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- เผยแพร่เมื่อ 12 ธ.ค. 2023
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CONTENT DISCLAIMER: All of the information on this channel is for educational or entertainment purposes and not intended to be specific/personal medical advice from me to you. Watching the videos or getting answers to comments/question, does not establish a doctor-patient relationship. If you have your own doctor, perhaps these videos can help prepare you for your discussion with your doctor.
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We are always looking for unique stories of people who experience adverse reactions to psych meds to interview here on TH-cam and on our Podcast. If this is you, please email me at interviews@wittdoerringpsychiatry.com and tell me what makes your story unique.
I wish there were more people educating on SSRI withdrawal. I’ve tried to taper twice unsuccessfully and was told it was my underlying illness rather than the effect of SSRI withdrawal.
Great video. You are doing an amazing job of helping thousands of people.Thanks so much Dr.!
Why weren't you around before I started this... I love all the videos BTW.
Thankyou so much for what you’re doing . If only you were in Australia
Never had problems quitting SSRIs but SNRI is different. I tried to quit pristiq twice with 2 months tapering and was unable to. Wish my doctor warned me about the horrible withdrawal symptoms before he put me on it several years ago.
That’s terrible, I quit cold turkey and was fine in 3 weeks.
I quit Venlafaxine because they tapered me off from 225 mg to 0 mg within 1,5 weeks in a psychiatric hospital in Germany. 🥲 I had withdrawal symptoms for several weeks. It was horrible, but the best thing to endure this period was taking diphenhydramine for my sickness, metamizole for migraine-like headaches some days. You don't need to push through without any medication to attenuate the symptoms.
I was prescribed benzos for 30 years. I started tapering 2 yrs ago. What no one seems to talk about is the emotional dependence. I depended on the meds for 30 years for a perceived need. But like an abusive relationship, it's what I know. #benzo
“As simple as brushing your teeth” 🙄😂
That made me laugh 😂
Great work.
This is great advice, thank you for sharing! I believe that once you get lower in the dose you will have to dilute the solution to 1mg/10ml in order to continue the micro dosing or you will need to switch to a taper and hold as you could not accurately draw 0.001. You can only accurately draw up 0.01mg at a time with that current solution. So eventually you still need to do math, but keeping the solution in tens makes it easier.
I'm curious what you think about supplements made from medicinal plants and vitamins and minerals. I'd also love to see a video about nutritional medicine as well and how diet and nutrition can support mental health and wellness. I'd love to see a video on both of those topics. I've been finding success with some easy to find, low cost supplements as an alternative to benzos & antidepressants.
YES i wanna see 5htp, fish oil, mucuna, etc
I wanna see him on ATMC (alt to meds center)
Can u tell the rest of with what are you finding success please? ❤
Check out Chris Palmer's book "Brain Energy". He's a psyche who uses Keto diet with his patients to cure anxiety, depression, even schizophrenia . Utube video interviews also with him.
I was on 20mg Lexapro. Basically the doctor to me said, half the dose for 2 weeks and quit. It took me 3 weeks to feel stable, so what I think I will do is quarter my 20mg pills and take the 5mg till i stabilize then quit. Hopefully wont take more than a month. Listen to your mind and body first before just doing what the doctor says. Main symptoms for me has been irritability.
I have too irritability and also had bad lack of b3
Look into a peptide called Selank
that sounds really fast?
Thank you
Very helpful
Excellent info. In general doctors use a one size fits all taper. When I discontinued Xanax after being on it 6 months (dose was .25 mg 2x a day) doe vstibular migraine my neurologist told me I could stop cold turkey...but what I'd read said differently...I did a slow taper...about 12 weeks...I was on X a short time yes, but a very low dose, and it was very effective..so a very small reduction caused syptoms to ramp up...I'd wait for things to settle before I took the next reduction..a couple of times I had to step back up to the previous amt and stay there for a few daystil things settled and then I do a smaller step down than previously. I was also dealing with interdose withdrawal as well, but I didn't want to remain on X long teIrm and I also didn't want to have to keep increasing the dose either. Now I'm tapering off of sertraline, also prescrbied for the VM, because it quit working even after increasing the dose...My VM symtpoms are ramped up just like they were when I tapered off of X. I recently read the SSRI's are migraine triggers and are not good as preventatives and are more likely to trigger vm IF they do anything at all. Neuros love to boil down everything to 'you're anxious" here's a pill. Soooooo frustrating...my VM started after a virus in 2020..maybe covid, I don't know b/c at the time (March 2020) docs were telling people to stay home unless you had difficulty breathing and had a fever. I was diagnosed with VM by elimination using CT, MRI,audiological testing etc...my symtpoms also are much like MDDS and Menieres..I do have sensorineual hearing loss in both ears.
