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i’ve been on antidepressants for approximately 10 years doctor put me on different kinds. Just want to be off of them. Recently I was put on mirtazapine to help get off of Pristiq and now I am experiencing with drawl symptoms from tapering down on the mirtazapine. I am withdrawing from mirtazapine at present I would like to be part of a support group to help me get through And to learn if there’s anything I can change i.e. diet to help lessen the symptoms of withdrawal.

Edited by Pens
Wanted to add more

2009 Paxil 2015 sertraline 50 mg 2016 Pristiq 50mg 2017 - 2018 Pristiq 50 mg 

2019  mirtazapine 7.5 mg January to March,  Ciprolex 10 mg April to May 

XL Bupropion June to August pristiq  50 mg September to November 10 then stopped

2019 November 1,  lorazapam  1 mg for 14 days, Mirtazapine 7.5 mg. 

2019 November 10, mirtazapine 1:8 mg. too quickly ( didn’t know about SA.

2020 Jan 1, updosing to 1.9 mg. getting a rashJan 11 tapered to 1.8 ml. mirtazapine. January 25, 2020, mirtazapine 1.6 ml., 14/03/2020 mirtazapine 1.5 ml. 27/03/20, 1.44 mg. 28/03/20, 1.43 mg, 29/3/20 1.5 ml.,
OTC eye Gel, ginger pill if needed 

Nasonex if needed 50 mcg.,
 

 

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Gridley

Welcome to SA, Pens.

 

If you are experiencing significant withdrawal symptoms from tapering the Mirtazapine, you are tapering too fast.   Please let us know your original dose of Mirtazapine, the date you started it, your current dose and the rate at which you are tapering.

 

We recommend tapering no faster than 10% of your current dose every four weeks.

 

Why taper by 10% of my dosage?

 

This link is specifically about tapering Mirtazapine, including how to obtain the small, non-standard doses you'll need for the 10% taper.

 

Tips for tapering off Remeron (mirtazapine)

 

So that you'll have a better understanding of what you're experiencing, here is some information on withdrawal:

 

What is withdrawal syndrome.

 

Glenmullen’s withdrawal symptom list.

 

When we take medications, the CNS (central nervous system) responds by making changes over the months and years we take the drug(s). When the medication is discontinued, the CNS has to undo all the changes it made. Rebuilding the neurotransmitter production and reactivating the receptor and transporter cells takes time -- during that rebuilding process symptoms occur.  

 

You asked about things you can do to lessen the symptoms of withdrawal.  We don't recommend a lot of supplements on SA, as many members report being sensitive to them due to our over-reactive nervous systems, but two supplements that we do recommend are magnesium and omega 3 (fish oil). Many people find these to be calming to the nervous system. 

 

Magnesium, nature's calcium channel blocker 

 

Omega-3 fatty acids (fish oil) 

 

Add in one at a time and at a low dose in case you do experience problems.

 

Regarding diet, it's good to avoid alcohol, caffeine, sugar and processed food.  Mild, no strenuous, exercise, such as a 30-minute walk in nature is helpful.  We also recommend simple distractions, such as Youtube, TV, music, hobbies, whatever can take your mind off withdrawal.

 

We also recommend non-drug techniques to help cope with withdrawal.  Take a look at the links and posts in the following link and see which you think might be helpful to you.

 

Non-drug techniques to cope

 

This is your Introduction topic, where you can can ask and answer questions and connect with other members.  We're glad you found your way here.

 

 

 

 

 

 

 

Edited by Gridley

Gridley Introduction

 

Lexapro 20 mg since 2004.  Begin Brassmonkey Slide Taper Jan. 2017.   

End 2017 year 1 of taper at 9.25mg 

End 2018 year 2 of taper at 4.1mg

End 2019 year 3 of taper at 1.0mg  

Oct. 30, 2020  Jump to zero from 0.025mg.  Current dose: 0.000mg

3 year, 11month taper is 100% complete.

 

Lorazepam 1 mg 1986-1991 CT, resumed a few months later. CT 2000.  1 mg 2011-2016.  Sept, 2016 increased to 0.5 X 3 in split dose. Sept. 2019 increased to 0.625 X 3 after crossover to new brand

 

Imipramine 75 mg daily since 1986.  Jan. 2016 began every 3-weeks 10% taper, down to 15mg.  Aug 2016, discovered SA, updosed to 25mg and holding.  Taper is 66% complete.  

  

Supplements: omega, vitamins E and D3, magnesium glycinate, probiotic, melatonin .3mg


I am not a medical professional and this is not medical advice, but simply information based on my own experience, as well as other members who have survived these drugs.

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Pens

I’m freezing while titrating from mirtazapine. Is that normal?


2009 Paxil 2015 sertraline 50 mg 2016 Pristiq 50mg 2017 - 2018 Pristiq 50 mg 

2019  mirtazapine 7.5 mg January to March,  Ciprolex 10 mg April to May 

XL Bupropion June to August pristiq  50 mg September to November 10 then stopped

2019 November 1,  lorazapam  1 mg for 14 days, Mirtazapine 7.5 mg. 

2019 November 10, mirtazapine 1:8 mg. too quickly ( didn’t know about SA.

2020 Jan 1, updosing to 1.9 mg. getting a rashJan 11 tapered to 1.8 ml. mirtazapine. January 25, 2020, mirtazapine 1.6 ml., 14/03/2020 mirtazapine 1.5 ml. 27/03/20, 1.44 mg. 28/03/20, 1.43 mg, 29/3/20 1.5 ml.,
OTC eye Gel, ginger pill if needed 

Nasonex if needed 50 mcg.,
 

 

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manymoretodays

Body temperature dysregulation, shivering, too hot, too cold, flashes, flushes

Many members do suffer temperature dysregulation when tapering, or as a WD(withdrawal) symptom

 

On 12/19/2019 at 2:26 PM, Gridley said:

If you are experiencing significant withdrawal symptoms from tapering the Mirtazapine, you are tapering too fast.   Please let us know your original dose of Mirtazapine, the date you started it, your current dose and the rate at which you are tapering.

 

How did you taper off the Pristiq?  Are you off of it now?

Please put your withdrawal history in your signature
^ just follow the instructions in this link, please note dates, doses and names of drugs.

 

Welcome aboard Pens,

Love, peace, healing, and growth,

manymoretodays(mmt)

Edited by manymoretodays

Started with psycho meds circa 1988 I think 27 or 28 total.

AD's, antpsychotics, antiseizure mood stabilizers. Lithium, lamictal ,benzos, and stimulants. Some med. for narcolepsy once(Provigil,) Gabapentin........probably more.  Ask me?......I probably was on it.  Haphazard W/D's by Dr. recommend or uneducated self.

10/2014- off Lexapro--had been on highest dose 10 mg. then 5 mg. for a couple of years, went from 5 mg. to 3 mg. liquid and then CT in hospital(voluntary).  I got out of the hospital on a combination of low dose adderal salts x1/day and trileptal 150mg. x2/day.

5/28/2015-off Adderal salts 2.5mg. (I had been on that since hospital 10/2014)

12/2015---just holding, holding, holding, with trileptal/oxcarb at 75 mg. 1/2 tab at hs.  My last psycho med ever!

 

3/21/2016---I did some unwise updosing of trileptal/oxcarbazepine with some stressful stuff......doubled the above dose x2 during this last wave but began liquifying again and on approximately 68mg. starting today.  11/12//2016 24 mg. oxcarbazepine  12/9/2016 off oxcarbazepine/trileptal!!!! :) optimistic  2016 December 9- completely off all medications!!!!!

Omega3's,EPA +DHA= 1800 mg/day. Magnesium complex, orally, diluted in a liter of H2O(that I can shake up.....it usually dissolves more completely as the water gets down to room temperature) and/or Epsom salt baths prn.   Vit. C, D3, and E.  B12, melatonin tapered to 1mg., and bioidentical hormones sublingually.  Trace mineral drops.  L-lysine.  L-methylfolate=400 mcg plus daily spinach. Totally ready for a good long window to hit soon and getting better strings of full days and partial days along the way.  Definite improvement overall since I first arrived on the SA survivor ship.  Herb and alcohol free since 5/15/2016.  None of my posts are intended as medical advice.  Please discuss any decisions about your medical care with a knowledgeable medical provider. manymoretodays

 

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Pens

Titrating off antidepressants Should I continue titrating at 1.8 mg on March has a pain

 

IShould I continue titrating at 1.8 mg on mirtazapine?

