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Slow titrators

A year at the same dose and my bloods are fine

Started 25 March 2026 · 14 replies · 104 hearts · read 2.2k times

BevanSwansea, UK · 25 March 2026
4 months ago

Something I have been sitting with: A year at the same dose and my bloods are fine Not looking for advice so much as other people's experience.

I do not know if this belongs in this circle. Move me if not.

I am aware some of this may simply be what this stage is like. I would still like to hear from people who have been through it, because I have spent a fortnight assuming I am the only one.

I have written down what has happened, in order, because I find that more useful than my own summary of it. The summary always sounds either better or worse than the weeks actually were.

I will report back either way, because other people's follow-ups have helped me more than their questions.

35

HeddaCopenhagen, DK
#1

I was surprised how much better my reviews went once I arrived with a clear account of why I wanted to stay put. It turned a negotiation into a plan.

6

GwendaEbbw Vale, UK
#2

What worked for me was agreeing a review point rather than a step-up date. We would look at it in eight weeks and decide then, which took the whole thing out of my head in the meantime.

3

GwennoPwllheli, UK
#3

Whenever somebody new arrives worried about being slow, I say the same thing: nobody in this circle is going to be impressed by speed, and nobody is keeping score.

8

TomásFacilitatorLisbon, Portugal
#4

Two things, both boring. None of us can tell you what schedule to be on. The conversation you want is with your prescriber, and we can help you write it down before you go.

9

BrammyBelfast, NI
#5

Coming back a year later to say the slow route held. I am still on treatment, still comfortable, still having ordinary weeks. That was the entire point of going slowly.

8

FlorrieBlackburn, UK
#6

What Tomás described happened to me too, in a slightly different order.

I have been at the same step for eleven months, agreed with my prescriber, and it is the best decision I have made in this whole business. Slow was not a compromise, it was the plan.

7me too 8

HalCambridge, UK
#7

Gently disagreeing with Brammy, or rather adding the other half of it.

I would gently add that slow is not the same as stalled. I moved twice this year, both times deliberately, both times after a conversation. That is progress with a handbrake, not no progress.

4

BroganCumbernauld, UK
#8

The schedule on the box is a default, not a deadline. My nurse said that in my second month and it reorganised how I thought about the whole thing.

10

DoraUtrecht, NL
#9

No wisdom, just: I am sorry. That sounds genuinely hard.

7

IdrisCardiff, UK
#10

Brogan has already said most of this and I want to add the one part that was different for me.

I asked my prescriber directly what the cost of going slowly was and she said, in effect, time. That was a trade I was happy to make once it was stated plainly.

9

BevanSwansea, UK
#11

What Brogan described happened to me too, in a slightly different order.

Nine months at one step here and my prescriber has never once suggested moving. She said the schedule is a scaffold and I am not obliged to climb it.

9

HeddaCopenhagen, DK
#12

Somebody asked me whether slow titration is just fear management, and honestly, partly. It is also symptom management and life management, and I have stopped ranking those.

4

TomásFacilitatorLisbon, Portugal
#13

I want to say plainly that stopping, pausing and restarting are ordinary shapes in this community and nobody who has done any of them owes an explanation.

14me too 1

GwennoPwllheli, UK
#14

I hold at a step for as long as it is still teaching me something. When a step gets boring, that is usually my sign to talk about the next one.

6