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Icandothis

Icandothis: Which taper route to go?

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Icandothis

Hello!
I would like to begin a very slow taper of Fluoxetine (10mg) about 7 years. Attempted two years ago but didn't do properly and doctors convinced me that it wasn't the reduction of medicine doing this to me (oodles of withdrawals). Reinstated to full dose. I am currently on tablet form.
My question...I want to do a 10% conservative reduction. Should I continue on tablet and cut and weigh or should I transition to capsule and count beads ( not time release ).. Requested liquid from doctor but was told since I am on such a small dose liquid would be too difficult. I am nervous to begin this journey for fear of what happened before but am going to forge ahead.
So....cutting and weighing pill or counting beads and weighing for capsule? Which will allow for a more accurate, easier very slow reduction and someday jump off???
Would appreciate feedback please!!!

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Petunia

Welcome Icandothis,

 

Sorry to hear that your previous attempt at stopping fluoxetine didn't work, what method did you use?  I'm glad you have found us now, by tapering safely, using the 10% method, I'm confident you will have a better experience this time and be able to come off your medication.

 

Fluoxetine is one of the easier antidepressants to taper from.  Here is a link with tips specifically for tapering off it:

 

http://survivingantidepressants.org/index.php?/topic/759-tips-for-tapering-off-prozac-fluoxetine/

 

You can make liquid yourself from the tablets, or you could be firm with you doctor about wanting to use the liquid fluoxetine.

 

You will find a lot of friendly help and support here, stay in touch and let us know what you decide.

 

Petu.

 

 

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Icandothis

Hello,

Thank you for responding and how great to have an online support system of people that do not judge and can relate.

Previously I dropped from 10-5 no problem except stomach issues which were totally liveable...

Then at a doc appt I was told what a silly dose I was on I should just stop so I dropped to 2.5 may have missed a day of med too week and a half later symptoms hit went back to 5 then within a month about went to 10 and symptoms continued until spring of that year..( I started in October that year....

Is the capsule route a way to go or should I stick with tablet...I am committed enough to this if need be I will crush pill weigh it on scale and put in empty capsule myself if that what it takes...

 

I haven't started yet will be in a few days but want to know whether to stick with tablet or switch script to capsule and count beads...

 

Thanks!!!!

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Icandothis

Also I have seen your post and am curious are you currently med free? I am just looking for hope at the end of this to return to a "normal" symptom free version of myself....I'm just scared to begin fearful of experiencing those symptoms again but am hoping and assuming that because I reduced by 50% and was not aware of slow tapering that perhaps that is why I experienced what I had

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Icandothis

Oh and thank you for the link I had already read that and saved it before I had signed up !!!:)

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Petunia

Is the capsule route a way to go or should I stick with tablet...I am committed enough to this if need be I will crush pill weigh it on scale and put in empty capsule myself if that what it takes...

 

I haven't started yet will be in a few days but want to know whether to stick with tablet or switch script to capsule and count beads...

 

 

As far as I'm aware Fluoxetine comes as a tablet, a liquid or a capsule which contains power, so there are no beads to count.  Its completely your decision about how you want to taper, which ever method seems convenient for you.  Most people find using a liquid easy and accurate, especially as the dose gets lower.  The tablet will dissolve in water, or you can crush and weigh it.  Read through the link again and if you have any questions you can post there or here in your thread.

 

Also I have seen your post and am curious are you currently med free? I am just looking for hope at the end of this to return to a "normal" symptom free version of myself....I'm just scared to begin fearful of experiencing those symptoms again but am hoping and assuming that because I reduced by 50% and was not aware of slow tapering that perhaps that is why I experienced what I had

 

Yes, I haven't taken any meds/drugs for over a year, but I'm one of those unfortunate people who got it all wrong, came off much too fast and found this site too late to reinstate.  I'm in protracted withdrawal and only time is going to fix me. 

 

But it will be different for you, with the information and support here, you will be able to taper safely.  Many people find that the 10% method works well and they are able to slowly come of their drugs and remain functional in life at the same time.  There is a lot of good information and support here. 

 

I'm sure that your previous attempt at a 50% cut was what caused your withdrawal symptoms

 

Please see the Important Topics in Tapering for more information and here's another important read which explains our basic method of tapering:  Why Taper By 10% of My Dosage?

 

Please put your drug and withdrawal history in your signature.  Putting a short version of your drug history in your signature helps people understand your context, it appears below each of your posts.  Here are instructions for how to do it:

 

http://survivinganti...your-signature/

 

You can use this thread as your ongoing journal to track progress and communicate with the community, add to it whenever you want.

 

Petu.

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Icandothis

Thank you so much for responding to allllll of my question:) so grateful...I added the history and will keep posted updates as my journey goes on...I have to tell you your responses has really given me hope that I can possibly do this and not necessarily experience what I had last time. Thank you so much it makes me less afraid to do this

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Icandothis

Ok another question but I can't figure out how and if I can start a new post...

