Author Topic: Question about liquid titration  (Read 1092 times)

[Buddie]

Question about liquid titration
« on: January 01, 2023, 07:21:44 pm »
Hey there,

Hope you had a happy holidays.

I would like to try the titration method as it look easier than cutting and weighting pills.

I have tried to use the liquid titration spreadsheet found in a youtube video showing to fill a cup with 300ml of water and to remove 1ml each day, example day 1, 1ml, day 2, 2ml and....

My problem is that it was done for a 5mg Valium pill. Me I want to titrate lorazepam 2mg, and when I try to complete the spreadsheet with my 2mg of Ativan/lorazepam , mine stop at 180 drink dose, and 120 discard liquid.
So my question is should I put 180 drink dose instead of 300 as the Ativan reach zero at 180 drink dose.

This is what it looks like


Hopefully someone can help.
« Last Edit: January 01, 2023, 07:42:13 pm by [Buddie] »
Suggestions, opinions and/or advice provided by the author of this post should not be regarded as medical advice; nor should it substitute for professional medical care. Consult your doctor before making any changes to your medication. Please read our Community Policy Documents board for further information.

[Buddie]

Re: Question about liquid titration
« Reply #1 on: January 01, 2023, 08:48:21 pm »
I seen members have good luck using tablets and liquid both, what is your current dose?
Suggestions, opinions and/or advice provided by the author of this post should not be regarded as medical advice; nor should it substitute for professional medical care. Consult your doctor before making any changes to your medication. Please read our Community Policy Documents board for further information.

[Buddie]

Re: Question about liquid titration
« Reply #2 on: January 01, 2023, 08:57:08 pm »
My current dose is 2mg of lorazepam/Ativan . I would like to taper off so I am trying to find the best way. The titration looks easier. The dry cutting can be hard to get the precise dose I want.
Suggestions, opinions and/or advice provided by the author of this post should not be regarded as medical advice; nor should it substitute for professional medical care. Consult your doctor before making any changes to your medication. Please read our Community Policy Documents board for further information.

[Buddie]

Re: Question about liquid titration
« Reply #3 on: January 01, 2023, 10:20:16 pm »
If your tablets are 2 mgs, you could cut that in half and take one half and put the other one in your liquid and if they’re 1 mg, you could take one tablet and put the other one in the liquid.  You can reduce using the liquid then when you get to the point you’re only on 1 mg, you can start using titration for that too.

Or am I misunderstanding your question? 

Lorazepam comes in a liquid from the manufacturer if you can get your doctor to write you a script. 
Suggestions, opinions and/or advice provided by the author of this post should not be regarded as medical advice; nor should it substitute for professional medical care. Consult your doctor before making any changes to your medication. Please read our Community Policy Documents board for further information.

[Buddie]

Re: Question about liquid titration
« Reply #4 on: January 02, 2023, 09:59:26 am »
Sorry, I think my question was not clear enough. I'm from a non English speaking country.
So my question is about liquid titration. The examples I have seen are with 300ml of water and 5 mg pill of Valium. I did try testing the titration method by entering my data of 2 mg of Ativan/lorazepam in the excel spreadsheet and my medication reaches 0 at 180ml drink dose and not the 300ml. So should I taper with only 180ml in the jar instead of 300 ml? Hope this makes sense. Otherwise I will try to copy and paste the model I am using.
Thank you for any help.

Suggestions, opinions and/or advice provided by the author of this post should not be regarded as medical advice; nor should it substitute for professional medical care. Consult your doctor before making any changes to your medication. Please read our Community Policy Documents board for further information.

[Buddie]

Re: Question about liquid titration
« Reply #5 on: January 02, 2023, 02:03:24 pm »
What spreadsheet are you trying to use?

Is it the one included with the ‘Use water to taper your benzo!’ video by Benzo Brains (see link below)? If so, that spreadsheet is 5 years old and it sounds like it has one (or more) glitches in it. Have you tried contacting Benzo Brains to ask if there is an updated version? (You could try contacting her via one of the more recent videos on her YouTube channel or via her website at BenzoBrains.com.)

