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Tips for tapering off escitalopram (Lexapro)


Altostrata

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The neurotransmitter imbalance theory has no validity. Don't worry about your neurotransmitter balance. You already are producing all the neurotransmitters you need naturally.

 

Alto, do you think the use of AD, especially long term, can damage our neurotransmitters/receptor sites? Just curious. This is something I've wondered about for years.

On Prozac since 2004, 10 mg 

Began to taper, 2016, first time cold turkey

unsuccessful, so soon after tried again

kept having to go back on medication due to withdrawals

tried to do it myself as couldn't find a dr to help me

Currently on taper #4 from 2016, having changed to Lexapro and starting November 2018 from 5 mg

As of April 2020 I am at 1/5th of a mg (.2 mg)

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THANK YOU for this information! Good to know! It may explain why I have been unable to withdraw from Lexapro (currently at 3 mgs liquid per day). My last arrogant and ignorant psychiatrist (the only k

Hi Jemima, I read the explanations about creating your own liquid, and it makes the process seem like a full time job... isn't there some easier way to do this ? I'm getting pretty stressed about th

I just found this page at this site and I’m not anymore so confused why I feld like a lunatic after doctor cold turkey’d me at 5mg Escitalopram(Lexapro). 
This drug seems to be a monster compared to other drugs!

And when I was prescribed Escitalopram doctor said that this is maybe the mildest drug in the market. For God sake...

Mid july 2019 started Escitalopram 

First week 2,5mg, second week 5mg, then 10mg for few days, then back to 5mg

Mid september 2019 quit cold turkey Escitalopram

1. february 2020 started Ketipinor for sleep issues and anxiety

mid march 2020 stopped Ketipinor

Taking some Diazepams (Diapam 5mg) for panic attacks and withdrawal. Not taken for months.

Esomeprazol 40mg/day for gastroesophageal reflux disease

Tapering that out 25% / week (done)

 

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  • 2 months later...

That’s absolutely shocking @Teppo125 It is terrifying  thar doctors do not know about the drugs they prescribe.

I was on 40 mgs double the registered dose. I was fast tracked /cold turkeyed off it by a psychiatrist ( sadly I found this site too late to safely reinstate). When I tried to explain my dilemma to my  doctor  I was told unequivocally that I was wrong. Lexapro is no stronger than any other SSRI!! 18 months in withdrawal and Ive seen 4 psychiatrists and not one medical professional has helped me non of them knew the strength of Lexapro. I’ve now found a medication support and recovery service myself through google which is really helping. My lifeline  has been this website and google. Sorry folks this bad wave is making me very scared.  I was not only cold turkeyed  but it was from one of the strongest ADs on the market and I was on double the register dose. This terror often flares up in my  waves. 

Take care everyone and please be mindful of your taper from this brutal drug. 

 

Lexapro Fast Track/ Cold Turkey

Last dose end Dec 2018 

Tapered 1/2 a daily dose a week (20mg) for  14 weeks, last dose was a 20 mg pill!!  

 3.5 times slower than Psychiatrist recommended, I felt proud of myself!! Little did I know!!!!Got too scared to reinstate because I’d left it too long.

On ADs for 20 years (Prozac approx 10 years/ Pristiq approx 3 years/ Citalipram approx 2 years/. Lexapro a approx  5 years/. Last two years 40mgs Lexapro day.

 

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@Katy398

I read that 85% of capasity of the drug is at 10mg, so it’s not a big deal how much bigger amount you are taking.

Mid july 2019 started Escitalopram 

First week 2,5mg, second week 5mg, then 10mg for few days, then back to 5mg

Mid september 2019 quit cold turkey Escitalopram

1. february 2020 started Ketipinor for sleep issues and anxiety

mid march 2020 stopped Ketipinor

Taking some Diazepams (Diapam 5mg) for panic attacks and withdrawal. Not taken for months.

Esomeprazol 40mg/day for gastroesophageal reflux disease

Tapering that out 25% / week (done)

 

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Thank you @Teppo125 maybe I don’t need to worry so much then. Take care, look after yourself,  Best for your  journey through this. Kind Regards. 

