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feelinbetter: I am very scared


feelinbetter

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Hello,

 

I am currently experiencing significant PTSD after a very traumatic life event. I started 12.5 mg trazedone 1 week ago.  It allowed sleep - I thought I could take it as needed but I am wrong. I also tried 3.75 mg Remeron which I was on several years ago. Anyway, I feel so agitated in the morning after spotty sleep. Is it too late to do a quick taper. I've read about the mcpp metabolite and am scared to make things worse. I am barely staying out of our local stress center. Should I switch over to the Remeron, get stable then taper off of that or stay on the 12.5 mg trazedone.    Four weeks ago I was completely stable and drug free and then the PTSD hit. Please help!

Edited by scallywag
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2006 - post partum depression - many drugs tried (nightmare) and ended up on 22.5 mg Remeron and 1 mg Klonopin. 

2007 - cross tapered klonopin to valium then off 20 mg valium over 9 month period. At end of taper went to 15 mg Remeron had very bad withdrawal and sick. Started to get better in 2008

2008-20012 Slowly weaned off of 15 mg Remeron so slowly didn't feel anything

2012- Nov. 2016 Drug Free 

Nov. 2016 PTSD from very bad trauma incident - took supplements that caused akasthesia- horrible anxiety and insomnia tried 3.75 mg Remeron and 25 mg Trazedone (at different times - never together). Tried 12.5 mg Trazedone for a week then went to 3.75 Remeron since then. I was physically sick on the Trazedone so that's why I went to Remeron (I had taken it before). Waiting for CNS to calm down. 

 

Current as of 12/16: Just 6 mg of Remeron and holding until CNS/akasthesia calms down

 

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Is someone there? I'm really scared. I feel like my body is already addicted to Trazedone since I have had either trazedone or remeron in my system for 2 full weeks.

2006 - post partum depression - many drugs tried (nightmare) and ended up on 22.5 mg Remeron and 1 mg Klonopin. 

2007 - cross tapered klonopin to valium then off 20 mg valium over 9 month period. At end of taper went to 15 mg Remeron had very bad withdrawal and sick. Started to get better in 2008

2008-20012 Slowly weaned off of 15 mg Remeron so slowly didn't feel anything

2012- Nov. 2016 Drug Free 

Nov. 2016 PTSD from very bad trauma incident - took supplements that caused akasthesia- horrible anxiety and insomnia tried 3.75 mg Remeron and 25 mg Trazedone (at different times - never together). Tried 12.5 mg Trazedone for a week then went to 3.75 Remeron since then. I was physically sick on the Trazedone so that's why I went to Remeron (I had taken it before). Waiting for CNS to calm down. 

 

Current as of 12/16: Just 6 mg of Remeron and holding until CNS/akasthesia calms down

 

Link to post

Don't be scared. You will be okay. How many days did you take remeron and how many days did you take trazodone? If you only took remeron for a few days and then switched to trazodone don't go back on remeron. With trazodone if it was less than two weeks I would rapid taper off it. You might feel lousy for a while maybe a few weeks, but you'll be done with it. I take both meds and I am almost done with traz, but I was on it for a couple years.

 

Marie

10/13--10/14 Ambien. Started tapering 1/14  Jumped 10/14.  Done.                                                                              

3/14        7.5 Remeron  still taking this.                              

2/14         75 Trazodone   -    Tapered by dry cutting all the way down.

1/16        4 mg Trazodone  -  Jumped. Bad mistake. Got hit with late withdrawal 6 weeks later. Had to reinstate.

4/16        Reinstated 1 mg, updose to 2 mg Trazodone

2/19        .04 Trazodone. Walked off.  Done.

10/3/19  Started 7.5 Mirtazapine taper cut to .073 gram weight, pill weighs .076

4/5/20    New Mirtazapine Taper - Compound Liquid 7.35 mg April '20, 7.25 mg May, 7.05 mg June, 6.99 mg June, 6.78 mg July, 6.57 mg Aug, Sept 6.35 mg, Sept 6.24 mg, Sept 6.21 mg, Oct 5.99 mg, Oct 5.90 mg, Oct 5.70 mg.

