Escitalopram 10 mg hyperbolic liquid taper (20 wks update): After 18 months for generalized anxiety, my prescriber and I planned a taper when I was stable — what worked for others here?
After 18 months for generalized anxiety, my prescriber and I planned a taper when I was stable. Earlier I tried 10 mg → 5 mg → stop over 2 weeks, with dizziness, irritability and 'zaps.' The second time we used the oral solution: 10 → 9 → 8 → 7 → 6 → 5 → 4 → 3 → 2 → 1 mg → off, 2-4 weeks per step, and paused twice for 2 extra weeks. Symptoms were mild and eased within 5-7 days after each cut. I kept sleep, regular meals, and vitamin D3 (my 25-OH level was low, which was unrelated to the taper). I also wrote down early-warning signs and who to call. No relapse at 6 months post-taper, but that's only my experience.
The escitalopram DailyMed label recommends gradual dose reduction rather than abrupt discontinuation and lists dizziness, irritability, paresthesias, and anxiety as discontinuation symptoms. Horowitz & Taylor (Lancet Psychiatry 2019, PubMed) support smaller proportional reductions at low doses.