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Forward A Note From James Harper, Founder, The Road Back Table of Contents
Part One
3. Suggested Nutritionals for The Road Back Program 6. General Pre-Tapering and Tapering Instructions 9. Pre-Taper For: Benzodiazepines, Anti-Convulsants, Anti-Anxiety & Sleep Medication 10. Pre-Taper For Antidepressants, Antipsychotics, and ADHD Medication 11. How to Taper Off Benzodiazepines, Anti-Convulsants, Anti-Anxiety and Sleep Medication 12. How to Taper Off Antidepressants, Anti-Psychotics and ADHD Medication 14. What to Do If You Have Already Started to Taper Off Your Medication or Quit Cold Turkey 15. How to Taper Off Multiple Drugs 16. What You Can Do If You Have Never Taken Psychiatric Drugs 17. Science Behind The Road Back Program 18. Additional Taper Reduction Schedules
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Chapter Nine Pre-Taper for
Benzodiazepines, Anti-anxiety, Anticonvulsant, “I am taking Klonopin. After one week on your program, I do not feel like I am taking a benzo. I am sleeping better than I ever have in my life. Vivid dreams have vanished and if I wake up in the middle of the night, I can go right back to sleep. I will be starting the taper next week and I am very nervous. Every time I have tried to quit in the past, the withdrawal was too much. Everything you have said in your book has been true so far so I probably should not be nervous.” G.Q. Green Bay, WI.
If you have not read the
entire chapter
“General Pre-Tapering and Tapering Guidelines,”
please do so before continuing with this chapter. Reading and understanding the
chapter “General
Pre-Tapering and Tapering Guidelines” is
vital
before starting the pre-taper. Starting Your Pre-Taper Note: This pre-taper addresses
several types of medication as noted in the chapter title. If the only drug name
used is a benzodiazepine, please take that to mean all medications
(Benzodiazepine, Anti-anxiety, Anticonvulsant and Sleep Medication).
You will begin your pre-taper
by taking Body Calm, Body CalmSupreme, and the Essential Protein as directed in
this chapter. These three supplements should take care of all or most of the
daytime anxiety, panic attacks, and sleep problems. Remember, as soon as you
start the pre-taper, you will simultaneously start keeping track of your
days in the Daily Journal.
· Make sure to note when existing side effects stop or when there is a major improvement. This is very important. You will then know which
supplement turns off which side effect(s) or caused the major improvement.
You will need to know this in order to complete both the pre-taper and
the full taper successfully. The design of the pre-taper is to address the
normal cycle of anxiety/insomnia/anxiety that takes place because of medication
usage. Anxiety first thing in the
morning and a return of the anxiety in the afternoon are both
very
common side effects of benzodiazepines, anti-anxiety, anticonvulsant and sleep
medications.
When using these medications, on any given day, by the time you are ready to go
to sleep at night, you are too stressed out and fatigued from dealing with the
difficulties of the anxiety all day long.
Sleep simply may not happen, and you could easily end up feeling
depressed due to this continuing cycle of anxiety, no sleep, anxiety, no sleep,
endlessly.
If you are also experiencing
depression to some degree, do not be surprised if the depression goes away
during the pre-taper, as your ability to sleep improves or the daytime anxiety
abates. But, even as you start to
experience relief from your symptoms, do not change anything;
just continue with the program, as there are still many, many gains to be had,
as you move through to full completion of The Road Back Tapering Program. Step 1 Goal:
·
Improved sleep.
·
A vast reduction
or elimination of anxiety.
·
A lessening or
elimination of other medication-induced side effects. Supplements you will take:
·
Essential Protein
Formula.
·
Body Calm.
·
Body CalmSupreme. 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 the number 1 being the worst and number 10 being no side
effect or symptom remaining. Take:
Essential Protein Formula: 1
teaspoon mixed in a liquid of your choice.