 

Lexapro Fast Track/ Cold Turkey

Last dose end Dec 2018 

Tapered 1/2 a daily dose a week (20mg) for  14 weeks, last dose was a 20 mg pill!!  

 3.5 times slower than Psychiatrist recommended, I felt proud of myself!! Little did I know!!!!Got too scared to reinstate because I’d left it too long.

On ADs for 20 years (Prozac approx 10 years/ Pristiq approx 3 years/ Citalipram approx 2 years/. Lexapro a approx  5 years/. Last two years 40mgs Lexapro day.

 

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 Katy398 said:

Quote

I’ve now found a medication support and recovery service myself through google which is really helping.

 

what is a medication and recovery service? What do they do? 

On Prozac since 2004, 10 mg 

Began to taper, 2016, first time cold turkey

unsuccessful, so soon after tried again

kept having to go back on medication due to withdrawals

tried to do it myself as couldn't find a dr to help me

Currently on taper #4 from 2016, having changed to Lexapro and starting November 2018 from 5 mg

As of April 2020 I am at 1/5th of a mg (.2 mg)

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@neverknew

 

Do a google search for:  medication and recovery service and you will get a list of results.  If you put in your location you might be able to find one/some close to you.

 

So close to the end!!!

🏁

Current from 16 October 2021:  Pristiq 0.005mg

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

My full tapering program     My Intro (goes to my tapering graph)    My website

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

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Hi @neverknew,

It’s a Government funded service here that supports people who have been affected by  prescription medication. The person I speak to has not  had experience with antidepressants withdrawal but she supports people who are experiencing  difficulties taking Benzodiazepines and some painkillers. She seems to understand the symptoms and is helping me with strategies to aid recovery and weather the waves. To be honest there nothing new than you wouldn’t find here, it’s a counselling service that understands what I going through.   PAST in Wales is another service I know offers support. I don’t think there are many but they are out there. Not sure about USA. 

Take care Neverknew, take your time and listen to your body. Warm Regards Katy

 

Lexapro Fast Track/ Cold Turkey

Last dose end Dec 2018 

Tapered 1/2 a daily dose a week (20mg) for  14 weeks, last dose was a 20 mg pill!!  

 3.5 times slower than Psychiatrist recommended, I felt proud of myself!! Little did I know!!!!Got too scared to reinstate because I’d left it too long.

On ADs for 20 years (Prozac approx 10 years/ Pristiq approx 3 years/ Citalipram approx 2 years/. Lexapro a approx  5 years/. Last two years 40mgs Lexapro day.

 

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  • Altostrata changed the title to Tips for tapering off escitalopram (Lexapro)
  • Moderator

SERT occupancy graph for Escitalopram available here. Note the graph is only for a single dose: 

 

Remeron - 2004-2005 (bad withdrawal)

Clonazepam - 2005-2018 (jumped around March)

Olanzapine - 2014- late 2017

Domperidone - 2008-2018

Many drugs in between including Lexapro, other benzos and z-drugs.

Still suffering post-withdrawal from Clonazepam (Klonopin), Olanzapine and Domperidone. 

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  • 2 weeks later...

If 5 mg is around 70 percent sert occupancy, going down to 2,5 a day should'nt be that problematic since half life of it keeps you close to 5 right?

Around 2019 agust ocd triggered panic. Took prozac 20 and abilify 5 that i had quited for a week foolishly. Panic increased. After that went to doctor gave zyprexa 5mg lexrapo 10mg. Took that then after a week tried to quit zyprexa over 4 days. I Couldnt so went back and tried slower but didnt endure waves. Then i quit zyprexa by cutting pill over 3 months. After 5 months taking of lexapro quit that with water taper over 2 months. In bad shape

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Liquid tapering effect on tongue

 

Liquid tapering lexapro. Does anyone find that tasting the drug effect tounge?

