Aelius: need to come off mirtazapine / Remeron and buspiron / Buspar

[Aelius]

I`m wondering how others are supported by their friends and relatives during withdrawal. Personally I think I don`t have enough support and understanding among my friends and relatives. It seems that vast majority don`t believe me what I`ve been through and thinks that it`s all in my head or that I`m lazy to go to work.

Yesterday, my brother-in-law, who is a clinical psychologist, told me he didn`t believe me that comming off Buspirone quickly caused me such horrible and long lasting withdrawal symptoms. He tried to argument that all his patients stopped their psychiatric drugs withing a few weeks and didn`t feel ill. One of his patients told him she stopped taking 1.5mg Clonazepam abruptly and felt nothing. I think that proves nothing and that the Clonazepam story is a nonsense. He told me I should come off Mirtazapine in 1-2 weeks, maybe I would feel better afterwards!

I offered him some of my ADs for testing purposes to take it for four weeks and then go cold turkey so he had some own experience. He didn`t want.

[scallywag]

If your brother-in-law is interested in actually learning something rather than holding on fast to his opinion and dismissing your experience, he could check out the forum on this site,
From journals and scientific sources.

[Aelius]

Last Tuesday I learned results of my neurological exams. I have no neurological diagnosis. MRI brain scan showed pineal cyst 10 mm and I have several cysts on my thyroid. Nothing what should influence my balance. I made an appointment at endocrinology due to hormonal tests on 23rd February. The doctor said my balance problems could be caused by ototoxic meds (especially benzos) and that it takes very long to get better after they are stopped. I want to see an ear specialist. Everything I took and I`m still taking can cause ototoxicity. Mirtazapine is known to be a cause of the sudden hearing loss.

I`m still worried that something bad happened to my brain and ear and it will be irreversible. I`ve been living in this "unbalanced" world for seven months and it makes my anxiety and depression worse. I can feel it even at this very moment at computer when I move my head. If this is not a withdrawal symptom and it`s anxiety dizziness, I don`t know how to get rid of it. I`m desperate.

[Aelius]

It`s been quite a long time since my last post. It`s time for update. I intend to post monthly updates.

The most important news is it`s my day 27 off Buspirone. I strongly recommend everyone not to underestimate Buspirone! Reinstatement didn`t work, moreover I had an adverse reaction to it. Buspirone has done so much harm to my health. I hate it with passion. Tapering it for the second time was an incredibly awful experience. I gave up fighting many times. I was thinking I couldn`t survive it. I started to feel better when I dropped to 2.5 mg. I had first serious breakdown when I was on 2 mg. The second breakdown when I spent whole weekend in bed was two weeks ago. I hope it was the last one. Week by week I feel a little bit better but it`s still far from normal. I`m slowly tapering Mirtazapine. I no longer take Omega 3 and Magnesium. Maybe I`ll try small doses again. I want to do something with my diet. I began to go to church regularly. Finally it`s getting warm outside and I can take daily walks. Spring is comming soon and there will be more opportunities to distract my mind from withdrawal symptoms. I have two months to get better to try return to work, just part time.

 

Let`s take a look at my symptoms:

 

1) Balance issues/dizziness - a week ago I noticed first little improvement in rocking/swaying sensations after 8 months!

2) Inner vibrations, trembling, tingling - especially in my legs and pelvic area. It`s present most of the day, it`s a little bit less intense than a month ago. I have it mostly when working with computer or watching TV.

3) Neurotic bladder - nothing has changed so far, it comes randomly, it`s unpredictable

4) Heart palpitations, racing heart - happends very rarely now

5) Throath tightness - before sleep, better than in the past

6) Sensitivity to temperature changes - still present, not as often as before, though

7) Anxiety - still very strong for no apparent reason, regardless of situation, it`s worst between 4 - 8 p.m. It`t like living in persistent anxiety attack.

