[Co...] Posted October 6, 2007 Share Posted October 6, 2007 We use 'titration' to describe a procedure where we make a liquid using water or milk and our benzodiazepine tablets. Making a liquid out of our benzo pills enables us to make very small, very accurate cuts to our benzo dose. Titration is especially good for those who find making reductions to their benzodiazepines virtually impossible. This is especially true at low doses, where the size of the reductions that can be reliably obtained by pill-splitting (probably no smaller than one-quarter of a pill) can account for a large proportion our total dose. We recommend the use of 100ml measuring cylinders, with 1ml graduations, when making the benzo liquid. This means we can make reductions as small as one-hundredth of a pill. The process is pretty straightforward, and requires no maths. All you need to do is provide us with the details of your benzodiazepine regimen, and we will provide a tailor-made table for you. This is the preparation procedure we recommend: Take one pill from your daily dose, and grind it into a fine powder with a pestle and mortar.Add a little milk to the mortar and stir to collect up the powdered benzodiazepine. Pour out the benzo-milk liquid into your cylinder.To ensure you have collected all of the benzodiazepine, add some more milk to the mortar and again stir. Add this liquid to the cylinder.Now, carefully top up the cylinder to 100ml.Stir the benzo-milk solution in the cylinder to ensure that benzodiazepine powder is evenly distributed throughout the liquid.Refer to your titration table to see how much of this liquid you should take as part of your daily dose, and dispose of the remainder. Your cylinder should now contain the proportion of the single benzo tablet you require, as indicated by the titration table.If your daily dose consists of more than one tablet, you should now crush the remaining tablets of your dose and add the benzo powder to the cylinder. The cylinder will now contain the whole of your daily dose.The liquid in the cylinder can be split into as many doses you require over the day. If the volume is very small, top up the milk to a convenient level for you divide up over the day. Remember, the cylinder contains the whole of your daily dose at this stage, so you are only making the solution more dilute; you are not disposing of any more benzodiazepine. You will need to join our forum for us to provide you with your own titration schedule. We will need to know the following: The number of tablets (or fractions of tablets) you take per day, and the dose of those tablets. This is especially important if your daily dose comprises of tablets of differing strengths. As a double check, we also ask that you provide us with your daily dose in mg. If you are unsure of the dose, we will work through this with you.The rate at which you want to taper. We can help you with this on the forum if you are not sure. We can easily alter the taper rate if you later decide it is too fast or too slow.The volume of the cylinder you will be using, preferably 100 ml.The increments (graduations) of your cylinder or other measuring equipment. Kitchen equipment tends to be rather inaccurate though. For example, if you have a 100ml cylinder, and it is marked at 5ml intervals, we can provide a titration table based upon 5ml increments, or (if you feel comfortable with estimating a measurement by eye), you might decide that you would like to use 2.5ml increments. The more parts into which the volume of liquid can be divided, the smoother the titration! Accuracy is important too though; keep measurements by eye to a reasonable level. Dividing 5ml into five 1ml parts by eye would not be sensible. The formula we use will tell you how much of your benzo liquid to take each day. Some people will cut every day, while others less frequently, depending on the taper rate and the markings on your cylinder. So, when using a 100ml cylinder marked at 1ml intervals, you might be making reductions to your dose each day. A 100ml cylinder marked at 5ml intervals will result in larger less frequent reductions. The formula will indicate when you should make new reduction and by what amount. The formula automatically reduces the size of the reductions as your dose falls. It is the size of the reductions relative to your total dose that is important. However, at very low doses, the taper rate becomes constant, or you would never get off the drug. This linear taper (of absolute cuts) kicks in at 1 tablet by default, and assumes that you are using the smallest dose available in your particular benzo. The dose at which these absolute cuts start can be altered to suit your circumstances though. Here's a youtube two-part video utilising a slight variation to the above method, but it amounts to the same thing. Thanks, Tekksan. Part 1 Part 2 Link to comment Share on other sites More sharing options...
