ I will stop by your thread next!

Citalopram for OCD 2008-2012, Drug free 2012-2015, Citalopram for anxiety 2015-2016, Drug free 2016-2017 (pregnancy), Sertralin for OCD 10/2017-04/2019. Tried fast tapering in 2019 for second pregnancy, failed (depression started), reinstated, med did not work anymore. Used Ativan then for 4 moths an tapered down in a few weeks with no problem. Built tolerance and interdose wothdrawal early on Ativan even with 3/day dosing. Since that, depression meds have had no effect.

Until Jun/2021: escitalopram 20mg (monotherapy), Jun/2021-Jul/2021: escitalopram 20mg + bupropion 150mg

Jul/2021-Jul/2021: escitalopram 10mg + clomipramine 10-75mg (tried to switch escitalopram to clomipramine but too bad side effects), 

Jul/2021-Aug/2021: bupropion 150mg (reinstated in hospital) + escitalopram 15mg, Aug/2021-Sept/27/2021: bupropion 300mg (upped dose) + escitalopram 15mg 

Sept/27/2021-Sept/17/2021: Bupropion 150mg (lowered dose) + Trintellix 5-10mg (switched escitalopram to Trintellix)

Sept/17/2021-Dec/8/2021: Trintellix 20mg (dosage doubled after stopping Wellbutrin since Wellbutrin doubles Trintellix's blood concentration with doses 150-300mg)

Dec/8/2021 : Trintellix 18mg, August 2022: crash at 5,8 mg Trintellix, hospitalized

September 2022: Trintellix 20mg, Ativan 1mgx3, mirtazapine 7,5mg, October 2022: Stupid rapid taper attempt of Trintellix 20mg -> 10mg -> 7,5 mg.  Back up to 15mg 10/16/2022.

Trintellix: 12/12/2022 13,94 mg (-7%); 1/9/2023 13,0mg (-7%)

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  • Mentor

@Finnishgirl I wanted to wish you good luck with your cut of Trintellix. I am please that your cut is going to be very small. I think it's great to start out with a very a tiny cut and see how you feel.

 

I am not a health professional in any way.  I do not give medical advice.   Discuss any decisions about your medical care with a professional medical practitioner.

 

NEW INFORMATION FOR GABAPENTIN TAPER

April 29, 2022 900 mg to 800 mg (11%), May 29, 2022 800 to 700 mg (12.5%), June 20, 2022 700 to 650mg (8%), July 20, 2022 650 to 575 (12%), August 20,  575 to 500 (13%),  Sept 20, 2020 500 to 475mg (5%) Nov 7, 2022 475 to 425 (11%), Nov 21, 2022 500mg

Medications: Gabapentin, Prednisone 1.5mg a day, Cortisol Inhaler daily. 

HISTORY FOR ZOLOFT TAPER

Feb. 2016 to June 2016  - Was on 150mg Zoloft.  Put on Gabapentin at 900mg a day in 2016 due to antidepressant withdrawal. 

Quit Zoloft (Sertraline) June  2016,  reinstated 50mg of Zoloft July 2016.  From July 2016  to October 2016 went from 50 mg down 2.3 mg. I up-dosed in November 2016 to 12.5 mg. Held there until January 2017 when I started a much slower taper.

STARTING SENSIBLE  ZOLOFT TAPERING USING GUIDELINES FROM THIS SITE

Dec. 10 2016  - switched to Liquid Zoloft (Sertraline) @ 12.5 mg.   Jan. 4, 2020 1.875 mg (6.3%). Jan. 25, 2020 1.75 mgFeb. 29, 2020 1.625mg (7.10%).  Apr. 4, 2020 1.5 mg.  May 9, 2020 1.375 mg.  June 6, 2020 1.25 mg. (9.10%).  July 4, 2020 1.125 mg. (10%).  August 15, 2020 1.0 mg.  Oct 24, 2020 .875 mg.  Nov. 28, 2020 .75mgJan 16, 2021 .685mg (8.7%).  Feb 13, 2021 .62mg. March 12, 2021 .56mg.  May 1, 2021 .375mg.  May 29, 2021 .25mg. June 26, 2021 .0125mg. July 25, 2021 .065mg. August 22, 2021 .048mg.  October 2, 2021 .043mg.  October 10, 2021 .038mg.  October 23, 2021 .035mg.  October 30, 2021 .032mg.  Nov. 13, 2021 .030 mg.  Dec 4, 2021 .0285 mg.  Dec 11, 2021 .0265 mg. Dec 18, 2021 .0246 mg. Dec 25, 2021 .023mg. Jan 1, 2022. 0 mg. OFF COMPLETELY

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Hi

I wish you you the utmost peace on this journey. It is amazing. Be sure to be kind to yourself. This is important. I found God in this process. I am always around to help.

God is in us all. And in finding him I found peace. I will eventually get off all meds. I am tapering from Paroxetine one of the heavy hitters. Its important for me to do this process in a safe place. 

Love,

Aimee

 

50 mg shot haloperidol once monthly 

15 mg mirtazapine daily 

 

previous: 40 mg  paxil for 20 years, 100 mg trazodone, 200 mg seroquel, b complex 100, vitamin d3, magnesium, Keto diet please see dr berg

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9 hours ago, Finnishgirl said:

Thank you sweet WR ❤️ I hope so too! I also have some autoimmune stuff going on in my brain (similar to long covid) so starting an autoimmune diet and considering FMT. 

I am really sorry to hear you have other health issues on top of the drug stuff.  I can commiserate as I am also dealing with some health challenges.....it is hard enough dealing with CNS damage and tapering.  You aren't alone - I am rooting for you, FG!

-1/06 - 3/07 Cymbalta. Fast taper (essentially CT); withdrawal symptoms after 4 mos (didn't realize was WD)

-10/07: 100 mg Zoloft; 1 mg Klonopin - tapered off Klonopin after 4 mos. Several unsuccessful slow tapers of Zoloft; went up and down in dose a lot

-Spring 2013 back on 1 mg Klonopin to counter WD symptoms; switched over 5-6 mos from Zoloft to 35 mg citalopram
-Two attempts at slow tapering citalopram, always increased dose due to WD; also increased Klonopin to 1.25 mg in 2014, then to 1.5 mg in 2015

-8/17-9/17: After holding one year at 20 mg, feeling withdrawal symptoms due to stress - slowly increased to 25 mg. No change in symptoms after 6 months (? tolerance ?)  - decided to start citalopram taper February 2018 (still on Klonopin 1.5 mg).

Supplements: fish oil; magnesium; vitamin D3; curcumin

Citalopram taper:  2/2018 - 12/2019: 25 mg - 11.03 mg I 2020: 10.89 mg - 7.9 mg I 2021: 7.8 mg - 5.26 mg I 2022: 5.2 mg - 3.36 mg I 2023: 3.3 mg - 1.47 mg 2024: 1/5/24: 1.44 mg; 1/19/24: 1.40 mg; 1/26/24: 1.37 mg; 2/2/24: 1.34 mg; 2/9/24: 1.31 mg; 2/23/24: 1.28 mg; 3/1/24: 1.25 mg; 3/8/24: 1.22 mg; 3/15/24: 1.19 mg; 3/29/24: 1.17 mg; 4/5/24: 1.14 mg; 4/13/24: 1.11 mg; 4/20/24: 1.09 mg

 

 

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On 12/13/2022 at 5:31 AM, wantrelief said:

I am really sorry to hear you have other health issues on top of the drug stuff.  I can commiserate as I am also dealing with some health challenges.....it is hard enough dealing with CNS damage and tapering.  You aren't alone - I am rooting for you, FG!