 

Edited by ChessieCat
added topic title

Around 2019 agust ocd triggered panic. Took prozac 20 and abilify 5 that i had quited for a week foolishly. Panic increased. After that went to doctor gave zyprexa 5mg lexrapo 10mg. Took that then after a week tried to quit zyprexa over 4 days. I Couldnt so went back and tried slower but didnt endure waves. Then i quit zyprexa by cutting pill over 3 months. After 5 months taking of lexapro quit that with water taper over 2 months. In bad shape

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  • ChessieCat changed the title to Liquid tapering effect on tongue
  • 4 months later...
  • Mentor
Yesyes123
On 7/19/2020 at 3:31 AM, Teppo125 said:

@Katy398

I read that 85% of capasity of the drug is at 10mg, so it’s not a big deal how much bigger amount you are taking.

Interesting - so the difference between taking 10mg escitalopram and 15mg is very small, right?

 

Also, I'm thinking of getting liquid escitalopram from a local compounding pharmacy. Would that be dangerous at all? I'm scared they could mess up the dosage or something - we know that even a slight mistake can have tremendous effects.

July 2015 - Started Escitalopram 10mg (Lexapro) at age 15. Took it everyday until July 2020 (5 Years)

July 2020 - Turned 21 started tapering off until August (TOO FAST TAPER/ ALMOST SAME AS COLD TURKEY)

August 2020 -  Clear Manic episode (nothing absurd or life threatening)

September 2020 - Start feeling a bit weird

October 2020 - Crashed. The absolute worst time of my life. 

Late October 2020 - Reinstated Escitalopram 10mg. Perscribed Antipsychotics (Lithium, Seroquel) REFUSED

Early November 2020 - Psychiatrist wrongly upped the dosage to 15mg. Still taking 15mg / day as of today. 

 

22 January 2021: 

Beginning to stabilize on 15mg/day Escitalopram (Lexapro) 🧠

Taking 25mg Magnesium Citrate 4x per day / 2000mg Vitamin C Prolonged Release + Kiwis + Fresh Fruit / Salmon everyday for Omega3 Fatty Acids

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ChessieCat

@Yesyes123

 

Please read Post #1 of the Tips for Tapering Escitalopram topic (current topic).  This drug is very strong:

 

  

On 5/27/2011 at 12:16 PM, Altostrata said:

If you are taking 5mg of Lexapro, it's not tiny, it's equivalent to 10-20mg Paxil or Celexa.

Consequently, when you taper off escitalopram, you should be careful to decrease by small amounts, as each drop is magnified by escitalopram's extra potency. If you find withdrawal symptoms from a 10% decrease to be too difficult, after 3-4 weeks decrease by a smaller amount.

 

ALSO SEE:

 

Why taper paper: dose-occupancy curves

 

So close to the end!!!

🏁

Current from 16 October 2021:  Pristiq 0.005mg

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

My full tapering program     My Intro (goes to my tapering graph)    My website

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

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Yesyes123

I cannot understand how some people say they cold turkey'd escitalopram/ Lexapro after 3+ years of use and say they had no problems with it. I recently met someone who said so. Unbelievable.

July 2015 - Started Escitalopram 10mg (Lexapro) at age 15. Took it everyday until July 2020 (5 Years)

July 2020 - Turned 21 started tapering off until August (TOO FAST TAPER/ ALMOST SAME AS COLD TURKEY)

August 2020 -  Clear Manic episode (nothing absurd or life threatening)

September 2020 - Start feeling a bit weird

October 2020 - Crashed. The absolute worst time of my life. 

Late October 2020 - Reinstated Escitalopram 10mg. Perscribed Antipsychotics (Lithium, Seroquel) REFUSED

Early November 2020 - Psychiatrist wrongly upped the dosage to 15mg. Still taking 15mg / day as of today. 