Time:
At bedtime. Day Two, Three, Four: 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 the number 1 being the worst and number 10 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. Take:
Essential Protein Formula: 1
teaspoon mixed in a liquid of your choice. Time:
First thing in the morning
when you awaken. The
rest of the day and up
until bedtime, you will be
alternating the Body CalmSupreme and the Body Calm every 4 hours. Example:
You awaken at 7 am. You would start the day by taking 1 capsule of Body
CalmSupreme and 1 teaspoon of Essential Protein Formula. At 11 am, you would take 1
Body Calm capsule and 1 teaspoon of Essential Protein Formula. At 3 pm, you would take 1 Body
CalmSupreme capsule and 1 teaspoon of Essential Protein Formula. At 7 pm, you would take 1 Body
Calm capsule and 1 teaspoon of Essential Protein Formula. At bedtime, or 11 pm, you
would take 1 Body CalmSupreme capsule and 1 teaspoon of Essential Protein
Formula. Action:
The morning of Day 5
– Rate your sleep from the night before and
have a look at your Daily Journal regarding daytime anxiety. If you now rate
your daytime anxiety at a 7 or higher, and your sleep is at a 7 or higher,
proceed to Step 2. If you do not rate yourself at
a 7 or higher for daytime anxiety and sleep, follow Continue Step 1. Continue Step 1 In this stage, you will be
adjusting the time you take each supplement and or the quantity of each
supplement used during the day or at bedtime. Locate the scenario that fits
your circumstance: Daytime anxiety below a 7
rating and sleep at a 7 or higher – If your sleep was below a
rating of a 7 and is now at a 7 or higher, you are responding very well to the
Body CalmSupreme. a.
Replace the
Body Calm during the
daytime with the
Body CalmSupreme. Take 1
capsule of
Body CalmSupreme
every 4 hours
during the
daytime and continue taking
the 1 teaspoon of Essential Protein Formula at the same time as the Body
CalmSupreme during the day. Rate your daytime anxiety at
the end of every day, before bedtime and rate your sleep first thing in the
morning and post in your Daily Journal. Follow Step a. for 3 days.
The goal is to have three
consecutive days with anxiety and sleep at a rating of 7 or higher. As soon
as you have 3 consecutive days at a 7 or higher, move to Step 2. If you improve to a 7 rating
at any time DO NOT CHANGE WHAT YOU ARE DOING. Example: You are on day number
2 of Step a. and you now rate yourself at a 7 with
anxiety and
sleep. Do not
change anything you
are doing but
continue for 2 additional days and see if
this new trend holds. This would give
you 3 full days at a 7 rating or higher.
Make sure to continue taking
each supplement at the same time each day and night that you established during
this step for the rest of the pre-taper and taper process. If
this new trend
of a 7 or
higher rating for
daytime anxiety holds for
three consecutive days, proceed to Step 2. If
you are not at
a 7 or higher after 8
full days, following Step a.,
use the following sequence: Continue with the 1 Body
CalmSupreme every four hours, but increase the Essential Protein Formula to 4
teaspoons with each serving. Rate yourself each night for
the anxiety level of that day. If you feel an improvement, but not to a rating
of a 7, continue with this step for 2 full days. If no change or you are still
not up to a 7 rating after 2 full days, do the following: Decrease
the Essential
Protein Formula
back down
to 1-teaspoon every four hours.
Increase the Body
CalmSupreme to 1 capsule every 3 hours. Continue this for 3 full days.
Make sure to rate your daytime anxiety each night before bedtime. If on day two
or three of this procedure, you now rate yourself at a 7 or higher, continue
taking the supplements exactly as you have been in this stage until you have 3
consecutive days of a rating of 7 or higher with daytime anxiety and then move
to Step 2. If the daytime anxiety is
still not rated at a 7 or higher, do not get discouraged; there are still
options for you. The Anxiety Reduction Chart
located in the chapter “General Pre-Tapering and Tapering Instructions,” shows
how anxiety tends to drop as time passes when using the correct supplement. Give
this some time. Other Options There are other options
available with using the Body Calm, Body Calm Liquid and the Body CalmSupreme.
The next section provides further ways an individual may use, change, or alter
these products for anxiety and/ or insomnia. Body Calm capsules – You can
add 1 Body Calm capsule with each Body CalmSupreme if needed. You may take as
many as 3 Body Calm capsules at bedtime for sleep. You may take 1 Body
CalmSupreme, along with the Body Calm at bedtime if needed. Body Calm liquid – For some,
but very few, the Body Calm liquid is the answer for daytime anxiety and or
insomnia. Making the switch from capsule to liquid can be magic. Body CalmSupreme – As
described in the chapter “General
Pre-Tapering and Tapering Instructions,” reaching a “steady state” can
be different for each person. If you are feeling some relief from anxiety, but
it is only temporary, you may need to change the frequency or amount of Body
CalmSupreme. You can take the Body CalmSupreme every 2 hours during the day to
achieve this. For some people, this gives astounding results. Suggestions:
If you have felt any improvement during these procedures, you have something to
work with. If the anxiety has at least moved from a rating of 3 to a 5, and the
anxiety is holding at that level, using these supplements will be the answer for
your success. You just need to adjust them further, allow a little additional
time, or adjust the time of day you are taking them. Adjust supplements
one-by-one every third day. Keep good notes in your journal. The answers will
either be the quantity taken of a supplement or it will be how often the
supplement is taken. The answer can be both; quantity and how often the
supplement is taken. Experiment with this as needed
and keep your Daily Journal. Give this some time to work. If you have had some
improvement, such as from a 3 to a 5 rating, and it is holding steady, but will
not move beyond a 5 rating, give this stage 30-days to fully work. After 30-days, if still at a 5
rating, move on to Step 2 and keep rating the daytime anxiety each evening. It
may very well improve to a 7 rating later in the pre-taper.
