Want to taper off amitriptyline
Posted , 12 users are following.
Hey first time posting. I have been on 50mg of amitriptyline for anxiety since December 2016! I have decided I would like to taper off as they haven't helped my anxiety and I feel like I have given them enough time. As I don't want to be on meds at all! I have committed to a healthy lifestyle and have seen great improvements in my mental health. My question is can I taper down from 1 50mg tablet at night to 35mg or even 25mg? I didn't suffer strong side effects when starting these pills will that help when tapering off? I feel like carrying on with the 50mg is just prolonging the inevitable and will make harder to come off. My anxiety means I hate going to the drs and can never get appointments anyway! I have lower doses of these pills so don't need a prescription. Just need to know how low to taper. Thanks for any reading if you made it this far.
0 likes, 25 replies
cjb106 Startotheright
Posted
I have only taken this drug in very low doses for pain and only for a few weeks.
That you have only been taking this for a short time is good and should make withdrawal easier. I found info on the mentalhealthdaily website. I won't post a link to avoid this reply going into moderation but find it if you can. It says:
"To be on the safe side, experts recommend tapering by 10% of your current dose per month. If you feel this is too slow and/or you don’t notice any extreme withdrawals, you can tweak the percentage to suit your needs."
"It should also be noted that personal habits such as: diet, exercise, social life, productivity, etc. can also play a role in influencing how a person is able to cope with their withdrawal. Additionally if you are on any other medications, it may make the withdrawal process easier."
It goes on to list a lot of potential side effects of withdrawal but hopefully you won't be too affected as you have not been on the drug for long but anxiety is one so watch out for a potential increase in that as it is something you are prone to.
It's good that you have committed to a healthy lifestyle. What kinds of things are you doing? I find walking is great for my mental health. I try to go for a deliberate brisk walk every day even if I can fit in only 30 minutes or so. I find it clears my head or if I am feeling worried by something, I listen to a book or a podcast for distraction.
Good luck.
Startotheright cjb106
Posted
Thanks for reply. I have been eating clean. I don't drink alcohol anyway so that is a bonus. I've been trying similar to you. 30 mins a day. I jog/walk with some small sprints, also YouTube has been great for fitness inspiration videos and workout routines you can do in the living room if I feel my anxiety is very bad and can't get out of house. I also like to draw or just try and be productive if I'm having a anxious day again like you said for a distraction. I think I'm going to try 45mg tonight then as I have boxes of 25mg and 10mg. I started straight on 50mg as prescribed and had no side effects apart from dry mouth. A lot of people I spoke to said that was quite a high mg to start on, so hopefully it will be as smooth for me when withdrawing. Again thank you for replying
cjb106 Startotheright
Posted
That sounds like a good programme. I like to craft. I knit, crochet and sew and I can get lost in an interesting project. A lot has been written on the therapeutic benefits of knitting in particular. Something about the rhythm of the work calms the mind and I imagine drawing is the same.
The dosing info on drugsdotcom says:
Usual dose: 75 mg orally per day in divided doses; this may be increased to a total of 150 mg per day if needed
Alternate dose: 40 to 100 mg orally as a single dose at bedtime; this may be increased by 25 or 50 mg as needed at bedtime to a total of 150 mg per day
Maximum dose: 150 mg orally per day
So it sounds like you are at the lower rather than high end as other have said. Hopefully that and the brief time you have taken it should make it easier to withdraw. I took only 10mg for a very short time for neck pain that was preventing me from sleeping so fortunately I did not have to go through withdrawal.
I hope this goes well for you.
Sheena737 Startotheright
Posted
Hi
It's good to find a current amitriptyline thread. There are quite a few out
there but most are a few years old.
Anyway, I'm attempting to come off amitriptyline for the second time.
I started on it in 1994 and had 16 years where I was on 50mg for the
majority of the time but up to 75mg at one stage. Around 2010 I spent
a few months weaning off slowly. I just didn't want to be taking them
anymore and was curious to see what I was really like underneath the
medication. I can't remember too many details but over the following
months I ended up being prescribed Tramadol, Seraquel, Olanzapine,
Valium and Norspan pain patches. It was a nightmare. I thought that
was just 'me' without amitriptyline and needed all of those other horrors
of meds to deal with it.
