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Rapini: preparing to taper off of mirtazapine / Remeron


Rapini

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I tried to taper off of Mirtazapine in March by skipping pills; I was not aware how dangerous this was at the time. My withdrawal symptoms were mild because I was lucky. I had some anxiety in April, but nothing major.

 

I went cold turkey after my prescriber told me that I didn’t need to taper Mirtazapine. He also pressured me into taking Effexor, which caused me to develop severe full-body itching. I was taken off of the pills immediately because it was suspected that I was allergic to them.

 

I suffered from severe withdrawal symptoms during the week where I wasn't taking any medication (sweating, diarrhea, anxiety, heart palpitations, shivering, lack of appetite, nausea, dizziness, flu-like symptoms, and insomnia). I tried to speak with my prescriber about tapering and withdrawal symptoms, but he insisted that everything I was experiencing was my ‘anxiety’ and put me back on Mirtazapine.

 

I am now preparing to taper off of Mirtazapine properly. I came here to learn how to do this as effectively as possible.

Mirtazapine 15mg - Start: June 2018 - Began Tapering by Skipping Pills March 2019 - CT April 29th 2019 - Restart May 8th 2019

 

Began Tapering Properly on November 27th 2019

 

2.64 December 3 2022

2.58 January 4 2023

2.52 January 21 2023

2.46 January 28 2023

2.4 February 4 2023

2.34 February 2023

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  • ChessieCat changed the title to Rapini: Preparing to Taper off of Mirtazapine
  • Moderator Emeritus
13 hours ago, Rapini said:

 

I am now preparing to taper off of Mirtazapine properly. I came here to learn how to do this as effectively as possible.

 

Hello, Rapini, and welcome to SA.  I'm glad you found your way here.  Thanks you for completing your signature.

 

As you learned, skipping is days is never advisable.  And contrary to what your doctor said, Mirtazapine does have to be tapered slowly.

 

The symptoms you described are very typical withdrawal symptoms.  Doctors, almost without exception, know nothing about psychiatric drug withdrawal and in fact don't even believe it exists.  How are you feeling now that you've restarted the Mirtazapine?  Have the withdrawal symptoms improved?

 

So you have an understanding of what you experienced, here is some information on withdrawal.

 

 
 
Regarding tapering, we recommend tapering no more than 10% of your current dose every four weeks.  So your first taper would be your current 15mg minus 10% of 15mg (1.5mg) = 13.5mg as you first taper.  After four weeks you could subtract 10% of 13.5 (1.35mg) 13.5 =12.15.
 
 
This link is specifically about tapering Mirtazapine and explains how to obtain these smaller nonstandard doses.  Your choices include cutting and weighing tablets, making a liquid from the tablets, or having a liquid prescribed or compounded.
 
 
Since you did a cold turkey plus had an adverse reaction to Effexor, your system may be a bit destabilized and fragile.  Here is some information on two tapers that are somewhat slower and more gentle than the 10% taper.
 
A micro-taper is the gentlest way to come off these drugs. 

 

 

The Brassmonkey Slide is a way of making micro-taper reductions weekly, as opposed to a larger reduction once a month. 
 
 
You can decide which method you feel most comfortable with. 
 
Please don't hesitate to write in with any questions you have.  Please continue to use this thread to document your taper, ask questions and connect with other members.
 
 
 
 
 

 

 

Gridley Introduction

 

Lexapro 20 mg since 2004.  Begin Brassmonkey Slide Taper Jan. 2017.   

End 2017 year 1 of taper at 9.25mg 

End 2018 year 2 of taper at 4.1mg

End 2019 year 3 of taper at 1.0mg  

Oct. 30, 2020  Jump to zero from 0.025mg.  Current dose: 0.000mg

3 year, 10 month taper is 100% complete.

 

Ativan 1 mg to 1.875mg 1986-2020, two CT's and reinstatements

Nov. 2020, 7-week Ativan-Valium crossover to 18.75mg Valium

Feb. 2021, begin 10%/4 week taper of 18.75mg Valium 

End 2021  year 1 of Valium taper at 6mg

End 2022 year 2 of Valium taper at 2.75mg 

End 2023 year 3 of Valium taper at 1mg

Jan. 24, 2024: Hold at 1mg and shift to Imipramine taper.

Taper is 95% complete.

 

Imipramine 75 mg daily since 1986.  Jan.-Sept. 2016 tapered to 14.4mg  

March 22, 2022: Begin 10%/4 week taper

Aug. 5, 2022: hold at 9.5mg and shift to Valium taper

Jan. 24, 2024: Resume Imipramine taper.  Current dose as of June 28: 5mg

Taper is 93% complete.  

  

Supplements: multiple, quercetin, omega-3, vitamins C, E and D3, magnesium glycinate, probiotic, zinc, melatonin .3mg, iron, serrapeptase, nattokinase, L-Glutamine


I am not a medical professional and this is not medical advice but simply information based on my own experience, as well as other members who have survived these drugs.

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My withdrawal symptoms have improved significantly since I restarted Mirtazapine. I still have some issues with insomnia, appetite loss, fatigue, heart palpitations, and temperature regulation, but they are very, very mild. I would give my symptoms a 1 on a scale of 1-5.