Daytime Anxiety Above a 7
Rating and Sleep Below a 7 rating -
a.
Keep doing
exactly what you have been doing during the daytime, during Step 1.
b.
One thing to keep
in mind as you increase the supplements for sleep is that the changes made
during the daytime for the anxiety may very well help with the sleep as well. If
a person who had daytime anxiety no longer has daytime anxiety, the chances are
very high that their ability to sleep will improve greatly. Do:
Increase the Body CalmSupreme
to 2 capsules
at bedtime and continue to take the
1-teaspoon of Essential Protein Formula.
c.
If b. did
not result in the desired
rating of a 7 or
higher, include 1 Body Calm Capsule
at bedtime, along with
the 2 Body CalmSupreme
capsules and the 1 teaspoon of
Essential Protein Formula.
d.
If you are
having difficulty going to
sleep, try taking all the supplements ½ hour before bedtime for 3 nights. If
still no change, try taking the supplements 1 hour before bedtime for 3 nights.
If you begin to feel tired
before your normal bedtime,
go to bed a
little earlier than usual.
This may be
your window of opportunity for going to sleep with ease, and we do not
want to miss the chance.
e.
If you are waking
up in the middle of the night and are able to go back to sleep with little
effort, that is very normal. If you have difficulty going back to sleep, take 1
Body CalmSupreme in the night when you awaken.
f.
If, at any time,
you begin to sleep well with a 7 or higher rating, but you wake up tired, reduce
the last supplement that was increased slightly. You can open up any of the
capsules and remove ½ of the supplement powder. Remember, have 3
consecutive nights at a 7 rating or higher for sleep and then move to Step 2. Body Calm capsules – There
have been a few people who needed to take 3 Body Calm capsules at bedtime, along
with the other supplements, to reach a good night’s sleep at a 7 or higher
rating. You may take 1 Body CalmSupreme, along with the Body Calm at bedtime if
needed. Body Calm liquid – For some,
but very few, the Body Calm liquid is the answer for sleep. Making the switch
from capsule to liquid can be magic. Body CalmSupreme –
As described in the chapter “General
Pre-Tapering and Tapering Instructions,”
reaching
a “steady state” can be
different for
each person.
If you are feeling
some relief from insomnia,
but it is not enough,
you may need to
change the amount of
Body CalmSupreme. It
may take 3 Body CalmSupreme
capsules to fully handle the
insomnia. Suggestions:
If you have felt any improvement during these procedures, you have something to
work with. If the insomnia has at least moved from 3 to a 5 rating, and is
holding at that level, using these supplements will be the answer for your
success. You just need to adjust them further, allow a little additional time,
or adjust the time of day when you are taking them. Adjust supplements
one-by-one every third day. Keep good notes in your journal. The answers will
either be the quantity of a supplement or it will be how often the supplement is
taken. Experiment with this and keep
your Daily Journal. Give this some time to work. If you have had some
improvement, such as from a 3 to a 5 rating, and it is holding steady, but will
not move beyond a 5 rating, give this stage 30-days to fully work. After 30-days, if still at a 5
rating, move on to Step 2 and keep rating your sleep each evening. It may very
well improve to a 7 rating later in the pre-taper.
Special Note:
If you have insisted on taking calcium and you still are not at a 7 rating or
higher, you need to remove the calcium supplement. If you are taking other
supplements that are not part of The Road Back Program, it is time for you to
quit taking all of them. If your healthcare provider
suggested other supplements, let the practitioner know what you want to do, and
give the practitioner a printout of this page, or the book. Once you are off all
other supplements for 3 full days, you should feel a remarkable difference. Daytime Anxiety Below a 7
Rating and Sleep Below a 7 Rating Follow each action found
earlier in this chapter: Daytime anxiety below a 7 rating and sleep below a 7
rating. If you complete all stages for
anxiety and sleep and you still rate anxiety and sleep below a 7 on a 1-10
scale, one of these six things are happening:
1.
