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I changed to a milk titration 10 days ago at 6 days my anxiety went through the roof. I changed back to dry cuts and 3 days in it's worse I feel like someone is scraping a knife against my teeth, I can't walk my legs are like jelly and when I try to sleep I fall for a second then wake up like I'm bring electrocuted. Last night all I could envisage was my own death and how to so it with as little pain to others as possible. This is nt me 5 months ago I was surfing with my daughter on holiday? I don't know what the hell is happening or how to get out of this hole docs want to give me mirtrazapine but the thought that anything could ramp this anxiety further is just not a option, I have a little girl who needs her mummy
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[48...]

For whatever (??) reasons, the milk apparently didn't work for you.  It seems to happen occasionally that some individuals don't receive the anticipated dose when they crossover to milk.  That it took a week for that problem to show up is no surprise since valium has such a long half-life.  That long half-life is going to cause it to take some time before you get back to the level of valium that was in your system prior to your milk titration.  It takes well over a week for valium levels in your body to stabilize.

 

You can theoretically reduce that time by increasing your dose for a day or two, but it's impossible to know what dose you should take to speed things up.  For example, if you were actually only absorbing 0.4 mg during the 7 days of your milk experiment, then a single 1 mg dose would get you back up to steady state for 0.5 mg doses.  If you were absorbing 0.45 mg then a single 0.75 mg dose would get you back up to the 0.5 mg level.  It's up to you if you want to try something like this.

 

This makes me wonder if it's a good idea to switch taper strategies mid-way through a taper.  You were already at a critical tipping point since reductions below 0.5 mg were causing you some problems.  So even a minor reduction in the absorbed (milk) dose could be really noticeable. 

 

 

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Thank you that does make a lot of sense do you think going back to 0.5 is best ? I did briefly stabilise on 0.5 a few weeks ago with breaking a tab into quarters, but thought the only way forward was milk. I did not know diaz stays in your body so long, I feel Iv opened my eyes for the first time in ten years to this poison..
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[48...]
I'd definitely go back to the last place that you were stable and hold for a couple of weeks.  Personally, I'd be very tempted to do a single .75 mg dose to raise the level of the med in my body more quickly.  However, I'm way aware how tinkering with doses can have a variety of effects.  There's just no way to know the best possible course of action.  :-\
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  • 2 weeks later...

I did milk titration, dry cuts and water titration, took three tries to get off, had the whole "kindling" effect, reinstatement at a low low dose, you name it. I am not here to advise you, just want to say my experience is that moving forward you just go slow and do not go backward. I sometimes held for a bit if my current life had some event/stress that I needed to deal with, but never longer than a couple weeks. I was on klonopin, and titrated that last .10. The real stuff hit me each time at about two weeks off, but it was hard as I got closer to the jump. For me, reinstating, which I know you are not talking about, only prolonged things and increased the withdrawal in the end. For me, titration of that last tiny bit seemed like a smoother way to end it, rather than my experience with the first try in which I dry cut all the way through, as when the cuts became miniscule, it was impossible to be even close to accurate for me.

north

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Thanks North,  I'm pretty sure I'm kindling as Iv been on this dose for months, I'm terrified to go back to milk as the anxiety made me suicidal, Iv bought some accurate scales and will start making tiny dry cuts next week.. Medically I feel very alone, I saw a psychiatrist this week who wanted me to go back to 3mg for a short time, I got up and walked out, just pray I can do this on my own

 

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yep, I tried to connect a few times with various doctors, psychs, and never got any support. One actually offered to give me a script for xanax to help with my klonopin withdrawal!!! I'm not kidding...guess it was the old hair of the dog theory?

I finally just went it alone, even my husband eventually tired of my constant difficulties, and I never went to a dr, i knew by the third time what was going on, and that there was nothing that a dr could do except give me more, and that had even stopped working. The only was through was to get up each day and push through til the next and the next...

My recovery happened in fits and starts, and it seemed to take forever, but actually all along I had been making progress, I just was too hell bent on being absolutely perfect that I did not really notice it until it was near the end. I had good days along the way too, and cherished each and every one of them. I hope the dry cut goes more smoothly for you. Keep it slow and steady,

best,

north

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