 

Thank you for telling me about microtapering and the brassmonkey slide method. I was afraid of experiencing withdrawal symptoms once I begin tapering again. These methods make the process seem less intimidating.

 

How long should I wait for my nervous system to stabilize before I taper?

Mirtazapine 15mg - Start: June 2018 - Began Tapering by Skipping Pills March 2019 - CT April 29th 2019 - Restart May 8th 2019

 

Began Tapering Properly on November 27th 2019

 

2.64 December 3 2022

2.58 January 4 2023

2.52 January 21 2023

2.46 January 28 2023

2.4 February 4 2023

2.34 February 2023

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Hi @Rapini & Welcome to the Group! Congratulations on wanting to get off these awful drugs- Stay Strong!

2 years Drug History Prior to Tapering:

Between 2011 & 2018 I had approximately 58 dose changes between the 4 main medications I took as well as 14 new medications add & taken away.

Prozac (Fluoxetine):(Aug 2016-Dec 2016: 60MG),(June 2017-Nov 2017: 60MG),(Dec 2017: 80MG),(June 2017-Sept 2 2018: 60MG),(Sept 3 2018-Sept 5 2018: 40MG),(Sept 6 2018-Sept 8 2018: 20MG),(Sept 9 2018: 0MG).

Cymbalta:(Jan 2017-May 2017: 60MG).

Cyclobenzaprine: (Aug 2016: 30MG,(Feb 2017: 30MG).

Diazepam (Valium):(Aug 2016-Sept 15 2016: 30MG),(Sept 16 2016-Oct 2017: 15MG),(Nov 2017-Aug 19 2018: 6MG),(Aug 20 2018: 0MG).

Gabapentin:(Aug 2016-Aug 3 2018: 2400MG),(Aug 4 2018-March 26 2019: 2000MG),(March 27 2019-March 30 2019: 1600MG),(May 1 2019: 2000MG)

Hydrocodone:(Aug 2016-Oct 2016: 10-325/4daily),(Nov 2016-Feb 2017: 10-325/3daily),(March 2017-April 2017: 5-325/4daily),(May 2017-April 2018: 10-325/3daily),(June 2018-Aug 25 2018: 10-325/5daily),(Aug 26 2018-Sept 2 2018: 4.5daily),(Sept 3 2018-Sept 10 2018: 10-325/4daily),(Sept 11 2018-Sept 18 2018: 10-325/3daily),(Sept 19 2018-May 1 2019: 10-325/3.5 daily).

Oxycodone: May 2018: 10-325MG/4daily). 

Please see my Intro for full drug history.

         **Forgive Yourself For Not Knowing What You Didn't Know Before You Knew It!  -Maya Angelou/

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Thanks ladyefish! I had no idea what I was getting into when I started taking this horrible drug. Going through withdrawal has been an overwhelming experience for me.

 

I know that I'll get over this, but some days it is really hard.

Mirtazapine 15mg - Start: June 2018 - Began Tapering by Skipping Pills March 2019 - CT April 29th 2019 - Restart May 8th 2019

 

Began Tapering Properly on November 27th 2019

 

2.64 December 3 2022

2.58 January 4 2023

2.52 January 21 2023

2.46 January 28 2023

2.4 February 4 2023

2.34 February 2023

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  • Moderator Emeritus
On 5/16/2019 at 11:35 AM, Rapini said:

 

How long should I wait for my nervous system to stabilize before I taper?

 

I would wait at least 3 months, maybe a little longer.  See how you feel.  

Gridley Introduction

 

Lexapro 20 mg since 2004.  Begin Brassmonkey Slide Taper Jan. 2017.   

End 2017 year 1 of taper at 9.25mg 

End 2018 year 2 of taper at 4.1mg

End 2019 year 3 of taper at 1.0mg  

Oct. 30, 2020  Jump to zero from 0.025mg.  Current dose: 0.000mg

3 year, 10 month taper is 100% complete.

 

Ativan 1 mg to 1.875mg 1986-2020, two CT's and reinstatements

Nov. 2020, 7-week Ativan-Valium crossover to 18.75mg Valium

Feb. 2021, begin 10%/4 week taper of 18.75mg Valium 

End 2021  year 1 of Valium taper at 6mg

End 2022 year 2 of Valium taper at 2.75mg 

End 2023 year 3 of Valium taper at 1mg

Jan. 24, 2024: Hold at 1mg and shift to Imipramine taper.

Taper is 95% complete.

 

Imipramine 75 mg daily since 1986.  Jan.-Sept. 2016 tapered to 14.4mg  

March 22, 2022: Begin 10%/4 week taper

Aug. 5, 2022: hold at 9.5mg and shift to Valium taper

Jan. 24, 2024: Resume Imipramine taper.  Current dose as of June 28: 5mg

Taper is 93% complete.  

  

Supplements: multiple, quercetin, omega-3, vitamins C, E and D3, magnesium glycinate, probiotic, zinc, melatonin .3mg, iron, serrapeptase, nattokinase, L-Glutamine


I am not a medical professional and this is not medical advice but simply information based on my own experience, as well as other members who have survived these drugs.

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  • 2 months later...

I have been experiencing some troubling symptoms since I began transitioning to from capsule to liquid. I want to know if I should wait it out, or resume taking capsules. My dosage is exactly the same (15mg).

