Southernreign, on 02 March 2010 - 10:54 PM, said:
Okay, my wife has been on this 'drug' for YEARS... she is wants to come because it cost about $150/month. She is on 60mg...
now, there are different opinions on how to get off... I want to know what everyone thinks here is best...
I know there are 540 'beads' per 60mg capsule... some say take 10 beads out every 2 weeks, some say 10%? (which is it)?
My wife has been off two days (she is trying cold turkey- which I keep telling her is VERY BAD,) but she refuses to listen...
she has already started with the brain zaps... dizzy, and extreme mood swings, non-stop nightmares when sleeping! HELP!!!
Howdy,
There IS no right way - the best way to go can depend on a number of issues.
There IS the hard way though, and that TENDS to be cold turkey. Some can do it easier than others. Some can do cold turkey with the aid of Prozac. It's not recommended though, even by the drug companies themselves, so ask her to be aware of that. The weaning usually suggested by doctors can work for some, but is insufficiently slow for most people who end up here - those who haven't been able to tolerate what they're having to put up with.
The easiest way for your body to adjust is to reduce the dose by no more than 10% at a time (and often less), wait until any withdrawal symptoms have disappeared (hopefully they'll be much milder than cold turkey) then reduce again. If the symptoms are too difficult to deal with at any stage, just bump up the dose a bit.
Some people find they can get to 30 o.k. then get stuck at 15mg, others need to do the whole thing slowly. We're just a bunch of other sufferers who are sharing their experiences.
You can remove one bead every day if you wish for the next 540 days.
You can remove a certain number every two weeks.
etc etc.
The withdrawal symptoms are your brain attempting to get back to normal, so generally if someone has been 'off' for a little while, the dose they need to go back to get rid of all symptoms is reducing the whole time.
To save you counting so many beads, if you can get your hands on some empty gelatine capsules, you can then divide the contents of a 60 into several different sizes.
eg. Divide 60 into two, then divide one of those (now 30mg) capsules into three. You can do this really accurately visually. No need to count beads until lower doses.
If I were you, and knowing what I do now, I'd be tempted to encourage her to try 50mg and see if that's enough to alleviate symptoms - that way there's not so far to go down.
Let us know, so we can give you more info.
The prozac option may be useful too if weaning faster than usual is necessary through not wanting to pay for another script.
(Roll on the health system you all deserve.)
regards, Maureen.