Can I successfully create my own liquid form with my tablet and use a dropper ( yes I know the taste will be not so pleasant ) instead of trying to get liquid form of medicine? Reason being once when I switched my one generic form of fluoxetine to another I developed stomach issues so I am questioning my sensitivity to different manufacturers of the medicine...

Then maybe I can crush and weigh the milligrams and then create a liquid and place in dropper ( sounding like a chemist in the making)

Or do I go for the gusto and try the liquid form ?

I know I am intense in the thinking process of it all...

And Petu I have read through your threads, you have been amazing through this process :)

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Rhiannon

Hi--

 

Yes, you can create your own suspension in water and use that to reduce, many of us do that.

 

You can also be more firm with your doctor about your own past experience with withdrawal and your desire to reduce more slowly this time (or find a new provider). I would recommend printing out the paper here:

http://survivingantidepressants.org/index.php?/topic/6036-why-taper-paper-demonstrates-importance-of-gradual-change-in-plasma-concentration/

 

which clearly demonstrates the importance of slow reduction at the smallest doses. Take a look at the charts on page 4 and you can see that receptor occupancy only goes down slowly at higher doses but drops precipitously once you get to low doses. A doctor should be able to understand that.

 

If your doctor still refuses to cooperate with you (and I know how they are, if he does it's not your fault, they can be very arrogant that way)--well, it's up to you. I'd be looking for a new doctor, but in the meantime, yes, certainly you can make your own liquid by dissolving the tablets in water. 

 

I do recommend tapering by liquid as by far the easiest and most precise way to make reductions and do a slow taper.

 

I'd also recommend getting your hands on a copy of Anatomy of an Epidemic by Robert Whitaker, an important book to read.

 

Good luck, welcome to the forum! You're going to do fine this time as long as you take it slow.

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Icandothis

Thank you so appreciative for a response I am currently reading the antidepressant solution by Joseph glenmullen

Book and will read the other when done with this one... You have me food for thought ...

Instead of weighing powder after crushing tablet should I dissolve the pill and then just use dropper to obtain the correct dose? Wondering how long you can keep the solution and if dissolving and saving beyond a day influences the effectiveness or potency of the medicine

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Altostrata

Welcome, Icandothis.

 

The link Petu gave you below explains all you need to know about tapering fluoxetine.

 

Welcome Icandothis,

 

Sorry to hear that your previous attempt at stopping fluoxetine didn't work, what method did you use?  I'm glad you have found us now, by tapering safely, using the 10% method, I'm confident you will have a better experience this time and be able to come off your medication.

 

Fluoxetine is one of the easier antidepressants to taper from.  Here is a link with tips specifically for tapering off it:

 

http://survivingantidepressants.org/index.php?/topic/759-tips-for-tapering-off-prozac-fluoxetine/

 

You can make liquid yourself from the tablets, or you could be firm with you doctor about wanting to use the liquid fluoxetine.

 

You will find a lot of friendly help and support here, stay in touch and let us know what you decide.

 

Petu.

 

 

 

 

Please read the links we post for you.

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Icandothis

 

Hello,

I apologize I did read this several times before than I end up overloading on info and forget so that is my mistake ...thank you for your support

So if you can dissolve a pill I would assume you can crush and one as well

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Icandothis

Has anyone had difficulty transitioning from one from of a drug to another? Example tablet fluoxetine from one manufacturer to a liquid form of fluoxetine from another manufacturer?

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Altostrata

Please read that topic from beginning to end.

 

Yes, some people are sensitive to changes in the form of drug. Many are not.

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Icandothis

Hello,

Does anyone have PERSONAL experience tips, suggestions for dealing with the awful aftertaste of liquid Fluoxetine? I have tried placing on tongue and doing a quick shot at back of throat....awful aftertaste and immediate queasy feeling in stomach which fortunately goes away..after a few minutes ..try eating a few bites of bread afterwards ...I read everything I can I was just hoping maybe someone had a similar experience and found a creative way to handle this....thanks !!

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Rhiannon

I don't have an answer to your question, but just want to say it sounds like you're starting with the liquid, congratulations! Please keep us posted on how the taper goes even when it's uneventful and going along well--that's how I learn, by hearing peoples' experiences, and often we only hear from people who are having problems, which is useful, but it's also useful to hear when things are going right.

 

And with your attitude and sensible approach, I think things are going to go right, for you. Of course there are occasional wobbles, but I think you're going to do great. (Just make sure that you remember that you need to go slower, not faster, at the lowest doses.)

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Icandothis

Hi even though you didn't have a tip I appreciate your response. I agree I am the same way, I learn and grow by sharing experiences with others. Since I don't have much support close by me, it is comforting to know there can be some on this site...yes day two of the liquid although I have not decreased the dose yet, wanted to overcome the concern of switching to the liquid. I will most certainly continue to post...thanks

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mammaP

You can buy gelatin capsules, drop the dose into the capsule and swallow it.