 

22 January 2021: 

Beginning to stabilize on 15mg/day Escitalopram (Lexapro) 🧠

Taking 25mg Magnesium Citrate 4x per day / 2000mg Vitamin C Prolonged Release + Kiwis + Fresh Fruit / Salmon everyday for Omega3 Fatty Acids

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ChessieCat

I think that some people may experience withdrawal symptoms which they do not attribute to stopping a drug.  It is amazing the wide variety of symptoms which can be experienced.  I had an upset stomach when I reduced my Pristiq by 50% and would not have thought anything about it except that afterwards I found SA and the list of possible symptoms and made the connection.  I also suffered from extreme cog fog and after 2 weeks at the lower dose I was unable to type.  By that time I had found thankfully SA and they suggested updosing.  After I updosed, about 4 hours later, hours not days, I was able to type again.  I am a professional typist and had a benchmark so know for certain that it was caused by the drug. 

 

Also their withdrawal may be delayed.  This happened to me when I cold turkeyed citalopram.  I felt great for at least 2 months afterwards, the best that I had felt for a very long time.  Then I got hit with what felt like the flu but was not.  I was bedridden for 2.5 weeks and lost 8kgs because I could not eat.  After this happened I was put on Pristiq, not knowing that it was withdrawal.  Again it was not until I found SA that I made the connection and realised that it was withdrawal.

So close to the end!!!

🏁

Current from 16 October 2021:  Pristiq 0.005mg

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

My full tapering program     My Intro (goes to my tapering graph)    My website

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

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Yesyes123

Thank you so much @ChessieCat.

 

That makes a lot of sense.

 

I was wondering, if instead of crushing my pills to powder I weight my pills and use a nail file to shave off 10% of the weight of the pill, and then do that for the whole taper?

 

I'm worried I can't do that because the active ingredient isn't well spread throughout the pill, and I might end up shaving off only the filler ingredient, changing the weight but not the actual dose of Escitalopram.

 

@Gridley this method wouldn't be likely to work right?

July 2015 - Started Escitalopram 10mg (Lexapro) at age 15. Took it everyday until July 2020 (5 Years)

July 2020 - Turned 21 started tapering off until August (TOO FAST TAPER/ ALMOST SAME AS COLD TURKEY)

August 2020 -  Clear Manic episode (nothing absurd or life threatening)

September 2020 - Start feeling a bit weird

October 2020 - Crashed. The absolute worst time of my life. 

Late October 2020 - Reinstated Escitalopram 10mg. Perscribed Antipsychotics (Lithium, Seroquel) REFUSED

Early November 2020 - Psychiatrist wrongly upped the dosage to 15mg. Still taking 15mg / day as of today. 

 

22 January 2021: 

Beginning to stabilize on 15mg/day Escitalopram (Lexapro) 🧠

Taking 25mg Magnesium Citrate 4x per day / 2000mg Vitamin C Prolonged Release + Kiwis + Fresh Fruit / Salmon everyday for Omega3 Fatty Acids

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28 minutes ago, Yesyes123 said:

instead of crushing my pills to powder

I would crush to powder.  Here is what I wrote in my PM to you:

 

 

 

I'm not aware of a link specifically about crushing pills but I can easily explain.  Lexapro is not time-release and can be safely crushed to powder.  I used two spoons and crushed the tablet very fine between them.  Give the powder a good stir to make sure the active ingredient is well mixed with the filler.  I used a powder measuring spoon for this (Google "powder measuring spoon").  Weigh the powder, adding or subtracting powder with the spoon (or you can use tweezers) until you get the weight you want.  Pour the powder into a size 0 gelatin capsule.  You can do this with a bent post-it.  I used 3" square LabExact weighing paper.  Save leftover powder in a capsule for future use.

 

 

Gridley Introduction

 

Lexapro 20 mg since 2004.  Begin Brassmonkey Slide Taper Jan. 2017.   

End 2017 year 1 of taper at 9.25mg 

End 2018 year 2 of taper at 4.1mg

End 2019 year 3 of taper at 1.0mg  

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

3 year, 10 month taper is 100% complete.

 

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

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

Feb. 2021, begin 10%/4 week taper.  Current dose as of Oct 13: 8.1 mg 

Taper is 56.8% complete.

 

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

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

Taper is 80% complete.  

  

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


I am not a medical professional and this is not medical advice, but simply information based on my own experience, as well as other members who have survived these drugs.

