How to Taper ANY Antidepressant in 2024!

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  • เผยแพร่เมื่อ 4 ต.ค. 2024
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ความคิดเห็น • 216

  • @PURPLEHAZE30000
    @PURPLEHAZE30000 หลายเดือนก่อน +14

    I'm getting overwhelmed just listening to this.

    • @cemetarygates2800
      @cemetarygates2800 หลายเดือนก่อน +1

      HAHAHAHAHA....Isn't that the dang truth!

    • @chriscarrion8018
      @chriscarrion8018 หลายเดือนก่อน

      What’s overwhelming? How can I help?

  • @cxvzf
    @cxvzf 6 หลายเดือนก่อน +29

    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.

    • @wellinever1558
      @wellinever1558 2 หลายเดือนก่อน +3

      The BS continues by drs

    • @PURPLEHAZE30000
      @PURPLEHAZE30000 หลายเดือนก่อน +3

      @cxvzf the thing is I believe some of us actually have an underlying issue. I was so severely depressed I was not functioning at all. At that time ssris did not exist. I was put on Imipramine and it saved my life literally. Later i was put in prozac. Im so afraid to try and go off Prozac. Right now I'm working on reducing my Klonopin. One drug at a time. The whole thing scares the hell out of me because of how severely depressed I was years ago.

    • @zezezep
      @zezezep หลายเดือนก่อน

      @@PURPLEHAZE30000 best of luck. slowly slowly

    • @monicauribe5373
      @monicauribe5373 หลายเดือนก่อน

      @@PURPLEHAZE30000cuánto llevas con Prozac? Yo llevo 23 años y ya me volví resistente lo quiero dejar pero me da miedo

    • @tinabutts2540
      @tinabutts2540 23 วันที่ผ่านมา

      @@PURPLEHAZE30000please try the keto diet. Read up on mental illness cured be keto. Lots on TH-cam. Even bipolar and schizophrenia. Also cures diabetes and epilepsy

  • @cinthyasalas2360
    @cinthyasalas2360 7 หลายเดือนก่อน +13

    “As simple as brushing your teeth” 🙄😂
    That made me laugh 😂

  • @hypermonki
    @hypermonki 9 หลายเดือนก่อน +18

    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

    • @Lolipop59
      @Lolipop59 2 หลายเดือนก่อน

      How did you do your tapering please? Are you done with ? Thank you!

    • @hypermonki
      @hypermonki 2 หลายเดือนก่อน

      @@Lolipop59 Hi there, I am still tapering, very slowly and I didn't do the tapering correctly. There is a ton of information out there now on how to do a microtaper to minimize side effects. Angela Peacock is a great advocate who experienced benzo withdrawal and now is an expert. You can find her videos on TH-cam

    • @PURPLEHAZE30000
      @PURPLEHAZE30000 หลายเดือนก่อน +1

      @hypermonki perfect analogy. I'm doing this taper very very very slowly

    • @zezezep
      @zezezep หลายเดือนก่อน +2

      @@hypermonki I don't care if it takes the rest of my life to taper off, but I will NOT increase the dosage again

  • @tinoslaponi8514
    @tinoslaponi8514 9 หลายเดือนก่อน +27

    Great video. You are doing an amazing job of helping thousands of people.Thanks so much Dr.!

  • @GuovannaLee
    @GuovannaLee 9 หลายเดือนก่อน +14

    Thankyou so much for what you’re doing . If only you were in Australia

  • @Gabesvault
    @Gabesvault 9 หลายเดือนก่อน +21

    Why weren't you around before I started this... I love all the videos BTW.

  • @Mountain_Spirit
    @Mountain_Spirit 5 หลายเดือนก่อน +16

    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.

    • @informedcarpet
      @informedcarpet 4 หลายเดือนก่อน +3

      That’s terrible, I quit cold turkey and was fine in 3 weeks.

    • @stevio8865
      @stevio8865 4 หลายเดือนก่อน

      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.

    • @zezezep
      @zezezep 2 หลายเดือนก่อน +1

      @@informedcarpet how long were u taking it?

    • @wellinever1558
      @wellinever1558 2 หลายเดือนก่อน +2

      Yes its for life and they dont tell you that. Also on Srni 30 years

    • @stevio8865
      @stevio8865 2 หลายเดือนก่อน

      @@wellinever1558 no, it's not necessarily. I quit venlafaxine and duloxetine and many others did, too. So it's not for life if you don't need it.

