17 U.S. Code § 107 - Limitations on exclusive rights: Fair use
Notwithstanding the provisions of sections 106 and 106A, the fair use of a copyrighted work, including such use by reproduction in copies or phonorecords or by any other means specified by that section, for purposes such as criticism, comment, news reporting, teaching (including multiple copies for classroom use), scholarship, or research, is not an infringement of copyright. In determining whether the use made of a work in any particular case is a fair use the factors to be considered shall include—
(1) the purpose and character of the use, including whether such use is of a commercial nature or is for nonprofit educational purposes [all mirrored content falls under this clause, any ads present are mirrored from the original site, mirrored content earns me no revenue whatsoever];
(2) the nature of the copyrighted work [this is a unique resource for the mentally ill, and preservation of it can be argued to be incredibly important];
(3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole; and
(4) the effect of the use upon the potential market for or value of the copyrighted work. [absolutely none whatsoever, as the original work no longer exists anywhere else (outside of whatever bits and pieces archive.org managed to capture) - the original site was intermittantly completely unavailable for a extended period of time before its SSL certificate expired (and was never renewed), and eventually the site went offline for good, then finally the DNS records were removed at some point prior to May 2018, so at this point it is well beyond the 'dead and rotting' stage]
The fact that a work is unpublished shall not itself bar a finding of fair use if such finding is made upon consideration of all the above factors.

This domain is not controlled by Jerod Poore, and I will NOT continue redirecting traffic from this domain to crazymeds.us [as I formerly did] while Jerod continues with his immature temper tantrum over adblock or continues to fail to maintain his site, fucking over his entire community and countless visitors in the process. [belated clarification: with specific regards to the adblock drama I was referring to Poore at one point replacing his entire site with a single page complaining about the amount of revenue lost to users with ad blocking active, which is something that I took extreme exception to because this affected ALL visitors to the site regardless of if or if not they were actually using ad blocking]
This mirror is unfortunately incomplete (and very slightly outdated), as /CrazyTalk/ was not included when I scraped the site (it was far too large to scrape given the site's extremely poor performance, my wish to avoid worsening the poor performance further, and other factors). If you're looking for a replacement forum, I suggest visiting https://www.crazyboards.org/forums/. There are issues with many of the mirrored pages, I am working on identifying and fixing them, but I do not have the time to address every single issue at this moment (although by now the majority of these issues have been resolved). Dynamic content is obviously completely broken (this is beyond my control), and the loss of /CrazyTalk/ is quite bad given how much good user-generated info was on there, but you have Jerod to "thank" for that. Maybe I'll bring it back online at some point, but it wouldn't be the same as before. For now, I suggest visiting CrazyBoards instead.
Note (Oct 9 2018): Infrequent additional updates regarding the status of this site will be posted on https://info.crazymeds.net

tips on how to quit taking crazy meds

Tips on How to Take Psychiatric/Neurological Drugs | Common Crazy Med Crap Index | Mixing Your Med Cocktail with Actual Cocktails

1.  Why Stop Now?

Lots of people hit this site wanting to know how to stop taking their crazy meds. That’s understandable. There are many good reasons to stop taking the meds. There are also many bad reasons to stop taking them. I’ll try to help you sort out the good from the bad reasons. But if you do have good reasons, you have to quit taking the medications safely. Sudden or rapid discontinuation can lead to many problems. This guide is help you work with your doctor to decide if it’s a good idea or not to stop taking a drug, and, if so, work out a good discontinuation schedule for the med.

1.1  Stop in the Name of…

Some good reasons to quit taking psychiatric / neurological medications

  • Really nasty side effects (adverse reactions) such as
    • Severe allergic reactions.
    • Especially fast-spreading, itchy rashes accompanied with a fever.
    • Fainting (syncope) or otherwise losing consciousness.
    • Blood dyscrasias, which is fancy doctor talk for way too many or too few white or red blood cells, or some other weird problem with your blood. Lots of meds, crazy and otherwise, call for regular blood tests to look for this sort of thing.
    • Inexplicable bruises all over the place, especially lots of little bruises in clusters that look sort of like a big rash.
    • The whites of your eyes turning yellow and/or your skin looking waxy and yellowish. Along with all the bruising this is a symptom of jaundice.
    • Your hair falling out in clumps, and not just thinning.
    • Seizures if you’re not epileptic or your epilepsy was under control. Otherwise you and your doctor can figure out if the med in question had anything to do with it.
    • Irregular heartbeats and similar problems (cardiac dysrhythmia/arrhythmia).
  • Of course you could have actually gotten better.