 

I switched from capsule to liquid on July 16th at 7:00pm. I made a complete transition because I’m an idiot. I felt okay until the 20th at around 12:00pm when I became fatigued, irritable, anxious, dizzy, and had difficulty concentrating. I visited this message board, read a post about transitioning from capsules to liquid gradually, and decided to take 1/2 of my dosage in capsule form, and 1/2 in liquid (because I’m an idiot).

 

I was fine on the 21st (except tinnitus), but the above symptoms reemerged on the 22nd, so I began taking only 1/4 of my dosage in liquid form, and the other 3/4ths as a capsule. I had no symptoms on the 23rd. On the 24th, I began to feel irritated, and tired again, and these symptoms continued the following day.

 

The irritation abated on the 25th, but since then I have been experiencing insomnia and itching. I have noticed that I tend to feel tolerable until the afternoon, and then I start to feel terrible.

 

Should I continue with taking my medication as 1/4 liquid and 3/4ths capsule or should I resume taking my medication entirely in capsule form?

 

I don’t know if this is important, but I am making the mirtazapine liquid myself by adding water to the tablets, as I was not able to obtain a prescription from a compounding pharmacy.

 

Thank you.

Mirtazapine 15mg - Start: June 2018 - Began Tapering by Skipping Pills March 2019 - CT April 29th 2019 - Restart May 8th 2019

 

Began Tapering Properly on November 27th 2019

 

2.64 December 3 2022

2.58 January 4 2023

2.52 January 21 2023

2.46 January 28 2023

2.4 February 4 2023

2.34 February 2023

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  • ChessieCat changed the title to Rapini: preparing to taper off of mirtazapine / Remeron
  • Administrator
On 7/26/2019 at 9:43 PM, Rapini said:

Should I continue with taking my medication as 1/4 liquid and 3/4ths capsule or should I resume taking my medication entirely in capsule form?

 

Hi, Rapini. How long have you been taking those B vitamin supplements? What time of day do you take them? How do you feel before and after taking them?

 

If I were you, I'd go back to the capsule form. Don't worry about tapering for a while, stabilizing may take a couple of months.

 

Please let us know how you're doing.

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

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Hi Alostrata,

 

I've been taking the B vitamin supplements for three months. I take them at 7 o'clock in the morning after breakfast. I don't notice any symptoms after taking them.

 

I feel better today. I was able to sleep last night, which I have not been to do over the last two days, so I don't feel as tired. I still had issues with concentration at work this morning, but it was not as bad as yesterday, and the anxiety and the irritation are gone. The tinnitus is still present, and I had mild heart palpitations at 2:00pm, which lasted for a few minutes. 

 

I agree that I should stabilize for a while.

Mirtazapine 15mg - Start: June 2018 - Began Tapering by Skipping Pills March 2019 - CT April 29th 2019 - Restart May 8th 2019

 

Began Tapering Properly on November 27th 2019

 

2.64 December 3 2022

2.58 January 4 2023

2.52 January 21 2023

2.46 January 28 2023

2.4 February 4 2023

2.34 February 2023

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  • 1 month later...

I have not made any changes to my dose since I last posted here... I was feeling well for quite some time, but three days ago, I suddenly began to experience insomnia, heart-palpitations, anxiety, and body aches. They are a lot milder than when I was in withdrawal, but it's strange that they've appeared so suddenly. 

 

Is it possible that my CNS is just overly sensitive due to going through withdrawal before? I have noticed that I feel worse whenever the temperature rises, and the temperature here has become quite a bit higher over the last few days...

 

I have noticed that people on here have mentioned being sensitive to B-12 vitamin, so I have decided to stop taking it. Has psyllium husk caused problems for other people during withdrawal? I began taking it for digestive issues three days ago when my symptoms started.

 

Am I panicking over nothing?

Edited by Rapini
Added Details

Mirtazapine 15mg - Start: June 2018 - Began Tapering by Skipping Pills March 2019 - CT April 29th 2019 - Restart May 8th 2019

 

Began Tapering Properly on November 27th 2019

 

2.64 December 3 2022

2.58 January 4 2023

2.52 January 21 2023

2.46 January 28 2023

2.4 February 4 2023

2.34 February 2023

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  • Moderator Emeritus

Hey friend

I believe you are panicking over nothing in fact. You try to check what have you done wrong during the last days to have such set of symptoms. Anyway you yourself are saying that they are very mild so why feeding the ruminating brain with more worries.

Just let those mild symptoms be there and continue with your life. If i was you i would continue tapering with the 10% rule. You have enough stability to do that. 

All the best

Santino

2015 -  2016 Xanax only rescue doses of 0.125 mg 1-2 times per month
 March 2016 0.125Mg * 2 Xanax for 10 days.

20 March 2016 0.25 Mg * 2 Xanax for one week. 1 April 2016 Tranxene 5 mg and Fevarin but bad reaction for 5 days.4 April 2016 25 Mg Amitryptiline + 6 MG bromazepam at night

Started tapering Bromazepam 6 days later reached up to 3 MG in 10 days and withdrawal. Pdoc asked to go 6 MG again.

10 of May started Remeron 15 MG and started tapering Bromazepam again.

