Tired: should I reinstate please help

[Tired]

Hi

 Was on Remeron for two years and clonazepam for two years, withdrew from benzo knew I had to go slow, but went off remeron in six weeks, had a lot of waves and windows, but i am suffering so bad for last ten days, mania, insomnia, 

24 hour torture, is it too late to reinstate, been a little over 4 months  since I took 15 mg, that’s where I jumped 

[Gridley]

Hello, Tired, and welcome to SA.  I am sorry you are having such terrible withdrawal symptoms, but I'm glad you found your way here.

 

To give members the best information, we ask them to summarize their medication history in a signature -- drugs, doses, dates, and discontinuations & reinstatements, in the last 12-24 months particularly?

• 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. 
• Please leave out symptoms and diagnoses. 
• A list is easier to understand than one or multiple paragraphs. 
• Link to Account Settings – Create or Edit a signature.

Regarding reinstatement, please read the first few posts of this topic:

About reinstating and stabilizing to reduce withdrawal symptoms.

 

Reinstatement isn't a guarantee of diminished symptoms for everyone but reinstatement of a very small dose of the original drug is the only known way to help alleviate withdrawal syndrome.  The only other alternative is to try and wait out the symptoms and manage as best you can until your central nervous system returns to homeostasis.  Unfortunately no one can give you an exact timeline as to when you will start feeling better and while some do recover relatively easily, for others it can take longer.

 

If, as in your situation,  the last dose was more than 3 months ago, it's possible that reinstatement might not work. Try a very small dose (in case of hypersensitivity), such as 2mg.
 

Remember that symptoms won't improve right away but you need to pay attention to whether symptoms worsen. An adverse reaction doesn't take a long time to show up.

• If symptoms get even more severe after reinstating, you should STOP taking the medication immediately.
• If symptoms stay the same, continue taking that amount for at least 2 weeks while keeping track of symptoms.  Please keep notes on paper of your symptoms and the times of your dose(s). This post has a useful format for a daily log:
  Take notes of doses and symptoms.

To get a small consistent dose, such as 2mg,  you'll need to either weigh crushed tablets or make a liquid.  This link contains information about how to reduce a tablet of Remeron to get a smaller dose:
 

Tips for tapering off Remeron (mirtazapine)

 

Also see: Using a digital scale to measure doses.

 

In the meantime, two supplements that we recommend are magnesium and omega 3 (fish oil). Many people find these to be calming to the nervous system. 

 

Magnesium, nature's calcium channel blocker 

 

Omega-3 fatty acids (fish oil) 

 

Please research all supplements first and only add in one at a time and at a low dose in case you do experience problems. 

 

Best,

Gridley

 

 

 

 

 

 

 

 

 

[Tired]

On 2018-01-22 at 9:31 AM, Gridley said:

Hello, Tired, and welcome to SA.  I am sorry you are having such terrible withdrawal symptoms, but I'm glad you found your way here.

 

To give members the best information, we ask them to summarize their medication history in a signature -- drugs, doses, dates, and discontinuations & reinstatements, in the last 12-24 months particularly?

• 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. 
• Please leave out symptoms and diagnoses. 
• A list is easier to understand than one or multiple paragraphs. 
• Link to Account Settings – Create or Edit a signature.

Regarding reinstatement, please read the first few posts of this topic:

About reinstating and stabilizing to reduce withdrawal symptoms.

 

Reinstatement isn't a guarantee of diminished symptoms for everyone but reinstatement of a very small dose of the original drug is the only known way to help alleviate withdrawal syndrome.  The only other alternative is to try and wait out the symptoms and manage as best you can until your central nervous system returns to homeostasis.  Unfortunately no one can give you an exact timeline as to when you will start feeling better and while some do recover relatively easily, for others it can take longer.

 

If, as in your situation,  the last dose was more than 3 months ago, it's possible that reinstatement might not work. Try a very small dose (in case of hypersensitivity), such as 2mg.
 

Remember that symptoms won't improve right away but you need to pay attention to whether symptoms worsen. An adverse reaction doesn't take a long time to show up.

• If symptoms get even more severe after reinstating, you should STOP taking the medication immediately.
• If symptoms stay the same, continue taking that amount for at least 2 weeks while keeping track of symptoms.  Please keep notes on paper of your symptoms and the times of your dose(s). This post has a useful format for a daily log:
  Take notes of doses and symptoms.

To get a small consistent dose, such as 2mg,  you'll need to either weigh crushed tablets or make a liquid.  This link contains information about how to reduce a tablet of Remeron to get a smaller dose:
 

Tips for tapering off Remeron (mirtazapine)

 

Also see: Using a digital scale to measure doses.

