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Tips for tapering off stomach acid blockers or PPIs (esomeprazole, lansoprazole, omeprazole)


Altostrata

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I successfully tapered off of Lansoprazole 30mg after taking it for 9 years a year or so ago because it caused me to have low iron. This is the system that I came up with (with my doctor's support) because I was terrified of rebound acid. Each week, I dropped one daily dose to 15mg and held for 3-4 weeks because I'd read that it takes 3 weeks for your body to realize that it doesn't have to produce as much acid. I tried to keep the days spaced out. Example, first day I dropped was Saturday. After three weeks, I dropped Tuesday as well. Etc. Once I got down to 15mg each day, I started the same thing with just not taking a pill one day a week. Then I started putting more and more days between them. I can't remember how many days between I was doing before I stopped entirely. I found that the rebound acid was worst on the day after the drop. To combat that, I used Gaviscon. 

 

I still need to use Gaviscon periodically, but it's nothing like when I was maxing out the daily dosage every single day thanks to work stress. 

1994 - Prozac for 3 weeks, then Zoloft until 1997

2000 - Celexa for 3 days, then Luvox until 2002ish?

2001 - Risperdal for 4 months - Started Buspar around here, until 2003 maybe

2004 - Clonazepam

2005 - 2007 Paxil

2011 - Buspar again until 2016 or 2017

2011 - 2014 - Cipralex

2013 - Added Wellbutrin. Stable on 300mg Wellbutrin XL until Nov 2018 when shortages caused me to switch generics

Jan 30, 2019 - Beginning taper by first switching to 150mg SR twice a day. Taking Ativan periodically since November after not taking it for years

supplements: 2016 iron pills, 2017 2000IU Vit D, 250mg Magnesium, 300mg B2, Omegas all twice a day

 

 

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Hi, Damianamae. Do you mean you skipped doses of lansoprazole?

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

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I guess that’s what if amounts to, yes. I had read that there was powder inside so I didn’t want to open them up and I had no other idea of how to do it to help my body adjust.

 

I can delete my post if it’s seen as misleading to the other methods.

1994 - Prozac for 3 weeks, then Zoloft until 1997

2000 - Celexa for 3 days, then Luvox until 2002ish?

2001 - Risperdal for 4 months - Started Buspar around here, until 2003 maybe

2004 - Clonazepam

2005 - 2007 Paxil

2011 - Buspar again until 2016 or 2017

2011 - 2014 - Cipralex

2013 - Added Wellbutrin. Stable on 300mg Wellbutrin XL until Nov 2018 when shortages caused me to switch generics

Jan 30, 2019 - Beginning taper by first switching to 150mg SR twice a day. Taking Ativan periodically since November after not taking it for years

supplements: 2016 iron pills, 2017 2000IU Vit D, 250mg Magnesium, 300mg B2, Omegas all twice a day

 

 

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We just need a little more detail. How many capsules were you taking per day, at what dosage?

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 started off taking a 30mg capsule once daily. When I was taking 15mg, they were also single capsules once daily.

1994 - Prozac for 3 weeks, then Zoloft until 1997

2000 - Celexa for 3 days, then Luvox until 2002ish?

2001 - Risperdal for 4 months - Started Buspar around here, until 2003 maybe

2004 - Clonazepam

2005 - 2007 Paxil

2011 - Buspar again until 2016 or 2017

2011 - 2014 - Cipralex

2013 - Added Wellbutrin. Stable on 300mg Wellbutrin XL until Nov 2018 when shortages caused me to switch generics

Jan 30, 2019 - Beginning taper by first switching to 150mg SR twice a day. Taking Ativan periodically since November after not taking it for years

supplements: 2016 iron pills, 2017 2000IU Vit D, 250mg Magnesium, 300mg B2, Omegas all twice a day

 

 

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JackieDecides

this reminds me my supposed taper of Omeprozole is stalled.

 

I started taking 2 pills a day and still take 1.5 a day months later but now I need 1 Ranitidine a day, almost always. so I've switched half an Ompeprazole for one Ranitidine, am I any better off? 

Currently taking Ramapril (blood pressure) 5 mg twice a day

Omeprazole 10 mg AM and 20 mg PM  (the taper has gone nowhere after the first cut)

Famotidine   once a day (and I still needs tums sometimes)

magnesium 200 mg at night

as of yesterday 2 fish oil capsules "EPA-DHA 1000"

 

off Lexapro as of 5/2018  - last dose had been 5 mg every other day for a couple years

 

highest dose had been 20 mg at which point I was diagnosed with Bipolar II, which went away when I cut the lexapro down to 15 mg. 

 

I spent years on Paxil before Lexapro (can't remember dose), briefly on Effexor and Abilify and others I have forgotten. in fact, when I was diagnoses with BPII I was put on all kinds of things which made me feel so bad I stopped them cold turkey within maybe 3 or 4 weeks, thank goodness. since then I've known these pills were terrible and I weaned down the Lexapro with zero help or support over I'm not sure how many years. 