Edited by manymoretodays
added title before merging with previous introduction

2009 Paxil 2015 sertraline 50 mg 2016 Pristiq 50mg 2017 - 2018 Pristiq 50 mg 

2019  mirtazapine 7.5 mg January to March,  Ciprolex 10 mg April to May 

XL Bupropion June to August pristiq  50 mg September to November 10 then stopped

2019 November 1,  lorazapam  1 mg for 14 days, Mirtazapine 7.5 mg. 

2019 November 10, mirtazapine 1:8 mg. too quickly ( didn’t know about SA.

2020 Jan 1, updosing to 1.9 mg. getting a rashJan 11 tapered to 1.8 ml. mirtazapine. January 25, 2020, mirtazapine 1.6 ml., 14/03/2020 mirtazapine 1.5 ml. 27/03/20, 1.44 mg. 28/03/20, 1.43 mg, 29/3/20 1.5 ml.,
OTC eye Gel, ginger pill if needed 

Nasonex if needed 50 mcg.,
 

 

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Pens
On 12/19/2019 at 4:26 PM, Gridley said:

sensitive

Thank you so much. I have some reading ahead of me but feeling like there is hope. Feels good to be able to talk to someone that doesn’t say oh just go home and stop taking it. 


2009 Paxil 2015 sertraline 50 mg 2016 Pristiq 50mg 2017 - 2018 Pristiq 50 mg 

2019  mirtazapine 7.5 mg January to March,  Ciprolex 10 mg April to May 

XL Bupropion June to August pristiq  50 mg September to November 10 then stopped

2019 November 1,  lorazapam  1 mg for 14 days, Mirtazapine 7.5 mg. 

2019 November 10, mirtazapine 1:8 mg. too quickly ( didn’t know about SA.

2020 Jan 1, updosing to 1.9 mg. getting a rashJan 11 tapered to 1.8 ml. mirtazapine. January 25, 2020, mirtazapine 1.6 ml., 14/03/2020 mirtazapine 1.5 ml. 27/03/20, 1.44 mg. 28/03/20, 1.43 mg, 29/3/20 1.5 ml.,
OTC eye Gel, ginger pill if needed 

Nasonex if needed 50 mcg.,
 

 

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Gridley
13 hours ago, Pens said:

 

IShould I continue titrating at 1.8 mg on mirtazapine?

 

If I understand your signature correctly, you stopped 7.5mg Mirtazapine in March, 2019.  You reinstated (restarted)  50mg Pristiq In September, 2019, and stopped November 10.  On November 1 you reinstated 7.5mg Mirtazapine and tapered (titrated) down to 1.8mg, which is the dose you're currently on.

 

Is that correct?

 

How are you feeling?  


Gridley Introduction

 

Lexapro 20 mg since 2004.  Begin Brassmonkey Slide Taper Jan. 2017.   

End 2017 year 1 of taper at 9.25mg 

End 2018 year 2 of taper at 4.1mg

End 2019 year 3 of taper at 1.0mg  

Oct. 30, 2020  Jump to zero from 0.025mg.  Current dose: 0.000mg

3 year, 11month taper is 100% complete.

 

Lorazepam 1 mg 1986-1991 CT, resumed a few months later. CT 2000.  1 mg 2011-2016.  Sept, 2016 increased to 0.5 X 3 in split dose. Sept. 2019 increased to 0.625 X 3 after crossover to new brand

 

Imipramine 75 mg daily since 1986.  Jan. 2016 began every 3-weeks 10% taper, down to 15mg.  Aug 2016, discovered SA, updosed to 25mg and holding.  Taper is 66% complete.  

  

Supplements: omega, vitamins E and D3, magnesium glycinate, probiotic, melatonin .3mg


I am not a medical professional and this is not medical advice, but simply information based on my own experience, as well as other members who have survived these drugs.

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manymoretodays
On 12/19/2019 at 12:20 PM, Pens said:

i’ve been on antidepressants for approximately 10 years doctor put me on different kinds. Just want to be off of them. Recently I was put on mirtazapine to help get off of Pristiq and now I am experiencing with drawl symptoms from tapering down on the mirtazapine. I am withdrawing from mirtazapine at present I would like to be part of a support group to help me get through And to learn if there’s anything I can change i.e. diet to help lessen the symptoms of withdrawal.

 

13 hours ago, Pens said:

Titrating off antidepressants Should I continue titrating at 1.8 mg on March has a pain

 

IShould I continue titrating at 1.8 mg on mirtazapine?

 

And hi again from me too Pens. 

Each member has just one introduction here.  I moved the second introduction that you started back here.  This is your main page for posting right now.  It can be a bit confusing when you first arrive.  If you can bookmark this page, for your continued usage that would be great.

 

And good job on getting to the signature Pens!

Try and just hold tight for now, without further reductions with the mirtazapine.   You've had a number of drug changes in 2019, which can be very destabilizing.  And it appears that you have gone down really quickly from the 7.5 mg dose of mirtazapine to your present 1.8 mg dose. 

 

Have you been able to read through any of the links yet?  They are up above.  WD(withdrawal) can be fierce Pens.  And you may be experiencing a lot of difficulties due to it right now.

 

And yes, as Gridley asked.......how are you feeling? 

We can try and do our best to try and help you, as we get more information from you.  Is English your native language? 

 

Best, and L, P, H, and G,

mmt


Started with psycho meds circa 1988 I think 27 or 28 total.

AD's, antpsychotics, antiseizure mood stabilizers. Lithium, lamictal ,benzos, and stimulants. Some med. for narcolepsy once(Provigil,) Gabapentin........probably more.  Ask me?......I probably was on it.  Haphazard W/D's by Dr. recommend or uneducated self.

10/2014- off Lexapro--had been on highest dose 10 mg. then 5 mg. for a couple of years, went from 5 mg. to 3 mg. liquid and then CT in hospital(voluntary).  I got out of the hospital on a combination of low dose adderal salts x1/day and trileptal 150mg. x2/day.

5/28/2015-off Adderal salts 2.5mg. (I had been on that since hospital 10/2014)

12/2015---just holding, holding, holding, with trileptal/oxcarb at 75 mg. 1/2 tab at hs.  My last psycho med ever!

 

3/21/2016---I did some unwise updosing of trileptal/oxcarbazepine with some stressful stuff......doubled the above dose x2 during this last wave but began liquifying again and on approximately 68mg. starting today.  11/12//2016 24 mg. oxcarbazepine  12/9/2016 off oxcarbazepine/trileptal!!!! :) optimistic  2016 December 9- completely off all medications!!!!!

Omega3's,EPA +DHA= 1800 mg/day. Magnesium complex, orally, diluted in a liter of H2O(that I can shake up.....it usually dissolves more completely as the water gets down to room temperature) and/or Epsom salt baths prn.   Vit. C, D3, and E.  B12, melatonin tapered to 1mg., and bioidentical hormones sublingually.  Trace mineral drops.  L-lysine.  L-methylfolate=400 mcg plus daily spinach. Totally ready for a good long window to hit soon and getting better strings of full days and partial days along the way.  Definite improvement overall since I first arrived on the SA survivor ship.  Herb and alcohol free since 5/15/2016.  None of my posts are intended as medical advice.  Please discuss any decisions about your medical care with a knowledgeable medical provider. manymoretodays

 

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Pens
On 12/19/2019 at 4:26 PM, Gridley said:

 

When we take medications, the CNS (central nervous system) responds by making changes over the months and years we take the drug(s). When the medication is discontinued, the CNS has to undo all the changes it made. Rebuilding the neurotransmitter production and reactivating the receptor

First I would like to correct the last line in my signature that says 2019 retires a pain should read Mirtazapine. Answer to question, I feel awful, cold hands and feet, Dizzy, nauseous, tense, tremors occasional itchy scalp and under forearms etc. I feel sedated in the morning and maybe the only good thing is I get about 6 hours of sleep. l start to feel better around 4:00 p.m. then it starts to clear up a bit.  I hate to reinstate because I feel like I’ve come this far from Dec. 5 to present on  1.85 mg. I got a dropper with markings and took 1 notch down from 2 mg. I would like to titrating off this but at the time I started I didn’t have all this information. Should I continue at this dose until ? I was put on 7.5 mg mirtazapine on November 1 to help come off of pristiq which I took up to November 10. Sorry I’m probably all over the place, having trouble thinking clearly.


