Good luck to the 2 of you. Make sure to do the downward cutting motion quickly. GoodRx is not sponsored by or affiliated with any of the third-party brands identified. Even with GoodRx coupons, getting more pills of the lower strength is less costly. I have been on 20mg for 18 months now which i take for IBS as well as insomnia & headaches i was experiencing which i am not now. Your doctor should do this because a major depressive episode is usually the first symptom noticed in people with bipolar disorder. My success story: Blue skies ahead, clear sailing. So my pearls of wisdom are. Don't be fearful and stay determined. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. I was on that for 2 months when the doctor then increased it to 20 mg to help morewith insomnia. They cant hurt your medication. Researchers say When I hit 3mgpw it became hard to split the drop into 4 parts so I switched to dropping 1mgpw (pill weight) every week for 3 weeks and then holding for another 3 weeks. Maybe ask you doc if you could reduce your night dose.Hope it works out for you :), depression, anxiety, fibromyalgia, sleep disorders, amitriptyline, sleep, dosage, heart, sleep disorder. Not sensible to do that. CFS and issues with MOULD in my home. Some people have trouble swallowing tablets that are too big. I believe anxiety is a common one. report this API to be freely soluble in water. 5. A common Amitriptylin withdrawal symptom is: Headaches This can be a particularly frustrating symptom for people who started taking Amitriptylin to treat their migraines; however, it is a common withdrawal effect. What dose of amitriptyline will lift my mood. I had to increase walking exercise to ensure I could be tired enough for sleep and I manage the migraine in a more holistic way. I swivel between doses, sometimes upping and sometimes downing, but I always do it in halves, as I tried dropping/increasing by going up a whole pill and that lead to side effects. What to know about getting help for depression. Tablets with a score line typically mean they can be split. ???? Ask an Expert Medical Questions Pharmacy Questions the-good-doctor, Medical Doctor 82,621 Satisfied Customers Medical Doctor Trained in Pharmacology the-good-doctor is online now Related Pharmacy Questions Absolutely, in some cases but its a process that can come with definite risks, primarily related to getting a correct dosage. What to do if you miss a dose: Take your dose as soon as you remember. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. These nifty pill cutting devices which often can be purchased for just a few bucks are a much better option than, ahem, other more creative methods. Patient is a UK registered trade mark. 2016Withdrawal research. For more accurate splitting, look for a specialized pill cutter at a pharmacy or online market. So if you need to take a lower strength tablet, you can ask your doctor to change your prescription, The reason I wanted to cut 25 mg , is 25 mg is too much , however 10 mg to little I needed an in between guess Ill stick with 25 mg or does anyone have any other ideaImipramine does not work well for me Not doxepin , for chronic pain,insomnia. Now at 2.5mg I still get sleep but will see in 4-5 weeks if I need to stop it. Thats where the discussion needs to start.. or can i take same dose in the morning? Amitriptyline comes only as a tablet you take by mouth. This person wanted was a sleeping tablet, this doctor has written on the box ""take one at night, as required"". with an SRNI!!!!!!!!!!!!!!!! Amitriptyline can cause dizziness and drowsiness during the first few hours after you take it. I thought it was an old tricyclic, this thread has put me straight. I took 10 mg tablets, once a day for three nights then stopped. Be careful w/ other drugs too. Its best to buy a pill splitter if you take oral medications on a regular basis. Burning in head has lessened. I can't taper anymore. For people who have schizophrenia: This drug can worsen certain symptoms of schizophrenia. WebYou can get lower dosages of this as I was on 10mg per day, which doesn't count as an anti-depressant dosage, but it may help you with the side effects. Adults and children 15 years of age and older10 milligrams (mg) once a day in the evening. But if your tablet has a score line, its most likely safe to cut it in half. I added in an extra 6 week hold when I hit 10mg to let things settle out even more. This division continues until there is an untraceable You should always check with your pharmacist before splitting any tablets. Look on the package and check with the manufacturer. Remember though, that you can only split medication tablets and only if they're scored. Splitting pills is not ideal and can be dangerous especially if certain precautions arent taken. After another 20 hours have elapsed, a person would have 5 mg of the drug in their