SINCE 09/06/2016 BENZO FREE - Started Tapering Remeron 04/07/2016

 

04/Jul/16 12.8 Mg, 11/Aug/16 12 Mg, 20/Aug/16 11Mg, 3/Sept/16 10Mg, 11/Sept/16 9 Mg, 30/Sept/16 8.1 Mg, 14/Oct/16 7.25 Mg, 17/Nov/16 6.7, 23/Nov/16 6.5, 2/Dec/16 6.25, 9/Dec/16 6Mg, 25/Dec/16 5.7Mg, 4/Jan/17 5.4Mg, 20/Jan/17 5.2Mg, 07/Feb/17 5 Mg, 15/Feb/17 4.8Mg, 27/Feb/17 4.5Mg, 15/Mar/17 4.2Mg, 23/Mar/17 4Mg, 1/Apr/17 3.7Mg, 14/Apr/17 3.4Mg, 27/Apr/17 3.1Mg, 06/May/17 2.8Mg, 22/May/17 2.6Mg, 31/May/17 2.3Mg 09/Jun/17 2Mg, 20/Jun/17 1.7Mg, 29/Jun/17 1.4Mg, 11/Jul/17 1.2Mg, 20/Jul/17 1Mg, 31/Jul/17 0.8Mg, 11/Aug/17 0.6Mg, 23/Aug/17 0.5Mg, 05/Sept/17 0.4Mg, 13/Sept/17 0.3Mg. 22/Sept/17 0.2Mg, 03/Oct/17 0.15Mg, 10/Oct/17 0.1Mg, 23/Oct/17 0.05Mg, 22/Nov/17 0.025Mg, 06/DECEMBER/2017 MIRT FREEE.

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Thanks Santino. I feel much better today. 

Mirtazapine 15mg - Start: June 2018 - Began Tapering by Skipping Pills March 2019 - CT April 29th 2019 - Restart May 8th 2019

 

Began Tapering Properly on November 27th 2019

 

2.64 December 3 2022

2.58 January 4 2023

2.52 January 21 2023

2.46 January 28 2023

2.4 February 4 2023

2.34 February 2023

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  • 3 months later...

I have been experiencing dizzy spells and insomnia since I made my most recent decrease from 14.1  to 13.8 on December 20th. The dizziness started on the 22nd, but was very mild until the 24th. I had intended to hold on this dose until my symptoms abated, but my symptoms seem to come and go instead of slowly abating. My insomnia is currently my worst symptom.

 

I have been dealing with several new stressors in my life since the 8th of December. I’m wondering if these might be partially the reason why my symptoms have become so much worse. It’s definitely impacting my sleep.  

 

I also think I was making a mistake when I was preparing my liquid medicine, since there was some white residue on the bottom of the jar after I took my dosage. I figured out how to solve this problem after reading this message board, but I feel like an idiot for ignoring this for so long.

 

 

I am including my daily notes for the past several days below (please note that I must get up at 3:30am daily for work, so I will always be awake at this time):

 

January 8th 2020
3:00am. Heart palpitations & anxiety.
3:30-4:30am. Dizziness, heart palpitations, anxiety.
6:30am. Ate breakfast.
8:00am. Dizziness when standing.
10:00am. Emotional lability / Excessive crying. Dizzy upon standing. Ate lunch.
11am-3pm. Listlessness.
2:00pm. Ate dinner.
3pm-5pm. Asymptomatic and energetic.
5:30pm. Anxiety.  
9pm. Took mirtazapine.
9pm-3am. Insomnia. Burning feet.

 

January 7th 2020
2am-3:00am. Asymptomatic.
7:00am. Ate breakfast.
10am. Ate lunch.
2:00pm. Ate dinner.
3:30pm-5:30pm. Fatigue and listlessness.
8:pm. Took mirtazapine and slept.
12:am. Awoke with heart palpitations and anxiety.
1:00am. Returned to sleep.

 

January 6th 2020
3:30am. Asymptomatic.
7:00am. Ate breakfast.
10am. Ate lunch.
11am. Fatigue.
2:00pm. Ate dinner.
3:30pm-5:30pm. Fatigue.
8pm. Took mirtazapine.
9:30pm-2am. Slept.

 

January 5th 2020
3:30am-8pm. Fatigue.
7:00am. Ate breakfast.
10am. Ate lunch.
2pm. Ate dinner.
8pm. Took mirtazapine.
10pm-2am. Slept.  

 

January 4th 2020
7:00am. Ate breakfast.
10am. Ate lunch.
2pm. Ate dinner.
8pm. Took mirtazapine.
Didn’t sleep at all.

 

January 3rd 2020
3:30am-4:00am. Fatigue, dizziness, and hot.
6:30am. Ate breakfast.
7:00 Symptoms improved, but still persisted.
9:30am. Became dizzy after walking.  
10:00am. Had lunch.
2:00pm. Dinner.
3:00pm. Started to feel better.
3:30pm-5:30pm. Symptoms disappeared.
6pm-8pm. Energetic!
8pm. Took mirtazapine.
9pm-1am. Slept.

 

January 2nd 2020
Completely asymptomatic.

January 1st 2020
7:00am. Ate breakfast.
10am. Ate lunch.
2pm. Ate dinner.
4pm-7pm. Itchy skin.
8pm. Took mirtazapine.
Didn’t sleep at all.