2009 Paxil 2015 sertraline 50 mg 2016 Pristiq 50mg 2017 - 2018 Pristiq 50 mg 

2019  mirtazapine 7.5 mg January to March,  Ciprolex 10 mg April to May 

XL Bupropion June to August pristiq  50 mg September to November 10 then stopped

2019 November 1,  lorazapam  1 mg for 14 days, Mirtazapine 7.5 mg. 

2019 November 10, mirtazapine 1:8 mg. too quickly ( didn’t know about SA.

2020 Jan 1, updosing to 1.9 mg. getting a rashJan 11 tapered to 1.8 ml. mirtazapine. January 25, 2020, mirtazapine 1.6 ml., 14/03/2020 mirtazapine 1.5 ml. 27/03/20, 1.44 mg. 28/03/20, 1.43 mg, 29/3/20 1.5 ml.,
OTC eye Gel, ginger pill if needed 

Nasonex if needed 50 mcg.,
 

 

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mstimc

Pens, a site very much like this one called Paxilprogress.org (now defunct) helped me with my taper, withdrawal symptoms and eventual recovery.  Many of that site's members are members here.  I tried tapering three times before succeeding, so there is no deadline or expected schedule.  You need to do what feels right and follow the tapering guidelines you'll fund here.  I firmly believe sites like this are vital; only those of us who have dealt with anxiety, OCD, meds and withdrawal can truly understand the experience, and how difficult a journey it can be.   You will find all the support you need here.  


Tim C

Started Paxil for GAD in 1999

Unsuccessful taper attempt in 2006

Paxilprogress helped with a successful taper completed in 2009

Using therapy and CBT to manage my anxiety

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Gridley
2 hours ago, Pens said:

Should I continue at this dose until ?

 

You should continue at this dose until you stabilize, which means until your symptoms are more tolerable and do not change much from day to day. 

I can't tell you how soon that will be.  You've made a lot of changes this years and your taper of Mirtazapine was very fast.  Do not taper any further at this point.

 

I understand your feelings about reinstatement.  It is your decision.  Reinstatement of a very small dose of the same drug is the only known way to lessen withdrawal symptoms.  The only alternative is to wait it out until you stabilize.  As I said, there is no way to predict how soon that will happen.  While some stabilize fairly quickly, others take much longer. The sooner reinstatement is done after withdrawal symptoms appear, the  better chance you have that it will work.

 

Just so you're informed, here's a link on reinstatement:

 

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

 

Do not reinstate without giving us the opportunity to suggest a dosage of Mirtazapine.


Gridley Introduction

 

Lexapro 20 mg since 2004.  Begin Brassmonkey Slide Taper Jan. 2017.   

End 2017 year 1 of taper at 9.25mg 

End 2018 year 2 of taper at 4.1mg

End 2019 year 3 of taper at 1.0mg  

Oct. 30, 2020  Jump to zero from 0.025mg.  Current dose: 0.000mg

3 year, 11month taper is 100% complete.

 

Lorazepam 1 mg 1986-1991 CT, resumed a few months later. CT 2000.  1 mg 2011-2016.  Sept, 2016 increased to 0.5 X 3 in split dose. Sept. 2019 increased to 0.625 X 3 after crossover to new brand

 

Imipramine 75 mg daily since 1986.  Jan. 2016 began every 3-weeks 10% taper, down to 15mg.  Aug 2016, discovered SA, updosed to 25mg and holding.  Taper is 66% complete.  

  

Supplements: omega, vitamins E and D3, magnesium glycinate, probiotic, melatonin .3mg


I am not a medical professional and this is not medical advice, but simply information based on my own experience, as well as other members who have survived these drugs.

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Pens

Thank you for your reply. Maybe I should try and reinstate even if it’s a little. I made my own liquid solution from one of the videos

And I just want to check and make sure I did it right is 1 mg equal to 1 mL I mixed 15 mg pill with 15 ml. Of distilled water. and I’m keeping it in the fridge. Should I reinstate up to 2 ml. And see how that goes?


2009 Paxil 2015 sertraline 50 mg 2016 Pristiq 50mg 2017 - 2018 Pristiq 50 mg 

2019  mirtazapine 7.5 mg January to March,  Ciprolex 10 mg April to May 

XL Bupropion June to August pristiq  50 mg September to November 10 then stopped

2019 November 1,  lorazapam  1 mg for 14 days, Mirtazapine 7.5 mg. 

2019 November 10, mirtazapine 1:8 mg. too quickly ( didn’t know about SA.

2020 Jan 1, updosing to 1.9 mg. getting a rashJan 11 tapered to 1.8 ml. mirtazapine. January 25, 2020, mirtazapine 1.6 ml., 14/03/2020 mirtazapine 1.5 ml. 27/03/20, 1.44 mg. 28/03/20, 1.43 mg, 29/3/20 1.5 ml.,
OTC eye Gel, ginger pill if needed 

Nasonex if needed 50 mcg.,
 

 

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mustafa

hi @Pens, as i know, all members will be standing behind you and support u, use SA as a resort to you if you need energy and support.

i hope your taper is very smooth and never suffer dear.

please quote me to be able to follow your thread.


i wasn't on a certain drug all the period. i took many drugs many times and for no very long period but to simplify.

--fluvoxamine maleate100 mg + amisulpride 200mg------started july 2012 and total taper in february 2015 ( 9 months without drugs then)

--sertraline 100mg -------started november 2015 and total taper (withoud reduction slowly) in november 2016( 4 months withoud drugs then).

--sertraline 100mg + quetiabine 25mg ( started in mars 2016 and for 7 months) then fluvoxamine maleate 100mg again for another 7months and after that a something like to use every drug for 14 days and for about 1.5 years.

--my last drug was trintellix 10 mg ( used it in 12/2018and total taper in 4/2019).

symptomts i have now ( bad concentration and problems in short and long memory+ bad depersonalization).

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Pens
1 minute ago, mustafa said:

hi @Pens, as i know, all members will be standing behind you and support u, use SA as a resort to you if you need energy and support.

i hope your taper is very smooth and never suffer dear.

please quote me to be able to follow your thread.

Thanks so much. This site is an absolute life line of caring and helpful people! 


2009 Paxil 2015 sertraline 50 mg 2016 Pristiq 50mg 2017 - 2018 Pristiq 50 mg 

2019  mirtazapine 7.5 mg January to March,  Ciprolex 10 mg April to May 

XL Bupropion June to August pristiq  50 mg September to November 10 then stopped

2019 November 1,  lorazapam  1 mg for 14 days, Mirtazapine 7.5 mg. 

2019 November 10, mirtazapine 1:8 mg. too quickly ( didn’t know about SA.

2020 Jan 1, updosing to 1.9 mg. getting a rashJan 11 tapered to 1.8 ml. mirtazapine. January 25, 2020, mirtazapine 1.6 ml., 14/03/2020 mirtazapine 1.5 ml. 27/03/20, 1.44 mg. 28/03/20, 1.43 mg, 29/3/20 1.5 ml.,
OTC eye Gel, ginger pill if needed 

Nasonex if needed 50 mcg.,
 

 

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manymoretodays

Pens,

When did you last feel a bit more stable?   And if you recall, what were you on then?   Drug and dosage?

 

4 hours ago, Pens said:

First I would like to correct the last line in my signature that says 2019 retires a pain should read Mirtazapine. Answer to question, I feel awful, cold hands and feet, Dizzy, nauseous, tense, tremors occasional itchy scalp and under forearms etc. I feel sedated in the morning and maybe the only good thing is I get about 6 hours of sleep. l start to feel better around 4:00 p.m. then it starts to clear up a bit.  I hate to reinstate because I feel like I’ve come this far from Dec. 5 to present on  1.85 mg. I got a dropper with markings and took 1 notch down from 2 mg. I would like to titrating off this but at the time I started I didn’t have all this information. Should I continue at this dose until ? I was put on 7.5 mg mirtazapine on November 1 to help come off of pristiq which I took up to November 10. Sorry I’m probably all over the place, having trouble thinking clearly.

