Jump to content

cathnz: tapering off Remeron / mirtazapine


cathnz

Recommended Posts

@Altostrata as per above message, I'm not taking any other meds, drugs, or supplements of any kind and haven't for many many months. I have made no changes to meds in 8 months and no changes to supplements in about 3 months.

 

I will do the symptom diary, although it will look exactly as per the ones I've done above in the past - my routine hasn't changed and nor has the occurance of the symptoms... they're now just more intense. There is no time of day that is consistently better or worse. But I will restart symptom logging again. 

 

Aug 2004 - Dec 2006: Aropax ( 20mg - 30mg). Aug 2007: Fluoxetine (for 3 weeks).

Sept 07 - July 12: Lexapro ( 10mg - 20mg). Pooped out July 12. Titrated down off Lexapro over 3 weeks and switched to Paroxetine (with Xanax to cover switch for 2 weeks).

Aug 2012 - Aug 2019: Paroxetine (titrated up to 20mg in first few weeks,, dose reduced to 15mg . for 7 years until it 'pooped out'.

4th Aug 2019 - Reduced dose of paroxetine to 10mg (for 1 day) - under phychiatrists directions. Last dose of paroxetine.

5th Aug 2019 - Switch to 15mg Mirtazapine.

5th Aug - 15th Aug 2019 - 15mg Mirtazapine plus intermitent use of Lorazapm (0.25- 0.5 . Also used 12.5mg Quetiapine for 3 nights for sleep.

23rd Aug 2019 - Ended up in crisis team. Mirtazapine increased to 30mg. Diazapam 10mg twice daily.

30th Aug 2019 - Mirtazapine 30mg + Diazapam reduced to 7.5mg twice daily

6th Sept 2019 - Mirtazapine 30mg + Diazapam reduced to 5mg twice daily

13th Sept 2019 - Mirtazapine increased to 45mg. Diazapam increased back up to 10mg twice daily.

20th Sept - 29th Sept 2019: Mirtazapine 45mg. Diazapam being reduced from 10mg down to 0mg this week (in 2mg increments couple of days).

30th Sept - Thursday 3rd Oct 2019: Mirtazapine 45mg. WORST ANXIETY EVER. Akathisia. Couldn't stay still. Suicidal idealization.

Friday 4th October - present: Reduced from 45mg to 30mg (straight drop to alleviate akathisia - reduction definitely helped alot but still not gone completely)

 

 

, Vit B6, Curcumin, Magnesium (no adverse effects from adding these supplements - have helped akathisia somewhat).

* Everything done from 23rd August under care of outpatient crisis team management.

 

Untitled document.docx

Link to post
  • Replies 173
  • Created
  • Last Reply

Top Posters In This Topic

  • cathnz

    87

  • Altostrata

    29

  • Sassenach

    12

  • Shep

    11

Top Posters In This Topic

Popular Posts

Cath, you’ve been through a lot of med changes in the past year and many years prior to that. I hope you have found the time to read through the links the mods have posted above, the information on th

You can make it a link to Google Docs.   Paroxetine poop-out can have the same symptoms as withdrawal. Reinstatement of a very low dose of an SSRI, such as 0.5mg escitalopram may help.

Hi Cathnz-- I was just reading your posts over on "Are We There Yet" talking about poopout.  You got some very good responses from some other members, all good advise.  Reading through your signature

  • Administrator
Altostrata
23 hours ago, cathnz said:

Which brings me back to the question... could this actually be caused by the 'new' med Mirtazapine (it began happening within 3 weeks after the switch). Seeing as things are getting worse, not better, with time, could this be the Mirtazapine building up and making me sicker? If so, how on earth will I face a taper when I'm already so unstable?? My depression and anxiety is the most severe its been in 17 years - its on par with how bad I was before I was ever put on meds (the severity of which lead me to meds in the first place). If it IS the Mirtazapine causing the akathisia, if I continuing holding to let my cns settle more before tapering, can staying on the offending med increase the chances of this being permanent? 

 

What is the "new" mirtazapine? Did you switch brands?

 

Looking back over your topic, you seemed to say the symptoms got worse after you took mirtazapine. Is this so, or is there no difference after you take mirtazpine?

 

From your signature:

Quote

Friday 4th October - present: Reduced from 45mg to 30mg (straight drop to alleviate akathisia - reduction definitely helped alot but still not gone completely)

 

It could be 30mg mirtazapine has become too much for you as well. Have you tried a 10% decrease since October?

 

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 post
1 hour ago, Altostrata said:

 

What is the "new" mirtazapine? Did you switch brands?

 

Looking back over your topic, you seemed to say the symptoms got worse after you took mirtazapine. Is this so, or is there no difference after you take mirtazpine?

 

From your signature:

 

It could be 30mg mirtazapine has become too much for you as well. Have you tried a 10% decrease since October?

 

@Altostratathank you. Sorry, my term 'new' Mirtazapine was misleading. It's been the same Mirtazapine (and brand) the entire time since the switch. I just meant 'new' in the context of the med they changed me to after the Paxil pooped out. So I've been on Mirtazapine for 10 months and on this current dose for 8 months.

 

I haven't tried reducing since October. I thought my system was too destabilised from the Paxil switch and then the abrupt sessation of the benzo in Oct. So I got too scared to try incase I destabilised further. I've kept waiting and waiting to stabilise, but it hasn't happened. And people's horror stories of even microtapers destabilising them scared me from trying. 

 

But it's getting to the point where I'm concerned of I don't take action, things might progressively get worse and irrepairable. I have thought about starting to reduce at a rate of 1% each week or two to try to avoid issues, but given that I experienced akathisia even on the 15mg they started me on (I just didn't know it at the time), it's going to be a long road down to get relief below 15mg if I'm doing it in 1% increments. On the flip side, maybe starting at 10% then slowing the rate down as I go lower might be the better option. I feel like a startled deer in the headlights not knowing what to do without worsening my depression and akathisia.

 

The akathisia I'm experiencing now is probably on par again with when it was bad on the 45mg back in Oct... the only difference being now is that I'm pulling every resource I can not to panic so that further meds don't get thrown at me. 

 

Aug 2004 - Dec 2006: Aropax ( 20mg - 30mg). Aug 2007: Fluoxetine (for 3 weeks).

Sept 07 - July 12: Lexapro ( 10mg - 20mg). Pooped out July 12. Titrated down off Lexapro over 3 weeks and switched to Paroxetine (with Xanax to cover switch for 2 weeks).

Aug 2012 - Aug 2019: Paroxetine (titrated up to 20mg in first few weeks,, dose reduced to 15mg . for 7 years until it 'pooped out'.

4th Aug 2019 - Reduced dose of paroxetine to 10mg (for 1 day) - under phychiatrists directions. Last dose of paroxetine.

5th Aug 2019 - Switch to 15mg Mirtazapine.

5th Aug - 15th Aug 2019 - 15mg Mirtazapine plus intermitent use of Lorazapm (0.25- 0.5 . Also used 12.5mg Quetiapine for 3 nights for sleep.

23rd Aug 2019 - Ended up in crisis team. Mirtazapine increased to 30mg. Diazapam 10mg twice daily.

30th Aug 2019 - Mirtazapine 30mg + Diazapam reduced to 7.5mg twice daily

6th Sept 2019 - Mirtazapine 30mg + Diazapam reduced to 5mg twice daily

13th Sept 2019 - Mirtazapine increased to 45mg. Diazapam increased back up to 10mg twice daily.

20th Sept - 29th Sept 2019: Mirtazapine 45mg. Diazapam being reduced from 10mg down to 0mg this week (in 2mg increments couple of days).

30th Sept - Thursday 3rd Oct 2019: Mirtazapine 45mg. WORST ANXIETY EVER. Akathisia. Couldn't stay still. Suicidal idealization.

Friday 4th October - present: Reduced from 45mg to 30mg (straight drop to alleviate akathisia - reduction definitely helped alot but still not gone completely)

 

 

, Vit B6, Curcumin, Magnesium (no adverse effects from adding these supplements - have helped akathisia somewhat).

* Everything done from 23rd August under care of outpatient crisis team management.

 

Untitled document.docx

Link to post
  • Administrator
Altostrata

I would try a 10% reduction of mirtazapine. If the symptoms reduce, you're having an adverse reaction to mirtazapine, though it may be helping you sleep.