8) Brain (cognitive fog) - I have days when it`s nearly gone

9)Diarrhea - completely gone

10) Fatigue - much better

11) Sleep - much better

12)Morning anxiety - I had first anxiety free morning this Tuesday, still have mild anxiety every morning

13)Evening anxiety - stronger than morning anxiety, falling asleep is still a challenge

14)Panic attacks - I still have them, the last one was this Wednesday

15)Hot flashes - they were gone completely but returned this week, nothing serious though

16)Vision - fast movements on TV or in real world are not a serious problem anymore, blurred vision in panic attacks

17)Crying spells - still have them, I last cried this Wednesday

18) Vivid dreams - not as bad as before, it`s a common side effect of Mirtazapine

19) Chest pressure - very rarely only in certain situations

20) Sweating - gone

21) Depression, sadness - way more better, it lifted after Buspirone discontinuation

22) Intrusive thoughts - not thinking too often about what a horrible mistake I made with these poisonous meds

23) Poor concentration - improved very much, I can study English for example

24) Memory - improving

25) Libido - completely back, genital malformation is gone

26) Fear of going crazy - it`s gone, not even when I have a panic attack

27) Restless legs syndrome - only once or twice a week, improved after going down with Mirtazapine dose

28) Nausea - gone completely

 

New symptom:

29) Tinnitus in left ear - appeared two weeks ago (two weeks after stopping Buspirone). This is a real disaster for me. I had several panic attacks because of this. I deal very bad with annoying noise in my ear. I was looking forward for a good sleep to return. Now I have difficulty falling asleep. It takes me usually two hours to fall asleep. It makes my anxiety worse. I must play white noise to calm myself down. It`s a huge obstacle in my recovery process. I have fear it will never go away like my balance issues.

 

I`d like to thank my young friends Dez and Waiting12 for their infinite support in my hardest times.

[Waiting12]

I'll be looking forward to your updates. I hope we all see progress in the upcoming months. Thank you for your support as well. These times are very hard, but it seems that it gets easier and easier.

[Aelius]

Last week I tried Magnesium citrate 200mg and had a very weird reaction to it. Next day my legs were stiff with painful muscles and my anxiety was worse. Plus, I had diarrhea. I took it two days and then stopped.

[ChessieCat]

From the Magnesium topic

• Don't overdo taking magnesium -- too much will give you diarrhea. Start with 25mg.

• I found if I dissolved magnesium citrate in ice water and sipped it, this reduced withdrawal anxiety quite a bit.

There are other ideas in the topic, eg epsom salt bath or foot soak.

 

However Alexjuice's post:

 

"Magnesium's effects on me are potent. 25mg produces a drunk-like, slouching state of stupor/listlessness sometimes accompanied by muscle cramping."

Edited March 15, 2017 by ChessieCat
Added AJ's comment

[Aelius]

Before I used to take 400mg of different magnesium kind and had no issues. It seems my CNS doesn`t tolerate it now. Maybe I should only change my diet to eat healthy. I need to do something with my anxiety. It always starts around 4 or 5 p.m. and is the strongest before bedtime.

[Aelius]

This morning I started to take 25mg dose of Magnesium citrate. I`ll stay on this dose for a few days and later on I`ll try to updose. It`s not a pure magnesium, but it`s a complex of magnesium, zinc, selenium, vitamins C a B6.

Next week I want to ask my gp to prescribe me Circadin - melatonin. I need something to help me to fall asleep faster. Mirtazapine is no longer a sleep help. I can`t wait two hours, my anxiety is getting stronger then. Tinnitus didn`t let me sleep properly last two nights. Tomorrow I want to start to taper pantoprazole. Currenty I take 40mg, I`ll lower to 35mg. I`ve been taking it for more than 10 years. Recently I learned it`s not healthy to take it long. I will change my diet, I`ll eat more healthy to alkalinize my body.

Today I had an appointment with my psychotherapist and we were mainly discussing the tinnitus issue. If I didn`t have it, I would have nothing to be afraid of when going to sleep. It sucks. It`s pitty because everything else has gotten better.

I`m thinking of all the sufferers here and wish you to get better soon.

[ChessieCat]

It's recommended not to take things in combination.  Some members find B vitamins too activating, especially B6.  If you have an issue, you won't know what is causing the problem.

 

It is also not recommended to make more than one change at a time.  If you commence tapering pantoprazole tomorrow, and you experience issues, you will not know whether it is the magnesium complex or withdrawal from the pantoprazole.

[Aelius]

Okay. I don`t need to add anything activating. I`d better get a pure magnesium. I`ll give the magnesium complex to my sister. When I ordered it in the pharmacy I didn`t emphasize I wanted only magnesium with nothing added in it.

[Aelius]

Hi all,

it`s time for my regular monthly update. It`s Day 56 off Buspirone, Mirtazapine 22mg.

 

1) Balance issues/dizziness - there is a noticable improvement. I`m glad it gets better.

2) Inner vibrations, trembling, tingling - it has improved singificantly. It goes away.