 

And okay, I see that typo, that was in your last title.  When I first got here I had a lot of trouble thinking, and sorting out thoughts too.  

So you are on 1.8 mg/ 1.8 ml of solution now.

What time do you take the mirtazapine?

 

36 minutes ago, Pens said:

Thank you for your reply. Maybe I should try and reinstate even if it’s a little. I made my own liquid solution from one of the videos

And I just want to check and make sure I did it right is 1 mg equal to 1 mL I mixed 15 mg pill with 15 ml. Of distilled water. and I’m keeping it in the fridge. Should I reinstate up to 2 ml. And see how that goes?

 

Did you start the mirtazapine taper on December 5th? 

Your dilution looks okay.  Also you should keep the solution protected from light too, in an amber colored bottle or even in a brown paper bag in the fridge.

 

I just pulled this quote out of the Tips for tapering off mirtazapine topic

While water solubility of mirtazapine is "slight" according to http://www.drugbank.ca/drugs/DB00370
you may wish to make a suspension of it yourself with water or a pharmaceutical liquid such as Ora-Plus. See How to make a liquid from tablets or capsules Refrigerate the DIY suspension for up to 5 days, then discard.

 

And I think you could try an updose to the 2 ml mark or to 2 mg of your mirtazapine. 

I also asked for some more input from the other mods too.  As you've probably got WD whammy going now, from both the Pristiq, as well as the mirtazapine, and I just want to try and do our best for you.

 

Or wait and see what Gridley and another moderator think.   It shouldn't be more than another day until Grid is back or someone else takes a look and chimes in too.

 

That would be just a .2 mg updose.  Good to start low.   Then just stick with that change for 4- 7 days.  And keep us updated daily.

Read through the link about reinstatement too, as much as you can absorb.

Gridley left it for you in his last post.

 

Best, L, P, H, and G,

mmt

 

 

 

Edited by manymoretodays

Started with psycho meds circa 1988 I think 27 or 28 total.

AD's, antpsychotics, antiseizure mood stabilizers. Lithium, lamictal ,benzos, and stimulants. Some med. for narcolepsy once(Provigil,) Gabapentin........probably more.  Ask me?......I probably was on it.  Haphazard W/D's by Dr. recommend or uneducated self.

10/2014- off Lexapro--had been on highest dose 10 mg. then 5 mg. for a couple of years, went from 5 mg. to 3 mg. liquid and then CT in hospital(voluntary).  I got out of the hospital on a combination of low dose adderal salts x1/day and trileptal 150mg. x2/day.

5/28/2015-off Adderal salts 2.5mg. (I had been on that since hospital 10/2014)

12/2015---just holding, holding, holding, with trileptal/oxcarb at 75 mg. 1/2 tab at hs.  My last psycho med ever!

 

3/21/2016---I did some unwise updosing of trileptal/oxcarbazepine with some stressful stuff......doubled the above dose x2 during this last wave but began liquifying again and on approximately 68mg. starting today.  11/12//2016 24 mg. oxcarbazepine  12/9/2016 off oxcarbazepine/trileptal!!!! :) optimistic  2016 December 9- completely off all medications!!!!!

Omega3's,EPA +DHA= 1800 mg/day. Magnesium complex, orally, diluted in a liter of H2O(that I can shake up.....it usually dissolves more completely as the water gets down to room temperature) and/or Epsom salt baths prn.   Vit. C, D3, and E.  B12, melatonin tapered to 1mg., and bioidentical hormones sublingually.  Trace mineral drops.  L-lysine.  L-methylfolate=400 mcg plus daily spinach. Totally ready for a good long window to hit soon and getting better strings of full days and partial days along the way.  Definite improvement overall since I first arrived on the SA survivor ship.  Herb and alcohol free since 5/15/2016.  None of my posts are intended as medical advice.  Please discuss any decisions about your medical care with a knowledgeable medical provider. manymoretodays

 

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Altostrata

Hello, Pens. I would stop tapering mirtazapine, let your nervous system settle down.

 

Why were you repeatedly taking Pristiq for some months, then quitting it? Did you get withdrawal symptoms?

 

Why did you go back on Pristiq September 2019, and why did you go off in early November? Did you get withdrawal symptoms after that? Did mirtazapine help?


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.

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Pens

Ok, Thank you Manymoretodays, I had a white paper prescription bag so I put the mirtazapine solution inside it in the fridge hope that’s OK. Took 2 mg of the liquid mixture and yes you’re right I would be coming off of  the mirtazapine as well as the Pristiq. So funny because after 5 o’clock in the evening I feel wonderful like myself again. Don’t know if that’s Normal or not. Will Keep an update on what’s happening.


2009 Paxil 2015 sertraline 50 mg 2016 Pristiq 50mg 2017 - 2018 Pristiq 50 mg 

2019  mirtazapine 7.5 mg January to March,  Ciprolex 10 mg April to May 

XL Bupropion June to August pristiq  50 mg September to November 10 then stopped

2019 November 1,  lorazapam  1 mg for 14 days, Mirtazapine 7.5 mg. 

2019 November 10, mirtazapine 1:8 mg. too quickly ( didn’t know about SA.

2020 Jan 1, updosing to 1.9 mg. getting a rashJan 11 tapered to 1.8 ml. mirtazapine. January 25, 2020, mirtazapine 1.6 ml., 14/03/2020 mirtazapine 1.5 ml. 27/03/20, 1.44 mg. 28/03/20, 1.43 mg, 29/3/20 1.5 ml.,
OTC eye Gel, ginger pill if needed 

Nasonex if needed 50 mcg.,
 

 

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Pens

Hi Altostrata, I copied this information down from printouts from the pharmacy. I was finding it hard to tolerate the pristiq so my doctor would try me on something different. I had a couple family members pass away since 2013, a stressful job, which I have since retired and I guess my doctor just kept trying me out on different ADs. (If the pharmacy printout and my interpretation of it are accurate),After my appointment with the physiatrist, I took mirtazapine 7.5 from November 1 to the 15 and dropped down to 3.75. December 5 dropped down to 1:85mg and have been taking that to the present. My physiatrist put me on the mirtazapine and lorazapam (14 days) to help get off the pristiq. I don’t recall having symptoms during the  gaps between starting another AD, if indeed there was any. I certainly am aware of them now. Now thinking back, I put a lot of trust in my doctor. Now I’m more thorough and keep records. The physiatrist said just go home and adjust the mirtazapine to what makes you feel comfortable so I had no idea what titrating was or what to expect. Since finding this site and doing some research I feel like there’s some direction in place. Tonight I took 2 mg of mirtazapine. Will make updates as I go. Thank you for your time. Oh yes in answer to your question the mirtazapine and lorazapam did help take the edge off coming off pristiq but now I wonder if I am still coming off pristiq and titrating off mirtazapine as well, this was brought to my attention from Manymoretodays. Would like to add that my symptoms to Pristiq was insomnia 2 to 3 hours sleep and lost 55 lbs in 2 1/2 to 3 months. 


2009 Paxil 2015 sertraline 50 mg 2016 Pristiq 50mg 2017 - 2018 Pristiq 50 mg 

2019  mirtazapine 7.5 mg January to March,  Ciprolex 10 mg April to May 

XL Bupropion June to August pristiq  50 mg September to November 10 then stopped

2019 November 1,  lorazapam  1 mg for 14 days, Mirtazapine 7.5 mg. 

2019 November 10, mirtazapine 1:8 mg. too quickly ( didn’t know about SA.

2020 Jan 1, updosing to 1.9 mg. getting a rashJan 11 tapered to 1.8 ml. mirtazapine. January 25, 2020, mirtazapine 1.6 ml., 14/03/2020 mirtazapine 1.5 ml. 27/03/20, 1.44 mg. 28/03/20, 1.43 mg, 29/3/20 1.5 ml.,
OTC eye Gel, ginger pill if needed 

Nasonex if needed 50 mcg.,
 

 

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Shep
9 hours ago, Pens said:

My physiatrist put me on the mirtazapine and lorazapam (14 days) to help get off the pristiq. I don’t recall having symptoms during the  gaps between starting another AD, if indeed there was any.

