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Tips for tapering off Paxil (paroxetine)


Altostrata
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Hello

 

Quick note To tell that oral solution is out of stock in France too. 

All I can advise for dear survivors is To try To call all drugstores in their area : it worked for me this morning as I found my med for another month.

 

About January 2020 : In France we don't have a timeframe, I Will let you know when this out of stock Will end.

 

Best wishes

2006 : 20mg Paxil+Bromazepam. 2008 : cold turkey of both. 2010 : Reinstatement 20mg Paxil + Bromazepam.

2014-June2017 : Switch from Bromazepam to Prazepam, slow taper to 0mg.

2018 to August 2019 : Paxil 20mg taper (3% every 15 days). 22 Aug 2019 updose to 10mg (was at 8.4mg).

25th Sept 2019 To April 2020 : found SA, holding at 10mg Paxil. 

April 2020 : Paxil 10mg to Prozac 7mg bridge. Details topic/21457

 

Current Supplements : magnesium citrate + fish oil

Current medication :

* 7pm Diazepam  : 0.85mg (15 Aug 2022) / 0.95 mg (24 April 2022) / 1mg Diazepam (since 29 Aug 2020)

* 8am Prozac : 6.24mg (18 July 22) / 6.44mg (22 May 22) / 6.64mg (4 Nov 21) / 6.72mg (8 oct 21) / 6.8 mg (15 Sept 21)6.88mg (14 Aug 21)/ 6.92mg (23 Jun 21)

 

I am not a professional, I don't give medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

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  • 6 months later...
Hi guys.
 
I'm going through a journey of tapering off paroxetine. My initial dose was 20mg that I've been on for years.
 
Now at 11mg and just went through some tough times trying to get down to 10mg. Couldn't bear the symptoms so I'm resuming to 11mg for a while.
 
I'm doing liquid paroxetine.
Because it was so hard to taper off 1mg, I think it's time to start tapering off by smaller amounts.
 
The problem is that the dispenser of the little bottles does only 1mg/droplet, so I need another way to dose. The concentration is 33mg/mL, which means 1mg/30.3uL.
Doing the math, my current dose of 11mg means I'm at 333.33uL.
 
My plan is to buy some 100uL precision syringe. With a 1uL scale, I'll be able to taper off as low as 33ug at a time. That will be a much slower pace which I'm sure my nervous system will tolerate much better.
 
I was also thinking about doing my own solid tablets or capsules, mainly for convenience. That will allow me to do the dosing for a whole week or month in one sitting, and I won't have to be home every day by the time I need to take the pill. I can just carry the pill around with me and take it wherever I'm at.
 
So that leads me to my actual questions:
  • what's the best filler that I can use for the solid tablet or capsule? I mean, I want to dispense the liquid paroxetine dose into the tablet or capsule, but I'm not sure which solid substance or powder to use. It definitely needs to be something neutral that will not react with the paroxetine. I read about some herbal fillers such as Cayenne, Ginger or Turmeric. I'd love to hear thoughts on those, as well as any other suggestions.
  • what are some good suppliers that I could get 100uL precision syringes? I'll have them shipped to Germany.
  • any thoughts about my approach? am I doing something wrong?
 

🌬️Wim Hof Method practitioner ❄️

 

SSRI history:

Paroxetine: 2008 - 2010

Paroxetine: 2012 - 2015

Wellbutrin, Escitalopram: 2015 (briefly)

Paroxetine: 2015 - 2021 (bridged to Fluoxetine)

Fluoxetine: 2021 (18mg, gradually decreasing)

 

100% passionate about life, not willing to give up!

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@goggins  Very interesting questions.  I have some ideas and comments but need some more information first. What is the total volume of liquid you wish to use per dose?

20 years on Paxil starting at 20mg and working up to 40mg. Sept 2011 started 10% every 6 weeks taper (2.5% every week for 4 weeks then hold for 2 additional weeks), currently at 7.9mg. Oct 2011 CTed 15oz vodka a night, to only drinking 2 beers most nights, totally sober Feb 2013.

Since I wrote this I have continued to decrease my dose by 10% every 6 weeks (2.5% every week for 4 weeks and then hold for an additional 2 weeks). I added in an extra 6 week hold when I hit 10mg to let things settle out even more. When I hit 3mgpw it became hard to split the drop into 4 parts so I switched to dropping 1mgpw (pill weight) every week for 3 weeks and then holding for another 3 weeks.  The 3 + 3 schedule turned out to be too harsh so I cut back to dropping 1mgpw every 4 weeks which is working better.

Final Dose 0.016mg.     Current dose 0.000mg 04-15-2017

 

"It's also important not to become angry, no matter how difficult life is, because you can loose all hope if you can't laugh at yourself and at life in general."  Stephen Hawking

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You can increase the dilution by adding water. This will enable you to accurately measure small amounts. What size is your oral syringe, what is the smallest amount between ticks? (You usually can get 1mL or 0.5mL oral syringes from a pharmacist or veterinarian.)

 

@brassmonkey will explain.

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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hey @brassmonkey and @Altostrata, thanks for replying

 

I also considered diluting in water, this can be an easy way to achieve similar results without going for a high grade precision syringe

 

the problem with this approach is that the liquid volume could become restrictive to do the tablets or capsules, which is my main goal

 

I've been looking into some syringes with 100uL volume. They have a scale of 1uL, which allows for great precision.

 

For example this one: https://www.hamiltoncompany.com/laboratory-products/syringes/80630

 

@brassmonkey my current dose is 333uL.

 

What I'm really curious about is which material to use for filling the capsules. I mean, I need the solid part, I can't just inject the liquid into empty gelatine capsules. And it needs to be something I'll know for sure won't interact with the paroxetine chemically.

🌬️Wim Hof Method practitioner ❄️

 

SSRI history:

Paroxetine: 2008 - 2010

Paroxetine: 2012 - 2015

Wellbutrin, Escitalopram: 2015 (briefly)

Paroxetine: 2015 - 2021 (bridged to Fluoxetine)

Fluoxetine: 2021 (18mg, gradually decreasing)

 

100% passionate about life, not willing to give up!

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1 hour ago, goggins said:

the problem with this approach is that the liquid volume could become restrictive to do the tablets or capsules, which is my main goal

 

Please explain. Are you putting liquid in capsules? Why?