Not one medical professional explained to me that all of these new
symptoms were due to withdrawal from amitriptyline. I thought it was
just how I was. After the 2 year roller-coaster ride juggling and eventually
getting rid of all of the meds I remembered that I never had any of these
problems when I was on Amitriptyline so, I went back on it 😔.
If someone had told me at the time that it was actually withdrawal
symptoms I would've persisted and worked through it and, hopefully,
come out the other end in much better shape and medication free.
I've gotta go to the physio now but will write again later about where I'm
at now with the tapering.
All the best 😊
amanda59745 Sheena737
Posted
Sheena737 amanda59745
Posted
Hi Amanda, We have to keep in touch for sure. Too hard to do this alone. I am doing it VERY slowly this time and I'm still on 20mg now. I'm due to go down to 17.5mg tomorrow night but I'm away travelling at the moment and sharing with a lady who snores like a train and I've had 2 bad nights already. So, I might stay on 20mg for a few days yet 😔. I'll let you know how I go. I might try the 17.5 tonight as I should be so tired I'd sleep anyway.
Where did you get the liquid form? I've never heard of it. My pill cutter is quite good at cutting 10s into 1/4s.
I've got to head out now but I'll update you when I can.
What's your plan of action at the moment?
amanda59745 Sheena737
Posted
Sheena737 amanda59745
Posted
That's a good plan. I will look into the liquid form and see if we have it here. I can't remember what mgs I got down to last time before I started having problems. It was over 8 years ago now. I'm due to go down to 17.5 now but as I'm currently travelling and sharing rooms with others it would be a nightmare if I wasn't able to sleep properly. I don't sleep well sharing with others at the best of times. Also, we're heading inland South Australia today and will be out of phone range for the next week. I'm not sure if I'll get any wifi anywhere as I'll be on a small boat along the Murray River but I will email if I can. Otherwise I'll be back in civilization on the 13th April. Talk to you soon.
maureen_65564 Sheena737
Posted
How long and how much tapering did you do?
I want off of mine too-its doing nothing for me!
Sheena737 maureen_65564
Posted
Hi Maureen
I'm weaning off Endep and, as far as I know, that's the same as Elavil and they are both Amitriptyline. So, have a look through all the posts in this thread. There are a few of us here and we are all weaning off in different ways as Ami effects us all in different ways. Typing on my phone here so can't type much but I'm now down from 50mg to 2.5mg. It's taken a year to get from 25mg to where l am now. I've just started skipping every 3rd night now and in a couple of weeks l will go to every 2nd night. The key is to take it slowly. Good luck.
Sheena737 Startotheright
Posted
Me again. I'm back from the physio now.
After being back on 50mg for a couple of years I slowly tapered down to
25mg where I've been stable at for the last 2 years. Ready to take the
next step I worked out that I would reduce by 2.5mg every 6 weeks.
I've got a pill cutter so I can cut the 10s into 1/4s. As for the 6 week
time-frame, I chose that only because it is supposed to take us 6 weeks
to learn a new habit and so, I thought I'd give my body and mind 6 weeks
with each reduction to get used it before I moved on.
I know it will take months doing it this way but I figure after after all
these years what's a few more months. I'm sure you could taper as
quickly as you wanted to as long as you were not getting any of the
nasty side effects.
So, I've done 6 weeks of 22.5mg and now it's been 2 weeks on 20mg. It's all
going quite smoothly so far. My sleep is still ok which is great as I do
remember last time once I got down to 20mg there were many nights
where I was awake for 2-3hrs in the middle of the night. So, so far so good.
This time I feel like I have more information and a much better chance of
doing it right. I don't think I'll be able to avoid withdrawal symptoms
completely this time but at least I'll know what to expect.
amanda59745 Sheena737
Posted
amanda59745 Startotheright
Posted
lynne58909 Startotheright
Posted
Hi
Just wondering how tapering off is going great?
