A highlight from How to Stop Benzos and Stimulants

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That they cannot quit was the headline in the new york. Times health section of april seventh two thousand eighteen. The article caught the attention of a lot of patience. You could say it went viral. Which is not surprising. Considering that fifteen and a half million americans have been on antidepressants for over five years. That's one in twelve adults and the most popular antidepressants the serotonin. Urgent class are the most difficult to come off. Particularly those with a short half life like paroxetine and venlo vaccine coincident or not. We've seen a sharp increase in research on this understudied issues since the article came out including a textbook on deep prescribing in psychiatry this month winner viewed one of the authors of that textbook swap. Swappable gupta on how she tapers antidepressants stimulants and benzodiazepines. All three of those medications can cause withdrawal problems and while it would be nice if we could substitute another medication to treat the withdrawal. There's really no evidence doing so works. We have some evidence though that the speed of the taper can be optimized to reduce withdrawal symptoms using something called a hyperbolic taper way. Go faster in the beginning and slow down as you get into the lower dose range. The problem is that this often requires microdosing in smaller and smaller increments as you reach the bottom of the barrel and you can only cut up a medication in half so many times before it pulverizes into a hypocrite. So dr swapping. He'll discuss three strategies to get around this liquid formulations and compounding pharmacies can create micro doses was savvy. Patients can compound the medication on their own using a commercial compounding solution that essentially liquefies the pill and our online edition. We have a step by step guide to home compounding. But a word of caution we only recommend this for capable and motivated patients

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