Thank you and I am also rooting for you ❤️ Actually that autoimmunity stuff has to do with brain receptors so it might be from withdrawal. Now quite a few people with post-SSRI problems have gotten similar results from those tests... 

 

I actually acidentally dropped my dose by 5 percent and not 0,5mg 😀 Also, I have grinded the pill to make sure the active ingredient is evenly distributed and last days have not been able to preserve enough of the pill when grinding (I don'tknow where it vanishes, probably as a "cloud" to the air or something). So my reducement has been 6,5 percent. Next time I will drop so that I reach 10 percent in total.

Citalopram for OCD 2008-2012, Drug free 2012-2015, Citalopram for anxiety 2015-2016, Drug free 2016-2017 (pregnancy), Sertralin for OCD 10/2017-04/2019. Tried fast tapering in 2019 for second pregnancy, failed (depression started), reinstated, med did not work anymore. Used Ativan then for 4 moths an tapered down in a few weeks with no problem. Built tolerance and interdose wothdrawal early on Ativan even with 3/day dosing. Since that, depression meds have had no effect.

Until Jun/2021: escitalopram 20mg (monotherapy), Jun/2021-Jul/2021: escitalopram 20mg + bupropion 150mg

Jul/2021-Jul/2021: escitalopram 10mg + clomipramine 10-75mg (tried to switch escitalopram to clomipramine but too bad side effects), 

Jul/2021-Aug/2021: bupropion 150mg (reinstated in hospital) + escitalopram 15mg, Aug/2021-Sept/27/2021: bupropion 300mg (upped dose) + escitalopram 15mg 

Sept/27/2021-Sept/17/2021: Bupropion 150mg (lowered dose) + Trintellix 5-10mg (switched escitalopram to Trintellix)

Sept/17/2021-Dec/8/2021: Trintellix 20mg (dosage doubled after stopping Wellbutrin since Wellbutrin doubles Trintellix's blood concentration with doses 150-300mg)

Dec/8/2021 : Trintellix 18mg, August 2022: crash at 5,8 mg Trintellix, hospitalized

September 2022: Trintellix 20mg, Ativan 1mgx3, mirtazapine 7,5mg, October 2022: Stupid rapid taper attempt of Trintellix 20mg -> 10mg -> 7,5 mg.  Back up to 15mg 10/16/2022.

Trintellix: 12/12/2022 13,94 mg (-7%); 1/9/2023 13,0mg (-7%)

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On 12/12/2022 at 11:21 PM, Margaret1 said:

Hi

I wish you you the utmost peace on this journey. It is amazing. Be sure to be kind to yourself. This is important. I found God in this process. I am always around to help.

God is in us all. And in finding him I found peace. I will eventually get off all meds. I am tapering from Paroxetine one of the heavy hitters. Its important for me to do this process in a safe place. 

Love,

Aimee

 

Thank you Aimee for your kind message ❤️ I have also gotten closer to god in the middle of all this. I hope you peaceful healing ❤️

Citalopram for OCD 2008-2012, Drug free 2012-2015, Citalopram for anxiety 2015-2016, Drug free 2016-2017 (pregnancy), Sertralin for OCD 10/2017-04/2019. Tried fast tapering in 2019 for second pregnancy, failed (depression started), reinstated, med did not work anymore. Used Ativan then for 4 moths an tapered down in a few weeks with no problem. Built tolerance and interdose wothdrawal early on Ativan even with 3/day dosing. Since that, depression meds have had no effect.

Until Jun/2021: escitalopram 20mg (monotherapy), Jun/2021-Jul/2021: escitalopram 20mg + bupropion 150mg

Jul/2021-Jul/2021: escitalopram 10mg + clomipramine 10-75mg (tried to switch escitalopram to clomipramine but too bad side effects), 

Jul/2021-Aug/2021: bupropion 150mg (reinstated in hospital) + escitalopram 15mg, Aug/2021-Sept/27/2021: bupropion 300mg (upped dose) + escitalopram 15mg 

Sept/27/2021-Sept/17/2021: Bupropion 150mg (lowered dose) + Trintellix 5-10mg (switched escitalopram to Trintellix)

Sept/17/2021-Dec/8/2021: Trintellix 20mg (dosage doubled after stopping Wellbutrin since Wellbutrin doubles Trintellix's blood concentration with doses 150-300mg)

Dec/8/2021 : Trintellix 18mg, August 2022: crash at 5,8 mg Trintellix, hospitalized

September 2022: Trintellix 20mg, Ativan 1mgx3, mirtazapine 7,5mg, October 2022: Stupid rapid taper attempt of Trintellix 20mg -> 10mg -> 7,5 mg.  Back up to 15mg 10/16/2022.

Trintellix: 12/12/2022 13,94 mg (-7%); 1/9/2023 13,0mg (-7%)

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On 12/12/2022 at 11:06 PM, RachelSusan said:

@Finnishgirl I wanted to wish you good luck with your cut of Trintellix. I am please that your cut is going to be very small. I think it's great to start out with a very a tiny cut and see how you feel.

Thank you Rachel. ❤️ As I just wrote, I accidentally dropped a little bit more but still a small drop fortunately. No withdrawal symptoms at least not yet :)

Citalopram for OCD 2008-2012, Drug free 2012-2015, Citalopram for anxiety 2015-2016, Drug free 2016-2017 (pregnancy), Sertralin for OCD 10/2017-04/2019. Tried fast tapering in 2019 for second pregnancy, failed (depression started), reinstated, med did not work anymore. Used Ativan then for 4 moths an tapered down in a few weeks with no problem. Built tolerance and interdose wothdrawal early on Ativan even with 3/day dosing. Since that, depression meds have had no effect.

Until Jun/2021: escitalopram 20mg (monotherapy), Jun/2021-Jul/2021: escitalopram 20mg + bupropion 150mg

Jul/2021-Jul/2021: escitalopram 10mg + clomipramine 10-75mg (tried to switch escitalopram to clomipramine but too bad side effects), 

Jul/2021-Aug/2021: bupropion 150mg (reinstated in hospital) + escitalopram 15mg, Aug/2021-Sept/27/2021: bupropion 300mg (upped dose) + escitalopram 15mg 

Sept/27/2021-Sept/17/2021: Bupropion 150mg (lowered dose) + Trintellix 5-10mg (switched escitalopram to Trintellix)

Sept/17/2021-Dec/8/2021: Trintellix 20mg (dosage doubled after stopping Wellbutrin since Wellbutrin doubles Trintellix's blood concentration with doses 150-300mg)

Dec/8/2021 : Trintellix 18mg, August 2022: crash at 5,8 mg Trintellix, hospitalized

September 2022: Trintellix 20mg, Ativan 1mgx3, mirtazapine 7,5mg, October 2022: Stupid rapid taper attempt of Trintellix 20mg -> 10mg -> 7,5 mg.  Back up to 15mg 10/16/2022.