 

December 31st 2019
3:30am-7pm. Itchy skin. Dizziness. Fatigue.
7am. Ate breakfast.
10am. Ate Lunch.
12pm. Symptoms improved.
2pm. Ate dinner.
8pm. Took mirtazapine.
8pm Horrible tinnitus.

 

December 30th 2019
3:30am-4pm. Dizziness.
4pm. Dizziness and hot flashes
6pm. Itching.
Didn’t sleep.

 

 


 

Mirtazapine 15mg - Start: June 2018 - Began Tapering by Skipping Pills March 2019 - CT April 29th 2019 - Restart May 8th 2019

 

Began Tapering Properly on November 27th 2019

 

2.64 December 3 2022

2.58 January 4 2023

2.52 January 21 2023

2.46 January 28 2023

2.4 February 4 2023

2.34 February 2023

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Rapini, is your burning feet in the soles of the feet? Or the entire feet?

May - october 2017 - Mirtazapine from 7.5 - 12mg mg for insomnia

May - october 2017 Lyrica 100mg a day.

October-november 2017 - both mirt and Lyrica, or one of them went paradoxical, exteme vertigo after Lyrica. Cut down Lyrica to 3x25mg a day, same vertigo, CT Lyrica. Insomnia developed severe on 12 MG mirtazapine, reduced to 7.5, still insomnia, reduced to 3.75 still.insomnia. CT mirt. 

November 2017 - present burning feet, pins and needles, muscle spasms, myoclonus limbs, head, bugs crawling my head burning hands, left side worst. Ears cracking sensation.

May 2019 - put on gabapentin 100mg 4xday to counteract insomnia

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The soles of the feet.

Mirtazapine 15mg - Start: June 2018 - Began Tapering by Skipping Pills March 2019 - CT April 29th 2019 - Restart May 8th 2019

 

Began Tapering Properly on November 27th 2019

 

2.64 December 3 2022

2.58 January 4 2023

2.52 January 21 2023

2.46 January 28 2023

2.4 February 4 2023

2.34 February 2023

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Arghh you are having the symptom as i am but i have it 24/7 what about you

May - october 2017 - Mirtazapine from 7.5 - 12mg mg for insomnia

May - october 2017 Lyrica 100mg a day.

October-november 2017 - both mirt and Lyrica, or one of them went paradoxical, exteme vertigo after Lyrica. Cut down Lyrica to 3x25mg a day, same vertigo, CT Lyrica. Insomnia developed severe on 12 MG mirtazapine, reduced to 7.5, still insomnia, reduced to 3.75 still.insomnia. CT mirt. 

November 2017 - present burning feet, pins and needles, muscle spasms, myoclonus limbs, head, bugs crawling my head burning hands, left side worst. Ears cracking sensation.

May 2019 - put on gabapentin 100mg 4xday to counteract insomnia

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  • Moderator Emeritus

It sounds like you have been tapering sensibly. That usually means that withdrawal symptoms, if they do appear with a cut, will stabilize and settle down over time without any nasty surprises in wait. Do you think you can deal with your symptoms the way they are for a few more weeks if they last that long?

 

If you can still function, work and do what you need to do in your life, even if you're not feeling very good, it seems to me that just staying right where you are and allowing your CNS to continue to settle down would be the best course of action. Once the symptoms settle down you may want to hold a little longer than you had originally planned before making your next cut. Sometimes we need to take extra breaks. Your body is the wise expert on this.

Started on Prozac and Xanax in 1992 for PTSD after an assault. One drug led to more, the usual story. Got sicker and sicker, but believed I needed the drugs for my "underlying disease". Long story...lost everything. Life savings, home, physical and mental health, relationships, friendships, ability to work, everything. Amitryptiline, Prozac, bupropion, buspirone, flurazepam, diazepam, alprazolam, Paxil, citalopram, lamotrigine, gabapentin...probably more I've forgotten. 

Started multidrug taper in Feb 2010.  Doing a very slow microtaper, down to low doses now and feeling SO much better, getting my old personality and my brain back! Able to work full time, have a full social life, and cope with stress better than ever. Not perfect, but much better. After 23 lost years. Big Pharma has a lot to answer for. And "medicine for profit" is just not a great idea.

 

Feb 15 2010:  300 mg Neurontin  200 Lamictal   10 Celexa      0.65 Xanax   and 5 mg Ambien 

Feb 10 2014:   62 Lamictal    1.1 Celexa         0.135 Xanax    1.8 Valium

Feb 10 2015:   50 Lamictal      0.875 Celexa    0.11 Xanax      1.5 Valium

Feb 15 2016:   47.5 Lamictal   0.75 Celexa      0.0875 Xanax    1.42 Valium    

2/12/20             12                       0.045               0.007                   1 

May 2021            7                       0.01                  0.0037                1

Feb 2022            6                      0!!!                     0.00167               0.98                2.5 mg Ambien

Oct 2022       4.5 mg Lamictal    (off Celexa, off Xanax)   0.95 Valium    Ambien, 1/4 to 1/2 of a 5 mg tablet 

 

I'm not a doctor. Any advice I give is just my civilian opinion.

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Mirthazard: My feet hurt sometimes. It doesn't seem to happen very often with me. I'm sorry that you have to deal with foot pain 24/7.

 

Rhiannon: Thank you for your advice. I think I can deal with the symptoms for a few more weeks. I feel much better today than I did yesterday. I will hold for at my current dose for the time being.