system. Amitriptyline as such is rapidly absorbed but owing to the sustained release from SAROTEN RETARD capsules amitriptyline only becomes available for absorption slowly. This mark, or notch, offers assistance to make a clean cut usually to make two even halves. Patient aims to help the world proactively manage its healthcare, supplying evidence-based information on a wide range of medical and health topics to patients and health professionals. The 3 + 3 schedule turned out to be too harsh so I cut back to dropping 1mgpw every 4 weeks which is working better. You should not take these drugs and amitriptyline at the same time. It was a while ago now but I think I was taking 25mg at night and I started by going to 20mg (using the 10mg tablets) and then after a few days halved a tablet, taking it in 5 mg stages. If you have a history of seizures, your doctor will monitor you closely while youre taking this drug. Always speak with your doctor or pharmacist about dosages that are right for you. Serious side effects of amitriptyline oral tablets that have been reported include: heart problems, such as: abnormal heart rhythm heart attack increases or Some may be better suited for you than others. Lets go through some common medications that are safe to split. MNT is the registered trade mark of Healthline Media. I went one day on and nd off and can say had no withdrawal symptoms apart from a few sleepless nights as my body adjusted to not having the synthetic sleep inducer. Dont take this drug again if youve ever had an allergic reaction to it. Is it okay to cut these pills if they are not scored? This might be a gastric juice resistant coating. Stephen Hawking, I merged your posts here, into the Amitryptyline tapering topic, 2022 May- continuing with limited activity on site, just something I need to do right now. So it is okay to take them as needed? Stopping it suddenly may cause side effects such as nausea, headache, and tiredness. But dont just assume its safe to split any pill with a score mark. It hasnt been confirmed that amitriptyline is safe and effective for use in children younger than 17 years. Youll probably have to compare the costs of different strengths of your medication to see what would save you the most money. Rounding up to 30 years of medications(30 medication trials, poly-pharmacy maximum was 3 at one time). 9beads. Withdrawal (if you suddenly stop taking this drug). Disclaimer: Medical News Today has made every effort to make certain that all information is factually correct, comprehensive, and up to date. Mix this up and let it stand for an hour, shaking occasionally. respect of any healthcare matters. But the reality is that the slicing and dicing of medications happens and it happens a lot. Discuss any decisions about your medical care with a knowledgeable medical practitioner.1997-1999 Effexor; 2002-2005 Effexor XR 37.5 mg linear taper, dropping same #beads/week with bad results, Cymbalta 60 mg 2012 - 2015; 2016: 20 mg to 7 mg exact doses and dates in this post; 2017: 6.3 mg to 0.0 mg Aug. 12; details here, scallywag's IntroductionOnline spreadsheet for dose taper calculations and nz11's THE WORKS spreadsheet. You should always consult your doctor or another healthcare professional before taking any medication. Examples include: Many cholesterol medications can also be cut in half. For example, lets compare the costs of tadalafil (generic Cialis). My doc wants me to take a course of steroids and I am not sure how this will effect my symptoms. Cutting pills in half is not recommended for people with poor eyesight, arthritis, or memory problems. If you are taking the tablets, you can cut them up. I will keep returning to this post for reference. This is perhaps because you have taken yourself off your amitriptyline. They are not scored for cutting but I have done it. Mid 14 3 month taper. Compounding pharmacies can make a liquid from medications that do not have special extended-release coatings or Cymbalta. I would ask a pharmacist if you can cut them in half or ask gp to prescribe 10mg tablets, so you can take cut from 25mg to 20mg & then go down from there. 13Jul -212.5mg;6Aug -200.0mg;24Aug -187.5mg;13Sep -175.0mg;3Oct -162.5mg;26Oct -150mg, 20179Jan -150.00mg;23Mar -137.50mg;24Apr -125.00mg;31May -112.50mg holding; 3Sep -100.00mg;20Sep -93.75mg;20Oct - 87.5mg;12Nov - 81.25mg;13 Dec - 75.00mg. Been put onto this funny old stuff for nerve pain. +0 Answer this question Find similar questions Further information Side effects of amitriptyline 150 mg tablet. Whatever the reason, cutting tablets in half is common. To view profiles and participate in discussions please. You may wish to check what the equivalent prescribing rules are in the U.K.: This is not medical advice. Trazodone - Took 200mg within two hours and still wide awake. Its recommended not to use a knife to split pills. I'm trying graded activity to get rid of my pain. This is the most serious warning from the Food and Drug Administration (FDA). Researchers found that uneven tablet splitting resulted in varying dosages of the split pill, ranging anywhere from 50% to 150% of appropriate levels. 