  • @devinaxtman6171
    @devinaxtman6171 5 หลายเดือนก่อน +21

    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.

    • @emilia9523
      @emilia9523 4 หลายเดือนก่อน

      I have too irritability and also had bad lack of b3

    • @johnny_baccarat5150
      @johnny_baccarat5150 4 หลายเดือนก่อน

      Look into a peptide called Selank

    • @Liz-hc4um
      @Liz-hc4um 4 หลายเดือนก่อน +5

      that sounds really fast?

    • @zezezep
      @zezezep 2 หลายเดือนก่อน

      @@devinaxtman6171 to me it doesn't matter how long the taper takes because I've been on them most of my life

    • @Lunamochi4
      @Lunamochi4 2 หลายเดือนก่อน +3

      Have u weaned off since this comment? Im also on 20mg and my doc said the same thing and I had horrible withdrawals. Mainly dizziness and nausea. Its awful I had to get back on 10mg and will slowly tamper off that way.

  • @wildlightarts
    @wildlightarts 9 หลายเดือนก่อน +19

    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.

    • @EvanRajala
      @EvanRajala 9 หลายเดือนก่อน +4

      YES i wanna see 5htp, fish oil, mucuna, etc
      I wanna see him on ATMC (alt to meds center)

    • @thefuzzfactor2989
      @thefuzzfactor2989 9 หลายเดือนก่อน +5

      Can u tell the rest of with what are you finding success please? ❤

    • @susancunningham4252
      @susancunningham4252 9 หลายเดือนก่อน +9

      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.

  • @edihayat
    @edihayat 12 วันที่ผ่านมา +1

    The problem with cutting tablets is the inconsistency of the medication that will be invested. The medication isn't spread evenly across the tablet...

  • @Wishing_you_peace
    @Wishing_you_peace 10 วันที่ผ่านมา +1

    Long term use of SSRI can lower dopamine. So, tapering may increase your motivation.

  • @LevelheadedMind
    @LevelheadedMind 9 หลายเดือนก่อน +4

    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.

  • @carolinedanielson4387
    @carolinedanielson4387 6 หลายเดือนก่อน +5

    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.

    • @PURPLEHAZE30000
      @PURPLEHAZE30000 หลายเดือนก่อน

      @@carolinedanielson4387 unbelievable!!!! I'm 66 and trying to taper Klonopin. It's so scary.

    • @CariDraney
      @CariDraney หลายเดือนก่อน

      He has a video on how to taper off Benzo’s too.

  • @caramelapplexD
    @caramelapplexD 9 หลายเดือนก่อน +6

    Can you please make videos about medication for psychosis

  • @smints4913
    @smints4913 3 หลายเดือนก่อน +5

    Why don’t more doctors know this? My doctor told me to half my dose of celexa and I had HORRIBLE withdrawal symptoms. I thought it was my underlying illness but now that I think about it - I don’t think it was

    • @PURPLEHAZE30000
      @PURPLEHAZE30000 หลายเดือนก่อน +1

      @@smints4913 half??? Just using common sense tells us that's too fast.

    • @RageDeRuin
      @RageDeRuin 22 วันที่ผ่านมา +1

      Celexa is worse than some, it's got a shorter half life than say Zoloft.

  • @dinahsoar6982
    @dinahsoar6982 9 หลายเดือนก่อน +2

    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.

  • @irosunka
    @irosunka 9 หลายเดือนก่อน +6

    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.

    • @alexgordon951
      @alexgordon951 8 หลายเดือนก่อน +2

      how are you doing? i help people specifically with cymbalta tapering.

    • @dottieloutaylor7569
      @dottieloutaylor7569 4 หลายเดือนก่อน

      ⁠@@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. ❤

    • @davidbrown4271
      @davidbrown4271 3 หลายเดือนก่อน

      @@alexgordon951how do I do it ? Rather than bead counting? Any tips would be great

    • @JimmieTalley
      @JimmieTalley 13 วันที่ผ่านมา

      @@alexgordon951yes,I agree. Extremely hard to

  • @cynthiathomas5754
    @cynthiathomas5754 9 หลายเดือนก่อน +4

    Great work.

