our logo
Freedom is in you...
You are enough. You are your solution.  
Go Back   paxilprogress > Paxil > General Discussion
User Name
Password
Register Moderation Guidelines Members List Calendar Search Today's Posts Mark Forums Read

General Discussion Open discussion about Paxil, Paxil Withdrawal, successes and progress, good stories and bad, with and without.

Adverse Drug Reaction Reporting    FDA Warnings    Published Withdrawal Studies    Pregnancy Warnings    Forum Psychology

Reply
 
Thread Tools
Old 03-21-2012, 12:09 PM   #1
VitoM1981
 
Posts: n/a
Dosage drops during taper

Hi guys,

Can I make up for having to make larger-than-recommended dosage drops by waiting longer in between drops? I don't have access to liquid Zoloft and don't feel comfortable cutting pills into fourths.

I started with 75mg and am two weeks into my taper. Here's my tentative plan:

4 weeks on 62.5mg
6 weeks on 50
10 weeks on 37.5
14 weeks on 25
22 weeks on 12.5
  Reply With Quote
Old 03-21-2012, 02:44 PM   #2
LCrawford67
Moderator
"Freakishly Optimistic"
 
LCrawford67's Avatar
 
Join Date: Mar 2006
Location: Ohio
Posts: 34,690
Re: Dosage drops during taper

Not usually. Large drops are large drops and the brain normally doesn't like that.
__________________
aka LC
aka Laurie C.


Paxil, 20 mg since 1997, for IBS
Two unsuccessful attempts to quit.
Started tapering 11/27/06
PAXIL FREE 12/29/07


Today is the best day, EVER!
LCrawford67 is offline   Reply With Quote
Old 03-21-2012, 03:11 PM   #3
mustangwoman
 
Join Date: Sep 2008
Location: Tennessee
Posts: 295
Re: Dosage drops during taper

Honestly the best thing I ever did was get a jewelry scale. You go by the weight and you can decrease it a very, very small bit at a time. This has been wonderful for me. There's no guess work. Right now my medicine weighs .96 of a gram and when I reduce it is slowly, so when I go down again I will go to .95. It is very slow, but it has caused minimal side effects. Just a thought.
__________________
zoloft 2004-08 tapered too fast, severe WD-6 mos out hospitialized and restarted on ssri. Finally learned the problems were from WD.
Luvox 5/08 100 mg
07/10 40mg via small reductions, 08/10 39mg, 09/10 38mg, 10/10 37mg, 11/10 36mg,2/11 35mg, 5/11 34mg, 8/11 33mg, 11/11 32mg, 01/12 31mg, 03/12 30mg, 4/12 29mg, 5/12 28 mg, 8/12 27 mg, 11/12 26 mg, 1/13 25 mg, 3/13 24 mg, 4/13 23 mg,6/13 22 mg, 7/13 21 mg, 8/13 20mg, 10/13 19 mg, 11/13 18 mg, 12/13 17 mg, 1/14 16 mg, 3/14 13 mg.
mustangwoman is offline   Reply With Quote
Old 03-21-2012, 06:38 PM   #4
chiropteran
 
chiropteran's Avatar
 
Join Date: Feb 2011
Location: New Zealand
Posts: 1,105
Re: Dosage drops during taper

LCrawford and sparks are on the money with this one. Get that scale (make sure it goes down to 0.001g), weigh a whole box of your pills and work out the average weight of one pill, then divide it by how many mgs are in the pill. Voila, you know what 1mg of med (including the pill filler) weighs, and you can shave pills to drop any little amount you want. It's really not as hard as it sounds.
__________________
'83-90: Various tricyclics, anti-psychotics, tranqs.
'90-02: Prozac - poopout 2002
'02-10: Paroxetine 40, 60, 80mg.
ENOUGH!
Jun10-Feb11: 80-60mg, 5-12% 6wkly
Feb-Jul11: 60-50, 5% 6wkly
Jul11-Mar12: 50-20, 10% 6wkly
Hold at 20 for winter...
Aug-Dec12: 18-9.5, 10% 4wkly
Jan-Jun13: 8.6-3.7, 10% 4wkly
Jul-Dec13: 3.3-1.5, 10% 4wkly (1 bigger drop to 1.5)
23 Jan 2014 : 1mg
chiropteran is offline   Reply With Quote
Old 03-21-2012, 09:13 PM   #5
VitoM1981
 
