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Chapter 11 

Immediate Release
Antidepressant Pre-Taper

Please Note: This pre-taper is for individuals taking an Immediate Release antidepressant.

Starting Your Pre-Taper

If you have not read the entire chapter “General Pre-Tapering and Tapering Instructions,” please do so before continuing with this chapter. Reading and understanding the chapter “General Pre-Tapering and Tapering Instructions” is vital before starting the pre-taper.

You may already be in withdrawal before you found The Road Back Program. Please hang in there; relief can come very quickly for you. Most people are never able to get off an antidepressant due to the head symptoms that are common with reducing this type of medication.

Your pre-taper is a little different than for a time release antidepressant.

The American Medical Association now acknowledges at least 10% of the people that try to get off an antidepressant will not be successful due to the withdrawal side effects. The 10% is probably higher with a time-release antidepressant. We want you to know this so you know it is not just you. Sorry to say, most physicians have never read the AMA report on antidepressant withdrawal and they have not realized that 1 out of every 10 of their patients they have prescribed an antidepressant to will have this withdrawal problem unless they begin doing something differently.

Head side effects are the ones that stop most people from being able to get off an antidepressant. An electrical brain zap, dizziness and other head symptoms are the problem. For The Road Back, these debilitating head side effects are easy to stop and stop quickly. If you have not started to taper the antidepressant yet, using this Antidepressant Pre-taper should stop the head symptoms from even starting.  If you have already started to taper the antidepressant and have these head symptoms, the right type of omega 3 fish oil will get you back on your feet quickly.

The supplements that are required for the immediate release antidepressant withdrawal program are the Neuro Endue Mini, JNK Capsules, Omega 3 Supreme TG, and vitamin E.

You or your physician might ask, “what does vitamin E have to do with withdrawal” or “are you trying to tell me vitamin E will help with withdrawal side effects?”

Here is the answer – Vitamin E will not help with withdrawal symptoms at all. When a person takes omega 3 fish oil, the omega 3 will deplete vitamin E from the body and use the vitamin E to help with absorption. You will become deficient in vitamin E if you take fish oil daily and do not supplement with vitamin E. That is the only reason why vitamin E is in this program.

Make sure to keep your Daily Journal up-to-date and use graphs so you can visually see the changes taking place with you.

What to do:

  1. Get with your prescribing physician and/or pharmacist and layout your drug taper schedule.

  2. Plan out the second and third reduction of the medication as well at this point to ensure you are ready with the correct dosages of the drug.

Once you have read all of the pre-taper section proceed to the chapter, How to Taper Antidepressants and fully read it as well.

The Pre-Taper

For the next 7-days you will be doing your pre-taper. You do not reduce your antidepressant during the pre-taper but, to state again, this is the time to also plan out the reduction phase of the drug which starts after the seven days of the pre-taper are completed.

Goal of Antidepressant Pre-taper

  • If anxiety is present, have it eliminated

  • If fatigue is present, have it eliminated

  • If flu like symptom are present, have them eliminated

  • If depression is present, have it eliminated

  • Eliminate all other antidepressant side effects

  • Set up the body correctly to eliminate potential withdrawal symptoms.

The goal of the pre-taper may seem unobtainable to you at this moment, but after you experience a day to two of taking the supplements used with this program, you should begin to experience the changes we suggest will happen. It is not out of character for people to feel as though they are no longer even on an antidepressant as all side effects vanish quickly.

Supplements You Will Take:

Neuro Endure Mini

JNK Capsules

Omega 3 Supreme TG

Vitamin E

Anxiety or Insomnia

If you have daytime anxieties include the Body Calm Daytime Relief and if you have insomnia include the Body Calm Supreme With Melatonin or use the Body Calm Supreme Melatonin Free.

Fatigue

If you have fatigue, you can increase the Neuro Endure Mini and it should handle that rather well.