Trintellix: 12/12/2022 13,94 mg (-7%); 1/9/2023 13,0mg (-7%)

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  • Mentor
1 hour ago, Finnishgirl said:

Thank you Rachel. ❤️ As I just wrote, I accidentally dropped a little bit more but still a small drop fortunately. No withdrawal symptoms at least not yet

It is still small enough to be safe. I think you are handling this very well. ❤️❤️❤️

 

 

I am not a health professional in any way.  I do not give medical advice.   Discuss any decisions about your medical care with a professional medical practitioner.

 

NEW INFORMATION FOR GABAPENTIN TAPER

April 29, 2022 900 mg to 800 mg (11%), May 29, 2022 800 to 700 mg (12.5%), June 20, 2022 700 to 650mg (8%), July 20, 2022 650 to 575 (12%), August 20,  575 to 500 (13%),  Sept 20, 2020 500 to 475mg (5%) Nov 7, 2022 475 to 425 (11%), Nov 21, 2022 500mg

Medications: Gabapentin, Prednisone 1.5mg a day, Cortisol Inhaler daily. 

HISTORY FOR ZOLOFT TAPER

Feb. 2016 to June 2016  - Was on 150mg Zoloft.  Put on Gabapentin at 900mg a day in 2016 due to antidepressant withdrawal. 

Quit Zoloft (Sertraline) June  2016,  reinstated 50mg of Zoloft July 2016.  From July 2016  to October 2016 went from 50 mg down 2.3 mg. I up-dosed in November 2016 to 12.5 mg. Held there until January 2017 when I started a much slower taper.

STARTING SENSIBLE  ZOLOFT TAPERING USING GUIDELINES FROM THIS SITE

Dec. 10 2016  - switched to Liquid Zoloft (Sertraline) @ 12.5 mg.   Jan. 4, 2020 1.875 mg (6.3%). Jan. 25, 2020 1.75 mgFeb. 29, 2020 1.625mg (7.10%).  Apr. 4, 2020 1.5 mg.  May 9, 2020 1.375 mg.  June 6, 2020 1.25 mg. (9.10%).  July 4, 2020 1.125 mg. (10%).  August 15, 2020 1.0 mg.  Oct 24, 2020 .875 mg.  Nov. 28, 2020 .75mgJan 16, 2021 .685mg (8.7%).  Feb 13, 2021 .62mg. March 12, 2021 .56mg.  May 1, 2021 .375mg.  May 29, 2021 .25mg. June 26, 2021 .0125mg. July 25, 2021 .065mg. August 22, 2021 .048mg.  October 2, 2021 .043mg.  October 10, 2021 .038mg.  October 23, 2021 .035mg.  October 30, 2021 .032mg.  Nov. 13, 2021 .030 mg.  Dec 4, 2021 .0285 mg.  Dec 11, 2021 .0265 mg. Dec 18, 2021 .0246 mg. Dec 25, 2021 .023mg. Jan 1, 2022. 0 mg. OFF COMPLETELY

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Hi @Finnishgirl:  I am so glad you haven't noticed any withdrawal symptoms - that is very good  news!  As RachelSusan said, even though you ended up dropping more than you expected, it is still a safe amount.  I am thinking of you and wishing you the best as you move forward, WR 💖

-1/06 - 3/07 Cymbalta. Fast taper (essentially CT); withdrawal symptoms after 4 mos (didn't realize was WD)

-10/07: 100 mg Zoloft; 1 mg Klonopin - tapered off Klonopin after 4 mos. Several unsuccessful slow tapers of Zoloft; went up and down in dose a lot

-Spring 2013 back on 1 mg Klonopin to counter WD symptoms; switched over 5-6 mos from Zoloft to 35 mg citalopram
-Two attempts at slow tapering citalopram, always increased dose due to WD; also increased Klonopin to 1.25 mg in 2014, then to 1.5 mg in 2015

-8/17-9/17: After holding one year at 20 mg, feeling withdrawal symptoms due to stress - slowly increased to 25 mg. No change in symptoms after 6 months (? tolerance ?)  - decided to start citalopram taper February 2018 (still on Klonopin 1.5 mg).

Supplements: fish oil; magnesium; vitamin D3; curcumin

Citalopram taper:  2/2018 - 12/2019: 25 mg - 11.03 mg I 2020: 10.89 mg - 7.9 mg I 2021: 7.8 mg - 5.26 mg I 2022: 5.2 mg - 3.36 mg I 2023: 3.3 mg - 1.47 mg 2024: 1/5/24: 1.44 mg; 1/19/24: 1.40 mg; 1/26/24: 1.37 mg; 2/2/24: 1.34 mg; 2/9/24: 1.31 mg; 2/23/24: 1.28 mg; 3/1/24: 1.25 mg; 3/8/24: 1.22 mg; 3/15/24: 1.19 mg; 3/29/24: 1.17 mg; 4/5/24: 1.14 mg; 4/13/24: 1.11 mg; 4/20/24: 1.09 mg

 

 

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  • Moderator
6 hours ago, Finnishgirl said:

No withdrawal symptoms at least not yet :)

 

This is great news, Finnishgirl. I hope that your taper continues symptom free.

 

Pre- October 2022: Wellbutrin, Escitalopram, CitalopramSertraline, Adderall IR, Vyvanse, Propranolol, Buspar, Ativan, and Latuda

Oct 13, 2022 - Oct 24, 2022 and Oct 31, 2022 - Present: Zyprexa (2.5 mg). Jan 14, 2023 -> Began transition to liquid suspension. Jan 29, 2023 = 2.375mg -> Feb 12, 2023 = 2.25mg -> Feb 27, 2023 = 2.14mg -> Mar 12, 2023 = 2.025mg -> Mar 27, 2023 = 1.93mg -> Apr 10, 2023 = 1.82mg -> Apr 23, 2023 = 1.74mg -> May 7, 2023 = 1.64mg -> May 21, 2023 = 1.56mg -> June 4, 2023 = 1.48mg -> June 19, 2023 = 1.4mg -> July 2, 2023 = 1.33mg -> July 16, 2023 = 1.26mg -> July 31, 2023 = 1.2mg -> Aug 13, 2023 = 1.14mg -> Aug 27, 2023 = 1.08mg -> Sep 13, 2023 = 1.02mg -> Jan 22, 2024 = 0.97mg -> Feb 4, 2024 = 0.92mg -> Feb 19, 2024 = 0.87mg -> Mar 3, 2024 = 0.83mg -> Mar 17, 2024 = 0.78mg -> Mar 31, 2024 = 0.74mg -> Apr 14, 2023 = 0.7mg

Oct 14, 2022 - Present: Prozac (40mg) upped from 20mg on Nov 1, 2022.

