malu Posted December 19, 2020 Author Share Posted December 19, 2020 I think it's giving me brain fog, it slightly calmed the nervous system but there's still too much agony, and I'm still having a panic attack compounded with agony. I just added a drug to the situation, there was no Mirtazapine. I just used a drug in a very sensitized body. What should I do? I just want to be functional, I'm not functional, yesterday there were hours I couldn't even type here, it's unbearable agony. Its hell. Please help me. I'm still thinking if I should take it again tomorrow with a bigger dose because I'm not able to manage my symptoms, its constant hell, no rest, no calmness. December 2012 to October 2015: Escitalopram January 2015 (I think) to October 2015: Nortriptyline (Pamelor) October 2015 to January 2016: Sertraline (stopped it cold turkey) April 2016: Aripiprazole (Aristab) May 2016 to July 2016: Sertraline July 2016 to January 2017: Pristiq 50 mg January 2017 to March 2017: tapering off of Pristiq by cutting the pills. Supplements: used magnesium chloride, b12. Sensitivity to it in my nervous system. December 2019: Mirtazapine 4.5mg and stopped at almost zero. Used to take Spironolactone 200 mg and estradiol 4 mg pills regularly until beggining of 2020. Estradiol gel on Sep. and Oct. of 2020 and was having collateral effect in my nervous system. First half of 2020: Symbicort (corticosteroid) 19 December 2020: Mirtazapine 2mg 21 December 2020: Mirtazapine 1.75mg Link to comment
malu Posted December 19, 2020 Author Share Posted December 19, 2020 Please someone help me December 2012 to October 2015: Escitalopram January 2015 (I think) to October 2015: Nortriptyline (Pamelor) October 2015 to January 2016: Sertraline (stopped it cold turkey) April 2016: Aripiprazole (Aristab) May 2016 to July 2016: Sertraline July 2016 to January 2017: Pristiq 50 mg January 2017 to March 2017: tapering off of Pristiq by cutting the pills. Supplements: used magnesium chloride, b12. Sensitivity to it in my nervous system. December 2019: Mirtazapine 4.5mg and stopped at almost zero. Used to take Spironolactone 200 mg and estradiol 4 mg pills regularly until beggining of 2020. Estradiol gel on Sep. and Oct. of 2020 and was having collateral effect in my nervous system. First half of 2020: Symbicort (corticosteroid) 19 December 2020: Mirtazapine 2mg 21 December 2020: Mirtazapine 1.75mg Link to comment
malu Posted December 19, 2020 Author Share Posted December 19, 2020 I'm in hell, I can't relax, the med that I added didn't help and now I feel drugged too, brain fog, dizzy, can't think straight AND unbearable agony, maybe it would be worse without it idk. Tomorrow I think I shouldn't use the mirtazapine idk. It's so unbearable... December 2012 to October 2015: Escitalopram January 2015 (I think) to October 2015: Nortriptyline (Pamelor) October 2015 to January 2016: Sertraline (stopped it cold turkey) April 2016: Aripiprazole (Aristab) May 2016 to July 2016: Sertraline July 2016 to January 2017: Pristiq 50 mg January 2017 to March 2017: tapering off of Pristiq by cutting the pills. Supplements: used magnesium chloride, b12. Sensitivity to it in my nervous system. December 2019: Mirtazapine 4.5mg and stopped at almost zero. Used to take Spironolactone 200 mg and estradiol 4 mg pills regularly until beggining of 2020. Estradiol gel on Sep. and Oct. of 2020 and was having collateral effect in my nervous system. First half of 2020: Symbicort (corticosteroid) 19 December 2020: Mirtazapine 2mg 21 December 2020: Mirtazapine 1.75mg Link to comment
malu Posted December 19, 2020 Author Share Posted December 19, 2020 I'll try not to use this mirtazapine tomorrow I think December 2012 to October 2015: Escitalopram January 2015 (I think) to October 2015: Nortriptyline (Pamelor) October 2015 to January 2016: Sertraline (stopped it cold turkey) April 2016: Aripiprazole (Aristab) May 2016 to July 2016: Sertraline July 2016 to January 2017: Pristiq 50 mg January 2017 to March 2017: tapering off of Pristiq by cutting the pills. Supplements: used magnesium chloride, b12. Sensitivity to it in my nervous system. December 2019: Mirtazapine 4.5mg and stopped at almost zero. Used to take Spironolactone 200 mg and estradiol 4 mg pills regularly until beggining of 2020. Estradiol gel on Sep. and Oct. of 2020 and was having collateral effect in my nervous system. First half of 2020: Symbicort (corticosteroid) 19 December 2020: Mirtazapine 2mg 21 December 2020: Mirtazapine 1.75mg Link to comment
malu Posted December 19, 2020 Author Share Posted December 19, 2020 I dont know, maybe I should keep using it to avoid the agony? I'm thinking of using it December 2012 to October 2015: Escitalopram January 2015 (I think) to October 2015: Nortriptyline (Pamelor) October 2015 to January 2016: Sertraline (stopped it cold turkey) April 2016: Aripiprazole (Aristab) May 2016 to July 2016: Sertraline July 2016 to January 2017: Pristiq 50 mg January 2017 to March 2017: tapering off of Pristiq by cutting the pills. Supplements: used magnesium chloride, b12. Sensitivity to it in my nervous system. December 2019: Mirtazapine 4.5mg and stopped at almost zero. Used to take Spironolactone 200 mg and estradiol 4 mg pills regularly until beggining of 2020. Estradiol gel on Sep. and Oct. of 2020 and was having collateral effect in my nervous system. First half of 2020: Symbicort (corticosteroid) 19 December 2020: Mirtazapine 2mg 21 December 2020: Mirtazapine 1.75mg Link to comment
malu Posted December 19, 2020 Author Share Posted December 19, 2020 Fish oil and magnesium are doing bad side effects for me, i used it this week but every time I had worsening of sypmtons so I'm not using them. December 2012 to October 2015: Escitalopram January 2015 (I think) to October 2015: Nortriptyline (Pamelor) October 2015 to January 2016: Sertraline (stopped it cold turkey) April 2016: Aripiprazole (Aristab) May 2016 to July 2016: Sertraline July 2016 to January 2017: Pristiq 50 mg January 2017 to March 2017: tapering off of Pristiq by cutting the pills. Supplements: used magnesium chloride, b12. Sensitivity to it in my nervous system. December 2019: Mirtazapine 4.5mg and stopped at almost zero. Used to take Spironolactone 200 mg and estradiol 4 mg pills regularly until beggining of 2020. Estradiol gel on Sep. and Oct. of 2020 and was having collateral effect in my nervous system. First half of 2020: Symbicort (corticosteroid) 19 December 2020: Mirtazapine 2mg 21 December 2020: Mirtazapine 1.75mg Link to comment
