The information below is intended as a reference only, and should not be taken as medical advice. If you have questions about your medications, consult your pharmacist, doctor, nurse, or other healthcare professional.
Tapering Guidance
If used daily for more than 1-2 months
- Reduce dose by a maximum of 25% every week initially (i.e. week 1 75%-50%-25%) and this can be extended if needed
- If intolerable withdrawal symptoms occur (usually 1-3 days after a dose change), go back to the previously tolerated dose until symptoms resolve and plan for a more gradual taper with the patient
- Dose reduction may need to slow down as one gets to smaller doses (i.e. 25% of the original dose)
- Overall, the rate of discontinuation needs to be controlled by the person taking the medication
Withdrawal Symptoms and Monitoring Guidance
- Hot flashes, weight gain, insomnia, anxiety