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scj1236: long term (~15 years) citalopram user

Featured Replies

8 hours ago, scj1236 said:

reducing by the smallest amount that I can manage to cut is causing my some withdrawal symptoms. it is typically lightheadedness. no idea you can remove such infinitessimal amounts. just removing 0.006 grams (super tiny) is a dose change of around 1 mg. maybe i should try my pill crusher? to get it into powder form.

and if you do have symptoms, do you just add enough to go back the last dose where you didn't?

Ok so to confirm you did a reduction from 20mg to 19mg? That is a 5% reduction.

How would you rate your symptoms before the cut out of 10 and now? That would be my starting point? 10 being very bad and 1 being mild.

I’m not a medical professional and cannot offer medical advice. I only offer my thoughts as support. Please speak to your health practitioner about your care. This is a peer site where we support each other on our taper/recovery journeys. 

 

If you are from the UK please make sure you fill in a 'Yellow Card' report for the MHRA. It is you doing your bit to help make a difference.

Please take the time to do it today 🙂 https://yellowcard.mhra.gov.uk

For US members details here.

  • Replies 69
  • Views 878
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  • ultimately everyone is different, some people can just taper by receptor occupancy and be fine, some people have extreme difficulty at the lowest doses so have to close to the end drop by 0.01mg steps

  • Chippy
    Chippy

    I understand but it’s important your dose is consistent. Just be careful take your time and if needs be add in several bits to make the dose. It does not need to be a complete pill you take. You can g

  • Chippy
    Chippy

    You can crush say 20 pills all at once and store the powder in a suitable small pot. Then use tiny spoons to fill the capsule and weigh the powder in the capsule so it doesn’t spill anywhere. Other

  • Author

maybve a 3-4. I added in the tiny amount to get back to what I had yesterday and felt better. Again I don't necessarily want to cut that much, but I just can't cut into smaller amounts.

Citalopram, various doses between 10-40 mg since around 2010

starting reduction from 20 mg on 6/11/26, which weighs 0.128 g

currently on 5% reduction every two weeks. schedule for the rest of 2026 (date, pill weight in grams, equivalent dose in mg):

9/17/26

0.081

12.701

10/1/26

0.077

12.066

10/15/26

0.073

11.462

10/29/26

0.070

10.889

11/12/26

0.066

10.345

11/26/26

0.063

9.828

12/10/26

0.060

9.336

12/24/26

0.057

8.869

1 hour ago, scj1236 said:

maybve a 3-4

3-4/10 Is this before the cut or after?

1 hour ago, scj1236 said:

I added in the tiny amount to get back to what I had yesterday and felt better.

That’s good. what dose did you go to? Can you put dates and doses and weights in your signature?

1 hour ago, scj1236 said:

Again I don't necessarily want to cut that much, but I just can't cut into smaller amounts.

You should be able to reduce 0.001gpw (pw means pill weight) using a sharp blade or a small file. Thats the smallest change you can make. So if your original pill is 0.128mgpw and your went to 0.127mgpw for example that would be a 0.78% reduction. It’s not so much about cutting the pill, more shaving it very carefully.

One trick is to put your calibration weight on the scale to ‘load’ it at the same time as weighing your pill. This helps make the scale operate better by being more within its operation range. You would zero the scale or deduct the weight of the weight from the measurement obviously…

I’m not a medical professional and cannot offer medical advice. I only offer my thoughts as support. Please speak to your health practitioner about your care. This is a peer site where we support each other on our taper/recovery journeys. 

 

If you are from the UK please make sure you fill in a 'Yellow Card' report for the MHRA. It is you doing your bit to help make a difference.

Please take the time to do it today 🙂 https://yellowcard.mhra.gov.uk

For US members details here.

Also you don’t need to have one whole peice of pill. You can have a couple of bits to make the dose if required.

I’m not a medical professional and cannot offer medical advice. I only offer my thoughts as support. Please speak to your health practitioner about your care. This is a peer site where we support each other on our taper/recovery journeys. 

 

If you are from the UK please make sure you fill in a 'Yellow Card' report for the MHRA. It is you doing your bit to help make a difference.

