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BfromNJ: mirtazapine taper

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readyfortheworld

I’ve heard good things about aloe vera for stomach problems. I should look into buying some. How long have you’ve been dealing with silent reflux? Do you think the withdrawal from the medication you’re taking caused it? I actually started reading the Dropping Acid book recently and it is pretty informative. I’ve read online about people following the low acid diet and having a reduction or even completely eradicating their symptoms. I started it this week but still haven’t felt much relief. I’m thinking it might take awhile for it to make an effect

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BfromNJ
7 minutes ago, readyfortheworld said:

I’ve heard good things about aloe vera for stomach problems. I should look into buying some. How long have you’ve been dealing with silent reflux? Do you think the withdrawal from the medication you’re taking caused it? I actually started reading the Dropping Acid book recently and it is pretty informative. I’ve read online about people following the low acid diet and having a reduction or even completely eradicating their symptoms. I started it this week but still haven’t felt much relief. I’m thinking it might take awhile for it to make an effect

Yes I think it can take some time.  I don't follow it 100%, it's very hard.  Especially with the holidays.  I've heard silent reflux is hard to treat and doesnt respond to the medications that regular reflux does. Because its actually pepsin that is the problem.  It sucks.  I do think it is aggravated by the meds themselves and/or withdraw.  I started to have it after I started with all these crappy meds.  If you try the aloe, checks out Georges brand.  Can get it on amazon.  Its pricey but you only take 2 oz. Twice a day so it lasts.  

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readyfortheworld

The low acid diet does seem tough follow. Luckily, I started following a plant-based diet two years ago and already eat most of the foods recommended. I’ll have to cut some foods for the meantime though.  Silent reflux is affecting me pretty bad right now so I’ll try anything that can make it better. Withdrawal also most definitely caused my silent reflux to occur. It’s crazy how many problems these meds can cause us. I’ll check out the aloe vera drink, thanks.

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BfromNJ
1 hour ago, readyfortheworld said:

The low acid diet does seem tough follow. Luckily, I started following a plant-based diet two years ago and already eat most of the foods recommended. I’ll have to cut some foods for the meantime though.  Silent reflux is affecting me pretty bad right now so I’ll try anything that can make it better. Withdrawal also most definitely caused my silent reflux to occur. It’s crazy how many problems these meds can cause us. I’ll check out the aloe vera drink, thanks.

What are your symptoms?  Mine is a very bothersome lump and drip in my throat.  Sometimes it's hard to swallow.   

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readyfortheworld

I have this urge of needing to clear my throat, a lot of mucus in my throat, burping, and I also have the lump in throat sensation. I’m not sure why but I feel it constantly and it gets worse when I’m in public. It also makes me lose my appetite. How’s your appetite? Are you able to eat just fine?

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BfromNJ
8 hours ago, readyfortheworld said:

I have this urge of needing to clear my throat, a lot of mucus in my throat, burping, and I also have the lump in throat sensation. I’m not sure why but I feel it constantly and it gets worse when I’m in public. It also makes me lose my appetite. How’s your appetite? Are you able to eat just fine?

My appetite is fine at the moment.  Probably not a good thing because then I eat what I shouldn't.  Lol.  It really sucks.  These meds have wrecked my body.  

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readyfortheworld

That’s good to hear that it doesn’t affect your appetite. Yeah, withdrawal does take a toll on you. Are you able to work currently? I haven’t been able to work and didn’t work this year but I’m hoping I can start working this upcoming year for sure. I feel like a bum just staying home but withdrawal has been pretty awful to me and I don’t think I would be able to hold down a job

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Baxter
21 hours ago, readyfortheworld said:

I have this urge of needing to clear my throat, a lot of mucus in my throat, burping, and I also have the lump in throat sensation. I’m not sure why but I feel it constantly and it gets worse when I’m in public. It also makes me lose my appetite. How’s your appetite? Are you able to eat just fine?

Have you gone to your primary care doc? I had a similar situation...it was silent gastric reflux...no heartburn. Just throat symptoms. 

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readyfortheworld

I did but he said everything was fine @Baxter. I got an appointment with a gastroenterologist but it‘s not until February. What did your doctor recommend you do? What are your symptoms?