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Yesyes123

Do you guys think that some people's CNS aren't as sensitive to escitalopram and can quit cold turkey or with a very fast taper and have no major problems?

 

While others have life-threatening withdrawal, needing to be hospitalized, only to be thrown into a cocktail of drugs that will only make the situation 10x worse...

 

 

July 2015 - Started Escitalopram 10mg (Lexapro) at age 15. Took it everyday until July 2020 (5 Years)

July 2020 - Turned 21 started tapering off until August (TOO FAST TAPER/ ALMOST SAME AS COLD TURKEY)

August 2020 -  Clear Manic episode (nothing absurd or life threatening)

September 2020 - Start feeling a bit weird

October 2020 - Crashed. The absolute worst time of my life. 

Late October 2020 - Reinstated Escitalopram 10mg. Perscribed Antipsychotics (Lithium, Seroquel) REFUSED

Early November 2020 - Psychiatrist wrongly upped the dosage to 15mg. Still taking 15mg / day as of today. 

 

22 January 2021: 

Beginning to stabilize on 15mg/day Escitalopram (Lexapro) 🧠

Taking 25mg Magnesium Citrate 4x per day / 2000mg Vitamin C Prolonged Release + Kiwis + Fresh Fruit / Salmon everyday for Omega3 Fatty Acids

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Yesyes123

From switching to solid pill to crushed powder in gelatin capsule, it is not necessary to taper into it right?

 

Is it ok to just switch from solid pill to crushed powder in gelatin capsule and vice versa?

 

Thanks

July 2015 - Started Escitalopram 10mg (Lexapro) at age 15. Took it everyday until July 2020 (5 Years)

July 2020 - Turned 21 started tapering off until August (TOO FAST TAPER/ ALMOST SAME AS COLD TURKEY)

August 2020 -  Clear Manic episode (nothing absurd or life threatening)

September 2020 - Start feeling a bit weird

October 2020 - Crashed. The absolute worst time of my life. 

Late October 2020 - Reinstated Escitalopram 10mg. Perscribed Antipsychotics (Lithium, Seroquel) REFUSED

Early November 2020 - Psychiatrist wrongly upped the dosage to 15mg. Still taking 15mg / day as of today. 

 

22 January 2021: 

Beginning to stabilize on 15mg/day Escitalopram (Lexapro) 🧠

Taking 25mg Magnesium Citrate 4x per day / 2000mg Vitamin C Prolonged Release + Kiwis + Fresh Fruit / Salmon everyday for Omega3 Fatty Acids

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ChessieCat

Generally it is better to do a cross over when changing form of the drug.  It is gentler on your system.

 

Also do not make a reduction at the same time.

 

Each of the following combinations for 3-7 days, holding for longer if needed:

 

3/4 + 1/4, 1/2 + 1/2, 1/4 + 3/4

 

The reason for this is that the drug may be absorbed differently.  Taking the powder in a gelatin capsule may be almost the same as taking the powder without the capsule because the gelatin will probably melt and release the powder at roughly the same time so you may experience dose dumping which will be a bit different to taking a solid tablet which may take a different amount of time to dissolve and/or be absorbed.

So close to the end!!!

🏁

Current from 16 October 2021:  Pristiq 0.005mg

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

My full tapering program     My Intro (goes to my tapering graph)    My website

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

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Yesyes123

Perfect thanks once again @ChessieCat.

July 2015 - Started Escitalopram 10mg (Lexapro) at age 15. Took it everyday until July 2020 (5 Years)

July 2020 - Turned 21 started tapering off until August (TOO FAST TAPER/ ALMOST SAME AS COLD TURKEY)

August 2020 -  Clear Manic episode (nothing absurd or life threatening)

September 2020 - Start feeling a bit weird

October 2020 - Crashed. The absolute worst time of my life. 

Late October 2020 - Reinstated Escitalopram 10mg. Perscribed Antipsychotics (Lithium, Seroquel) REFUSED

Early November 2020 - Psychiatrist wrongly upped the dosage to 15mg. Still taking 15mg / day as of today. 