Oct 31, 2022 - Present: Gabapentin (300mg 3x day) -> May 3, 2023 = 300mg 2x day -> Oct 1, 2023 = 570mg -> Oct 15, 2023 = 540mg -> Oct 29, 2023 = 510mg -> Nov 13, 2023 = 484mg -> Nov 27, 2023 = 460mg -> Dec 9, 2023 = 436mg -> Dec 24, 2023 = 414mg -> Jan 7, 2024 = 400mg

 

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@RachelSusan@wantrelief @FireflyFyte Thank you fo your encouraging words, they really made me feel better about my situation. I have to say it really feels good to be tapering! ❤️ 

Citalopram for OCD 2008-2012, Drug free 2012-2015, Citalopram for anxiety 2015-2016, Drug free 2016-2017 (pregnancy), Sertralin for OCD 10/2017-04/2019. Tried fast tapering in 2019 for second pregnancy, failed (depression started), reinstated, med did not work anymore. Used Ativan then for 4 moths an tapered down in a few weeks with no problem. Built tolerance and interdose wothdrawal early on Ativan even with 3/day dosing. Since that, depression meds have had no effect.

Until Jun/2021: escitalopram 20mg (monotherapy), Jun/2021-Jul/2021: escitalopram 20mg + bupropion 150mg

Jul/2021-Jul/2021: escitalopram 10mg + clomipramine 10-75mg (tried to switch escitalopram to clomipramine but too bad side effects), 

Jul/2021-Aug/2021: bupropion 150mg (reinstated in hospital) + escitalopram 15mg, Aug/2021-Sept/27/2021: bupropion 300mg (upped dose) + escitalopram 15mg 

Sept/27/2021-Sept/17/2021: Bupropion 150mg (lowered dose) + Trintellix 5-10mg (switched escitalopram to Trintellix)

Sept/17/2021-Dec/8/2021: Trintellix 20mg (dosage doubled after stopping Wellbutrin since Wellbutrin doubles Trintellix's blood concentration with doses 150-300mg)

Dec/8/2021 : Trintellix 18mg, August 2022: crash at 5,8 mg Trintellix, hospitalized

September 2022: Trintellix 20mg, Ativan 1mgx3, mirtazapine 7,5mg, October 2022: Stupid rapid taper attempt of Trintellix 20mg -> 10mg -> 7,5 mg.  Back up to 15mg 10/16/2022.

Trintellix: 12/12/2022 13,94 mg (-7%); 1/9/2023 13,0mg (-7%)

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And still no symptoms which is very good, almost 2 weeks from the drop now :)

Citalopram for OCD 2008-2012, Drug free 2012-2015, Citalopram for anxiety 2015-2016, Drug free 2016-2017 (pregnancy), Sertralin for OCD 10/2017-04/2019. Tried fast tapering in 2019 for second pregnancy, failed (depression started), reinstated, med did not work anymore. Used Ativan then for 4 moths an tapered down in a few weeks with no problem. Built tolerance and interdose wothdrawal early on Ativan even with 3/day dosing. Since that, depression meds have had no effect.

Until Jun/2021: escitalopram 20mg (monotherapy), Jun/2021-Jul/2021: escitalopram 20mg + bupropion 150mg

Jul/2021-Jul/2021: escitalopram 10mg + clomipramine 10-75mg (tried to switch escitalopram to clomipramine but too bad side effects), 

Jul/2021-Aug/2021: bupropion 150mg (reinstated in hospital) + escitalopram 15mg, Aug/2021-Sept/27/2021: bupropion 300mg (upped dose) + escitalopram 15mg 

Sept/27/2021-Sept/17/2021: Bupropion 150mg (lowered dose) + Trintellix 5-10mg (switched escitalopram to Trintellix)

Sept/17/2021-Dec/8/2021: Trintellix 20mg (dosage doubled after stopping Wellbutrin since Wellbutrin doubles Trintellix's blood concentration with doses 150-300mg)

Dec/8/2021 : Trintellix 18mg, August 2022: crash at 5,8 mg Trintellix, hospitalized

September 2022: Trintellix 20mg, Ativan 1mgx3, mirtazapine 7,5mg, October 2022: Stupid rapid taper attempt of Trintellix 20mg -> 10mg -> 7,5 mg.  Back up to 15mg 10/16/2022.

Trintellix: 12/12/2022 13,94 mg (-7%); 1/9/2023 13,0mg (-7%)

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  • 2 weeks later...

Okay so on Monday the next reduction! This first cut didn't give me any symptoms. How do you feel about the following plan:

 

Should I try upping the cut monthly to aim at 10 percent? So next cut would be 7%, then 8% etc until I reach 10 %. If I get any symptoms, I will stop there and cut the reduction back. For example if I notice any WD symptoms with a 9 percent cut, I would reduce by 8% next time and continue with this. How does this sound to you? Am I pushing the limits with trying to reach the 10 percent cut? I have a lot of med changes in my history so I am definitely sensitized. But the thing is that it will take my 10 years to taper all my meds if I take 5 years tapering the first one 6 percent a month.

Citalopram for OCD 2008-2012, Drug free 2012-2015, Citalopram for anxiety 2015-2016, Drug free 2016-2017 (pregnancy), Sertralin for OCD 10/2017-04/2019. Tried fast tapering in 2019 for second pregnancy, failed (depression started), reinstated, med did not work anymore. Used Ativan then for 4 moths an tapered down in a few weeks with no problem. Built tolerance and interdose wothdrawal early on Ativan even with 3/day dosing. Since that, depression meds have had no effect.

Until Jun/2021: escitalopram 20mg (monotherapy), Jun/2021-Jul/2021: escitalopram 20mg + bupropion 150mg

Jul/2021-Jul/2021: escitalopram 10mg + clomipramine 10-75mg (tried to switch escitalopram to clomipramine but too bad side effects), 

Jul/2021-Aug/2021: bupropion 150mg (reinstated in hospital) + escitalopram 15mg, Aug/2021-Sept/27/2021: bupropion 300mg (upped dose) + escitalopram 15mg 

Sept/27/2021-Sept/17/2021: Bupropion 150mg (lowered dose) + Trintellix 5-10mg (switched escitalopram to Trintellix)

Sept/17/2021-Dec/8/2021: Trintellix 20mg (dosage doubled after stopping Wellbutrin since Wellbutrin doubles Trintellix's blood concentration with doses 150-300mg)

Dec/8/2021 : Trintellix 18mg, August 2022: crash at 5,8 mg Trintellix, hospitalized

September 2022: Trintellix 20mg, Ativan 1mgx3, mirtazapine 7,5mg, October 2022: Stupid rapid taper attempt of Trintellix 20mg -> 10mg -> 7,5 mg.  Back up to 15mg 10/16/2022.

Trintellix: 12/12/2022 13,94 mg (-7%); 1/9/2023 13,0mg (-7%)

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The last taper took 7,5 months before the crash and I lowered the dose by 71 percent of my original dose.

 

I calculated that if I would have made 10 percent cuts, I would have lowered 57 percent of the original dose in 8 months. So the difference is notable but not huge. 

 

Do you think it could be feasible for me to get to 10 percent rate? Or should I just in case aim at for example 8%? Just to be on the safe side.

Citalopram for OCD 2008-2012, Drug free 2012-2015, Citalopram for anxiety 2015-2016, Drug free 2016-2017 (pregnancy), Sertralin for OCD 10/2017-04/2019. Tried fast tapering in 2019 for second pregnancy, failed (depression started), reinstated, med did not work anymore. Used Ativan then for 4 moths an tapered down in a few weeks with no problem. Built tolerance and interdose wothdrawal early on Ativan even with 3/day dosing. Since that, depression meds have had no effect.

