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Withdrawal

Since the summer of 2002, I've gotten off about 8 prescription drugs and then gotten off most of the OTC drugs I took after that. When I make major changes to my diet, I typically go through withdrawal as well. So withdrawal is commmonplace in my life in recent years and I have learned to cope with it pretty effectively. In my experience, doctors generally don't do a good job of helping people get off medication. From things I read on email lists, it appears that most people don't know how to effectively cope with it. So here is some of what I know about successfully making the transition off of all the drugs.
Sugar:
IF sugar is not a big issue, it can be used to take the edge of the pain and misery of withdrawal. One weekend when I was going through really bad withdrawal, going cold-turkey off antihistamines after moving to a cleaner housing situation, my son gave me a single sugar cookie. He was refusing to give me advil because he didn't want more medication in my system and his option was to give me one (and only one) cookie. (I may have had three or four cookies over the course of the weekend. I just mean he gave me a single cookie the way you might give a single advil. He did not give me a plate of cookies.) It did make me much less miserable. Sugar in small amounts can sometimes take the edge off pain. Just don't let that become a new addiction and, of course, don't eat so much of it that you screw up your blood sugar.
Sweating it out:
I find that showering more often and changing my clothes more often and cleaning my sleep area more often helps when I am going through withdrawal. During withdrawal, I find that I sweat out a lot of stuff and it gets on my skin, in my clothes,etc. Cleaning those things more often can help gently support the process of getting the junk out of the system.
Support Drugs
Sometimes it's not possible to get off one drug without taking another drug to help support your body through the process. It took me three tries to get off steroids. I wasn't successful until one friend suggested guaifenisen to help support my lungs and another friend told me that I really needed to ween myself off the drug instead of going cold turkey. Getting off of steroids is extremely hard on the body. It was the hardest drug for me to get off. I couldn't successfully do it without first putting some supports in place.
Weening
If at all possible to arrange this, gradually reducing the dose over time is the gentlest way to get off medication. If you have a serious medical condition (like cystic fibrosis), going cold turkey can cause an exacerbation which lands you in the ER and gets you prescribed yet more drugs. There are times when going cold turkey is the best thing to do. But most of the time, gradually reducing the dosage is the best way out of this trap.
Going Cold Turkey
Cold turkey can work if the reason you were taking the drug has suddenly ended. When I moved to a cleaner housing situation, I immediately stopped taking the antihistamines I had been on for months. The move to cleaner housing was going to be a crisis anyway -- a form of withdrawal, actually -- and you can't move to a new home gradually. You do it all at once. So there really wasn't a means to avoid "cold turkey". It also meant that the reason I was taking antihistamines had suddenly ceased to exist. So although withdrawal that weekend was dreadful, it did not cause me a medical crisis requiring a trip to the emergency room. I laid on the floor in a darkened room (light sensitivity) and was a basket case for two days. But no exacerbation of my medical condition occurred.
Two Steps Forward, One Step Back
I have noticed that getting off medication is often not a "once and for all" thing. It is really common for me to stop taking medication and be fine without it for a few weeks, then go back on it at a lower dose than what I was taking before. Then I quit again at some point. I might go back on it yet again, usually at an even lower dose than before. I think the mechanism here is that as I repair my body, I then need less of the drug. At first, there is so much lingering in my system that I can do without and still have enough to get the effect I need. Then when it drops below some threshold, I have to resupply, but at a lower dose. I guess this is a slightly different version of weening. I mention it in part because I used to feel like a huge failure when I would get off a drug temporarily and then start taking it again. Eventually I realized that I usually went back on it at a lower dose and it was, in fact, forward progress.
Fixing The Underlying Problem
This is the crux of the matter: You can't just stop taking a drug. You first have to resolve the underlying problem that causes you to need that drug. Of the eight or so prescription medications I once took, about five of them had anti-inflammatory properties as either their primary or secondary purpose. When I realized the connection between acidity and inflammation and began working on getting the acidity under control, that allowed me to gradually take fewer anti-inflammatory drugs. Digestive enzymes are not technically a drug, but my son and I got off of them after we added coconut oil and sea salt and reduced yeast in our diet. I had to do a lot more than that to heal my gut and it took me longer to get off the digestive enzymes than it took him. But the principle is the same: Healing the gut meant we no longer needed to take pills with our meals.
Listening To My Body
As I gradually heal, I often find that I just forget to take medication (or supplements) or I remember it two hours later than usual, etc. These days, I view such incidents as indicators that my body doesn't need as much of whatever I am forgetting to take. My usual response is to lower the dosage. It is a very natural, organic form of weening. There is no plan or schedule. I just pay attention to what my body is telling me about what it needs and take less of something I am needing less of. This goes hand in hand with the point above: If I am fixing the underlying problem, that is when I find myself just not needing so much of it until eventually I don't need it at all.

Email Michele

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