1.2  Don’t Stop the Music

Bad reasons to stop taking your medication(s):

  • Side effects that are more annoying than dangerous. Especially those that usually go away. Even if “usually” is often qualified with “eventually.”
  • You’ve felt better for all of three days. Or thirty.
  • You feel really good.
    • You feel really, really good.
    • You’ve never felt so good in your entire life and are finally ready to write that screenplay that’s been rolling around in your head while taking that hiking trip across Europe you’ve been wanting to do since you were in high school…
    • This is probably a manic reaction and should be listed as a reason to call your doctor immediately because you need to stop taking this med, and start taking another one right away.
  • You, your friends, your family, and society in general consider taking medication for a mental illness and/or neurological condition is a sign of weakness.
  • Tom Cruise says you shouldn’t be taking meds because the ghosts of tortured space aliens channeled by L. Ron Hubbard told him so.
  • Yet another TV show had an episode about how medication is always bad and it’s better to solve your problems without it, no matter what your problems are.

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2.  I Can Stop if I Want to

You must work with your doctor, both to figure out if you should be discontinuing the drug and how to quit. We try to provide information on how to discontinue a med, based on information like the half-life of a drug. But it’s your doctor who has experience with taking people off of meds, and you and the people around you have to monitor for the return of any symptoms.
Even if you’re replacing one med with another you have to be on the lookout for symptoms coming back. You’ll want to keep some kind of diary, a blog, something to keep track of how you feel every day. At some point if it starts to suck, then you know you’ve lowered your dosage too far. But, hey, maybe you can get along at a lower dosage. It’s not quitting, but it’s probably better than taking more than you needed.

The most important thing to remember is this - your symptoms have gone away BECAUSE THE MEDS ARE WORKING! It’s not necessarily because you’ve been cured. There is no cure for a lot of these disorders. For many of us the meds are a life sentence and you just have to accept that.

3.  Quit it.

While each med will have a unique, or nearly unique discontinuation schedule, classes of medications have similar effects to be aware of when you stop taking them. Especially if you’re discontinuing too rapidly2.

  • Anticonvulsants/antiepileptic drugs (AEDs). With gradual discontinuation the worst most people experience is a headache, slight dizziness, confusion and sensitivity to sound and/or light. In other words, the symptoms of what AEDs treat: migraines and simple partial seizures. Discontinue too quickly, or stop a high dosage suddenly, and you risk seizures, even if you’re not epileptic.
  • SSRIs and SNRIs are notorious for their discontinuation syndromes.
  • Abrupt discontinuation of high doses of benzodiazepines can lead to seizures in addition to dysphoria, insomnia, muscle cramps, vomiting and sweating.
  • The discontinuation of antipsychotics (APs), especially atypical antipsychotics (AAPs), has been likened to taking small amounts of psychedelic drugs. Whether that is a good or bad thing is up to individual experience. Others get rebound symptoms for a day or two, sometimes longer and that’s about it.
    • Abrupt discontinuation of Thorazine (chlorpromazine HCl) and other phenothiazines can lead to one nasty rebound symptom of something you may not have had: severe nausea and vomiting, as they are really good at treating that sort of thing.

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4.  Rule of Thumb

Unless there is at least one of:

  • A specific protocol on how to discontinue a drug in the PI sheet.
  • The drug has a generally accepted discontinuation plan, such as Lamictal’s “decrease the dosage at the same rate you increased it.”
  • Your doctor told you something other than, “just stop taking it” without giving you a prescription/samples of a med that works in a very similar fashion (e.g. swapping one SSRI or SNRI for another).