Until Jun/2021: escitalopram 20mg (monotherapy), Jun/2021-Jul/2021: escitalopram 20mg + bupropion 150mg

Jul/2021-Jul/2021: escitalopram 10mg + clomipramine 10-75mg (tried to switch escitalopram to clomipramine but too bad side effects), 

Jul/2021-Aug/2021: bupropion 150mg (reinstated in hospital) + escitalopram 15mg, Aug/2021-Sept/27/2021: bupropion 300mg (upped dose) + escitalopram 15mg 

Sept/27/2021-Sept/17/2021: Bupropion 150mg (lowered dose) + Trintellix 5-10mg (switched escitalopram to Trintellix)

Sept/17/2021-Dec/8/2021: Trintellix 20mg (dosage doubled after stopping Wellbutrin since Wellbutrin doubles Trintellix's blood concentration with doses 150-300mg)

Dec/8/2021 : Trintellix 18mg, August 2022: crash at 5,8 mg Trintellix, hospitalized

September 2022: Trintellix 20mg, Ativan 1mgx3, mirtazapine 7,5mg, October 2022: Stupid rapid taper attempt of Trintellix 20mg -> 10mg -> 7,5 mg.  Back up to 15mg 10/16/2022.

Trintellix: 12/12/2022 13,94 mg (-7%); 1/9/2023 13,0mg (-7%)

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Tagging forgotten again: @Altostrata  @Shep  @Frogie@RachelSusan @wantrelief

Citalopram for OCD 2008-2012, Drug free 2012-2015, Citalopram for anxiety 2015-2016, Drug free 2016-2017 (pregnancy), Sertralin for OCD 10/2017-04/2019. Tried fast tapering in 2019 for second pregnancy, failed (depression started), reinstated, med did not work anymore. Used Ativan then for 4 moths an tapered down in a few weeks with no problem. Built tolerance and interdose wothdrawal early on Ativan even with 3/day dosing. Since that, depression meds have had no effect.

Until Jun/2021: escitalopram 20mg (monotherapy), Jun/2021-Jul/2021: escitalopram 20mg + bupropion 150mg

Jul/2021-Jul/2021: escitalopram 10mg + clomipramine 10-75mg (tried to switch escitalopram to clomipramine but too bad side effects), 

Jul/2021-Aug/2021: bupropion 150mg (reinstated in hospital) + escitalopram 15mg, Aug/2021-Sept/27/2021: bupropion 300mg (upped dose) + escitalopram 15mg 

Sept/27/2021-Sept/17/2021: Bupropion 150mg (lowered dose) + Trintellix 5-10mg (switched escitalopram to Trintellix)

Sept/17/2021-Dec/8/2021: Trintellix 20mg (dosage doubled after stopping Wellbutrin since Wellbutrin doubles Trintellix's blood concentration with doses 150-300mg)

Dec/8/2021 : Trintellix 18mg, August 2022: crash at 5,8 mg Trintellix, hospitalized

September 2022: Trintellix 20mg, Ativan 1mgx3, mirtazapine 7,5mg, October 2022: Stupid rapid taper attempt of Trintellix 20mg -> 10mg -> 7,5 mg.  Back up to 15mg 10/16/2022.

Trintellix: 12/12/2022 13,94 mg (-7%); 1/9/2023 13,0mg (-7%)

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I actually miscalculated. So last time, I reduced 71 percent in 7,0 months. In 7 months, I would drop by 52 percent with 10 percent cuts. So there is a notable difference. 

Citalopram for OCD 2008-2012, Drug free 2012-2015, Citalopram for anxiety 2015-2016, Drug free 2016-2017 (pregnancy), Sertralin for OCD 10/2017-04/2019. Tried fast tapering in 2019 for second pregnancy, failed (depression started), reinstated, med did not work anymore. Used Ativan then for 4 moths an tapered down in a few weeks with no problem. Built tolerance and interdose wothdrawal early on Ativan even with 3/day dosing. Since that, depression meds have had no effect.

Until Jun/2021: escitalopram 20mg (monotherapy), Jun/2021-Jul/2021: escitalopram 20mg + bupropion 150mg

Jul/2021-Jul/2021: escitalopram 10mg + clomipramine 10-75mg (tried to switch escitalopram to clomipramine but too bad side effects), 

Jul/2021-Aug/2021: bupropion 150mg (reinstated in hospital) + escitalopram 15mg, Aug/2021-Sept/27/2021: bupropion 300mg (upped dose) + escitalopram 15mg 

Sept/27/2021-Sept/17/2021: Bupropion 150mg (lowered dose) + Trintellix 5-10mg (switched escitalopram to Trintellix)

Sept/17/2021-Dec/8/2021: Trintellix 20mg (dosage doubled after stopping Wellbutrin since Wellbutrin doubles Trintellix's blood concentration with doses 150-300mg)

Dec/8/2021 : Trintellix 18mg, August 2022: crash at 5,8 mg Trintellix, hospitalized

September 2022: Trintellix 20mg, Ativan 1mgx3, mirtazapine 7,5mg, October 2022: Stupid rapid taper attempt of Trintellix 20mg -> 10mg -> 7,5 mg.  Back up to 15mg 10/16/2022.

Trintellix: 12/12/2022 13,94 mg (-7%); 1/9/2023 13,0mg (-7%)

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  • Mentor

@Finnishgirl We are all different and what I am suggesting is what I know that I should do if I were tapering.  Because I am so sensitized and I have had so many crashes I would do another small cut. I would do the 8% and then if I didn't have any problems at all I might make a 10% the next time. I know I should never go over the 10% even if I felt good.

 

I have not always done what is correct for me and I cut a higher percentage because I wanted to get off faster. Many of those times I paid a price and the symptoms came back. I know you had a big crash in October so perhaps you may want to be cautious as well and cut by the lower amount?

 

I am not a health professional in any way.  I do not give medical advice.   Discuss any decisions about your medical care with a professional medical practitioner.

 

NEW INFORMATION FOR GABAPENTIN TAPER

April 29, 2022 900 mg to 800 mg (11%), May 29, 2022 800 to 700 mg (12.5%), June 20, 2022 700 to 650mg (8%), July 20, 2022 650 to 575 (12%), August 20,  575 to 500 (13%),  Sept 20, 2020 500 to 475mg (5%) Nov 7, 2022 475 to 425 (11%), Nov 21, 2022 500mg

Medications: Gabapentin, Prednisone 1.5mg a day, Cortisol Inhaler daily. 

HISTORY FOR ZOLOFT TAPER

Feb. 2016 to June 2016  - Was on 150mg Zoloft.  Put on Gabapentin at 900mg a day in 2016 due to antidepressant withdrawal. 

Quit Zoloft (Sertraline) June  2016,  reinstated 50mg of Zoloft July 2016.  From July 2016  to October 2016 went from 50 mg down 2.3 mg. I up-dosed in November 2016 to 12.5 mg. Held there until January 2017 when I started a much slower taper.