Please take the time to do it today 🙂 https://yellowcard.mhra.gov.uk

For US members details here.

  • Author

this is after. and thanks I will try to update it as much as I can. I did use the calibration weight to calibrate when I got the scale, but yes that is a good idea. Given the scale precision is +/- 0.001, i don't think I could add that value while being certain it was accurate.

Citalopram, various doses between 10-40 mg since around 2010

starting reduction from 20 mg on 6/11/26, which weighs 0.128 g

currently on 5% reduction every two weeks. schedule for the rest of 2026 (date, pill weight in grams, equivalent dose in mg):

9/17/26

0.081

12.701

10/1/26

0.077

12.066

10/15/26

0.073

11.462

10/29/26

0.070

10.889

11/12/26

0.066

10.345

11/26/26

0.063

9.828

12/10/26

0.060

9.336

12/24/26

0.057

8.869

  • Author

has anyone else experienced this sort of light-headedness as a withdrawal syndrome when decreasing the dose too much? it's a very odd, uncomfortable feeling. as i said adding the tiny amount to get back to where I was helped.

Citalopram, various doses between 10-40 mg since around 2010

starting reduction from 20 mg on 6/11/26, which weighs 0.128 g

currently on 5% reduction every two weeks. schedule for the rest of 2026 (date, pill weight in grams, equivalent dose in mg):

9/17/26

0.081

12.701

10/1/26

0.077

12.066

10/15/26

0.073

11.462

10/29/26

0.070

10.889

11/12/26

0.066

10.345

11/26/26

0.063

9.828

12/10/26

0.060

9.336

12/24/26

0.057

8.869

1 minute ago, scj1236 said:

this is after.

Ok well that’s actually ok. Often we have symptoms after a reduction. Generally you would just hold until things settle to a baseline level of symptoms. This base line is individual. It’s often described as symptoms around 1-3/10. tapers are rarely symptom free.

3 minutes ago, scj1236 said:

Given the scale precision is +/- 0.001, i don't think I could add that value while being certain it was accurate.

It’s tricky but doable. Gotta keep the scale away from fans and windows, there is a degree of judgement I found when reading to this level of precision. You can only be so precise with these things.

I’m not a medical professional and cannot offer medical advice. I only offer my thoughts as support. Please speak to your health practitioner about your care. This is a peer site where we support each other on our taper/recovery journeys. 

 

If you are from the UK please make sure you fill in a 'Yellow Card' report for the MHRA. It is you doing your bit to help make a difference.

Please take the time to do it today 🙂 https://yellowcard.mhra.gov.uk

For US members details here.

  • Author

yep, got that covered, it's in my bathroom which has no windows. trying to be precise, but not so precise I go insane. No idea how I will kee pdoing this at lower doses when the drop is even tinier though. At what dose level do you usually suggested switching to liquids? and why do you suggest mixing it with water? to avoid parts of it getting stuck to your cup?

Citalopram, various doses between 10-40 mg since around 2010

starting reduction from 20 mg on 6/11/26, which weighs 0.128 g

currently on 5% reduction every two weeks. schedule for the rest of 2026 (date, pill weight in grams, equivalent dose in mg):

9/17/26

0.081

12.701

10/1/26

0.077

12.066

10/15/26

0.073

11.462

10/29/26

0.070

10.889

11/12/26

0.066

10.345

11/26/26

0.063

9.828

12/10/26

0.060

9.336

12/24/26

0.057

8.869

1 minute ago, scj1236 said:

yep, got that covered, it's in my bathroom which has no windows. trying to be precise, but not so precise I go insane. No idea how I will kee pdoing this at lower doses when the drop is even tinier though.

Good. When the reductions become impossible you’d switch to liquid. You can switch before if you choose but you should perform a crossover taper as per our diy liquid guide.

1 minute ago, scj1236 said:

and why do you suggest mixing it with water?

I’m confused. Adding water is what makes it a liquid.

I’m not a medical professional and cannot offer medical advice. I only offer my thoughts as support. Please speak to your health practitioner about your care. This is a peer site where we support each other on our taper/recovery journeys. 