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BfromNJ

@brassmonkey

@manymoretodays

@ChessieCat

 

Hello.  Asking for some advice/opinion.  Just made another reduction in gabapentin today of 10 %.. from 360 mg to 324 roughly.  Took am dose.  Felt very funky and unsteady, out of it this morning.  I noticed around 1 pm an increase in my tinnitus.  It hasn't really been bothering much like this,  persistant like it is now.  Now I did have two chocolate cookies at around 12.  This is the first caffeine I've had in like a year.   I've avoided it at all costs.  Not sure why now I had it, but they looked good.  Could this caffeine have affected the reduction and my tinnitus?  I think I best stay where I was at 360 for a bit longer.    Since I've only have two doses at the reduced amount,  can I just go up to my original dose tonight?  Thanks for your help!  

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brassmonkey

If it's only been two doses at the reduced rate then there should be no problems with going right back up.  It may take a few days to restabilize at the old dose so your symptoms could fluctuate for a while.  Have you bee sensitive to the caffeine in chocolate before? Please post a symptom diary for the next few days so we can see if there are any trends showing themselves.

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BfromNJ
51 minutes ago, brassmonkey said:

If it's only been two doses at the reduced rate then there should be no problems with going right back up.  It may take a few days to restabilize at the old dose so your symptoms could fluctuate for a while.  Have you bee sensitive to the caffeine in chocolate before? Please post a symptom diary for the next few days so we can see if there are any trends showing themselves.

Thanks brassmonkey.  I also had a seroquel maufacturer change two weeks ago.  In hindsight,  I should have waited maybe longer to drop again.  So I will go back up tonight and note my symptoms.  I really feel the caffeine in the chocolate may not have helped.  I have completely avoided it, but those cookies looked so good.  🙄

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brassmonkey

If there was a problem with the change in manufacturer it should have showed up very soon after the change over. Is it possible that you have gotten the material from the two different makers mixed together?  I think the cookies may have been part of it but I'm more concerned about the funky feeling after the am dose, before the cookies. Can you give any more details?

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BfromNJ
6 hours ago, brassmonkey said:

If there was a problem with the change in manufacturer it should have showed up very soon after the change over. Is it possible that you have gotten the material from the two different makers mixed together?  I think the cookies may have been part of it but I'm more concerned about the funky feeling after the am dose, before the cookies. Can you give any more details?

No , no materials mixed together.  The seroquel is a whole pill I take and it's at night.  Totally separate thing.  I just mentioned the manufacturer change because I thought it may be relevant, since I just switched seroquel manufacturers two or three weeks ago and now just did a gaba drop.  Maybe too much in a short time?   It was after the gaba in am  I just felt dizzy and out of it.  Not horrible though and it got better.  After the cookies I got the tinnitus and very anxious feeling.   I feel better today. I upped my gaba back up to 360 mg .   But tinnitus is still heightened bad.  

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BfromNJ

I get upset and scared that I am on these meds.  And I am intimidated by the long road ahead, especially tapering so slow.  But then I have to remind myself that I have made progress.  Overall, since June i have reduced my gabapentin intake by 40%, from 600 mg to 360.  And my antidepressant by 25%.  So that is definitely something, right?  I guess I'm just feeling discouraged and mad at myself for being on these, so I need a reminder that I have made progress!  

 

It is what it is, I suppose.  Onward......

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brassmonkey

You're doing an excellent job B. There are going to be some fluctuations in symptoms along the way, just normal cycling and some windows and waves, it's all part of the process. You've been making good solid progress with your taper, it's such a pain that it has to take so long to get through it.

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BfromNJ
20 hours ago, brassmonkey said:

You're doing an excellent job B. There are going to be some fluctuations in symptoms along the way, just normal cycling and some windows and waves, it's all part of the process. You've been making good solid progress with your taper, it's such a pain that it has to take so long to get through it.

Thank you!  I think what I may do is only do a 5% cut next time.  I'm just not sure how long to wait to do so.  I think two weeks.  

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eymen23
On 1/11/2020 at 1:36 PM, BfromNJ said:

Overall, since June i have reduced my gabapentin intake by 40%, from 600 mg to 360.  And my antidepressant by 25%.  So that is definitely something, right?  


BfromNJ,

 

Those are both significant reductions in your meds and you should be proud of yourself, not just for the % reductions but also for the transformation in your approach.

 

When we communicated several months ago you were much more frightened by this process than you appear to be now. You are sticking with the plan and have slowly become a positive role model for others on the site. That is invaluable in itself and you should be very proud. I know that I am feeling proud for you. 