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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I don't want to do the dosing every day.

I can become cumbersome and error-prone.

 

I want to do a whole batch in one sitting, meant to last for at least a week or more.

 

That's why I'm speculating around capsules and trying to find out what to use for the solid part.

 

But it just occurred to me to use blotting paper, in the same fashion LSD is dispensed. Not that I'm advocating LSD or anything (much on the contrary). I just mean it as a reference of how small liquid doses are dispensed on large batches.

🌬️Wim Hof Method practitioner ❄️

 

SSRI history:

Paroxetine: 2008 - 2010

Paroxetine: 2012 - 2015

Wellbutrin, Escitalopram: 2015 (briefly)

Paroxetine: 2015 - 2021 (bridged to Fluoxetine)

Fluoxetine: 2021 (18mg, gradually decreasing)

 

100% passionate about life, not willing to give up!

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  • Administrator

Sorry, we're fans of Keep It Simple. Please let us know what you find out.

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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  • 5 weeks later...

Has anyone experimented with tapering down to 12.5 paroxetine ER and using that pill and it’s extended property to stabilize better than being on a liquid dose or paroxetine standard release. 

2008: start Lexapro 10 mg which is quickly upped to 20 mg. 2008:2013 try at least four individual times to get off Lexapro, never get lower than 5mg, settle at 15 mg. 2015: again, attempt to get off Lexapro and get to 5 mg. After 6 months, feel i'm stabilizing but go back on a higher dose because of one stressful event. 2016: go to 20 mg from 15 mg due to work stresses, hit severe tolerance for the first time and become very suicidal. 2016-2017: try viibryd and cymbata in an attempt to feel better. Also add Lamictal 150 at some point. 2017: eventually land on paxil 37.5 and Lamictal 150. January 2018: cut paxil to 25. April-July 2018: reduce Lamictal in 50 mg increments till im off August. 2018: reduce paxil to 20 mg. december 2018: dropped Paxil to 18 mg, SEVERE CRASH. March updosed to 20 mg April 11: dropped to 19.4 mg due to akathsia (still experiencing akathsia symptoms from updose) April 20: 19 mg Paxil May 4: 18.7 Paxil July 5: 18.2 July 12: 17.8 Aug 19: 17.5 Aug 26: 17.3 Oct 20: 17.1 Nov 3: 16.9, 8/17/20: 16.6 after nine month hold, 8/24/20: 16.4, 8/31/20:16.2, 9/14/2020: 16.0, 9/21/20: 15.8, 9/28/20: 15.6, 10/19/20:15.4, 10/26/20: 15.2, 11/2/20: 15.1, 11/7/20: 14.8, 3/6/2-: 14.5, 3/20/20: 14.3, 4/3/20: 13.9, 4/10/2021: 13.7. 4/21/21: 13.5, 5/5/2021: 13.1, 12.2 8/12/2021 (slowly microtapered to this number. I just can’t remember the exact dates), 11.8 9/6/2021, 11.6 9/13/21, 11.2 9/27/21, 11.1 9/30/21.....11/5/21 switched to 10 mg tablet. I am holding to stabilize for the foreseeable future. 3/25/22: 9.4, 5/6/22: 9.0, 5/30/22: 8.25, 6/7/22: 8.1, 7/722: 7.65, 8/16/22: 7.39, 9/22/22: 6.91

Medication signature.docx

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  • 2 weeks later...

HI all, Today is monday here in New Zealand and I'm getting confused about conflicting information. The medical industry  doctors, chemist etc are saying everything is going ot be ok and yet the media last week in the articles I posted said otherwise. Apparently my meds that were being supplied by Apotex has been supplied since last Dec by a drug company out of USA called 'Mylan' according to doctors office and chemist.  So I'm calmer but still wondering. Maree and thanks again to everyone

Maree 
20 yrs on 60mg per day paroxitine(paxil)then:

last 3 years tapering now on 30 mg per day

2-12 April/18 Unsuccessful taper by sliver off tabs. Aborted taper and stabilised

My tablets are Paroxitine/Paxil Tables 20mg(APO) and the writing on the back of the foil sheet says:  Apo-paroxitine 20mg (as hydrochloride)(B)NA3817

Reminder to myself: We recommend reductions at monthly intervals to give the nervous system a good 3 weeks to settle down between cuts. To save wear and tear on your nervous system, after a taper stay at that level for a month to see if withdrawal symptoms develop.

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  • 2 months later...
  • Moderator Emeritus

  

  Rachelina posted this elsewhere:

 

Diluting concentrated Paxil liquid:

 

7 hours ago, Rachelina said:

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

 

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

 

 

Please DO NOT TAG me - thank you

PLEASE NOTE:  I am not a medical professional.  I provide information and make suggestions. 

  MISSION ACCOMPLISHED:    (6 year taper)      0mg Pristiq      on 13th November 2021

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

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  • 4 months later...

I searched and could not easily find my answer so I will ask.  How does liquid Paxil taste?   Flavor?   Is it unpleasant taste?

Since nausea is part of my withdrawal symptoms I thought I'd ask.   I will ask my doctor to switch my prescription to liquid so i can titrate down with precision.  

 

Thanks.

1981 started on Paxil 20mg for anxiety/depression

1998 Switched abruptly to Welbutrin switched back after 24 hrs

1998 switched to Prozac abruptly switched back w/i 48 hrs

2019  PCP asked me to get off Paxil .

8/20  decreased dose to 10mg   tinnitus and mild dizziness.

8/20/21  decreased dose to 5mg  tinnitus headaches(migraine) dizziness

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It is made with an orange flavoring.

20 years on Paxil starting at 20mg and working up to 40mg. Sept 2011 started 10% every 6 weeks taper (2.5% every week for 4 weeks then hold for 2 additional weeks), currently at 7.9mg. Oct 2011 CTed 15oz vodka a night, to only drinking 2 beers most nights, totally sober Feb 2013.

Since I wrote this I have continued to decrease my dose by 10% every 6 weeks (2.5% every week for 4 weeks and then hold for an additional 2 weeks). I added in an extra 6 week hold when I hit 10mg to let things settle out even more. When I hit 3mgpw it became hard to split the drop into 4 parts so I switched to dropping 1mgpw (pill weight) every week for 3 weeks and then holding for another 3 weeks.  The 3 + 3 schedule turned out to be too harsh so I cut back to dropping 1mgpw every 4 weeks which is working better.

