Dr Andrew MacLean Pagon MD PhD’s Post

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--Holistic, Transpersonal, Transcultural and Entheogenic Medicine, Psychology and Psychiatry

Tapering prescribed chemical medication refers to the gradual reduction of a medication dosage over a period of time, as opposed to suddenly stopping the medication. Tapering is often recommended for certain medications to minimize withdrawal symptoms and potential side and adverse effects that can occur when stopping a medication abruptly. The real concerns about the "Example Minimum Taper Schedule" are valid and highlight the complexity of tapering off prescribed chemical medications, especially those that affect mind-brain chemistry like SSRIs (Selective Serotonin Reuptake Inhibitors) and SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors). Here are some of the key points to consider based on years of observations: 1. Individual Differences: Indeed, factors such as duration of chemical medication use, concurrent medications, individual pharmacological responses, age, gender, race, ethnicity, and weight etc. all play significant roles in how one might experience tapering off medications. A one-size-fits-all schedule can overlook these important variables. 2. Medical Guidance: Consulting with a licensed healthcare provider is crucial. A prescriber familiar with one’s life and medical history can tailor a tapering schedule to one’s specific needs. Seeking multiple opinions and doing personal research can provide a much broader perspective and ensure that the chosen approach is the best for one’s situation. 3. Prescriber Training and Experience: The expertise of the prescriber is essential. Experienced healthcare professionals are more likely to recognize and address the nuances involved in tapering off (psychiatric) medications. 4. Diagnosis Considerations: The underlying diagnosis and the reasons for taking the medication in the first place should be factored into any tapering plan. Different conditions and their severity can influence the tapering process. 5. Potential for Entheogenic aka Psychedelic Experiences: It's been noted that some two-legged ones aka individuals might still have some entheogenic aka psychedelic experiences even while on SSRIs or SNRIs. However, in my clinical experience, that should not be recommended. Tapering is necessary for everyone, it should be carefully evaluated on a case-by-case basis. 6. Caution Against Over-Reliance on Templates: While peer-reviewed documents and medical consultations provide valuable guidelines, they are not infallible. Personalized medical advice is irreplaceable. To close, while the "Example Minimum Taper Schedule" might provide a general framework, it is not a substitute for individualized medical, psychological amd psychiatric advice. Given the complexity and potential risks involved in tapering off prescribed chemical psychiatric medications, a careful, well-informed approach is essential. One should always prioritize consultations with licensed healthcare professionals and truly consider multiple perspectives before making decisions about tapering off medications.

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We're excited to announce our free 59-page Medication Interaction and Tapering Resource! This medically peer-reviewed document equips you to make informed decisions about potential interactions. Understand the differences between substances and how your SSRI, SNRI, TCA, or MAOI may impact your experience. This Example Taper Schedule is just a sample of what you'll get in the resource. It also includes a handy tapering log to help you stick to your plan. Get your Medication Interaction and Tapering Resource here: https://lnkd.in/evAnmnJd

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