DAY ONE Action:

Rate your daytime anxiety, panic attacks, insomnia and other side effects. Use the Daily Journal and rate anxiety, sleep and any additional symptoms you may be experiencing from 1 to 10. Rate with number 10 being the worst and number 1 being no side effect or symptom remaining.

Rate the previous night’s sleep first thing the next morning. Rate the daytime anxiety just before bedtime of that day.

If you take the antidepressant first  thing  in  the  morning, take the medication  as normal and 1 hour later take the morning supplements.

How to do the Pre-Taper

Supplements:

JNK – Take 1 capsule of the JNK supplement in mid-morning.

Omega 3 Supreme TG – Take 1 Omega 3 Supreme TG in the morning and 1 more at noon.

Vitamin E – Take 400 i.u. of vitamin E along with the Omega 3 Supreme TG in the morning.

Neuro Endure Mini – Take 1 tablet 3 times a day 5 hours apart.

Optional Supplements For Specific Conditions

Anxiety or Insomnia

Anxiety:

Body Calm Daytime Relief - 2 hours after the morning Neuro Endure Mini, take 1 capsule of Body Calm Daytime Relief.

Take an additional capsule of every 4 hours during the day and evening. You can increase to 2 capsules if necessary. You can also take the every 2 hours if necessary.

Body Calm Supreme With Melatonin or Melatonin Free – 15-minutes before bedtime take 1 capsule. If sleep has not improved within 3 days increase to 2 capsules.

Fatigue

If you have fatigue, the Neuro Endure Mini should handle it fine. You can increase to 4 tablets 3 times a day 5 hours apart if necessary.

How to Adjust the Supplements if Needed

JNK – You can take additional capsules in the afternoon if desired. The best way to judge if the second amount is needed would be; if the morning JNK makes a wonderful change in how you feel but around noon or so you feel a letdown.

Some people take 1 or 2 capsules at noon and that gets them over this period, although very few need more capsules in the late day.

Neuro Endure Mini – If you feel the need to increase, only increase by 1 tablet every 7 days. Once you feel a positive change to the Neuro Endure Mini do not increase any further.

Neuro Endure Mini is formulated to be taken 3 times a day, starting in the morning and twice more during the day, 5 hours apart. So, 1 tablet in the morning, 5 hours later another tablet and another tablet again in 5 hours.

Omega 3  Supreme TG – All head symptoms,  except headaches,  when coming off an antidepressant are handled by the Omega 3 Supreme TG. If you are feeling any symptoms in the head, increase the Omega 3 Supreme TG to 2 softgels in the morning and 2 additional softgels at noon. If symptoms persist after this increase, raise the amount of Omega 3 Supreme TG to 5 softgels in the morning and 5 at noon. A few people have needed to increase to 6 softgels in the morning and at noon to get the head symptoms under control. Once the head symptoms are back under control reduce the Omega 3 Supreme TG back down to the 3 softgels in the morning and the 3 softgels at noon. Check with your doctor before increasing the Omega 3 fish oil if you are taking heart medication or blood pressure medication.

Body Calm Daytime Relief – You can take as many as 2 capsules every 2-hours if needed.

Body Calm Supreme - Usually 1 capsule will do the trick for sleep. You can increase to 2 capsules. The capsule dissolves in 15-minutes after swallowing. If you need to take this supplement a little earlier that is fine.

Finishing the Pre-Taper

Do the pre-taper for 7-full days. Do not cut the pre-taper short no matter how well you may feel after a few days. Give your body a chance to balance, give yourself the chance to fully experience relief before you tackle the reduction of the antidepressant.

If you wish to stay on the pre-taper for an extended time, that is fine to do, many have. You may have experienced extreme trauma the last time you tried to get off the antidepressant and the apprehension you may feel now is normal, not a mental disorder.

This is your time; do not let yourself get rushed by your physician or by the information in this book. The drug manufacturer, the F.D.A., and even the American Medical Association state a gradual reduction of the medication is required. We cannot stress enough, take your time. This is when the tortoise beats the hare to the finish line.

If you need any assistance along the way or have any questions send an e-mail to info@theroadback.org