dfpp: mirtazapine withdrawal?

[dfpp]

I have panic disorder with General anxiety.

I had taken mirtazapine 45mg and I think 60mg at one point over 10 years. Due to a big relapse of major daily panic attacks and severe nausea a Psychiatrist changed me over to escalitopran but left me on 7.5mg of mirtazapine for sleep.

For approx 3 years I've been on 20mg of escalitopran and 7.5mg of mirtazapine but doctors keep asking to remove the mirtazapine. Lately I have been quite Nausea each day and wondering if its the two drugs interacting?

I am now trying to remove the mirtazapine and cut the 7.5mg cold turkey and was awake all night not having it and severe panic attacks in the night and during the day with severe nausea. So now Im trying to take a 1/4 tablet of mirtazapine which is approx 3.75mg.

How should I go about this? I do have a doctor appointment booked as I think withdrawal is already an issue.

 

[Frogie]

@dfpp

 

Welcome to SA. We are a volunteer ran site helping people taper off psychiatric medications or have tapered off and are now healing.

 

This is your introduction page where you will receive information, ask question and meet other members. We ask that you only have one introduction page so we can keep all your information in one place.

 

First can you please create a signature.

 

How to List Drug History in Signature

 

 

We never suggest more than a 10% a month taper because of the symptoms just like you are having. I am going to provide you with some links to read:

 

Why taper by 10% of my dosage?

Taking multiple psych drugs? Which drug to taper first?

 

How do you talk to a doctor about tapering and withdrawal?

 

Tips for tapering off mirtazapine (Remeron)

 

Tips for tapering off escitalopram (Lexapro)

Dr. Joseph Glenmullen's withdrawal symptom checklist

What is withdrawal syndrome?

The Windows and Waves Pattern of Stabilization

Digestive problems:  Nausea, Diarrhoea, Bloating, GERD

 

 

 

 

 

Here is some important information about how these drugs actually work.  This explains why we get symptoms from going off of these medications:

 

How Psychiatric Drugs Remodel Your Brain

 

 

This helps you understand what withdrawal syndrome is: 

 

Video on Recovery from Psych Drugs

 

 

Stability is really important when we are tapering off psych meds.  Please read the link about stability:

 

Keep It Simple, Slow, and Stable

 

 

How long have you been taking 3.75 mg mirtazapine? If is has only been a few days, you could go back up to 7.5 mg. 

 

We don't suggest supplements on here as they can be stimulating except 2. If you would like to try one, try a small amount and wait a few days before introducing the other.

 

 

Magnesium

Omega 3 Fish Oil

 

 

After you have read the links provided please reach out with any questions you may have.