 

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 post
4 hours ago, Altostrata said:

I would try a 10% reduction of mirtazapine. If the symptoms reduce, you're having an adverse reaction to mirtazapine, though it may be helping you sleep.

 

Please let us know how you're doing.

Thanks @Altostrata.

 

Re the reducing by 10%... does it matter if I make a liquid or use scales and dry cut? And once I've made the cut, if things start going south, how long should I ride it out  to see if things settle? Is it better to reinstate at the first sign of trouble, or wait? If I had to reinstate, would it be the full 10% or just a smaller amount. I know these are all 'what ifs'... I just want to be prepared while I'm in my rig mind, and give my plan to my husband. I don't want to make any stupid knee jerk decisions that I'll regret later. 

 

One more thing, in your experience, can a brain that feels on fire be an adverse reaction too, or does that sound like wd. That started later in the peice... maybe back in January. I wondered if that was some sort of protracted issue with coming off the benzo quickly in Oct. 

 

 

 

Aug 2004 - Dec 2006: Aropax ( 20mg - 30mg). Aug 2007: Fluoxetine (for 3 weeks).

Sept 07 - July 12: Lexapro ( 10mg - 20mg). Pooped out July 12. Titrated down off Lexapro over 3 weeks and switched to Paroxetine (with Xanax to cover switch for 2 weeks).

Aug 2012 - Aug 2019: Paroxetine (titrated up to 20mg in first few weeks,, dose reduced to 15mg . for 7 years until it 'pooped out'.

4th Aug 2019 - Reduced dose of paroxetine to 10mg (for 1 day) - under phychiatrists directions. Last dose of paroxetine.

5th Aug 2019 - Switch to 15mg Mirtazapine.

5th Aug - 15th Aug 2019 - 15mg Mirtazapine plus intermitent use of Lorazapm (0.25- 0.5 . Also used 12.5mg Quetiapine for 3 nights for sleep.

23rd Aug 2019 - Ended up in crisis team. Mirtazapine increased to 30mg. Diazapam 10mg twice daily.

30th Aug 2019 - Mirtazapine 30mg + Diazapam reduced to 7.5mg twice daily

6th Sept 2019 - Mirtazapine 30mg + Diazapam reduced to 5mg twice daily

13th Sept 2019 - Mirtazapine increased to 45mg. Diazapam increased back up to 10mg twice daily.

20th Sept - 29th Sept 2019: Mirtazapine 45mg. Diazapam being reduced from 10mg down to 0mg this week (in 2mg increments couple of days).

30th Sept - Thursday 3rd Oct 2019: Mirtazapine 45mg. WORST ANXIETY EVER. Akathisia. Couldn't stay still. Suicidal idealization.

Friday 4th October - present: Reduced from 45mg to 30mg (straight drop to alleviate akathisia - reduction definitely helped alot but still not gone completely)

 

 

, Vit B6, Curcumin, Magnesium (no adverse effects from adding these supplements - have helped akathisia somewhat).

* Everything done from 23rd August under care of outpatient crisis team management.

 

Untitled document.docx

Link to post
On 6/3/2020 at 1:49 PM, cathnz said:

Thanks @Altostrata.

 

Re the reducing by 10%... does it matter if I make a liquid or use scales and dry cut? And once I've made the cut, if things start going south, how long should I ride it out  to see if things settle? Is it better to reinstate at the first sign of trouble, or wait? If I had to reinstate, would it be the full 10% or just a smaller amount. I know these are all 'what ifs'... I just want to be prepared while I'm in my rig mind, and give my plan to my husband. I don't want to make any stupid knee jerk decisions that I'll regret later. 

 

One more thing, in your experience, can a brain that feels on fire be an adverse reaction too, or does that sound like wd. That started later in the peice... maybe back in January. I wondered if that was some sort of protracted issue with coming off the benzo quickly in Oct. 

 

 

@Shep @brassmonkey... I'm not sure if @Altostratasaw my message above. Are you guys able to shed some light please? 

 

Aug 2004 - Dec 2006: Aropax ( 20mg - 30mg). Aug 2007: Fluoxetine (for 3 weeks).

Sept 07 - July 12: Lexapro ( 10mg - 20mg). Pooped out July 12. Titrated down off Lexapro over 3 weeks and switched to Paroxetine (with Xanax to cover switch for 2 weeks).

Aug 2012 - Aug 2019: Paroxetine (titrated up to 20mg in first few weeks,, dose reduced to 15mg . for 7 years until it 'pooped out'.

4th Aug 2019 - Reduced dose of paroxetine to 10mg (for 1 day) - under phychiatrists directions. Last dose of paroxetine.

5th Aug 2019 - Switch to 15mg Mirtazapine.

5th Aug - 15th Aug 2019 - 15mg Mirtazapine plus intermitent use of Lorazapm (0.25- 0.5 . Also used 12.5mg Quetiapine for 3 nights for sleep.

23rd Aug 2019 - Ended up in crisis team. Mirtazapine increased to 30mg. Diazapam 10mg twice daily.

30th Aug 2019 - Mirtazapine 30mg + Diazapam reduced to 7.5mg twice daily

6th Sept 2019 - Mirtazapine 30mg + Diazapam reduced to 5mg twice daily

13th Sept 2019 - Mirtazapine increased to 45mg. Diazapam increased back up to 10mg twice daily.

20th Sept - 29th Sept 2019: Mirtazapine 45mg. Diazapam being reduced from 10mg down to 0mg this week (in 2mg increments couple of days).

30th Sept - Thursday 3rd Oct 2019: Mirtazapine 45mg. WORST ANXIETY EVER. Akathisia. Couldn't stay still. Suicidal idealization.

Friday 4th October - present: Reduced from 45mg to 30mg (straight drop to alleviate akathisia - reduction definitely helped alot but still not gone completely)

 

 

, Vit B6, Curcumin, Magnesium (no adverse effects from adding these supplements - have helped akathisia somewhat).

* Everything done from 23rd August under care of outpatient crisis team management.

 

Untitled document.docx

Link to post
  • Administrator
Altostrata

Have you read this Tips for tapering off Remeron (mirtazapine)

 

After you make a reduction, you observe for a while. What you do next depends on the symptoms, if any, you get. Please let us know how you're doing.

 

On 6/2/2020 at 6:49 PM, cathnz said:

One more thing, in your experience, can a brain that feels on fire be an adverse reaction too, or does that sound like wd. That started later in the peice... maybe back in January.

 

Did anything happen in December, skipped doses or antibiotics or a glass of wine to celebrate?

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 post
  • 3 months later...

Hi @cathnz ,

I don’t know if you’re still coming on SA, but I just wanted to know how is going your taper?

I would like to start my remeron taper and I want to have some insight from people who are in the process.

 

Thank you and hope you are doing well...

 

Mimi79

2008-2019: various ADs at various doses, initially for anxiety related insomnia.

2015: C/T Paxil - GP switch me to Mirtazapine and Pristiq. 2018: Switched Pristiq to Venlafaxine (For tapering)

2019-01: Stopped Venlafaxine after a 10 months taper. Updosed Mirtazapine to 45mg.

Summer 2019: Fast taper of Mirtazapine. Sept 2019, down to 30mg, hit bad W/D symptoms, so updosed to 45mg.

Tried escitalopram 10mg, C/T after 4 weeks. Tried Buspar, C/T after 5 days.

Jan 2020: Second mirtazapine weaning attempt, but end of january, big wave of symptoms, back to 45mg Mirtazapine.

Feb 2020: 50mg quetiapineXR, CT after 1 week. 21 Feb 2020, found SA and staying on 45mg Mirtazapine, waiting for stabilization.

Quetiapine 25mg  PRN since may 2019, March 2020 stopped.

Mirtazapine taper, from 45mg:  2020-10-21 43.88mg, 10-28 42.75mg, 11-04 41.63mg, 11-11 40.5mg, 11-24 41.6mg, 12-03 42.20mg, updose 2021–01-15 to 42,7 and holding.

Ativan prn since jan 2021. Became accidentally dep. March 2021.
2021-03-21 Ativan 0,29mg / 2021-03-28 0.28mg/ 2021-04-08 0.27mg/ 2021-04-26 0.25mg

Supplements: Magnesium Glycinate, Omega-3, D vit, Probiotic.

