New To Tapering? Start Here — The Most Important Things To Know
February 24, 2026··
Whether you're planning your first reduction or three years into a slow taper,
this is a good place to get oriented.
The single most important concept: withdrawal is not relapse.
When symptoms emerge after a dose reduction, the instinct (and often the doctor's advice) is to assume the underlying condition is returning. In most cases during an active taper, it's not.
It's your nervous system adapting to a lower dose of a drug it has reorganized around.
The difference matters enormously because the response is opposite:
Relapse → may need to increase dose or change medication
Withdrawal → needs time, stability, and patience. Often: do nothing.
A few principles that guide most successful tapers:
Hyperbolic tapering — reduce by a percentage of your current dose,
not your original dose. 10% of 20mg is 2mg. 10% of 10mg is 1mg.
The steps get smaller as you go lower because receptor occupancy works on a curve,
not a line. The Learn section has a full module on this.
Hold when symptomatic — if you're in a wave, the answer is almost never
to keep reducing. Hold your current dose until you've had 2-4 weeks of stability.
Slower is faster — people who rush almost always have to slow down or reinstate.
People who go slowly almost always finish.
Resources in the Learn section worth reading first:
1.2 Withdrawal Is Not Relapse
1.3 The Wave-and-Window Pattern
2.1 Hyperbolic Tapering in Practice
Post your questions here or start a thread with your drug name in the title.
When you log a check-in in My Taper, it appears here.
See what symptoms others are experiencing at different doses and stages.
When you're wondering if what you're feeling is normal —
someone else's check-in will probably answer it.
— TaperCommunity Team
Hi, I was on 30 mg of citalopram for 10 years. I reduced to 25 mg for 6 months and now I’m on month 4 of 20mg. I was planning on reducing by 5mg every 6 months but not so sure after reading about hyperbolic tapering. I bought a pill cutter for the 10mg tablets but it’s hit and miss how it cuts them. Wouid you recommend crushing and weighing instead? I have the mg digital scales. I definitely felt off the first week of reducing from 30mg to 25mg and 25mg to 20mg but then things levelled out. Not sure if I should jump down from 20mg to 15mg for the next 6 month phase or take it down by 2.5mg instead. These stories about akathasia terrify me! Just to add, I’m 47, female. I was on citalopram for 6 months at the age of 21 and then again at 34 for 6 months. I stupidly went cold turkey both times and it was truly brutal but I recovered after a couple of weeks. Any insights would be appreciated. Thanks for setting this site up.
Hey @Honey ! Sorry i missed this. If you dont have access to a compounding pharmacy I would dissolve the pill in water, and extract your % with a syringe, and spray it into your mouth. i hope that helps!
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