  • @icecreampaintjob1697
    @icecreampaintjob1697 9 หลายเดือนก่อน +10

    You are doing god's work. Thank you so much.

  • @PURPLEHAZE30000
    @PURPLEHAZE30000 2 หลายเดือนก่อน +5

    I've been on an ssri for at least 15 years. I'm really scared.

    • @brynnstic
      @brynnstic หลายเดือนก่อน +2

      I believe in you dear, you’re very strong and I’m proud that you’re taking this step!! I’m on ssris as well and I know how bad the withdrawals can be. You got this!!!

    • @zezezep
      @zezezep หลายเดือนก่อน +3

      @@PURPLEHAZE30000 there's no rush. Take it slowly

    • @jeannienicholson6747
      @jeannienicholson6747 หลายเดือนก่อน

      I must be one of the rare & fortunate ones.
      I've been taking Effexor XR for approximately 23 years. Immediately prior to this, I was on Prozac for five years. It's dosage escapes me. I then immediately started on 75mg of Effexor. Over the years, the dosage increased to 225mg, of which I've been taking for approximately 15 years. However, prior to being prescribed 225mg, due to various life situations, it wasn't unusual for my dosage to increase & decrease.
      Two months ago I decreased to 150mg, of which my body had no reaction. After two months, I further reduced to 75mg. This was six days ago. On the second day, I became aware of intermittent sweating & that strange intermittent feeling one has if one has forgotten or is late with taking the next capsule. I can't fully explain the sensation, except to say it was an unpleasant pcychological wave, spreading one way through my body. Anyway, that lasted for two days. I'm now on day six & am having zero withdrawal symptoms. If all continues to go well, I'll stop all together after finishing one month of 75mg. Yes, I realise I could reduce one last time, to 37.5mg, before going cold turkey. However, I'd rather not. I still have the option to commence 37.5mg, if I'm finding it too soon to completely stop. Yes, my doctor is aware of how I'm doing this. I'm also a retired RN who is very in- tuned with her body. *Please note, I'm definitely not advocating this approach for anyone else.* As previously mentioned on numerous occasions, everyone is different.

  • @thisgirl5933
    @thisgirl5933 4 หลายเดือนก่อน +5

    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.

    • @PURPLEHAZE30000
      @PURPLEHAZE30000 หลายเดือนก่อน

      @@thisgirl5933 I can't imagine you would become more dependent.

  • @mariusd7803
    @mariusd7803 6 หลายเดือนก่อน +3

    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?

  • @TE-7302-
    @TE-7302- 9 หลายเดือนก่อน +28

    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.

    • @Uma921
      @Uma921 9 หลายเดือนก่อน +10

      Benzos aren’t “so much harder than antidepressants”.

    • @Uma921
      @Uma921 9 หลายเดือนก่อน +12

      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.

    • @jolenereader1610
      @jolenereader1610 9 หลายเดือนก่อน +2

      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.

    • @sandrachisholm2310
      @sandrachisholm2310 8 หลายเดือนก่อน +9

      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.

    • @jolenereader1610
      @jolenereader1610 8 หลายเดือนก่อน

      @@sandrachisholm2310 Benzodiazepines tend to be harder, especially if taken for year’s, because they take over the gaba a receptor’s through the body. The gaba a is what naturally calms the body. So now your body no longer know’s how. Yes, I have tapered off Paxil after 5 year’s. It was difficult but not as bad as klonopin has been.

  • @lejx5260
    @lejx5260 7 หลายเดือนก่อน +7

    Instead of using a razor to cut the pill in the early stages just rub it a couple of times on smadpaper

    • @zezezep
      @zezezep 2 หลายเดือนก่อน +1

      sandpaper?

    • @wellinever1558
      @wellinever1558 2 หลายเดือนก่อน

      Fine grater?

    • @vincemarshall8550
      @vincemarshall8550 หลายเดือนก่อน

      Wont you lose half the pill ?

    • @CariDraney
      @CariDraney หลายเดือนก่อน

      A course nail file will also work. They sell them in the beauty section of Walmart. You can experiment with various coarseness of files and see what works best. Sandpaper will also work but it’s harder to hold on to.

    • @CariDraney
      @CariDraney หลายเดือนก่อน +1

      With the file method it’s harder to add more to the scale like he is showing here though if you take off too much because it’s sticks to the file. The benefit though is that it’s easier to take off a little at a time vs. cutting with a razor.