1/2 life is 18-44 hr: So, it should be gone in a matter of days. For people with a history of glaucoma or increased eye pressure: Taking this drug could increase the pressure in your eyes. Its elimination half-life varies from 10 to 50 hours, with an average of 15 hours. After 23 lost years. If you are having difficulty accessing this website, please call or email us at (855) 268-2822 or ada@goodrx.com so that we can provide you with the services you require through alternative means. It comes in three different strengths 10mg, 25mg or 50mg. Policy. Extended-release tablets, capsules, and pills with special coatings on the outside usually cant be split or opened. I thought OK what about cutting the 5mg will it still be effective? Can I split Amitriptyline 25 mg in half (it has number 2102 on it) without causing any issues to its absorption or? He makes it seem as if the withdrawal will be bad and scary. However, because drugs affect each person differently, we cannot guarantee that this information includes all possible side effects. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. Youll need to take it every day and its best to take it in the evening before you go to bed. It can be kept for brief periods between 59F and 86F (15C and 30C). Request permission for repost or publication. Learn more about which treatments can help with depression and where to find them. Some of the most popular examples include: Levothyroxine (Levoxyl, Synthroid, Unithroid) Its not safe to open brand Tirosint capsules. If you dont see a score, ask your pharmacist. Yes, pill splitters work. To be on the safe side, experts recommend tapering by 10% of your current dose per month. This is because it can make you feel sleepy. All rights reserved. This can be very convenient and reduce any problems switching from one form of the drug to another. not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in Take exactly as your doctor has prescribed. After being on the 20 mg dosage for a month I found that I was way too sleepy during the day. Webamitriptyline 10 mg tablet. Does anyone know where I can get Palexia tablets in the UK from. Because of the extremely long elimination half-life of fluoxetine, the potential for interacting with other drugs remains for several weeks after its discontinuation. at the longest, 10mg would be 5mg in 2 days, 2-1/2mg in another 2, 1 in another 2 - you're good to go! Zopiclone: Prescribed for 6 weeks; very fast taper over 6 weeks; free since 2020-01. If you try it, please post your experience in this topic. Talk with your doctor about other drug options that may work for you. Pill splitters are very inexpensive and carried by most pharmacies. Harm reduction: Taper by 10% As with other psychiatric drugs, a conservative taper of 10% per month, calculated on the last dosage (the amount of the decreases keeps getting smaller), is recommended to minimize withdrawal symptoms. The reasons why vary from the economic (saving cash) to the physical (difficulty swallowing a whole tablet). Feb 1996 ct tegretol, tapered Zoloft 8 weeks. as (unexpectedly) pregnant. Its also very easy to cut yourself if you use a knife to cut pills in half. Advertising on our site helps support our mission. If you do it, please post your experience in this topic. Select one or more newsletters to continue. Read post #1 above, you might wish to taper using a liquid preparation. I stopped taking 2 weeks ago. However, I do think two important factors play a part in coming off any drug: Determination and fear. To be on the safe side, replace it within 2 weeks. Taking too much of a medication can lead to a potential overdose. Serious side effects and their symptoms can include the following: Disclaimer: Our goal is to provide you with the most relevant and current information. I use a pill cutter bought from Boots which cuts all pills in half very exactly. Cleveland Clinic 1995-2023. What To Do During the Childrens Medicine Shortage, Fretting About Colonoscopy? Medications that release medication slowly or have a special coating on the outside should never be split. Amitriptyline can increase the risk of suicidal thoughts and behavior, especially in children, adolescents, and young adults. Tips. Its pharmacologic profile is as the table to the right shows (inhibition or antagonism of all sites). I hope to stabilize and improve while holding. (2019). For precise dosing, weigh the pieces with a digital scale. Hi, em! Similar to ER tablets, capsules are often designed to release medications at a certain time or location in the body. They are also tiny so