Box 1.

Creating intermediary dosages for gradual tapering.

The range of packaged drug dosages being inadequate for appropriately individualized titration,99,100 we advise using prescription liquids when available. Custom compounded liquids, tablets, or capsules, if affordable, can provide intermediary dosages,3 as can the prescription tapering strips developed in the Netherlands.101 Otherwise, people have successfully tapered by • Opening encapsulated drugs and counting out the enclosed beads.102 • Splitting tablets.103 • Making homemade suspensions with immediate-release tablets and water or pharmacy base liquid.104,105 • If they cannot obtain or tolerate a liquid, people order digital milligram jewelry scales and weigh tablet fragments or powder to standardize their doses.