1/11/21 6.05 mg Messed up taper due to syringe change. Must remember the 1 ml syringe contains 1.5mg! 1/16/21 5.99 mg

2/21 5.75 mg, 3/21 5.6 mg, 4/7 5.45, 4/14 5.30, 5/12 5.15

 

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This was my past two week schedule

 

Nov. 27 - 25 mg Traz

Nov. 28 - 3.75 mg Remeron

Nov. 29 - 3.75 mg Remeron

Nov. 30 - 3.75 mg Remeron

Dec. 1 - 25 mg Traz

Dec. 2 - 25 mg Traz

Dec. 3 - 12.5 mg Traz

Dec. 4 - 12.5 mg Traz

Dec. 5 - 12.5 mg Traz

Dec. 6 - 12.5 mg Traz

Dec. 7 - 12.5 mg Traz

2006 - post partum depression - many drugs tried (nightmare) and ended up on 22.5 mg Remeron and 1 mg Klonopin. 

2007 - cross tapered klonopin to valium then off 20 mg valium over 9 month period. At end of taper went to 15 mg Remeron had very bad withdrawal and sick. Started to get better in 2008

2008-20012 Slowly weaned off of 15 mg Remeron so slowly didn't feel anything

2012- Nov. 2016 Drug Free 

Nov. 2016 PTSD from very bad trauma incident - took supplements that caused akasthesia- horrible anxiety and insomnia tried 3.75 mg Remeron and 25 mg Trazedone (at different times - never together). Tried 12.5 mg Trazedone for a week then went to 3.75 Remeron since then. I was physically sick on the Trazedone so that's why I went to Remeron (I had taken it before). Waiting for CNS to calm down. 

 

Current as of 12/16: Just 6 mg of Remeron and holding until CNS/akasthesia calms down

 

Link to post

Silver star, 

 

did you start feeling better at 12.5 mg. I read about the mcpp on one of SA's pages and it really scared me!

 

feeling better

2006 - post partum depression - many drugs tried (nightmare) and ended up on 22.5 mg Remeron and 1 mg Klonopin. 

2007 - cross tapered klonopin to valium then off 20 mg valium over 9 month period. At end of taper went to 15 mg Remeron had very bad withdrawal and sick. Started to get better in 2008

2008-20012 Slowly weaned off of 15 mg Remeron so slowly didn't feel anything

2012- Nov. 2016 Drug Free 

Nov. 2016 PTSD from very bad trauma incident - took supplements that caused akasthesia- horrible anxiety and insomnia tried 3.75 mg Remeron and 25 mg Trazedone (at different times - never together). Tried 12.5 mg Trazedone for a week then went to 3.75 Remeron since then. I was physically sick on the Trazedone so that's why I went to Remeron (I had taken it before). Waiting for CNS to calm down. 

 

Current as of 12/16: Just 6 mg of Remeron and holding until CNS/akasthesia calms down

 

Link to post

Hello feelinbetter.

 

Hopeful here. I just wanted to say hello and offer some support. I have complex ptsd so have some idea of how you're feeling. I had psychological melt-down about a month ago. Very scary stuff and it took me an age to calm down.

 

If you're able to you could maybe try some exercise. This helps me very much get a handle on any anxiety or panic l may be feeling.

 

Thinking of you and wishing only warmth and good things for you.

 

hopeful ☺

Quit quitiapine on 2nd December 2016. Dosage 150mg.Been on it since April/May 2015.Take 30mg of amytriptaline as a neuropathic.

Previous meds 1995-2015 - moclobimide ,trazadone, paroxatine,fluoxetine,sertraline,citrilopram,mirtizapine,dothiepin,doxipin ,venlavaxine and buproprion.

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Thank you

2006 - post partum depression - many drugs tried (nightmare) and ended up on 22.5 mg Remeron and 1 mg Klonopin. 