 

If you are from the UK please make sure you fill in a 'Yellow Card' report for the MHRA. It is you doing your bit to help make a difference.

Please take the time to do it today 🙂 https://yellowcard.mhra.gov.uk

For US members details here.

I’ve just seen your footer thanks for updating. Looks like you have tried a few different doses. It’s not a good idea. You ended up at 7% cut at one point and now you are at 5% I think from what I can see. Just hold the dose where you are now and leave it steady for 30 days. The brain likes stability.

Can you include the actual dose amount too with % reductions. Mark pw for pw and ai for dose weight (active ingredient)

So

Date - 20mgai (0.128mgpw) 0% reduction

I’m not a medical professional and cannot offer medical advice. I only offer my thoughts as support. Please speak to your health practitioner about your care. This is a peer site where we support each other on our taper/recovery journeys. 

 

If you are from the UK please make sure you fill in a 'Yellow Card' report for the MHRA. It is you doing your bit to help make a difference.

Please take the time to do it today 🙂 https://yellowcard.mhra.gov.uk

For US members details here.

  • Author

ok i will try that. again it's not as if i WANT to do that, i just can't cut it that precisely.

Citalopram, various doses between 10-40 mg since around 2010

starting reduction from 20 mg on 6/11/26, which weighs 0.128 g

currently on 5% reduction every two weeks. schedule for the rest of 2026 (date, pill weight in grams, equivalent dose in mg):

9/17/26

0.081

12.701

10/1/26

0.077

12.066

10/15/26

0.073

11.462

10/29/26

0.070

10.889

11/12/26

0.066

10.345

11/26/26

0.063

9.828

12/10/26

0.060

9.336

12/24/26

0.057

8.869

1 minute ago, scj1236 said:

ok i will try that. again it's not as if i WANT to do that, i just can't cut it that precisely.

I understand but it’s important your dose is consistent. Just be careful take your time and if needs be add in several bits to make the dose. It does not need to be a complete pill you take. You can grind the pill and weigh the powder if that’s easier. You can even buy empty capsules to put the dose into. You would need to zero the scales with the capsule on it too or delete from the reading like I suggested with the calibration weight.

I’m not a medical professional and cannot offer medical advice. I only offer my thoughts as support. Please speak to your health practitioner about your care. This is a peer site where we support each other on our taper/recovery journeys. 

 

If you are from the UK please make sure you fill in a 'Yellow Card' report for the MHRA. It is you doing your bit to help make a difference.

Please take the time to do it today 🙂 https://yellowcard.mhra.gov.uk

For US members details here.

  • Author

yeah, I do have a crusher but I think it might be easier to miss some of the dose with the powder, even the tiniest amount could slip out or whatever. I did just check the calibration weight and the scale is still accurate to three digits. thanks again.

Citalopram, various doses between 10-40 mg since around 2010

starting reduction from 20 mg on 6/11/26, which weighs 0.128 g

currently on 5% reduction every two weeks. schedule for the rest of 2026 (date, pill weight in grams, equivalent dose in mg):

9/17/26

0.081

12.701

10/1/26

0.077

12.066

10/15/26

0.073

11.462

10/29/26

0.070

10.889

11/12/26

0.066

10.345

11/26/26

0.063

9.828

12/10/26

0.060

9.336

12/24/26

0.057

8.869

2 minutes ago, scj1236 said:

I do have a crusher but I think it might be easier to miss some of the dose with the powder, even the tiniest amount could slip out or whatever.

You can crush say 20 pills all at once and store the powder in a suitable small pot. Then use tiny spoons to fill the capsule and weigh the powder in the capsule so it doesn’t spill anywhere.

Other ways to crush pills is a pestle and mortar or between two spoons.

I’m not a medical professional and cannot offer medical advice. I only offer my thoughts as support. Please speak to your health practitioner about your care. This is a peer site where we support each other on our taper/recovery journeys. 

 

If you are from the UK please make sure you fill in a 'Yellow Card' report for the MHRA. It is you doing your bit to help make a difference.

