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 Ativan drug dosage after six week of usage for which I had panic attacks during withdrawal 30 years back?

Query: Hello doctor, I need help with an Ativan taper from a psychiatrist. I am having Ativan taper withdrawal for six weeks and it is 0.5 mg at bedtime for insomnia. I have a history of panic from the same medicine 30 years ago and a bad experience with Xanax 10 years ago. Currently, I am on Ativan 0.5 mg...  Read Full »

Dr. Seikhoo Bishnoi

Answer: Hello, Welcome to icliniq.com. Thank you for your query. Please elaborate on your issue in detail. Ativan is Lorazepam and it is a short-acting benzodiazepine drug. The dose 0.5 mg is very less and if you want to stop the drug then this can be stopped. For episodic exacerbations, the drug can be ...  Read Full »

Do I need to continue Arpizol and Pacitane for schizophrenia?

Query: Hi doctor, I was diagnosed with schizophrenia before 7 years. I used to take Sulpitac early in the treatment and then I was prescribed Nexipride for a year. For the last three years, I am taking Arpizol 10 mg and Pacitane 2 mg. My age is 30 now and I want to get out of schizophrenia as soon as possi...  Read Full »

Dr. Seikhoo Bishnoi

Answer: Hi, Welcome to icliniq.com. I can understand your concern. Schizophrenia is a chronic neuropsychiatric illness with changes in behavior, thought, perception and a lot of other psychiatric symptoms. Sulpitac (Amisulpride), Nexipride (Levosulpiride) and Arpizol (Aripiprazole) are antipsychotic dru...  Read Full »

Is it safe to take Gabapentin for back stiffness?

Query: Hello doctor, I am a 33 year old unmarried male, and I have a back stiffness problem for more than three years. Everyone gives the says that my posture is not proper while walking. Two years back when I consulted a doctor, he suspected ankylosing spondylitis, but HLA-B27 was negative. After seeing...  Read Full »

Dr. Divya Agarwal

Answer: Hello, Welcome to icliniq.com. I have seen the attached reports (attachment removed to protect patient identity). The diagnosis of ankylosing spondylitis is a clinical and radiological diagnosis. The clinical criteria is a history of inflammatory back pain, and the pain is worse in mornings and ...  Read Full »

I have been taking Levothyroxine sodium 100 mcg for a year without side effects. Why do I suddenly have exhaustion, body ache, brain fog, and constipation?

Query: Hello doctor, I am 71 years old, five feet tall, and weigh 118 pounds. I take Levothyroxine sodium 100 mcg daily, five times a week, except on Sunday and Monday. I felt good about this for about a year. Now I am exhausted, and have an achy body, brain fog, and constipation. A year ago, my thyroid le...  Read Full »

Dr. Goswami Parth Rajendragiri

Answer: Hello, Welcome to icliniq.com. You have hypothyroidism as per history and taking Thyroxine for that. The dose of Levothyroxine is changed according to the serum TSH (thyroid-stimulating hormone) level. Therefore, the level of TSH should be maintained within range by changing the dose of Levothyrox...  Read Full »

I have a history of prostate cancer, and my PSA levels increased after stopping Leuprolide. What should I do?

Query: Hello doctor, I had stage III prostate cancer fifteen years back. My doctor wanted to stop the tablet Leuprolide and see what happens and then have a PET scan. My PSA increased to 1.3 quickly after stopping Leuprolide. I have attached the PET scan report. Kindly review and revert.   Read Full »

Dr. Saurabh Subhash Pandya

Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. Post-surgery radiotherapy was given, and Leuprolide was started. This suggests either lymph nodes or margins were positive, and there may have been a prior rise in PSA (prostate-specific antigen). So I suggest conti...  Read Full »

How can I gradually withdraw myself from taking the medicine Quetiapine?

Query: Hello doctor, I take Quetiapine XR 400mg. How can I gradually withdraw?  Read Full »

Dr. Bharat Udey

Answer: Hello, Welcome to icliniq.com. Quetiapine is an atypical antipsychotic, with a half-life of less than 24 hours. It has a benefit of not causing extrapyramidal side effects. However, it can cause sedation, postural hypotension, and urinary complaints. Although it does not cause any withdrawal symp...  Read Full »

I want to stop taking Aspirin. Should I bring it down slowly or can I stop taking it?

Query: Hello doctor, I have been taking tablet Aspirin 325 mg twice daily for years because I have a phobia about blood clots. Is it safe to just suddenly stop this or do I need to wean off to be safe?  Read Full »

Dr. Isaac Gana

Answer: Hello, Welcome to icliniq.com. I would like to know as to why did you take Aspirin for so long and was the medication prescribed by a doctor? It is risky to stop at once. Do you have a history of high blood pressure?  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 yours...  Read Full »

Can you stop taking Raciper Plus suddenly?

Query: Hi doctor, I have been taking Raciper plus for a year now. How can I stop?  Read Full »

Dr. Sandeep V. Nair

Answer: Hi, Welcome to icliniq.com. Raciper Plus is a proton pump inhibitor (Esomeprazole) and sustained release Domperidone combination. It is usually prescribed for acid peptic disease or GERD (gastroesophageal reflux disease). First of all, you can stop if your symptoms are under control. Since you h...  Read Full »

What is the recommended duration to take antihistamines for urticaria or hives?

Query: Hello doctor,I have urticaria or hives and have been under antihistamines for five weeks. For the last six days, I had to take a high dose of tablet Fexofenadine Hydrochloride 180 mg four times daily. The redness on my skin has disappeared. Can I stop taking the medicines? If so, should it be done g...  Read Full »

Dr. Shyam Kalyan. N

Answer: Hello, Welcome to icliniq.com. 1) It is not safe to abruptly stop the antihistamines (medications for allergy); the best way is to taper it down gradually. 2)As you take tablet Fexofenadine 180 mg four times daily, make it thrice daily for two days, then twice daily for two days, and once daily f...  Read Full »

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