3) Neurotic bladder - still have it from time to time, but less often.

4) Heart palpitations, racing heart - it got a bit worse.

5) Throath tightness - still present, it doesn`t seem to go away yet.

6) Sensitivity to temperature changes - completely gone.

7) Anxiety - still very strong for no apparent reason, regardless of situation, it`s worst between 4 - 8 p.m. I would say it`s 20% better than a month ago.

8) Brain (cognitive fog) - it was back between March 21-30, now it`s better again.

10) Fatigue - it was back between March 21-30, now it`s better again.

11) Sleep - I had sleep issues between March 21-30 especially due to tinnitus. I slept better last three nights.

12)Morning anxiety - remains unchanged.

13)Evening anxiety - slightly better, falling asleep is still a problem, tinnitus is the main contributor.

14)Panic attacks - I had 4 panic attacks.

15)Hot flashes - it`s not a problem any more.

16)Vision - blurred vision during a panic attack this Tuesday.

17) Chest pressure - very often these days.

19) Sweating - at night last Sunday and this Monday and Tuesday.

20) Depression, sadness - it was back between March 21-30. I cried several times.

21) Diarrhea - four times

22) Restless legs syndrome - still persistent side effect of Mirtazapine.

23) Vivid dreams - only twice.

24) Tinnitus - this symptom is bothering me the most. If I didn`t have it everything would be much better. Sometimes I have it in both ears.  I can`t distract my attention from it, it makes me more anxious and it disturbs my sleep. Last three night it was quiet, though. I hope it will go away soon. I hate it.

 

Spring is finally here. Being outside and working in the garden helps.

Edited April 2, 2017 by ChessieCat
corrected April to March as per member's request

[Waiting12]

I'm glad you've gotten through your last setback. It seems that you are making lots of progress on this symptom list. I'm so glad your dizziness is showing improvement for you! We can do this! One day we'll have a whole list of symptoms under the 'gone to never return' category

[Aelius]

I'm glad you've gotten through your last setback. It seems that you are making lots of progress on this symptom list. I'm so glad your dizziness is showing improvement for you! We can do this! One day we'll have a whole list of symptoms under the 'gone to never return' category

I`m glad you are making progress as well. Happy belated birthday, by the way.

It`s awesome my dizziness is going away. Yesterday I took a very long walk and enjoyed it. I slept well last night.

[Waiting12]

I`m glad you are making progress as well. Happy belated birthday, by the way.

It`s awesome my dizziness is going away. Yesterday I took a very long walk and enjoyed it. I slept well last night.

 

Thank you for the birthday wishes! It is very awesome your healing is happening!

[Aelius]

I have a question and would be grateful for an answer. Is it safe to take Atarax (hydroxyzine) 12.5mg or 25mg occasionally (once or twice a week) to help with anxiety or should I refrain from taking all other psychiatric medication? Sometimes my anxiety is so severe that relaxation techniques don`t bring any relieve. Buspirone has currupted my nervous system pretty hard, I`m only two months off. It`s hard to believe my anxiety will ever return to original level. I suffer from a strong anxiety without any apparent reason. Thank you in advance.

[scallywag]

Aelius, your doctor's suggestion of taking hydroxyzine once or twice a week to deal with anxiety might be okay for someone who has never taken a neuroactive medication like mirtazapine. 

 

One person's sensitized CNS (central nervous system) will respond differently from another person's. Once someone's been exposed to several medications and had negative reactions and/or withdrawal symptoms, as you have, it's incredibly hard to predict. Occasional hydroxyzine may give you 100% relief, or in the worst case, no no relief PLUS a strong negative reaction. Because of that uncertainty, if I were in your situation, I'd do my absolute best to avoid taking another medication.

 

I wish I had more optimistic feedback for you or even some certainty. (((hugs)))

[Aelius]

Hi Scallywag, thanks for your reply. It wasn`t my doctor`s suggestion but my idea. I used to take Atarax often during my unsuccessful attempt to reinstate Buspirone. I took a pill at Wednesday night since I felt pretty misserable and it helped me to fall asleep, but I woke up 4 hours later feeling bad again. It wasn`t worth it. Fortunatelly, I`ve never had any negative reaction to it.

 

On Thursday I went to hospital, my thyroid tests came normal. Last night I tried melatonin (0.5mg) for the first time. It helped me to fall asleep sooner than usual.