Please take the time to do it today 🙂 https://yellowcard.mhra.gov.uk

For US members details here.

5 minutes ago, scj1236 said:

did just check the calibration weight and the scale is still accurate to three digits.

That’s good. As I said before try weighing the dose next time with the calibration weight still on the scales. I’ve found it makes the scales less flighty.

I’m not a medical professional and cannot offer medical advice. I only offer my thoughts as support. Please speak to your health practitioner about your care. This is a peer site where we support each other on our taper/recovery journeys. 

 

If you are from the UK please make sure you fill in a 'Yellow Card' report for the MHRA. It is you doing your bit to help make a difference.

Please take the time to do it today 🙂 https://yellowcard.mhra.gov.uk

For US members details here.

  • Author

can i just put the powder in a spoon and swallow it with water directly?

Citalopram, various doses between 10-40 mg since around 2010

starting reduction from 20 mg on 6/11/26, which weighs 0.128 g

currently on 5% reduction every two weeks. schedule for the rest of 2026 (date, pill weight in grams, equivalent dose in mg):

9/17/26

0.081

12.701

10/1/26

0.077

12.066

10/15/26

0.073

11.462

10/29/26

0.070

10.889

11/12/26

0.066

10.345

11/26/26

0.063

9.828

12/10/26

0.060

9.336

12/24/26

0.057

8.869

Just now, scj1236 said:

can i just put the powder in a spoon and swallow it with water directly?

I think it would be best to put it in a capsule.

I’m not a medical professional and cannot offer medical advice. I only offer my thoughts as support. Please speak to your health practitioner about your care. This is a peer site where we support each other on our taper/recovery journeys. 

 

If you are from the UK please make sure you fill in a 'Yellow Card' report for the MHRA. It is you doing your bit to help make a difference.

Please take the time to do it today 🙂 https://yellowcard.mhra.gov.uk

For US members details here.

  • Author

I think the idea of sticking at a level for a while before going down is good. Since I know the precision is within 0.001, maybe I should think of this as a range. For example if I start at 0.124, I will try my best to get exactly that, but between 0.123-0.125 is fine, since both of those could actually be 0.124 as well.

Citalopram, various doses between 10-40 mg since around 2010

starting reduction from 20 mg on 6/11/26, which weighs 0.128 g

currently on 5% reduction every two weeks. schedule for the rest of 2026 (date, pill weight in grams, equivalent dose in mg):

9/17/26

0.081

12.701

10/1/26

0.077

12.066

10/15/26

0.073

11.462

10/29/26

0.070

10.889

11/12/26

0.066

10.345

11/26/26

0.063

9.828

12/10/26

0.060

9.336

12/24/26

0.057

8.869

11 hours ago, scj1236 said:

I think the idea of sticking at a level for a while before going down is good. Since I know the precision is within 0.001, maybe I should think of this as a range. For example if I start at 0.124, I will try my best to get exactly that, but between 0.123-0.125 is fine, since both of those could actually be 0.124 as well.

Yeah we suggest holding for 30 days, unless you are actively trying to micro taper a bigger drop.

I would sugest you choose a dose and just aim for that on the scales using the techniques I've suggested. It will fluctuate around a bit sometimes but you'll get the hang of when to take the reading. If you are still struggling when you to do your next reduction we can switch to liquid, just need to spend a month doing it that is all without reducing. Let me know if you want to go this route and I'll help you with it if you need.

I’m not a medical professional and cannot offer medical advice. I only offer my thoughts as support. Please speak to your health practitioner about your care. This is a peer site where we support each other on our taper/recovery journeys. 

 

If you are from the UK please make sure you fill in a 'Yellow Card' report for the MHRA. It is you doing your bit to help make a difference.

Please take the time to do it today 🙂 https://yellowcard.mhra.gov.uk

For US members details here.

  • Author

went from 0.123 to 0.120 grams, feeling fine.