they are kind of hard to cut exactly in half. Keep it in your carry-on bag. Some hospitalized patients may need higher doses. can amitriptyline hcl 10mg be cut in half? Amitriptyline oral tablet is used to help relieve symptoms of, numbness and tingling in your arms and legs, pain or pressure in your chest or upper body, weakness in one part or side of your body. Be sure to tell your doctor about any unusual changes in your behavior and mood. (took me long enough), None of my posts are intended as medical advice. Dec 2016 Jerking has lessened. A prescription for this medication is refillable. If your tablet has a score line on it, typically its OK to split it. Last medically reviewed on August 7, 2022. Always carry the original prescription-labeled container with you. as being in breach of those terms. We avoid using tertiary references. Taking certain drugs with amitriptyline may cause serious side effects. Buying half the number of pills of a higher strength generally costs less. If you stop taking the drug suddenly or dont take it at all: If you dont take amitriptyline, your depression may worsen. So a 50mgai tablet uses 2mL and a 100mgai tablet uses 4mL. Doing a very slow microtaper, down to low doses now and feeling SO much better, getting my old personality and my brain back! Talk to your doctor about these side effects as there may be other meds that would work better for you. In order to reduce withdrawal symptoms, the best method is to conduct a gradual taper based on how you feel to reductions in dosage. to 2019-10; 50mg in 2019 November; attempted CT (very fast taper) in December 2019, reinstated within 2 weeks at 20mg; Start slow taper in June2020:2020-06: 18mg; 2020-08: 16.6mg; 2020-10: 15.9mg; 2020-10: 15.45mg; 2020-10: 15mg; 2020-11:15.45mg; 2020-11: 15mg; 2020-11: 14.5mg; 2020-12: 13.7mg; 2021-02-12: 13mg; 2021-03-05: 12.5mg; 2021-03-11: 12mg; 2021-04-16: 11.5mg; 2021-06-06: 11mg; 2021-10-03: 10.5mg; 2021-11-24: 10mg; 2021-12-23:9.5mg; 2022-01-19: 9mg; 2022-03-08: 8.5mg; 2022-03-29: 8mg; 2022-05-16: 7.5mg; 2022-06-14: 7mg; 2022-07-13: 6.5mg; 2022-08-21: 6mg; 2022-10-29: 6.3mg; 2022-11-29: 6mg; 2022-12-11: 5.5mg; 2022-12-18: 5mg; 2023-01-21: 4.5mg; 2023-02-17: 4mg, Supplements: Fish oil (1g); magnesium glycinate (800mg); melatonin (0.3mg, reduced from 0.6mg in 2022-06). People of all ages who are started on antidepressant therapy should be watched closely for signs of changes in behavior or worsening depression. Amitryptyline is available as a liquid in the UK http://www.patient.co.uk/medicine/Amitriptyline.htm, Order a liquid from a compounding pharmacy. A score is the Clinical Psychology 37 years experience. Do not take an MAOI within two weeks of stopping amitriptyline, unless told to do so by your doctor. If youre filling your prescriptions through an insurance plan, splitting pills may not make a difference in the cost of your medications. Dont split pills in advance. (Zolft HLHS baby). appropriate medical assistance immediately. Discontinued supplements:Vitamin C (1.25g);D3 (4000IU);zinc (15mg); boron (3mg); Hi SurreyGuy-- welcome to SA, I'm so glad you found us. Discuss any decisions about your medical care with a knowledgeable medical practitioner. One study estimated that almost 25% of pills are split. If youve been taking this medication for a long time, you should not stop taking it suddenly. Serotonin syndrome, oh yes! See below for more information about amitriptyline and nortriptyline. Keep the following in mind when it comes to cutting pills in half: Its possible for people who are prescribed a higher dose pill and told to take half, to forget to do so. But its always best to talk to your doctor or pharmacist first. For those of you that have taken Amitriptyline, what dose did you jump off at and what method did you use? This mark, or notch, offers assistance to make a clean cut usually to make two even halves. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Its not ideal to split a pill. Select one or more newsletters to continue. Taken at night to help muscle pain and increased dose during day when needed, to aid a quick sleep to help cut the onset of a migraine. Heres why you should always ask your doctor or pharmacist before cutting a pill. I would suggest you ask your doctor to prescribe Posted Take half in morning half at night. 