  • @AntonyJS
    @AntonyJS 2 หลายเดือนก่อน +4

    Could you do the same using capsules?
    Open the capsule
    weigh the powder
    reduce by x%
    Put reduced amount back in the capsule?

    • @d_pat73
      @d_pat73 2 หลายเดือนก่อน +1

      You could go that route. It would be time consuming, but if you have the patience go for it.

    • @jeannienicholson6747
      @jeannienicholson6747 หลายเดือนก่อน

      It would cost you a lot more money because you'd run out of the capsule cases.

  • @user-hp4st3lz1x
    @user-hp4st3lz1x 7 หลายเดือนก่อน +5

    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?

    • @brightstarnight10
      @brightstarnight10 5 หลายเดือนก่อน +1

      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?!!!

    • @PURPLEHAZE30000
      @PURPLEHAZE30000 หลายเดือนก่อน +1

      @user-hp4st3lz1x I take capsules too so I'm wondering if it comes in 10 mg and 5 mg caps.

  • @donnawiseman3686
    @donnawiseman3686 9 หลายเดือนก่อน +8

    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.

    • @jennylawson1484
      @jennylawson1484 หลายเดือนก่อน

      How are you getting on?

    • @donnawiseman3686
      @donnawiseman3686 หลายเดือนก่อน

      @@jennylawson1484 i have been on 15mg daily now past few months. No issues but not planning to reduce again for a while

    • @donnawiseman3686
      @donnawiseman3686 หลายเดือนก่อน

      @@jennylawson1484 hi jenny, im still on 15mg not in a rush to taper , im ok have waves of deppresion anxiety at times but could be due to stress at home for years hard to tell the difference to be honest

  • @deep6301
    @deep6301 8 หลายเดือนก่อน +2

    Very helpful

  • @drsandhyathumsikumar4479
    @drsandhyathumsikumar4479 9 หลายเดือนก่อน +1

    Thank you

  • @mdesnica
    @mdesnica 3 หลายเดือนก่อน +2

    How can I be sure that non soluble pills like citalopram, can be crushed and evently distributed when doing syringes? Is the method good enough even for those pills?

  • @kathyramos8276
    @kathyramos8276 หลายเดือนก่อน

    Great video thank you ❤

  • @AliciaEldridge-l5c
    @AliciaEldridge-l5c 18 วันที่ผ่านมา

    Can you make a video on how to taper the pills after the first taper? Do you do 10% (x.90) of the weight of the pill, or 5% more of the dose you’re on?

  • @mariejacob6178
    @mariejacob6178 18 วันที่ผ่านมา

    I was cut off of my antidepressant Auvelity. I nearly ended it all. I was already horribly depressed and this added a new level of hell.

  • @dianesutch8164
    @dianesutch8164 9 หลายเดือนก่อน +2

    Excellent video. I don't believe these techniques will work for pristiq. Any help for tapering pristiq would be greatly appreciated. Thanks!

    • @Meg_I_am
      @Meg_I_am 9 หลายเดือนก่อน +2

      Same question, because Pristiq is ER.

    • @Mountain_Spirit
      @Mountain_Spirit 5 หลายเดือนก่อน

      I have the same question

  • @flycast641
    @flycast641 6 หลายเดือนก่อน +2

    There are more and more studies coming out about the use of diphenhydramine to significantly reduce withdrawal symptoms from both benzodiazepines and SSRIs.

    • @CariDraney
      @CariDraney หลายเดือนก่อน

      Really? That’s Benadryl, right? I feel absolutely awful when I take Benadryl. I get super anxious and have heart palpitations and insomnia.

    • @RageDeRuin
      @RageDeRuin 22 วันที่ผ่านมา

      I'm curious about this because Benadryl is linked to higher chances of developing Alzheimer's..

  • @ubermensch9179
    @ubermensch9179 9 หลายเดือนก่อน +6

    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?

    • @kimberlyk1437
      @kimberlyk1437 7 หลายเดือนก่อน +3

      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.

    • @ubermensch9179
      @ubermensch9179 7 หลายเดือนก่อน +3

      @@kimberlyk1437 thanks for the kind words

    • @mwilson7842
      @mwilson7842 6 หลายเดือนก่อน

      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.