You
are one of the few who need
to continue taking the supplements for additional time before they will work for
you.
2.
You need to
reevaluate how you are rating yourself. Are you being a little too rough on
yourself, and how you are judging yourself?
3.
You
are taking other supplements
and the
real reason
you will
not respond to Stage 1
is the other
supplements. This is where you need to reevaluate
calcium, if
you are
taking it,
B vitamins,
and all
other supplements. The
other supplements,
herbs or concoctions may have been causing the increased anxiety or
insomnia for some time.
4.
You are changing
something.
5.
You are not
taking the supplements as outlined.
6.
Maybe you are
changing the time of day when you take your medication.
7.
Look at the
weekends. Are you sleeping in a few hours later and not taking the morning
medication at the same time? Are you staying up later in the evening and not
taking the medication at the same time?
8.
You have started
The Road Back Program after
you have already made one or
several attempts to
come off
your medication
and you
were having withdrawal side effects before starting the program.
9.
The Road Back Program is
not for you. I wish I could
say this program works for everyone, but it does not. From 8 years experience, I
know the percentage of people is very low that this program will not work for,
but there is that percentage, nonetheless.
·
Continue
taking all supplements as established during Step 1. Goal:
·
Improvement of
Mood.
·
A lessening or
elimination of other medication-induced side effects. Supplement you will
introduce:
·
Ultimate Omega 3. Day One: Action:
·
Rate your
mood and other side effects.
Use the Daily Journal and rate your mood and any additional symptoms you may be
experiencing from 1 to 10. Rate, with
number 1 being the worst and number 10 being no side effect or symptom
remaining. Take:
1 softgel of Ultimate Omega 3.
Time:
First thing in the morning and
around noon, but before 4 pm. Day Two, Three, Four: Action: Rate your mood and other side
effects. Use the Daily Journal and rate your mood and any additional symptoms
you may be experiencing, from 1 to 10. Rate, with number 1 being the worst and
number 10 being no side effect or symptom remaining.
Take:
2 Ultimate Omega 3 softgels. Time:
First thing in the morning
when you awaken, and around noon, but before 4 pm. After the rigors of Step 1,
you will find Step 2 to be quick and easy! You are finished and ready to move to
Step 3. Step 3
·
Continue
taking all supplements as established during Steps 1 and 2. Goal:
·
Overall
brightness of feelings and mood.
·
Nice and smooth
energy level.
·
A lessening or
elimination of other medication induced side effects. Supplement you will
introduce:
·
Power Barley
Formula. Day One: Action:
·
Rate anxiety,
sleep, and all side effects. Use the Daily Journal and rate your mood, anxiety,
sleep, and any additional symptoms you may be experiencing, from 1 to 10. Rate
with number 1 being the worst and number 10 being no side effect or symptom
remaining. Take:
1/2 teaspoon of Power Barley
Formula.
Time:
First thing in the morning. Day Two, Three, Four: Action: Rate anxiety, sleep, and all
side effects. Use the Daily Journal and rate your mood, anxiety, sleep, and any
additional symptoms you may be experiencing, from 1 to 10. Rate, with number 1
being the worst and number 10 being no side effect or symptom remaining. Take:
1/2 teaspoon of Power Barley
Formula. Time:
First thing in the morning and
around noon. At any time, if you feel an
increase or return of anxiety, reduce the Power Barley Formula to ¼ teaspoon. If the increase of anxiety
persists for 2-days, discontinue the Power Barley Formula at this time. The Power Barley Formula is
not essential for the tapering process, but will be needed once off the
medication. Step 4 Day 1: Begin taking 200 i.u. of
vitamin E first thing in the morning with the rest of the morning supplements. Keep taking all supplements
exactly as you have established during the pre-taper. You are completely finished
with the pre-taper when:
·
22-days have
passed after you started Step 1
·
You rate
yourself at a 7 or higher for anxiety and sleep. You do need to wait the
22-days from the date you started Step 1 even if you are at a 7 or higher rating
for anxiety and insomnia. Continue taking all the
supplements exactly as you are now during the tapering portion of this program. If you have tried to quit
these medications in the past, you may be a little apprehensive about reducing
them again. You can remain at this stage of the process for as long as you like.
You do not have to rush.
When you are ready, follow the
procedures detailed in the chapter, “How
to Taper Off
Benzodiazepines,
Anti-anxiety, Anticonvulsant, and Sleep Medication.” |
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