malu Posted December 19, 2020 Author Share Posted December 19, 2020 Can someone help me please? I introduced a drug today, 2mg of mirtazapine to deal with my wrecked nervous system. I don't know if it was a good choice. I think it's withdrawal from Estreva gel and Spironolactone (an estradiol, somehow for over a month my body was making it very serotonergic and messing with my brain in ways I never had with such a med. That and my drug history and underlying conditions made a destabilized and hypersensitive nervous system) Im with a very fragile nervous system and feel excruciating pain the whole day. I'm taking lots of lemongrass tea and am not functional. December 2012 to October 2015: Escitalopram January 2015 (I think) to October 2015: Nortriptyline (Pamelor) October 2015 to January 2016: Sertraline (stopped it cold turkey) April 2016: Aripiprazole (Aristab) May 2016 to July 2016: Sertraline July 2016 to January 2017: Pristiq 50 mg January 2017 to March 2017: tapering off of Pristiq by cutting the pills. Supplements: used magnesium chloride, b12. Sensitivity to it in my nervous system. December 2019: Mirtazapine 4.5mg and stopped at almost zero. Used to take Spironolactone 200 mg and estradiol 4 mg pills regularly until beggining of 2020. Estradiol gel on Sep. and Oct. of 2020 and was having collateral effect in my nervous system. First half of 2020: Symbicort (corticosteroid) 19 December 2020: Mirtazapine 2mg 21 December 2020: Mirtazapine 1.75mg Link to comment
malu Posted December 20, 2020 Author Share Posted December 20, 2020 I dont know if I take another dose December 2012 to October 2015: Escitalopram January 2015 (I think) to October 2015: Nortriptyline (Pamelor) October 2015 to January 2016: Sertraline (stopped it cold turkey) April 2016: Aripiprazole (Aristab) May 2016 to July 2016: Sertraline July 2016 to January 2017: Pristiq 50 mg January 2017 to March 2017: tapering off of Pristiq by cutting the pills. Supplements: used magnesium chloride, b12. Sensitivity to it in my nervous system. December 2019: Mirtazapine 4.5mg and stopped at almost zero. Used to take Spironolactone 200 mg and estradiol 4 mg pills regularly until beggining of 2020. Estradiol gel on Sep. and Oct. of 2020 and was having collateral effect in my nervous system. First half of 2020: Symbicort (corticosteroid) 19 December 2020: Mirtazapine 2mg 21 December 2020: Mirtazapine 1.75mg Link to comment
Moderator Emeritus ChessieCat Posted December 20, 2020 Moderator Emeritus Share Posted December 20, 2020 12 hours ago, malu said: I think it's withdrawal from Estreva gel and Spironolactone (an estradiol SA is a site for tapering and withdrawal support for psychiatric drugs. If it's withdrawal from hormone drugs, SA isn't able to help you with them. 12 hours ago, malu said: I introduced a drug today, 2mg of mirtazapine 10 minutes ago, malu said: I dont know if I take another dose We cannot make the decision for you. It takes about 4 days for the drug to get to full level in the blood and a bit longer for it to register in the brain. I suggest that you make your decision very soon whether you are going to continue taking it or stopping it. * 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 Link to comment
malu Posted December 20, 2020 Author Share Posted December 20, 2020 14 minutes ago, ChessieCat said: SA is a site for tapering and withdrawal support for psychiatric drugs. If it's withdrawal from hormone drugs, SA isn't able to help you with them. We cannot make the decision for you. It takes about 4 days for the drug to get to full level in the blood and a bit longer for it to register in the brain. I suggest that you make your decision very soon whether you are going to continue taking it or stopping it. Ok, I'm deciding it. But the whole year I felt withdrawal symptoms, and it might be also related to the mirtazapine I used in December for some weeks. The thing is my nervous system is very fragile right now. December 2012 to October 2015: Escitalopram January 2015 (I think) to October 2015: Nortriptyline (Pamelor) October 2015 to January 2016: Sertraline (stopped it cold turkey) April 2016: Aripiprazole (Aristab) May 2016 to July 2016: Sertraline July 2016 to January 2017: Pristiq 50 mg January 2017 to March 2017: tapering off of Pristiq by cutting the pills. Supplements: used magnesium chloride, b12. Sensitivity to it in my nervous system. December 2019: Mirtazapine 4.5mg and stopped at almost zero. Used to take Spironolactone 200 mg and estradiol 4 mg pills regularly until beggining of 2020. Estradiol gel on Sep. and Oct. of 2020 and was having collateral effect in my nervous system. First half of 2020: Symbicort (corticosteroid) 19 December 2020: Mirtazapine 2mg 21 December 2020: Mirtazapine 1.75mg Link to comment
malu Posted December 20, 2020 Author Share Posted December 20, 2020 I took 2mg again. I don't feel any immediate sedative effects. December 2012 to October 2015: Escitalopram January 2015 (I think) to October 2015: Nortriptyline (Pamelor) October 2015 to January 2016: Sertraline (stopped it cold turkey) April 2016: Aripiprazole (Aristab) May 2016 to July 2016: Sertraline July 2016 to January 2017: Pristiq 50 mg January 2017 to March 2017: tapering off of Pristiq by cutting the pills. Supplements: used magnesium chloride, b12. Sensitivity to it in my nervous system. December 2019: Mirtazapine 4.5mg and stopped at almost zero. Used to take Spironolactone 200 mg and estradiol 4 mg pills regularly until beggining of 2020. Estradiol gel on Sep. and Oct. of 2020 and was having collateral effect in my nervous system. First half of 2020: Symbicort (corticosteroid) 19 December 2020: Mirtazapine 2mg 21 December 2020: Mirtazapine 1.75mg Link to comment