 

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  • 1 year later...

Preparing to tapper PPI, but unsuccessful 

I made a mistake by slipping a dose and adding betaine. 

I felt anxious, now I feel as if I was smoking cigarettes!!! Kind of burning... 

- 30.09.2020- reduced doxepin to 125mg, 16.10.2020- 100mg, 6.11.2020- 75mg

- May 2020, omeprazole 40mg switched to esomeprazole 20mg

- 2012 re-started Doxepin 75mg, evening. Increased to 150mg

- 2012, Atenolol 25mg, twice a day

- 2016, Low dose of HRT in evening, Sandrena and Utrogestan 

- Long terms of Nasal spray Otrivine

- 2012, PPI Omeprazole 40mg-evening

24.10.2014- Started ESCITALOPRAM-first 5mg and then 10mg; due to the adverse symptoms reduced on 5.01.2015- Escitalopram- 2.5mg 22.07.2016- re-started reduction by 1% at a time. Completed tappering on  19.03.2020 😇

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Altostrata
2 hours ago, ikam said:

Preparing to tapper PPI, but unsuccessful 

I made a mistake by slipping a dose and adding betaine. 

I felt anxious, now I feel as if I was smoking cigarettes!!! Kind of burning... 

 

Having read this topic from the beginning, what do you think you should do now?

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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1 hour ago, Altostrata said:

 

Having read this topic from the beginning, what do you think you should do now?

I need to tapper slowly, I think I will be opening the pills and count the beads... 

I have been on PPI for years, I want to stop. They caused me iron deficiency, anemia in the past... 

 

I am sure they have a bad impact on other aspects of my health... 

I was surprised last night with the symptoms I had, it felt like a short term WD... I had problems with severe sweating and generally I was waking up constantly... 

During the day, I had some strange excitation and anxiety... 

All this happened after skipping just one dose and adding betaine... 

 

I am unsure why I am so sensitive to betaine... I cannot also tolerate cider vinegar... 

 

I have been following a sensible diet, I have my bed risen, I have supplements, such as probiotics... 

I also noticed that I cannot eat a lot of things as I get severe nausea, I read that this may relate to being unable to digest as there is not enough acid in my stomach... 

 

I will wait few days now to stabilise and restart tappering really carefully... 

 

 

- 30.09.2020- reduced doxepin to 125mg, 16.10.2020- 100mg, 6.11.2020- 75mg

- May 2020, omeprazole 40mg switched to esomeprazole 20mg

- 2012 re-started Doxepin 75mg, evening. Increased to 150mg

- 2012, Atenolol 25mg, twice a day

- 2016, Low dose of HRT in evening, Sandrena and Utrogestan 

- Long terms of Nasal spray Otrivine

- 2012, PPI Omeprazole 40mg-evening

24.10.2014- Started ESCITALOPRAM-first 5mg and then 10mg; due to the adverse symptoms reduced on 5.01.2015- Escitalopram- 2.5mg 22.07.2016- re-started reduction by 1% at a time. Completed tappering on  19.03.2020 😇

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Altostrata

Please read the information we give you and use your common sense.

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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15 hours ago, Altostrata said:

Please read the information we give you and use your common sense.

Thank you Alto. I will... It seems that I am really sensitive to smallest changes in my protocol... Years of being medicated... 

- 30.09.2020- reduced doxepin to 125mg, 16.10.2020- 100mg, 6.11.2020- 75mg

- May 2020, omeprazole 40mg switched to esomeprazole 20mg

- 2012 re-started Doxepin 75mg, evening. Increased to 150mg

- 2012, Atenolol 25mg, twice a day

- 2016, Low dose of HRT in evening, Sandrena and Utrogestan 

- Long terms of Nasal spray Otrivine

- 2012, PPI Omeprazole 40mg-evening

24.10.2014- Started ESCITALOPRAM-first 5mg and then 10mg; due to the adverse symptoms reduced on 5.01.2015- Escitalopram- 2.5mg 22.07.2016- re-started reduction by 1% at a time. Completed tappering on  19.03.2020 😇

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ChessieCat
5 hours ago, ikam said:

It seems that I am really sensitive to smallest changes in my protocol

 

Please remember to only make one change at a time and if trying something new to start with a small test dose to see how you respond.  And it's also a good idea to do some research about it here (I use a search engine and add site: surviving antidepressants.org to my search term) and check for side effects and interactions at drugs.com

 

the-rule-of-3kis-keep-it-simple-keep-it-slow-keep-it-stable

 

 

Edited by ChessieCat

NEW!!!              INTERVIEW with Altostrata, SA's founder               NEW!!! 

 

ADs:  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  Current from 14 Nov 2020:  Pristiq 0.50 mg

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

My website - includes my brief history + links to videos & information on the web

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

REMINDER TO SELF:  I don't need the drug now, but my still brain does.

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