Final Dose 0.016mg.     Current dose 0.000mg 04-15-2017

 

"It's also important not to become angry, no matter how difficult life is, because you can loose all hope if you can't laugh at yourself and at life in general."  Stephen Hawking

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It's just like, sugary icing watered down.

Not bad really.

 Starting ds 2 (12.5 CR'S) = 25 MG PAXIL CR 1/21/15: 1 Pill + 10mg liquid (2 weeks) 2/4: 1 Pill + 9mg Lq (3 weeks) 2/25: 1 Pill + 8 mg lq (1 week) 3/4: 1 Pill + 6 mg lq (2 weeks) 3/18/15 1 Pill + 4 mg lq (2 weeks) 4/1/15 1 Pill + 3 mg lq (2 weeks) 4/14/15 1 Pill + 2 mg lq (2 weeks) 4/29/15 1Pill + 1 mg lq (16 days) 5/15/15 1 12.5 mg Pill ONLY (9 days) 5/24/15 12 mgs liquid (8 days) 6/1/15 11mg lq (12 days) 6/13/15 10 mg.  12/3/15 Drop from 8mg to 7.6 (24 days to) 12/27/15 7.2mgs 8/4/16 6.8mgs,  11/1/16 6.4mgs, 2/5/17 6 mgs  4/3/17 5.6mgs, 4/24/17 5.2mg, 6/13/17 4.8mgs, 9/20/17 4.4mgS, 11/23/17 4 mgs, 1/1/18 3.6 mgs, 2/15/18 3.2 mgs. 4/13/18 2.8mgs, 5/11/18 2.4mgs, 6/10/18 2.0 mgs, 8/4/18 1.6mgs,  9/27/18 1.2mgs, 12/24/18 0.8mg, 3/24/19 0.64 mg,(syringe change issue date?) 4/22/19 0.60 mg, 5/24/19 0.60 mg, 7/7/19 0.52 mgs, 8/4/19 0.44mgs, 11/4/19 0.36mgs, 2/1/20 0.28mgs, 3/1/20 0.24mgs (crash April 6) Compound started 6/28/21: 0.24mgs, 8/29/21: 0.22mgs, 10/31/21: 0.20mgs, 1/03/22: 0.18mgs, 3/5/22: 0.16mgs, 5/5/22: 0.14mgs.

 

Original Wellbutrin Dose: 6 months from 9/14 to 3/2015, 300 XL 3/15/15: Half to 150 XL ( severe symptoms started on day 12) 4/16/15: 125mg   for 20 days to: 5/6/15:   100mg  for  15 days to: 5/21/15    75mg  for  10 days to: 6/1/15:  56.25mg      13 days to: 6/13/15: 37.25mg    7 days to: 6/20/15  28.12mg   14 days to: 7/4/15  18.75mg, 7 days to: 7/11/15; RAISE BACK TO: 28.12 to 8/14/15: 18.75mg  20 days to :9/3/15 : 12.5mg, 8/4/16 9mg 1/9/17: 8.5mg 2/8/17 8mg, 3/9/17: 7.6  4/9/17  7.2  5/27/17 6.4 6/24/17 5.8, 8/1/17 5.0, 8/29/17 4.2mgs, 10/2/17 3.5mgs, 12/28/17 2.5mgs, 2/27/18 1.7mgs,  4/19/18 0.8 mgs, LAST DOSE: 6/11/18:  3 YEARS, 2 MONTHS, 27 DAYS...

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  • 5 months later...

Hi all – message for people in the UK who use branded Seroxat oral solution...

 

It appears there is a shortage of this product. I had to call 15 pharmacies today to get my monthly prescription filled.

 

Can't say if that means there's a shortage of paroxetine tablets as well, because at the time of posting this, I can't find any info online, and my usual pharmacy was clueless.

 

This previously happened towards the end of 2019/early 2020 – here is the archived notice about it. The PSNC alerts pharmacies to drug shortages and is free to the public to view, unlike paywalled healthcare professional sites that also have these alerts.

 

If you're lucky, your pharmacy will tell you an item is out of stock as soon as they receive the prescription. Unfortunately, mine didn't, despite requesting it two weeks ago. So it was only today at the eleventh hour that I found it was out of stock – with only one day left for my current bottle.

 

If you're using Seroxat oral solution, my advice would be to ask for an extra prescription ASAP, even if you've only just opened a new bottle (you have to throw it away after 30 days). That might bide you some time if the shortage continues.

 

Another option is to ask for a 'special order' (or 'special') prescription – I got this in early 2020 – an instruction to a pharmacy to make up a suspension from crushed pills. Back then, my GP wouldn't issue the special because it was deemed too expensive, so I sidestepped her and went to the local mental health team. As the psychiatrist was so clueless, I had to explain to her how a special works, and dictate the prescription to her, including with 20mg/10ml ratio of branded Seroxat. Be prepared to do this if you go down this route – have it written down in advance.

 

Thankfully, using the special for two months did not cause me any issues. But I wasn't tapering at the time, and was stable. If you are tapering and have to switch to a special, it might be worth pausing your taper, as we all know the effect of too many changes at once. 

 

Other options and helpful guidance (e.g. crushing pills) is on this site. @Altostrata, I hope the tips here are ok – and hope that I've added this post to the right place... Although might be better in the UK section? Don't want to duplicate posts...