 

22 January 2021: 

Beginning to stabilize on 15mg/day Escitalopram (Lexapro) 🧠

Taking 25mg Magnesium Citrate 4x per day / 2000mg Vitamin C Prolonged Release + Kiwis + Fresh Fruit / Salmon everyday for Omega3 Fatty Acids

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  • 3 months later...

Is there any way the pre-made liquid form could get stronger as there’s less in the bottle? I stir it a little before each dose. That can’t happen, right?

May 2019 started lexapro 2.5 mg

2020 went to every other day

2021 beginning of Mar, tried to stop but had insomnia

Mar 30, 2021 reinstated 1.25 ev other day, WD symptoms, not enough

April 19, 2021 started liquid, .85 mg/day

May 1, 2021 .8 mg/day

May 6, 2021 .75 mg/day

June 6, 2021 .7 mg/day, June 20, 2021 .65mg/day

June 30, 2021 .6mg/day

Jul 24 .55 mg/day

 

Magnesium, Vit C, EPO, melatonin as needed

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I tapered off with liquid for 4 years and never had that problem

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

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

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

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

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

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

 

 

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

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Mascasa

I am currently at 12mg. But thinking I got there too quickly. Started at 20mg 7 weeks ago. Certainly feeling things the last week and 1/2. Do I go back to 14 and stay there or try and hang I. There for awhile until things settle down? My 10% drop would be 12.6.

Sept.2019 to present Lexapro 

August 2019 1 week on Ativan.

May 10th 2021 began taper of 20 mg of Lexapro. Tapering down 2 mg every two weeks. 
July 5, 2021 at 12 mg. Been there two weeks. Going to stay here awhile

7/6 12 mg of Lexapro7/7 12 mg of Lexapro Tapered to 11.7 on August 8th using 2.5% Sept 6th @ 10.8 9/20 10.2

Also taking magnesium glycinate/ 100 mg 2x

Calcium & Vitamin D ( have to due to osteo.).

Vitamin C

Feosol Ferritin

tylenol #3 as needed for RLS

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manymoretodays

Answered in your Introduction, Mascasa.

Started with psycho meds/psychiatric care circa 1988.  In retrospect, and on contemplation, situational overwhelm.

Rounding up to 30 years of medications(30 medication trials, poly-pharmacy maximum was 3 at one time).

5/28/2015-off Adderal salts 2.5mg. (I had been on that since hospital 10/2014)

12/2015---just holding, holding, holding, with trileptal/oxcarb at 75 mg. 1/2 tab at hs.  My last psycho med ever!  Tapered @ 10% every 4 weeks, sometimes 2 weeks to

2016 Dec 16 medication free!!

Longer signature post here, with current supplements.

Herb and alcohol free since 5/15/2016. 

None of my posts are intended as medical advice.  Please discuss any decisions about your medical care with a knowledgeable medical provider. manymoretodays

 

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  • 1 month later...
Escitalopram21

If i understood this correctly. Simply cutting and weighing a pill isnt secure enough because the effective escitalopram and the fillingredients are not well blended in the pill?

2009 Escitalopram 10mg

April 2013 got off 

August 2013 reinstated 

July 2015 Ketipinor 50mg (Quetiapin)

April 2021 tapered and got off Quetiapin

May 2021 tapered off Escitalopram 

9 August 2021 back on Escitalopram 2,5mg
Down to 2 mg

Updosed to 2,2mg August 24 

 

 

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brassmonkey

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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Yesyes123
10 hours ago, Escitalopram21 said:

If i understood this correctly. Simply cutting and weighing a pill isnt secure enough because the effective escitalopram and the fillingredients are not well blended in the pill?

 

Crushing an escitalopram pill to powder and mixing it should be enough to make the active ingredient well dispersed in the powder mix. 