Posts: n/a
Re: Dosage drops during taper

Good news guys--I went to the pharmacy and found out that I could get liquid Zoloft! And I've decided to stop making excuses and bite the bullet to make sure this taper goes well. So how is this plan: (I am on 62.5mg now)

55 mg
50
45
40
35
30
25
20
15
12.5
10
7.5
5
2.5
0

I would wait one month in between each drop.

Finally, how does one take the liquid form? Mix it with water?
  Reply With Quote
Old 03-22-2012, 04:45 AM   #6
julieannboo
 
Join Date: Jul 2011
Posts: 1,418
Re: Dosage drops during taper

they are still big drops you want to make using liquid.

you are determined not to listen to the 10% rule aren't you?

with paxil - you just take it then maybe have a drink of water after you swallowed the liquid. not sure about zoloft.
__________________
Paxil History:
20mg - April 1997
0mg - Summer 1998
30mg - October 1999
20mg - October 2002 - July 2011
20mg to 10mg - July 2011 - March 2012 (10% taper)
CRASHED when i got to 5.2mg
Back on 10mg - August 2012
Staying on 10mg - for the time being.
Pleased i am on half my original dose.
julieannboo is offline   Reply With Quote
Old 03-22-2012, 05:41 AM   #7
mustangwoman
 
Join Date: Sep 2008
Location: Tennessee
Posts: 295
Re: Dosage drops during taper

That sounds a lot better than the first plan. One thing I do is to not go any lower until I feel stable regardless. I wish you the best in your taper.
__________________
zoloft 2004-08 tapered too fast, severe WD-6 mos out hospitialized and restarted on ssri. Finally learned the problems were from WD.
Luvox 5/08 100 mg
07/10 40mg via small reductions, 08/10 39mg, 09/10 38mg, 10/10 37mg, 11/10 36mg,2/11 35mg, 5/11 34mg, 8/11 33mg, 11/11 32mg, 01/12 31mg, 03/12 30mg, 4/12 29mg, 5/12 28 mg, 8/12 27 mg, 11/12 26 mg, 1/13 25 mg, 3/13 24 mg, 4/13 23 mg,6/13 22 mg, 7/13 21 mg, 8/13 20mg, 10/13 19 mg, 11/13 18 mg, 12/13 17 mg, 1/14 16 mg, 3/14 13 mg.
mustangwoman is offline   Reply With Quote
Old 03-22-2012, 06:04 AM   #8
AmyK
 
AmyK's Avatar
 
Join Date: Aug 2011
Posts: 581
Re: Dosage drops during taper

It's hard to plan the taper in advance. You have to listen to how your body react. I would have started with the 10 percent method and see how it goes. Good luck!
__________________
25 mg Zoloft - Two weeks March 2011
50 mg - Five weeks Bad reaction, zombie
Started to drop every 2-4 weeks: 37,5 mg - 25 mg - 12,5 mg - 25 mg - 18,75 mg - 12, 5mg BAD! Aug 2011 Found PP, back to 18,75 mg
End of 2011: 16,6 mg

During 2012: 15,7 mg- 9,1mg
During 2013: 8,5-5,1mg

4,9 mg 6/1/14 4,7 mg 10/2/14 4,45 mg 5/3/14 4,2 mg 3/4/14 4 mg 9/5/14 3,75 mg 2/6/14 3,55 24/6/14 3,35 mg 7/17/14 3,2 mg 9/8/14

MY JOURNAL
AmyK is offline   Reply With Quote
Old 03-22-2012, 07:11 AM   #9
VitoM1981
 
Posts: n/a
Re: Dosage drops during taper

Quote:
Originally Posted by julieannboo View Post
you are determined not to listen to the 10% rule aren't you?
Well, what confuses me about the 10% is this: eventually, you will have to drop more than 10%, or else you will be on the taper forever. So, at what point do you drop more than 10%?
  Reply With Quote
Old 03-22-2012, 08:36 AM   #10
julieannboo
 