Last weekend I had a very nice window. My dizziness got better so I could walk almost normally. It lifted up my mood and I was very optimistic about my recovery. Sadly, on Monday I went into a new wave and everything is back as it was before. This is endless and very cruel. On Wednesday it was a year when I followed my pdoc`s instruction to go cold turkey off Venlafaxine and Olanzapine. I`ve been very ill ever since. I`ve had balance issues for 9 months, severe persistent anxiety without any stressor for longer than 6 months and tinnitus for 7 weeks. I know it`s very unlikely I`ll be healthy this year. I need a strenght to endure everything that still lies ahead of me and hopefully I`ll feel much better next year.

[Aelius]

Last Tuesday I felt better so I decided to go swimming. It turned out to be a bad idea. Although I was swimming very slowly and only half an hour, it worsened my symptoms especially dizziness and tinnitus. Moreover I hurt my neck so I`ll probably need a physiotherapy. Before swimming my tinnitus was completely silent for 4 or 5 days, it only triggered for a while in the evenings when I was watching TV. I had to start to taper Metoprolol because my blood pressure was low.

This Monday I made next Mirtazapine cut to 20mg, one third of the drug is gone. That was the goal I wanted to achieve asap. I think I`ll take 4-6 weeks break from tapering. I feel I need to stabilize. I want to return to work on part time in June.

[Aelius]

Not much has changed since my last monthly update. I`m 9 months off Clonazepam, 7 months off Venlafaxine and 3 months off Buspirone. I`m at Mirtazapine 20 mg. I stopped taking Metoprolol a week ago and reduced Pantoprazole from 40mg to 30mg.

 

1) Balance issues/dizziness - still the same.

2) Inner vibrations, trembling, tingling - still the same.

3) Neurotic bladder - still the same.

4) Heart palpitations, racing heart - it`s better.

5) Throath tightness - still the same.

6) Anxiety - it`s a bit better.

7) Brain (cognitive fog) - comes and goes.

8) Fatigue - I`m often tired.

9) Sleep - I wake up early regularly.

10)Morning anxiety - no change.

11)Evening anxiety - no change.

12)Panic attacks - no panic attacks.

13) Chest pressure - no change.

14) Sweating - sometimes at night.

15) Depression, sadness - slightly better.

16) Diarrhea - three times.

17) Restless legs syndrome - completely gone.

18) Tinnitus - it`s better.

19) Sound sensitivity

 

I don`t like the life I have now. I will have to return to work on part time on June 1 in worse condition than I went on a sick leave last July. That sucks.

[Survivor1]

Hello Aelius,

 

How are you?  I hope that you are recovering well.

 

I have recently developed tinnitus after having to step off mirtazepine at 2.4 mg due to an adverse reaction with trazodone (another drug I am taking).  I see that you developed it too.  It is disturbing, and I am distressed that I developed it.  Have you seen any improvement as time went on?  Any insight into your experience such as how often, intensity, etc. would be helpful.

 

Best wishes to you for continued healing.

[Aelius]

Hi Survivor1,

 

not much has changed since my last update except for my tinnitus. It disappeared three weeks ago. Unfortunatelly last night when I woke up I heard very silent whistling in my right ear, but it`s gone as I`m writing this. I should be relieved but I`m not. Thank to tinnitus I`ve developed sedatephobia which is fear of silence. I can`t get rid of coping mechanisms which helped me to live with tinnitus. I can`t fall asleep without the white noise and I listen to the radio most of the time.

 

No wonder you are distressed, it`s a pretty nasty symptom. Mine was always worst in the morning and around bed time. I wish your tinnitus went away asap.

[Survivor1]

Aelius, thanks for sharing your experience.  It's a good thing your tinnitus seem under control, gives me hope.  Over time, I'm sure you will lose your dependence on the white noise/radio.

 

You are still healing from a lot of drug discontinuations, so hang in there.  Things may take a while to improve, but improve they will. 

 

Best wishes.

[Aelius]

10 months off of Clonazepam, 8 months off of Venlafaxine and 4 months off of Buspirone. I`m at Mirtazapine 18 mg. I reduced Pantoprazole to 20mg.

I`m not going to desribe particular symptoms because they remain practically the same.  Withdrawal from Buspirone is much harder than from a benzo. Nothing has improved except for tinnitus. Several times I had metalic taste in my mouth. I had this symptom in benzo withdrawal.