I will need to do this due to liver test results,don't fancy going cold turkey!
Any advice? I'm on 7.5 just now and have been for 6months for migraine.
Thanks
amanda59745 lynne58909
Posted
lynne58909 amanda59745
Posted
Thanks for your response. Im just very worried about doing it and managing to get to work etc if anxiety gets bad. I had anxiety before taking it,they said it wasn't a big anough dose to affect anxiety so no point to talk g it for that, then my.migraines went crazy so they gave it as a preventative, and for that it's been ok, but i feel less anxious on it until now when iv read so much about how hard it is to stop it and I'm so worried about elevated liver results. Would see if a lot of people coming of it already had anxiety and that's why they feel it so much,just a thought.
Anyway thanks for reply, i I my have tablets so will just try chopping them as much as i can to wean dose down very gradually until Dr says def stop them.
lynne58909 amanda59745
Posted
Not sure if my reply posted to you Amanda, if not sorry, not sure what happened. Basically said i o my have tablets so can't do liquid to drop down, I'm worried re liver results from go and will try to taper as much as i can until Dr says def stop the tablets. I'm a worrier and have anxiety, which i felt these tablets helped although Dr says too low a dose to help that but i feel it did until now as it's health anxiety so with results has me so so anxious again. Worried about feeling that way and making work etc.
How do you manage that?
I would see if a lot of ppl who get anxious when trying to stop were already anxious to start with, just a thought.
Thanks for reply,keep me posted on how your doing if u can/want to.
Sheena737 lynne58909
Posted
Do you have a pill cutter? I've been using one to cut my 10s into 1/4s. I wish I could cut them smaller than that for when I taper down to less than 10mg. I will check with my GP but I don't think we have the drops here (Aust).
I have been taking ami for depression, anxiety and general body pain from spine damage in a motorbike accident. I have been taking 50-75mg since 1994 but have been weaning down very slowly for 2 years now. I'm going ok and don't see any increase in those things but it might be a different story when I get lower (on 17.5mg now). Will continue to decrease by 2.5mg every 6 weeks. After 6 weeks on 2.5mg I might even go to 2.5mg every 2nd night for 6 weeks then every 3rd night and so on. It's a very slow way of doing it but hopefully it will retrain my body along the wayGood luck
Sheena737
Posted
I just wanted to add that from memory (I tried to come off ami about 7 years ago) the main withdrawal problem I had was not sleeping. There must have been other problems but that to me was the biggest.
All the best
lynne58909 Sheena737
Posted
Thanks for your reply, tbh if it wasn't for the liver results i wouldn't even try to come off this low dose as it has calmed my migraines down a bit but i have health anxiety so now i have the liver results stuck in my.mind and can't stop worrying about that and withdrawel symptoms as as soon as i feel anything wrong in my body i panic, i know they say 7.5 is too low a dose to help anxiety but i really feel it does help it. Anyway I'm going to go to see my GP and discuss it and see what she says again as i need to make work or il lose my job, no pressure eh!
Thanks again, good luck reducing further
amanda59745 lynne58909
Posted
Im still on 7.5mg and i too have a pill cutter so can cut into quarters but for me even 7.5mg to 5mg is too big a drop hence needing the liquid to do an inbetween dose xx
amanda59745 lynne58909
Posted
lynne58909 amanda59745
Posted
Thanks for your response Amanda, i know you are so right to about fixating on the anxiety, its just in my nature. Right now i am so anxious about my elevated liver results, which tbh is the only reason i am considering stopping this just now. It has helped me so much these last few months as my migraines were so severe every day, and then i got hit by a car and had bad concussion so think it helped with pain from that too. If i could hety Dr to retest liver and it had came down I'd try to go more slowly,i am going to try to get an appointment when they open again on Tues and seek some reassurance, or at least see what they say! Thanks again for support. I hope u manage it, I'm sure i will.
chipo37935 Sheena737
Posted
Hie Sheena.Am having same problem here, can't sleep whenever I attempt to reduce dose.Did you manage to sleep later and after how long