BENZO TAPERS PLEASE! They are so much harder than antidepressants! 😢
Not everyone can or should switch to Valium or afford compounding. Dry cutting? Gemini scales are ridiculous. You interviewed Christy Huff, who uses a $1000 scale! How are regular people supposed to taper safely when we are told our weights must be EXACT? We seriously need affordable tapering strips in this country. Thanks for the efforts.
Benzos aren’t “so much harder than antidepressants”.
Hi Mk,
My taper off of clonazepam has been a cake walk compared to my devastating rapid taper off of a long term SSRI (akathisia, acute insomnia, etc.) Now, I’m not saying antidepressants are much harder relative to benzos, it’s just my experience. Each circumstance is different and depends on the individual, time the drug has been taken, etc. But I see this sentiment a lot in the benzo community: ADs are innocuous or much easier to taper. It can be an inflammatory sentiment when so many are devastated by ADs, including those who die by suicide, aka, etc.
Thank you for the well wishes. I agree; Big Pharma is to blame. All of these drugs can be awful and injure many, like me. I’m wishing you a speedy recovery, as well.
I believe Josef has done some videos on benzo tapers, btw. Beating Benzos on FB is also a good resource for beginning tapers, but I find some of their principles problematic. It is always okay to hold for however long you need to, it’s okay to go much slower than what’s typically recommended in that group, and keep in mind the water tapers are linear, not hyperbolic, so if you choose a micro water taper, for example, it can be tailored to be more hyperbolic-ish. I started by tapering 1ml a day from 300ml of water (1.5mg of K dissolved in water) and ran into some problems towards the last 20% of my taper (the last 20% of a drug has more receptor occupancy hence the need for a hyperbolic taper). I’ve slowed my reductions down and things have been good with the exception of protracted injury from my SSRI.
Good luck, MK.
I have been coming off klonopin after 20 years. It’s has been the most difficult thing I have ever had to do. It really depends on the person and their situation.
I need Xanax tapers video.
Have you taken SSRI's? Until you've tried to get off Paxil, and can then tell me that Benzos are so much harder, we cannot have a conversation.
Im trying to wean off remeron, i have been on it for 12 years 45 mg was put on it for fibromyalgia pain. Have been slowly tapering past few months now on 22 mg day. Im hoping i dont get any rebounding pain. Im in Australia.
Can you please make videos about medication for psychosis
You are doing god's work. Thank you so much.
Hey man. This is saving so many people so much pain. I’m currently tapering citalopram (Celexa). Is a measurement of 0.5g to 0.5ml the same?
I tried Prozac for 3 months. Did nothing for my protracted Effexor withdrawal. Now I need to wean off 40mg but I feel like if I do it super slow I'll actually become more dependent on it.
Thank you very much , I am tapering off Duloxetine after 7 years of taking it... Currently I only take an eighth of a pill, and yet it is being very difficult to stop completely.
how are you doing? i help people specifically with cymbalta tapering.
@@alexgordon951
I’ve just come off of Cymbalta after 3 years of being on it. My doctors were very unfriendly about tapering off-- was told just to suck it up… not kidding. I purchased empty gelatin caps off of Amazon and started the tapering-off process. I have been cutting my 30mg a day dosage since January 1, and as of yesterday, I have ceased taking it all together. The wonkiest I have been is tonight, hence being on TH-cam to make sure that I haven’t screwed myself into a cerebral corner.
So, basically 5 months of tapering a dose by counting minuscule pellets down to the last two weeks of 5 invisible pellets a day. I’ve gained 20 lbs in the process. But, if the wonkies keep at bay, I will consider this a W. I can handle the occasional irritability, and my fiancé said that it is nice to have me back. Big Win IMHO 😊.
Thank you for helping us who are mind altered and fighting the fight. It’s good to know that someone is out there on the other side of the river with a warm, dry towel. ❤
Can prozac be used to get off paxil?