6 years ago, A 2.5% taper every week may be more comfortable in these situations -- by continually reducing both amitriptyline and nortriptyline, you might stay ahead of any adverse nortriptyline effect. Some people may experience depression during the holidays, such as low mood due to stress or loneliness. Same story. From what I have read online you are not supposed to. Dont store this drug in moist or damp areas, such as bathrooms. I have some tablets of amitriptyline that have a coating. Call 911 if your symptoms feel life threatening or if you think youre having a medical emergency. Registered number: 10004395 Registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA. We do not endorse non-Cleveland Clinic products or services. Its half-life is highly variable, estimated at 10-26 hours, but it breaks down to an active metabolite, nortriptyline, with a half-life of 18-44 hours (see https://online.epocrates.com/u/10a136/amitriptyline. Has it worked for you? Medical care with a knowledgeable medical practitioner medical advice years experience 18-44 hr: so, should. Life is 18-44 hr: so, it should be watched closely for of... Pharmacologic profile is as the table to the sustained release from SAROTEN RETARD capsules amitriptyline only available. Has number 2102 on it, typically its OK to split pills 2.5mg i still get sleep but see! For cutting but i have some tablets of amitriptyline 150 mg tablet a score is the most.! In moist or damp areas, such as bathrooms recommended not to use a knife to pills. Is it okay to cut these pills if they are also tiny so they are not supposed to hour shaking... Knife to cut it in half to bed you try it, post... 6 week hold when i hit 10mg to let things settle out even more and fear on a basis... Let things settle out even more part in coming off any drug: Determination and fear serious warning the! I have some tablets of amitriptyline 150 mg tablet in a matter days! Read online you are taking the tablets, capsules, and young adults physical ( difficulty swallowing a tablet... //Www.Patient.Co.Uk/Medicine/Amitriptyline.Htm, Order a liquid preparation recommended not to use a pill splitter if use... The Childrens Medicine Shortage, Fretting about Colonoscopy i still get sleep but will see 4-5. Not have special extended-release coatings or Cymbalta not be used as a liquid from medications that too... 37 years experience elimination half-life of fluoxetine, the potential for interacting with other drugs remains for several after... None of my pain: Levothyroxine ( Levoxyl, Synthroid, Unithroid its. Capsules are often designed to release medications at a certain time or location in the UK http: //www.patient.co.uk/medicine/Amitriptyline.htm Order. Reality is that the slicing and can i cut amitriptyline 10mg in half of medications happens and it happens a lot remember though, that can!: Many cholesterol medications can also be cut in half ( it has number 2102 on it, please your... The discussion needs to start.. or can i take same dose in the body insurance plan splitting. Drugs and amitriptyline at the same time Micklefield Lane, Rawdon, Leeds, LS19 6BA outside usually cant split... An MAOI within two weeks of stopping amitriptyline, what dose did you jump off at and what method you! Of all sites ) extremely long elimination half-life varies from 10 to 50 hours, with an of. Only split medication tablets and only if they are also tiny so are... About dosages that are safe to cut it in the cost of current. You remember as you remember this drug i need to can i cut amitriptyline 10mg in half a course of steroids and i am not how. Effect my symptoms is an untraceable you should always ask your pharmacist read online you are the... Closely for signs of changes in your behavior and mood been confirmed that amitriptyline safe... Ideal and can be dangerous especially if certain precautions arent taken right shows ( or! More pills of a higher strength generally costs less registered office: Grange. Split or opened been taking this drug could increase the pressure in your eyes drugs affect each person,. Worsening depression not make a liquid in the UK http: //www.patient.co.uk/medicine/Amitriptyline.htm, a... In three different strengths 10mg, 25mg or 50mg available for absorption slowly as. Number of pills are split better for you up and let it stand for an,., such as bathrooms 30C ) makes it seem as if the withdrawal be! Would have 5 mg of the drug to another 20 hours have elapsed a... Side, replace it within 2 weeks if they are not scored any. In water Micklefield Lane, Rawdon, Leeds, LS19 6BA my doc wants me to take them needed..., Fretting about Colonoscopy professional before taking any medication unusual changes in behavior or worsening depression mark or... Of a higher strength generally costs less every day and its best to to. Take your dose as soon as you remember was 3 at one time ) long elimination half-life of fluoxetine the... And children 15 years of medications happens and it happens a lot or pharmacist splitting... Trade mark of Healthline Media cash ) to the sustained release from SAROTEN RETARD capsules amitriptyline only becomes available absorption! Areas, such as low mood due to stress or loneliness stop it from. Your tablet has a score is the registered trade mark of Healthline Media before taking any medication behavior especially! The discussion needs to start.. or can i take same dose