    • @ubermensch9179
      @ubermensch9179 6 หลายเดือนก่อน

      @@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.

    • @dondjamel6275
      @dondjamel6275 2 หลายเดือนก่อน

      ​@@mwilson7842how do yoy tape off 10 mg , do you take like one on and one day off or how ?

  • @brightstarnight10
    @brightstarnight10 5 หลายเดือนก่อน +5

    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??

    • @d_pat73
      @d_pat73 2 หลายเดือนก่อน

      Effexor xr capsules are filled with beads not powder. I tried tapering off 75mg xr capsules by counting out the beads every morning and subtracting a few beads every morning consistently for a few months. It was too fast of a taper, and the side effects were terrible. I ended up going back on the full 75mg.

    • @d_pat73
      @d_pat73 2 หลายเดือนก่อน

      After watching this video, I am going to get the 37.5mg tablet and take twice a day and go from there.

    • @brightstarnight10
      @brightstarnight10 2 หลายเดือนก่อน

      ​@@d_pat73hi yes beads HOWEVER I have found out extended release is just that and it is not safe to taper in that way as it has ti be compounded made up by hand as extended release medicines cant just be divided up DIY like others as pharamcalogy it is quite specialised and we dont know which beads are what. Just google it as experts literally answer why XR needs to be compounded (made by a pharmacist) one you go lower than 37.5 I mean. As obviously you buy a smaller does 75 mg to 37.5 i did that no probs but I cant get a smaller dose nor weigh or count beads by reduction % once i decrease as it is extended release. Pharmacist needs to do it.

    • @jeannienicholson6747
      @jeannienicholson6747 หลายเดือนก่อน +1

      ​@@d_pat73Oh my goodness, you actually counted all the beads? There must be hundreds, if not at least a thousand.😮

    • @d_pat73
      @d_pat73 หลายเดือนก่อน +1

      @jeannienicholson6747 No, not that many. I can't remember the number, but it varies depending on the size of the beads. I believe each capsule is measured by weight not the bead number.

  • @staceyseymour9297
    @staceyseymour9297 9 หลายเดือนก่อน +4

    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).

    • @ralsharp6013
      @ralsharp6013 9 หลายเดือนก่อน

      That's a very good question.🧐💧

    • @Uma921
      @Uma921 9 หลายเดือนก่อน +2

      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!

    • @staceyseymour9297
      @staceyseymour9297 9 หลายเดือนก่อน +1

      @@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.

  • @kerrylucy
    @kerrylucy 9 หลายเดือนก่อน +2

    What is your accent from? Australia?

  • @laurenschultz9781
    @laurenschultz9781 2 วันที่ผ่านมา

    Sorry if this is a dumb question, but is it OK to just cut the pills into the teeny pieces and scrape them into a piece of food and eat the food instead of messing around with the capsules didn’t know if you were using the capsules just because they’re simpler or is there any danger to the actual cut pill doing any damage to the esophagus or stomach :-)…?? Anybody know the answer to this ?

  • @swagkidm10
    @swagkidm10 2 หลายเดือนก่อน

    Im cross tapering from paxil 30 mg with zoloft 25 mg been a week and im at 10 mg paxil and the zoloft but fml it’s kicking my ass i only did 2 days on 20 mg per doctors orders lmao but he did say to stay at 10 for 2 weeks and depending how i feel stop or go down to 5 and continue the zoloft. This is rough man 😞

  • @elijhv
    @elijhv 2 หลายเดือนก่อน +1

    I'm tapering atm but I am doing it for my long term health its really gross what adverse effects these drugs have on people and the ingredients in them.

  • @intermilan6202
    @intermilan6202 6 หลายเดือนก่อน +9

    I went cold turkey on 2 antidepressants without even knowing that I had to taper off gradually!!

    • @informedcarpet
      @informedcarpet 4 หลายเดือนก่อน +1

      Same 😂

    • @pcorp09
      @pcorp09 4 หลายเดือนก่อน +2

      Did you have withdrawal symptoms? Thanks.

    • @jodywhite8388
      @jodywhite8388 2 หลายเดือนก่อน

      Which two?

    • @PURPLEHAZE30000
      @PURPLEHAZE30000 หลายเดือนก่อน +1

      @intermilan6202 wow so what happened to you? Did you get depressed?