LATEST SITUATION

*GSK-BRANDED LIQUID SEROXAT*

CURRENTLY HOLDING AT 4.84MG LIQUID SEROXAT (PAROXETINE) DAILY, FOLLOWING 5% TAPER SINCE JUNE 2020 AS FOLLOWS:

  • 1 APR 21: UPDOSE TO (AND HOLDING SINCE) 4.84MG PER DAY, AS 4MG LUNCHTIME, 0.84MG EVENING
  • PREVIOUS TAPERING SINCE JUNE 2020: 13 Mar 21 (CRASHED 19 MAR 21) 4.72mg per day, as 4mg lunchtime, 0.72mg evening | 13 Feb 21: 4.96mg per day, as 4.24mg lunchtime, 0.72mg evening | 16 Jan 21: 5.2mg per day, as 4.48mg lunchtime, 0.72mg evening | 19 Dec 20: 5.48mg per day, as 4.76mg lunchtime, 0.72mg evening | 21 Nov 20: 5.76mg per day, as 5.04mg lunchtime, 0.72mg evening | 24 Oct 20: 6.04mg per day, as 5.32mg lunchtime, 0.72mg evening | 26 Sept 20: 6.36mg per day, as 5.64mg lunchtime; 0.72mg evening | 29 Aug 20: 6.68mg per day, as 5.96mg lunchtime; 0.72mg evening | 1 Aug 20: 7mg  per day, as 6.28mg lunchtime; 0.72mg evening (bereavement, didn't reduce) | 4 Jul 20: 7mg per day, as 6.28mg lunchtime; 0.72mg evening | 6 Jun 20: 7.36mg per day, as 6.64mg lunchtime; 0.72mg evening

*OTHER MEDS/SUPPLEMENTS*

Since my March 2021 crash (above), I have very occasionally taken a benzo, and increased some of my supplements. Please see this document.

————————————————————————————————

PREVIOUSLY

From 12 May 19 to 5 Jun 20 inclusive: 7.72mg per day, as 7mg lunchtime; 0.72mg evening. Split my doses in May 2019 as I suspect half-life is more of a factor at lower doses. Further history here.

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PS. This was the official guidance concerning the previous shortage. Also attached is the prescription I was issued in 2020 to get a special.

special-prescription-small.jpg

Edited by ChessieCat
removed quote

LATEST SITUATION

*GSK-BRANDED LIQUID SEROXAT*

CURRENTLY HOLDING AT 4.84MG LIQUID SEROXAT (PAROXETINE) DAILY, FOLLOWING 5% TAPER SINCE JUNE 2020 AS FOLLOWS:

  • 1 APR 21: UPDOSE TO (AND HOLDING SINCE) 4.84MG PER DAY, AS 4MG LUNCHTIME, 0.84MG EVENING
  • PREVIOUS TAPERING SINCE JUNE 2020: 13 Mar 21 (CRASHED 19 MAR 21) 4.72mg per day, as 4mg lunchtime, 0.72mg evening | 13 Feb 21: 4.96mg per day, as 4.24mg lunchtime, 0.72mg evening | 16 Jan 21: 5.2mg per day, as 4.48mg lunchtime, 0.72mg evening | 19 Dec 20: 5.48mg per day, as 4.76mg lunchtime, 0.72mg evening | 21 Nov 20: 5.76mg per day, as 5.04mg lunchtime, 0.72mg evening | 24 Oct 20: 6.04mg per day, as 5.32mg lunchtime, 0.72mg evening | 26 Sept 20: 6.36mg per day, as 5.64mg lunchtime; 0.72mg evening | 29 Aug 20: 6.68mg per day, as 5.96mg lunchtime; 0.72mg evening | 1 Aug 20: 7mg  per day, as 6.28mg lunchtime; 0.72mg evening (bereavement, didn't reduce) | 4 Jul 20: 7mg per day, as 6.28mg lunchtime; 0.72mg evening | 6 Jun 20: 7.36mg per day, as 6.64mg lunchtime; 0.72mg evening

*OTHER MEDS/SUPPLEMENTS*

Since my March 2021 crash (above), I have very occasionally taken a benzo, and increased some of my supplements. Please see this document.

————————————————————————————————

PREVIOUSLY

From 12 May 19 to 5 Jun 20 inclusive: 7.72mg per day, as 7mg lunchtime; 0.72mg evening. Split my doses in May 2019 as I suspect half-life is more of a factor at lower doses. Further history here.

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  • 1 month later...

Liquid Paxil Reduction Help

 

Hello everyone,

 

  Can someone help explain an easy method to figure out a 10% reduction schedule for 20mg Paxil? I am soon switching to liquid solution and I am not sure how I can make 10% cuts out of milliliters. 

 

Thank You,

 

Edited by ChessieCat
added topic title before merging with existing topic

2001-2019 Effexor XR 150mg Cross to Zoloft 100mg.

2003-2004 CT Effexor XR 150

09/18/2020 Zoloft 100mg CT Switch Paxil 20mg /Valium 10mg

2020 Paxil 20mg /Valium 10mg/Gabapentin 900mg.

2021 Paxil 20mg /Valium 6mg /Gabapentin 600mg.

Currently:

04/14/2022 Paxil 20mg to 15mg 25% reduction/Valium 3mg/Gabapentin 900mg/Fludrocortisone .01mg 

Paxil: Tablet/Liquid Switch 10% Monthly Drops

5/16 Paxil Liquid 7.4ml/ Valium 3mg/ Gabapentin 900mg, 6/1 Paxil Liquid 6.66ml/ Valium 3mg/ Gabapentin 900mg 6/18 "Switch back to tablets" paxil 10mg+1.66ml/Valium 3mg/Gabapentin 900mg

SupplementsFish Oil, Melatonin 1.5mg, Luracidin.

"Slow  Steady Stable" 💚

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  • Mentor

@MrMiyagiHello !

will you be using liquid that is equivalent to mg -  5 mg equals 5 ml? 
 

you can use this taper calculator it’s easiest one I know of. It works for ml or mg. 
http://www.taperoff.co/

 

And get you a 10 or 20 ml syringe for the ml and a 1 ml syringe for the tenths of a ml. 
 

Don’t forget to gradually transfer to liquid over a months time and then hold at least another month. 

 

2000-2013 Paxil - 1 year fast taper

2013-2018 drug merry go round with dr. 
zoloft, cymbalta, lamictal, Prozac.

 Nov. 2018 lexapro 15 mgs, Dec. 2019 to Mar. 2020 10mg. Jul 2020 to October 2020 8.5 ml.
Oct 2020 reinstated to 9 ml.
Apr 2021 to Jul  7ml. Oct 2021 to Jan 2022 5.9ml, Mar 5 2022 5.8 ml, Mar 12 5.7ml, Mar 20 5.6ml, Mar 27 5.5ml, April 23 5.4ml, April 30 5.3ml, May 7 5.2ml,  Jul 9, 5.4ml, 

Klonopin as needed, present Celebrex 200 - 400 mg daily as needed, 1000 to 2000 mg  turmeric Qunol daily as needed, Trader Joe’s omega 3, Prilosec very rarely if desperate 

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I will have to wait to see if they will be using liquid that is equivalent to mg and then the calculator will work great I will keep you posted thank you so much.

