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robert57: mirtazapine


robert57

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Trying to come off 15mg mirtazapine. Cannot get a liquid form, and the pill is so small, how do you cut it? Thanks. I have been on it about 7-8 months.

remeron at 11.25 trying a liquid taper

lorazepam 2mg

temazepam 15mg

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How do you taper off mirtazapine? The tablets are very small?

remeron at 11.25 trying a liquid taper

lorazepam 2mg

temazepam 15mg

Link to post

I tapered off 50mg in a few days because of a bad reaction to Seroquel. But I was only taking it about 6 weeks.

remeron at 11.25 trying a liquid taper

lorazepam 2mg

temazepam 15mg

Link to post
  • ChessieCat changed the title to robert57: mirtazapine
  • Moderator Emeritus

Hi robert and welcome to SA.

 

You've come to the right place.  We have lots of excellent information on this site.  I will add a tag to your topic so you can click on it and find other members who have the same drug in their tags.  It will be at the top left below the topic title.

 

We ask all members to provide their drug history as a signature.  This way we can see your details at a glance.  Please remember to update whenever you make a change so it remains current.  Thank you.

 

 A request: Would you summarize your history in a signature - ALL drugs, doses, dates, and discontinuations & reinstatements, in the last 12-24 months particularly?

  • Please leave out symptoms and diagnoses.
  • A list is easier to understand than one or multiple paragraphs. 
  • Any drugs prior to 24 months ago can just be listed with start and stop years.
  • Please use actual dates or approximate dates (mid-June, Late October) rather than relative time frames (last week, 3 months ago)
  • Spell out months, e.g. "October" or "Oct."; 9/1/2016 can be interpreted as Jan. 9, 2016 or Sept. 1, 2016.
  • Link to Account Settings – Create or Edit a signature.

 

SA recommends tapering by no more than 10% of your previous dose followed by a hold of about 4 weeks to allow the brain to adapt to not getting as much of the drug.  Here are a couple of links for you to check out:

 

Before you begin tapering what you need to know

 

Why taper by 10% of my dosage?

 

It is possible to make your own liquid.  The information is in Post #1 of this topic:  Tips for tapering off Remeron (mirtazapine)

 

This is your own Introduction topic where you can ask questions and journal your progress.

NEW!!!     INTERVIEW with Altostrata, SA's founder    NEW!!! 

 

Plodding along inch by inch:  12" = 1',  3' =  36 " or 1 yard,  1760 yards  = 63,360" or 1 mile

Current from 17 Apr 2021:  Pristiq 0.2665mg  now holding each dose for 3 weeks

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 Oct 2015 

My tapering program   My Intro (goes to my tapering graph)  My website

PLEASE NOTE:  I am not a medical professional.  I provide information and make suggestions.

Link to post

You can make it into a liquid and measure your dose with a syringe. ChessieCat posted the link on how to make a liquid suspension.

Apr 09 2013 started taking 30mg Remeron

Oct 10 2013 began tapering 27 mg  Nov 07/ 24 mg  Nov 27/ 22 mg  Dec 20/ 20mg

***Stopped taper and reinstated back up to 30mg shortly afterwards due to the symptoms that I was taking Remeron for came back. The Exact Same symptoms. I wasn't willing to live through that again.

2nd attempt at tapering.

Feb 20 2017/ 28 mg  Mar 20/ 25 mg   Apr 20/ 23 mg  May 21/ 22mg  June 21/ 21mg  July 15/ 20mg  Aug 5/ 19mg Aug22/18mg  Oct 21/ 17 mg  Nov 27/ 16 mg  Dec 26/ 15mg  Jan 27 2018/ 14mg  Mar 1/ 13mg  Mar 31/ 12 mg 

Apr 28/ 11mg  May 27/ 10 mg  July 7/ 9 mg  Aug 4/ 8.1 mg  Aug 31/ 7.2 mg  Sept 29/ 6.3 mg  Oct 28/ 5.6 mg 

Nov 26/ 5 mg  Dec 25/ 4.5 mg   01/03/2020 .65 mg  03/11/20  - 0.36 mg- omg omw to being AD free!

 

I also take 30mg Temazepam for sleep every night, Pulmicort 180mcg inhaler 2x/day for cough variant asthma, albuterol inhaler as needed, Vitamin D, Vitamin C, omega 3 fish oil, 400mg magnesium malate, potassium iodide, CBD oil 25 - 30mgs/day

 

HOPE = Hold On, Pain Ends

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  • Moderator Emeritus

As ChessieCat mentioned above ... It is possible to make your own liquid.  The information is in Post #1 of this topic:  Tips for tapering off Remeron (mirtazapine).

 

As well, could you please take the time to fill in your withdrawal signature history as requested.  It is difficult to make any specific recommendations without seeing your history.

 

A request: Would you summarize your history in a signature - ALL drugs, doses, dates, and discontinuations & reinstatements, in the last 12-24 months particularly?

  • Please leave out symptoms and diagnoses.
  • list is easier to understand than one or multiple paragraphs. 
  • Any drugs prior to 24 months ago can just be listed with start and stop years.
  • Please use actual dates or approximate dates (mid-June, Late October) rather than relative time frames (last week, 3 months ago)
  • Spell out months, e.g. "October" or "Oct."; 9/1/2016 can be interpreted as Jan. 9, 2016 or Sept. 1, 2016.
  • Link to Account Settings – Create or Edit a signature.