STARTING SENSIBLE  ZOLOFT TAPERING USING GUIDELINES FROM THIS SITE

Dec. 10 2016  - switched to Liquid Zoloft (Sertraline) @ 12.5 mg.   Jan. 4, 2020 1.875 mg (6.3%). Jan. 25, 2020 1.75 mgFeb. 29, 2020 1.625mg (7.10%).  Apr. 4, 2020 1.5 mg.  May 9, 2020 1.375 mg.  June 6, 2020 1.25 mg. (9.10%).  July 4, 2020 1.125 mg. (10%).  August 15, 2020 1.0 mg.  Oct 24, 2020 .875 mg.  Nov. 28, 2020 .75mgJan 16, 2021 .685mg (8.7%).  Feb 13, 2021 .62mg. March 12, 2021 .56mg.  May 1, 2021 .375mg.  May 29, 2021 .25mg. June 26, 2021 .0125mg. July 25, 2021 .065mg. August 22, 2021 .048mg.  October 2, 2021 .043mg.  October 10, 2021 .038mg.  October 23, 2021 .035mg.  October 30, 2021 .032mg.  Nov. 13, 2021 .030 mg.  Dec 4, 2021 .0285 mg.  Dec 11, 2021 .0265 mg. Dec 18, 2021 .0246 mg. Dec 25, 2021 .023mg. Jan 1, 2022. 0 mg. OFF COMPLETELY

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@RachelSusan I appreciate your input! I would definitely not try a 10 percent cut now! What I was thinking was that I could try 7 percent now, then raise the percent by one every month until I reach 10, assuming I don't get any symptoms. Anyone else, how does this sound?

Citalopram for OCD 2008-2012, Drug free 2012-2015, Citalopram for anxiety 2015-2016, Drug free 2016-2017 (pregnancy), Sertralin for OCD 10/2017-04/2019. Tried fast tapering in 2019 for second pregnancy, failed (depression started), reinstated, med did not work anymore. Used Ativan then for 4 moths an tapered down in a few weeks with no problem. Built tolerance and interdose wothdrawal early on Ativan even with 3/day dosing. Since that, depression meds have had no effect.

Until Jun/2021: escitalopram 20mg (monotherapy), Jun/2021-Jul/2021: escitalopram 20mg + bupropion 150mg

Jul/2021-Jul/2021: escitalopram 10mg + clomipramine 10-75mg (tried to switch escitalopram to clomipramine but too bad side effects), 

Jul/2021-Aug/2021: bupropion 150mg (reinstated in hospital) + escitalopram 15mg, Aug/2021-Sept/27/2021: bupropion 300mg (upped dose) + escitalopram 15mg 

Sept/27/2021-Sept/17/2021: Bupropion 150mg (lowered dose) + Trintellix 5-10mg (switched escitalopram to Trintellix)

Sept/17/2021-Dec/8/2021: Trintellix 20mg (dosage doubled after stopping Wellbutrin since Wellbutrin doubles Trintellix's blood concentration with doses 150-300mg)

Dec/8/2021 : Trintellix 18mg, August 2022: crash at 5,8 mg Trintellix, hospitalized

September 2022: Trintellix 20mg, Ativan 1mgx3, mirtazapine 7,5mg, October 2022: Stupid rapid taper attempt of Trintellix 20mg -> 10mg -> 7,5 mg.  Back up to 15mg 10/16/2022.

Trintellix: 12/12/2022 13,94 mg (-7%); 1/9/2023 13,0mg (-7%)

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Hi Finnishgirl:

 

27 minutes ago, Finnishgirl said:

What I was thinking was that I could try 7 percent now, then raise the percent by one every month until I reach 10, assuming I don't get any symptoms. Anyone else, how does this sound?

I am so glad your last cut went well and you didn't experience any symptoms from it - that is good news. I think what you are proposing sounds good.  I actually have been doing something similar and am up to 8% currently (broken out into smaller cuts per week).  I am planning to stay at this rate for awhile but may try to get up to the 10% at some point.  

 

I am wishing you all the best as you move forward with your taper.

-1/06 - 3/07 Cymbalta. Fast taper (essentially CT); withdrawal symptoms after 4 mos (didn't realize was WD)

-10/07: 100 mg Zoloft; 1 mg Klonopin - tapered off Klonopin after 4 mos. Several unsuccessful slow tapers of Zoloft; went up and down in dose a lot

-Spring 2013 back on 1 mg Klonopin to counter WD symptoms; switched over 5-6 mos from Zoloft to 35 mg citalopram
-Two attempts at slow tapering citalopram, always increased dose due to WD; also increased Klonopin to 1.25 mg in 2014, then to 1.5 mg in 2015

-8/17-9/17: After holding one year at 20 mg, feeling withdrawal symptoms due to stress - slowly increased to 25 mg. No change in symptoms after 6 months (? tolerance ?)  - decided to start citalopram taper February 2018 (still on Klonopin 1.5 mg).

Supplements: fish oil; magnesium; vitamin D3; curcumin

Citalopram taper:  2/2018 - 12/2019: 25 mg - 11.03 mg I 2020: 10.89 mg - 7.9 mg I 2021: 7.8 mg - 5.26 mg I 2022: 5.2 mg - 3.36 mg I 2023: 3.3 mg - 1.47 mg 2024: 1/5/24: 1.44 mg; 1/19/24: 1.40 mg; 1/26/24: 1.37 mg; 2/2/24: 1.34 mg; 2/9/24: 1.31 mg; 2/23/24: 1.28 mg; 3/1/24: 1.25 mg; 3/8/24: 1.22 mg; 3/15/24: 1.19 mg; 3/29/24: 1.17 mg; 4/5/24: 1.14 mg; 4/13/24: 1.11 mg; 4/20/24: 1.09 mg

 

 

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  • Mentor

@Finnishgirl I think it sounds like a very smart plan.

 

I am not a health professional in any way.  I do not give medical advice.   Discuss any decisions about your medical care with a professional medical practitioner.

 

NEW INFORMATION FOR GABAPENTIN TAPER

April 29, 2022 900 mg to 800 mg (11%), May 29, 2022 800 to 700 mg (12.5%), June 20, 2022 700 to 650mg (8%), July 20, 2022 650 to 575 (12%), August 20,  575 to 500 (13%),  Sept 20, 2020 500 to 475mg (5%) Nov 7, 2022 475 to 425 (11%), Nov 21, 2022 500mg

Medications: Gabapentin, Prednisone 1.5mg a day, Cortisol Inhaler daily. 

HISTORY FOR ZOLOFT TAPER

Feb. 2016 to June 2016  - Was on 150mg Zoloft.  Put on Gabapentin at 900mg a day in 2016 due to antidepressant withdrawal. 

Quit Zoloft (Sertraline) June  2016,  reinstated 50mg of Zoloft July 2016.  From July 2016  to October 2016 went from 50 mg down 2.3 mg. I up-dosed in November 2016 to 12.5 mg. Held there until January 2017 when I started a much slower taper.