2001-2019 Effexor XR 150mg Cross to Zoloft 100mg.

2003-2004 CT Effexor XR 150

09/18/2020 Zoloft 100mg CT Switch Paxil 20mg /Valium 10mg

2020 Paxil 20mg /Valium 10mg/Gabapentin 900mg.

2021 Paxil 20mg /Valium 6mg /Gabapentin 600mg.

Currently:

04/14/2022 Paxil 20mg to 15mg 25% reduction/Valium 3mg/Gabapentin 900mg/Fludrocortisone .01mg 

Paxil: Tablet/Liquid Switch 10% Monthly Drops

5/16 Paxil Liquid 7.4ml/ Valium 3mg/ Gabapentin 900mg, 6/1 Paxil Liquid 6.66ml/ Valium 3mg/ Gabapentin 900mg 6/18 "Switch back to tablets" paxil 10mg+1.66ml/Valium 3mg/Gabapentin 900mg

SupplementsFish Oil, Melatonin 1.5mg, Luracidin.

"Slow  Steady Stable" 💚

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4 hours ago, Heath said:

@MrMiyagiHello !

will you be using liquid that is equivalent to mg -  5 mg equals 5 ml? 
 

you can use this taper calculator it’s easiest one I know of. It works for ml or mg. 
http://www.taperoff.co/

 

And get you a 10 or 20 ml syringe for the ml and a 1 ml syringe for the tenths of a ml. 
 

Don’t forget to gradually transfer to liquid over a months time and then hold at least another month. 

 

PAROXETINE HCL 10 MG/5 ML SUSP SUSPENSION

2001-2019 Effexor XR 150mg Cross to Zoloft 100mg.

2003-2004 CT Effexor XR 150

09/18/2020 Zoloft 100mg CT Switch Paxil 20mg /Valium 10mg

2020 Paxil 20mg /Valium 10mg/Gabapentin 900mg.

2021 Paxil 20mg /Valium 6mg /Gabapentin 600mg.

Currently:

04/14/2022 Paxil 20mg to 15mg 25% reduction/Valium 3mg/Gabapentin 900mg/Fludrocortisone .01mg 

Paxil: Tablet/Liquid Switch 10% Monthly Drops

5/16 Paxil Liquid 7.4ml/ Valium 3mg/ Gabapentin 900mg, 6/1 Paxil Liquid 6.66ml/ Valium 3mg/ Gabapentin 900mg 6/18 "Switch back to tablets" paxil 10mg+1.66ml/Valium 3mg/Gabapentin 900mg

SupplementsFish Oil, Melatonin 1.5mg, Luracidin.

"Slow  Steady Stable" 💚

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  • Mentor

@MrMiyagi  make sure you are going to be taking correct dosage. See attached 

 

And always double check with dr and pharmacy that you are taking/getting correct dosage . Mistakes can be made sometimes. Take care of yourself.

2000-2013 Paxil - 1 year fast taper

2013-2018 drug merry go round with dr. 
zoloft, cymbalta, lamictal, Prozac.

 Nov. 2018 lexapro 15 mgs, Dec. 2019 to Mar. 2020 10mg. Jul 2020 to October 2020 8.5 ml.
Oct 2020 reinstated to 9 ml.
Apr 2021 to Jul  7ml. Oct 2021 to Jan 2022 5.9ml, Mar 5 2022 5.8 ml, Mar 12 5.7ml, Mar 20 5.6ml, Mar 27 5.5ml, April 23 5.4ml, April 30 5.3ml, May 7 5.2ml,  Jul 9, 5.4ml, 

Klonopin as needed, present Celebrex 200 - 400 mg daily as needed, 1000 to 2000 mg  turmeric Qunol daily as needed, Trader Joe’s omega 3, Prilosec very rarely if desperate 

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Hello Heath,

   Thank you for your advise I am still a bit confused in calculating my reductions because my oral solution is not the same ML. for MG.

PAROXETINE HCL 10 MG/5 ML SUSP SUSPENSION

 

So I will use 10ML of solution to obtain my current 20mg dose. To reduce 10ML by 2.5% weekly would be my goal. So my dosages would look like this ?

 

9.75 ml

9.50 ml

9.26 ml

9.02 ml

HOLD one to two weeks 

🤧🤯

2001-2019 Effexor XR 150mg Cross to Zoloft 100mg.

2003-2004 CT Effexor XR 150

09/18/2020 Zoloft 100mg CT Switch Paxil 20mg /Valium 10mg

2020 Paxil 20mg /Valium 10mg/Gabapentin 900mg.

2021 Paxil 20mg /Valium 6mg /Gabapentin 600mg.

Currently:

04/14/2022 Paxil 20mg to 15mg 25% reduction/Valium 3mg/Gabapentin 900mg/Fludrocortisone .01mg 

Paxil: Tablet/Liquid Switch 10% Monthly Drops

5/16 Paxil Liquid 7.4ml/ Valium 3mg/ Gabapentin 900mg, 6/1 Paxil Liquid 6.66ml/ Valium 3mg/ Gabapentin 900mg 6/18 "Switch back to tablets" paxil 10mg+1.66ml/Valium 3mg/Gabapentin 900mg

SupplementsFish Oil, Melatonin 1.5mg, Luracidin.

"Slow  Steady Stable" 💚

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  • Mentor

@MrMiyagiYes your numbers are correct. and yes hold a couple of weeks- brass monkey slide👍

And even though you are doing 10/5 ratio when you calculate the 2.5% it will equal out the same. 
so at 20 mg x 2.5% is 19.5 mg

at 10 ml x 2.5% is 9.75 ml

so 19.5 to 9.75 is same as 10/5 ratio

 

so basically you will calculate your cuts by the dose you are taking regardless of mg or ml. 
 

I know it’s confusing they gotta make it so complicated!

 

next time you see dr ask him for 1 to 1 ratio . Even ask the pharmacist if 1 to 1 ratio is available. 

