RE: How to taper off Deanxit
Hello, last year in April and May, I experienced tooth pain that led to headaches, prompting me to visit a clinic.
The doctor prescribed me Deanxit and Bromazin.
I took them continuously for 1 to 2 weeks, then started taking them intermittently.
Whenever I took them, I would have several days of good sleep, but I noticed that I couldn't stop taking them, which instead caused dizziness.
I resumed taking them every 2 to 3 days.
However, during one visit to a traditional Chinese medicine practitioner, the prescribed medication was too strong and caused anxiety.
The physician suggested that I take them daily, but after about 2 weeks, I started experiencing insomnia.
He recommended that I split the doses (morning: Deanxit and Bromazin, with Bromazin at half a tablet; evening: Bromazin).
After researching online, I found that Deanxit can cause insomnia, and I want to stop taking it.
I'm unsure how to taper off since it is a coated tablet.
Can I cut it in half with a knife? (I have been taking it for almost 2 months now.) I apologize for taking up your time, and thank you in advance.
bibi, 40~49 year old female. Ask Date: 2008/01/25
Dr. Zhan Hongyu reply Psychiatry
Hello Bibi: You mentioned wanting to discontinue Deanxit, and you are unsure how to taper it.
Essentially, it is a combination medication consisting of 0.5 mg of flupentixol and 10 mg of melitracen.
Flupentixol is an antipsychotic that, at a low dose of 0.5 mg, may have anxiolytic and antidepressant effects.
Melitracen is a traditional tricyclic antidepressant primarily used to treat symptoms of anxiety and depression.
Since your current dosage is twice a day and is not high, you might consider stopping the afternoon dose first.
If everything remains stable after a week, you can then discontinue the morning dose.
Wishing you good health.
Sincerely, Dr.
Jan Hong-Yu, Taoyuan Rehabilitation Hospital.
Reply Date: 2008/01/25
More Info
Reducing the use of medications like Deanxit, especially when they have been used for an extended period, requires careful consideration and a structured approach. Deanxit is a combination of two active ingredients: flupentixol and melitracen. Flupentixol is an antipsychotic, while melitracen is an antidepressant. Together, they are often prescribed for anxiety and depressive disorders. However, as you have experienced, prolonged use can lead to dependency and withdrawal symptoms, including insomnia and dizziness.
Understanding Withdrawal and Dependency
When medications like Deanxit are taken regularly, the body can become accustomed to their effects. Stopping suddenly or reducing the dosage can lead to withdrawal symptoms, which may include increased anxiety, insomnia, and physical symptoms like dizziness. This is particularly true for medications that affect neurotransmitter levels in the brain, such as those that modulate serotonin and dopamine.
Safe Reduction Strategies
1. Consult Your Healthcare Provider: Before making any changes to your medication regimen, it is crucial to consult with your healthcare provider. They can provide guidance tailored to your specific situation, including the best tapering schedule and alternative treatments for your symptoms.
2. Gradual Tapering: A gradual reduction in dosage is generally recommended to minimize withdrawal symptoms. Your doctor may suggest a tapering schedule, which could involve reducing the dose of Deanxit slowly over several weeks or months. This might mean taking a lower dose every few days or weeks, rather than stopping abruptly.
3. Splitting Tablets: If your doctor approves, you can split Deanxit tablets to reduce your dosage. However, it is essential to ensure that this is safe and effective for your specific medication, as not all tablets are designed to be split. Always confirm with your healthcare provider before doing this.
4. Monitoring Symptoms: Keep a journal of your symptoms as you taper off the medication. Note any changes in sleep patterns, mood, or physical symptoms. This information can be valuable for your healthcare provider to adjust your tapering plan if necessary.
5. Alternative Therapies: Consider non-pharmacological approaches to manage anxiety and improve sleep. Cognitive-behavioral therapy (CBT) has been shown to be effective for insomnia and anxiety. Mindfulness practices, relaxation techniques, and regular physical activity can also help improve sleep quality and reduce anxiety.
6. Sleep Hygiene: Establishing good sleep hygiene practices can significantly improve your sleep quality. This includes maintaining a consistent sleep schedule, creating a comfortable sleep environment, avoiding caffeine and heavy meals before bedtime, and limiting screen time in the evening.
7. Support Systems: Engage with support groups or therapy to help manage anxiety and stress during this transition. Having a support system can provide encouragement and coping strategies as you reduce your medication.
Conclusion
Reducing Deanxit usage should be approached with caution and under the guidance of a healthcare professional. A gradual tapering strategy, combined with lifestyle modifications and alternative therapies, can help you manage withdrawal symptoms and improve your overall well-being. Remember, it’s essential to communicate openly with your healthcare provider about your experiences and any concerns you may have during this process. With the right support and strategies, you can work towards better sleep and a healthier relationship with medication.
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