Moderator Emeritus Shep Posted December 20, 2020 Moderator Emeritus Share Posted December 20, 2020 18 hours ago, malu said: I think it's withdrawal from Estreva gel and Spironolactone (an estradiol, somehow for over a month my body was making it very serotonergic and messing with my brain in ways I never had with such a med. When were you on these other drugs? Your signature states "Used to take Spironolactone 200 mg and estradiol 4 mg." Please update your signature with the month and year of use: Account Settings - Create or Update Your Signature Link to comment
malu Posted December 20, 2020 Author Share Posted December 20, 2020 1 hour ago, Shep said: When were you on these other drugs? Your signature states "Used to take Spironolactone 200 mg and estradiol 4 mg." Please update your signature with the month and year of use: Account Settings - Create or Update Your Signature Done. December 2012 to October 2015: Escitalopram January 2015 (I think) to October 2015: Nortriptyline (Pamelor) October 2015 to January 2016: Sertraline (stopped it cold turkey) April 2016: Aripiprazole (Aristab) May 2016 to July 2016: Sertraline July 2016 to January 2017: Pristiq 50 mg January 2017 to March 2017: tapering off of Pristiq by cutting the pills. Supplements: used magnesium chloride, b12. Sensitivity to it in my nervous system. December 2019: Mirtazapine 4.5mg and stopped at almost zero. Used to take Spironolactone 200 mg and estradiol 4 mg pills regularly until beggining of 2020. Estradiol gel on Sep. and Oct. of 2020 and was having collateral effect in my nervous system. First half of 2020: Symbicort (corticosteroid) 19 December 2020: Mirtazapine 2mg 21 December 2020: Mirtazapine 1.75mg Link to comment
malu Posted December 20, 2020 Author Share Posted December 20, 2020 The inner torture is still hard but less than yesterday. I see this drug addition kind of a "reinstatement" after weakening my body with all that. I almost can't handle these symptoms today, yesterday it was even more living hell. I don't see myself handling it with non-drug techniques. It's hell. I want to increase the dosage but I'm trying not to right now. 7 hours ago, ChessieCat said: It takes about 4 days for the drug to get to full level in the blood and a bit longer for it to register in the brain. December 2012 to October 2015: Escitalopram January 2015 (I think) to October 2015: Nortriptyline (Pamelor) October 2015 to January 2016: Sertraline (stopped it cold turkey) April 2016: Aripiprazole (Aristab) May 2016 to July 2016: Sertraline July 2016 to January 2017: Pristiq 50 mg January 2017 to March 2017: tapering off of Pristiq by cutting the pills. Supplements: used magnesium chloride, b12. Sensitivity to it in my nervous system. December 2019: Mirtazapine 4.5mg and stopped at almost zero. Used to take Spironolactone 200 mg and estradiol 4 mg pills regularly until beggining of 2020. Estradiol gel on Sep. and Oct. of 2020 and was having collateral effect in my nervous system. First half of 2020: Symbicort (corticosteroid) 19 December 2020: Mirtazapine 2mg 21 December 2020: Mirtazapine 1.75mg Link to comment
malu Posted December 20, 2020 Author Share Posted December 20, 2020 Do you think it' ok to increase the dosage by 1mg each 4 days? (Off-topic: my doctor wants me to use the whole 15mg, I won't) December 2012 to October 2015: Escitalopram January 2015 (I think) to October 2015: Nortriptyline (Pamelor) October 2015 to January 2016: Sertraline (stopped it cold turkey) April 2016: Aripiprazole (Aristab) May 2016 to July 2016: Sertraline July 2016 to January 2017: Pristiq 50 mg January 2017 to March 2017: tapering off of Pristiq by cutting the pills. Supplements: used magnesium chloride, b12. Sensitivity to it in my nervous system. December 2019: Mirtazapine 4.5mg and stopped at almost zero. Used to take Spironolactone 200 mg and estradiol 4 mg pills regularly until beggining of 2020. Estradiol gel on Sep. and Oct. of 2020 and was having collateral effect in my nervous system. First half of 2020: Symbicort (corticosteroid) 19 December 2020: Mirtazapine 2mg 21 December 2020: Mirtazapine 1.75mg Link to comment
Moderator Emeritus ChessieCat Posted December 20, 2020 Moderator Emeritus Share Posted December 20, 2020 SA cannot make the decision for you. All we can do is provide the information which can help you to make an informed decision. However you do need to be patient and try and stay calm. When we panic we can make bad decisions. We have members here who have panicked and ended up updosing too soon and/or by too much. I suggest that you keep daily symptom notes for yourself so that you can be more objective about your symptoms. You might be able to see improvement in your notes that you don't feel. It takes about 4 days for the drug to reach full level in the blood and a bit longer for it to register in the brain. It would be better to wait for at least 1 week before considering increasing the dose. If you have noticed improvement then it would be better to wait for a total of 2 weeks and then reassess. It can take up to a month for the brain to full adapt to the dose. If after 1 week there has been no improvement, or worsening, then you might increase by a small bit more (but not 1mg). When updosing it is better to do it by small amounts than to risk taking too much which could make things much worse. If you do decide to updose, if your nervous system is fragile, what SA calls sensitised, you might consider only going up by 0.25mg. And remember that the idea of reinstatement isn't to get rid of the withdrawal symptoms completely but to bring the to a bearable level. Please carefully read Post #1 of this topic: About reinstating and stabilizing to reduce withdrawal 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 Link to comment
Administrator Altostrata Posted December 21, 2020 Administrator Share Posted December 21, 2020 Hello, malu. This is from a year ago. On 11/17/2019 at 9:43 AM, Altostrata said: As you've already seen improvement, you will have to decide yourself if you can be patient and let your nervous system settle down, or risk more bad effects from a drug experiment. We knew you had bad reactions then and that your system was probably sensitized. We probably would have said not to chance taking a steroid. It sounds like your system got more upset from the drugs you took to try to fix it. We don't know what mirtazapine would do for you. If you are trying a little bit, I would not increase the dosage, the strength and effect of 2mg will increase over a couple of weeks. If it doesn't give you a bad reaction, you should observe its effect over that time before you decide what to do next. 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. Link to comment
