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Re: How to taper of Sertraline?

Posted by bleauberry on December 6, 2018, at 10:20:25

In reply to How to taper of Sertraline?, posted by Hordak on December 3, 2018, at 16:33:18

Since we are all different, I do not like going by a pre-arranged schedule that somebody else thought was a good idea. Instead I like for each patient to determine their own speed at weaning based on their difficulty. For some it's fairly easy. For others it's extremely hard.

For me it was hard. Zyprexa was way harder. But no matter what the drug, my best approach is to lower the dose in tiny steps over an extended period of time. Lowering the dose by 25mg is way too big a giant step. I would do it more like 6mg. Or less.

You can smash the pill into powder and divide the powder into roughly equal piles. They don't need to be exact. 4 piles equals about 6mg each (assuming a 25mg tab). 5 piles equals 5mg, 6 piles equals 4mg.

I like to reduce dose slowly in tiny steps - way tinier than the docs do it - because they've never actually experienced the hell they make their patients experience. And if at any time I feel confident I can do it in bigger steps. I can modify my plan as I go. If I run into withdrawal troubles, I can stabilize at my current dose or go back up to my last previous dose and wait a few days before continuing to wean.


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poster:bleauberry thread:1102254
URL: http://www.dr-bob.org/babble/20181024/msgs/1102305.html