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BfromNJ
22 hours ago, eymen23 said:


BfromNJ,

 

Those are both significant reductions in your meds and you should be proud of yourself, not just for the % reductions but also for the transformation in your approach.

 

When we communicated several months ago you were much more frightened by this process than you appear to be now. You are sticking with the plan and have slowly become a positive role model for others on the site. That is invaluable in itself and you should be very proud. I know that I am feeling proud for you. 

Thank you!   I appreciate your kind words.   I have to say I would not have been able to do it without everyone here.   

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BfromNJ

@manymoretodays

@brassmonkey

@eymen23

 

Okay so I have a question.  Kind of a weird one.  Is it possible to feel worse when making a smaller reduction versus a larger one?  I made a 5% gabapentin cut last week and I'm feeling awful.  Normally I do 10%.  Now this may just be a coincidence and maybe I'm coming down with something, but I was just wondering if maybe others have felt worse with a smaller cut.  Maybe this doesnt make sense but thought I'd ask.   

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brassmonkey

Each reduction is an adventure unto itself. Its quite possible for a small reduction to hit harder than a big one, but next time it could go quite smoothly. This is why we push people to listen to their bodies instead of tapering by a calendar. The chemistry of the body changes all the time as do external conditions. They all can affect how the body reacts to a reduction. I would ride it out and give it some extra time to settle down and then continue reducing as normal.  Anxiety is one of those symptoms that comes and goes as it likes, the best thing for it is AAF. Do a site search, there is plenty of discussion about it.

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BfromNJ
37 minutes ago, brassmonkey said:

Each reduction is an adventure unto itself. Its quite possible for a small reduction to hit harder than a big one, but next time it could go quite smoothly. This is why we push people to listen to their bodies instead of tapering by a calendar. The chemistry of the body changes all the time as do external conditions. They all can affect how the body reacts to a reduction. I would ride it out and give it some extra time to settle down and then continue reducing as normal.  Anxiety is one of those symptoms that comes and goes as it likes, the best thing for it is AAF. Do a site search, there is plenty of discussion about it.

Thank you for your response.  It's not even anxiety, I just feel run down and unwell.   I will search for aaf.  As i dont know what u are referring to .   New lingo to me.  😂    thanks again.  I appreciate it.  Yes I will wait it out if I feel I need to.   I've learned that in the long run, slower is faster.  😬

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manymoretodays

Here you go BfromNJ,

  

On 4/27/2017 at 12:03 PM, brassmonkey said:

AAF: Acknowledge, Accept, Float.  It's what you have to do when nothing else works, and can be a very powerful tool in coping with anxiety.  The neuroemotional anxiety many of us feel during WD is directly caused by the drugs and their chemical reactions in the brain.  Making it so there is nothing we can do about them.  They won't respond to other drugs, relaxation techniques and the like.  They do, however, react very well to being ignored.  That's the concept behind AAF.  Acknowledge, get to know the feeling involved, explore them.  Accept, These feelings are a part of you and they aren't going anywhere fast. Float, let the feeling float off as you get on with your life as best as you can.  It's a well documented fact that the more you feed in to anxiety the worse it gets.  What starts as generalized neuroemotinal anxiety can be easily blown into a full fledged panic attack just by thinking about it.

 

I often liken it to an unwanted house guest.  At first you talk to them, have conversations, communicate with them.  After a while you figure out that they aren't leaving and there is nothing you can do to get rid of them.  So you go on about your day, working around them until they get bored and leave.

 

How is the rest of your settling in going BfromNJ?  Post move, post holidays, new support system, etc.?

I hit a late wave or something, coming back now......and doing well.  So busy with catch up, on the ground, and just living life.  Great winter for my sport, well one of them.....ski-ing.  And then peer stuff involvements around here.

 

Hope you are well enough, as we say.  Onward!

L, P, H, and G,

mmt

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BfromNJ
9 hours ago, manymoretodays said:

Here you go BfromNJ,

  

 

How is the rest of your settling in going BfromNJ?  Post move, post holidays, new support system, etc.?

I hit a late wave or something, coming back now......and doing well.  So busy with catch up, on the ground, and just living life.  Great winter for my sport, well one of them.....ski-ing.  And then peer stuff involvements around here.

 

Hope you are well enough, as we say.  Onward!

L, P, H, and G,

mmt

 

Thank you!  I'm doing okay.  Settled in after the move.   My relationship of 8 years is over and I'm trying to deal with that.  And also a change in my job situation.  The job is a good thing though.  More money and benefits, but stinks to leave where I am because I do like it.  So all this going on and trying to manage my taper.  Whew.  But in plugging along.  