malu Posted December 21, 2020 Author Share Posted December 21, 2020 I won't increase. It's very powerful, I'm afraid. It was getting stronger. I even want to decrease. I can't think straight! I'm too doped. And my hearing got worse. My rheumatic sympstoms got worse. And it just made some symptoms more bearable, it didn't made me feel pleasure or anything. Yesterday I got insomnia, I just woke up. And what a hangover. Barely slept. But I need to take it now. Maybe I should decrease by 0.25? I feel very bad. Without it I think I can't bear the agony but this made my hearing bad suddenly and i feel so drugged. I'm feeling the pain right now through my body. This pain I was already feeling before. Right now it's horrible but more bearable than a few days ago. December 2012 to October 2015: Escitalopram January 2015 (I think) to October 2015: Nortriptyline (Pamelor) October 2015 to January 2016: Sertraline (stopped it cold turkey) April 2016: Aripiprazole (Aristab) May 2016 to July 2016: Sertraline July 2016 to January 2017: Pristiq 50 mg January 2017 to March 2017: tapering off of Pristiq by cutting the pills. Supplements: used magnesium chloride, b12. Sensitivity to it in my nervous system. December 2019: Mirtazapine 4.5mg and stopped at almost zero. Used to take Spironolactone 200 mg and estradiol 4 mg pills regularly until beggining of 2020. Estradiol gel on Sep. and Oct. of 2020 and was having collateral effect in my nervous system. First half of 2020: Symbicort (corticosteroid) 19 December 2020: Mirtazapine 2mg 21 December 2020: Mirtazapine 1.75mg Link to comment
malu Posted December 21, 2020 Author Share Posted December 21, 2020 17 hours ago, ChessieCat said: If after 1 week there has been no improvement, or worsening, then you might increase by a small bit more (but not 1mg). It make it bearable but it got worse in some ways. December 2012 to October 2015: Escitalopram January 2015 (I think) to October 2015: Nortriptyline (Pamelor) October 2015 to January 2016: Sertraline (stopped it cold turkey) April 2016: Aripiprazole (Aristab) May 2016 to July 2016: Sertraline July 2016 to January 2017: Pristiq 50 mg January 2017 to March 2017: tapering off of Pristiq by cutting the pills. Supplements: used magnesium chloride, b12. Sensitivity to it in my nervous system. December 2019: Mirtazapine 4.5mg and stopped at almost zero. Used to take Spironolactone 200 mg and estradiol 4 mg pills regularly until beggining of 2020. Estradiol gel on Sep. and Oct. of 2020 and was having collateral effect in my nervous system. First half of 2020: Symbicort (corticosteroid) 19 December 2020: Mirtazapine 2mg 21 December 2020: Mirtazapine 1.75mg Link to comment
malu Posted December 21, 2020 Author Share Posted December 21, 2020 7 hours ago, Altostrata said: Hello, malu. This is from a year ago. We knew you had bad reactions then and that your system was probably sensitized. We probably would have said not to chance taking a steroid. It sounds like your system got more upset from the drugs you took to try to fix it. We don't know what mirtazapine would do for you. If you are trying a little bit, I would not increase the dosage, the strength and effect of 2mg will increase over a couple of weeks. If it doesn't give you a bad reaction, you should observe its effect over that time before you decide what to do next. Please let us know how you're doing. I so wish I could go back and don't take that steroid. It even made my skin thinner! I shoudv'e at least stopped it before. And then the other things too. But we can't go back... I'm very broken and traumatized. It gave me bad reactions, althought it made the hell more bearable. December 2012 to October 2015: Escitalopram January 2015 (I think) to October 2015: Nortriptyline (Pamelor) October 2015 to January 2016: Sertraline (stopped it cold turkey) April 2016: Aripiprazole (Aristab) May 2016 to July 2016: Sertraline July 2016 to January 2017: Pristiq 50 mg January 2017 to March 2017: tapering off of Pristiq by cutting the pills. Supplements: used magnesium chloride, b12. Sensitivity to it in my nervous system. December 2019: Mirtazapine 4.5mg and stopped at almost zero. Used to take Spironolactone 200 mg and estradiol 4 mg pills regularly until beggining of 2020. Estradiol gel on Sep. and Oct. of 2020 and was having collateral effect in my nervous system. First half of 2020: Symbicort (corticosteroid) 19 December 2020: Mirtazapine 2mg 21 December 2020: Mirtazapine 1.75mg Link to comment
malu Posted December 21, 2020 Author Share Posted December 21, 2020 Should I reduce the dosage? By how much? I'm panicked but I'm thinking of reducing to 1.5 or 1.75, idk December 2012 to October 2015: Escitalopram January 2015 (I think) to October 2015: Nortriptyline (Pamelor) October 2015 to January 2016: Sertraline (stopped it cold turkey) April 2016: Aripiprazole (Aristab) May 2016 to July 2016: Sertraline July 2016 to January 2017: Pristiq 50 mg January 2017 to March 2017: tapering off of Pristiq by cutting the pills. Supplements: used magnesium chloride, b12. Sensitivity to it in my nervous system. December 2019: Mirtazapine 4.5mg and stopped at almost zero. Used to take Spironolactone 200 mg and estradiol 4 mg pills regularly until beggining of 2020. Estradiol gel on Sep. and Oct. of 2020 and was having collateral effect in my nervous system. First half of 2020: Symbicort (corticosteroid) 19 December 2020: Mirtazapine 2mg 21 December 2020: Mirtazapine 1.75mg Link to comment
