Tapering Drug Dose

Tapering drug dose is known as a gradual reduction in the amount of a drug. When the drug is stopped suddenly, it can cause unnecessary withdrawal symptoms.

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How to taper the dose of medication taken for secondary adrenal insufficiency?

Query: Hi doctor, I recently had surgery which led to a four-day hospitalization and a diagnosis of secondary adrenal insufficiency. Oddly, I cannot get in to see an endocrinologist at the same hospital. I was put on hydrocortisone (Cortef 20 mg) in the morning and 10 mg in the night. How do I taper this?...  Read Full »

Dr. Albana Greca

Answer: Hello, Welcome to icliniq.com. Let me explain a few things. You got diagnosed with secondary adrenal insufficiency. That means your adrenal gland is not able to produce cortisol, the hormone which the adrenal gland is producing naturally. Now, as you got insufficiency, it means that perhaps thi...  Read Full »

Could I take a tablet Prozac temporarily to relieve my withdrawal symptoms of tablet Seroxat?

Query: Hi doctor, I am tapering the dosage of tablet Seroxat from 10 mg to 9 mg. But the intensity of my headache is overwhelming. I cannot deal with the pain. I am experiencing sharp pain in the head along with on and off pain in my legs. Could I temporarily take a tablet Prozac? Kindly help.  Read Full »

Dr. Parth Nagda

Answer: Hello, Welcome to icliniq.com. Thank you for your query. Tablet Seroxat has a concise half life and hence tapering it will cause withdrawal symptoms. I suggest you two alternative options as follows; 1) Take a long-acting SSRI (selective serotonin reuptake inhibitor) like Fluoxetine (Pr...  Read Full »

Is it safe to discontinue tablet Escitalopram to avoid drug addiction?

Query: Hello doctor, I have been taking Escitalopram for one year for OCD and depression. It made me feel normal again. Recently, I stopped taking antidepressants, and I feel a bit depressed again. I have not experienced any side effects due to the medication. So, is it fine if I continue being on antidep...  Read Full »

Dr. Awadhesh P Singh Solanki

Answer: Hi, Welcome to icliniq.com. Thanks for your query. No, Escitalopram does not cause dependence and tolerance. However, one should not discontinue it all of a sudden. We need to taper it gradually before stopping. I hope my answer helped you. Kind regards.  Read Full »

How to taper the dosage of Venlafaxine and Mirtazapine?

Query: Hi doctor, I am taking the following antidepressants for 14 years with doses as below. Tablet Lametec 25 mg in morning 50 mg in the night, tablet Ventab 25 mg in the morning and 50 mg at night, and tablet Mirtazapine 15 mg at night. I am gaining weight due to Mirtazapine and erection issues due to...  Read Full »

Dr. Vishal Anilkumar Gandhi

Answer: Hi, Welcome to icliniq.com. Thank you for taking help from a psychiatrist. I can understand your situation. You may have a major depressive disorder. There is non-pharmacological management for your depression. It will help if you follow the below guidelines to deal with it. It will help you. 1...  Read Full »

How to avoid feeling low after stopping depression medicine?

Query: Hi doctor, When my father passed away, I was diagnosed with major depression and had been on medication Lexapro for about a year. My psychiatrist recently stopped my medications as I was feeling rather normal. Shortly, I came for holidays overseas hoping to become more relaxed and at ease. But, I am...  Read Full »

Dr. Awadhesh P Singh Solanki

Answer: Hi, Welcome to icliniq.com. I can understand your situation. You were taking Lexapro, which contains Escitalopram, since a long time. Sudden stopping of this drug causes withdrawal symptoms like poor sleep, low mood, loss of interest in cheerful activities, etc. I will suggest you make yourself busy...  Read Full »

Can tapering off Lamictal cause heart attack or heart failure?

Query: Hi doctor,I am tapering off Lamictal, and have a question regarding this. I went from 200 mg to 175 mg. I have been doing this for a week now. When you are tapering off from Lamictal, can it in any way cause problems with the organs like heart failure, heart attack, seizures, etc.?I use Lamictal for...  Read Full »

Dr. Bn Bhagat

Answer: Hello, Welcome to icliniq.com Usually, Lamotrigine is tapered off when the patient's condition is stable. This is important. This decision is discussed between the patient and the doctor who has initiated the medicine. It should never be done by oneself. You should ask the guidance on tapering o...  Read Full »

What are the effects of under or over-dosage of Thyroxine?

Query: Hello doctor, I am currently under tablet Thyroxine 100 mcg and other asthma medicines. Previously, my dosage was adjusted by a local doctor based on routine thyroid reports. Can you please suggest to me the thyroid medication dose based on my latest blood report?  Read Full »

Dr. Nagaraj Patil

Answer: Hi, Welcome to icliniq.com. Your thyroid report (attachment removed to protect the patient's identity) is acceptable. To adjust your dose based on the report and medication dose you are taking, I would like to know few more details: Do you have any symptoms right now? Are you taking medicine a...  Read Full »

How to manage antidepressant discontinuation syndrome?

Query: Hi doctor, I am a 21 year old female with a history of the major depressive disorder and generalized anxiety disorder, including an extensive family history of both as well. Currently, on 300 mg of Bupropion (Wellbutrin) and 150 mg of Venlafaxine (Effexor), each once daily, taken in the mornings. I ...  Read Full »

Dr. Aditya Gupta

Answer: Hello, Welcome to icliniq.com. Antidepressant discontinuation is unlikely here as there had been no change in drug dosage recently unless you had missed a dose. These brain zaps could be due to stress or the medication itself and usually stops on their own after some time. In my opinion practising r...  Read Full »

Can I consider reducing the dosage of Olanzapine?

Query: Hi doctor,Can I become sexually addicted due to Vitamin E 1000 IU taken along with Olanzapine 15 mg for three years due to my second episode of schizophrenia? I masturbate daily though I am not having any physical sex. I want to know whether it is possible to reduce the dosage of these drugs. Is it ...  Read Full »

Dr. Vishal Anilkumar Gandhi

Answer: Hi, Welcome to icliniq.com. No, you will not become sexually addicted to any of these drugs. You can do masturbation once a day and it is a normal frequency. You should try to taper off your medication as you are stable on it for more than three years. You are taking Olanzapine 15 mg and you are s...  Read Full »

How to stop a drug that has been taken for a prolonged period?

Query: Hi doctor, I have been taking Inderal 40 twice daily for more than two years for anxiety. How to stop it?  Read Full »

Dr. Sandeep V Nair

Answer: Hi, Welcome to icliniq.com. Inderal 40 is a beta-blocker called Propranolol; it is used to relieve anxiety. It acts by reducing heart rate and other actions on the sympathetic nervous system. Since you are taking 80 mg daily and are doing well, may I know why you want to stop it? The problem with...  Read Full »

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