Join Date: Jul 2011
Posts: 1,418
Re: Dosage drops during taper

Quote:
Originally Posted by ElVito1981 View Post
Well, what confuses me about the 10% is this: eventually, you will have to drop more than 10%, or else you will be on the taper forever. So, at what point do you drop more than 10%?
here is the 10% taper dropping every 3-6 weeks from 20mg:

20mg
18mg
16.2mg
14.6mg
13.1mg
11.8mg
10.6mg
9.6mg
8.6mg
7.7mg
7mg
6.3mg
5.6mg
5.1mg
4.6mg
4.1mg
3.7mg
3.3mg
3mg
2.7mg
2.4mg
2.2mg
2mg
1.8mg
1.6mg
1.4mg
1.3mg
1.2mg
1mg
__________________
Paxil History:
20mg - April 1997
0mg - Summer 1998
30mg - October 1999
20mg - October 2002 - July 2011
20mg to 10mg - July 2011 - March 2012 (10% taper)
CRASHED when i got to 5.2mg
Back on 10mg - August 2012
Staying on 10mg - for the time being.
Pleased i am on half my original dose.
julieannboo is offline   Reply With Quote
Old 03-22-2012, 08:39 AM   #11
VitoM1981
 
Posts: n/a
Re: Dosage drops during taper

Quote:
Originally Posted by julieannboo View Post
here is the 10% taper dropping every 3-6 weeks from 20mg:

20mg
18mg
16.2mg
14.6mg
13.1mg
11.8mg
10.6mg
9.6mg
8.6mg
7.7mg
7mg
6.3mg
5.6mg
5.1mg
4.6mg
4.1mg
3.7mg
3.3mg
3mg
2.7mg
2.4mg
2.2mg
2mg
1.8mg
1.6mg
1.4mg
1.3mg
1.2mg
1mg
That's for Paxil though. I'm on Zoloft, and 20 mg of Paxil = 50 mg of Zoloft.

Also, you didn't show when you completely go off the Paxil. Will you go from 1mg to zero? If so, that's a 100% drop, which contradicts the 10% rule.
  Reply With Quote
Old 03-22-2012, 09:01 AM   #12
aberdeen
 
aberdeen's Avatar
 
Join Date: Jan 2012
Location: Canada
Posts: 4,468
Re: Dosage drops during taper

Maybe at the end you could do .5mg from the 1mg...? But anyway you said you take Zoloft. YOu can do the same thing for that, subtract 10% each time. I guess at the bitter end, you're taking so little that 100% or 50% is hardly noticeable.
__________________
2 Timothy 1:7: "For God hath not given us the spirit of fear; but of power, and of love, and of a sound mind."

2005-2010 Effexor XR 112.5mg-262.5mg for PPD
June-Dec 2010 poop-out. 3 month taper, tried 3 different ADs. Horrible time. It took 7 months for any stability.
Paxil taper:
Oct'11 to Nov '12 20mg-10mg
March'13 to Feb'14 9mg -4mg
Feb 7/14-4.0mg
April 1/14-3.6mg
April 29/14-3.2mg
June 2/14-2.9mg
July 4/14-2.6mg
Aug 9/14-2.3mg
aberdeen is offline   Reply With Quote
Old 03-22-2012, 09:03 AM   #13
julieannboo
 
Join Date: Jul 2011
Posts: 1,418
Re: Dosage drops during taper

by 1mg is isn't doing anything anyway - it is a tiny amount.

alot of people stop at 1mg or you can carry on:

.9mg
.8mg
.7mg
.6mg

cant you do the 10% taper with zoloft?
__________________
Paxil History:
20mg - April 1997
0mg - Summer 1998
30mg - October 1999
20mg - October 2002 - July 2011
20mg to 10mg - July 2011 - March 2012 (10% taper)
CRASHED when i got to 5.2mg
Back on 10mg - August 2012
Staying on 10mg - for the time being.
Pleased i am on half my original dose.
julieannboo is offline   Reply With Quote
Old 03-22-2012, 09:52 AM   #14
jheaney1
 
jheaney1's Avatar
 
Join Date: Jan 2012
Posts: 477
Re: Dosage drops during taper

My theory is that the brain adjusts to tapering at about 10% per month, regardless of how fast we taper the dosage. If you drop 20%, it will take two months or so for your brain to catch up. The larger the drop, the longer it takes to catch up. I think that's why people who cold turkey experience withdrawal symptoms for extended periods.
__________________
2000 - 2011: 40mg
6-2011: 30mg
7-2011: 25mg
8-2011: 20mg
9-2011: 15mg
10-2011: 10mg
11-2011: 0mg
1-2012: (crash) 10mg
4-24-12: 9mg
6-11-12: 8.1mg
7-26-12: 7.5mg
9-24-12: 6.8mg
11-11-12: 6mg
2-14-13: 5mg
7-21-13 4.5mg
jheaney1 is offline   Reply With Quote
Old 03-22-2012, 10:24 AM   #15
Backtopaxil
 
Backtopaxil's Avatar
 
Join Date: Dec 2011
Posts: 1,323
Re: Dosage drops during taper

Quote:
Originally Posted by ElVito1981 View Post
That's for Paxil though. I'm on Zoloft, and 20 mg of Paxil = 50 mg of Zoloft.

Also, you didn't show when you completely go off the Paxil. Will you go from 1mg to zero? If so, that's a 100% drop, which contradicts the 10% rule.
Paxil and Zoloft are part of the same family but paxil has been proven to be much harder to withdraw from.

The 10% rule is anecdotal , no science but experience about it, and this assists pretty much every body so that they can have quality of life while tapering. Some people can not even do 10% and have to go much lower, some others get away with more. Some others have tapered using the 10% rule and have had to reinstate after no medication was present.

You just need to try what works best for you. But again, 10% is a good suggestion.
__________________
Started April /03-Jul 30/11 10 mg Paxil
2nd Paxil Tapering
Off as of May 28th, 12


"This will take time but it will happen!"
"I've been shouting: it takes at LEAST a year " -- Ariella
"If I am going to suffer, at least I will be Paxil free" -- me!



Backtopaxil is offline   Reply With Quote
Old 03-22-2012, 10:41 AM   #16
Massive
 
Join Date: Jan 2011
Posts: 180
Re: Dosage drops during taper

I drop about 1.25mg each time. Don't have the scales and been doing this over a year. Not sure why I haven't done all the weighing etc. I just don't want to make a big deal out of it and get all worried.

I drop then continue and forget I dropped. Usually leave it for ages and forget about it.
__________________
Seroxat 20mg 2007 - for depression resulting from undiagnosed arm pains

November 2009 - Stopped st johns wort, started Paxil same day. Complete meltdown, no sleep for 2 weeks, extreme muscle pain, akathesia/anxiety 24/7. Lost everything, back on paxil and in work 3 months later.

Mar 11 - 20
Aug 11 - 12.5
Dec 11 - 10
Mar 12 - 7.5
June 12 - 5
Sept 12 - 2.5
Oct 12 - 1.85
Oct/Nov 12 - 1.25 major crash
Dec - updose 2.5 akathesia gone, extreme anxiety still.
Massive is offline   Reply With Quote
Old 03-22-2012, 11:11 AM   #17
VitoM1981
 
Posts: n/a
Re: Dosage drops during taper

Quote:
Originally Posted by julieannboo View Post
cant you do the 10% taper with zoloft?
Yeah, I can. But again, at some point I'll have to drop by more than 10%. So how will I know when that is?
  Reply With Quote
Old 03-22-2012, 11:31 AM   #18
Brassmonkey
 
Brassmonkey's Avatar
 
Join Date: Oct 2011
Location: California
Posts: 4,687
Re: Dosage drops during taper

You'll know when you get there. There is no hard science behind these tapers it is all learning as you go and using other peoples experiences as a guide. On paxil most people taper to 1mg and then CT, but some go off at 5mg and some carry it on in to the fractions. By the time you get there you should know how your body reacts to each drop. The 10% rule is a suggested starting place. Many people tolerate the first few drops better and go larger, but 10% is what seems to work for most people. The amounts will probably have to be adjusted as your taper continues and life catches up with you, which is why it is ot good to try and plan the whole taper in advance. Yea, it seems that a 10% taper will taks for ever, but you will be supprised at how fast it really goes. I started at 40mg fo paxil last October and in a few weeks I will be at 20mg, half of my original dose and if all goes well I should be off in about a year. Compaired to a life time that ain't long at all. It is best to just get started and learn as you go, there is a lot of experience here and everyone is willing to share.