 

I am sorry to hear about your wave but glad you are in the mend now.  Nice that you are enjoying skiing.  The cold is not my favorite!  Lol.   Good to hear from you! 

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BfromNJ

@manymoretodays

@brassmonkey

 

So I did a 5% drop in my gabapentin three weeks ago.  And another one two days ago, so three weeks apart.  I dont know why but it seems like I feel worse than when I do a larger cut of 10%.  All over strange sensations in my body,  tremors, vibration, ramped up screaming tinnitua like its coming out of my whole body if that makes sense. Is this because I'm getting into the lower doses of this med?  Do I just jump off sooner? Currently at 324 mg, down from 600 originally.   

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manymoretodays

When did you start feeling worse BfromNJ?

19 minutes ago, BfromNJ said:

All over strange sensations in my body,  tremors, vibration, ramped up screaming tinnitua like its coming out of my whole body if that makes sense. Is this because I'm getting into the lower doses of this med?  Do I just jump off sooner? Currently at 324 mg, down from 600 originally.   

 

I think jumping off sooner would make it worse BfromNJ.  It's the opposite really, from what you said.

You might need to go slower, with your tapers now, to try to avoid worsening of WD symptoms.  And give your system a chance to recalibrate a bit longer between tapers.

 

How long were you going after your 10% tapers?  Four or six weeks?

 

Also just checking here, once you do your calculations on the 5% drop from the previous total daily dose,  do you then divide that out for each of your ? 3 doses/day?

That might be easier answered by telling us:

What is your total daily dose now?  I'm seeing 324 mg/day as of February 11th, 2 days ago.  Are you taking 108 mg of Gabapentin, 3x/ day?

(I just need a refresher as to how you take your Gabapentin, thanks)

 

I'll take a longer look tomorrow too, at your numbers and all.  Update how you are feeling tomorrow as well, if you will.

 

Thanks.  L, P, H, and G,

mmt

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BfromNJ
10 hours ago, manymoretodays said:

When did you start feeling worse BfromNJ?

 

I think jumping off sooner would make it worse BfromNJ.  It's the opposite really, from what you said.

You might need to go slower, with your tapers now, to try to avoid worsening of WD symptoms.  And give your system a chance to recalibrate a bit longer between tapers.

 

How long were you going after your 10% tapers?  Four or six weeks?

 

Also just checking here, once you do your calculations on the 5% drop from the previous total daily dose,  do you then divide that out for each of your ? 3 doses/day?

That might be easier answered by telling us:

What is your total daily dose now?  I'm seeing 324 mg/day as of February 11th, 2 days ago.  Are you taking 108 mg of Gabapentin, 3x/ day?

(I just need a refresher as to how you take your Gabapentin, thanks)

 

I'll take a longer look tomorrow too, at your numbers and all.  Update how you are feeling tomorrow as well, if you will.

 

Thanks.  L, P, H, and G,

Yes its 108 mg each dose.  I was waiting four weeks or more on my 10% reductions, depending on my life situations and if I felt  "ready"  to reduce.   I'm feeling a bit better today I think.   Just so weird with the strange sensation in my body and head.    I'm also on my menstrual cycle, after many months of none due to perimenopause.  Maybe the hormone fluctuations are affecting the taper.  I just feel like I did better with 10%.  But that wouldn't make sense would it?  

 

I started to feel worse I guess about a week and half ago.  So about 1.5 weeks after my last 5 % drop.  

 

I know I shouldn't rush things.  So maybe I'll go back to doing 10% but just wait longer in between.  Just concerned because I am having ALOT of hair loss.  I've probably lost half of the density of it.  😒

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manymoretodays
2 hours ago, BfromNJ said:

Yes its 108 mg each dose.  I was waiting four weeks or more on my 10% reductions, depending on my life situations and if I felt  "ready"  to reduce.   I'm feeling a bit better today I think.   Just so weird with the strange sensation in my body and head.    I'm also on my menstrual cycle, after many months of none due to perimenopause.  Maybe the hormone fluctuations are affecting the taper.  I just feel like I did better with 10%.  But that wouldn't make sense would it?  

 

I started to feel worse I guess about a week and half ago.  So about 1.5 weeks after my last 5 % drop.  