You may have to come up with your own plan on how to stop taking a med, formally known as a discontinuation schedule. We have a rule of thumb on how to stop taking most psych meds that is the basis for a lot of the discontinuation schedules we’ve written up:
Decrease the dosage by the standard titration amount (whatever the PI sheet tells you to increase the dosage by when you start taking it) by the average time it takes to clear from your system. We have clearance time listed for all of our meds, but in case we don’t, or you’re taking a med that we haven’t written up, multiply the half-life by five and round up to the nearest day.3 You should find that in the pharmacology section of the drug’s full prescribing information - the PI sheet. Unfortunately the half-life isn’t known, or firmly established for all medications. If there is no half-life, look for something called “steady state” and use that as the clearance time. Otherwise ask your doctor again and, if you have no other choice, use one week as the clearance time.
For example: with most SSRIs it works out to reducing your dosage by 10–20mg a day every five to six days.

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Tips on How to Take Psychiatric/Neurological Drugs | Common Crazy Med Crap Index | Mixing Your Med Cocktail with Actual Cocktails

1 When it comes to kindling, no one has defined "frequent" or "severe," or what constitutes a long time.

2 If you have to stop taking a med because of a severe allergic reaction or equally important reason you're just shit out of luck about a gradual discontinuation. While allergic reactions almost always happen at the very beginning of treatment, every now and then it happens after somebody's been taking a med for years.

3 The half-life times five is known as "plasma clearance," and is based on Julien's calculations from A Primer of Drug Action. It is the generally accepted estimate of how long it takes a med to be eliminated from the system of someone with a normal metabolism.

How to Discontinue / Withdraw from Psychiatric Drugs by Jerod Poore is copyright © 2011 Jerod Poore

Last modified on Wednesday, 18 March, 2015 at 13:14:56 by JerodPoorePage Author: Jerod PooreDate created: 26 May 2011

All drug names are the trademarks of someone else. Look on the appropriate PI sheets or ask Google who the owners are. The way pharmaceutical companies buy each other and swap products like Monopoly™ real estate, the ownership of any trademarks may have changed without my noticing.

Page design and explanatory material by Jerod Poore, copyright © 2003 - 2015. All rights reserved.
Keep up with Crazymeds and and/or my slow descent into irreparable madness boring life. Pick your preferred social media target(s):

Almost all of the material on this site is by Jerod Poore and is copyright © 2003, 2004, 2005, 2006, 2007, 2008, 2009, 2010, 2011, 2012, 2013, 2014, and 2015 Jerod Poore. Except, of course, the PI sheets - those are the property of the drug companies who developed the drugs the sheets are about - and any documents that are written by other people which may be posted to this site will remain the property of the original authors. You cannot reproduce this page or any other material on this site outside of the boundaries of fair use copying without the express permission of the copyright holder. That’s usually me, so just ask first. That means if want to print out a few pages to take to your doctor, therapist, counselor, support group, non-understanding family members or something like that - then that’s OK to just do. Go for it! Please. As long as you include this copyright notice and something along the lines of following disclaimer, I’m usually cool with it.

