Going Off of Xyrem

Index Support Center Forums Treating Narcolepsy Going Off of Xyrem

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    New to this and hoping for some advice from those who have stopped taking Xyrem.

    I’ve been on it for over two years at 4.5 2x a night for N without cataplexy. I love the ability to get somewhat consistent sleep during the night but the side effects have taken a toll on me.

    Ever since I’ve started I’ve always felt vaguely ill for hours upon waking up. Fatigued and queasy. I’ve learned to live with this but its kept me from being productive and working out in the AM like I used to. I’m now very under weight/frail and my anxiety and depression seem to be getting worse as time goes on.

    My Dr. said I could quit cold turkey but i would imagine that tapering off might be better?

    Can anyone who has been on the highest dose for 2-3 years or longer tell me their experience with going off? Did it help with anxiety quickly? Did you have withdrawals? I know the literature says sudden cessation is fine, but I’m wary to believe most of what I read at this point.

    Any personal stories and advice would be greatly appreciated!


    We have many patients in the practice who have had to stop this medication for one reason or another. We have not encountered and ill effects from stopping cold turkey,however, we recommend starting with using every other night for a week, then every two nights for a week and then stop. There is always the possibility of rebound when you stop this medication just as any other. It sounds from your post that you have experienced some side effects which should have been addressed, weight loss, especially significant weight loss is a big deal but a frequent adverse effect.
    There are other options for you and I would suggest you speak with your physician as soon as possible.
    I wish you the best


    I have been without Xyrem for several days on a few occasions due to calling in the next shipment late and nothing unusual seemed to happen beyond the return of all the usual crappy narcoleptic stuff.


    4.5 is the MAX dose. How about trying some lighter dose?

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