Is it safe to do this with efexor XR? I read that the coating on these type of tablets are there to safe guard the pill so it gets to the right place in the body before the internal powder is released and the coating dissolves. I AM SO CONFUSED AND TIRED :( I want to cut down my dose but am scared to just open an Efexor pill and empty the powder into a glass and liquid taper. IS IT SAFE? And he does not see patients in Australia? Why??? Any yes he is spot on about most Psychiatrists having no idea. They put me on this cocktail in the first place over 17 years and Lyrica which is by a Pain Medicine Specialist and now long term I have more nerve issues than before (permanent pins and needles, allodynia, hyperalgesia, numbness) vision blurred at times, light sensitivity, grogginess, short term memory issues, nausea, weight gain) etc and wish to cut down on a bunch.
If anyone knows if can do this with powdered Efexor XR tablets??
Can i use a metal nail file instead of a blade?
Will a compounding pharmacy not do this for you? I want to start tapering my Lexapro but feel like this is too much for me to handle.
But what about the extended release pristiq tablet?
Thanks for showing how to cut pills using the scale, but can you show how to use a scale with capsules of powder like fluoxetine Prozac, which comes in a capsule so you’d have to weigh powder can you explain how to weigh powder on a scale?
Same with Efexor XR :( I read the coating on these pills is there for a reason so it only dissolves once it travels to the right part of the body. Something about the digestive tract and basically not taking the powder out as the capsule lining/shell is lined for a reason. So yes how do we deal with this? no one knows?!!!
Thank you. I really needed this demonstration. I still feel as dumb as a post, and scared, about doing this correctly. I am 68 and have been on Klon since 2008, so no doubt I've lost a lot of brain cells. The drug was initially misprescribed; I had a profound drop of B12 from a small bowel resection when I was 6 years old and needed methyl B12 to help heal my brain, not this garbage, which caused even more damage to my brain.
There are more and more studies coming out about the use of diphenhydramine to significantly reduce withdrawal symptoms from both benzodiazepines and SSRIs.
im on seroquel 100mg and went to 50mg for 2 weeks but i have withdrawal symptoms..how do you suggest tapering off seroquel 100mg??thank you
what about 10 years on anti-depresent, what kind of taper?
Excellent video. I don't believe these techniques will work for pristiq. Any help for tapering pristiq would be greatly appreciated. Thanks!
Same question, because Pristiq is ER.
I have the same question
If people have more than one med to taper. How stable should they be before starting another taper? Nearly 3 years ago I rapidly tapered off Abilify, gabapentin, and Ativan--one after the other. I waited nearly two years and then started tapering mirtazapine. I'm down to 19mg from 30 but I have quite a few withdrawal symptoms. I don't know whether I should hold for a long time or continue to taper extremely slowly.(I'm still on 20mg escitalopram, as well).
That's a very good question.🧐💧
Great question. Do you take the mirt at night? If so, I would consider tapering the lex first.
I’m a big advocate of holding as long as you need or a combination of holding then continuing at a decreased taper speed. Good luck!
@@Uma921 Yes, I take it at night. I was thinking about maybe switching to tapering lex. once I get down to 15mg of mirt. My taper off mirt is sooo slow at this point. I feel like I'll be tapering off these meds for the rest of my life.
What is your accent from? Australia?
Hi Dr, im not sure I ever heard you mention Buspar as a treatment for GAD? Seems like the safest option with no tolerance or withdrawl. Are you a fan of it at all? God Bless
Currently on Buspar. It’s just another drug that will require a taper and comes with its own set of side effects.
It took me almost 2 years to get off buspar. Yes there is tolerance that will develop, and yes there is withdrawal. Maybe not as quick as benzos, but it's there and a definite risk.
Very curious as to how you tapered. I’m preparing my taper now and unsure if I’ll do a water suspension or cuts. What rate did you taper?
TIA
After taking escitalopram 10 mg for 3 days, I stopped abruptly. Sexual functioning and libido overall has been affected. 4 hours of sleep on average. Non stop panic attacks and loss of identity. Is this normal?
I know this is late yet but yes, you had an adverse reaction. All of these drugs have black box warnings on them but none of us are ever told about the possible side effects of them. It all heals with time.
@@kimberlyk1437 thanks for the kind words
I had severe anxiety, insomnia just like your situation when trying this same med for two weeks. Said no and am tapering off past two weeks. Still having some withdrawal effects but it is getting better. Afraid to start another med prescribed.
