Hi Everone just a rough outline of titration/suspension method:
The approach is sometimes referred to as a 'symptoms based taper'. This is hopefully how you can withdraw without suffering too much. This approach basically calls for you to heal with your cut rate by trying to stay virtually non-symptomatic and if/when symptoms appear utilising a slow down, a hold, or an up-dose.
REDUCTION METHOD
1 ml liquid amitriptyline and place in 100ml of water which can be reduced over a period of time, hopefully giving you a slow and smooth taper with few side effects.
Below are the number of mls you would need to reduce each day to achieve the required number of (approx) days shown. Of course most people will be taking more than a 1mg dose, so you would take your additional dose (ie if your dose is 6mg, you would use the 100ml solution for 1mg and take an additional 5mg in tablet or liquid form).
Reduce 100ml by 10ml per day = 10 days to reduce 1mg
Reduce 100ml by 9.5ml per day = 11 days to reduce 1mg
Reduce 100ml by 9ml per day = 11 days to reduce 1mg
Reduce 100ml by 8.5ml per day = 12 days to reduce 1mg
Reduce 100ml by 8ml per day = 12 days to reduce 1mg
Reduce 100ml by 7.5ml per day = 13 days to reduce 1mg
Reduce 100ml by 7ml per day = 14 days to reduce 1mg
Reduce 100ml by 6.5ml per day = 15 days to reduce 1mg
Reduce 100ml by 6ml per day = 16 days to reduce 1mg
Reduce 100ml by 5.5ml per day = 18 days to reduce 1mg
Reduce 100ml by 5ml per day = 20 days to reduce 1mg
Reduce 100ml by 4.5ml per day = 22 days to reduce 1mg
Reduce 100ml by 4ml per day = 25 days to reduce 1mg
Reduce 100ml by 3.5ml per day = 28 days to reduce 1mg
Reduce 100ml by 3ml per day = 33 days to reduce 1mg
Reduce 100ml by 2.5ml per day = 40 days to reduce 1mg
Reduce 100ml by 2ml per day = 50 days to reduce 1mg ******
Reduce 100ml by 1.5ml per day = 66 days to reduce 1mg
Reduce 100ml by 1ml per day = 100 days to reduce 1mg
So, using the amount I marked with asterisks as an example, this would be your dosing schedule (+ you would also need to take whatever amount you needed to take in tablet or liquid form to make up your full dose).
Day 1 – Drink the 100ml solution
Day 2 – Make a new solution and drink 98ml (so with syringe take out 2 ml and discard)
Day 3 – Make a new solution and drink 96ml (discard 4 ml)
Day 4 – Make a new solution and drink 94ml
Day 5 – Make a new solution and drink 92ml
Day 6 – Make a new solution and drink 90ml
etc etc…….. until you reach zero. Then you would start the process again, but reduce the amount of tablets or liquid you are taking by 1mg, because you have now reduced your dose by 1mg.
Hope this helps