All rights reserved. No warranty is expressed or implied in this information. Consult one or more doctors and/or pharmacists before taking, or changing how you take any neurological and/or psychiatric medication. Your mileage may vary. What happened to us won’t necessarily happen to you. If you still have questions about a medication or condition that were not answered on any of the pages you read, please ask them on Crazy Talk: the Crazymeds Forum.
The information on Crazymeds pertains to and is intended for adults. While some information about children and adolescents is occasionally presented (e.g. US FDA approvals), pediatric-specific data such as dosages, side effects, off-label applications, etc. are rarely included in the articles on drugs or discussed on the forum. If you are looking for information regarding meds for children you’ll have to go somewhere else. Plus we are big pottymouths and talk about S-E-X a lot.
Know your sources!
Nobody on this site is a doctor, a therapist, or a pharmacist. We don’t portray them either here or on TV. Only doctors can diagnose and treat an illness. While it’s not as bad as it used to be, some doctors still get pissed off by patients who know too much about medications, so tread lightly when and where appropriate. Diagnosing yourself from a website is like defending yourself in court, you suddenly have a fool for a doctor. Don’t be a cyberchondriac, thinking you have every disease you see a website about, or that you’ll get every side effect from every medication1. Self-prescribing is as dangerous as buying meds from fraudulent online pharmacies that promise you medications without prescriptions.
All information on this site has been obtained from the medications’ product information / summary of product characteristic (PI/SPC) sheets and/or medication guides - which is all you get from sites like WebMD, RxList, NAMBLA NAMI, etc., the sources that are referenced throughout the site, our personal experience and the experiences family, friends, and what people have reported on various reputable sites all over teh intergoogles. As such the information presented here is not intended as a substitute for real medical advice from your real doctor, just a compliment to it. You should never, ever, replace what a real doctor tells you with something from a website on the Internet. The farthest you should ever take it is getting a second opinion from another real doctor. Educate yourself - always read the PI/SPC sheet or medication guide/patient information leaflet (PIL) that comes with your medications and never ever throw them away. OK, you can throw away duplicate copies, but keep at least one, as that’s your proof of purchase of having taken a med in case a doctor doubts your medical history. Plus they take up less space than a bottle, although keeping one inside of a pill bottle is even better.
Crazymeds is not responsible for the content of sites we provide links to. We like them, or they’re paid advertisements, or they’re something else we think you should read to help you make an informed decision about a particular med. Sometimes they’re more than one of those things. But what’s on those sites is their business, not ours.
Very little information about visitors to this site is collected or saved. From time to time I look at search terms used and which pages they bring up in an effort to make the information I present more relevant. And the country of origin, just because I’m geeky like that. That’s about it. Depending on how you feel about Schrodinger, our privacy policy should either assuage or exacerbate your paranoia.
Crazymeds is optimized for ridiculously large screens and browsers that don’t block ads. I use Firefox and Chrome, running under Windows 72. On a computer that sits on top of my desk. With a 23 inch monitor. Hey, at least you can make the text larger or smaller by clicking on the + or - buttons in the upper right hand corner. If you have Java enabled. Like 99% of the websites on the planet, Crazymeds is hosted on domain running an open source operating system with a variety of open source applications, including the software used to display what you’ve been reading. As such Crazymeds is not responsible for whatever weird shit your browser does or does not do when you read this site3.
No neurologists, psychiatrists, therapists or pharmacists were harmed in the production of this website. Use only as directed. Void where prohibited. Contains nuts. Certain restrictions may apply. All data are subject to availability. Not available on all mobile devices, in the 12 Galaxies Guiltied to a Zegnatronic Rocket Society, or in all dimensions of reality. Hail Xenu!

‘Everything is true, nothing is permitted.’ - Jerod Poore

1 While there are plenty of books to help you with hypochondria, for some reason there’s not much in the way of websites. Then again, staying off of the Internet is a large part of curing/managing the disorder.

2 Remember kids, Microsloth operating systems are like TOS Star Trek movies with in that every other one sucks way, way more. With TOS Star Trek movies you don’t want to bother watching the odd-numbered ones. With Microsloth OS you don’t want to buy and install the even-numbered ones. Anyone who remembers ME and Vista knows what I mean.

3 Have I mentioned how open source operating systems for commercial applications is one of the dumbest ideas in the history of dumb ideas?* I don’t even need my big-ass rant any more. Heartbleed has made my case for me. And that’s just the one that got all the media attention. The very nature of an open source operating system makes security as much of an illusion as anonymity on teh Intergoogles. Before you flip out too much: the domain Crazymeds is hosted on uses a version of SSL that is not affected by the Heartbleed bug. That’s one of the many reasons why I pay a lot of money and keep this site on Lunarpages.

* Yes, I know I’m using open source browsers. I also test the site using the now-defunct IE and Safari browsers. Their popularity - and superiority - killed IE and Safari, so that’s why I rely on the open source browsers. It’s like brand vs. generic meds. Sometimes the generic is better than the brand.

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