 

Please let us know the dose and the dates you took lorazepam. Please add this information to your signature. A direct link to your signature is here:

 

Account Settings - Create or Update Your Signature

 

Are you currently taking any other drugs for any other health conditions? Or any supplements? If so, please also list those in your signature. 


Drug free May 22, 2015 after 30 years of neuroleptics, benzos, z-drugs, so-called "anti"-depressants, and amphetamines 

 

My Success Story:  Shep's Success: "Leaving Plato's Cave"

 

And what is good, Phaedrus, and what is not good — need we ask anyone to tell us these things? ~ Zen and the Art of Motorcycle Maintenance


I am not a medical professional and this is not medical advice, but simply information based on my own experience, as well as other members who have survived these drugs.

 

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Pens

Morning, Went up to 2 mg of mirtazapine the other night and had a rough day the next day so last night went back down to 1.8 mg. And took 50 mg of dimenhydrinate before bed. Drinking alkaline water instead of reverse osmosis water that contains no minerals. Don’t feel as bad this morning. Only slept 4 hours but feeling more like myself. Will stay there now until I stabilize. 


2009 Paxil 2015 sertraline 50 mg 2016 Pristiq 50mg 2017 - 2018 Pristiq 50 mg 

2019  mirtazapine 7.5 mg January to March,  Ciprolex 10 mg April to May 

XL Bupropion June to August pristiq  50 mg September to November 10 then stopped

2019 November 1,  lorazapam  1 mg for 14 days, Mirtazapine 7.5 mg. 

2019 November 10, mirtazapine 1:8 mg. too quickly ( didn’t know about SA.

2020 Jan 1, updosing to 1.9 mg. getting a rashJan 11 tapered to 1.8 ml. mirtazapine. January 25, 2020, mirtazapine 1.6 ml., 14/03/2020 mirtazapine 1.5 ml. 27/03/20, 1.44 mg. 28/03/20, 1.43 mg, 29/3/20 1.5 ml.,
OTC eye Gel, ginger pill if needed 

Nasonex if needed 50 mcg.,
 

 

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Pens

mod note: Titled: tapering and mirtazapine symptoms

 

Has anyone experienced feeling awful in the morning while tapering mirtazapine but better by mid afternoon. Merry Christmas and happy holidays!

Edited by manymoretodays
added title and merged with the first introduction

2009 Paxil 2015 sertraline 50 mg 2016 Pristiq 50mg 2017 - 2018 Pristiq 50 mg 

2019  mirtazapine 7.5 mg January to March,  Ciprolex 10 mg April to May 

XL Bupropion June to August pristiq  50 mg September to November 10 then stopped

2019 November 1,  lorazapam  1 mg for 14 days, Mirtazapine 7.5 mg. 

2019 November 10, mirtazapine 1:8 mg. too quickly ( didn’t know about SA.

2020 Jan 1, updosing to 1.9 mg. getting a rashJan 11 tapered to 1.8 ml. mirtazapine. January 25, 2020, mirtazapine 1.6 ml., 14/03/2020 mirtazapine 1.5 ml. 27/03/20, 1.44 mg. 28/03/20, 1.43 mg, 29/3/20 1.5 ml.,
OTC eye Gel, ginger pill if needed 

Nasonex if needed 50 mcg.,
 

 

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manymoretodays

Hiya Pens,

Please do not start any other introductions. 

As before, just one introduction per member. 

So..... I merged your last question right on back here.

 

And yes, many do experience feeling awful in the morning, in WD and even while tapering many of the drugs, it doesn't seem to be specific just to mirtazapine.  And then with some relief of symptoms by mid to late afternoon.

See if this speaks to what you are experiencing now:  Waking with panic or anxiety- managing the morning cortisol spike

We have many topics over in the Symptoms and Self Care Forum

It may be helpful for you to begin to familiarize yourself with some of the top pinned topics there.

 

20 hours ago, Pens said:

Morning, Went up to 2 mg of mirtazapine the other night and had a rough day the next day so last night went back down to 1.8 mg. And took 50 mg of dimenhydrinate before bed. Drinking alkaline water instead of reverse osmosis water that contains no minerals. Don’t feel as bad this morning. Only slept 4 hours but feeling more like myself. Will stay there now until I stabilize. 

 

So have you decided then, not to stick with the updose then?  I'm not sure that one nights trial is conclusive.  It's up to you though.

 

Dimenhydrinate(also known as Dramimine) is an antihistamine, Dimenhydrinate is a combination drug of diphenhydramine and 8-Chlorotheophylline.  

Antihistamines for withdrawal  It's best to go sparingly with using antihistamines, as they may go paradoxical, and instead of being sedating have the opposite effect.  Do take a look at the link though please.  It doesn't sound as if it worked too well, as you only got 4 hours of sleep.

 

How long did the feeling more like yourself last?  You might start keeping some form of log/diary/ daily notes for yourself and then you can share with us here from time to time, when asked.  It helps to make it clearer to you, as well as us, if there are patterns and what might be related to what.  Keep it simple.  Date.  Time on the left.  On the right list drug(s) with dosages, include over the counter stuff, like the dimenhydrinate, any supplements used, symptoms, sleep, etc.

More on how to do that:  Keeping notes on paper, or daily logs

 

And okay, it looks like you might have answered @Shep 's question in your signature here: November 1 lorazapam 1 mg ? for 14 days to help with coming off Pristiq 

And then tried to answer some of Alto's questions, in the post below Alto's.

 

And so okay.  Looking good.  Thanks Pens.

Same to you, Best of Holidays wishes.

 

L, P, H, and G,

mmt

 

 

 

Edited by manymoretodays
spacing

Started with psycho meds circa 1988 I think 27 or 28 total.

AD's, antpsychotics, antiseizure mood stabilizers. Lithium, lamictal ,benzos, and stimulants. Some med. for narcolepsy once(Provigil,) Gabapentin........probably more.  Ask me?......I probably was on it.  Haphazard W/D's by Dr. recommend or uneducated self.

10/2014- off Lexapro--had been on highest dose 10 mg. then 5 mg. for a couple of years, went from 5 mg. to 3 mg. liquid and then CT in hospital(voluntary).  I got out of the hospital on a combination of low dose adderal salts x1/day and trileptal 150mg. x2/day.

5/28/2015-off Adderal salts 2.5mg. (I had been on that since hospital 10/2014)

12/2015---just holding, holding, holding, with trileptal/oxcarb at 75 mg. 1/2 tab at hs.  My last psycho med ever!

 

3/21/2016---I did some unwise updosing of trileptal/oxcarbazepine with some stressful stuff......doubled the above dose x2 during this last wave but began liquifying again and on approximately 68mg. starting today.  11/12//2016 24 mg. oxcarbazepine  12/9/2016 off oxcarbazepine/trileptal!!!! :) optimistic  2016 December 9- completely off all medications!!!!!

Omega3's,EPA +DHA= 1800 mg/day. Magnesium complex, orally, diluted in a liter of H2O(that I can shake up.....it usually dissolves more completely as the water gets down to room temperature) and/or Epsom salt baths prn.   Vit. C, D3, and E.  B12, melatonin tapered to 1mg., and bioidentical hormones sublingually.  Trace mineral drops.  L-lysine.  L-methylfolate=400 mcg plus daily spinach. Totally ready for a good long window to hit soon and getting better strings of full days and partial days along the way.  Definite improvement overall since I first arrived on the SA survivor ship.  Herb and alcohol free since 5/15/2016.  None of my posts are intended as medical advice.  Please discuss any decisions about your medical care with a knowledgeable medical provider. manymoretodays

 

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Pens
On 12/22/2019 at 8:00 PM, manymoretodays said:

Pens,

When did you last feel a bit more stable?   And if you recall, what were you on then?   Drug and dosage?

 

 

And okay, I see that typo, that was in your last title.  When I first got here I had a lot of trouble thinking, and sorting out thoughts too.  

So you are on 1.8 mg/ 1.8 ml of solution now.

What time do you take the mirtazapine?

 

 

Did you start the mirtazapine taper on December 5th? 

Your dilution looks okay.  Also you should keep the solution protected from light too, in an amber colored bottle or even in a brown paper bag in the fridge.