July 2015 - Started Escitalopram 10mg (Lexapro) at age 15. Took it everyday until July 2020 (5 Years)

July 2020 - Turned 21 started tapering off until August (TOO FAST TAPER/ ALMOST SAME AS COLD TURKEY)

August 2020 -  Clear Manic episode (nothing absurd or life threatening)

September 2020 - Start feeling a bit weird

October 2020 - Crashed. The absolute worst time of my life. 

Late October 2020 - Reinstated Escitalopram 10mg. Perscribed Antipsychotics (Lithium, Seroquel) REFUSED

Early November 2020 - Psychiatrist wrongly upped the dosage to 15mg. Still taking 15mg / day as of today. 

 

22 January 2021: 

Beginning to stabilize on 15mg/day Escitalopram (Lexapro) 🧠

Taking 25mg Magnesium Citrate 4x per day / 2000mg Vitamin C Prolonged Release + Kiwis + Fresh Fruit / Salmon everyday for Omega3 Fatty Acids

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Escitalopram21
52 minutes ago, Yesyes123 said:

 

Crushing an escitalopram pill to powder and mixing it should be enough to make the active ingredient well dispersed in the powder mix. 

Crush the pill and then weigh it? What kind of scale is best? Would 2 decimals do or would it have to be 3?

2009 Escitalopram 10mg

April 2013 got off 

August 2013 reinstated 

July 2015 Ketipinor 50mg (Quetiapin)

April 2021 tapered and got off Quetiapin

May 2021 tapered off Escitalopram 

9 August 2021 back on Escitalopram 2,5mg
Down to 2 mg

Updosed to 2,2mg August 24 

 

 

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  • 2 months later...

Hello all,

 

I started my Escitalopram (Cipralex) taper and I have some questions for you.

I had taken 5mg (1/2 pill) for 6 months.

 

First of all this is how I cut it (20% reduction here. from 5mg to 4mg):2107028605_10cut.thumb.jpg.bb3eee1983e3c06e049aec7a6a97f817.jpg

 

How original pill looks like (10 mg) :

 

1341785826_full10mgpill.jpg.cb2a1cca2e76503087a542669faacbdb.jpg

 

My question basically is :

 

Is the active ingredient well mixed along the pill so I can just cut the pill with a sharp razor and then scale it ?

 

Or should I crush it, mix it and take it in a veggie cap (I've done this 2-3 weeks, then I come back to the original cut) ?

 

 

 

 

 

Prescribed Clonazepam (Rivotril aka Klonopin) + Escitalopram  (Cipralex) for anxiety

27/04/2021 Escitalopram x 2.5mg Clonazepam 0.375 mg | 14/05/2021 Escitalopram x 5mg Clonazepam x 0.5 mg | 30/05/2021 Escitalopram x 7.5mg Clonazepam x 0.375 mg | 14/06/2021 Escitalopram x 10mg Clonazepam x 0.25 mg | 27/08/2021  Escitalopram x 5mg Clonazepam x 0.5 mg |

28/08/2021 Escitalopram x 5mg Clonazepam x 0.475 mg | 04/09/2021 Escitalopram x 5mg Clonazepam x 0.4 mg | 09/09/2021 Escitalopram x 5mg Clonazepam x 0.35 mg | 14/09/2021  Escitalopram x 5 mg Clonazepam x 0.3 mg | 14/10/2021 Escitalopram x 4mg Clonazepam x 0.3 mg

 

Daily symptoms

Supplements: L-Theanine 200-300 , Omega 3 , Aconitum Napellus 200 

 

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On 10/20/2021 at 9:51 PM, lex1989 said:

Is the active ingredient well mixed along the pill so I can just cut the pill with a sharp razor and then scale it ?

 

Yes the active ingredient is fairly evenly distributed throughout a tablet.  And it would need to when a tablet has the groove for splitting the tablet.

 

On 10/20/2021 at 9:51 PM, lex1989 said:

Or should I crush it, mix it and take it in a veggie cap

 

See this topic where Brassmonkey talks about how he would crush x number of tablets and have that as a stockpile and take his powder from that and weigh it.

 

using-a-scale-to-weigh-and-measure-doses

 

The important thing is to choose one method and stick to it.  So you wouldn't take a tablet for a few days, then a homemade capsule containing crushed tablet for a few and then go back to tablet.