Link to post
4 hours ago, Mimi79 said:

Hi @cathnz ,

I don’t know if you’re still coming on SA, but I just wanted to know how is going your taper?

I would like to start my remeron taper and I want to have some insight from people who are in the process.

 

Thank you and hope you are doing well...

 

Mimi79

 Hi @Mimi79,

 

Thanks for the message. No I haven't started my taper yet. I was still destabilised from stopping Paxil, and since then my mother has been diagnosed with Alzheimer's and I'm crippled with grief. I didn't think it wise to push a taper with all that. 

 

It scares me that I'll still be on this crap, and scared I'll hit tolerance and be forced off uncomfortably, but I just don't know what to do. Sitting tight seems the lesser of the 2 evils right now. Dealing with this grief is pretty emense. 

 

@Altostrata  @brassmonkey @Shep do you think I'm doing the right thing? 

 

Aug 2004 - Dec 2006: Aropax ( 20mg - 30mg). Aug 2007: Fluoxetine (for 3 weeks).

Sept 07 - July 12: Lexapro ( 10mg - 20mg). Pooped out July 12. Titrated down off Lexapro over 3 weeks and switched to Paroxetine (with Xanax to cover switch for 2 weeks).

Aug 2012 - Aug 2019: Paroxetine (titrated up to 20mg in first few weeks,, dose reduced to 15mg . for 7 years until it 'pooped out'.

4th Aug 2019 - Reduced dose of paroxetine to 10mg (for 1 day) - under phychiatrists directions. Last dose of paroxetine.

5th Aug 2019 - Switch to 15mg Mirtazapine.

5th Aug - 15th Aug 2019 - 15mg Mirtazapine plus intermitent use of Lorazapm (0.25- 0.5 . Also used 12.5mg Quetiapine for 3 nights for sleep.

23rd Aug 2019 - Ended up in crisis team. Mirtazapine increased to 30mg. Diazapam 10mg twice daily.

30th Aug 2019 - Mirtazapine 30mg + Diazapam reduced to 7.5mg twice daily

6th Sept 2019 - Mirtazapine 30mg + Diazapam reduced to 5mg twice daily

13th Sept 2019 - Mirtazapine increased to 45mg. Diazapam increased back up to 10mg twice daily.

20th Sept - 29th Sept 2019: Mirtazapine 45mg. Diazapam being reduced from 10mg down to 0mg this week (in 2mg increments couple of days).

30th Sept - Thursday 3rd Oct 2019: Mirtazapine 45mg. WORST ANXIETY EVER. Akathisia. Couldn't stay still. Suicidal idealization.

Friday 4th October - present: Reduced from 45mg to 30mg (straight drop to alleviate akathisia - reduction definitely helped alot but still not gone completely)

 

 

, Vit B6, Curcumin, Magnesium (no adverse effects from adding these supplements - have helped akathisia somewhat).

* Everything done from 23rd August under care of outpatient crisis team management.

 

Untitled document.docx

Link to post
  • ChessieCat changed the title to cathnz: tapering off Mirtazapine

Oh dear Cathnz,

I’m so sorry for your mother. Life can bring us big challenges along the way, even if we are stuck with this WD thing...

 

I think you are doing the good thing, especially if you are stabilizing now. Did your symptoms have improved a lot since last spring? 
 

It’s not an easy ride and we are clueless of what we have to do. The biggest challenge of all our life.


Take care!

 

Mimi79

 

 

 

2008-2019: various ADs at various doses, initially for anxiety related insomnia.

2015: C/T Paxil - GP switch me to Mirtazapine and Pristiq. 2018: Switched Pristiq to Venlafaxine (For tapering)

2019-01: Stopped Venlafaxine after a 10 months taper. Updosed Mirtazapine to 45mg.

Summer 2019: Fast taper of Mirtazapine. Sept 2019, down to 30mg, hit bad W/D symptoms, so updosed to 45mg.

Tried escitalopram 10mg, C/T after 4 weeks. Tried Buspar, C/T after 5 days.

Jan 2020: Second mirtazapine weaning attempt, but end of january, big wave of symptoms, back to 45mg Mirtazapine.

Feb 2020: 50mg quetiapineXR, CT after 1 week. 21 Feb 2020, found SA and staying on 45mg Mirtazapine, waiting for stabilization.

Quetiapine 25mg  PRN since may 2019, March 2020 stopped.

Mirtazapine taper, from 45mg:  2020-10-21 43.88mg, 10-28 42.75mg, 11-04 41.63mg, 11-11 40.5mg, 11-24 41.6mg, 12-03 42.20mg, updose 2021–01-15 to 42,7 and holding.

Ativan prn since jan 2021. Became accidentally dep. March 2021.
2021-03-21 Ativan 0,29mg / 2021-03-28 0.28mg/ 2021-04-08 0.27mg/ 2021-04-26 0.25mg

Supplements: Magnesium Glycinate, Omega-3, D vit, Probiotic.

Link to post
9 hours ago, Mimi79 said:

Oh dear Cathnz,

I’m so sorry for your mother. Life can bring us big challenges along the way, even if we are stuck with this WD thing...

 

I think you are doing the good thing, especially if you are stabilizing now. Did your symptoms have improved a lot since last spring? 
 

It’s not an easy ride and we are clueless of what we have to do. The biggest challenge of all our life.


Take care!

 

Mimi79

 

 

 

Thank you @Mimi79.

 

Have things improved? I'm not sure. Some days I think maybe. Other days maybe not. I don't think things have gone, I think perhaps I'm just getting used to them and they're my new normal. I'm not sure. 

 

I am however very scared of things getting worse if I don't get off. This beast I might have become accustomed to, but any worse, I'm not sure I could handle. 

 

Thank you for your message. Wishing healing for you x

 

Aug 2004 - Dec 2006: Aropax ( 20mg - 30mg). Aug 2007: Fluoxetine (for 3 weeks).

Sept 07 - July 12: Lexapro ( 10mg - 20mg). Pooped out July 12. Titrated down off Lexapro over 3 weeks and switched to Paroxetine (with Xanax to cover switch for 2 weeks).

Aug 2012 - Aug 2019: Paroxetine (titrated up to 20mg in first few weeks,, dose reduced to 15mg . for 7 years until it 'pooped out'.

4th Aug 2019 - Reduced dose of paroxetine to 10mg (for 1 day) - under phychiatrists directions. Last dose of paroxetine.

5th Aug 2019 - Switch to 15mg Mirtazapine.

5th Aug - 15th Aug 2019 - 15mg Mirtazapine plus intermitent use of Lorazapm (0.25- 0.5 . Also used 12.5mg Quetiapine for 3 nights for sleep.

23rd Aug 2019 - Ended up in crisis team. Mirtazapine increased to 30mg. Diazapam 10mg twice daily.

30th Aug 2019 - Mirtazapine 30mg + Diazapam reduced to 7.5mg twice daily

6th Sept 2019 - Mirtazapine 30mg + Diazapam reduced to 5mg twice daily

13th Sept 2019 - Mirtazapine increased to 45mg. Diazapam increased back up to 10mg twice daily.

20th Sept - 29th Sept 2019: Mirtazapine 45mg. Diazapam being reduced from 10mg down to 0mg this week (in 2mg increments couple of days).

30th Sept - Thursday 3rd Oct 2019: Mirtazapine 45mg. WORST ANXIETY EVER. Akathisia. Couldn't stay still. Suicidal idealization.

Friday 4th October - present: Reduced from 45mg to 30mg (straight drop to alleviate akathisia - reduction definitely helped alot but still not gone completely)

 

 

, Vit B6, Curcumin, Magnesium (no adverse effects from adding these supplements - have helped akathisia somewhat).

* Everything done from 23rd August under care of outpatient crisis team management.

 

Untitled document.docx

Link to post
  • ChessieCat changed the title to cathnz: tapering off Remeron / mirtazapine
  • 2 months later...
  • Moderator Emeritus

Hi cathnz,

 

Please condense your drug signature so that it doesn't take up so much room.  Since the software upgrade, some of the topics appear on the left side of the screen.  I'm using a desktop computer and your drug signature takes up the whole length of my screen so it makes it difficult to read posts.

 

For anything older than 2020 we just need a summary.

 

Also, we don't need anything other than drug name, dose and dates.  Other details just make it harder to see your drug history at a glance.

 

I suggest that you post your current drug signature into a post so you still have access to the information.  Once that is done you can copy the link location and include that in your drug signature.