STARTING SENSIBLE  ZOLOFT TAPERING USING GUIDELINES FROM THIS SITE

Dec. 10 2016  - switched to Liquid Zoloft (Sertraline) @ 12.5 mg.   Jan. 4, 2020 1.875 mg (6.3%). Jan. 25, 2020 1.75 mgFeb. 29, 2020 1.625mg (7.10%).  Apr. 4, 2020 1.5 mg.  May 9, 2020 1.375 mg.  June 6, 2020 1.25 mg. (9.10%).  July 4, 2020 1.125 mg. (10%).  August 15, 2020 1.0 mg.  Oct 24, 2020 .875 mg.  Nov. 28, 2020 .75mgJan 16, 2021 .685mg (8.7%).  Feb 13, 2021 .62mg. March 12, 2021 .56mg.  May 1, 2021 .375mg.  May 29, 2021 .25mg. June 26, 2021 .0125mg. July 25, 2021 .065mg. August 22, 2021 .048mg.  October 2, 2021 .043mg.  October 10, 2021 .038mg.  October 23, 2021 .035mg.  October 30, 2021 .032mg.  Nov. 13, 2021 .030 mg.  Dec 4, 2021 .0285 mg.  Dec 11, 2021 .0265 mg. Dec 18, 2021 .0246 mg. Dec 25, 2021 .023mg. Jan 1, 2022. 0 mg. OFF COMPLETELY

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Thank you @wantrelief and @RachelSusan! I really appreciate your insight on this ❤️ 

Citalopram for OCD 2008-2012, Drug free 2012-2015, Citalopram for anxiety 2015-2016, Drug free 2016-2017 (pregnancy), Sertralin for OCD 10/2017-04/2019. Tried fast tapering in 2019 for second pregnancy, failed (depression started), reinstated, med did not work anymore. Used Ativan then for 4 moths an tapered down in a few weeks with no problem. Built tolerance and interdose wothdrawal early on Ativan even with 3/day dosing. Since that, depression meds have had no effect.

Until Jun/2021: escitalopram 20mg (monotherapy), Jun/2021-Jul/2021: escitalopram 20mg + bupropion 150mg

Jul/2021-Jul/2021: escitalopram 10mg + clomipramine 10-75mg (tried to switch escitalopram to clomipramine but too bad side effects), 

Jul/2021-Aug/2021: bupropion 150mg (reinstated in hospital) + escitalopram 15mg, Aug/2021-Sept/27/2021: bupropion 300mg (upped dose) + escitalopram 15mg 

Sept/27/2021-Sept/17/2021: Bupropion 150mg (lowered dose) + Trintellix 5-10mg (switched escitalopram to Trintellix)

Sept/17/2021-Dec/8/2021: Trintellix 20mg (dosage doubled after stopping Wellbutrin since Wellbutrin doubles Trintellix's blood concentration with doses 150-300mg)

Dec/8/2021 : Trintellix 18mg, August 2022: crash at 5,8 mg Trintellix, hospitalized

September 2022: Trintellix 20mg, Ativan 1mgx3, mirtazapine 7,5mg, October 2022: Stupid rapid taper attempt of Trintellix 20mg -> 10mg -> 7,5 mg.  Back up to 15mg 10/16/2022.

Trintellix: 12/12/2022 13,94 mg (-7%); 1/9/2023 13,0mg (-7%)

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9 hours ago, Shep said:

@Finnishgirl You may want to read this thread:

 

Why taper? SERT transporter occupancy studies show importance of gradual change in plasma concentration

 

It's a good explanation of why it may be best to decrease your taper rate as you get to the lower doses. 

Yes thanks! Yes I actually knew that already. I definitely might have to make the reduction rate smaller again when I'm reaching small doses. What is your take on about my plan now? Does is sound solid?

Citalopram for OCD 2008-2012, Drug free 2012-2015, Citalopram for anxiety 2015-2016, Drug free 2016-2017 (pregnancy), Sertralin for OCD 10/2017-04/2019. Tried fast tapering in 2019 for second pregnancy, failed (depression started), reinstated, med did not work anymore. Used Ativan then for 4 moths an tapered down in a few weeks with no problem. Built tolerance and interdose wothdrawal early on Ativan even with 3/day dosing. Since that, depression meds have had no effect.

Until Jun/2021: escitalopram 20mg (monotherapy), Jun/2021-Jul/2021: escitalopram 20mg + bupropion 150mg

Jul/2021-Jul/2021: escitalopram 10mg + clomipramine 10-75mg (tried to switch escitalopram to clomipramine but too bad side effects), 

Jul/2021-Aug/2021: bupropion 150mg (reinstated in hospital) + escitalopram 15mg, Aug/2021-Sept/27/2021: bupropion 300mg (upped dose) + escitalopram 15mg 

Sept/27/2021-Sept/17/2021: Bupropion 150mg (lowered dose) + Trintellix 5-10mg (switched escitalopram to Trintellix)

Sept/17/2021-Dec/8/2021: Trintellix 20mg (dosage doubled after stopping Wellbutrin since Wellbutrin doubles Trintellix's blood concentration with doses 150-300mg)

Dec/8/2021 : Trintellix 18mg, August 2022: crash at 5,8 mg Trintellix, hospitalized

September 2022: Trintellix 20mg, Ativan 1mgx3, mirtazapine 7,5mg, October 2022: Stupid rapid taper attempt of Trintellix 20mg -> 10mg -> 7,5 mg.  Back up to 15mg 10/16/2022.

Trintellix: 12/12/2022 13,94 mg (-7%); 1/9/2023 13,0mg (-7%)

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  • Administrator
On 1/7/2023 at 7:19 AM, Finnishgirl said:

What I was thinking was that I could try 7 percent now, then raise the percent by one every month until I reach 10, assuming I don't get any symptoms. Anyone else, how does this sound?

 

Since you've found a 5% reduction does not cause withdrawal symptoms, you might try a 6% reduction and observe for a month. Decide what to do next based on the results.

 

It is possible your optimum rate is somewhere between 5% and 10%, we can't predict exactly what it might be.

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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  • Moderator Emeritus
15 hours ago, Altostrata said:

Decide what to do next based on the results.

 

@FinnishgirlI agree with what Alto wrote one hundred percent. Let your symptoms be your guide. They will show you how fast to go and direct the traffic with your symptoms. The goal isn't to get there the fastest. The goal is to be as functional as possible on your journey. 

 

 

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@Altostrata @Shep

 

Thank you for your insights, appreciate much! 

 

I will continue with this! 👌👍

Citalopram for OCD 2008-2012, Drug free 2012-2015, Citalopram for anxiety 2015-2016, Drug free 2016-2017 (pregnancy), Sertralin for OCD 10/2017-04/2019. Tried fast tapering in 2019 for second pregnancy, failed (depression started), reinstated, med did not work anymore. Used Ativan then for 4 moths an tapered down in a few weeks with no problem. Built tolerance and interdose wothdrawal early on Ativan even with 3/day dosing. Since that, depression meds have had no effect.