[Ta...] Posted October 11, 2007 Share Posted October 11, 2007 I've been doing this for about 10 days and just wanted to add: I am using the back of the spoon to crush the tablet and it works fine; When I add milk to the crushed tablet, there is some binding/"clumping" happenning and I have to vigorously stir it for awhile - after that it seems that the medicine is evenly absorbed in the milk; Yes, there are some traces of it left in the cup, but just keep pouring milk in it to 'clean it'. Tanya Link to comment Share on other sites More sharing options...
[Co...] Posted October 11, 2007 Author Share Posted October 11, 2007 Thanks for the feedback, Tanya. We might add a note suggesting that the benzo is left a while to soak into the milk, and to give it a vigorous stirring. Link to comment Share on other sites More sharing options...
[bo...] Posted October 11, 2007 Share Posted October 11, 2007 In my experience the only way to get the milk film off the glass is to swirl with water, then drink that solution to insure complete consumption. Link to comment Share on other sites More sharing options...
[Co...] Posted October 11, 2007 Author Share Posted October 11, 2007 Hi, If water works better when swirling out the benzo powder, then use a little water. This should be added to the cylinder just as you would if you were using milk. The cylinder should then be topped up with milk, as before. I guess I should try this out for myself. Jana did this before, but she is no longer here. I'm not sure if I have any benzo tablets for experimenting though, so feedback from others would be welcome. Link to comment Share on other sites More sharing options...
[Th...] Posted October 12, 2007 Share Posted October 12, 2007 Back when we were working on the instructions, I tried crushing tablets with the back of a spoon and mixing that into the milk, and it worked fine. I did this with Ativan, Valium, and Klonopin. I couldn't find my Xanax--guess I took it all way back when! You just have to be careful to really crush it well in the container. I used a small 1/2-cup tupperware container. Then I added a little milk and used a spoon to mix up the liquid with the benzo in it. I didn't go any further with the cylinder, etc. So I think you can get by with a spoon as opposed to a mortar and pestle. Therese Link to comment Share on other sites More sharing options...
[Co...] Posted October 12, 2007 Author Share Posted October 12, 2007 Has anyone else experienced problems when preparing their titrated benzodiazepines? Link to comment Share on other sites More sharing options...
[si...] Posted January 7, 2008 Share Posted January 7, 2008 pill crushers (where i am) are easier to find then a mortar & pestle they can be found at a pharmacy - hopefully every pharmacy. Link to comment Share on other sites More sharing options...
[el...] Posted January 8, 2008 Share Posted January 8, 2008 pill crushers (where i am) are easier to find then a mortar & pestle they can be found at a pharmacy - hopefully every pharmacy. I even have a crusher/cutter combo. Link to comment Share on other sites More sharing options...
[si...] Posted January 8, 2008 Share Posted January 8, 2008 impressed linda Link to comment Share on other sites More sharing options...
[el...] Posted January 8, 2008 Share Posted January 8, 2008 impressed linda Link to comment Share on other sites More sharing options...
[Ja...] Posted February 23, 2008 Share Posted February 23, 2008 Oh goodness look at this!! My pill cutter is also a pill crusher, storage, and drink cup...cool Jarocho Link to comment Share on other sites More sharing options...
[si...] Posted February 23, 2008 Share Posted February 23, 2008 that is one cool multi purpose pill cutter/crusher/drink cup if i ever heard of one. Link to comment Share on other sites More sharing options...
[Ja...] Posted March 5, 2008 Share Posted March 5, 2008 I got this: http://www.bourne.k12.ma.us/Class%20Links/Smith/Smith/images/graduated%20cylinder.jpg Is that the right cylinder? If yes, then how do I stir within in it? Shake? Jarocho Link to comment Share on other sites More sharing options...
[Co...] Posted March 5, 2008 Author Share Posted March 5, 2008 Hi, I replied to your other post about this. Link to comment Share on other sites More sharing options...