 

Thank you.

 

Aug 2004 - Dec 2006: Aropax ( 20mg - 30mg). Aug 2007: Fluoxetine (for 3 weeks).

Sept 07 - July 12: Lexapro ( 10mg - 20mg). Pooped out July 12. Titrated down off Lexapro over 3 weeks and switched to Paroxetine (with Xanax to cover switch for 2 weeks).

Aug 2012 - Aug 2019: Paroxetine (titrated up to 20mg in first few weeks,, dose reduced to 15mg . for 7 years until it 'pooped out'.

4th Aug 2019 - Reduced dose of paroxetine to 10mg (for 1 day) - under phychiatrists directions. Last dose of paroxetine.

5th Aug 2019 - Switch to 15mg Mirtazapine.

5th Aug - 15th Aug 2019 - 15mg Mirtazapine plus intermitent use of Lorazapm (0.25- 0.5 . Also used 12.5mg Quetiapine for 3 nights for sleep.

23rd Aug 2019 - Ended up in crisis team. Mirtazapine increased to 30mg. Diazapam 10mg twice daily.

30th Aug 2019 - Mirtazapine 30mg + Diazapam reduced to 7.5mg twice daily

6th Sept 2019 - Mirtazapine 30mg + Diazapam reduced to 5mg twice daily

13th Sept 2019 - Mirtazapine increased to 45mg. Diazapam increased back up to 10mg twice daily.

20th Sept - 29th Sept 2019: Mirtazapine 45mg. Diazapam being reduced from 10mg down to 0mg this week (in 2mg increments couple of days).

30th Sept - Thursday 3rd Oct 2019: Mirtazapine 45mg. WORST ANXIETY EVER. Akathisia. Couldn't stay still. Suicidal idealization.

Friday 4th October - present: Reduced from 45mg to 30mg (straight drop to alleviate akathisia - reduction definitely helped alot but still not gone completely)

 

 

, Vit B6, Curcumin, Magnesium (no adverse effects from adding these supplements - have helped akathisia somewhat).

* Everything done from 23rd August under care of outpatient crisis team management.

 

Untitled document.docx

 

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
  • 2 months later...

@cathnz

 

Did your buzzing in head/ears resolve - Ive had in now for two months after stopping amitriptyline. It feels like very load electrical buzzing in my ears and head with intermittent tinnitus sounds in both ears. Im still taking mirtazapine and have horrible sleep problems. Could you please let me please know your experience. Thank you very much!

August 2020 - Mirtazapine 30, Clonazepam 0.5

September 2020 - Changed to Amitriptyline 100, Olanzapine 10, Clonazepam 0.5

Tapered to 0 by December 2020

February 2021 - Mirtazapine 15 - rapid taper after 14 days of use. 

 

Supplements: fish oil and magnesium 

Link to post
23 hours ago, Wagen said:

@cathnz

 

Did your buzzing in head/ears resolve - Ive had in now for two months after stopping amitriptyline. It feels like very load electrical buzzing in my ears and head with intermittent tinnitus sounds in both ears. Im still taking mirtazapine and have horrible sleep problems. Could you please let me please know your experience. Thank you very much!

Hi @wagen, I still experience it coming and going. There is a great book and fb support site called Rock Steady which supports those with tinnitus and vertigo. Look it up, I hope you find it helps x

 

Aug 2004 - Dec 2006: Aropax ( 20mg - 30mg). Aug 2007: Fluoxetine (for 3 weeks).

Sept 07 - July 12: Lexapro ( 10mg - 20mg). Pooped out July 12. Titrated down off Lexapro over 3 weeks and switched to Paroxetine (with Xanax to cover switch for 2 weeks).

Aug 2012 - Aug 2019: Paroxetine (titrated up to 20mg in first few weeks,, dose reduced to 15mg . for 7 years until it 'pooped out'.

4th Aug 2019 - Reduced dose of paroxetine to 10mg (for 1 day) - under phychiatrists directions. Last dose of paroxetine.

5th Aug 2019 - Switch to 15mg Mirtazapine.

5th Aug - 15th Aug 2019 - 15mg Mirtazapine plus intermitent use of Lorazapm (0.25- 0.5 . Also used 12.5mg Quetiapine for 3 nights for sleep.

23rd Aug 2019 - Ended up in crisis team. Mirtazapine increased to 30mg. Diazapam 10mg twice daily.

30th Aug 2019 - Mirtazapine 30mg + Diazapam reduced to 7.5mg twice daily

6th Sept 2019 - Mirtazapine 30mg + Diazapam reduced to 5mg twice daily

13th Sept 2019 - Mirtazapine increased to 45mg. Diazapam increased back up to 10mg twice daily.

20th Sept - 29th Sept 2019: Mirtazapine 45mg. Diazapam being reduced from 10mg down to 0mg this week (in 2mg increments couple of days).

30th Sept - Thursday 3rd Oct 2019: Mirtazapine 45mg. WORST ANXIETY EVER. Akathisia. Couldn't stay still. Suicidal idealization.

Friday 4th October - present: Reduced from 45mg to 30mg (straight drop to alleviate akathisia - reduction definitely helped alot but still not gone completely)

 

 

, Vit B6, Curcumin, Magnesium (no adverse effects from adding these supplements - have helped akathisia somewhat).

* Everything done from 23rd August under care of outpatient crisis team management.

 

Untitled document.docx

Link to post
On 2/26/2021 at 8:23 PM, cathnz said:

Hi @wagen, I still experience it coming and going. There is a great book and fb support site called Rock Steady which supports those with tinnitus and vertigo. Look it up, I hope you find it helps x

@cathnz I'm glad that it goes sometimes away from you!

 

I checked rock steady but it seems better for people who suffer from mild versions of this - my buzzing is definitely related to the drugs :(

 

Did you ever have it kind of permanent and then it lessened? I feel very strong head buzzing nonstop for two months now. 

 

I don't know if I should hope that it goes away or try to learn to live with it. 

August 2020 - Mirtazapine 30, Clonazepam 0.5

September 2020 - Changed to Amitriptyline 100, Olanzapine 10, Clonazepam 0.5

Tapered to 0 by December 2020

February 2021 - Mirtazapine 15 - rapid taper after 14 days of use. 

 

Supplements: fish oil and magnesium 

Link to post

@Wagensorry to say nothing has gone completely. I have brief periods where it might be less, but never gone. And still periods where it is as bad as ever (sometime's worse). I'm just learning to live with it. Hence rock steady. 

 

Aug 2004 - Dec 2006: Aropax ( 20mg - 30mg). Aug 2007: Fluoxetine (for 3 weeks).

Sept 07 - July 12: Lexapro ( 10mg - 20mg). Pooped out July 12. Titrated down off Lexapro over 3 weeks and switched to Paroxetine (with Xanax to cover switch for 2 weeks).

Aug 2012 - Aug 2019: Paroxetine (titrated up to 20mg in first few weeks,, dose reduced to 15mg . for 7 years until it 'pooped out'.

4th Aug 2019 - Reduced dose of paroxetine to 10mg (for 1 day) - under phychiatrists directions. Last dose of paroxetine.

5th Aug 2019 - Switch to 15mg Mirtazapine.

5th Aug - 15th Aug 2019 - 15mg Mirtazapine plus intermitent use of Lorazapm (0.25- 0.5 . Also used 12.5mg Quetiapine for 3 nights for sleep.

23rd Aug 2019 - Ended up in crisis team. Mirtazapine increased to 30mg. Diazapam 10mg twice daily.

30th Aug 2019 - Mirtazapine 30mg + Diazapam reduced to 7.5mg twice daily

6th Sept 2019 - Mirtazapine 30mg + Diazapam reduced to 5mg twice daily

13th Sept 2019 - Mirtazapine increased to 45mg. Diazapam increased back up to 10mg twice daily.

20th Sept - 29th Sept 2019: Mirtazapine 45mg. Diazapam being reduced from 10mg down to 0mg this week (in 2mg increments couple of days).

30th Sept - Thursday 3rd Oct 2019: Mirtazapine 45mg. WORST ANXIETY EVER. Akathisia. Couldn't stay still. Suicidal idealization.

Friday 4th October - present: Reduced from 45mg to 30mg (straight drop to alleviate akathisia - reduction definitely helped alot but still not gone completely)

 

 

, Vit B6, Curcumin, Magnesium (no adverse effects from adding these supplements - have helped akathisia somewhat).