2007 - cross tapered klonopin to valium then off 20 mg valium over 9 month period. At end of taper went to 15 mg Remeron had very bad withdrawal and sick. Started to get better in 2008

2008-20012 Slowly weaned off of 15 mg Remeron so slowly didn't feel anything

2012- Nov. 2016 Drug Free 

Nov. 2016 PTSD from very bad trauma incident - took supplements that caused akasthesia- horrible anxiety and insomnia tried 3.75 mg Remeron and 25 mg Trazedone (at different times - never together). Tried 12.5 mg Trazedone for a week then went to 3.75 Remeron since then. I was physically sick on the Trazedone so that's why I went to Remeron (I had taken it before). Waiting for CNS to calm down. 

 

Current as of 12/16: Just 6 mg of Remeron and holding until CNS/akasthesia calms down

 

Link to post
  • Moderator Emeritus

I'm sorry you're dealing with PTSD and went through the event(s) that prompted it.

 

Generally the less switching of medications you do, the better off you'll be.

 

If the trazodone is working for you at the dose of 12.5 mg, it may be best to stay on it.  Your current dose of 12.5 mg is 8.3% of the usual introductory dose prescribed for depression, 150 mg. The issue of metabolites is usually proportional to dose; your risk of problems will be low at a low dose.

 

If you'd rather be off trazodone because you suspect its metabolite is aggravating anxiety, you need to discuss alternatives with your prescribing doctor. That's not a topic we can help you with. :(

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.
1997-1999 Effexor; 2002-2005 Effexor XR 37.5 mg linear taper, dropping same #beads/week with bad results

Cymbalta 60 mg 2012 - 2015; 2016: 20 mg to 7 mg exact doses and dates in this post; 2017: 6.3 mg to  0.0 mg  Aug. 12; details here


scallywag's Introduction
Online spreadsheet for dose taper calculations and nz11's THE WORKS spreadsheet

Link to post
  • 2 months later...

Hello,

 

I haven't been on in awhile because I've been trying to stabilize - also, I'm pretty shy so writing on Internet forums is a new thing for me.

 

My situation is a bit better but still pretty sick (went from working and "normal" life to mainly housebound but able to go out and walk and maybe to a quiet restaurant.  Anyway, does anyone have any issues with Aurobindo Mirtazapine vs. Teva Mirtazapine? I'm thinking I might be sensitive to generics. I would love to get information regarding this.

 

Thank you!

2006 - post partum depression - many drugs tried (nightmare) and ended up on 22.5 mg Remeron and 1 mg Klonopin. 

2007 - cross tapered klonopin to valium then off 20 mg valium over 9 month period. At end of taper went to 15 mg Remeron had very bad withdrawal and sick. Started to get better in 2008

2008-20012 Slowly weaned off of 15 mg Remeron so slowly didn't feel anything

2012- Nov. 2016 Drug Free 

Nov. 2016 PTSD from very bad trauma incident - took supplements that caused akasthesia- horrible anxiety and insomnia tried 3.75 mg Remeron and 25 mg Trazedone (at different times - never together). Tried 12.5 mg Trazedone for a week then went to 3.75 Remeron since then. I was physically sick on the Trazedone so that's why I went to Remeron (I had taken it before). Waiting for CNS to calm down. 

 

Current as of 12/16: Just 6 mg of Remeron and holding until CNS/akasthesia calms down

 

Link to post
  • Moderator Emeritus

feelinbetter - thanks for popping in to update.  For others' experience with generics, you might want to check the mirtazapine topic:

Tips for tapering off Remeron (mirtazapine)

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.
1997-1999 Effexor; 2002-2005 Effexor XR 37.5 mg linear taper, dropping same #beads/week with bad results

Cymbalta 60 mg 2012 - 2015; 2016: 20 mg to 7 mg exact doses and dates in this post; 2017: 6.3 mg to  0.0 mg  Aug. 12; details here


scallywag's Introduction
Online spreadsheet for dose taper calculations and nz11's THE WORKS spreadsheet

Link to post

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