Author Topic: Slow Withdrawal Schedule  (Read 687 times)

[Buddie]

Slow Withdrawal Schedule
« on: January 21, 2018, 02:06:16 am »
When planning my taper I found certain shortcomings in Ashton's schedules:
1. There is no schedule for low dose alprazolam.
2. The majority of her schedules which start at 30mg diazepam equivalent do not match up.
To address these issues I devised a schedule of my own based on her 10% rule.


Schedule. Withdrawal from alprazolam 2mg/day

            Morning     Midday     Afternoon    Night
Stage 00     0.5mg      0.5mg        0.5mg      0.5mg
Stage 01     0.5mg      0.5mg        0.5mg     (0.25+5)mg
Stage 02     0.5mg     (0.25+5)mg    0.5mg     (0.25+5)mg
Stage 03   (0.25+5)mg  (0.25+5)mg    0.5mg     (0.25+5)mg
Stage 04   (0.25+5)mg  (0.25+5)mg  (0.25+5)mg  (0.25+5)mg
Stage 05   (0.25+5)mg  (0.25+5)mg  (0.25+5)mg   10mg
Stage 06   (0.25+5)mg    10mg      (0.25+5)mg   10mg
Stage 07   (0.25+5)mg    10mg        10mg       10mg
Stage 08     10mg        10mg        10mg       10mg
Stage 09     10mg        6mg         10mg       10mg
Stage 10     10mg        3mg         10mg       10mg
Stage 11     10mg         -          10mg       10mg
Stage 12     10mg         -           8mg       10mg
Stage 13     10mg         -           6mg       10mg
Stage 14      8mg         -           6mg       10mg
Stage 15     10mg         -           2mg       10mg
Stage 16     10mg         -            -        10mg
Stage 17      8mg         -            -        10mg
Stage 18      6mg         -            -        10mg
Stage 19      5mg         -            -        10mg
Stage 20      4mg         -            -        10mg
Stage 21      3mg         -            -        10mg
Stage 22      2mg         -            -        10mg
Stage 23      1mg         -            -        10mg
Stage 24       -          -            -        10mg


Notes:
1. Substitution stages could be taken at weekly intervals.
2. Later stages could be taken in 2 week intervals.
3. After Stage 24 continue reducing diazepam by 1mg.
4. Disregard the Midday column if starting from 1.5mg/day.
5. Start at Stage 11 or 16 if withdrawing from diazepam 30mg/day or 20mg/day respectively.
6. This schedule can be applied to clonazepam as it is equivalently potent.
7. This schedule can also be applied to lorazepam if alprazolam is multiplied by 2.
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: Slow Withdrawal Schedule
« Reply #1 on: February 20, 2018, 05:02:18 am »
Hi [...],

Firstly  I hope I have posted in the right place  :-\

I am seeking your opinion as I have read your posts and viewed your reduction schedules. I have also read Dr Ashton's manual and had been tearing my hair out trying to work out how to transpose her 6mg daily Xanax schedule down to my 1.5mg daily dose. Then I saw your schedules on BB which solved my dilemma.  I chose this table (copied and pasted below) as I am on the same dose and regime. I am seeing my doctor in about 2 weeks and want to go to her with a clear tapering plan hoping she will support me crossing over to Diazepam and finally get off benzos altogether (although she is of the school of thought that I have a chemical imbalance, of which I wholeheartedly now disagree). I am wondering since sleep isn't an issue for me (at present) that I should exchange the Night dose (at stage 4 on this table) to Morning? Your help would really be appreciated [...]! Thanks again  :smitten:, [...]

Schedule 5. Substitution tapering from alprazolam 1.5mg/day

             Morning      Afternoon      Night
Stage 00      0.5mg         0.5mg        0.5mg
Stage 01      0.5mg         0.5mg       (0.25+5)mg
Stage 02    (0.25+5)mg      0.5mg       (0.25+5)mg
Stage 03    (0.25+5)mg    (0.25+5)mg    (0.25+5)mg
Stage 04    (0.25+5)mg    (0.25+5)mg     10mg
Stage 05    (0.25+5)mg      10mg         10mg
Stage 06      10mg          10mg         10mg
Stage 07      10mg           8mg         10mg
Stage 08      10mg           6mg         10mg
Stage 09       8mg           6mg         10mg
Stage 10      10mg           2mg         10mg
Stage 11      10mg            -          10mg
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: Slow Withdrawal Schedule
« Reply #2 on: February 21, 2018, 02:01:27 am »
First of all, this schedule is just a suggestion and as such
you should adapt it to your needs in case you wish to follow it.
Having said that, I gave it much thought when devising it,
following Ashton's instructions and it has worked for me so far.
I didn't have any sleep issues either but there's a reason why
Ashton always starts the crossover from the night dose.
Diazepam tends to be more hypnotic and the dosage needed
to prevent withdrawal symptoms may make you sleepy.
Taking most of your dosage at night enables you
to sleep through the sedation until you adjust.
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: Slow Withdrawal Schedule
« Reply #3 on: February 21, 2018, 03:46:53 am »
Thanks [...]! Now I have a concrete plan to go to my doctor with and to work with  :yippee:

Very much appreciate your efforts, I'm sure many people here will be too!

[...]
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: Slow Withdrawal Schedule
« Reply #4 on: March 09, 2018, 11:14:33 pm »

Stage 09     10mg        6mg         10mg       10mg
Stage 10     10mg        3mg         10mg       10mg
Stage 11     10mg         -          10mg       10mg
Stage 12     10mg         -           8mg       10mg
Stage 13     10mg         -           6mg       10mg
Stage 14      8mg         -           6mg       10mg
Stage 15     10mg         -           2mg       10mg
Stage 16     10mg         -            -        10mg
Stage 17      8mg         -            -        10mg
Stage 18      6mg         -            -        10mg
Stage 19      5mg         -            -        10mg
Stage 20      4mg         -            -        10mg
Stage 21      3mg         -            -        10mg
Stage 22      2mg         -            -        10mg
Stage 23      1mg         -            -        10mg
Stage 24       -          -            -        10mg[/font]

Notes:


Hi Ouis,

Can you explain why at Stage 14 you reduce the morning dose to 8mg then up it again to 10mg at Stage 15 and also drop the afternoon dose from 6mg at Stage 14 to 2mg at Stage 15? Just wondering what your reasoning is behind this pattern?

Thanks again! [...]
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: Slow Withdrawal Schedule
« Reply #5 on: March 10, 2018, 02:05:02 am »
The goal is to go from 10/10/10 to 10/-/10

An obvious way to do this is by constantly reducing the middle dose,
but I felt that doing so would be a bit too much.

Another way could be something like:
10/8/10 -> 8/8/10 -> 8/8/8 -> 10/2/10

This would be smoother at first but somewhat abrupt in the end.
Therefore, I decided to go with a more balanced approach.
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: Slow Withdrawal Schedule
« Reply #6 on: March 10, 2018, 08:45:27 pm »
When planning my taper I found certain shortcomings in Ashton's schedules:
1. There is no schedule for low dose alprazolam.
2. The majority of her schedules which start at 30mg diazepam equivalent do not match up.
To address these issues I devised a schedule of my own based on her 10% rule.


Schedule. Withdrawal from alprazolam 2mg/day

            Morning     Midday     Afternoon    Night
Stage 00     0.5mg      0.5mg        0.5mg      0.5mg
Stage 01     0.5mg      0.5mg        0.5mg     (0.25+5)mg
Stage 02     0.5mg     (0.25+5)mg    0.5mg     (0.25+5)mg
Stage 03   (0.25+5)mg  (0.25+5)mg    0.5mg     (0.25+5)mg
Stage 04   (0.25+5)mg  (0.25+5)mg  (0.25+5)mg  (0.25+5)mg
Stage 05   (0.25+5)mg  (0.25+5)mg  (0.25+5)mg   10mg
Stage 06   (0.25+5)mg    10mg      (0.25+5)mg   10mg
Stage 07   (0.25+5)mg    10mg        10mg       10mg
Stage 08     10mg        10mg        10mg       10mg
Stage 09     10mg        6mg         10mg       10mg
Stage 10     10mg        3mg         10mg       10mg
Stage 11     10mg         -          10mg       10mg
Stage 12     10mg         -           8mg       10mg
Stage 13     10mg         -           6mg       10mg
Stage 14      8mg         -           6mg       10mg
Stage 15     10mg         -           2mg       10mg
Stage 16     10mg         -            -        10mg
Stage 17      8mg         -            -        10mg
Stage 18      6mg         -            -        10mg
Yes that makes perfect sense reducing the afternoon dose. But therefore shouldn't Stage 14 be 10-6-10  then Stage 15 be 10-4-10 so it flows down each stage? I was just wondering why the interruption in the flow of the schedule?
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.