* Everything done from 23rd August under care of outpatient crisis team management.

 

Untitled document.docx

Link to post
15 minutes ago, cathnz said:

@Wagensorry to say nothing has gone completely. I have brief periods where it might be less, but never gone. And still periods where it is as bad as ever (sometime's worse). I'm just learning to live with it. Hence rock steady. 

:((( I'm so sorry you still have it. I guess I will be the same. It feels like my head is a beehive. I don't know how I will live with this. I hate the drugs did this to me :((( 

August 2020 - Mirtazapine 30, Clonazepam 0.5

September 2020 - Changed to Amitriptyline 100, Olanzapine 10, Clonazepam 0.5

Tapered to 0 by December 2020

February 2021 - Mirtazapine 15 - rapid taper after 14 days of use. 

 

Supplements: fish oil and magnesium 

Link to post
9 hours ago, Wagen said:

@cathnz I'm glad that it goes sometimes away from you!

 

I checked rock steady but it seems better for people who suffer from mild versions of this - my buzzing is definitely related to the drugs :(

 

Did you ever have it kind of permanent and then it lessened? I feel very strong head buzzing nonstop for two months now. 

 

I don't know if I should hope that it goes away or try to learn to live with it. 

 

5 hours ago, Wagen said:

:((( I'm so sorry you still have it. I guess I will be the same. It feels like my head is a beehive. I don't know how I will live with this. I hate the drugs did this to me :((( 

Me too 😔 And maybe it will go, it has for many. But acceptance goes along way while we wait. Somedays it's so hard though, I know 💔

 

Aug 2004 - Dec 2006: Aropax ( 20mg - 30mg). Aug 2007: Fluoxetine (for 3 weeks).

Sept 07 - July 12: Lexapro ( 10mg - 20mg). Pooped out July 12. Titrated down off Lexapro over 3 weeks and switched to Paroxetine (with Xanax to cover switch for 2 weeks).

Aug 2012 - Aug 2019: Paroxetine (titrated up to 20mg in first few weeks,, dose reduced to 15mg . for 7 years until it 'pooped out'.

4th Aug 2019 - Reduced dose of paroxetine to 10mg (for 1 day) - under phychiatrists directions. Last dose of paroxetine.

5th Aug 2019 - Switch to 15mg Mirtazapine.

5th Aug - 15th Aug 2019 - 15mg Mirtazapine plus intermitent use of Lorazapm (0.25- 0.5 . Also used 12.5mg Quetiapine for 3 nights for sleep.

23rd Aug 2019 - Ended up in crisis team. Mirtazapine increased to 30mg. Diazapam 10mg twice daily.

30th Aug 2019 - Mirtazapine 30mg + Diazapam reduced to 7.5mg twice daily

6th Sept 2019 - Mirtazapine 30mg + Diazapam reduced to 5mg twice daily

13th Sept 2019 - Mirtazapine increased to 45mg. Diazapam increased back up to 10mg twice daily.

20th Sept - 29th Sept 2019: Mirtazapine 45mg. Diazapam being reduced from 10mg down to 0mg this week (in 2mg increments couple of days).

30th Sept - Thursday 3rd Oct 2019: Mirtazapine 45mg. WORST ANXIETY EVER. Akathisia. Couldn't stay still. Suicidal idealization.

Friday 4th October - present: Reduced from 45mg to 30mg (straight drop to alleviate akathisia - reduction definitely helped alot but still not gone completely)

 

 

, Vit B6, Curcumin, Magnesium (no adverse effects from adding these supplements - have helped akathisia somewhat).

* Everything done from 23rd August under care of outpatient crisis team management.

 

Untitled document.docx

Link to post
  • 1 month later...
Longroadhome

Hi @cathnz

reading through your thread and understand your dilemma to hold or to taper . 
I too started this journey in poop out and have never been without symptoms. 
I held for the first year but no improvement so decided to start to taper . 
For me I felt it was the right decision because I no longer have to torture myself with shall I shan’t I 

and I also feel better when I look at the lower dosage each month . 
 

How did  you know you were in poop out what symptoms did you have ? 

October 2004 Paxil 20mg - October 2018, 14 years

Nov 2018 Pregabalin - 2x50 mg a day to help with Paxil WD

August 2019 Pregabalin - 2 x 25mg a day 

April 2020 Pregabalin - 45mg, May 40mg, June 35mg, beg July 30mg, end July 25mg, Aug 24mg 

April 2021   Pregabalin - 18mg,

October 2018 Paxil - 20 mg, November 15mg, December 10mg  

February 2019 Paxil- 7.5mg crashed, February 8.5mg, Nov 8mg 

March 2020 Paxil - 7.2mg, April 6.5mg, May 5.9mg, June 5.4mg, July 4.8mg, December 4.5mg 

January 2021 Paxil - 4mg, February 3.6mg, March 3.2mg, April 2.9mg

 

these dates are approximate 

 

Link to post
47 minutes ago, Longroadhome said:

Hi @cathnz

reading through your thread and understand your dilemma to hold or to taper . 
I too started this journey in poop out and have never been without symptoms. 
I held for the first year but no improvement so decided to start to taper . 
For me I felt it was the right decision because I no longer have to torture myself with shall I shan’t I 

and I also feel better when I look at the lower dosage each month . 
 

How did  you know you were in poop out what symptoms did you have ? 

 

Oh I was slightly different... I went into poop out on Paxil (re emerging depression and anxiety) they cold switched me to Mirtazapine. So I never tapered off the pooped out drug.

Even though I've felt deathly the last 2 years, I haven't tapered Mirt... I still feel way too unstable. I developed akathisia after the switch and cannot risk making that even worse than it is. 

 

Aug 2004 - Dec 2006: Aropax ( 20mg - 30mg). Aug 2007: Fluoxetine (for 3 weeks).

Sept 07 - July 12: Lexapro ( 10mg - 20mg). Pooped out July 12. Titrated down off Lexapro over 3 weeks and switched to Paroxetine (with Xanax to cover switch for 2 weeks).

Aug 2012 - Aug 2019: Paroxetine (titrated up to 20mg in first few weeks,, dose reduced to 15mg . for 7 years until it 'pooped out'.

4th Aug 2019 - Reduced dose of paroxetine to 10mg (for 1 day) - under phychiatrists directions. Last dose of paroxetine.

5th Aug 2019 - Switch to 15mg Mirtazapine.

5th Aug - 15th Aug 2019 - 15mg Mirtazapine plus intermitent use of Lorazapm (0.25- 0.5 . Also used 12.5mg Quetiapine for 3 nights for sleep.

23rd Aug 2019 - Ended up in crisis team. Mirtazapine increased to 30mg. Diazapam 10mg twice daily.

30th Aug 2019 - Mirtazapine 30mg + Diazapam reduced to 7.5mg twice daily

6th Sept 2019 - Mirtazapine 30mg + Diazapam reduced to 5mg twice daily

13th Sept 2019 - Mirtazapine increased to 45mg. Diazapam increased back up to 10mg twice daily.

20th Sept - 29th Sept 2019: Mirtazapine 45mg. Diazapam being reduced from 10mg down to 0mg this week (in 2mg increments couple of days).

30th Sept - Thursday 3rd Oct 2019: Mirtazapine 45mg. WORST ANXIETY EVER. Akathisia. Couldn't stay still. Suicidal idealization.

Friday 4th October - present: Reduced from 45mg to 30mg (straight drop to alleviate akathisia - reduction definitely helped alot but still not gone completely)

 

 

, Vit B6, Curcumin, Magnesium (no adverse effects from adding these supplements - have helped akathisia somewhat).

* Everything done from 23rd August under care of outpatient crisis team management.

 

Untitled document.docx

Link to post
Longroadhome
2 minutes ago, cathnz said:

 

Oh I was slightly different... I went into poop out on Paxil (re emerging depression and anxiety) they cold switched me to Mirtazapine. So I never tapered off the pooped out drug.

Even though I've felt deathly the last 2 years, I haven't tapered Mirt... I still feel way too unstable. I developed akathisia after the switch and cannot risk making that even worse than it is. 

