Rhernan: Cold turkeyed low dose Remeron ... reinstate?

[Rhernan]

Hi, I am new here and recently finished a Valium taper.  I was also on a low dose of Remeron which I started a little less than a year ago.

 

Last week we went camping and I forgot to take my Remeron for two nights.  I thought because I felt ok maybe I didn’t need it anymore...fast forward to the last week and it’s horrible!  I am soooo sick.  Headaches, dizziness, nausea, stomach issues, hot flashes.

 

I am willing to reinstate to not feel sick and try a taper once stabilized.  I am confused on how to do that as I take 1.875 mgs and the pill already falls apart.

 

Also, how do I reinstate and could it help?

 

Im not sure I did everything right on my intro and signature page???

 

Thank you— Rach

 

 

[Rhernan]

Hi, I am new here and just finished a 2-1/2 year Valium taper about a month ago.  During my V taper I was also prescribed Remeron to help with severe weight loss, nausea, and insomnia.

 

I have been taking 1.875 mg’s of Remeron nightly for a little less than a year.  About a week ago we went out of town and I forgot to take my Remeron.  I felt good and mistakenly decided maybe I didn’t need it.

 

Approx. 4-5 day later I became ill again (withdrawal symptoms) and have been sick since.  I tried taking the Remeron again 3 nights ago at the same dose but had a bad reaction.  I’m not sure if I should cut it even more and try again or just discontinue and hope I feel better.

 

Im pretty miserable and have two young kids to take care of so reinstatement isn’t a problem, just don’t know if I should try again.

 

thanks!

[Gridley]

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.

 

Account Settings – Create or Edit a signature.

 

When you CT'd the Remeron, your system became destabilized.  This is why, when you tried to reinstate 4-5 days later at the same 1.875mg, you had a bad reaction.  We recommend reinstating at a much lower dose than your last dose.  Please read:

 

About reinstating and stabilizing to reduce withdrawal symptoms. -- at least the first page of the topic

 

You could try to tough it out, but there's no telling how long it would take for you to regain homeostasis.  Reinstatement doesn't always work but it is the only method to reduce withdrawal symptoms.  Your situation is complicated by your just having finished your Valium taper.  We recommend waiting several months after tapering one drug before tapering another.

 

You should consider reinstating perhaps .5mg of Remeron and see how that helps.  

 

It takes about 4 days for a dose change to get to full state in the blood and a bit longer for it to register in the brain.  Please Keep Notes on Paper so that we can tell updosing is working.

 

The following link explains how to get microdoses of Remeron.

 

Tips for tapering off Remeron (mirtazapine)

 

[Rhernan]

Gridley, thank you so much for responding...I accidentally told my story twice and was a bit confused how this site worked.

 

I edited my profile to show my taper and prescription history and I had previously read the reinstating and stabilizing section as well.

 

I also have a written journal that I have kept from the beginning of my whole benzo journey so that won’t be a problem.

 

I will now read the section about how to get micrograms of Remeron and get back to you.  I’m really scared to try Remeron again due to the reaction I had, but reading about reinstating it makes sense that I had it.  

 

Again, thank you for responding and I’ll keep you posted.

[Gridley]

Please don't forget to do your drug signature.

Account Settings – Create or Edit a signature.

 

[Rhernan]

Ok, updated my signature...also am trying to get a compound made to reinstate at .5 mg’s, but might try half of 1.875 tonight.  I’m pretty sick and desperate.

[Bkbk]

Hang in there : ) i know exactly what your going through, its really tough 

[Rhernan]

So I tried a small amount of Remeron last night as I was soooo sick.  I don’t have any tools other than my pill cutter and the prescription to I tried to half my 1.875 mg cut.  It fell apart so I just took what I thought equaled half.

 

It did help alleviate the intensity of wds so I will stick to taking it for awhile.

 

My doctor also got back to me and is willing to order smaller dosage pills and a compound to help me taper when I’m ready.

 

How soon should I notice stabilization or some type of homeostasis.  I know we are all so different, but is 4-5 days a good general guideline?

[Gridley]

The fact that you're feeling better is a good sign.  As I wrote earlier, it takes 4 doses for a dose change to get to full state in the blood and a bit longer for it to register in the brain.

This is not the same thing as homeostasis or stabilization, where you're feeling pretty much the same every day (not great but okay) without large swings in symptoms.  Unfortunately, there's no way to predict when this will happen.  Everyone is different.

 

It's very good that you're doctor is cooperative about giving you the smaller doses.  

 

 

[Rhernan]

Great, I assumed it would take a few days (or more) to even out.  Feel pretty sedated today but a prescription for a lower dose is already waiting for me and I’m hoping it will be easier to get a more consistent dose as I’ll be able to cut the pills more evenly.

[Rhernan]

Hi, I have been tapering very slowly over the last 2 years. I recently got down to .35 mg’s and have been slammed with withdrawal!  No sleep in a week, horrible nausea, dizziness, shaking, heart palps.  I updosed last night to .56 mg’s…still no sleep, very shaky and still very sick.  Do you think I’m having a bad reaction or should I wait this out?  Feels like it literally did nothing but make me sick.

 

anyone please help.

[Rhernan]

I know I’ve posted already, but I’m not sure where I’m supposed to be.  Lol

 

i was one here about a year ago, or more, and have been doing a super slow taper off Mirtazepine.  I was on around .40 and tapered to a little below .35.  Then out of no where withdrawals hit and hit hard!  I’m not sleeping at ALL, like literally zero sleep.  I have nausea, headaches, head pressure, and shakiness in my body.  I updosed last night to .56 mg’s but don’t know if this is okay.

 

I really need some advice and help with sleep!  It’s slowly making me crazy!

[Rhernan]

Please help!  I think I’m now having an adverse reaction to mirt.  I’ve been only needed .40 mg’s and went down to .30 too quickly.  I updosed 2 night ago and seem to be experiencing adverse reactions all nigh long.

 

can I take 1/2 my dose earlier in the evening and the other 1/2 before bed and see if that helps, and maybe drop down fo .35 mg’s.

 

I feel like all this up and down isn’t good but I’m at a loss on what to do?

 

Pleasehelp.

[Altostrata]

Hello, @Rhernan, I merged all your new posts with your Introductions topic.

 

9 hours ago, Rhernan said:

I updosed 2 night ago and seem to be experiencing adverse reactions all nigh long.

 

What is this adverse reaction? At what time o'clock does it start? What times o'clock do you take your drugs, with their dosages?

[Rhernan]

Okay, so I updosed 2 nights ago from .35 to .54 mgs as withdrawal hit hard.  I was, and am not sleeping at all.  
 

I take .25 mgs in capsule form that is compounded and then the rest in liquid compounded form.  I take them before bed and about 30min to an 2 hours later I can feel the drug go through my body, me heart beats fast, I get jolted awake, dizzy, nauseated, diarrhea, shaking & RLS type symptoms.  This lasts all night.

[Rhernan]

So I take it between 8:30 and 9:30pm

 

and usually have a reaction around 10:30/11:00 pm

[Rhernan]

I’m also experiencing akesthesis

[Rhernan]

Hello, anyone here to help!  I need help!  What should I do?

[Rhernan]

My doctor said to go to .5 (1/2 mg) and stabilize on that dose? Does this sound good?

[Altostrata]

@RhernanThat looks like an adverse reaction from the drug. Did this start when you introduced the liquid? When did you introduce the liquid?

 

I would not increase your dose! You might want to go back to the 0.25 mgs in capsule form that is compounded.