DR ROBERT BEN MITCHELL, DO, LLC
786-262-5750


TRAFN.COM


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WEAN SCHEDULE AND
WITHDRAWAL MEDICATIONS
UPDATED 01/17/25


GO AT YOUR OWN PACE
you can go back up
you can skip days
you can pause


PILLS (use a pill cutter)
   4mg dose = cut a 8mg pill in half
   2mg dose = cut a 8mg pill in quarters
   2mg dose = use a 2mg pill
   1mg dose = cut a 2mg pill in half
0.5mg dose = cut a 2mg pill in quarters


FILMS (use clean scissors)
   4mg dose = cut a 8mg film in half
   2mg dose = cut a 4mg film in half
   1mg dose = cut a 2mg film in half
0.5mg dose = cut a 1mg film in half


WEAN SCHEDULE (24MG TO 0.5MG)

24MG
__ Day 1 take 4mg 6 times/day
__ Day 2 take 4mg 6 times/day
__ Day 3 take 4mg 6 times/day
__ Day 4 take 4mg 6 times/day

22MG
__ Day 5 take 4mg 5 times/day
     and 2mg at bedtime
__ Day 6 take 4mg 5 times/day
     and 2mg at bedtime
__ Day 7 take 4mg 5 times/day
     and 2mg at bedtime
__ Day 8 take 4mg 5 times/day
     and 2mg at bedtime

20MG
__ Day   9 take 4mg 5 times/day
__ Day 10 take 4mg 5 times/day
__ Day 11 take 4mg 5 times/day
__ Day 12 take 4mg 5 times/day

18MG
__ Day 13 take 4mg 4 times/day
     and 2mg at bedtime
__ Day 14 take 4mg 4 times/day
     and 2mg at bedtime
__ Day 15 take 4mg 4 times/day
     and 2mg at bedtime
__ Day 16 take 4mg 4 times/day
     and 2mg at bedtime

16MG
__ Day 17 take 4mg 4 times/day
__ Day 18 take 4mg 4 times/day
__ Day 19 take 4mg 4 times/day
__ Day 20 take 4mg 4 times/day

14MG
__ Day 21 take 4mg 3 times/day
     and 2mg at bedtime
__ Day 22 take 4mg 3 times/day
     and 2mg at bedtime
__ Day 23 take 4mg 3 times/day
     and 2mg at bedtime
__ Day 24 take 4mg 3 times/day
     and 2mg at bedtime

12MG
__ Day 25 take 4mg 3 times/day
__ Day 26 take 4mg 3 times/day
__ Day 27 take 4mg 3 times/day
__ Day 28 take 4mg 3 times/day

10MG
__ Day 29 take 4mg 2 times/day
     and 2mg at bedtime
__ Day 30 take 4mg 2 times/day
     and 2mg at bedtime
__ Day 31 take 4mg 2 times/day
     and 2mg at bedtime
__ Day 32 take 4mg 2 times/day
     and 2mg at bedtime

8MG
__ Day 33 take 2mg 4 times/day
__ Day 34 take 2mg 4 times/day
__ Day 35 take 2mg 4 times/day
__ Day 36 take 2mg 4 times/day

6MG
__ Day 37 take 2mg 3 times/day
__ Day 38 take 2mg 3 times/day
__ Day 39 take 2mg 3 times/day
__ Day 40 take 2mg 3 times/day

4MG
__ Day 41 take 2mg 2 times/day
__ Day 42 take 2mg 2 times/day
__ Day 43 take 2mg 2 times/day
__ Day 44 take 2mg 2 times/day

3MG
__ Day 45 take 1mg 3 times/day
__ Day 46 take 1mg 3 times/day
__ Day 47 take 1mg 3 times/day
__ Day 48 take 1mg 3 times/day

2MG
__ Day 49 take 1mg 2 times/day
__ Day 50 take 1mg 2 times/day
__ Day 51 take 1mg 2 times/day
__ Day 52 take 1mg 2 times/day

1MG
__ Day 53 take 1mg 1 time/day
__ Day 54 take 1mg 1 time/day
__ Day 55 take 1mg 1 time/day
__ Day 56 take 1mg 1 time/day

0.5MG
__ Day 57 take 0.5mg 1 time/day
__ Day 58 take 0.5mg 1 time/day
__ Day 59 take 0.5mg 1 time/day
__ Day 60 take 0.5mg 1 time/day


NON-PRESCRIPTION
WITHDRAWAL MEDICATIONS
(use only as directed on the package)

Diarrhea: Immodium contains a mild opioid called loperimide which in small doses can relieve diarrhea. Because loperimide is an opioid, it can also reduce many other withdrawal symptoms.

Pain: Tylenol, Motrin (ibuprofen) or Aleve (naproxen) - only use one of them

Sleep: Benadryl (diphenhydramine)

Anxiety: B complex vitamins can help with nervousness and shaking.

Tiredness: If you already drink coffee, then try drinking one additional cup at breakfast and/or lunch. If you don’t drink coffee, then drink one cup at breakfast and/or one cup at lunch. Drinking coffee after lunch may cause insomnia.


PRESCRIPTION
WITHDRAWAL MEDICATIONS
(talk to your primary care doctor)

Diarrhea: Lomotil

Pain: Ibuprofen or Naproxen prescription strength (DO NOT USE ULTRAM because it is an opioid and may cause severe withdrawal symptoms or seizures with buprenorphine)

Sleep: Ambien

Anxiety: Klonopin or Valium (avoid Xanax - highly addictive)

Tiredness: Adderall (moderately addictive)