2000-2013 Paxil - 1 year fast taper

2013-2018 drug merry go round with dr. 
zoloft, cymbalta, lamictal, Prozac.

 Nov. 2018 lexapro 15 mgs, Dec. 2019 to Mar. 2020 10mg. Jul 2020 to October 2020 8.5 ml.
Oct 2020 reinstated to 9 ml.
Apr 2021 to Jul  7ml. Oct 2021 to Jan 2022 5.9ml, Mar 5 2022 5.8 ml, Mar 12 5.7ml, Mar 20 5.6ml, Mar 27 5.5ml, April 23 5.4ml, April 30 5.3ml, May 7 5.2ml,  Jul 9, 5.4ml, 

Klonopin as needed, present Celebrex 200 - 400 mg daily as needed, 1000 to 2000 mg  turmeric Qunol daily as needed, Trader Joe’s omega 3, Prilosec very rarely if desperate 

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  • 1 month later...

Has anyone had a difficult time switching from tablets of Paxil to the liquid? If you get very sick and have extreme WD, what do you do? I would like to get on the liquid to make smaller cuts

 

Medicated at age 7. Many med changes (over 20). Tapered off Xanax in 2018. 

PAXIL TAPER:  
2021: Feb. 2021 - 15mg Paxil. Terrible. Bedridden for 8 months.  Oct. 2021 - 14.6mg  Oct. 27, 2021 - 14.2 mg Nov. 14, 2021 - 14mg  30% done
2021: Feb. 28, 2022 - 13.6mg March. 28, 2022 - 13.4mg April 5, 2022 - 13.4mg but introducing liquid (bad reaction) 33% done

"The is what the Lord, the God of your father David, says: 'I have heard your prayer and seen your tears; I will heal you.'" 2 Kings 20:5🤍

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  • 1 month later...

Seems to be another shortage of the liquid in the UK. Has anyone else encountered this? I found you can look up drugs shortages here, but the return data is supposedly 'early June'.
https://www.mims.co.uk/drug-shortages-live-tracker/article/1581516

 

I'm trying to see if my pharmacist can find me an unlicensed version of the liquid otherwise it looks like I'll need to start crushing pills

Began paxil/seroxat 20mg in 2001 for social anxiety, age 14

Switched to liquid and at some point tapered down to around 7ml(14mg)

2007 tapered too rapidly down to 4ml had severe depression and anxiety for a year, stabilised at 6.6ml(13.2mg), same dose ever since

Have had 2 negative reactions then, one in 2010 and one in 2014. Currently recovering from this latest one, whole array of symptoms that come and go

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Same problem of shortage in France, and it's been going on for months🙄. Even when it's back in store, it lasts only a few days. 

 

I found two bottles recently thanks to a friend of my parents who is a pharmacist, but I don't know how long I can manage if the situation isn't solved quickly. I found a french website with indications about which pharmacy still has some in store, but it's not always reliable.

I have even called the french lab, they told me they had zero info about when it will be available again...

I'm thinking of crushing pills as well, but I have to admit I find much more reassuring to take a "proper" medication rather than a homemade fix. Anyway, it sucks.

 

December 2020 : got prescribed 20 mg paroxetine (paxil) for an anxiety disorder

Tried tapering in July 2021 by taking 20 mg every other day and failed.

 

Started tapering with the 10% method in January 2022. Turned out to be a bit hard. Continuing with 5% drops approx.

25 January 2022 : 18 mg

24 February 2022 : 16,2 mg

06 April 2022 : 14,6 mg

2 June 2022 : 14 mg

11 July 2022 : 13 mg

09 August 2022 : 12,5 mg

 

Xanax from december 2020 to January 2021 / Omeprazol on and off for GERD since december 2020 : 20 mg / Birth control pill since february 2021. / Magnesium (300 mg) and Omega 3 (200 mg) since March 2022.

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19 hours ago, souim said:

Same problem of shortage in France, and it's been going on for months🙄. Even when it's back in store, it lasts only a few days. 

 

I found two bottles recently thanks to a friend of my parents who is a pharmacist, but I don't know how long I can manage if the situation isn't solved quickly. I found a french website with indications about which pharmacy still has some in store, but it's not always reliable.

I have even called the french lab, they told me they had zero info about when it will be available again...

I'm thinking of crushing pills as well, but I have to admit I find much more reassuring to take a "proper" medication rather than a homemade fix. Anyway, it sucks.

 

 

That's interesting, what is the website? I don't think they have the equivalent of that in the UK. Now I'm wondering about if I can make a trip to France to get a prescription...which is completely crazy. My other option is to start phoning every pharmacist nearby to see if anyone happens to have a bottle in store

 

I also spoke to my pharmacist and apparently when there is a shortage, labs here are allowed to make a 'special' of the same medication. But they are not licensed to do it unless there is a genuine shortage. So I'm waiting for GlaxoSmithKline to respond to the lab to give them permission. I think I'd feel better taking this than crushing up the pills as well although I've seen lots of helpful info about crushing up pills on this site

 

 

 

Began paxil/seroxat 20mg in 2001 for social anxiety, age 14

Switched to liquid and at some point tapered down to around 7ml(14mg)

2007 tapered too rapidly down to 4ml had severe depression and anxiety for a year, stabilised at 6.6ml(13.2mg), same dose ever since

Have had 2 negative reactions then, one in 2010 and one in 2014. Currently recovering from this latest one, whole array of symptoms that come and go

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  • Moderator Emeritus
9 hours ago, Obstacle1 said:

I've seen lots of helpful info about crushing up pills on this site

 

Brassmonkey, one of the senior mods, was also on the now defunct website PaxilProgress.  He successfully got of Paxil by crushing and weighing his doses for his whole taper.

 

I recently asked him about making liquid from Paxil tablets, because there in information in post #1 of this current topic which says that you can make a liquid and I was wondering why he did not do that.

 

He told me that because of his occupation he felt very comfortable working with with crushing and weighing.

 

But he did tell me that yes, you can make a liquid from Paxil tablets.

 

I made a liquid from the contents of my compounded Pristiq tablets (the tablets don't dissolve but go gluggy) and found it very easy to do.

Please DO NOT TAG me - thank you

PLEASE NOTE:  I am not a medical professional.  I provide information and make suggestions. 