  • @NoirOp78
    @NoirOp78 หลายเดือนก่อน

    I just saw this video and thought it was great. I’m on 50mg of desvenlafaxine in Australia which is the lowest dose available and it’s sustained released. Could you tell me how I would manage to come off that?

  • @PURPLEHAZE30000
    @PURPLEHAZE30000 หลายเดือนก่อน

    I wondernhoww to get off Trileptal for mood stabelizer

  • @Ilyas-Habib
    @Ilyas-Habib หลายเดือนก่อน

    Hi, is it safe to stop taking zoloft (25 mg) completely without any tapering after taking it for only 7 days?
    Thanks

  • @KDIJV
    @KDIJV 7 วันที่ผ่านมา

    How to taper off fluoxetine that is a capsule

  • @maryhannahsmith9307
    @maryhannahsmith9307 9 หลายเดือนก่อน +1

    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.

    • @CariDraney
      @CariDraney หลายเดือนก่อน

      I think they would. It’s just more expensive.

  • @dq2623
    @dq2623 หลายเดือนก่อน

    Hi doc, may I ask if this can be done with Prozac ? Is there liquid for Prozac or do I have to chip away ? Thanks in advance doc

  • @mr.greengold8236
    @mr.greengold8236 หลายเดือนก่อน

    Please tell me what someone should do when they have gone cold turkey for a month and now experiencing withdrawal symptoms.
    Gone cold turkey on escitalopram (first 10 mg - for 3.5 years, then 5mg for 3 months till 1 Aug 2024), as of now its been 25 days, experiencing anxiety, irritability, sleep disturbance and low mood, burning sensation only first 1 to 2 hours after waking up, no brain zaps or balance issues.
    What should I do? Should I brave through with supplements or should I reintroduce and do slow taper, afraid of paradoxical reactions but withdrawal symptoms are horrible.
    If I reintroduce at what dose?
    If supplements, which supplements?

  • @Lunamochi4
    @Lunamochi4 2 หลายเดือนก่อน

    Can I just use a pill cutter instead of liquid?

  • @tamipappas1897
    @tamipappas1897 2 หลายเดือนก่อน

    One question. I would like to use the liquid method and my SSRI, Citalopram does come in liquid but it is a 10mg base/5mg. How do the calculations change?

  • @AliciaEldridge-l5c
    @AliciaEldridge-l5c 20 วันที่ผ่านมา

    What do I do if each pill weighs something different? I am on 100mg of Zoloft, and I weigh each pill, and each one weighs a different amount. I tried weighing each one and taking 5% of each, and I was fine. Then I tried doing 5% of one pill, and doing the rest at that same calculation, regardless of what they weighed, and I started having my nocturnal panic attacks all of a sudden. What am I doing wrong?

  • @michellewilson1221
    @michellewilson1221 25 วันที่ผ่านมา

    If I reduce my mirtazapine by 5%, I feel a little ick for about 10 days but then feel fine for at least a week, is it safe to decrease again or should I always wait a full month to decrease the dose? Is there anything benefit wise physically to wait a month?

  • @michelleddave
    @michelleddave 4 หลายเดือนก่อน

    But what about the extended release pristiq tablet?

  • @callumm9049
    @callumm9049 24 วันที่ผ่านมา

    Will this still work in 2025?

  • @chriscarrion8018
    @chriscarrion8018 หลายเดือนก่อน

    Does anybody have any other recommendations for scales. I found the Gemini very inaccurate.

  • @tomgreve8014
    @tomgreve8014 2 หลายเดือนก่อน

    My doctor took me from 6 mg zanax to 1.5 overnight. I had 2 panic attacks and suicidal thoughts in 5 days. Thanks god, my sister walked me back from the ledge and suggested I go back to my initial dose but my doctor says no. I'm going to a different doctor on Wednesday and hope to God he will help. I'm 69 years old, 15 year user and will probably have extended withdrawal. I think I have 10 years to live, if genetics plays a roll, and the cost benefit analysis doesn't make sense to me. I'd rather stay on my dosage until I die...

    • @zezezep
      @zezezep 2 หลายเดือนก่อน +2

      @@tomgreve8014 That's understandable

    • @chriscarrion8018
      @chriscarrion8018 หลายเดือนก่อน

      Look into the Ashton Protocol for benzo tapering. I would look into Amanita Muscaria as well to help with symptoms.