(((((((HUGS of encouragement))))))))))
__________________
AKA Tom

1994 started 20mg Paxil,1999 30mg,2005 40mg
2010 pooped out
09/2011 CTed from 15oz vodka a night
09/2011 36mg
06/2012 19mg (past halfway point)
01/2013 11.1mg
03/2013 10.0mg
01/2014 5.4mg
02/2014 4.9mg
03/2014 4.4mg
05/2014 4.0mg
06/2014 3.6mg
08/2014 dropped to 3.2mg

"Feel like crap and carry on" --Junior
"Find a place inside where there is joy, and that joy will burn out the darkness." Joseph Campbell
Brassmonkey is offline   Reply With Quote
Old 03-22-2012, 12:42 PM   #19
VitoM1981
 
Posts: n/a
Re: Dosage drops during taper

Thanks guys. I'm glad to be taking it a lot more slowly than I originally planned. Having a smooth taper and healing time when it's done makes the long duration more than worth it.

So, with the liquid med, do you just mix it with water and then drink or what?
  Reply With Quote
Old 03-23-2012, 07:30 AM   #20
VitoM1981
 
Posts: n/a
Re: Dosage drops during taper

What's the most effective way to take the liquid Zoloft?
  Reply With Quote
Old 03-23-2012, 01:45 PM   #21
Jmarie
 
Jmarie's Avatar
 
Join Date: Feb 2005
Posts: 2,416
Re: Dosage drops during taper

Quote:
Originally Posted by ElVito1981 View Post
What's the most effective way to take the liquid Zoloft?
This is something you need to ask your pharmacist. From what I have read it can only be mixed with water, lemon lime soda, lemonade or orange juice. But you really need to ask your pharmacist about the specifics and how to do it correctly.
__________________
Paxil since Mar.1998
5% or less drops every 3-6 weeks
2009: 20mg-14mg
2010: 14mg-10.5mg
2011: 10.5-7.6mg
2012: 7.5-6.8mg
2013: 6.7-6.3mg
02/24/14: 6.2mg
04/24/14: 6.1mg
07/15/14: 6.0mg


"For I know the thoughts that I think toward you, says the Lord, thoughts of peace and not of evil, to give you a future and a hope."
Jeremiah 29:11
Jmarie is offline   Reply With Quote
Old 03-23-2012, 06:22 PM   #22
VitoM1981
 
Posts: n/a
Re: Dosage drops during taper

Sounds good! Thanks again guys for all your help! It's funny how naive I was when I first joined PP almost a month ago: I was planning on doing a 3-month taper, dropping from 75mg to 50 to 25 to 0. LOL! That would have been BAAADD news.

I'm currently on 62.5mg--I made this first drop b/c I didn't think I would be able to use the liquid form of Zoloft. Now that I found out I could (again, thanks to you guys!), here's my prospective--yet tentative--remaining plan, with one-month waits in between drops:

60 mg
55
50
45
40
35
30
25
20
17.5
15
12.5
10
7.5
5
2.5
0 -- plan to be SSRI-free for good on 8/7/2013
  Reply With Quote
Reply


Currently Active Users Viewing This Thread: 1 (0 members and 1 guests)
 
Thread Tools

Forum Jump


All times are GMT -6. The time now is 10:45 AM.


We are not in any way affiliated with Paxil's manufacturer GlaxoSmithKline.
Our ideas and suggestions are anecdotal, inspirational, and they work.

Get the best web browser, FireFox

Powered by vBulletin® Version 3.6.5
Copyright ©2000 - 2014, Jelsoft Enterprises Ltd.