  MISSION ACCOMPLISHED:    (6 year taper)      0mg Pristiq      on 13th November 2021

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

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10 hours ago, Obstacle1 said:

That's interesting, what is the website? I don't think they have the equivalent of that in the UK. Now I'm wondering about if I can make a trip to France to get a prescription...which is completely crazy. My other option is to start phoning every pharmacist nearby to see if anyone happens to have a bottle in store

The website is called Vigirupture. It is not targeted toward the main public, but toward health professionnal, especially pharmacists.  However, it's pretty easy to create an account pretending to be a doctor, and they don't check afterwards.

I wouldn't advise to go to France, because it's really hard to find the product here as well. It's been on shortage for more that three months, and even with the website, I'm struggling more and more. I might follow chessiecat advice and just go for the homemade liquid.

December 2020 : got prescribed 20 mg paroxetine (paxil) for an anxiety disorder

Tried tapering in July 2021 by taking 20 mg every other day and failed.

 

Started tapering with the 10% method in January 2022. Turned out to be a bit hard. Continuing with 5% drops approx.

25 January 2022 : 18 mg

24 February 2022 : 16,2 mg

06 April 2022 : 14,6 mg

2 June 2022 : 14 mg

11 July 2022 : 13 mg

09 August 2022 : 12,5 mg

 

Xanax from december 2020 to January 2021 / Omeprazol on and off for GERD since december 2020 : 20 mg / Birth control pill since february 2021. / Magnesium (300 mg) and Omega 3 (200 mg) since March 2022.

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  • 1 month later...

Liquid out of stock in the Netherlands for the 2nd time this year. Current date november 22. I'm.currently switching back to pills with help from compounding pharmacy. I also discovered, this could be relevant for those who are facing allergic issues such as food intolerance and (pseudo) allergy issues; 

 

Edited by ChessieCat
removed translation text box
  • I'm a 42 years old male
  • I've got a job in business and economics
  • I'm into sports, animals and nature
  • I started using 20 mg Paroxetine (Paxil) in 2004 for stressrelated anxiety
  • I attempted several times to stop using Paroxetine, starting a few years after 2004
  • I found out in 2015 about paxil withdrawal symptoms and the 5-10% taper
  • I started using liquid Seroxat suspension in 2015/2016
  • From 20 mg to 12 mg, I went down 5-10%
  • From 12 mg down I was forced to take smaller steps (0,2 ml/4-6 weeks)

Switch to suspension/fluid

  • 09/2018 at 11.2 mg (5,6 ml) of Seroxat suspension
  • 11/2018 Switch back to 5,7 ml (11,4 mg)
  • Started trying the brassmonkey micro-taper method end dec 2018
  • 07/2021 Current dose 5,6 ml (11.2 mg) after >1 year of withdrawal issues (several food sensitivities and conflicts with painkillers, caffein, grapefruit, chocolate etc.)
  • First goal is to reach 5ml (2022)
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Local compounding pharmacy is able to make 0.5mg pills (60 pieces per box).  

 

in fact they are not pills but small capsules

 

Edited by ChessieCat
removed translation text box
  • I'm a 42 years old male
  • I've got a job in business and economics
  • I'm into sports, animals and nature
  • I started using 20 mg Paroxetine (Paxil) in 2004 for stressrelated anxiety
  • I attempted several times to stop using Paroxetine, starting a few years after 2004
  • I found out in 2015 about paxil withdrawal symptoms and the 5-10% taper
  • I started using liquid Seroxat suspension in 2015/2016
  • From 20 mg to 12 mg, I went down 5-10%
  • From 12 mg down I was forced to take smaller steps (0,2 ml/4-6 weeks)

Switch to suspension/fluid

  • 09/2018 at 11.2 mg (5,6 ml) of Seroxat suspension
  • 11/2018 Switch back to 5,7 ml (11,4 mg)
  • Started trying the brassmonkey micro-taper method end dec 2018
  • 07/2021 Current dose 5,6 ml (11.2 mg) after >1 year of withdrawal issues (several food sensitivities and conflicts with painkillers, caffein, grapefruit, chocolate etc.)
  • First goal is to reach 5ml (2022)
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IMPORTANT:  SEROXAT ORAL SUSPENSION DISCONTINUED

 

NOTE:  Paroxetine tablets can be made into a liquid.  Please see Post #1.  Please see below for information on doing a cross over.

 

Please note that GSK is discontinuing "manufacturing, supply and marketing of paroxetine hydrochloride oral suspension products."

 

MIA write-up here: https://www.madinamerica.com/2022/08/discontinuation-antidepressant-affect-tapering-patients-say-experts/

 

The news was published in The Pharmaceutical Journal on 27 July 2022: 

https://pharmaceutical-journal.com/article/news/discontinuation-of-antidepressant-could-affect-tapering-patients-say-experts

 

Excerpt from article: 

 

Discontinuation of antidepressant could affect tapering patients, say experts

Exclusive: Paroxetine 20mg/10mL oral suspension is being discontinued, but experts have highlighted how these liquid formulations of antidepressants are "essential" for successfully tapering patients.

 

The liquid selective serotonin reuptake inhibitor (SSRI) paroxetine (Seroxat; GSK) 20mg/10mL oral suspension is to be discontinued, raising concerns for patients in the process of tapering off the drug.

 

On 14 July 2022, the Pharmaceutical Services Negotiating Committee (PSNC) announced via a medicine supply notification that paroxetine (Seroxat) 20mg/10mL oral suspension would be discontinued in July 2022 and that there were “limited” supplies remaining.

 

The notification said that paroxetine tablets and unlicensed specials of paroxetine 10mg/5mL oral suspension remained available and could “support an uplift in demand”.