malu Posted December 21, 2020 Author Share Posted December 21, 2020 I just took 1.75mg but I think i shoud've decreased to 1.50... Tomorrow I think I'm going to decrease to 1.50. December 2012 to October 2015: Escitalopram January 2015 (I think) to October 2015: Nortriptyline (Pamelor) October 2015 to January 2016: Sertraline (stopped it cold turkey) April 2016: Aripiprazole (Aristab) May 2016 to July 2016: Sertraline July 2016 to January 2017: Pristiq 50 mg January 2017 to March 2017: tapering off of Pristiq by cutting the pills. Supplements: used magnesium chloride, b12. Sensitivity to it in my nervous system. December 2019: Mirtazapine 4.5mg and stopped at almost zero. Used to take Spironolactone 200 mg and estradiol 4 mg pills regularly until beggining of 2020. Estradiol gel on Sep. and Oct. of 2020 and was having collateral effect in my nervous system. First half of 2020: Symbicort (corticosteroid) 19 December 2020: Mirtazapine 2mg 21 December 2020: Mirtazapine 1.75mg Link to comment
Moderator Emeritus manymoretodays Posted December 21, 2020 Moderator Emeritus Share Posted December 21, 2020 Hi malu, So the start up with 2 mg of mirtazapine was was on Saturday, December 19th? Go ahead and add the date to your signature. So that's just 2 nights now of the mirtazapine. 2 hours ago, malu said: I won't increase. It's very powerful, I'm afraid. It was getting stronger. I even want to decrease. I can't think straight! I'm too doped. And my hearing got worse. My rheumatic sympstoms got worse. And it just made some symptoms more bearable, it didn't made me feel pleasure or anything. Yesterday I got insomnia, I just woke up. And what a hangover. Barely slept. But I need to take it now. Maybe I should decrease by 0.25? I feel very bad. Without it I think I can't bear the agony but this made my hearing bad suddenly and i feel so drugged. I'm feeling the pain right now through my body. This pain I was already feeling before. Right now it's horrible but more bearable than a few days ago. I bolded that one sentence. When, what time do you take the mirtazapine? Not much any of us can do about our past decisions, and for me, I found it best to just make all my experiences useful, rather than dwelling on the past. Of course neuroemotions can exaggerate feelings to some degree too, and I know it's hard right now, but try, try to move a bit into acceptance. That can really help with further future healing to happen. 18 hours ago, ChessieCat said: It takes about 4 days for the drug to reach full level in the blood and a bit longer for it to register in the brain. It would be better to wait for at least 1 week before considering increasing the dose. If you have noticed improvement then it would be better to wait for a total of 2 weeks and then reassess. It can take up to a month for the brain to full adapt to the dose. ^ this applies as well to decreasing your dose. If you are certain that the symptoms you are describing above are due to the mirtazapine, and weren't present at the current level, at all before...........I think if it was me, I would not decrease beyond 1.75 mg. And......you could also just let it be at 2 mg. You noted some symptoms being more bearable. And then, sometimes it can really help to keep some Notes, to get a nice objective view and to track patterns and progress, in these early days with the mirtazapine. Simple to do. Just note time(s) on the left, throughout the day and night. And then on the right note, your medication by name and dose, any supplements taken, by name and dose, symptoms(can rate), and activity and sleep. You'll see a sample note in the link above, in the quote there. Generally, I think that most take mirtazapine at bedtime, as it does tend to be more sedating than some of the other AD's used. So......we'll watch for updates in 24 hours. And fingers crossed for some restorative sleep tonight or today if you are doing more daytime than nighttime sleep right now. Best, L, P, H, and G, mmt Late 2023- gone to emeritus status, inactive, don't @ me, I can check who I've posted on, and I'm not really here like I used to be......thanks. Started with psycho meds/psychiatric care circa 1988. In retrospect, and on contemplation, situational overwhelm. Rounding up to 30 years of medications(30 medication trials, poly-pharmacy maximum was 3 at one time). 5/28/2015-off Adderal salts 2.5mg. (I had been on that since hospital 10/2014) 12/2015---just holding, holding, holding, with trileptal/oxcarb at 75 mg. 1/2 tab at hs. My last psycho med ever! Tapered @ 10% every 4 weeks, sometimes 2 weeks to 2016 Dec 16, medication free!! Longer signature post here, with current supplements. Herb and alcohol free since 5/15/2016. And.....I quit smoking 11/2021. Lapsed. Redo of quit smoking 9/28/2022. Can you say Hallelujah?(took me long enough)💜 None of my posts are intended as medical advice. Please discuss any decisions about your medical care with a knowledgeable medical provider. My success story: Blue skies ahead, clear sailing Link to comment
malu Posted December 21, 2020 Author Share Posted December 21, 2020 Today I took it at 12pm more or less. I think maybe 2mg should be ok because I'm already feeling the hellish agony (I already had that symptom) and I prefer peace December 2012 to October 2015: Escitalopram January 2015 (I think) to October 2015: Nortriptyline (Pamelor) October 2015 to January 2016: Sertraline (stopped it cold turkey) April 2016: Aripiprazole (Aristab) May 2016 to July 2016: Sertraline July 2016 to January 2017: Pristiq 50 mg January 2017 to March 2017: tapering off of Pristiq by cutting the pills. Supplements: used magnesium chloride, b12. Sensitivity to it in my nervous system. December 2019: Mirtazapine 4.5mg and stopped at almost zero. Used to take Spironolactone 200 mg and estradiol 4 mg pills regularly until beggining of 2020. Estradiol gel on Sep. and Oct. of 2020 and was having collateral effect in my nervous system. First half of 2020: Symbicort (corticosteroid) 19 December 2020: Mirtazapine 2mg 21 December 2020: Mirtazapine 1.75mg Link to comment
