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How to Get Off Psychiatric Drugs Safely
Copyright Notice Forward A Note From James Harper, Founder, The Road Back Table of Contents
Part One
3. Suggested Nutritionals for The Road Back Program 6. General Pre-Tapering and Tapering Instructions 9. Pre-Taper For: Benzodiazepines, Anti-Convulsants, Anti-Anxiety & Sleep Medication 10. Pre-Taper For Antidepressants, Antipsychotics, and ADHD Medication 11. How to Taper Off Benzodiazepines, Anti-Convulsants, Anti-Anxiety and Sleep Medication (Slow and Gradual Taper) 12. How to Taper Off Benzodiazepines, Anti-Convulsants, Anti-Anxiety and Sleep Medication (Fast and Gradual Taper) 13. How to Taper Off Antidepressants, Anti-Psychotics and ADHD Medication (Slow and Gradual Taper) 14. How to Taper Off Antidepressants, Anti-Psychotics and ADHD Medication (Fast and Gradual Taper)
16.
What to Do If You Have Already
Started to Taper Off Your Medication
or 17. How to Taper Off Multiple Drugs 18. What You Can Do If You Have Never Taken Psychiatric Drugs 19. Science Behind The Road Back Program
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Chapter Nineteen THE SCIENCE BEHIND THE ROAD BACK INTRODUCTION
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Drug |
P450 Enzyme Pathway |
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Antidepressants |
1A2 |
2C19 |
2C9 |
2D6 |
3A |
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Anafranil |
X |
X |
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X |
X |
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Celexa |
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X |
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X |
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Cymbalta |
X |
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X |
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* Elavil |
X |
X |
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X |
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Effexor |
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X |
X |
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Lexapro |
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X |
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X |
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* Luvox |
X |
X |
X |
X |
X |
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Pamelor |
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X |
X |
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* Paxil |
X |
X |
X |
X |
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* Prozac |
X |
X |
X |
X |
X |
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Remeron |
X |
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X |
X |
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Sarafem |
X |
X |
X |
X |
X |
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Strattera |
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X |
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X |
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* Tofranil |
X |
X |
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X |
X |
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Trazodone |
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X |
X |
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* Wellbutrin |
X |
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X |
X |
X |
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* Zoloft |
X |
X |
X |
X |
X |
These marked medications (*) will also use other routes for
metabolism:
Elavil UGT1A4, UGT1A3, P-gp
Luvox 2B6, P-gp, intestinal 3A
Paxil 2B6, P-gp
Prozac 2B6, P-gp
Tofranil UGT1A4, UGT1A3, P-gp
Wellbutrin 2E1, 2A6, 2B6
Zoloft UGT2B7, UGT1A4, P-gp, 2B6
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Drug |
P450 Enzyme Pathway |
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Anti-psychotics
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1A2 |
2C19 |
2C9 |
2D6 |
3A |
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Abilify |
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X |
X |
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* Clozaril |
X |
X |
X |
X |
X |
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* Geodon |
X |
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X |
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* Haldol |
X |
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X |
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* Risperdal |
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X |
X |
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* Seroquel |
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X |
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* Zyprexa |
X |
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X |
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Other |
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Cogentin |
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X |
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* Lithium |
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These marked medications (*) will also use other routes for
metabolism:
Clozaril FMO, UGT1A4, UGT1A3
Geodon Aldehyde oxidase substrate
Haldol Glucuronidation, P-gp
Risperdal P-gp, renal extraction
Seroquel Glucuronidation, P-gp, intestinal 3A, epoxide by quetiapine
Zyprexa Glucuronidation, FMO, UGT1A4.
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Drug |
P450 Enzyme Pathway |
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Benzodiazepine
Anti-anxiety Sleep Medication
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1A2 |
2C19 |
2C9 |
2D6 |
3A |
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Ambien |
X |
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X |
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X |
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Ativan |
UGT2B7 |
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* BuSpar |
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X |
X |
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* Depakote |
X |
X |
X |
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X |
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Klonopin |
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X |
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Librium |
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X |
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* Valium |
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X |
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X |
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* Xanax |
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X |
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X |
These marked medications (*) will also use other routes for
metabolism:
BuSpar Intestinal 3A
Depakote UGT2B7, UGT1A6, UGT1A9, UGT2B15, UGT1A4, UGT1A3
Valium 2B6, UGT2B7, intestinal 3A
Xanax Hepatic 3A.
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Drug |
P450 Enzyme Pathway |
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Stimulants
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1A2 |
2C19 |
2C9 |
2D6 |
3A |
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Adderall |
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X |
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* Concerta |
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X |
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Dextrostat |
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X |
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* Ritalin |
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X |
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