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Confused About Dosage and Tapering Schedule


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Can someone explain to me what I am suppose to do once I hit a dosage of 1 mg in my taper plan? I have a spreadsheet and at the 1 mg mark I start to go past the 10% reduction and the lower I go with my straight .125 drop the higher the relative percentage is. Now, I was thinking technically percentage doesn't really matter because if you keep a steady drop every week or more, then the blood levels will slope down and level out gradually. Does percentage really matter? If it does then I either need to get a scale and measure out some of the remaining doses, or do the liquid titration that I don't quite understand. Doesn't liquid titration waste pills anyway? Does anyone have some advice on this?

 

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I have questions on this too.  If someone is clear on this it would be very helpful. Sorry I couldn't be of more help.  I know you are supposed to slow down at the end which is another factor.

 

Tiny

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Liquid titration is easy as falling off a log and wastes nothing,

 

Can someone explain to me what I am suppose to do once I hit a dosage of 1 mg in my taper plan? I have a spreadsheet and at the 1 mg mark I start to go past the 10% reduction and the lower I go with my straight .125 drop the higher the relative percentage is. Now, I was thinking technically percentage doesn't really matter because if you keep a steady drop every week or more, then the blood levels will slope down and level out gradually. Does percentage really matter? If it does then I either need to get a scale and measure out some of the remaining doses, or do the liquid titration that I don't quite understand. Doesn't liquid titration waste pills anyway? Does anyone have some advice on this?

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Most taper schedules I've seen treat this as though percentages actually matter. For most of the Ashton schedules there is a recalibration at one point in the middle so that the absolute decline is smaller and the percent decline is similar to what it was at the beginning.

 

But they don't keep the percentage drop constant or you'd technically never get to zero since the last step is always a 100% drop from the previous. So you might find a .125 mg drop is tougher from 1 mg than it was at the beginning.

 

Edit: so an example of this is a schedule I saw starting at 20 mg of diazepam. Maybe between 20 and 10 mg the cuts would take place in 2 mg increments. Then at 10 mg there is a recalibration and the increments are now 1 mg. You'll notice that if you are using 2 mg cuts, the percent cut is greater when you go from 12 mg to 10 mg than 20 mg to 18 mg. Likewise in the second series when you go from 2 mg to 1 mg it is a greater percent cut than from 10 to 9 but that's an unavoidable mathematical problem. So you might want to recalibrate and make smaller reductions but someone else will have to help you with how you obtain the finer doses.

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Anyone else able to add or clear things up?

 

The easiest way to maintain your % is to hold. If you feel sxs ramping up, then hold until you feel better. If you feel "okay" in your taper just keep reducing and dont worry about %s. When you get to the end of your taper, you will be cutting 33%,50% and then 100% when you jump.Sometimes we overthink and cause problems to arise. I cut steadily in my taper, held when I needed to and never once figured a %.

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Follow up question on this jr.

 

How "stable" did you feel before a cut? Tolerable?  Good?  Sometimes ok and sometimes not in the same day?

 

Right now I can get through the days without panicking.  There is almost a constant buzzing feeling in my body, but I can function.  My throat feeling like it's closing is probably my worst sx.

 

 

Thanks! Tiny

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Once you are in low doses, percentages do not really mater, in our last cut we always cut by a 100%, even if our dose is 0.001 mg.

 

At low dose cutting off the same amount is the best and quickest way to taper, by using percentages taper can become infinite, you will always remain with 90%.

 

From the kinetics point of view: small equal amounts, small equal periodos of time.

 

I hope it helps.

 

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Follow up question on this jr.

 

How "stable" did you feel before a cut? Tolerable?  Good?  Sometimes ok and sometimes not in the same day?

 

Right now I can get through the days without panicking.  There is almost a constant buzzing feeling in my body, but I can function.  My throat feeling like it's closing is probably my worst sx.

 

 

Thanks! Tiny

 

I cut everyday that i was not in a hold. sure I had sxs but I tried to live as normal a life as possible. I had  to take some absences from work and wanted some days to just lay in the bed!

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