No taste at all. You can buy them quite cheap on Amazon.  :)

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Icandothis

Hello

Oh ok so put the liquid in the gelcaps??? Interesting and good idea!

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Icandothis

Oh my goodness so many different brands!!! Any one that is preferable or do I just pick one?!

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mammaP

Just pick one, they are all pretty much the same I think.

Just make sure that you don't buy them too big to swallow!  I've never actually done it myself but

did look at them in case I needed to.  There were very large ones that I wouldn't have been able

to swallow easily.  

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Icandothis

Oh ok thanks !!!

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Icandothis

Hello,

does anyone know of any syringes with a graduation of .25ml?  I am trying to go down to 2.25ml (9MG) and today I had to wing it since the syringe i have goes by 20th.....I looked on amazon and could probably spend the day looking just wanted to see if anyone already had done the footwork...I will look through posts again and see if i can find but in the meantime.... :D

 

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Icandothis

Hello,

does anyone know of any syringes with a graduation of .25ml?  I am trying to go down to 2.25ml (9MG) and today I had to wing it since the syringe i have goes by 20th.....I looked on amazon and could probably spend the day looking just wanted to see if anyone already had done the footwork...I will look through posts again and see if i can find but in the meantime.... :D

I should add I am already thinking ahead and would love advice on how to be precise....with a syringe...

if I am supposed to drop from 2.5 ml (10mg) to 2.25. (9mg)...then my next 10% would be 2.025.(8.1mg)...ummm how will I be able to do that exact measurement with a syringe? 

at this larger does am I better switching back to tablet until I get down to smaller increments?

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Icandothis

Thank you very much for the links

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Icandothis

Is it possible for my mind to be playing tricks on me?  Only a week with a little under a 10% reduction and starting to be paranoid that withdrawal is happening...jelly leg feeling today....am I just anticipating and therefore causing this?  Of course any new physical symptom to me indicates a disease (that is where my mind goes :( ) how does one handle the tricks a mind can play on you? 

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Petunia

Many people feel some withdrawal effects from making a 10% cut, they usually settle down within a couple of weeks.  But you have recently changed from a tablet to a liquid, so that may be having an effect too.

 

Shaking, trembling, jittery feeling and muscle weakness are common withdrawal symptoms.  Here is a link to a list of some of the more common withdrawal symptoms:

 

http://survivingantidepressants.org/index.php?/topic/2390-dr-joseph-glenmullens-withdrawal-symptom-checklist/

 

One way of handling mind tricks is realizing that they may actually not be mind tricks, withdrawal symptoms are very real, but not harmful as part of a safe, careful tapering program.  Learning to accept them, realizing that they are temporary and that they will pass is the best way.

 

If you are still experiencing symptoms, then that means your nervous system hasn't yet stabilized and you need to hold a while longer before making the next cut.

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Icandothis

Hello

Thank you for responding oh I do believe and know that the withdrawals are real...it's just for me I'm so hyper aware and anticipate that something is going to happen so I don't know if it's my mind creating it or the true withdrawal itself...I frustrate myself I guess I just get nervous about how to live life and attempt to come off the medicine and that's when mentally I get nervous to do this

I get nervous to deal with withdrawals while trying to live life and then I question staying on them just to avoid even though deep inside I don't want to stay on them.

Again thanks for the response , it provides me with the encouragement to continue on

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Icandothis

hello, 

I looked on the suggested links and am still puzzled currently at 2.30 instead of 2.25 (couldn't figure it out with syringe so 2.30 was easier)and for next drop was going to try to go to 8.1 or 2.025....would it be better for me to use multiple sized syringes to try to get a more exact 2.025 or should I stick with the 5ml syringe and go to 2.10?  please i have read through links but am looking for advice thanks !!!!! :huh:

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Altostrata

Are you talking about milliliters? You can round up to 2.10mL if you wish.

 

One of the things you will need to do is to keep yourself calm throughout this process. A lot of people find meditation techniques to be helpful. to keep your mind from scaring you.

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Icandothis

Is it possible to be having fleeting withdrawals with such minimal reductions? It seems like they come and go

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Altostrata

Exactly. Symptoms come in waves.

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Icandothis

So instead of the strong and steady ones I got when I decreased too rapidly I will get briefer ones intermittently ? Could possibly my body get better with the reductions as I go on instead of getting worse?

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mammaP

Withdrawal comes in windows and waves, and  it is a sign that you are healing when the waves are 

reduced to what I call 'ripples' . My personal experience is that the waves are becoming less intense and are

much easier to live with. I don't cut if I am in a wave and hold until I have been stable for a few months. 

It is a long long taper for me but I would rather do that than go back to the hellish waves because of tapering too fast!

.

Keep the cuts small and hold until you have felt stable for a good few weeks and you will get better.  The last

bit is usually hardest but when you have liquid it  is much easier to cut by minute amounts. 

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Icandothis

Hi thanks for the response are you still tapering or have you finished ?

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