That’s exactly what made me realise I’d gone into poop out with Paxil the re emerging of anxiety snd depression. Though when I look back it was those two symptoms that made me sit up and take  notice but long before then I had symptoms of tinnitus, brain fog,  painful muscles, vertigo etc that I hadn’t put down to Paxil and it no longer working. 
 

Have your symptoms got any better since holding  ? Do you have windows and waves or mainly waves? 
 

it's a very long journey isn’t it and rather a scary one too! 
 

I started on Paxil because of anxiety and depression many years ago and it does concern me that I’ll be left with them once withdrawal has gone but I figure I will probably be able to cope having gone through this !! 
 

Sorry about your mum it is so very sad to witness the decline.  My dad had dementia for many years before he passed away through an unrelated condition. I loved him very much. 

October 2004 Paxil 20mg - October 2018, 14 years

Nov 2018 Pregabalin - 2x50 mg a day to help with Paxil WD

August 2019 Pregabalin - 2 x 25mg a day 

April 2020 Pregabalin - 45mg, May 40mg, June 35mg, beg July 30mg, end July 25mg, Aug 24mg 

April 2021   Pregabalin - 18mg,

October 2018 Paxil - 20 mg, November 15mg, December 10mg  

February 2019 Paxil- 7.5mg crashed, February 8.5mg, Nov 8mg 

March 2020 Paxil - 7.2mg, April 6.5mg, May 5.9mg, June 5.4mg, July 4.8mg, December 4.5mg 

January 2021 Paxil - 4mg, February 3.6mg, March 3.2mg, April 2.9mg

 

these dates are approximate 

 

Link to post
  • Moderator

Hello @cathnz

 

I just saw your post on my thread : thank you for your support. 

And yes, I do really understand your dilemma in the case of a switch.

Im really sorry to read that you're still struggling and send you big hugs and my support.

 

I see you're holding everything steady since October 2019 : have you seen some improvements ?

 

I understand very well the anxiety about tapering while feeling unstable, really.

Instead of a 10% drop, how do you feel about a 1% drop to see how it goes ?

 

I don't know if it might help you : I like to read the wiseness of Ten0275 and the story of his taper.

He tapered Mirtazapine while being in benzo withdrawal,  it might give you hope and inspiration  :

 

☼-ten0275-im-dave-and-im-almost-there/

 

 

And he wrote a great Success story :

 

ten0275-im-dave-and-if-i-am-capable-of-healing-each-of-you-are-please-hang-in-there/

 

 

☀️

2006 : 20mg Paroxetine + Bromazepam(no specific dose) 2008 : cold turkey of both

2010 : 20mg Deroxat + Bromazepam

2013: Switch from Bromazepam To Prazepam

2014-June2017 : Prazepam taper

2018 to August 2019 : Paroxetine 20mg taper (3% every 15 days).

- 22nd August updosed To 10mg (was at 8.4mg)

25th Sept 2019 To April 2020 : found SA, holding at 10mg Paroxetine. 

April 2020 : Paxil to Prozac bridge. Details topic/21457-

 

Current Supplements : magnesium citrate/ fish oil/ evening primrose oil 

 

Current medication :  7mg Fluoxetine (since 20 Aug 2020)

+ 1mg Diazepam (since 29 Aug 2020)

(Toothpick Paroxetine from September 2020 to 17th March 2021)

Link to post
10 hours ago, Longroadhome said:

That’s exactly what made me realise I’d gone into poop out with Paxil the re emerging of anxiety snd depression. Though when I look back it was those two symptoms that made me sit up and take  notice but long before then I had symptoms of tinnitus, brain fog,  painful muscles, vertigo etc that I hadn’t put down to Paxil and it no longer working. 
 

Have your symptoms got any better since holding  ? Do you have windows and waves or mainly waves? 
 

it's a very long journey isn’t it and rather a scary one too! 
 

I started on Paxil because of anxiety and depression many years ago and it does concern me that I’ll be left with them once withdrawal has gone but I figure I will probably be able to cope having gone through this !! 
 

Sorry about your mum it is so very sad to witness the decline.  My dad had dementia for many years before he passed away through an unrelated condition. I loved him very much. 

@Longroadhome Yes I have that same fear of life without my AD safety net. I was not good before I ever started on them. They 'saved me' for a very long time. So it's hard to change ingrained thinking. Esp facing mums dementia being like this. I'm so sorry you experienced the same with your father. It's very very painful isn't it. I often wonder how I'll survive this double blow. I'm very fearful that this will be what finally breaks me. My anxiety often leada me to places of thinking I'll hospitalised and psychotic (and forced in new drugs) as mum gets worse or she passes. It scares me a great deal. I often think 'what's the point in tapering... when tragedy happens it will all come undone when I have to reinstate and all the hell of tapering will be for nothing. I say this because as much as I hate this poison now and my resolve is strong right now (I have rejected several attempts by the crisis team to 'fix this' by augmenting or changing meds), when we had a scare with my mum a few weeks back where she collapsed infront of me and I thought she'd died, my already unsteady ground crumbled underneath me and all I wanted to do was for someone to give me a pill to numb all the pain and terror away. My reaction scared me as it went against how I usually feel. That even continued on after I knew she was ok. Instead I took so many doses of rescue remedy that I broke out in a rash!!! 

 

Do I have Windows... I'm not sure? I certainly had a period over summer where it was easier to cope. Symptoms still there but not as forceful. Never gone completely I don't think? . I do have occasional hours where I realise there is no buzzing inside me, but it always comes back. Often though when one thing takes the back seat, something else replaces it (eg if the aka dies down a bit, tinnitus usually starts). But there are definitely easier days than others. What I have noticed is stress makes everything so much worse. And it's impossible to avoid with a mum with dementia and a teenage son with anxiety!!! 

 

The reason I'm scared to begin Mirtazapine taper is because of those ok days. I am blessed to still be able to sleep well. A good 8 hours usually. Yes it's drug induced, and I know at some stage this poison will turn paradoxal on me too. But for now, the sleep is the one thing keeping me somewhat sane. I can't give that up yet. And I read constantly what a beast Mirt is to get off esp effecting sleep. But I wake every morning to that same pit of dread inside, depressed and terrified how I'll hold myself together for another day without taking everyone down in my emotional disregulation 😭

 

Enough about me, how are you doing? Did you begin your taper before or after your dad's passing? What got you through? 

 

Aug 2004 - Dec 2006: Aropax ( 20mg - 30mg). Aug 2007: Fluoxetine (for 3 weeks).

Sept 07 - July 12: Lexapro ( 10mg - 20mg). Pooped out July 12. Titrated down off Lexapro over 3 weeks and switched to Paroxetine (with Xanax to cover switch for 2 weeks).

Aug 2012 - Aug 2019: Paroxetine (titrated up to 20mg in first few weeks,, dose reduced to 15mg . for 7 years until it 'pooped out'.

4th Aug 2019 - Reduced dose of paroxetine to 10mg (for 1 day) - under phychiatrists directions. Last dose of paroxetine.

5th Aug 2019 - Switch to 15mg Mirtazapine.

5th Aug - 15th Aug 2019 - 15mg Mirtazapine plus intermitent use of Lorazapm (0.25- 0.5 . Also used 12.5mg Quetiapine for 3 nights for sleep.

23rd Aug 2019 - Ended up in crisis team. Mirtazapine increased to 30mg. Diazapam 10mg twice daily.

30th Aug 2019 - Mirtazapine 30mg + Diazapam reduced to 7.5mg twice daily

6th Sept 2019 - Mirtazapine 30mg + Diazapam reduced to 5mg twice daily

13th Sept 2019 - Mirtazapine increased to 45mg. Diazapam increased back up to 10mg twice daily.

20th Sept - 29th Sept 2019: Mirtazapine 45mg. Diazapam being reduced from 10mg down to 0mg this week (in 2mg increments couple of days).

30th Sept - Thursday 3rd Oct 2019: Mirtazapine 45mg. WORST ANXIETY EVER. Akathisia. Couldn't stay still. Suicidal idealization.

Friday 4th October - present: Reduced from 45mg to 30mg (straight drop to alleviate akathisia - reduction definitely helped alot but still not gone completely)

 

 

, Vit B6, Curcumin, Magnesium (no adverse effects from adding these supplements - have helped akathisia somewhat).

* Everything done from 23rd August under care of outpatient crisis team management.

 

Untitled document.docx

Link to post
10 hours ago, Erell said:

Hello @cathnz

 

I just saw your post on my thread : thank you for your support. 

