Tapering

Medical schools prepare doctors for prescribing drugs, not deprescribing, and pharmaceutical companies do not develop protocols for helping people taper off prescription drugs. The lack of protocols for tapering from prescription drugs has also contributed to many people being on multiple drugs. The RxISK Polypharmacy Index can help you determine if you are taking too many drugs.

It is important to recognize that tapering can be a complex and challenging process, particularly for individuals taking multiple prescription drugs. Protocols for discontinuing drugs need to be individualized, and consumers (parents, guardians or caregivers) need to be prepared for withdrawal symptoms. If tapering is done too quickly, the withdrawal symptoms might make doctors think their patient is relapsing, particularly with psychiatric drugs.

If you are considering tapering off psychiatric drugs, the TaperClinic might be a good place to start. The founder, Dr. Josef Witt-Doerring, is a former medical officer in the psychiatry division at the FDA (Food and Drug Administration) in the United States, who has also worked at pharmaceutical companies in clinical research and drug safety positions. Dr. Witt-Doerring has interviewed many people about deprescribing on his podcast and there are resources on the media page that might be helpful.

Another group that provides support to people who are tapering off psychiatric drugs is Inner Compass Initiative. This charitable organization, which was founded by Laura Delano, provides forums for people who are withdrawing from psychiatric drug to exchange personal experiences, and talk about mutual aids, resources and what needs to change the way the world understands and addresses the challenges that come with being human in the modern age.