Moderator Emeritus manymoretodays Posted December 21, 2020 Moderator Emeritus Share Posted December 21, 2020 (edited) malu, I did see your post above mine. I think we double posted. And I think that a consistent time, and dose will eventually pay off. No doubt that your brain, and body, and spirit are craving some consistency right now. Well, think about it. I'm not against if you want to try 1.75 mg tomorrow, or even sit with the 1.5 mg dose. Just in case some of the "agony" IS due to the mirtazapine now. Often if you are experiencing an adverse effect, then it should lessen with a lower dosage. And then give a good try at starting some Notes, and then posting them once you've got a nice 24 hour segment done. Wishing for you a Peaceful day malu! L, P, H, and G, mmt Edited December 21, 2020 by manymoretodays Late 2023- gone to emeritus status, inactive, don't @ me, I can check who I've posted on, and I'm not really here like I used to be......thanks. Started with psycho meds/psychiatric care circa 1988. In retrospect, and on contemplation, situational overwhelm. Rounding up to 30 years of medications(30 medication trials, poly-pharmacy maximum was 3 at one time). 5/28/2015-off Adderal salts 2.5mg. (I had been on that since hospital 10/2014) 12/2015---just holding, holding, holding, with trileptal/oxcarb at 75 mg. 1/2 tab at hs. My last psycho med ever! Tapered @ 10% every 4 weeks, sometimes 2 weeks to 2016 Dec 16, medication free!! Longer signature post here, with current supplements. Herb and alcohol free since 5/15/2016. And.....I quit smoking 11/2021. Lapsed. Redo of quit smoking 9/28/2022. Can you say Hallelujah?(took me long enough)💜 None of my posts are intended as medical advice. Please discuss any decisions about your medical care with a knowledgeable medical provider. My success story: Blue skies ahead, clear sailing Link to comment
malu Posted December 21, 2020 Author Share Posted December 21, 2020 37 minutes ago, manymoretodays said: malu, I did see your post above mine. I think we double posted. And I think that a consistent time, and dose will eventually pay off. No doubt that your brain, and body, and spirit are craving some consistency right now. Well, think about it. I'm not against if you want to try 1.75 mg tomorrow, or even sit with the 1.5 mg dose. Just in case some of the "agony" IS due to the mirtazapine now. Often if you are experiencing an adverse effect, then it should lessen with a lower dosage. And then give a good try at starting some Notes, and then posting them once you've got a nice 24 hour segment done. Wishing for you a Peaceful day malu! L, P, H, and G, mmt Yeah, I saw yours, sorry for not being specific. I used 1.75mg at 12pm. Right now I'm feeling the agony, and I thought that I could have used 2mg. But I didn't add 0.25mg. Is it ok if hours later i add it? I just want relief... December 2012 to October 2015: Escitalopram January 2015 (I think) to October 2015: Nortriptyline (Pamelor) October 2015 to January 2016: Sertraline (stopped it cold turkey) April 2016: Aripiprazole (Aristab) May 2016 to July 2016: Sertraline July 2016 to January 2017: Pristiq 50 mg January 2017 to March 2017: tapering off of Pristiq by cutting the pills. Supplements: used magnesium chloride, b12. Sensitivity to it in my nervous system. December 2019: Mirtazapine 4.5mg and stopped at almost zero. Used to take Spironolactone 200 mg and estradiol 4 mg pills regularly until beggining of 2020. Estradiol gel on Sep. and Oct. of 2020 and was having collateral effect in my nervous system. First half of 2020: Symbicort (corticosteroid) 19 December 2020: Mirtazapine 2mg 21 December 2020: Mirtazapine 1.75mg Link to comment
Moderator Emeritus manymoretodays Posted December 21, 2020 Moderator Emeritus Share Posted December 21, 2020 When do you usually try to sleep malu? I think that if it were me, I would just HOLD steady now with the 1.75 mg dose. And I wouldn't repeat another 0.25 later. It's more likely to help the most, when it gets to a nice steady state, and this takes about 4-7 days of consistent dosing, same time, same dose. Try some Notes to post tomorrow. 3 hours ago, malu said: I'm already feeling the hellish agony (I already had that symptom) and I prefer peace Does this sound like your "hellish agony" ? Akathisia vs. restlessness, anxiety, and agitation and then you'll see in the first post some more links to some non-drug coping too. The weighed blankets might help, or just heavy blankets and quiet peaceful activity. Do attempt to seek some sunshine outdoors and some mild exercise in the earlier part of the day too. And nature, oh boy, just get out and find some beauty. That can do wonders for the spirit. Alrighty, and best, L, P, H, and G, mmt Late 2023- gone to emeritus status, inactive, don't @ me, I can check who I've posted on, and I'm not really here like I used to be......thanks. Started with psycho meds/psychiatric care circa 1988. In retrospect, and on contemplation, situational overwhelm. Rounding up to 30 years of medications(30 medication trials, poly-pharmacy maximum was 3 at one time). 5/28/2015-off Adderal salts 2.5mg. (I had been on that since hospital 10/2014) 12/2015---just holding, holding, holding, with trileptal/oxcarb at 75 mg. 1/2 tab at hs. My last psycho med ever! Tapered @ 10% every 4 weeks, sometimes 2 weeks to 2016 Dec 16, medication free!! Longer signature post here, with current supplements. Herb and alcohol free since 5/15/2016. And.....I quit smoking 11/2021. Lapsed. Redo of quit smoking 9/28/2022. Can you say Hallelujah?(took me long enough)💜 None of my posts are intended as medical advice. Please discuss any decisions about your medical care with a knowledgeable medical provider. My success story: Blue skies ahead, clear sailing Link to comment