And yes, I do really understand your dilemma in the case of a switch.

Im really sorry to read that you're still struggling and send you big hugs and my support.

 

I see you're holding everything steady since October 2019 : have you seen some improvements ?

 

I understand very well the anxiety about tapering while feeling unstable, really.

Instead of a 10% drop, how do you feel about a 1% drop to see how it goes ?

 

I don't know if it might help you : I like to read the wiseness of Ten0275 and the story of his taper.

He tapered Mirtazapine while being in benzo withdrawal,  it might give you hope and inspiration  :

 

☼-ten0275-im-dave-and-im-almost-there/

 

 

And he wrote a great Success story :

 

ten0275-im-dave-and-if-i-am-capable-of-healing-each-of-you-are-please-hang-in-there/

 

 

☀️

@Erell thank you for your post. You're amazing still supporting others when you feel so awful yourself. I'll read that story.

 

Do I have Windows... I'm not sure? I certainly had a period over summer where it was easier to cope. Symptoms still there but not as forceful. Never gone completely I don't think? . I do have occasional hours where I realise there is no buzzing inside me, but it always comes back. Often though when one thing takes the back seat, something else replaces it (eg if the aka dies down a bit, tinnitus usually starts). But there are definitely easier days than others. What I have noticed is stress makes everything so much worse. And it's impossible to avoid with a mum with dementia and a teenage son with anxiety!!! 

 

The reason I'm scared to begin Mirtazapine taper is because of those ok days. And I am still blessed to still be able to sleep well. A good 8 hours usually. Yes it's drug induced, and I know at some stage this poison will turn paradoxal on me too. But for now, the sleep is the one thing keeping me somewhat sane. I can't give that up yet. And I read constantly what a beast Mirt is to get off esp effecting sleep. But I wake every morning to that same pit of dread inside, depressed and terrified how I'll hold myself together for another day without taking everyone down in my emotional disregulation 😭

 

And yes, I plan to just start at 1% when I do take the leap to taper. But as I said to Longroadhome in n my post above, I am scared that when tragedy eventually comes with my mum, that I will be desperate and updose, meaning all that tapering will have been for nothing and I'll be kindled. I don't trust myself enough to get through her decline and eventual passing without a knee jerk reaction of reaching for meds to hold me together. I wish I could find stories of those that have survived loss and grief while tapering (or after taper) and haven't panicked and grabbed for meds in desperation. I need to see if can be done. I'm already so mentally low, I just can't imagine going any lower 😢

 

I hope today is a better day for you Erell. You really are a true warrior... keep fighting! 

 

Xx

 

Aug 2004 - Dec 2006: Aropax ( 20mg - 30mg). Aug 2007: Fluoxetine (for 3 weeks).

Sept 07 - July 12: Lexapro ( 10mg - 20mg). Pooped out July 12. Titrated down off Lexapro over 3 weeks and switched to Paroxetine (with Xanax to cover switch for 2 weeks).

Aug 2012 - Aug 2019: Paroxetine (titrated up to 20mg in first few weeks,, dose reduced to 15mg . for 7 years until it 'pooped out'.

4th Aug 2019 - Reduced dose of paroxetine to 10mg (for 1 day) - under phychiatrists directions. Last dose of paroxetine.

5th Aug 2019 - Switch to 15mg Mirtazapine.

5th Aug - 15th Aug 2019 - 15mg Mirtazapine plus intermitent use of Lorazapm (0.25- 0.5 . Also used 12.5mg Quetiapine for 3 nights for sleep.

23rd Aug 2019 - Ended up in crisis team. Mirtazapine increased to 30mg. Diazapam 10mg twice daily.

30th Aug 2019 - Mirtazapine 30mg + Diazapam reduced to 7.5mg twice daily

6th Sept 2019 - Mirtazapine 30mg + Diazapam reduced to 5mg twice daily

13th Sept 2019 - Mirtazapine increased to 45mg. Diazapam increased back up to 10mg twice daily.

20th Sept - 29th Sept 2019: Mirtazapine 45mg. Diazapam being reduced from 10mg down to 0mg this week (in 2mg increments couple of days).

30th Sept - Thursday 3rd Oct 2019: Mirtazapine 45mg. WORST ANXIETY EVER. Akathisia. Couldn't stay still. Suicidal idealization.

Friday 4th October - present: Reduced from 45mg to 30mg (straight drop to alleviate akathisia - reduction definitely helped alot but still not gone completely)

 

 

, Vit B6, Curcumin, Magnesium (no adverse effects from adding these supplements - have helped akathisia somewhat).

* Everything done from 23rd August under care of outpatient crisis team management.

 

Untitled document.docx

Link to post
Longroadhome
On 4/25/2021 at 8:18 PM, cathnz said:

@Longroadhome Yes I have that same fear of life without my AD safety net. I was not good before I ever started on them. They 'saved me' for a very long time. So it's hard to change ingrained thinking. Esp facing mums dementia being like this. I'm so sorry you experienced the same with your father. It's very very painful isn't it. I often wonder how I'll survive this double blow. I'm very fearful that this will be what finally breaks me. My anxiety often leada me to places of thinking I'll hospitalised and psychotic (and forced in new drugs) as mum gets worse or she passes. It scares me a great deal. I often think 'what's the point in tapering... when tragedy happens it will all come undone when I have to reinstate and all the hell of tapering will be for nothing. I say this because as much as I hate this poison now and my resolve is strong right now (I have rejected several attempts by the crisis team to 'fix this' by augmenting or changing meds), when we had a scare with my mum a few weeks back where she collapsed infront of me and I thought she'd died, my already unsteady ground crumbled underneath me and all I wanted to do was for someone to give me a pill to numb all the pain and terror away. My reaction scared me as it went against how I usually feel. That even continued on after I knew she was ok. Instead I took so many doses of rescue remedy that I broke out in a rash!!! 

 

Do I have Windows... I'm not sure? I certainly had a period over summer where it was easier to cope. Symptoms still there but not as forceful. Never gone completely I don't think? . I do have occasional hours where I realise there is no buzzing inside me, but it always comes back. Often though when one thing takes the back seat, something else replaces it (eg if the aka dies down a bit, tinnitus usually starts). But there are definitely easier days than others. What I have noticed is stress makes everything so much worse. And it's impossible to avoid with a mum with dementia and a teenage son with anxiety!!! 

 

The reason I'm scared to begin Mirtazapine taper is because of those ok days. I am blessed to still be able to sleep well. A good 8 hours usually. Yes it's drug induced, and I know at some stage this poison will turn paradoxal on me too. But for now, the sleep is the one thing keeping me somewhat sane. I can't give that up yet. And I read constantly what a beast Mirt is to get off esp effecting sleep. But I wake every morning to that same pit of dread inside, depressed and terrified how I'll hold myself together for another day without taking everyone down in my emotional disregulation 😭

 

Enough about me, how are you doing? Did you begin your taper before or after your dad's passing? What got you through? 

I began my taper after dads passing fortunately though during his last illness I was in poop out without me knowing . Mum passed away 10 months after dad and I was tapering and in severe poop out then with lots of symptoms. But I managed to cope through this.   I have also split with my partner a year ago and now in the process of moving house and although this has made my anxiety much worse I’m coping with it.

distracting myself is what gets me through each day. Some days I can’t do this because of ruminating “What if I’m stuck like this forever ?” And such like. But then the next day will be much more manageable and so it goes on ..

like you I have better days but never without symptoms.
I just take one day at a time and try not to let a bad day throw me into a panic.   

October 2004 Paxil 20mg - October 2018, 14 years

Nov 2018 Pregabalin - 2x50 mg a day to help with Paxil WD

August 2019 Pregabalin - 2 x 25mg a day 

April 2020 Pregabalin - 45mg, May 40mg, June 35mg, beg July 30mg, end July 25mg, Aug 24mg 

April 2021   Pregabalin - 18mg,

October 2018 Paxil - 20 mg, November 15mg, December 10mg  

February 2019 Paxil- 7.5mg crashed, February 8.5mg, Nov 8mg 

March 2020 Paxil - 7.2mg, April 6.5mg, May 5.9mg, June 5.4mg, July 4.8mg, December 4.5mg 

January 2021 Paxil - 4mg, February 3.6mg, March 3.2mg, April 2.9mg

 

these dates are approximate 

 

Link to post
7 hours ago, Longroadhome said:

I began my taper after dads passing fortunately though during his last illness I was in poop out without me knowing . Mum passed away 10 months after dad and I was tapering and in severe poop out then with lots of symptoms. But I managed to cope through this.   I have also split with my partner a year ago and now in the process of moving house and although this has made my anxiety much worse I’m coping with it.

distracting myself is what gets me through each day. Some days I can’t do this because of ruminating “What if I’m stuck like this forever ?” And such like. But then the next day will be much more manageable and so it goes on ..

like you I have better days but never without symptoms.
I just take one day at a time and try not to let a bad day throw me into a panic.   