You seem to understand the basic concept of this approach — remove 1mL more of the liquid each day and drink the remainder until all of the liquid is gone.  If you start with an initial volume of 300 mL, it will take 300 days to do this.  If you can’t get the spreadsheet to work, you could easily make a paper chart for yourself. For example:

Day 1 - 300mL
Day 2 - 299mL (remove 1 mL)
Day 3 - 298mL (remove 2 mL)
Day 4 - 297mL (remove 3 mL)

There are several issues with above approach you should know about.  If you would like to learn about these plus receive feedback on whether this approach would be a good fit in your case, we would be happy to help.  To help us help you, please add your medication history to your profile. Here are the instructions Add your history/signature


Link:
Use water to taper your benzo!
https://youtu.be/whpciMUXHfY
Suggestions, opinions and/or advice provided by the author of this post should not be regarded as medical advice; nor should it substitute for professional medical care. Consult your doctor before making any changes to your medication. Please read our Community Policy Documents board for further information.

[Buddie]

Re: Question about liquid titration
« Reply #6 on: January 02, 2023, 04:11:03 pm »
I’d like to thank [...] for jumping in, I can see now I wasn’t understanding your dilemma, you’re struggling with the worksheet, not the actual mechanics of your taper. 

In my opinion, the spreadsheets members find online are a problem because besides having flaws, we can’t map out our entire taper on paper before the fact, life presents too many variables.  What happens when you need to attend an event scheduled for the same time as a reduction?  Do you still make the cut knowing it could possibly impair your ability to attend?  What about an unexpected illness or family issue, do you adjust your taper to accommodate these events or do you stick to an arbitrary schedule you found online?  We advocate for symptom based tapers, these have been shown as the most effective method to keep us functional.

I hope you’ll take [...]’s advice and make your own spreadsheet but also be prepared to deviate when life and symptoms demand.
Suggestions, opinions and/or advice provided by the author of this post should not be regarded as medical advice; nor should it substitute for professional medical care. Consult your doctor before making any changes to your medication. Please read our Community Policy Documents board for further information.

[Buddie]

Re: Question about liquid titration
« Reply #7 on: January 02, 2023, 07:46:37 pm »
Thank you [...] and [...].
Yes, it is the Excel spreadsheet of benzo brains. I am just looking for the easiest way to taper the 2 mg of lorazepam
My issue was that with the 2mg at 180 ml I reach zéro benzo so I was thinking maybe I should start with 180ml of water instead of 300 ml.

I have bought a pill cutter and I don't find dry cutting precise enough so that's why I wanted to do the titration with water

I am at lost with my benzo brain. For now I will stick to dry cutting.

@[...]: I take my medication only at night. I take my benzo with me in case I have to sleep somewhere else than home. Without benzo I can't sleep at all, but I am at risk of having withdrawal symptoms like it happened before when I was on Valium and imovan.

Anyway thank you guys for trying to help me.

If any of you have a good video or link about water titration with clear advice, I would be very grateful.
Suggestions, opinions and/or advice provided by the author of this post should not be regarded as medical advice; nor should it substitute for professional medical care. Consult your doctor before making any changes to your medication. Please read our Community Policy Documents board for further information.

[Buddie]

Re: Question about liquid titration
« Reply #8 on: January 02, 2023, 08:01:07 pm »
[...],

If you want a liquid method which is free of spreadsheets and math, follow this video.

https://www.youtube.com/watch?v=whpciMUXHfY&list=PLq27kC29XVsNRJ38NeslvT14h2j0UQjEf&index=2&t=103s

There is nothing to compute.  Just remove 1mL and drink the rest.
Bob
Suggestions, opinions and/or advice provided by the author of this post should not be regarded as medical advice; nor should it substitute for professional medical care. Consult your doctor before making any changes to your medication. Please read our Community Policy Documents board for further information.

[Buddie]

Re: Question about liquid titration
« Reply #9 on: January 02, 2023, 08:14:17 pm »
Hello, [...].  Good to see you on the boards.  Two fwiw’s: (1) the spreadsheet [...] is asking about is included with the video you referenced (there’s a link to it in the Description) and (2) here’s a shorter URL you can use to share this video with others:

Use water to taper your benzo!
https://youtu.be/whpciMUXHfY
Suggestions, opinions and/or advice provided by the author of this post should not be regarded as medical advice; nor should it substitute for professional medical care. Consult your doctor before making any changes to your medication. Please read our Community Policy Documents board for further information.