  • @paulaburian7067
    @paulaburian7067 หลายเดือนก่อน

    Dang! I think I'll just stay on my meds after all those calculations! 🙄

  • @maryhannahsmith9307
    @maryhannahsmith9307 9 หลายเดือนก่อน +2

    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?

    • @celestepiccolo6586
      @celestepiccolo6586 9 หลายเดือนก่อน +1

      %5 of the current dose. Your taper will be too quick if you calculate from the original starting point.

    • @celestepiccolo6586
      @celestepiccolo6586 9 หลายเดือนก่อน

      I’m about to start my taper of Lexapro. You got this!!!

    • @maryhannahsmith9307
      @maryhannahsmith9307 9 หลายเดือนก่อน +1

      @@celestepiccolo6586 Good luck to you! What dose are you tapering from? Are you doing a liquid taper?

    • @celestepiccolo6586
      @celestepiccolo6586 9 หลายเดือนก่อน

      @@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 👏

  • @edihayat
    @edihayat 12 วันที่ผ่านมา

    I got depressed just watching this lol

  • @vx1201
    @vx1201 4 หลายเดือนก่อน

    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

  • @krzysztof4543
    @krzysztof4543 หลายเดือนก่อน

    Has anyone gotten gastroparesis after stopping escitalopram?

  • @michaelthau1007
    @michaelthau1007 9 หลายเดือนก่อน

    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

    • @Uma921
      @Uma921 9 หลายเดือนก่อน

      Currently on Buspar. It’s just another drug that will require a taper and comes with its own set of side effects.

    • @dreamsofchocolate
      @dreamsofchocolate 8 หลายเดือนก่อน

      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.

    • @Uma921
      @Uma921 8 หลายเดือนก่อน

      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

  • @tchillism
    @tchillism หลายเดือนก่อน

    I’ve been off Lexapro for 2 1/2 months having some withdrawals. I only tapered for six weeks. I am feeling moderate depression. I wonder if it’s better just to continue on my path and see what happens or do as he says and retake the Lexapro and then do a longer taper. Any thoughts on this?

    • @SachinDhull-sv8bu
      @SachinDhull-sv8bu หลายเดือนก่อน

      Hey dude I was on 10 mg lexapro and my doctor suddenly stop it I m feeling depressed and feeling like my brain shrinkage 😢😢 what should I do ?

  • @luisacosta4385
    @luisacosta4385 2 หลายเดือนก่อน

    could not find liquid for mirtazapine :(

    • @taperclinic
      @taperclinic  2 หลายเดือนก่อน

      You can have a compounding pharmacy order their own mirtazapine powder and make a liquid or bring your pills in and they can make it for you. You have to call around and ask but I've done this several times in many states.

  • @Starskye7897
    @Starskye7897 8 หลายเดือนก่อน

    Can i use a metal nail file instead of a blade?

    • @mdesnica
      @mdesnica 3 หลายเดือนก่อน

      I use a blade on a shaft. It is easier to work with than holding a razor blade ridectly. When I have 60 % dose I use a pillcutter to do the "rough job", and then fine adjust with the blade-pen.

  • @Ed221-j9n
    @Ed221-j9n 5 หลายเดือนก่อน

    what about 10 years on anti-depresent, what kind of taper?

    • @d_pat73
      @d_pat73 2 หลายเดือนก่อน +1

      It depends on the antidepressant, and what form (tablet, capsule).

  • @thecoolelias
    @thecoolelias 3 หลายเดือนก่อน +1

    I think you failed to mention that liquids often has different absorption rates and half lives. I started your method 4 days ago and i feel like a trainwreck due to side effects from switching to liquid from pills.

  • @bozosmith3506
    @bozosmith3506 หลายเดือนก่อน

    10% per mount means to take 10 months to go to zero? This is kind of discouraging. This crap does not work and is blocking me from progressing on CPTSD healing. I want to get rid of it ASAP.
    You do that on a linear rule? The first part of the cut is normally easier to do than the last part. It's not linear at all.
    I have been able to cut down 50% (from 10 mg to 5 mg) of my Lexapro dose last years in 4 weeks with only some temporary brain zaps as side effect. For the remaining, I don't see the difference, I was depressive and anxious even at 10 mg. I expect that a much longer time will be needed to get rid of the remaining 5 mg.