 

PLEASE NOTE:  When changing form of a drug SA recommends doing a cross over, which is gentler on your nervous system.  For more information on how to do this please see SA topic:

 

Cross Over: Changing form (eg tablet to liquid) of drug OR changing brand of same drug

 

 

Edited by ChessieCat

1996-2018 - misc. polypharmacy, incl. SSRIs, SNRIs, neuroleptics, lithium, benzos, stimulants, antihistamines, etc. (approx. 30+ drugs)

2012-2018 - 10mg lexapro/escitalopram (20mg?)    Jan. 2018 - 10mg -> 5mg, then from 5mg -> 2.5mg, then 0mg  -->  July 2018 - 0mg

2017(?)-2020 - vyvanse/lisdexamfetamine 60-70mg    2020-2021 - 70mg down to 0mg  -->  July 2021 - 0mg

March-April 2021 - vortioxetine 5-10mg (approx. 7 weeks total; CT)  -->  April 28th, 2021 - 0mg

supplements: magnesium powder (dissolved in water) as needed throughout the day; 1 tsp fish oil w/ morning meal; 2mg melatonin 

August 1, 2022 - 1 mg melatonin

 

Courage is fear that has said its prayers.  - Karle Wilson Baker

love and justice are not two. without inner change, there can be no outer change; without collective change, no change matters.  - Rev. angel Kyodo williams

Holding multiple truths. Knowing that everyone has their own accurate view of the way things are.  - text on homemade banner at Afiya house

 

I am not a medical professional; this is not medical advice. 

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@Ariel thanks so much for the info. The discontinuation is not announced in France yet so I kept checking the official website of the National Health Agency to see if there was a date announced.

I guess I will crossover when I've finished my bottles. I have three unopened ones which I found in three different drugstores, in three different cities...

My goal is to get to 50% of my original dosage, which will allow me to work with half a pill and smoothen the transition. It seems doable, if my withdrawal symptoms don't worsen.. We'll see. Anyway, thank you.

The cynicism of this industry baffles me. Pretty unsurprising though I guess.

December 2020 : got prescribed 20 mg paroxetine (paxil) for an anxiety disorder

Tried tapering in July 2021 by taking 20 mg every other day and failed.

 

Started tapering with the 10% method in January 2022. Turned out to be a bit hard. Continuing with 5% drops approx.

25 January 2022 : 18 mg

24 February 2022 : 16,2 mg

06 April 2022 : 14,6 mg

2 June 2022 : 14 mg

11 July 2022 : 13 mg

09 August 2022 : 12,5 mg

 

Xanax from december 2020 to January 2021 / Omeprazol on and off for GERD since december 2020 : 20 mg / Birth control pill since february 2021. / Magnesium (300 mg) and Omega 3 (200 mg) since March 2022.

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  • Moderator

Hello @souim
If you feel comfortable calling the lab, don't hesitate to do so: when I found myself without liquid paroxetine in 2020, I realised that the information from the health authorities was sometimes a bit late, so I called the lab directly as a patient to get information on their forecasts and they answered me.
Once I was told that they only give information to professionals: if that happens, you can ask a pharmacist or a doctor to call them with you.

2006 : 20mg Paxil+Bromazepam. 2008 : cold turkey of both. 2010 : Reinstatement 20mg Paxil + Bromazepam.

2014-June2017 : Switch from Bromazepam to Prazepam, slow taper to 0mg.

2018 to August 2019 : Paxil 20mg taper (3% every 15 days). 22 Aug 2019 updose to 10mg (was at 8.4mg).

25th Sept 2019 To April 2020 : found SA, holding at 10mg Paxil. 

April 2020 : Paxil 10mg to Prozac 7mg bridge. Details topic/21457

 

Current Supplements : magnesium citrate + fish oil

Current medication :

* 7pm Diazepam  : 0.85mg (15 Aug 2022) / 0.95 mg (24 April 2022) / 1mg Diazepam (since 29 Aug 2020)

* 8am Prozac : 6.24mg (18 July 22) / 6.44mg (22 May 22) / 6.64mg (4 Nov 21) / 6.72mg (8 oct 21) / 6.8 mg (15 Sept 21)6.88mg (14 Aug 21)/ 6.92mg (23 Jun 21)

 

I am not a professional, I don't give medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

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Thanks so much for the info Erell. I will try to call them tomorrow.

December 2020 : got prescribed 20 mg paroxetine (paxil) for an anxiety disorder

Tried tapering in July 2021 by taking 20 mg every other day and failed.

 

Started tapering with the 10% method in January 2022. Turned out to be a bit hard. Continuing with 5% drops approx.

25 January 2022 : 18 mg

24 February 2022 : 16,2 mg

06 April 2022 : 14,6 mg

2 June 2022 : 14 mg

11 July 2022 : 13 mg

09 August 2022 : 12,5 mg

 

Xanax from december 2020 to January 2021 / Omeprazol on and off for GERD since december 2020 : 20 mg / Birth control pill since february 2021. / Magnesium (300 mg) and Omega 3 (200 mg) since March 2022.

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On 8/14/2022 at 4:21 PM, souim said:

@Ariel thanks so much for the info. The discontinuation is not announced in France yet so I kept checking the official website of the National Health Agency to see if there was a date announced.

I guess I will crossover when I've finished my bottles. I have three unopened ones which I found in three different drugstores, in three different cities...

My goal is to get to 50% of my original dosage, which will allow me to work with half a pill and smoothen the transition. It seems doable, if my withdrawal symptoms don't worsen.. We'll see. Anyway, thank you.

The cynicism of this industry baffles me. Pretty unsurprising though I guess.

@souim If you do a crossover this is a recommended switch to minimalise WD.

1st week 75% liquid-25% tablet

2nd week 50-50

3rd week 25-75

4th week 100% tablet

Bonne chance,

Sebas

  • I'm a 42 years old male
  • I've got a job in business and economics
  • I'm into sports, animals and nature
  • I started using 20 mg Paroxetine (Paxil) in 2004 for stressrelated anxiety
  • I attempted several times to stop using Paroxetine, starting a few years after 2004
  • I found out in 2015 about paxil withdrawal symptoms and the 5-10% taper
  • I started using liquid Seroxat suspension in 2015/2016
  • From 20 mg to 12 mg, I went down 5-10%
  • From 12 mg down I was forced to take smaller steps (0,2 ml/4-6 weeks)

Switch to suspension/fluid

  • 09/2018 at 11.2 mg (5,6 ml) of Seroxat suspension
  • 11/2018 Switch back to 5,7 ml (11,4 mg)
  • Started trying the brassmonkey micro-taper method end dec 2018
  • 07/2021 Current dose 5,6 ml (11.2 mg) after >1 year of withdrawal issues (several food sensitivities and conflicts with painkillers, caffein, grapefruit, chocolate etc.)
  • First goal is to reach 5ml (2022)
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