malu Posted December 21, 2020 Author Share Posted December 21, 2020 3 hours ago, manymoretodays said: When do you usually try to sleep malu? I think that if it were me, I would just HOLD steady now with the 1.75 mg dose. And I wouldn't repeat another 0.25 later. It's more likely to help the most, when it gets to a nice steady state, and this takes about 4-7 days of consistent dosing, same time, same dose. Try some Notes to post tomorrow. Does this sound like your "hellish agony" ? Akathisia vs. restlessness, anxiety, and agitation and then you'll see in the first post some more links to some non-drug coping too. The weighed blankets might help, or just heavy blankets and quiet peaceful activity. Do attempt to seek some sunshine outdoors and some mild exercise in the earlier part of the day too. And nature, oh boy, just get out and find some beauty. That can do wonders for the spirit. Alrighty, and best, L, P, H, and G, mmt I'm sleeping early. Today I was supposed to take the med by 8 but I had insomnia and slept later. And I'm sleeping very little. Actually I'm afraid of the idea I had about taking 0.25 now. So today I just took 1.75mg. I don't know if what I call hellish agony is akhatisia. It can be... I try to remain still as much as I can to avoid the pain and it's hard, it lacks relaxation in this agony. Today after I took the med, after that initial feeling I tried to relax in the bed this afternoon with really scary burning feelings in my body, that is compounded with "panic" in them. I'm still having them. Trying to stay calm. I tried to sleep but I couldn't. December 2012 to October 2015: Escitalopram January 2015 (I think) to October 2015: Nortriptyline (Pamelor) October 2015 to January 2016: Sertraline (stopped it cold turkey) April 2016: Aripiprazole (Aristab) May 2016 to July 2016: Sertraline July 2016 to January 2017: Pristiq 50 mg January 2017 to March 2017: tapering off of Pristiq by cutting the pills. Supplements: used magnesium chloride, b12. Sensitivity to it in my nervous system. December 2019: Mirtazapine 4.5mg and stopped at almost zero. Used to take Spironolactone 200 mg and estradiol 4 mg pills regularly until beggining of 2020. Estradiol gel on Sep. and Oct. of 2020 and was having collateral effect in my nervous system. First half of 2020: Symbicort (corticosteroid) 19 December 2020: Mirtazapine 2mg 21 December 2020: Mirtazapine 1.75mg Link to comment
malu Posted December 21, 2020 Author Share Posted December 21, 2020 I think I shoudn't have started with so much. I should've have started with 1mg or less... But now it's 1.75. December 2012 to October 2015: Escitalopram January 2015 (I think) to October 2015: Nortriptyline (Pamelor) October 2015 to January 2016: Sertraline (stopped it cold turkey) April 2016: Aripiprazole (Aristab) May 2016 to July 2016: Sertraline July 2016 to January 2017: Pristiq 50 mg January 2017 to March 2017: tapering off of Pristiq by cutting the pills. Supplements: used magnesium chloride, b12. Sensitivity to it in my nervous system. December 2019: Mirtazapine 4.5mg and stopped at almost zero. Used to take Spironolactone 200 mg and estradiol 4 mg pills regularly until beggining of 2020. Estradiol gel on Sep. and Oct. of 2020 and was having collateral effect in my nervous system. First half of 2020: Symbicort (corticosteroid) 19 December 2020: Mirtazapine 2mg 21 December 2020: Mirtazapine 1.75mg Link to comment
Administrator Altostrata Posted December 21, 2020 Administrator Share Posted December 21, 2020 malu, are you taking mirtazapine at 8 p.m. or 12 noon? What happens after you take your dose? Please describe the effect. Has it made your sleep worse? 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. Link to comment
malu Posted December 21, 2020 Author Share Posted December 21, 2020 25 minutes ago, Altostrata said: malu, are you taking mirtazapine at 8 p.m. or 12 noon? What happens after you take your dose? Please describe the effect. Has it made your sleep worse? It was at 8, but today delayed it because I woke up late and was thinking what dose I would take... Today I felt the agony after using it, and maybe that was because of the delay, I was needing the med for too long I think. After some time really scary burning feelings in my body, and a subtle agony (maybe akathisia), and I slightly felt the calming effect behind the scenes so I tried to calm down and sleep. I couldn't, and it wasn't really a relaxing experience, there was too much "noise". The calming effect was subtle. Burning panicky sensation crawling underneath my skin in my limbs, and whole body was there and still is. But it was more bearable than the agonizing hell I was going through. Diminished hearing. Blurred eyesight. Cognitive impairment. Joint rigidity. My joints, fingers, elbow, knees, shoulders, and neck are more rigid. If I have "fibromyalgia" like a doctor said in the beggining of the year it go worse with Mirtazapine (she prescribed me Amitriptyline but I didn't took it). My sleep is very poor this week, I don't know if the med worsened it or not. I think maybe. December 2012 to October 2015: Escitalopram January 2015 (I think) to October 2015: Nortriptyline (Pamelor) October 2015 to January 2016: Sertraline (stopped it cold turkey) April 2016: Aripiprazole (Aristab) May 2016 to July 2016: Sertraline July 2016 to January 2017: Pristiq 50 mg January 2017 to March 2017: tapering off of Pristiq by cutting the pills. Supplements: used magnesium chloride, b12. Sensitivity to it in my nervous system. December 2019: Mirtazapine 4.5mg and stopped at almost zero. Used to take Spironolactone 200 mg and estradiol 4 mg pills regularly until beggining of 2020. Estradiol gel on Sep. and Oct. of 2020 and was having collateral effect in my nervous system. First half of 2020: Symbicort (corticosteroid) 19 December 2020: Mirtazapine 2mg 21 December 2020: Mirtazapine 1.75mg Link to comment
malu Posted December 21, 2020 Author Share Posted December 21, 2020 I have a question. If I was using Amitriptyline maybe it wouldn't give those physical problems? It's recommended for fibromyalgia. I'm so afraid of stopping using mirtazapine right now. But I'm also afraid of those symptoms. But if I stop I can't bear the hell. It wouldn't be wise to change to amitriptyline isn't it? December 2012 to October 2015: Escitalopram January 2015 (I think) to October 2015: Nortriptyline (Pamelor) October 2015 to January 2016: Sertraline (stopped it cold turkey) April 2016: Aripiprazole (Aristab) May 2016 to July 2016: Sertraline July 2016 to January 2017: Pristiq 50 mg January 2017 to March 2017: tapering off of Pristiq by cutting the pills. Supplements: used magnesium chloride, b12. Sensitivity to it in my nervous system. December 2019: Mirtazapine 4.5mg and stopped at almost zero. Used to take Spironolactone 200 mg and estradiol 4 mg pills regularly until beggining of 2020. Estradiol gel on Sep. and Oct. of 2020 and was having collateral effect in my nervous system. First half of 2020: Symbicort (corticosteroid) 19 December 2020: Mirtazapine 2mg 21 December 2020: Mirtazapine 1.75mg Link to comment