    • @kv6730
      @kv6730 7 วันที่ผ่านมา

      Alright, when tapering it’s taking 10% off the current dose you’re on. Tapering 10% from the original 10mg would be too fast especially at lower doses. So now you’re on 5 the next 10% reduction would take you down to 4.5mg 👍

  • @RikimaruNobunaga
    @RikimaruNobunaga 9 หลายเดือนก่อน +1

    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

    • @Uma921
      @Uma921 9 หลายเดือนก่อน +1

      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.

  • @mattg4836
    @mattg4836 9 หลายเดือนก่อน +1

    Can prozac be used to get off paxil?

  • @jicalzad
    @jicalzad 16 วันที่ผ่านมา

    so, basically go really slowly

  • @PiaT-b9r
    @PiaT-b9r 2 หลายเดือนก่อน

    Praxil tappering 10 mg to Zero how to do it.thank you

  • @Grande79
    @Grande79 4 หลายเดือนก่อน +5

    The best way is to not take them in the first place

  • @stevejesus6525
    @stevejesus6525 หลายเดือนก่อน

    Your content is terrific however the title pages of you videos diminish your message by looking so ridiculously clownish

  • @gunjansakariya7383
    @gunjansakariya7383 24 วันที่ผ่านมา

    Ohh, you are not a real doctor. Please do not fool everyone

    • @Strix51
      @Strix51 18 วันที่ผ่านมา

      How do you know?

  • @twistedsaltypretzel7727
    @twistedsaltypretzel7727 9 หลายเดือนก่อน +4

    the danger of people finding your videos during a period of mania just kinda bugs me...

    • @kareendeveraux1847
      @kareendeveraux1847 9 หลายเดือนก่อน +1

      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.

    • @ralsharp6013
      @ralsharp6013 9 หลายเดือนก่อน +8

      Hopefully people take on board, the importance of taking medication on time, or weaning slowly.🗝
      I cry for the unborn babies, taking this medication..

    • @jaimeleecreta8098
      @jaimeleecreta8098 9 หลายเดือนก่อน +20

      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.

    • @twistedsaltypretzel7727
      @twistedsaltypretzel7727 9 หลายเดือนก่อน +1

      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

    • @ericam1486
      @ericam1486 9 หลายเดือนก่อน +13

      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.

  • @suckermofo1
    @suckermofo1 9 หลายเดือนก่อน +4

    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?

    • @martina_trees
      @martina_trees 6 หลายเดือนก่อน +1

      Same question of mine

    • @brightstarnight10
      @brightstarnight10 5 หลายเดือนก่อน

      What is IR? I am on extended release. it only comes that way in Australia

    • @martina_trees
      @martina_trees 5 หลายเดือนก่อน +1

      @@brightstarnight10 I believe instant release. Im in Italy and I think its not available here either. Im on extended release too

    • @brightstarnight10
      @brightstarnight10 5 หลายเดือนก่อน

      @@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?

    • @suckermofo1
      @suckermofo1 5 หลายเดือนก่อน +1

      @@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.

  • @emmienw80
    @emmienw80 10 วันที่ผ่านมา

    OR: I am now on 20mg Escilatopram/Lexapro. I want to lose the weight I gained on them, ca 40 Pounds😅, and go off. I asked my doc for 10 mg's and 5's. No need for liquids. I will VERY SLOWLY, (Cause been on them for about 5 years) go down like this. First month from 20- 17.5. (I will take 1×10 mg, 1×5mg and then cut 1- 5 mg in half and take that. For a month. Then I will be down 2.5. If I need to go slower I will. Then, if all goes to plan- I will in November go and do the same. From 17.5mg down to 15mg. 1×10 and 1×5mg pr day for a month etc. December I will NOT REMOVE ANYTHING since I want to have a nice holiday etc. I will wait untill after the first week og January. Then I will go from 15mg-12.5mg. I will then take 1×10mg and a half 5 mg. For a month ca. In February I will go down to 10. I will stay on 10 for about 2 months or so, to see how I feel. BUT I will take my time. After that I will go down to 7.5mg. I will take 1×5mg and a half 5mg. After a month or so, I will go down to 5. Then again down to 2.5. I will stay there for maybe 2 months and then go off. Hope this can help someone.