 

Please see this topic about changing from one form to another:

 

cross-over-changing-form-eg-tablet-to-liquid-of-drug-or-changing-brand-of-same-drug

So close to the end!!!

🏁

Current from 16 October 2021:  Pristiq 0.005mg

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

My full tapering program     My Intro (goes to my tapering graph)    My website

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

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Thanks for the info ChessieCat

 

Indeed I did a rollover from 5mg (half of 10mg tablet) to capsule with powder (like Brassmonkey) than again I changed to tablet when I cut to 4 mg. 

 

The cross over link seems to relate to tablet to liquid or brand, for me was the case just to cross over from tablet to powder in capsule. You think this might be an issue in this case ? It's still the same amount. 

 

 

Prescribed Clonazepam (Rivotril aka Klonopin) + Escitalopram  (Cipralex) for anxiety

27/04/2021 Escitalopram x 2.5mg Clonazepam 0.375 mg | 14/05/2021 Escitalopram x 5mg Clonazepam x 0.5 mg | 30/05/2021 Escitalopram x 7.5mg Clonazepam x 0.375 mg | 14/06/2021 Escitalopram x 10mg Clonazepam x 0.25 mg | 27/08/2021  Escitalopram x 5mg Clonazepam x 0.5 mg |

28/08/2021 Escitalopram x 5mg Clonazepam x 0.475 mg | 04/09/2021 Escitalopram x 5mg Clonazepam x 0.4 mg | 09/09/2021 Escitalopram x 5mg Clonazepam x 0.35 mg | 14/09/2021  Escitalopram x 5 mg Clonazepam x 0.3 mg | 14/10/2021 Escitalopram x 4mg Clonazepam x 0.3 mg

 

Daily symptoms

Supplements: L-Theanine 200-300 , Omega 3 , Aconitum Napellus 200 

 

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57 minutes ago, lex1989 said:

The cross over link seems to relate to tablet to liquid or brand, for me was the case just to cross over from tablet to powder in capsule. You think this might be an issue in this case ? It's still the same amount. 

 

It is applicable to your situation.  The cross over topic is about changing "form" of the drug.

 

In your case you are changing the form of the drug.  That is you are changing from solid tablet to crushed/powdered tablet.  The delivery to your body is different.  The solid tablet might take longer than the crushed tablet to enter your system.

 

The cross over is not something that has to be done.  It is a suggestion.  It is gentler on your system.  Some members are sensitive to changes, some are very sensitive and there a few who are extremely sensitive.

So close to the end!!!

🏁

Current from 16 October 2021:  Pristiq 0.005mg

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

My full tapering program     My Intro (goes to my tapering graph)    My website

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

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Thank you very much, I think this is one of the reasons I had problems in the last few days, along with the cut and some stress.

 

I will get back to powder in capsule (like I did for the last 20 days).

 

 

Prescribed Clonazepam (Rivotril aka Klonopin) + Escitalopram  (Cipralex) for anxiety

27/04/2021 Escitalopram x 2.5mg Clonazepam 0.375 mg | 14/05/2021 Escitalopram x 5mg Clonazepam x 0.5 mg | 30/05/2021 Escitalopram x 7.5mg Clonazepam x 0.375 mg | 14/06/2021 Escitalopram x 10mg Clonazepam x 0.25 mg | 27/08/2021  Escitalopram x 5mg Clonazepam x 0.5 mg |

28/08/2021 Escitalopram x 5mg Clonazepam x 0.475 mg | 04/09/2021 Escitalopram x 5mg Clonazepam x 0.4 mg | 09/09/2021 Escitalopram x 5mg Clonazepam x 0.35 mg | 14/09/2021  Escitalopram x 5 mg Clonazepam x 0.3 mg | 14/10/2021 Escitalopram x 4mg Clonazepam x 0.3 mg

 

Daily symptoms

Supplements: L-Theanine 200-300 , Omega 3 , Aconitum Napellus 200 

 

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