 

I just pulled this quote out of the Tips for tapering off mirtazapine topic

While water solubility of mirtazapine is "slight" according to http://www.drugbank.ca/drugs/DB00370
you may wish to make a suspension of it yourself with water or a pharmaceutical liquid such as Ora-Plus. See How to make a liquid from tablets or capsules Refrigerate the DIY suspension for up to 5 days, then discard.

 

And I think you could try an updose to the 2 ml mark or to 2 mg of your mirtazapine. 

I also asked for some more input from the other mods too.  As you've probably got WD whammy going now, from both the Pristiq, as well as the mirtazapine, and I just want to try and do our best for you.

 

Or wait and see what Gridley and another moderator think.   It shouldn't be more than another day until Grid is back or someone else takes a look and chimes in too.

 

That would be just a .2 mg updose.  Good to start low.   Then just stick with that change for 4- 7 days.  And keep us updated daily.

Read through the link about reinstatement too, as much as you can absorb.

Gridley left it for you in his last post.

 

Best, L, P, H, and G,

mmt

 

 

 

 


2009 Paxil 2015 sertraline 50 mg 2016 Pristiq 50mg 2017 - 2018 Pristiq 50 mg 

2019  mirtazapine 7.5 mg January to March,  Ciprolex 10 mg April to May 

XL Bupropion June to August pristiq  50 mg September to November 10 then stopped

2019 November 1,  lorazapam  1 mg for 14 days, Mirtazapine 7.5 mg. 

2019 November 10, mirtazapine 1:8 mg. too quickly ( didn’t know about SA.

2020 Jan 1, updosing to 1.9 mg. getting a rashJan 11 tapered to 1.8 ml. mirtazapine. January 25, 2020, mirtazapine 1.6 ml., 14/03/2020 mirtazapine 1.5 ml. 27/03/20, 1.44 mg. 28/03/20, 1.43 mg, 29/3/20 1.5 ml.,
OTC eye Gel, ginger pill if needed 

Nasonex if needed 50 mcg.,
 

 

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Pens

Morning if I have a question would I ask it from here. Also, if I would like to reply to something on someone else’s comment can I do that. Thanks for you rely.


2009 Paxil 2015 sertraline 50 mg 2016 Pristiq 50mg 2017 - 2018 Pristiq 50 mg 

2019  mirtazapine 7.5 mg January to March,  Ciprolex 10 mg April to May 

XL Bupropion June to August pristiq  50 mg September to November 10 then stopped

2019 November 1,  lorazapam  1 mg for 14 days, Mirtazapine 7.5 mg. 

2019 November 10, mirtazapine 1:8 mg. too quickly ( didn’t know about SA.

2020 Jan 1, updosing to 1.9 mg. getting a rashJan 11 tapered to 1.8 ml. mirtazapine. January 25, 2020, mirtazapine 1.6 ml., 14/03/2020 mirtazapine 1.5 ml. 27/03/20, 1.44 mg. 28/03/20, 1.43 mg, 29/3/20 1.5 ml.,
OTC eye Gel, ginger pill if needed 

Nasonex if needed 50 mcg.,
 

 

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Gridley
8 minutes ago, Pens said:

Morning if I have a question would I ask it from here. Also, if I would like to reply to something on someone else’s comment can I do that. Thanks for you rely.

Yes, this is the place for you to ask questions.

 

If you want to reply to someone else's comment, you can do that on their thread.  To make sure they get a notification that you've commented, you can highlight the portion of the comment that you're replying to.  A "quote" image will pop up.  Click on that.  (as I did above)  Alternatively, you can @THEIR NAME.   An image with @THEIR NAME will pop up.  Click on that.


Gridley Introduction

 

Lexapro 20 mg since 2004.  Begin Brassmonkey Slide Taper Jan. 2017.   

End 2017 year 1 of taper at 9.25mg 

End 2018 year 2 of taper at 4.1mg

End 2019 year 3 of taper at 1.0mg  

Oct. 30, 2020  Jump to zero from 0.025mg.  Current dose: 0.000mg

3 year, 11month taper is 100% complete.

 

Lorazepam 1 mg 1986-1991 CT, resumed a few months later. CT 2000.  1 mg 2011-2016.  Sept, 2016 increased to 0.5 X 3 in split dose. Sept. 2019 increased to 0.625 X 3 after crossover to new brand

 

Imipramine 75 mg daily since 1986.  Jan. 2016 began every 3-weeks 10% taper, down to 15mg.  Aug 2016, discovered SA, updosed to 25mg and holding.  Taper is 66% complete.  

  

Supplements: omega, vitamins E and D3, magnesium glycinate, probiotic, melatonin .3mg


I am not a medical professional and this is not medical advice, but simply information based on my own experience, as well as other members who have survived these drugs.

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Pens

didn’t mean for you to give an answer today, thank you.😊


2009 Paxil 2015 sertraline 50 mg 2016 Pristiq 50mg 2017 - 2018 Pristiq 50 mg 

2019  mirtazapine 7.5 mg January to March,  Ciprolex 10 mg April to May 

XL Bupropion June to August pristiq  50 mg September to November 10 then stopped

2019 November 1,  lorazapam  1 mg for 14 days, Mirtazapine 7.5 mg. 

2019 November 10, mirtazapine 1:8 mg. too quickly ( didn’t know about SA.

2020 Jan 1, updosing to 1.9 mg. getting a rashJan 11 tapered to 1.8 ml. mirtazapine. January 25, 2020, mirtazapine 1.6 ml., 14/03/2020 mirtazapine 1.5 ml. 27/03/20, 1.44 mg. 28/03/20, 1.43 mg, 29/3/20 1.5 ml.,
OTC eye Gel, ginger pill if needed 

Nasonex if needed 50 mcg.,
 

 

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Santino
On 12/25/2019 at 2:40 AM, Pens said:

mod note: Titled: tapering and mirtazapine symptoms

 

Has anyone experienced feeling awful in the morning while tapering mirtazapine but better by mid afternoon. Merry Christmas and happy holidays!


Hey Pens

That was the norm for me during my Withdrawal.... i would have a terrible start of day and than slowly slowly the symptoms would dissipate and in the evening i would feel almost normal. 

Marry Chistmas my friend.

Santino


2015 -  2016 Xanax only rescue doses of 0.125 mg 1-2 times per month
 March 2016 0.125Mg * 2 Xanax for 10 days.

20 March 2016 0.25 Mg * 2 Xanax for one week. 1 April 2016 Tranxene 5 mg and Fevarin but bad reaction for 5 days.4 April 2016 25 Mg Amitryptiline + 6 MG bromazepam at night

Started tapering Bromazepam 6 days later reached up to 3 MG in 10 days and withdrawal. Pdoc asked to go 6 MG again.

10 of May started Remeron 15 MG and started tapering Bromazepam again.

SINCE 09/06/2016 BENZO FREE - Started Tapering Remeron 04/07/2016

 

04/Jul/16 12.8 Mg, 11/Aug/16 12 Mg, 20/Aug/16 11Mg, 3/Sept/16 10Mg, 11/Sept/16 9 Mg, 30/Sept/16 8.1 Mg, 14/Oct/16 7.25 Mg, 17/Nov/16 6.7, 23/Nov/16 6.5, 2/Dec/16 6.25, 9/Dec/16 6Mg, 25/Dec/16 5.7Mg, 4/Jan/17 5.4Mg, 20/Jan/17 5.2Mg, 07/Feb/17 5 Mg, 15/Feb/17 4.8Mg, 27/Feb/17 4.5Mg, 15/Mar/17 4.2Mg, 23/Mar/17 4Mg, 1/Apr/17 3.7Mg, 14/Apr/17 3.4Mg, 27/Apr/17 3.1Mg, 06/May/17 2.8Mg, 22/May/17 2.6Mg, 31/May/17 2.3Mg 09/Jun/17 2Mg, 20/Jun/17 1.7Mg, 29/Jun/17 1.4Mg, 11/Jul/17 1.2Mg, 20/Jul/17 1Mg, 31/Jul/17 0.8Mg, 11/Aug/17 0.6Mg, 23/Aug/17 0.5Mg, 05/Sept/17 0.4Mg, 13/Sept/17 0.3Mg. 22/Sept/17 0.2Mg, 03/Oct/17 0.15Mg, 10/Oct/17 0.1Mg, 23/Oct/17 0.05Mg, 22/Nov/17 0.025Mg, 06/DECEMBER/2017 MIRT FREEE.