Citalopram, various doses between 10-40 mg since around 2010

starting reduction from 20 mg on 6/11/26, which weighs 0.128 g

currently on 5% reduction every two weeks. schedule for the rest of 2026 (date, pill weight in grams, equivalent dose in mg):

9/17/26

0.081

12.701

10/1/26

0.077

12.066

10/15/26

0.073

11.462

10/29/26

0.070

10.889

11/12/26

0.066

10.345

11/26/26

0.063

9.828

12/10/26

0.060

9.336

12/24/26

0.057

8.869

  • 3 weeks later...
  • Author

signature updated. things are still going well. I purchased a metal file to make shaving the pills down a lot easier. I'm doing some traveling so I make sure not to change doses immediately before or during my travel.

Citalopram, various doses between 10-40 mg since around 2010

starting reduction from 20 mg on 6/11/26, which weighs 0.128 g

currently on 5% reduction every two weeks. schedule for the rest of 2026 (date, pill weight in grams, equivalent dose in mg):

9/17/26

0.081

12.701

10/1/26

0.077

12.066

10/15/26

0.073

11.462

10/29/26

0.070

10.889

11/12/26

0.066

10.345

11/26/26

0.063

9.828

12/10/26

0.060

9.336

12/24/26

0.057

8.869

9 hours ago, scj1236 said:

signature updated. things are still going well. I purchased a metal file to make shaving the pills down a lot easier. I'm doing some traveling so I make sure not to change doses immediately before or during my travel.

Good to hear. Hope the travels go well for you. Keep us updated.

I’m not a medical professional and cannot offer medical advice. I only offer my thoughts as support. Please speak to your health practitioner about your care. This is a peer site where we support each other on our taper/recovery journeys. 

 

If you are from the UK please make sure you fill in a 'Yellow Card' report for the MHRA. It is you doing your bit to help make a difference.

Please take the time to do it today 🙂 https://yellowcard.mhra.gov.uk

For US members details here.

  • 3 weeks later...
  • Author

update - see signature. staying on each dose level for about two weeks currently. no issues noted when decreasing. the lower I go, the smaller the decrease I will need to do of course. the last was around 9%. I also put down projections for the rest of the year, using 10% reduction every two weeks.

Edited by scj1236

Citalopram, various doses between 10-40 mg since around 2010

starting reduction from 20 mg on 6/11/26, which weighs 0.128 g

currently on 5% reduction every two weeks. schedule for the rest of 2026 (date, pill weight in grams, equivalent dose in mg):

9/17/26

0.081

12.701

10/1/26

0.077

12.066

10/15/26

0.073

11.462

10/29/26

0.070

10.889

11/12/26

0.066

10.345

11/26/26

0.063

9.828

12/10/26

0.060

9.336

12/24/26

0.057

8.869

On 7/11/2026 at 4:57 PM, scj1236 said:

signature updated. things are still going well. I purchased a metal file to make shaving the pills down a lot easier. I'm doing some traveling so I make sure not to change doses immediately before or during my travel.

Glad to hear your doing good on your reduction, and safe travels. Wishing you the best time ever

Dec 23 Citalopram 15mg

13 March 24 13.5mg

27 March 24 10mg

12 March 24 7.5mg

20 March 24 6mg

10 Aug 24 5mg

24 Aug 24 4mg

2 Sept 24 3.5mg

11 Sept 24 3mg

19 Sept 24 2.5mg

26 Sept 24 2mg

5 Oct 24 1.5mg

12 Oct 24 1mg

17 Oct 24 Jumped off.

  • 2 weeks later...
  • Author

just went from 0.105 to 0.094 g. feel a bit off just now (took the dose about four hours ago). should i just tough it out for now and see if it improves over the next couple days?

Citalopram, various doses between 10-40 mg since around 2010

starting reduction from 20 mg on 6/11/26, which weighs 0.128 g

currently on 5% reduction every two weeks. schedule for the rest of 2026 (date, pill weight in grams, equivalent dose in mg):

9/17/26

0.081

12.701

10/1/26

0.077

12.066

10/15/26

0.073

11.462

10/29/26

0.070

10.889

11/12/26

0.066

10.345

11/26/26

0.063

9.828

12/10/26

0.060

9.336

12/24/26

0.057

8.869

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