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Direct Crossover Please someone help me I cant think !!!!


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I switched from Librium 20mg (10mg morn-10mg night) to: 2.5 valium three times a day and 5mg librium morning to 5 mg librium night, been on that for two weeks and now stable.

Problem is Im ready to completely crossover to valium because Librium is in capsules and only comes in 5mg or 10 mg, the equivalent to one another is 10mg valium =25mg Librium, I am upset because my dr crossed me over to large on the valium, but im here so what are you going to do.  I figured if I just went ahead and switched to 3.75mg of valium 3xs a day that would only be shy of .45 (3.75%) when totally converted. I already crossed 10mg two weeks ago and yes it took a minute to get stable but then again the valium number was higher....... Can someone please help me because my brain cant make a decision and Im scared to make the wrong one!! Does this makes since?  I figured once Im completely on valium give it two weeks then I can start a liquid titration to remove the rest of the valium.....

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First of all, there's no reason to down-dose.

You could just replace each 5mg Librium dose with 2mg Valium.

If I understand your regimen correctly,

this would leave you with Valium (4.5+2.5+4.5)mg=11.5mg per day.

 

Secondly, there's no need to take Valium more than twice daily.

Not only due to its long half-life but also,

due to your history of taking benzos twice daily.

After all, you'll have to move to a twice daily regimen eventually.

 

Lastly, there's no need to go through the trouble of liquid tapering,

unless withdrawal is severe, which can generally be avoided if one goes slow.

 

According to the above, this is what I'd do:

1. Switch to Valium (4.5+2.5+4.5)mg/day.

2. Reduce the middle dose by 1mg and divert another one to am/pm

leaving you with (5+0.5+5)mg/day to prepare for a twice daily regimen.

3. Eliminate the day-time doses by cutting 0.5mg at a time.

4. When you reach 5mg/night, you could continue reducing in 0.25mg decrements.

 

Hope this helped.

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