Doctor insights on:
Get Off Ssri
At least 4 weeks: The metabolites of Prozac (fluoxetine) have an extraordinarily long half life. You must wait at least 4 weeks after stopping Prozac (fluoxetine) before considering taking any form of MAOI type antidepressants. This must be done under the care and responsibility of a local physician accustomed to prescribing this type of antidepressant. The MAOI type antidepressant has many dietary restrictions and other limitations. ...Read more
Paxil (paroxetine): Gradual tapering under supervision by your prescribing physician. ...Read more
Can I switch from Paxil (paroxetine) 20 immediately to Zoloft 45 w/o tapering off Paxil (paroxetine)? I've had hard time getting off pax. I don't want to half both and take it.
Switching Rx: That dose of paxil (paroxetine) is not very high, and it's possible you could make the switch. The zoloft should help take its place. If you have any thoughts about how to change from one to the other though, you should get your instructions from your long term provider. They should have a chance to approve anything we say here, at least. ...Read more
Slowly: Best to be tapered off Effexor (venlafaxine) with supervision of a health provider. When almost to end dosing, often use brief Prozac bridge which helps you transition slowly off completely and avoid any obnoxious side effects at all. You may notice nausea, dizziness, brain zaps, shivers, headaches, lack of focus, and flu like symptoms. Daily dose cut back 10% weekly-some take out granules and re-close! ...Read moreSee 2 more doctor answers
Ask your doctor: Not knowing exactly what type of pain you are being treated for with the tramadol or the dosing intervals make specific suggestions difficult. Your doctor would be in the best position to give you alternatives. You are correct, however, that a wean down is what you want to doas opposed to abrupt cessation. ...Read more
Xanax (alprazolam): Yes, if you taper very slowly.Get a more detailed answer ›
Wrong question: The right question is how is your depression doing? If you were being treated for a first episode of major depression, the standard of care is to treat for 1-2 years (one year and if doing fine taper the meds over the next 3-6 months or longer). You also indicate you are a "moderate" drinker, which by definition you aren't. Safe drinking in a woman is ...Read moreSee 1 more doctor answer
Wean of nardil (phenelzine): Do it under medical supervision and slowly.It also depends how long you have been taking nardil, (phenelzine) and what dosage.I can not advice you without knowing what dose and how many years you have been taking Nardil (phenelzine) and what other meds you are taking.But as a rule for weaning any psychiatr med is to take your time and go slow and under direction of your physician it is to be done slowly and under supervisio. ...Read moreSee 1 more doctor answer
It depends: Rebound anxiety is not inevitable, although there are many individuals who do experience it. A lot depends on the rate of tapering, the dosage before tapering, how long someone has been taking the medication and the severity of their anxiety. At times it is also unclear how much rebound is due to the med vs situational. I recommend expecting mild to moderate short-term symptoms with a plan to cope. ...Read more
Paxil (paroxetine): Gradual tapering, depending on current dose & how long u have been on it. Discuss options with your doctor. ...Read more
Dr. Stopped taking ins., don't have $ to see them. Almost out of Zoloft (sertraline) 100mgs, had brain zaps before when getting off. How can I ween off safely?
Taper slowly: Zoloft (sertraline) is available in generic form and is inexpensive, so if it is helpful to you, it is unclear why you would need to stop this drug for financial reasons. However, you can avoid withdrawal symptoms by tapering off slowly-- 75mg for a few days (until you adjust to the new lower dose), then 50mg, then 25mg. ...Read moreSee 1 more doctor answer
Work w/your doctor: Work with your doctor to first determine if it's a good idea to wean off Celexa (citalopram) at this time, reviewing your progress on the problems causing it to be prescribed in the first place. If appropriate, s/he can help you develop a reasonable tapering plan. Be well! ...Read moreSee 1 more doctor answer
I'm switching from cymbalta (duloxetine) to Prozac so i can get off do I really have to take Prozac before i can go off it as we'll. Just using Prozac as a halfway?
Check game plan.: Everyone who is being tapered from Cymbalta (duloxetine) does not have to hake prozac. However, there may be good reasons why your doctor wants to switch you to this medication . It is possible that this medications will work better for you. It is always best to talk it over with the prescribing doctor so you understand the game plan. ...Read more
Go slow, work w doc: 1. A slow, gradual dose taper is best. Go especially slowly as you approach zero. This can take weeks in tough cases. 2. Decrease the daily dose, don't stretch out the time between doses. 3. Sometimes it helps to substitute a different benzo (or phenobarbital) that has a longer half-life. 4. Work closely with your prescribing doctor. Good luck! ...Read more