drrktvm: need help with mirtazapine taper

[drrktvm]

Hi all

 

My first post..long term lurking here.

 

Successfully tapered down from 30 mg mirtaz to 1.8 mg over 19 months.

 

last during the taper i had severe migraines which i had it pre-mirtaz. During the taper it resurfaced again.

 

I took aspirin for prevention of migraine 325 mg. Developed severe abdominal pain which was crampy with flatulence disturbing sleep for 1 an half months

 

initially thought it was due to aspirin but even after stopping aspirin pain is still there

 

checked with a gastro who feels its not due to aspirin. Endoscopy usg abd cat scan all normal

 

My taper going smooth with out any other symptoms.

 

What do think? Is it withdrawal?

 

Thanks 

 

Rk

[Gridley]

Welcome to SA, drrktvm.

 

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11 hours ago, drrktvm said:

What do think? Is it withdrawal?

It's possible but hard to be sure.  Your 19 month taper from 30mg to 1.8 was pretty close to our recommended taper rate of 10% of current dose every four weeks.  What was your rate of taper and what method are you using to taper (liquid, weighing, compounded)?

 

Why taper by 10% of my dosage?

 

The 10% rate is not absolute for every person.  Some people can taper faster and some have to taper more slowly.  It may well be that you're one of those who has to taper more slowly.  If so, the abdominal issues could be withdrawal.  In any case, now that you're down to a low dose, it would be a good idea to slow down your taper.  Our general rule is, the lower you go, the slower you go.  

 

We recommend going as low as you can before jumping to zero, somewhere in the 0.00's, such as 0.025mg or if possible 0.01mg.

 

Since you've been tapering for 19 months, likely you're knowledgeable about the mirt taper.  The following link is specifically about tapering mirtazapine and may contain information helpful to you.

 

Tips for tapering off mirtazapine (Remeron)

 

 

We don't recommend a lot of supplements on SA, as many members report being sensitive to them due to our over-reactive nervous systems, but two supplements that we do recommend are magnesium and omega 3 (fish oil). Many people find these to be calming to the nervous system. 

 

Magnesium, nature's calcium channel blocker 

 

Omega-3 fatty acids (fish oil) 

 

Add in one at a time and at a low dose in case you do experience problems. Get supplements that are single ingredient (not mixed with other types of supplements).

 

This is your Introduction topic, where you can complete your drug signature, ask questions and connect with other members.  We're glad you found your way here.

 

 

 

 

 

 

 

[drrktvm]

Thank you buddy. I am all fine now. Tapering going on real smooth now

 

Edited December 19, 2020 by ChessieCat
extracted respons from quote and deleted quote

[ChessieCat]

Thank you for letting us know that you are okay now.  Please continue to let us know how you go with your taper.  It is helpful for other members.

 

Please create your drug signature following these instructions:

 

Instructions:  Withdrawal History Signature

[amjad]

is it dfficult to taper Mirtazapine . How long it will take to complete taper 30 mg  if someone is using it for > 1 yr ?