Current Prescription Drugs for Hypothyroidism:  Synthroid 100mcg / Cytomel 5mcg (15 years Pristiq/Effexor)

Tapering Schedule
September 15, 2016 - switched from Pristiq 50mg to Effexor XR 75mg; November 10, 2016 - reduced to 67.5 Effexor XR
December 9, 2016 - reduced 60.75
January 5, 2017 - reduced 54.67
January 30, 2017 - reduced to 49.0
February 20, 2017 - reduced to 44.0 
May 20, 2017 - reduced to 40.25 (holding for additional month due to late onset of withdrawal symptoms after this taper)
July 17, 2017 - reduced to 38.24
August 15, 2017 - reduced to 37.5 (50% of my original dose)

October 15, 2017 - reduced to 35.6

November 12, 2017 - reduced to 33.8
December 15, 2017 - up-dose to 35.6
December 28, 2017 - up-dose to 37.5

Link to post

Hi Robert57,

I have been coming off Mirtazapine for the last 3 years. 

The easiest way to do it is to get a prescription for Avanza SolTab 15mg.

It is a water soluble tablet.

Put 15mls of water into a medicine cup.

Dissolve 15mg tablet into the water. 

Stir really well and quickly draw out with the syrange the amount that you need.

I discard the rest. My GP has told me you can store the rest in the fridge.

I don't,  because I am super sensitive and I don't know if the potency remains the same if kept in the fridge. 

This has been the easiest way for me to get off Mirtazapine. 

Good luck with it all, Hopefull. :)

DRUG HISTORY:

 

November 2013- Zoloft, ( Bad reaction).

January 2014 - March 2014 Seroquel.( Quit Cold Turkey).

January2014- Mirtazapine, I was taking 15mg at one stage, reduced to 7.5mg, Pgad reactions to Mirtazapine. Doctor kept increasing it to 37.5mg, until July 2014. No improvement, experiencing panic attacks, on 37.5 mg. I had enough by October 2014. Began tapering.

October 2014- Started tapering Mirtazapine from 37.5mg.

September 2015- Down to 4mg of Mirtazapine. Crashed.

September 16th- Up dosed to 5mg. Held this dose for almost 5 months. Stabilised.

February 2016- Began tapering again. From 5mg to 4.5mg of Mirtazapine. (Rocking the boat, again)! Lol. :(

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  • 2 months later...

I'm doing a liquid taper of mirtazapine. A compounding pharmacy did it at 11.25mgs = 1ml, so I extract 1ml and drink that. Does that sound right? It is concentrated so I shake it good. 11.25mgs was where I was at when I switched off the pills. Thanks.

remeron at 11.25 trying a liquid taper

lorazepam 2mg

temazepam 15mg

Link to post
  • Moderator Emeritus

Hi Robert57, I've moved your new post back into your introduction thread as there is only one thread per member.  It's best to keep all of your information concerning your particular situation in one place that way moderators are able to see your information at a glance.  Would you mind completing your withdrawal history signature so that we can provide you will advice specific to your situation?

 

On 2017-09-04 at 1:11 PM, baroquep said:

As ChessieCat mentioned above ... It is possible to make your own liquid.  The information is in Post #1 of this topic:  Tips for tapering off Remeron (mirtazapine).

 

As well, could you please take the time to fill in your withdrawal signature history as requested.  It is difficult to make any specific recommendations without seeing your history.

 

A request: Would you summarize your history in a signature - ALL drugs, doses, dates, and discontinuations & reinstatements, in the last 12-24 months particularly?

  • Please leave out symptoms and diagnoses.
  • list is easier to understand than one or multiple paragraphs. 
  • Any drugs prior to 24 months ago can just be listed with start and stop years.
  • Please use actual dates or approximate dates (mid-June, Late October) rather than relative time frames (last week, 3 months ago)
  • Spell out months, e.g. "October" or "Oct."; 9/1/2016 can be interpreted as Jan. 9, 2016 or Sept. 1, 2016.
  • Link to Account Settings – Create or Edit a signature.

 

Current Prescription Drugs for Hypothyroidism:  Synthroid 100mcg / Cytomel 5mcg (15 years Pristiq/Effexor)

Tapering Schedule
September 15, 2016 - switched from Pristiq 50mg to Effexor XR 75mg; November 10, 2016 - reduced to 67.5 Effexor XR
December 9, 2016 - reduced 60.75
January 5, 2017 - reduced 54.67
January 30, 2017 - reduced to 49.0
February 20, 2017 - reduced to 44.0 
May 20, 2017 - reduced to 40.25 (holding for additional month due to late onset of withdrawal symptoms after this taper)
July 17, 2017 - reduced to 38.24
August 15, 2017 - reduced to 37.5 (50% of my original dose)

October 15, 2017 - reduced to 35.6

November 12, 2017 - reduced to 33.8
December 15, 2017 - up-dose to 35.6
December 28, 2017 - up-dose to 37.5

Link to post

Thanks does that sound right? 11.25mg= 1ml, that's how compounding pharmacy mixed it? I store the sealed bottle in fridge.

remeron at 11.25 trying a liquid taper

lorazepam 2mg

temazepam 15mg

Link to post

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