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Ralph LMHC
Ralph LMHC, Therapist
Category: Mental Health
Satisfied Customers: 872
Experience:  20+ years as therapist, supervisor, clinic director at mental health, substance abuse treatment ctrs
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Am 57 male. Was on 2mg Ativan, 300mg Wellbutrin and 50mg Trazonone

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Am 57 male. Was on 2mg Ativan, 300mg Wellbutrin and 50mg Trazonone to sleep. Lost job, little money, etc. Got 2 Docs and now take 4mg Ativan, 1 - 1.5 Ambien (no Trazodone) to sleep, same Wellbutrin and 60mg Cymbalta for about the last 14 months. That is correct - 4mg Ativan for 14 months.

Want to taper back to at least where I was (2 Ativan and 1 Ambien) and then goe to zero when bankruptcy and home sale is over. How do we do this?
Submitted: 6 years ago.
Category: Mental Health
Expert:  Ralph LMHC replied 6 years ago.



There are two issues here. Ambien can be cut down easily by using a pill cutter and dividing the pill in 4ths so that you are taking 1.75 the first week, 1.50 the next week , 1,25 the next week and by the 4th week, after a month you can be down to 1 ambien per evening. Ativan is a different story. I assume you are talking about going from 4 mgs to 2 mgs. Since tapering to quickly will make you feel terrible and put you at risk for seizure this should be done under a doctors supervision. Since ativan comes in a generic form-lorazepam that should save money. It comes in .5, 1 and 2 milligram sizes. The closest that you can get to cutting down by 5% per week the more comfortable you will be. Using a pill cutter and cutting 1/4 of a 4 mg or 1/8 of 2mgs tab per week is the closest you can get. In 8 weeks you can be done two 2 mgs. Again, I would confer with your physician. Best wishes. PS there is also a generic fo ambien called Zolpiderm. Best wishes.



Ralph LMHC

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Edited by Ralph LMHC on 5/1/2010 at 8:05 PM EST
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Customer: replied 6 years ago.

Sorry it took me a while to write back. When I saw my psych MD last week he asked how many mg Ativan I took the day before. Truthfully, I answered 4mg. He then put me on 3mg for 7 days then 2mg thereafter. Afterwards I called him back to make sure he was aware that I was on 4mg Ativan for 14 months not just 4mgs for a few months. His answer, through the nurse remained the same. He also said I could increamse the Ambien to 1.5mg.


Does this make sense to you. Please help.

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