Author Topic: Please help me plan titration taper off Ativan  (Read 1233 times)

[Buddie]

Please help me plan titration taper off Ativan
« on: March 03, 2022, 11:26:33 pm »
Hi! I currently am taking Ativan 0.5mg twice daily for a total of 1mg. I have been reading about titration and am interested in doing this but before I start I just need a plan for a schedule. Do I use 100ml water and make the solution from both 0.5mg Ativan together then take out 1ml and toss it and divide up the remainder? Decrease by 1ml more daily? Thanks in advance.
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: Please help me plan titration taper off Ativan
« Reply #1 on: March 03, 2022, 11:57:56 pm »
I just read your introduction, you've had a long journey of suffering trying to convince the medical community, I'm so sorry. 

Can you please help us help you by filling out your signature with your medication history, this way we can see at a glance what you've taken, and for how long.  Here are the instructions, but if you need help you can put the information here and a team member can input it for you.  Add your history/signature

I wanted to let you know there are other options to making your own liquid, Ativan comes in liquid form from the manufacturer if your doctor would agree to prescribe it but given she wants you off at 25% per week I'm doubtful she'll do this for you.   

There is also dry titration where you crush your tablets and weigh them on a jewelers scale or you can probably make some fairly accurate cuts to begin with by using a razor blade to dry cut before you go the titration route.

Let us know what you think.
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: Please help me plan titration taper off Ativan
« Reply #2 on: March 04, 2022, 01:29:31 am »
Thankyou for your reply.. means alot! I am very new here and am learning my way around so please bare with me. My history is Clonazepam 2mg per day March 6, 2021 to May 15, 2021, ran out. Withdrawals terrible. Put back on Clonazepam June 1, 2021 to June 20, 2021 when I went in detox and they didn't taper me. Been on many antidepressants since (Zoloft, Buspar, Cymbalta, Wellbutrin,) nothing worked because that was not my main issue.. it was protracted withdrawals. Dr put me on Ativan 0.5mg twice a day on February 1, 2022 and like magic all withdrawal symptoms disappeared. I have a dependency to benzos and have terrible tremors and get sick in between doses so my dr agreed to taper me but at 25% a week which is too much. Dr also prescribed 60mg Propanolol for tremors and to help with withdrawals. Only other medication I am currently on is Xeralto a blood thinner.
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: Please help me plan titration taper off Ativan
« Reply #3 on: March 04, 2022, 01:36:11 am »
Thanks for the information.   :thumbsup:

Many of our Ativan members will dose 3 times a day, do you think that might help you with inter-dose withdrawals?

Do you have confidence your doctor will prescribe you enough Ativan to do a slow taper because it's my belief that given your previous rapid taper in detox that you're going to need to do this very slowly.
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: Please help me plan titration taper off Ativan
« Reply #4 on: March 04, 2022, 02:50:34 am »
I truly think that its best for me to do 3 doses during a titration taper. I was going to do 100ml water and put my 1mg dose of Ativan in it ( I'm on 0.5mg 2x daily). Then remove 1ml per day. I will divide the solution into 3 doses. How does that sound to you?
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: Please help me plan titration taper off Ativan
« Reply #5 on: March 04, 2022, 02:52:13 am »
Ps. Yes I do believe my dr will cooperate and go along with this slow taper.
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: Please help me plan titration taper off Ativan
« Reply #6 on: March 04, 2022, 03:30:18 am »
I truly think that its best for me to do 3 doses during a titration taper. I was going to do 100ml water and put my 1mg dose of Ativan in it ( I'm on 0.5mg 2x daily). Then remove 1ml per day. I will divide the solution into 3 doses. How does that sound to you?

When we taper it's best to make only one change at a time so we know if our symptoms increase what is causing that increase. I would suggest you first change to dosing three times a day to see how you react. Then you change to liquid while holding at the same dose for a couple of days (some people are sensitive to liquid) and then you start tapering the liquid.

Unfortunately I can't give you advice on the pills per water ratio. Hopefully someone else has a definitive answer. I do think you need to check what percentage you'll be tapering because 1ml per day is a linear reduction and not a percentage, so you might run into trouble. Linear reductions are usually done in the lower numbers.
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: Please help me plan titration taper off Ativan
« Reply #7 on: March 04, 2022, 11:02:49 am »
I used a water taper like this one:

https://www.youtube.com/watch?v=whpciMUXHfY

By the time I switched to a water taper, I was only dosing once a day.  There isn't really a right or wrong way to do this but with Ativan you do need to dose more often.  You could do a mixture of 1mg Ativan in 100ml of water, then discard 1ml per day and then drink the remaining mixture at three different times during the day.  Just be sure to mix well before dosing and dose immediately because the tablet may not dissolve completely in water.

Day one - discard 1ml and drink 99ml (or drink 33ml three times a day)
Day two - discard 2ml and drink 98ml
Day three - discard 3ml and drink 97ml
And so on...

At this rate you will be off Ativan in a little over three months.  If you want to go slower than that, you can start your mixture with more than 100ml of water.  And of course, you can hold along the way if necessary.
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: Please help me plan titration taper off Ativan
« Reply #8 on: March 04, 2022, 06:06:23 pm »
I appreciate all the welcomed knowledge! I did start the 100ml -1ml this morning and divided into 3 doses. That was before I read replies here. Only thing I have is nausia after I eat. Only thing I am fearing right now is my doctor filled my RX for Ativan because she knows I'm tapering BUT I can't agree with her taper she put me down to do. I saw her last Tuesday and she agreed to let me taper BUT her formula is 25% for the past 3 days then she refilled my RX and gave me 30 and on the bottle it says 1/2 pill 2x per day. Thats a 50% reduction. Im fearing im screwed doing the titration taper.
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: Please help me plan titration taper off Ativan
« Reply #9 on: March 04, 2022, 06:52:42 pm »
Oh dear - if you don't have enough pills to do the 100 days then you will have follow your doc's plan unless you can talk to her and explain what you have in mind??  You could print out info from here to take to your doc to get her buy-in as some members have done.
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.