Last week I worked in the garden every day because I wanted to be active. Last weekend I started to have very vivid nightmares. Yesterday evening my condition got dramatically worse. I didn`t sleep at all. I had nightmares all night. Diarrhea and nausea in the morning. I have to return to work this month. This isn`t life, it`s existence only. I think I`ll have to take some benzo to help me with sleep and severe anxiety.

[Aelius]

I`ve been feeling very bad this week. I`m exactly where I was in February/April. Tinnitus has returned after almost 4 weeks of silence. Enough is enough! I can`t live like this any more. I surrender. I was supposed to return to work this month. Instead I`ll have to apply for disability or start taking benzodiazepines again. I`m not functional. This can`t be from tapering of Mirtazapine because I do it slowly. Buspirone has ruined my life. It was no help when I was on it and it completely messed with my brain after I stopped it.

[Aelius]

My current symptoms:

 

1) Balance issues/dizziness - persistent postular-perceptual dizziness, no improvement.

2)Tinnitus - it has returned after 4 weeks

3) Severe anxiety 24/7 for no apparent reason

4) Very poor sleep - I wake up every two hours. When I`m awake I have severe anxiety and all my body is vibrating.

5) Inner vibrations, trembling, tingling - 24/7, it stops only when I`m on the move

6) Neurotic bladder - comes and goes

7) Heart palpitations, racing heart -

8) Throath tightness

9) Brain (cognitive fog) -

10)Diarrhea

11) Fatigue

12)Morning anxiety - very strong

13)Evening anxiety 

14)Hot flashes

15)Crying spells

16) Vivid dreams and nightmares every night

17) Chest pressure

18) Depression, sadness

19) Intrusive thoughts

20) Poor concentration

21) Memory issues

22) Fear of going crazy

23) Nausea

24) Sound sensitivity

25) Physical activities intolerance

26) Cognitive issues

27) Vision issues

28) Low appetite

29) Negative thinking

30) Ruminating

31) Negative obsessive thinking and emotion, anger and hate

32) Sensitivity to stress

33) Flu-like symptoms

[Survivor1]

Aelius,

 

Just wanted to offer some support in these trying times.  You have dc'd many drugs and your body is still trying to stabilize. It may take a while, but you will feel better.  Try to take it minute by minute.  Years from now, you will look back and be amazed at how you pulled through.

 

Best wishes.

[Aelius]

1 hour ago, Survivor1 said:

Aelius,

 

Just wanted to offer some support in these trying times.  You have dc'd many drugs and your body is still trying to stabilize. It may take a while, but you will feel better.  Try to take it minute by minute.  Years from now, you will look back and be amazed at how you pulled through.

 

Best wishes.

Thanks for your kind words. I`ve already lost 25 months of normal live due to these horrible drugs. It`s so frustrating that after slow gradual improvement this Monday out of the blue - BAM! And I am where I was 4 months ago.

[Happy2Heal]

hang on there, and try to focus on any small thing, any thing at all,that has improved

 

I  have found that the more you focus on the good things, they more they grow

 

you don't have to pretend that there are no bad things, just don't focus on them, don't give them  the time of day, so to speak and instead, when a good thing happens, enjoy it and relish it and let it sink deep into your body and your brain

 

the more you do this, the more things will start to go in a positive direction

It REALLY works, don't laugh because it sounds a bit simplistic

 

i know you're worried about work starting back up but try to imagine that it actually goes quite well, that instead of being awful as you imagine, it actually takes your mind off of WD and gives you some relief

that could very well be the case, you know?

 

if you go into something expecting the worst, that is likely what you will get. but if you try to leave yourself open to the possibility that things will be good, or at least neutral, you will probably find many good things happening.

 

it's all in how we look at things. I know it's hard when you don't feel well, believe me!

I work on this myself every day.

I find myself dreading next winter (yes, it's many many months away!!) simply because this past winter was so bad. this is NUTS! there's no way to know if next winter will be good or not, and if I already assume it's going to be bad, it will be. I will be the look out for all those bad things I'm imagining, and believe me, you can always find bad stuff if you look hard enough

 

but the opposite is also true and much more rewarding- you can always find something good, something to be thankful for, if you only look for it!

 

give it a try and see if it doesnt help you out of your current state of mind. if nothing else it will give you a diversion for a while

 

good luck!

[Aelius]

Hello,

thanks for your support Happy2Heal. I feel a bit better today.

Two weeks ago I told my therapist the same thing about winter. Summer hasn`t started yet and I`m already afraid of the next winter because the last one was horrific.

