The PMHNP's Guide to Hyperbolic Tapering

Most prescribers were trained to start antidepressants. Almost none were trained to stop them. Hyperbolic tapering corrects a problem hidden in ordinary practice: because the relationship between dose and drug action is curved, a fixed reduction removes very little at high doses and a great deal at low ones. Every linear taper saves its hardest step for last. This handbook takes a prescriber from that pharmacology to the work itself. Building a proportional schedule. Telling withdrawal apart from relapse. Sourcing doses that manufacturers do not make. Knowing when to hold instead of reverse. Writing a note the next clinician can act on. Written for psychiatric mental health nurse practitioners, in United States formulations and United States regulation, by a method that fits patients no published table covers.