Mirtazapine 15mg - Start: June 2018 - Began Tapering by Skipping Pills March 2019 - CT April 29th 2019 - Restart May 8th 2019

 

Began Tapering Properly on November 27th 2019

 

2.64 December 3 2022

2.58 January 4 2023

2.52 January 21 2023

2.46 January 28 2023

2.4 February 4 2023

2.34 February 2023

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On 1/10/2020 at 12:51 AM, Mirthazard said:

Arghh you are having the symptom as i am but i have it 24/7 what about you

I get burning feet this last 2 years. Every night it flares up. They feel hot all over the toes and soles of feet. Then sometimes the toes go really red on the top and slightly on top of foot beneath the toes. I knew it was mirt Gp dismissed it and put it down to me resting a lot due to the fatigue. 

Mirtazapine 15mg since December 2013. Wanting to do a slow taper from Jan 2020, after an unsuccessful attempt in 2017. 
Currently on 13.7mg.

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  • 4 weeks later...

Is it normal for symptoms to come and go arbitrarily while in withdrawal? My symptoms mostly went away on January 23rd, and I was fine until February 1st when my symptoms suddenly became horrible. They began fading the next day, but I still feel much worse than I felt on January 23rd. I have not made any changes to my dosage. I’m still stuck at 13.8mg.

 

I tend to feel worse at work, which is physically demanding and tends to aggravate my symptoms. I making a lot of mistakes at work, and I have a lot of anxiety about losing my job. Has anyone been in a similar situation? What have you done about it?

 

Thank you

Mirtazapine 15mg - Start: June 2018 - Began Tapering by Skipping Pills March 2019 - CT April 29th 2019 - Restart May 8th 2019

 

Began Tapering Properly on November 27th 2019

 

2.64 December 3 2022

2.58 January 4 2023

2.52 January 21 2023

2.46 January 28 2023

2.4 February 4 2023

2.34 February 2023

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  • Moderator Emeritus
1 hour ago, Rapini said:

Is it normal for symptoms to come and go arbitrarily while in withdrawal? My symptoms mostly went away on January 23rd, and I was fine until February 1st when my symptoms suddenly became horrible. They began fading the next day, but I still feel much worse than I felt on January 23rd. I have not made any changes to my dosage. I’m still stuck at 13.8mg.

 

I tend to feel worse at work, which is physically demanding and tends to aggravate my symptoms. I making a lot of mistakes at work, and I have a lot of anxiety about losing my job. Has anyone been in a similar situation? What have you done about it?

 

Thank you


Hi Rapini, 

 

Yes, that’s normal in withdrawals. They are all over the place, it’s just the normal windows and waves patterns. My withdrawals are all over the place too, and sometimes I get additional symptoms that come and go like tooth aches, earaches, sore throat, temperature disregulation. Every time I get a new symptom I’m like it’s probably withdrawals and it nearly always is. Before I knew about all the symptoms one could get in withdrawals I always thought I was coming down with something or that I’ve got something else wrong with me. I’m already really sick with a chronic illness. 
 

I remember going to the dentist with a toothache and he said there’s nothing wrong with my teeth. He thought it was psycho somatic. Nope, it was withdrawals.
 

I remember once too I had a burning mouth for two months and at the time I thought I had burning mouth syndrome. I didn’t find out until later on it could be a symptom of withdrawals. Pretty much anything that can happen in the body can be due to withdrawals because everything is connected to the CNS. If you don’t know that all these things are caused by withdrawals you start thinking you’ve got more things wrong with you.

 

Stress can ramp up symptoms as well. I’m unable to work due to my illness. I’m sorry you have to put up with the stress at work.

 

Sending hugs🤗

Seroquel. 2019:➡️ From 7.25mg to 5.80mg. 2020➡️5.60 to 4.80. 2021➡️4.60 to 4.0.  2022➡️3.95 to 3.55. 2023➡️ From 3.50 to 3.25.  2024➡️Jan15=3.20✔️ Feb19=3.15✔️ March26=3.10✔️May1=3.0✔️ June7=3mg✔️ July 15= 2.95✔️ This is NOT medical advice.Consult your doctor.

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  • Moderator Emeritus

Hi Rapini

 

I was in your shoes during the WD. I would try and do more things on the good days at work. On the bad ones i would try to just avoid or push through waiting for the good days again. It is a bit of a rollercoaster but it can be done. I am sure you will prevail my friend.

 

All the best

2015 -  2016 Xanax only rescue doses of 0.125 mg 1-2 times per month
 March 2016 0.125Mg * 2 Xanax for 10 days.

20 March 2016 0.25 Mg * 2 Xanax for one week. 1 April 2016 Tranxene 5 mg and Fevarin but bad reaction for 5 days.4 April 2016 25 Mg Amitryptiline + 6 MG bromazepam at night

Started tapering Bromazepam 6 days later reached up to 3 MG in 10 days and withdrawal. Pdoc asked to go 6 MG again.

10 of May started Remeron 15 MG and started tapering Bromazepam again.