[tr...] Posted March 5, 2008 Share Posted March 5, 2008 Collin- Can I get some help wit a titration schedule? I am on 1.236mg of clonazepam and would like to do weekly reductions and I am so poor at math in this benzo state. Thank you so much!!! Tracyee Link to comment Share on other sites More sharing options...
[Co...] Posted March 5, 2008 Author Share Posted March 5, 2008 Hi Traycee, No problem. Start a new thread with details of your regimen. I will need to know the dose of your tablets, and how you arrive at a dose of 1.236mg (I need to double check to be sure I provide instructions for a similar dose to what you take). I'll also need a start date, and you will need to decide upon a taper rate (I'll convert this to a daily rate for you). You will need a cylinder (we recommend 100ml with 1ml increments). A pestle and mortar is handy, but a cup and the back of a spoon will probably surfice. A 10ml syringe body makes it easier to measure your dose. Link to comment Share on other sites More sharing options...
[si...] Posted March 6, 2008 Share Posted March 6, 2008 i think bobs method should be also listed - it is so straight forward even i can understand it. then people will have two to pick from. nothing should take more then a couple of sentences - we are dealing with benzo brains. Link to comment Share on other sites More sharing options...
[bl...] Posted April 18, 2008 Share Posted April 18, 2008 trying to stay at 1mg lorazepam to conbat cravings for 2 mg xanax. (I was taking 3-3.5mgs of a generic alprazolam called tafil when my brand names ran out. The Tafil just seemed much weaker, and had more of a sedating effect). I realize I might have to go higher, maybe 1 mg twice a day. anyway, Im just looking for advice as to the best approach. thanks pierce Link to comment Share on other sites More sharing options...
[el...] Posted April 18, 2008 Share Posted April 18, 2008 trying to stay at 1mg lorazepam to conbat cravings for 2 mg xanax. (I was taking 3-3.5mgs of a generic alprazolam called tafil when my brand names ran out. The Tafil just seemed much weaker, and had more of a sedating effect). I realize I might have to go higher, maybe 1 mg twice a day. anyway, Im just looking for advice as to the best approach. thanks pierce Pierce, You can start your own thread, it will be easier for people to find. When you go to the titration link I gave you, just click on "new topic", in the green bar at the upper righthand corner of the thread list. You can just copy over what you wrote here. Link to comment Share on other sites More sharing options...
[Co...] Posted May 8, 2008 Author Share Posted May 8, 2008 Sergio, I've started a new topic for you.: http://www.benzobuddies.org/forum/index.php?topic=8107.0 Link to comment Share on other sites More sharing options...
[Co...] Posted November 22, 2008 Author Share Posted November 22, 2008 Updated the opeing post to include: Here's a youtube video utilising a slight variation to the above method, but it amounts to the same thing: http://uk.youtube.com/watch?v=PrQIFZnt3Ws. Thanks, Tekksan. Link to comment Share on other sites More sharing options...
[Th...] Posted April 10, 2009 Share Posted April 10, 2009 Here are Youtube videos from Tekksan from this site.... http://www.youtube.com/watch?v=2RzUvM6M55s http://www.youtube.com/watch?v=3Z4vckQcT2M&feature=related Link to comment Share on other sites More sharing options...
[st...] Posted June 29, 2009 Share Posted June 29, 2009 i know the basics, but i can't do the math anymore. my shrink told me he has NEVER seen anyone go thru what i am going thru, and i believe him Link to comment Share on other sites More sharing options...
[Eu...] Posted August 24, 2009 Share Posted August 24, 2009 I'm new to this whole tritation thing and since I'm only taking a 1/4 of the pill in the morning and 1/4 at night I was wondering if this works out for me since my doctor suggested I start tappering off the 1/4 in the morning. HELP with this please! Eugey Link to comment Share on other sites More sharing options...
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