 

I know I shouldn't rush things.  So maybe I'll go back to doing 10% but just wait longer in between.  Just concerned because I am having ALOT of hair loss.  I've probably lost half of the density of it.  😒

 

Hi,

We all can be really kind of unique and individual BfromNJ.  And either way of making reductions, is within the basic principles of harm free reduction.  So, yes, it makes sense.  You might wait the full 4-6 weeks before making your next reduction, and then decide then........if you want to do more of a microtaper(splitting up the 10% taper, into two 5% tapers), or go with how you had been doing it.  Hopefully symptoms lessen in the next couple of weeks.

 

And oh......on the hair loss, that can be so difficult.  Have you found any helps here:  Hair loss, poor condition, body hair, excessive hair growth

That's the topic I found......and too bad one can't go from hair loss to excessive growth somehow. B) I think it must be related to something hormonal, or another system........that gets affected during the tapering(as well as from the drugs themselves) process.

I had some hair loss initially, but knock on wood, it has stopped and stabilized.  My hair is now curlier than it used to be.......I mean......go figure!

I'm sorry about the hair loss/density change though BfromNJ.  So tough.  Hopefully it will stabilize on out real soon.

 

And maybe others have input around this issue.  You could post on that topic, or see if anyone comments here.  Bummer!

 

So....that's all from me, on the above.  Oh......we could celebrate, as you are almost 50% down now, from your initial dose of Gabapentin!!!!  This is great!!!!  Good work B.

 

L, P, H, and G,

mmt

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BfromNJ
18 minutes ago, manymoretodays said:

 

Hi,

We all can be really kind of unique and individual BfromNJ.  And either way of making reductions, is within the basic principles of harm free reduction.  So, yes, it makes sense.  You might wait the full 4-6 weeks before making your next reduction, and then decide then........if you want to do more of a microtaper(splitting up the 10% taper, into two 5% tapers), or go with how you had been doing it.  Hopefully symptoms lessen in the next couple of weeks.

 

And oh......on the hair loss, that can be so difficult.  Have you found any helps here:  Hair loss, poor condition, body hair, excessive hair growth

That's the topic I found......and too bad one can't go from hair loss to excessive growth somehow. B) I think it must be related to something hormonal, or another system........that gets affected during the tapering(as well as from the drugs themselves) process.

I had some hair loss initially, but knock on wood, it has stopped and stabilized.  My hair is now curlier than it used to be.......I mean......go figure!

I'm sorry about the hair loss/density change though BfromNJ.  So tough.  Hopefully it will stabilize on out real soon.

 

And maybe others have input around this issue.  You could post on that topic, or see if anyone comments here.  Bummer!

 

So....that's all from me, on the above.  Oh......we could celebrate, as you are almost 50% down now, from your initial dose of Gabapentin!!!!  This is great!!!!  Good work B.

 

L, P, H, and G,

mmt

I know I am happy about how much I have reduced.    Long way to go but onward!  I'll check out those thread.  See if I can find some hair help.  Lol

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BfromNJ

@brassmonkey

 

@manymoretodays

@ChessieCat

 

 

So I have a uti.  Doctor gave me bactrim antibiotic.  Havent started yet I'm trying cranberry first.  How is this antibiotic during taper and with taking meds?  I've taken it before cant recall any issues but not when I was on 3 meds and tapering.  I'm 10 days into a 5% gabapentin drop.  

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brassmonkey

Bactrim appears to be a sulfa based antibiotic so it shouldn't cause any problems.

 

You have a lot of company, do a site search on uti and you should find a lot of information.

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BfromNJ

@brassmonkey

@manymoretodays

 

Hey all.  Everything is going good taper wise.  Down to 300 mg of gabapentin and doing another drop tomorrow.  Gonna try for 20% this time.  Woo hoo!  

 

On another note I have a question.  Cant seem to find anything on it.  I have been taking d mannose for my urinary tract health.  However, I ordered a brand not realizing it has hibiscus flower in it.   Is this bad to take with my meds?  Since it's an herbal?  

 

Appreciate the help.  Thank you!  

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brassmonkey

It may lower your blood pressure a bit but that seems to be about all it's good for. I don't think it will cause any problems.

 

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BfromNJ
4 hours ago, brassmonkey said:

It may lower your blood pressure a bit but that seems to be about all it's good for. I don't think it will cause any problems.

 

Thank you brassmonkey.  I could get another kind of d mannose without the added hibiscus flower.  I may do that since I tend to have low blood pressure to begin with.   Hard to find information on interactions between herbs and drugs

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