SINCE 09/06/2016 BENZO FREE - Started Tapering Remeron 04/07/2016

 

04/Jul/16 12.8 Mg, 11/Aug/16 12 Mg, 20/Aug/16 11Mg, 3/Sept/16 10Mg, 11/Sept/16 9 Mg, 30/Sept/16 8.1 Mg, 14/Oct/16 7.25 Mg, 17/Nov/16 6.7, 23/Nov/16 6.5, 2/Dec/16 6.25, 9/Dec/16 6Mg, 25/Dec/16 5.7Mg, 4/Jan/17 5.4Mg, 20/Jan/17 5.2Mg, 07/Feb/17 5 Mg, 15/Feb/17 4.8Mg, 27/Feb/17 4.5Mg, 15/Mar/17 4.2Mg, 23/Mar/17 4Mg, 1/Apr/17 3.7Mg, 14/Apr/17 3.4Mg, 27/Apr/17 3.1Mg, 06/May/17 2.8Mg, 22/May/17 2.6Mg, 31/May/17 2.3Mg 09/Jun/17 2Mg, 20/Jun/17 1.7Mg, 29/Jun/17 1.4Mg, 11/Jul/17 1.2Mg, 20/Jul/17 1Mg, 31/Jul/17 0.8Mg, 11/Aug/17 0.6Mg, 23/Aug/17 0.5Mg, 05/Sept/17 0.4Mg, 13/Sept/17 0.3Mg. 22/Sept/17 0.2Mg, 03/Oct/17 0.15Mg, 10/Oct/17 0.1Mg, 23/Oct/17 0.05Mg, 22/Nov/17 0.025Mg, 06/DECEMBER/2017 MIRT FREEE.

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Thank you so much Carmie and Santino.

 

Carmie: I didn't know that withdrawal could be so random, or that waves could last this long when one tapers sensibly, so I was feeling very upset and frustrated. I see that I need to be more patient with this process.

 

Santino: Thanks for the advice on about work. I tend to push myself too much on bad days.

Mirtazapine 15mg - Start: June 2018 - Began Tapering by Skipping Pills March 2019 - CT April 29th 2019 - Restart May 8th 2019

 

Began Tapering Properly on November 27th 2019

 

2.64 December 3 2022

2.58 January 4 2023

2.52 January 21 2023

2.46 January 28 2023

2.4 February 4 2023

2.34 February 2023

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  • Moderator Emeritus

Hi Rapino, 

 

Yes, withdrawals can definitely be all over the place, even when you’re tapering slowly. I’m tapering under 4% and I still get waves, and I mentioned I get all sorts of different symptoms that come and go. 
 

It is frustrating, but it’s part of our brains trying to heal. It is a long and arduous process, but we will get there in the end. I’m at 5.60mg at the moment, but my body is so sensitive and it will take me nearly a decade to get off this amount. If I go any quicker I get such severe, unbearable akathisia. 
 

Sending hugs🤗

Seroquel. 2019:➡️ From 7.25mg to 5.80mg. 2020➡️5.60 to 4.80. 2021➡️4.60 to 4.0.  2022➡️3.95 to 3.55. 2023➡️ From 3.50 to 3.25.  2024➡️Jan15=3.20✔️ Feb19=3.15✔️ March26=3.10✔️May1=3.0✔️ June7=3mg✔️ July 15= 2.95✔️ This is NOT medical advice.Consult your doctor.

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Hi Rapini:

 

I am trying another taper off the mirt.  I tried the liquid route 2x in 2018....first crushing then adding to the oral solution...then crushing and adding to maple syrup.  I did not make it past my first reduction.

 

I am currently at 3.25 mg. mirt (started at 3.75 mg) and have been trying to follow the CITA schedule, albeit revised.  I take 1.87 mg. (1/8 tablet) on Wed. and Sat. nites, and the remaining nites are 3.75 mg. dosages.  I have done the math and this works out to a less than 10% reduction over the 7 days.  I made my first reduction to 3.5 mg. (only one night in the week with 1.87 mg.) and stayed on that for a good 30 days.  Now I have just started the 3.25 mg.  I have had some symptoms such as the teeth aches, diarrhea, headaches, nite sweats, and some insomnia.  Hopefully, I can continue to do this every month and ease down slowly.  My goal is to get to the 1/2 mirt milestone or 1.87 mg. mirt, restabilize, and then start again with 1/2 of 1.87 mg. one nite a week and so on.  Hope this makes sense....I have been on mirt since 3/2013, but only at 3.75 mg.

 

Let's stay in touch... support is always a good thing!!

 

Shebon😄

Started 3.75 mg. remeron 4/2013.  Had tapered off benzo 4/2011.  Had tapered down to 1.87 mg remeron but mistakenly thought I was in bad withdrawals, when it was Synthroid again.  Stopped  Synthroid 3/31/3021-side effects are the same as hyperthyroid symptoms, but doctors have no knowledge of this side effect.  Started taper end of 7/2021, now at 3.48 mg. daily. 

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  • 3 months later...

Rapini,

How are you doing these days?    All the best to you on this journey

PH1

2010:  Escitalopram (Lexapro) 10 mg.   Mirtazapine (Remeron) 15 mg. 