@@mwilson7842 I am no medical professional, and I don’t want to advise you. But based on my experience, I would never ever touch that stuff ever again. Read up on how toxic and destructive these drugs are. Look up PSSD. Look up Peter Breggin. Save yourself by changing your thinking and being grateful of what you have. I’m still fighting every single day all because of that poison. No such thing as a chemical imbalance. Much love and good luck, hope your symptoms all go away.
I'm looking into doing a liquid taper of 15mg Lexapro. I am working on making a chart to do a 5% decrease each month. Do I drop 5% of the original total each month (.75) or 5% of the NEW dose each month?
%5 of the current dose. Your taper will be too quick if you calculate from the original starting point.
I’m about to start my taper of Lexapro. You got this!!!
@@celestepiccolo6586 Good luck to you! What dose are you tapering from? Are you doing a liquid taper?
@@maryhannahsmith9307 I’ve been on 5-15mg for the past decade. Currently I’m on 5mg. I’m picking up the liquid version today at the pharmacy. Are you doing a liquid? I just read your first post and it looks like you have the liquid. Good work 👏
I went cold turkey on 2 antidepressants without even knowing that I had to taper off gradually!!
Same 😂
Did you have withdrawal symptoms? Thanks.
How many have you successfully got off effexor with i.r tabs? Are you not cool with counting/weighing beads? Why do you seem to lean towards i.r tabs?
Same question of mine
What is IR? I am on extended release. it only comes that way in Australia
@@brightstarnight10 I believe instant release. Im in Italy and I think its not available here either. Im on extended release too
@@martina_trees Yes I am pretty sure, I read that it only comes in Extended release in some countries because there was a lawsuit in that people had adverse reactions when they tried to come off the original 'instant release' version they made a extended release version after that lawsuit. A big class action. I feel trapped and hopeless. I am on so many medicines that I had no idea where so hard to come off and in recent years Lyrica was added in and valium. It is crazy that we as patients have to google and learn off youtube off a rare, random knowledgeable Psychiatrist in America how to safely taper off a mind altering drugs which is so risky and attempt DIY at such a precious thing which is BRAIN CHEMISTRY and literally the central nervous system tells your heart to beat, your lungs to breath, your eyes to see, your tongue to swallow and we just are supposed to dabble in these medicines and tapering them as there are hardly any 'professionals' who do it safely. So many psychiatrists I have seen just comment I am sensitive to medicines but there is no help in how to physically taper gradually. I just have no words. The only other thing I wonder is a compounding chemist can they help? Although they need a prescription from a doctor? How do other efexor XR patients do this?
@@brightstarnight10 yeah it's immediate release. It's removed quicker from our bodies so twice daily dosing is a must. I'm Aussie too. Where in Aus are you? I'm near Geelong, Vic.
The best way is to not take them in the first place
Didnt really taper, but was only taking 25-50mg sertraline a day. Sent me into mental breakdown kind of thing. Tried to take again, one pill put me in A&E. Can i taper back in? Wondering what to do
It sounds like an adverse reaction after trying to reinstate.
I’d give yourself time to heal from the rapid taper without trying to superimpose another drug effect on the injury.
Instead of using a razor to cut the pill in the early stages just rub it a couple of times on smadpaper
the danger of people finding your videos during a period of mania just kinda bugs me...
At least they know then how taper and don't coldturkey... And if the mania was ssri/snri induced, the drug should be reduced, anyway, too.
The general answer from other shrinks is, to add an antipsychotic or to coldturkey. Therefore providing this information is a thousand times more safe than psychiatry's practices in general and actually saves people. (People die due to coldturkey because they were told by other psychiatrists that those drugs don't cause dependency.)
Those drugs are not safe and psychiatrists have been mislead by big pharma.
Hopefully people take on board, the importance of taking medication on time, or weaning slowly.🗝
I cry for the unborn babies, taking this medication..
Imagine being on an antidepressant and your DR saying you can safely taper in weeks after 10 years. It happens all the time. This comment is massively ignorant.
I've seen the results of rapid tapers and it isn't pretty. after watching more videos i'm confident Dr Josef is spot on with his advice. It just worries me that certain patients will 'go it alone' and fall into the trap of withdrawing without assistance because they 'feel fine' and drop dose too fast, thats all@@jaimeleecreta8098
Wrong place pal, don't you dare come here and say that ignorant comment. This man is helping thousands avoid serious irrevisble damage. You sound like you have a personal problem that needs to be addressed.