[Aelius]

11 months off of Clonazepam, 9 months off of Venlafaxine and 5 months off of Buspirone. I`m at Mirtazapine 16 mg.

Not much has changed over the last month. This isn`t life. Every morning I wake up into this nightmare where every step is like walking on a trampoline. I applied for disability this week. I couldn`t return to work because situation has changed and a new boss doesn`t want me. I`ll have to look for half time job somewhere else.

[scallywag]

Aelius, sorry to read that symptoms continue to plague you and that you're having to deal with a crummy work/income situation.

 

You've been decreasing mirtazapine dose 0.5 mg per week over the last month or so. Have you ever stayed at the same dose for several months while you've been tapering? 

 

Long holds, at least 2 months and as long as 9 or 10, have helped a number of people to stabilize their symptms and maybe even move into life with more windows than waves.

 

Are you willing to consider trying a long hold at 16 or maybe 15 mg? (15 mg because that's a standard tablet dose)

[Aelius]

Hi scallywag,

 

it`s nice to hear from you again.

 

Three weeks ago I had blood work done and it came out pretty bad. Before I started to take psych meds everything was fine. Now the level of uric acid is too high which means I`ll likely have gout like my dad. Cholesterol and triglyceride are too high, blood sugar is low and blood count isn`t good either. That`s the reason I`ve been tapering faster. I stayed at 20mg of Mirtazapine for 4 weeks, it made no difference to my symptoms. I believe that vast majority of my symptoms is still from comming off of Buspirone. Due to this fact I can`t feel any reductions of Mirtazapine. Two weeks ago I began to feel stronger sedative effect of Mirtazapine.

 

My original intention has been to stay at 15mg to stabilize but no longer than 2 months. The problem is 15mg tablets are not available from the same manufacturer in our country. I would have to either keep cutting 30mg tablets or take a risk switching to another manufacturer. I heard some people were sensitive to change of manufacturer of their generics. I was looking forward to have some comfortable time without cutting and weighting pills. I need an accurate dose daily to try to stabilize. I can`t reach 100% accuracy with my scale - 0.003g is 0.5mg of Mirtazapine. I`m wondering how it goes at lower doses. Liquid form of Mirtazapine is not available in our country. Other than that I`m not sure how long my psychiatrist will be willing to prescribe Mirtazapine. I don`t want to explain to her why I`ll be tapering from 15mg for 1-2years. When I last saw her she thought I was meds free.

 

I don`t know what to do so I`ll appreciate any advice. I have one package of Mirtazapine Orion 15mg (30 tablets). I can ask my GP to prescribe me another one so that I had 15mg tablets for two months. I have an appointment with my psychiatrist on 22th of August. She told me to keep taking pills from the same manufacturer. I have 75 tablets of Mirtazapine Mylan 30mg at home and a new prescription for 3x30mg tablets. I want to have some supply of Mirtazapine at home in case something unpredictable happends.

[scallywag]

Thanks for explaining the challenge you're facing with getting mirtazpine from the same supplier consistently. Can you talk with a pharmacist about this? Another thought, can your doctor write the prescription including the manufacturer's name and the instruction "no substitutions"?

 

Which tablets have you been using to make your 16 mg doses, the Mylan or the Orion?

Edited July 7, 2017 by scallywag

[Aelius]

I just read my last post and realized it sounded a bit confusing. I`ve been taking Mirtazapine Mylan 30mg soltabs since last September. I`ve been using Mylan to make smaller doses from it.  Mirtazapine Mylan 15mg soltabs aren`t available in our country. I can have Mirtazapine Orion 15mg soltabs instead of Mylan. I have two options: A) keep using Mylan 30mg pills, cut and weight them till the finish of my taper or B-) swap manufacturers and take Mirtazapine Orion 15mg soltabs for two months (no cutting and weighting needed, accurate dose daily) and then make smaller doses from Orion 15mg till the finish of my taper.

 

My doctor always writes manufacturer`s name on the prescription.

 

Update: Today I learnt I can go to work next Monday. I`ll work 4 hours a day and for the other 4 hours I`ll spend my vacation. It`s only a temporary solution. As I wrote before the new manager doesn`t want me. Either my current manager will give me another job and change my contract to half time or I`ll have to look for another job. There`s an organization helping people with mental disorders to find a job. I`ll contact them if necessary. 

[Aelius]

The decision has been made. I`ll switch from Mylan to Orion. I`ve already picked up the packages. I have a supply of 7x30 Mirtazapine Orion 15mg soltabs at home.