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How To Taper Off Ativan And Remeron?

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Posted on Sat, 27 Jun 2015
Question: I am trying to taper off ativan and remeron
Been on it for 7 years and tired of feeling tired all the time
How do I do this?
My doctor just wants to give me more medicine
doctor
Answered by Dr. Ivo Ditah (1 hour later)
Brief Answer:
See below: Gradual withdrawal is the golden rule here.

Detailed Answer:
Hi and thank you so much for this query.

I am so sorry to hear about this insomnia. I understand your desire to get off medications. I am however worried that your insomnia may get a lot worse unless something is done. Also, I will encourage that you talk to your doctor about this. This not withstanding, I will propose a plan that you can adopt to get off these medications if you must.

Ativan:
week 1-2: continue with 1mg daily.
week 3-4: 1mg every two days.
week 5-6: 1mg every 3days
week 7-8: 1mg/week and then you stop.

Remeron:
Week 1-2: 1/2 tablet daily(7.5mg)
week 3-4: 1/2tablet every 2days
Week 5-6: 1/2tablet every 4days
week 7-8: 1/2 tablet every week.

Please, if you witness any abnormal symptoms during this period, please report them to me for review. This may dictate that we spend a little more time with the preceding dose before dropping further.

I hope this helps. I wish you well. Thanks for using our services and do feel free to ask for more information and clarifications if need be.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ivo Ditah

Internal Medicine Specialist

Practicing since :2002

Answered : 3984 Questions

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How To Taper Off Ativan And Remeron?

Brief Answer: See below: Gradual withdrawal is the golden rule here. Detailed Answer: Hi and thank you so much for this query. I am so sorry to hear about this insomnia. I understand your desire to get off medications. I am however worried that your insomnia may get a lot worse unless something is done. Also, I will encourage that you talk to your doctor about this. This not withstanding, I will propose a plan that you can adopt to get off these medications if you must. Ativan: week 1-2: continue with 1mg daily. week 3-4: 1mg every two days. week 5-6: 1mg every 3days week 7-8: 1mg/week and then you stop. Remeron: Week 1-2: 1/2 tablet daily(7.5mg) week 3-4: 1/2tablet every 2days Week 5-6: 1/2tablet every 4days week 7-8: 1/2 tablet every week. Please, if you witness any abnormal symptoms during this period, please report them to me for review. This may dictate that we spend a little more time with the preceding dose before dropping further. I hope this helps. I wish you well. Thanks for using our services and do feel free to ask for more information and clarifications if need be.