@Longroadhomethank you for your reply. You have definitely moved through some grief. I'm sorry. It brings me some relief knowing you have coped. I don't feel completely screwed!

 

You also sound very wise and pragmatic. You'll come out of this ok xx

 

 

 

Aug 2004 - Dec 2006: Aropax ( 20mg - 30mg). Aug 2007: Fluoxetine (for 3 weeks).

Sept 07 - July 12: Lexapro ( 10mg - 20mg). Pooped out July 12. Titrated down off Lexapro over 3 weeks and switched to Paroxetine (with Xanax to cover switch for 2 weeks).

Aug 2012 - Aug 2019: Paroxetine (titrated up to 20mg in first few weeks,, dose reduced to 15mg . for 7 years until it 'pooped out'.

4th Aug 2019 - Reduced dose of paroxetine to 10mg (for 1 day) - under phychiatrists directions. Last dose of paroxetine.

5th Aug 2019 - Switch to 15mg Mirtazapine.

5th Aug - 15th Aug 2019 - 15mg Mirtazapine plus intermitent use of Lorazapm (0.25- 0.5 . Also used 12.5mg Quetiapine for 3 nights for sleep.

23rd Aug 2019 - Ended up in crisis team. Mirtazapine increased to 30mg. Diazapam 10mg twice daily.

30th Aug 2019 - Mirtazapine 30mg + Diazapam reduced to 7.5mg twice daily

6th Sept 2019 - Mirtazapine 30mg + Diazapam reduced to 5mg twice daily

13th Sept 2019 - Mirtazapine increased to 45mg. Diazapam increased back up to 10mg twice daily.

20th Sept - 29th Sept 2019: Mirtazapine 45mg. Diazapam being reduced from 10mg down to 0mg this week (in 2mg increments couple of days).

30th Sept - Thursday 3rd Oct 2019: Mirtazapine 45mg. WORST ANXIETY EVER. Akathisia. Couldn't stay still. Suicidal idealization.

Friday 4th October - present: Reduced from 45mg to 30mg (straight drop to alleviate akathisia - reduction definitely helped alot but still not gone completely)

 

 

, Vit B6, Curcumin, Magnesium (no adverse effects from adding these supplements - have helped akathisia somewhat).

* Everything done from 23rd August under care of outpatient crisis team management.

 

Untitled document.docx

Link to post
Rosetta

Sorry you are feeling so bad.  - Rosetta

https://www.survivingantidepressants.org/topic/16629-rosetta-ct-may-2011-too-fast-taper-feb-2017/?page=25

2001-2011 Celexa 10 mg raised to 40 mg then 60 mg over this time period

May 2011 OB Doctor's Cold switch Celexa 60 mg to 10 mg Zoloft sertraline (baby born)

2012-2016 - Doctors raised dose of Zoloft up to 150 mg

2016 - Xanax prescribed - as needed - 0.5 mg about every 3 days (bad reaction)

2016 - Stopped Xanax

Late 2016- Began (too fast) taper of Zoloft

Early 2017 - Trazodone prescribed for bedtime (doseage unknown)

Feb 2017 - Completed taper/stopped Trazodone

Drug free since Feb 2017

2017 - Unisom otc very rarely for sleep

Link to post

How are you doing?

https://www.survivingantidepressants.org/topic/16629-rosetta-ct-may-2011-too-fast-taper-feb-2017/?page=25

2001-2011 Celexa 10 mg raised to 40 mg then 60 mg over this time period

May 2011 OB Doctor's Cold switch Celexa 60 mg to 10 mg Zoloft sertraline (baby born)

2012-2016 - Doctors raised dose of Zoloft up to 150 mg

2016 - Xanax prescribed - as needed - 0.5 mg about every 3 days (bad reaction)

2016 - Stopped Xanax

Late 2016- Began (too fast) taper of Zoloft

Early 2017 - Trazodone prescribed for bedtime (doseage unknown)

Feb 2017 - Completed taper/stopped Trazodone

Drug free since Feb 2017

2017 - Unisom otc very rarely for sleep

Link to post
4 hours ago, Rosetta said:

How are you doing?

Hi @Rosetta, thanks for checking in. I just read your post and was so excited for you to have had an afternoon nap! Boy do I miss those days!

 

I'm hanging in there. In the last month I took on working more hours. I'm regretting that so much... I'm not the capable person I once was and now spend my day in constant overwhelm. My nights are spent trying to soothe my nervous system. I don't think I will be able to keep this up. But I'm at least making a better effort to practise self care outside of working hours.

 

Thanks for checking in. I'm so heartened to hear you are doing better these past days. I hope it continues to improve xx

 

Aug 2004 - Dec 2006: Aropax ( 20mg - 30mg). Aug 2007: Fluoxetine (for 3 weeks).

Sept 07 - July 12: Lexapro ( 10mg - 20mg). Pooped out July 12. Titrated down off Lexapro over 3 weeks and switched to Paroxetine (with Xanax to cover switch for 2 weeks).

Aug 2012 - Aug 2019: Paroxetine (titrated up to 20mg in first few weeks,, dose reduced to 15mg . for 7 years until it 'pooped out'.

4th Aug 2019 - Reduced dose of paroxetine to 10mg (for 1 day) - under phychiatrists directions. Last dose of paroxetine.

5th Aug 2019 - Switch to 15mg Mirtazapine.

5th Aug - 15th Aug 2019 - 15mg Mirtazapine plus intermitent use of Lorazapm (0.25- 0.5 . Also used 12.5mg Quetiapine for 3 nights for sleep.

23rd Aug 2019 - Ended up in crisis team. Mirtazapine increased to 30mg. Diazapam 10mg twice daily.

30th Aug 2019 - Mirtazapine 30mg + Diazapam reduced to 7.5mg twice daily

6th Sept 2019 - Mirtazapine 30mg + Diazapam reduced to 5mg twice daily

13th Sept 2019 - Mirtazapine increased to 45mg. Diazapam increased back up to 10mg twice daily.

20th Sept - 29th Sept 2019: Mirtazapine 45mg. Diazapam being reduced from 10mg down to 0mg this week (in 2mg increments couple of days).

30th Sept - Thursday 3rd Oct 2019: Mirtazapine 45mg. WORST ANXIETY EVER. Akathisia. Couldn't stay still. Suicidal idealization.

Friday 4th October - present: Reduced from 45mg to 30mg (straight drop to alleviate akathisia - reduction definitely helped alot but still not gone completely)

 

 

, Vit B6, Curcumin, Magnesium (no adverse effects from adding these supplements - have helped akathisia somewhat).

* Everything done from 23rd August under care of outpatient crisis team management.

 

Untitled document.docx

Link to post

Oh, I’m sorry that’s happening with you.  Perhaps you can go back to part time.  Thank you for your well wishes.  I’m doing all right at the moment.

https://www.survivingantidepressants.org/topic/16629-rosetta-ct-may-2011-too-fast-taper-feb-2017/?page=25

2001-2011 Celexa 10 mg raised to 40 mg then 60 mg over this time period

May 2011 OB Doctor's Cold switch Celexa 60 mg to 10 mg Zoloft sertraline (baby born)

2012-2016 - Doctors raised dose of Zoloft up to 150 mg

2016 - Xanax prescribed - as needed - 0.5 mg about every 3 days (bad reaction)

2016 - Stopped Xanax

Late 2016- Began (too fast) taper of Zoloft

Early 2017 - Trazodone prescribed for bedtime (doseage unknown)

Feb 2017 - Completed taper/stopped Trazodone

Drug free since Feb 2017

2017 - Unisom otc very rarely for sleep

Link to post

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

×
×
  • Create New...

Important Information

Terms of Use Privacy Policy