2011:    Tapered Mirtazapine: 5 month successful taper.  Then tapered Lexapro:  4 month successful taper

May 2011 to August 2017:   No medications, full recovery

September 6, 2017:  started Mirtazapine (Remeron) 15 mg  - due to severe sudden insomnia 

November 16, 2017:   started Escitalopram (Lexapro) 10 mg

January 1, 2018 to October 30. 2020 -- 34 month taper off of Mirtazapine 15 mg to 0.00 mg

June 16, 2018:  Started slow taper of 10 mg Escitalopram (Lexapro)

Current (mgai):    0.23 mg  Escitalopram

Supplements:  Fish Oil, Curcumin, bio active B vitamins, zinc, magnesium glycinate, Vitamin D, Vitamin C, saffron, citrus bergamot, ashwagandha

 

"Therefore do not worry about tomorrow, for tomorrow will worry about itself. Each day has enough trouble of its own."  Matthew 6:34

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  • 1 year later...

Do some people experience face and teeth pain in withdrawal? My face began hurting suddenly on September 25th. The pain tends to go away in the mornings, and it gets worse throughout the day. Eating and speaking worsen the pain. Ibuprofen helps slightly, but the pain just comes back.

 

 

 

PH1: I'm sorry that it's taken me so long to see your comment. I hadn't been frequenting the board for a long time because I had been doing well, or at least felt that I was able to manage my symptoms. Until recently, I was just very tired. 

 

 

Mirtazapine 15mg - Start: June 2018 - Began Tapering by Skipping Pills March 2019 - CT April 29th 2019 - Restart May 8th 2019

 

Began Tapering Properly on November 27th 2019

 

2.64 December 3 2022

2.58 January 4 2023

2.52 January 21 2023

2.46 January 28 2023

2.4 February 4 2023

2.34 February 2023

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  • 1 month later...

My pharmacy no longer carries the brand of mirtazapine that I have been using (auro-mirtazapine), and suddenly switched me to what I think may be a generic brand (I'm assuming that it's generic because no brand is listed). Has anyone had this happen to them during? What should I do?

 

Also, the face pain has mostly abated since October 22. It was pretty awful when I had it, but at least it didn't last very long.

Mirtazapine 15mg - Start: June 2018 - Began Tapering by Skipping Pills March 2019 - CT April 29th 2019 - Restart May 8th 2019

 

Began Tapering Properly on November 27th 2019

 

2.64 December 3 2022

2.58 January 4 2023

2.52 January 21 2023

2.46 January 28 2023

2.4 February 4 2023

2.34 February 2023

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  • Moderator Emeritus

Do you still have any of the old auro mirtazapine?  If yes then you might consider doing a cross over.  See:

 

cross-over-changing-form-eg-tablet-to-liquid-of-drug-or-changing-brand-of-same-drug

 

If not, do you have other pharmacies that you might try to get the same brand so that you can do a cross over.

 

In the future, I suggest that you get your prescription before you run out of the type you are taking so that if you are not able to get the same type then you can do the cross over.  Or before the prescription is due, contact the pharmacist and ask what type they have and if it is the same, ask them to hold a box for you.

 

Please note that it would be better to be able to get the same type all the time.

 

* NO LONGER ACTIVE on SA *

MISSION ACCOMPLISHED:  (6 year taper)      0mg Pristiq  on 13th November 2021

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

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Thank you. I have seven pills left, so I will try to do a cross over. There isn't another pharmacy that I can get auro mirtazapine that I know of... I was purposefully sticking to the same pharmacy during my entire taper so that the brand would always be the same. They've given me the same brand consistently for over two years, so I never considered that they would suddenly have a supply issue...

 

I will make sure to stock up more quickly next time, and call pharmacists in advance from now on.

Mirtazapine 15mg - Start: June 2018 - Began Tapering by Skipping Pills March 2019 - CT April 29th 2019 - Restart May 8th 2019

 

Began Tapering Properly on November 27th 2019

 

2.64 December 3 2022

2.58 January 4 2023

2.52 January 21 2023

2.46 January 28 2023

2.4 February 4 2023

2.34 February 2023

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  • Moderator Emeritus

Do not make a reduction or start/stop anything else at the same time.

 

Listen to your body/symptoms.

* NO LONGER ACTIVE on SA *

MISSION ACCOMPLISHED:  (6 year taper)      0mg Pristiq  on 13th November 2021

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

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I didn't plan to. I plan to take it easy for the next week or two. Thank you for your support. :)

Mirtazapine 15mg - Start: June 2018 - Began Tapering by Skipping Pills March 2019 - CT April 29th 2019 - Restart May 8th 2019

 

Began Tapering Properly on November 27th 2019

 

2.64 December 3 2022

2.58 January 4 2023

2.52 January 21 2023

2.46 January 28 2023

2.4 February 4 2023

2.34 February 2023

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  • 1 month later...

Has anyone had to do shift work during withdrawal? I just got a new job offer that would require shift work, but would also provide me with more pay and stability than my current position. I have been debating if I should take this job since I am afraid that the shift work would worsen my withdrawal symptoms, which have been significant even with my slow taper, especially insomnia. Does anyone else have experience with this?

Mirtazapine 15mg - Start: June 2018 - Began Tapering by Skipping Pills March 2019 - CT April 29th 2019 - Restart May 8th 2019

 

Began Tapering Properly on November 27th 2019

 

2.64 December 3 2022

2.58 January 4 2023

2.52 January 21 2023

2.46 January 28 2023

2.4 February 4 2023

2.34 February 2023

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