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Pens

Thanks Santino, it’s good to know what I can expect. Congratulations on being mirtazapine free.  Merry Christmas to you and yours as well. ☺️


2009 Paxil 2015 sertraline 50 mg 2016 Pristiq 50mg 2017 - 2018 Pristiq 50 mg 

2019  mirtazapine 7.5 mg January to March,  Ciprolex 10 mg April to May 

XL Bupropion June to August pristiq  50 mg September to November 10 then stopped

2019 November 1,  lorazapam  1 mg for 14 days, Mirtazapine 7.5 mg. 

2019 November 10, mirtazapine 1:8 mg. too quickly ( didn’t know about SA.

2020 Jan 1, updosing to 1.9 mg. getting a rashJan 11 tapered to 1.8 ml. mirtazapine. January 25, 2020, mirtazapine 1.6 ml., 14/03/2020 mirtazapine 1.5 ml. 27/03/20, 1.44 mg. 28/03/20, 1.43 mg, 29/3/20 1.5 ml.,
OTC eye Gel, ginger pill if needed 

Nasonex if needed 50 mcg.,
 

 

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Pens
On 12/25/2019 at 12:19 AM, manymoretodays said:

So have you decided then, not to stick with the updose then?  I'm not sure that one nights trial is conclusive.  It's up to you though.

I Went back to the 1.8 mg dose but now I’m wondering if I should’ve stuck with the 2mg. Is it too late to try  to updose to the 2 ml. at this point. I made a liquid solution 7.5 mg of mirtazapine mixed with distilled water 7.5 mls. So Will measure out 2 mg with my syringe. I’m finding the symptoms a little harsh and debilitating. Thanks for you time. Happy new year!


2009 Paxil 2015 sertraline 50 mg 2016 Pristiq 50mg 2017 - 2018 Pristiq 50 mg 

2019  mirtazapine 7.5 mg January to March,  Ciprolex 10 mg April to May 

XL Bupropion June to August pristiq  50 mg September to November 10 then stopped

2019 November 1,  lorazapam  1 mg for 14 days, Mirtazapine 7.5 mg. 

2019 November 10, mirtazapine 1:8 mg. too quickly ( didn’t know about SA.

2020 Jan 1, updosing to 1.9 mg. getting a rashJan 11 tapered to 1.8 ml. mirtazapine. January 25, 2020, mirtazapine 1.6 ml., 14/03/2020 mirtazapine 1.5 ml. 27/03/20, 1.44 mg. 28/03/20, 1.43 mg, 29/3/20 1.5 ml.,
OTC eye Gel, ginger pill if needed 

Nasonex if needed 50 mcg.,
 

 

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Pens
On 12/25/2019 at 12:19 AM, manymoretodays said:

So have you decided then, not to stick with the updose then?  I'm not sure that one nights trial is conclusive.  It's up to you though.

Good morning, I’m having difficulty with symptoms while withdrawing at 1.8 still, so wondered if I could try up-dosing from 1.8 mg to 1.9 mg. I’m very sensitive to meds and felt awful up-dosing to 2 mg. Thank you for your time. Happy New Years 


2009 Paxil 2015 sertraline 50 mg 2016 Pristiq 50mg 2017 - 2018 Pristiq 50 mg 

2019  mirtazapine 7.5 mg January to March,  Ciprolex 10 mg April to May 

XL Bupropion June to August pristiq  50 mg September to November 10 then stopped

2019 November 1,  lorazapam  1 mg for 14 days, Mirtazapine 7.5 mg. 

2019 November 10, mirtazapine 1:8 mg. too quickly ( didn’t know about SA.

2020 Jan 1, updosing to 1.9 mg. getting a rashJan 11 tapered to 1.8 ml. mirtazapine. January 25, 2020, mirtazapine 1.6 ml., 14/03/2020 mirtazapine 1.5 ml. 27/03/20, 1.44 mg. 28/03/20, 1.43 mg, 29/3/20 1.5 ml.,
OTC eye Gel, ginger pill if needed 

Nasonex if needed 50 mcg.,
 

 

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manymoretodays

Hi Pens,

No doubt that you are still having WD symptoms now.  And okay, to go ahead and try updosing just by the teeny, tiny 0.1 mg this time instead of 0.2 mg on your mirtazapine.  Try and stay on it for at least 4-7 days.  And try not to expect full recovery from this updose either.  Best case now, is that it will begin to offer some relief of symptoms.

Are you mixing a fresh batch of solution of your mirtazapine, every 5 days?  And do you have a good syringe to measure with.  I know you are protecting it from light in your refrigerator,  we went over that.  Maybe a brown paper bag would be better than a white paper bag.......what do you think?  For light protection.  Be really consistent with the solution mixing, measuring, and usage.

 

By the way, what kind of symptoms are you having and when? While you are doing this updose, can you keep some minimal notes for us, and post them, right here, on this page.

Time of day on the left.  On the right, be sure and note your medication(s) and supplements, by name and dose.  Also on the right note your symptoms, throughout the day, including sleep.  How is your sleep? 

 

And a review, of sorts below:

 

On 12/22/2019 at 6:29 PM, Altostrata said:

Hello, Pens. I would stop tapering mirtazapine, let your nervous system settle down.

 

Why were you repeatedly taking Pristiq for some months, then quitting it? Did you get withdrawal symptoms?

 

Why did you go back on Pristiq September 2019, and why did you go off in early November? Did you get withdrawal symptoms after that? Did mirtazapine help?

I think you explained ^ that your doctor had you on and off many AD's, due to some situational stuff.  And this after 6 years of Paxil.  I only copied a bit of the post.  Did you experience WD symptoms after you went off the Pristiq, on November 10th?  At this time you had also been on the mirtazapine for 10 days, and were using lorazapam as well.

 

On 12/22/2019 at 8:27 PM, Pens said:

My physiatrist put me on the mirtazapine and lorazapam (14 days) to help get off the pristiq.

 

On 12/22/2019 at 8:27 PM, Pens said:

Oh yes in answer to your question the mirtazapine and lorazapam did help take the edge off coming off pristiq but now I wonder if I am still coming off pristiq and titrating off mirtazapine as well, this was brought to my attention from Manymoretodays.

 

Just to clarify ^.  You did what sounds like a CT(cold turkey) from the Pristiq, and this after a lot of drug switches in 2019.  Sounds like your doctor just threw in the mirtazapine, as a help, along with the lorazapam,  somewhat knowing that you would hit at least some acute WD.  Some doctors are aware of, at least early WD.   Most don't know much about protracted acute withdrawal, beyond the 2 week time period of coming off these medications.  You are definitely having WD from Pristiq now Pens, that plus the cummulative effect of the on and off nature of 2019's medications, as shown in your signature.  All leading to some nervous system disruption and dysregulation.  The mirtazapine, if it helped at all, is kind of hard to tell, as you so quickly decreased it.  But maybe, hope, hope, hope...... just a low dose of the mirtazapine WILL help just a little with your WD syndrome now.

 

Are you still off the lorazepam?  It looks like you might have just done 2 weeks of the 1 mg. of that, from November 1 - 14.

Is the Gravol/dimenhydrinate helping with any symptoms?  

 

And okay.  Keep us updated with your progress, Pens.  And if once again,  you are sure that you immediately feel more adverse effects, than the WD symptoms, that you are already experiencing........it's okay to stop the updose again.  If.......you are not sure, and can stick with it for 4-7 days, you might get some relief, not complete recovery, just enough to take the edge of things.  And we could then maybe even go up just a bit more.  Time will tell.

 

Hang in there,

L, P, H, and G,

mmt

 

 


Started with psycho meds circa 1988 I think 27 or 28 total.

AD's, antpsychotics, antiseizure mood stabilizers. Lithium, lamictal ,benzos, and stimulants. Some med. for narcolepsy once(Provigil,) Gabapentin........probably more.  Ask me?......I probably was on it.  Haphazard W/D's by Dr. recommend or uneducated self.

10/2014- off Lexapro--had been on highest dose 10 mg. then 5 mg. for a couple of years, went from 5 mg. to 3 mg. liquid and then CT in hospital(voluntary).  I got out of the hospital on a combination of low dose adderal salts x1/day and trileptal 150mg. x2/day.