Moderator Emeritus manymoretodays Posted December 22, 2020 Moderator Emeritus Share Posted December 22, 2020 (edited) Was that 8 you noted a.m. or p.m.? Mirtazapine us often used as a sleep medication in addition to AD. Why do you take it in the morning? And often WD and fibromyalgia as well as CFS/ME tend to have common threads. I think mainly due to autonomic nervous system dysfunction and sensitivity. I don't think another switch or change to amitryptiline would do much more than further confuse your fragile nervous system now....or, if it was me I wouldn't switch. I can get you more to look at when back at my desktop to further your education. Get today on paper first and then post it tomorrow. Thank you. Do clarify the a.m. from p.m. as well or go with using military time. Edited December 22, 2020 by manymoretodays Punctuation and spelling Late 2023- gone to emeritus status, inactive, don't @ me, I can check who I've posted on, and I'm not really here like I used to be......thanks. Started with psycho meds/psychiatric care circa 1988. In retrospect, and on contemplation, situational overwhelm. Rounding up to 30 years of medications(30 medication trials, poly-pharmacy maximum was 3 at one time). 5/28/2015-off Adderal salts 2.5mg. (I had been on that since hospital 10/2014) 12/2015---just holding, holding, holding, with trileptal/oxcarb at 75 mg. 1/2 tab at hs. My last psycho med ever! Tapered @ 10% every 4 weeks, sometimes 2 weeks to 2016 Dec 16, medication free!! Longer signature post here, with current supplements. Herb and alcohol free since 5/15/2016. And.....I quit smoking 11/2021. Lapsed. Redo of quit smoking 9/28/2022. Can you say Hallelujah?(took me long enough)💜 None of my posts are intended as medical advice. Please discuss any decisions about your medical care with a knowledgeable medical provider. My success story: Blue skies ahead, clear sailing Link to comment
malu Posted December 22, 2020 Author Share Posted December 22, 2020 The vision and hearing problem and also the joints are worrying me. I dont know how I would manage the symptoms without a med. It was unbearable. My significant other is urging me to stop because of this. But how will I manage the hell? And if I stop it, it needs to be gradual isn't it? Right now I'm feeling kind of relaxed (bit no as much as I wanted). It's kind of relieving instead of hellish. It's bearable. December 2012 to October 2015: Escitalopram January 2015 (I think) to October 2015: Nortriptyline (Pamelor) October 2015 to January 2016: Sertraline (stopped it cold turkey) April 2016: Aripiprazole (Aristab) May 2016 to July 2016: Sertraline July 2016 to January 2017: Pristiq 50 mg January 2017 to March 2017: tapering off of Pristiq by cutting the pills. Supplements: used magnesium chloride, b12. Sensitivity to it in my nervous system. December 2019: Mirtazapine 4.5mg and stopped at almost zero. Used to take Spironolactone 200 mg and estradiol 4 mg pills regularly until beggining of 2020. Estradiol gel on Sep. and Oct. of 2020 and was having collateral effect in my nervous system. First half of 2020: Symbicort (corticosteroid) 19 December 2020: Mirtazapine 2mg 21 December 2020: Mirtazapine 1.75mg Link to comment
malu Posted December 22, 2020 Author Share Posted December 22, 2020 4 minutes ago, manymoretodays said: Was that 8 you noted a.m. or p.m.? Mirtazapine us often used as a sleep medication in addition to AD. Why do you take it in the morning. And often WD and fibromyalgia as well as CFS/ME tend to have common threads. I think mainly due to autonomic nervous system dysfunction and sensitivity. I don't think another switch or change to amitryptiline would do much more than further confuse your fragile nervous system now....or, if it was me I wouldn't switch. I can get you more to look at when back at my desktop. Get today on paper first and then post it tomorrow. Thank you. Do clarify the a.m. from p.m. as well or go with using military time. 8am. Ok. To feel as relaxed as possible throughout the day... December 2012 to October 2015: Escitalopram January 2015 (I think) to October 2015: Nortriptyline (Pamelor) October 2015 to January 2016: Sertraline (stopped it cold turkey) April 2016: Aripiprazole (Aristab) May 2016 to July 2016: Sertraline July 2016 to January 2017: Pristiq 50 mg January 2017 to March 2017: tapering off of Pristiq by cutting the pills. Supplements: used magnesium chloride, b12. Sensitivity to it in my nervous system. December 2019: Mirtazapine 4.5mg and stopped at almost zero. Used to take Spironolactone 200 mg and estradiol 4 mg pills regularly until beggining of 2020. Estradiol gel on Sep. and Oct. of 2020 and was having collateral effect in my nervous system. First half of 2020: Symbicort (corticosteroid) 19 December 2020: Mirtazapine 2mg 21 December 2020: Mirtazapine 1.75mg Link to comment
Moderator Emeritus manymoretodays Posted December 22, 2020 Moderator Emeritus Share Posted December 22, 2020 Yes. Optimally you should taper when coming off. Some of these symptoms were prior to reinstatement, yes? Late 2023- gone to emeritus status, inactive, don't @ me, I can check who I've posted on, and I'm not really here like I used to be......thanks. Started with psycho meds/psychiatric care circa 1988. In retrospect, and on contemplation, situational overwhelm. Rounding up to 30 years of medications(30 medication trials, poly-pharmacy maximum was 3 at one time). 5/28/2015-off Adderal salts 2.5mg. (I had been on that since hospital 10/2014) 12/2015---just holding, holding, holding, with trileptal/oxcarb at 75 mg. 1/2 tab at hs. My last psycho med ever! Tapered @ 10% every 4 weeks, sometimes 2 weeks to 2016 Dec 16, medication free!! Longer signature post here, with current supplements. Herb and alcohol free since 5/15/2016. And.....I quit smoking 11/2021. Lapsed. Redo of quit smoking 9/28/2022. Can you say Hallelujah?(took me long enough)💜 None of my posts are intended as medical advice. Please discuss any decisions about your medical care with a knowledgeable medical provider. My success story: Blue skies ahead, clear sailing Link to comment
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