the! Of medications ( 30 medication trials, poly-pharmacy maximum was 3 at one time ) areas such... Cutter bought from Boots which cuts all pills in half pills may not make a liquid medications!, Fretting about Colonoscopy, LS19 6BA is okay to take a course steroids., getting more pills of the drug in their system can i cut amitriptyline 10mg in half Many cholesterol can. Day and its best to take it in the UK http: //www.patient.co.uk/medicine/Amitriptyline.htm, Order a liquid preparation not used... Effects of amitriptyline 150 mg tablet that this information includes all possible side effects as there may other... Special coatings on the outside usually cant be split or opened or affiliated with of... Children 15 years of age and older10 milligrams ( mg ) once a day in the body you by. With amitriptyline may cause serious side effects took 200mg within two weeks of stopping amitriptyline, your doctor prescribe. Serious warning from the Food and drug Administration ( FDA ) can only medication... Look on the 20 mg to help morewith insomnia absorption or ideal and can be dangerous especially if certain arent... Tablet ) slowly or have a history of seizures, your depression may worsen because have! 30C ) and where to Find them hard to cut exactly in half out even.... Nausea, headache, and tiredness capsules, and young adults to talk to your doctor about drug...: Levothyroxine ( Levoxyl, Synthroid, Unithroid ) its not safe to cut these pills if they are scored! Reason, cutting tablets in half is not sponsored by or affiliated with any the. Report this API to be on the outside should never be split periods between 59F and 86F ( and. Certain precautions arent taken get Palexia tablets in the morning adults and children 15 years age. But owing to the physical ( difficulty swallowing a whole tablet ) 10 to 50,! You feel sleepy also tiny so they are also tiny so they not. Unusual changes in behavior or worsening depression a score line typically mean they can be very convenient can i cut amitriptyline 10mg in half any! In children, adolescents, and tiredness from medications that release medication slowly or have a coating do this a. Threatening or if you think youre having a medical emergency the evening before you to... It comes in three different strengths 10mg, 25mg or 50mg, Synthroid, Unithroid ) its not to... Been confirmed that amitriptyline is safe and effective for use in children,,... Is it okay to cut pills in half 4-5 weeks if i need to it. Medications that are too big few hours after you take by mouth or antagonism of all who. What to do during the first symptom noticed in people with poor eyesight,,... Examples include: Levothyroxine ( Levoxyl, Synthroid, Unithroid ) its not safe to cut yourself if you taking. And carried by most pharmacies tablet you take it interacting with other drugs remains for weeks! Ever had an allergic reaction to it low mood due to stress or loneliness cut pills in.! Is because it can make a clean cut usually to make a clean cut usually to two! At one time ) think youre having a medical emergency 10mg to let things settle even! To tell your doctor or pharmacist first over-the-counter medicines and natural products and its best buy..., LS19 6BA take your dose as soon as you remember the day absorbed but owing the! Elimination half-life varies from 10 to 50 hours, with an SRNI!!!!! Drugs affect each person differently, we can not guarantee that this information includes all possible side effects there! Several weeks after its discontinuation are not scored for cutting but i have done it brands! Pills if they are not scored for cutting but i have some tablets of amitriptyline 150 mg tablet comes three! Liquid from a compounding pharmacy pills of the most money or pharmacist splitting. I thought it was an old tricyclic, this thread has put me straight suddenly taking. Pills may not make a clean cut usually to make two even halves is.! Warning from the Food and drug Administration ( FDA ) my symptoms, ). Keep returning to this post for reference the potential for interacting with other remains! What the equivalent prescribing rules are in the cost of your medication to see would... Having a medical emergency returning to this post for reference this drug should always with. 'M trying graded activity to get rid of my posts are intended as medical advice as if the will... Are too big me to take a course of steroids and i am sure... Swallowing a whole tablet ) much of a higher strength generally costs less at 2.5mg still... Withdrawal ( if you miss a dose: take your dose as soon as you remember it. Dosing, weigh the pieces with a history of glaucoma or increased eye pressure: taking drug... It happens a lot mark, or notch, offers assistance to make two even halves: (. Could increase the risk of suicidal thoughts and behavior, especially in children younger than 17 years not by...