Until Jun/2021: escitalopram 20mg (monotherapy), Jun/2021-Jul/2021: escitalopram 20mg + bupropion 150mg

Jul/2021-Jul/2021: escitalopram 10mg + clomipramine 10-75mg (tried to switch escitalopram to clomipramine but too bad side effects), 

Jul/2021-Aug/2021: bupropion 150mg (reinstated in hospital) + escitalopram 15mg, Aug/2021-Sept/27/2021: bupropion 300mg (upped dose) + escitalopram 15mg 

Sept/27/2021-Sept/17/2021: Bupropion 150mg (lowered dose) + Trintellix 5-10mg (switched escitalopram to Trintellix)

Sept/17/2021-Dec/8/2021: Trintellix 20mg (dosage doubled after stopping Wellbutrin since Wellbutrin doubles Trintellix's blood concentration with doses 150-300mg)

Dec/8/2021 : Trintellix 18mg, August 2022: crash at 5,8 mg Trintellix, hospitalized

September 2022: Trintellix 20mg, Ativan 1mgx3, mirtazapine 7,5mg, October 2022: Stupid rapid taper attempt of Trintellix 20mg -> 10mg -> 7,5 mg.  Back up to 15mg 10/16/2022.

Trintellix: 12/12/2022 13,94 mg (-7%); 1/9/2023 13,0mg (-7%)

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  • 1 month later...

Hi @Finnishgirl:  I've been thinking of you and hoping you are doing as well as possible. 💖

-1/06 - 3/07 Cymbalta. Fast taper (essentially CT); withdrawal symptoms after 4 mos (didn't realize was WD)

-10/07: 100 mg Zoloft; 1 mg Klonopin - tapered off Klonopin after 4 mos. Several unsuccessful slow tapers of Zoloft; went up and down in dose a lot

-Spring 2013 back on 1 mg Klonopin to counter WD symptoms; switched over 5-6 mos from Zoloft to 35 mg citalopram
-Two attempts at slow tapering citalopram, always increased dose due to WD; also increased Klonopin to 1.25 mg in 2014, then to 1.5 mg in 2015

-8/17-9/17: After holding one year at 20 mg, feeling withdrawal symptoms due to stress - slowly increased to 25 mg. No change in symptoms after 6 months (? tolerance ?)  - decided to start citalopram taper February 2018 (still on Klonopin 1.5 mg).

Supplements: fish oil; magnesium; vitamin D3; curcumin

Citalopram taper:  2/2018 - 12/2019: 25 mg - 11.03 mg I 2020: 10.89 mg - 7.9 mg I 2021: 7.8 mg - 5.26 mg I 2022: 5.2 mg - 3.36 mg I 2023: 3.3 mg - 1.47 mg 2024: 1/5/24: 1.44 mg; 1/19/24: 1.40 mg; 1/26/24: 1.37 mg; 2/2/24: 1.34 mg; 2/9/24: 1.31 mg; 2/23/24: 1.28 mg; 3/1/24: 1.25 mg; 3/8/24: 1.22 mg; 3/15/24: 1.19 mg; 3/29/24: 1.17 mg; 4/5/24: 1.14 mg; 4/13/24: 1.11 mg; 4/20/24: 1.09 mg

 

 

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  • 2 weeks later...
On 2/17/2023 at 9:06 PM, wantrelief said:

Hi @Finnishgirl:  I've been thinking of you and hoping you are doing as well as possible. 💖

Hi Wantrelief! I am doing a lot better! 

 

Started Walsh Protocol (level 2) and FMTs at Chistmas and feeling so much better! How are you? I hope you are also doing better ❤️ Or at least manageable. ❤️

Citalopram for OCD 2008-2012, Drug free 2012-2015, Citalopram for anxiety 2015-2016, Drug free 2016-2017 (pregnancy), Sertralin for OCD 10/2017-04/2019. Tried fast tapering in 2019 for second pregnancy, failed (depression started), reinstated, med did not work anymore. Used Ativan then for 4 moths an tapered down in a few weeks with no problem. Built tolerance and interdose wothdrawal early on Ativan even with 3/day dosing. Since that, depression meds have had no effect.

Until Jun/2021: escitalopram 20mg (monotherapy), Jun/2021-Jul/2021: escitalopram 20mg + bupropion 150mg

Jul/2021-Jul/2021: escitalopram 10mg + clomipramine 10-75mg (tried to switch escitalopram to clomipramine but too bad side effects), 

Jul/2021-Aug/2021: bupropion 150mg (reinstated in hospital) + escitalopram 15mg, Aug/2021-Sept/27/2021: bupropion 300mg (upped dose) + escitalopram 15mg 

Sept/27/2021-Sept/17/2021: Bupropion 150mg (lowered dose) + Trintellix 5-10mg (switched escitalopram to Trintellix)

Sept/17/2021-Dec/8/2021: Trintellix 20mg (dosage doubled after stopping Wellbutrin since Wellbutrin doubles Trintellix's blood concentration with doses 150-300mg)

Dec/8/2021 : Trintellix 18mg, August 2022: crash at 5,8 mg Trintellix, hospitalized

September 2022: Trintellix 20mg, Ativan 1mgx3, mirtazapine 7,5mg, October 2022: Stupid rapid taper attempt of Trintellix 20mg -> 10mg -> 7,5 mg.  Back up to 15mg 10/16/2022.

Trintellix: 12/12/2022 13,94 mg (-7%); 1/9/2023 13,0mg (-7%)

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  • Moderator
5 hours ago, Finnishgirl said:

I am doing a lot better! 

 

Started Walsh Protocol (level 2) and FMTs at Chistmas and feeling so much better!

 

Glad to hear that you are doing well, Finnishgirl.

 

Pre- October 2022: Wellbutrin, Escitalopram, CitalopramSertraline, Adderall IR, Vyvanse, Propranolol, Buspar, Ativan, and Latuda

Oct 13, 2022 - Oct 24, 2022 and Oct 31, 2022 - Present: Zyprexa (2.5 mg). Jan 14, 2023 -> Began transition to liquid suspension. Jan 29, 2023 = 2.375mg -> Feb 12, 2023 = 2.25mg -> Feb 27, 2023 = 2.14mg -> Mar 12, 2023 = 2.025mg -> Mar 27, 2023 = 1.93mg -> Apr 10, 2023 = 1.82mg -> Apr 23, 2023 = 1.74mg -> May 7, 2023 = 1.64mg -> May 21, 2023 = 1.56mg -> June 4, 2023 = 1.48mg -> June 19, 2023 = 1.4mg -> July 2, 2023 = 1.33mg -> July 16, 2023 = 1.26mg -> July 31, 2023 = 1.2mg -> Aug 13, 2023 = 1.14mg -> Aug 27, 2023 = 1.08mg -> Sep 13, 2023 = 1.02mg -> Jan 22, 2024 = 0.97mg -> Feb 4, 2024 = 0.92mg -> Feb 19, 2024 = 0.87mg -> Mar 3, 2024 = 0.83mg -> Mar 17, 2024 = 0.78mg -> Mar 31, 2024 = 0.74mg -> Apr 14, 2023 = 0.7mg

Oct 14, 2022 - Present: Prozac (40mg) upped from 20mg on Nov 1, 2022.

Oct 31, 2022 - Present: Gabapentin (300mg 3x day) -> May 3, 2023 = 300mg 2x day -> Oct 1, 2023 = 570mg -> Oct 15, 2023 = 540mg -> Oct 29, 2023 = 510mg -> Nov 13, 2023 = 484mg -> Nov 27, 2023 = 460mg -> Dec 9, 2023 = 436mg -> Dec 24, 2023 = 414mg -> Jan 7, 2024 = 400mg

 

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