A member asked:

Is there any harm in tapering psych meds without dr supervision? i started meds bc of insomnia, now sleeping about 16 hours a day. reducing trazadone, klonopin, and cymbalta (duloxetine) .

25 doctors weighed in across 8 answers

Harmful: It is unwise and potentially harmful to taper these medications without supervsion from the prescribing specialist. Withdrawal symptoms as well as reactivation of original symptoms are possibilities.

Answered 6/30/2015

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Dr. Erin Robertson answered

Specializes in General Practice

OMG yes!: Please get supervision! Stopping Klonopin (benzo) too fast can cause anxiety & seizures. Rapid withdrawl from your Cymbalta (duloxetine) can precipitate close to debilitating "SSRI discontinuation syndrome" (weird paresthesias, headaches, GI distress, lightheadedness & balance problems). SARI w/d from trazodone will be similar plus add bad insomnia & risk of depersonalization, anger, agitation & suicidality.

Answered 3/9/2018

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Yes: While many patients reduce their medication on their own, it's best to do this with the help of your health care provider.

Answered 11/27/2017

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NO TAMPERING: Always collaborate with your prescribing doctor before making med adjustments.

Answered 7/1/2015

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Yes, dangerous: It is risky to be taking this cocktail of drugs with medical supervision. How are you getting these drugs? You should be seeing a qualified health provider now

Answered 7/1/2015

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Tapering off meds: I strongly recommend seeking at least consultation with a physician, preferably a psychiatrist, for good medical advice, Tapering off psych meds too fast, or multiple meds at the same time, can cause bad rebounds for some people. As a minimum please talk to a psychologist who will have a good foundation of knowledge about medication in order to help you find a good physician ref med taper

Answered 7/4/2015

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Positive, BUT: Your doctor should be skilled in tapering off your trazadone, Klonopin and Cymbalta, (duloxetine) as if not handled properly, could eventuate in bad withdrawal effects. I agree that it is time to decrease your meds, just do it with the help of the doctor who started all of these.

Answered 3/9/2018

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Dr. Jack Underwood answered

Specializes in Psychiatry

Not really, IF.: It would be better to do it under a doctor's supervision, but if you do it slowly and correctly it would be fine. What is the dose of each and how much do you intend to reduce? Do not do more than one at a time and possibly switch from one to another after each reduction. What do you do when the insomnia reoccurs? You may need a physician if that occurs.

Answered 7/13/2015

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