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Best Way To Get Off Trileptal


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#1 In_Remission_Hallydakotacheyene

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Posted 14 March 2008 - 01:32 PM

Hi guys, I'm a new member, but not new to this site. I have a question, but I'll give you a little back ground first. This whole thing started a little over 2 years with tons of horrendous panic attacks. My regular doc put me on clonazepam, which was a life saver, and celexa which was the pits!!!!! I eventually went to a Pdoc , they knew I had panic attacks, panic disorder etc, but were trying to decide if I was bipolar2. I eventually got off celexa, got on more clonazepam, and went through 2 Pdocs, and a therapist. I tried paxil, and went through torture to get off that. My new pdoc in dec. 2007 decided i am bipolar2 , she started me on Trileptal, I Mpdoc said ok, just go down by 75 mg every week. I'm down to 675 mg now, I also have been decreasing my clonazepam and am down to 2 mg a day. I have had a really hard time going down on clonazepam. I might also be having with drawal from trileptal. Has anyone gone off of trileptal? If so, How was it for you? I am open to the idea that if I go into a not good place, either up or down, that I will go back on trileptal, but for now, I want to be med free except for the 2 mg of clonazepam. I appreciate any help that you can give. Thanks,
Dakotacheyene




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#2 In_Remission_Krizzy

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Posted 14 March 2008 - 03:27 PM

Hi. :mad: I was on Trileptal from 2004-2005. I was up to 600mg (2 300mg tablets).

I would go down half a tablet at a time for one week.

450mg - 1 week
300mg - 1 week
150mg - 1 week

And had no problem stopping after weaning.

Good luck!!



PS: It took me 2 YEARS to find a doctor that would help get me off of the Paxil. What a pain in the royal a** that was. I ended up having to go on the liquid suspension form and wean down 1mg at a time. Took forever, but once I was able to get off of it, it was like the best day of my life!

Edited by Krizzy, 14 March 2008 - 03:30 PM.


#3 dymphna

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Posted 14 March 2008 - 03:32 PM

Hi guys, I'm a new member, but not new to this site. I have a question, but I'll give you a little back ground first. This whole thing started a little over 2 years with tons of horrendous panic attacks. My regular doc put me on clonazepam, which was a life saver, and celexa which was the pits!!!!! I eventually went to a Pdoc , they knew I had panic attacks, panic disorder etc, but were trying to decide if I was bipolar2. I eventually got off celexa, got on more clonazepam, and went through 2 Pdocs, and a therapist. I tried paxil, and went through torture to get off that. My new pdoc in dec. 2007 decided i am bipolar2 , she started me on Trileptal, I Mpdoc said ok, just go down by 75 mg every week. I'm down to 675 mg now, I also have been decreasing my clonazepam and am down to 2 mg a day. I have had a really hard time going down on clonazepam. I might also be having with drawal from trileptal. Has anyone gone off of trileptal? If so, How was it for you? I am open to the idea that if I go into a not good place, either up or down, that I will go back on trileptal, but for now, I want to be med free except for the 2 mg of clonazepam. I appreciate any help that you can give. Thanks,
Dakotacheyene



First off, you need to talk to your Pdoc and find out which she wants you off of, Trileptal or Klonopin. It sounds as if she is tapering you off of both, simultaneously. While that may be the case, it makes it difficult to establish what the hell you're feeling, and, IMO, is shitty medicine. Change. One. Thing. At. A. Time.

Now, as to discontinuation, from the main page on discontinuation:

You must work with your doctor! You are not qualified to make this decision on your own. Got that? What you and your doctor need to do is work out a discontinuation schedule for any medication. This is the reverse of the titration schedule (if any, which I'm actually against), which was the plan of how your dosage was increased. The discontinuation schedule is the plan of how you'll decrease the amount of a med you'll take. Ask your doctor what it is based on. There are three things a discontinuation schedule should be based on:
the half-life of a drug

looking for the return of any symptoms

experience with taking someone off a med

The last one is either other people going off the same med or you coming off of the same or other meds. Or both.


and

So if you take the half-life of a med and multiply it by five that's the minimum number of hours between when you can next lower your dosage by whatever the lowest dosage the med comes in is. The problem, of course, is that some meds get metabolized more than once, they have active metabolites, or they have really short half-lives and you'd be coming off to fast to give yourself a good idea to know if it was a good idea or not to stop taking this particular med. However, I do note in most of the med's profiles what the minimum amount of time that I recommend is between stepping down each dosage.


But you really need to go read the entire page.

And call your Pdoc for clarification.


Dymphna
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Yes, my name really is Dymphna.

 

I'm not a doctor, nurse, pharmacist, or therapist.

I can find you an answer and I won't blow smoke up your ass.

 

St. Dymphna is the Patron for brain maladies.

 

I'm the Enforcer.

 

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#4 In_Remission_Hallydakotacheyene

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Posted 14 March 2008 - 04:19 PM

Hi, Thanks for the info, I know what you mean about the paxil. I think I felt the worst going off of that!!!! I told my Pdoc that I will never take another SSRI again!! Ugh!!! It's good to see how you were able to go down even faster than I am on the trileptal. My Pdoc approves of my schedule, but I wonder if I could go faster. I am no longer lowering my clonazepam. I am planning to stay at 2 mg, so hopefully I won't have any more problems from that. Just one question, did you feel dizzy when you were going off trileptal? I occassionally get a dizzy feel , sometimes when I'm sitting up, but often when I first lay down. It's kind of a weird thing!! Any way, Thanks.
Dakotacheyene

Hi. :mad: I was on Trileptal from 2004-2005. I was up to 600mg (2 300mg tablets).

I would go down half a tablet at a time for one week.

450mg - 1 week
300mg - 1 week
150mg - 1 week

And had no problem stopping after weaning.

Good luck!!



PS: It took me 2 YEARS to find a doctor that would help get me off of the Paxil. What a pain in the royal a** that was. I ended up having to go on the liquid suspension form and wean down 1mg at a time. Took forever, but once I was able to get off of it, it was like the best day of my life!




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