5/28/2015-off Adderal salts 2.5mg. (I had been on that since hospital 10/2014)

12/2015---just holding, holding, holding, with trileptal/oxcarb at 75 mg. 1/2 tab at hs.  My last psycho med ever!

 

3/21/2016---I did some unwise updosing of trileptal/oxcarbazepine with some stressful stuff......doubled the above dose x2 during this last wave but began liquifying again and on approximately 68mg. starting today.  11/12//2016 24 mg. oxcarbazepine  12/9/2016 off oxcarbazepine/trileptal!!!! :) optimistic  2016 December 9- completely off all medications!!!!!

Omega3's,EPA +DHA= 1800 mg/day. Magnesium complex, orally, diluted in a liter of H2O(that I can shake up.....it usually dissolves more completely as the water gets down to room temperature) and/or Epsom salt baths prn.   Vit. C, D3, and E.  B12, melatonin tapered to 1mg., and bioidentical hormones sublingually.  Trace mineral drops.  L-lysine.  L-methylfolate=400 mcg plus daily spinach. Totally ready for a good long window to hit soon and getting better strings of full days and partial days along the way.  Definite improvement overall since I first arrived on the SA survivor ship.  Herb and alcohol free since 5/15/2016.  None of my posts are intended as medical advice.  Please discuss any decisions about your medical care with a knowledgeable medical provider. manymoretodays

 

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Pens
On 12/25/2019 at 12:19 AM, manymoretodays said:

So have you decided then, not to stick with the updose then?  I'm not sure that one nights trial is conclusive.  It's up to you though.

Sorry to be such a pest. Since I started at 7:5 mg of mirtazapine from October 31 to November 15 and dropped down to 3.75 mg  to December 5 , and then to 1.85 mg (or 1/8 of the 7.5 mg) I’m wondering what I should reinstate back to. 


2009 Paxil 2015 sertraline 50 mg 2016 Pristiq 50mg 2017 - 2018 Pristiq 50 mg 

2019  mirtazapine 7.5 mg January to March,  Ciprolex 10 mg April to May 

XL Bupropion June to August pristiq  50 mg September to November 10 then stopped

2019 November 1,  lorazapam  1 mg for 14 days, Mirtazapine 7.5 mg. 

2019 November 10, mirtazapine 1:8 mg. too quickly ( didn’t know about SA.

2020 Jan 1, updosing to 1.9 mg. getting a rashJan 11 tapered to 1.8 ml. mirtazapine. January 25, 2020, mirtazapine 1.6 ml., 14/03/2020 mirtazapine 1.5 ml. 27/03/20, 1.44 mg. 28/03/20, 1.43 mg, 29/3/20 1.5 ml.,
OTC eye Gel, ginger pill if needed 

Nasonex if needed 50 mcg.,
 

 

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Pens
11 minutes ago, manymoretodays said:

the way, what kind of symptoms are you having and when?

Sorry I didn’t see this until after I sent you a question a few minutes ago. My withdrawal symptoms have been brain fog,cold hands and feet, upset stomach, I was using a gravol for sleep but was told not to use it too often. I  get about five to six hours which is better than two or three which is what I was getting on the pristiq, dizzy, some difficulty breathing. This is mostly in the morning and let’s up about 3 or 4 in the afternoon. I’m  keeping the solution in a white pill bottle in the fridge.. thank you so much for your help.


2009 Paxil 2015 sertraline 50 mg 2016 Pristiq 50mg 2017 - 2018 Pristiq 50 mg 

2019  mirtazapine 7.5 mg January to March,  Ciprolex 10 mg April to May 

XL Bupropion June to August pristiq  50 mg September to November 10 then stopped

2019 November 1,  lorazapam  1 mg for 14 days, Mirtazapine 7.5 mg. 

2019 November 10, mirtazapine 1:8 mg. too quickly ( didn’t know about SA.

2020 Jan 1, updosing to 1.9 mg. getting a rashJan 11 tapered to 1.8 ml. mirtazapine. January 25, 2020, mirtazapine 1.6 ml., 14/03/2020 mirtazapine 1.5 ml. 27/03/20, 1.44 mg. 28/03/20, 1.43 mg, 29/3/20 1.5 ml.,
OTC eye Gel, ginger pill if needed 

Nasonex if needed 50 mcg.,
 

 

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Pens
23 minutes ago, manymoretodays said:

  Did you experience WD symptoms after you went off the Pristiq,

My notes aren’t very good between November 10 and November 20, I think I was very confused at this point, also wasn’t aware of this site until later. I know my stomach was upset, and some dizziness. My GP had me on the antis up until October 2019, and it was a psychiatrist who put me on the mirtazapine and lorazapam to get me off the pristiq. 


2009 Paxil 2015 sertraline 50 mg 2016 Pristiq 50mg 2017 - 2018 Pristiq 50 mg 

2019  mirtazapine 7.5 mg January to March,  Ciprolex 10 mg April to May 

XL Bupropion June to August pristiq  50 mg September to November 10 then stopped

2019 November 1,  lorazapam  1 mg for 14 days, Mirtazapine 7.5 mg. 

2019 November 10, mirtazapine 1:8 mg. too quickly ( didn’t know about SA.

2020 Jan 1, updosing to 1.9 mg. getting a rashJan 11 tapered to 1.8 ml. mirtazapine. January 25, 2020, mirtazapine 1.6 ml., 14/03/2020 mirtazapine 1.5 ml. 27/03/20, 1.44 mg. 28/03/20, 1.43 mg, 29/3/20 1.5 ml.,
OTC eye Gel, ginger pill if needed 

Nasonex if needed 50 mcg.,
 

 

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manymoretodays
52 minutes ago, Pens said:

 I’m wondering what I should reinstate back to.

 

Pens,

You're doing fine.  The anxiety and confusion, and all can be fierce.  Let's just see how you do with the 0.1 mg updose, try 1.9 mg total dose of mirtazapine tonight.

And then just do your best to report on back tomorrow.  I don't want to updose you any higher until we see how you do with this.

 

Okay, and hugs,

L, P, H, and G,

mmt

 

 


Started with psycho meds circa 1988 I think 27 or 28 total.

AD's, antpsychotics, antiseizure mood stabilizers. Lithium, lamictal ,benzos, and stimulants. Some med. for narcolepsy once(Provigil,) Gabapentin........probably more.  Ask me?......I probably was on it.  Haphazard W/D's by Dr. recommend or uneducated self.

10/2014- off Lexapro--had been on highest dose 10 mg. then 5 mg. for a couple of years, went from 5 mg. to 3 mg. liquid and then CT in hospital(voluntary).  I got out of the hospital on a combination of low dose adderal salts x1/day and trileptal 150mg. x2/day.

5/28/2015-off Adderal salts 2.5mg. (I had been on that since hospital 10/2014)

12/2015---just holding, holding, holding, with trileptal/oxcarb at 75 mg. 1/2 tab at hs.  My last psycho med ever!

 

3/21/2016---I did some unwise updosing of trileptal/oxcarbazepine with some stressful stuff......doubled the above dose x2 during this last wave but began liquifying again and on approximately 68mg. starting today.  11/12//2016 24 mg. oxcarbazepine  12/9/2016 off oxcarbazepine/trileptal!!!! :) optimistic  2016 December 9- completely off all medications!!!!!

Omega3's,EPA +DHA= 1800 mg/day. Magnesium complex, orally, diluted in a liter of H2O(that I can shake up.....it usually dissolves more completely as the water gets down to room temperature) and/or Epsom salt baths prn.   Vit. C, D3, and E.  B12, melatonin tapered to 1mg., and bioidentical hormones sublingually.  Trace mineral drops.  L-lysine.  L-methylfolate=400 mcg plus daily spinach. Totally ready for a good long window to hit soon and getting better strings of full days and partial days along the way.  Definite improvement overall since I first arrived on the SA survivor ship.  Herb and alcohol free since 5/15/2016.  None of my posts are intended as medical advice.  Please discuss any decisions about your medical care with a knowledgeable medical provider. manymoretodays

 

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Altostrata

Pens, how has reducing mirtazapine affected your sleep pattern? Why did you decide in early December to taper mirtazapine?


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

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