 

In the meantime, two supplements that we recommend are magnesium and omega 3 (fish oil). Many people find these to be calming to the nervous system. 

 

Magnesium, nature's calcium channel blocker 

 

Omega-3 fatty acids (fish oil) 

 

Please research all supplements first and only add in one at a time and at a low dose in case you do experience problems. 

 

Best,

Gridley

 

 

 

 

 

 

 

 

 

Thanks for the reply, wish I could have stuck it out but couldn’t endure thinking this could go on for who knows how long. 

Great information, took 7.5 mgs and did feel better,  dr. recommended I start at 30 and work down take a few months, oh how they don’t know what they’re doing!   Still very scared, but will go very slow this time,  thank goodness for sites like these,   

[Gridley]

We are always here for you.  

[Tired]

 This may have already been discussed here, does anyone know if you can have intradose  with drawl from antidepressants, as you can with benzodiazepines. 

 I suffered with many conditions while interdose wd for many years not knowing, not sure if this happens with AD 

[Gridley]

Tired,

 

Please do your drug signature.

 

To give members the best information, we ask them to summarize their medication history in a signature -- drugs, doses, dates, and discontinuations & reinstatements, in the last 12-24 months particularly?

• 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. 
• Please leave out symptoms and diagnoses. 
• A list is easier to understand than one or multiple paragraphs. 
• Link to Account Settings – Create or Edit a signature.

 

 

[ChessieCat]

It will depend on a number of factors.

 

• The half life of the drug

• What form of the drug you are taking (ie immediate release, making your own liquid from tablets)

• The time you are taking the drug (ie some people skip days to taper - it is best to take the same dose, at about the same daily)

 

To try and work out if you are experiencing interdose withdrawal, my suggestion would be to keep daily notes on paper of the time/s you take your drug/s and write down what symptoms appear and the time they do.  Keep Notes on Paper

[ChessieCat]

As previously requested please create a drug signature.

[Tired]

Akathisia 15 months out

 

Been a long time since I have needed support off all meds, Last one  mirtazipne lately under a lot of stress have gone into akathasia and it’s unbearable. Is this possible after being off for 15 months was on it for 3 years, 45 mg   Any input would help how could it last, and how to manage. 

Edited January 5, 2021 by manymoretodays
added title, merged with Introduction topic

[Alice1]

Yes. Akathisia didn’t hit me until month 12.   Take care of your nervous system.  It will go but it can come back if you’re careless.  

[HealingWithQi]

I had akathisia come and go my entire PAWS journey (been off for 6.5 years).  The first 4 years were the worst.  I still get a very mild version today once in a while, but it's very tolerable, hardly can call it akathisia anymore.

 

My ways of coping:

1. Acupuncture (sometimes the first treatment made it worse and I would have to come back multiple days in a row)

2. Bath - Luke warm water.  Added three or so dropper fulls of ionic magnesium.  Added at least one cup if not more of lavender epsom salt.  Sat in the bath sometimes for hours.  Sometimes would get full relief that would last.  Sometimes would only get full relief while in the water.  Sometimes would only take the edge off.  I'd also bring a distraction like watching tv on my phone or listening to music to keep my focus off the discomfort.

3. Alternating zone out distraction with breathing and embracing the awfulness.  Didn't so much grant me relief as just a way to bide time until it lessened.  I found that if I let it come on in full and embrace it, then it would lessen shortly and allow me some time in which I could get lost in a distraction.  Riding the waves essentially.  The more I fought it the worse it got.

4. Reminding myself to not be afraid.  Stress makes it worse.  Crying sometimes helped, sometimes made it worse.  Again it's just about riding it out.

 

Hang in there!

[manymoretodays]

Hi Tired,  @Tired

And welcome back.

14 hours ago, Tired said:

Last one  mirtazipne lately under a lot of stress have gone into akathasia and it’s unbearable. Is this possible after being off for 15 months was on it for 3 years, 45 mg   Any input would help how could it last, and how to manage. 

 

How did you come off your mirtazapine?  Did you taper and how?

Any other symptoms along the way or since coming off of it?

 

Just fill us in a bit more, it's been awhile......

And hey, welcome back.

 

L, P, H, and G,

mmt

[Tired]

Hi really having a struggle 

withdrew off  benzos in about three years and then withdrew from mirtazapine 45 mgs 

withdrew over a year and a half but could tell my brain still never really recovered, heart palpitations at night and in the morning but tolerated, an increase in stress 

brought me back to akathasia, so scared don’t know what to do. 
 

thank you for listening 

[Vasherr]

Hi, @Tired,

 

I want You to know that You are not forgotten.

How are You feeling now?

 

Wishing You a lifelong window!

V.