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Samira: introduction


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Ever since I had my first child in 1997 I started to have sleep disturbances, anxiety and constant worrying. In 2005 I was admitted to a psychiatry clinic. I was diagnosed with generalised anxiety disorder, given 30 grams of mirtazapine (Remeron) and 0.5 grams clonazepam (rivotril) ,now 1 gram, to control my condition. I was treated with medication such as fluvoxamine, quetiapine, cipralex, and seroxat but the only effective combination was mirtazapine and clonazepan. I also take cholesterol medication. I have been on this situation ever since. I want to try and lower the dosage and don’t know how I should go about is there a doctor recommended?

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  • Moderator

Welcome to SA, Samira.


To start:


To give members the best information, we ask them to summarize their medication history in a signature -- drugs, doses, dates, and discontinuations & reinstatements, in the last 12-24 months particularly.  The information about the Mirtazapine and Clonazepam is sufficient.  Please include the date you started the drugs.


Account Settings – Create or Edit a signature.


Regarding doctors, the vast majority of doctors know nothing about safely tapering off or lowering drug dosages.  Here is a link to our list of recommended doctors.  I suggest you start at the most recent additions.


Recommended doctors, therapists, and clinics - Tapering ...


The following clinic has been mentioned by a couple of SA site members. I personally know nothing about them.  You could contact them and see what you think.

Free Range Psychiatry: Home

We are a site for tapering psychiatric drugs and can help you lower your dose(s), if you wish.  Here is some basic information:


We recommend tapering only one drug at a time.  Otherwise, if problems arise you won't know the cause.  Our general advice is to taper the most activating (stimulating) drug first, leaving the more sedating drug in place to help with sleep to be tapered later.   Since Mirtazapine and Clonazepam are both sedating drugs, you would need to choose which drug to taper first.


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


Why taper by 10% of my dosage?


Since, according to your post, the two drugs work in combination, a possibility is to taper one drug down to a certain point, wait a month, then taper the other drug down to a certain point and continue until you've reached the dosages that work for you.


The following link is about tapering Mirtazapine and includes how to get to non-standard dosages you would need for a 10% taper.


Tips for tapering off mirtazapine (Remeron)


We don't have a link for tapering Clonazepam, but the same recommendations would apply regarding the 10% rate of taper.  To get your doses, you could use a digital scale such as the Gemini-20, available on Amazon.  In terms of making your own liquid, Clonazepam is poorly soluble in water but it's possible you could make a suspension and taper that way.

How to make a liquid from tablets or capsules - Tapering ...

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. 




Add in one at a time and at a low dose in case you do experience problems. Get supplements that are single ingredient (not mixed with other types of supplements).


This is your Introduction topic, where you can complete your drug signature, ask 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, 10 month taper is 100% complete.


Ativan 1 mg to 1.875mg 1986-2020, two CT's and reinstatements

Nov. 2020, 7-week Ativan-Valium crossover to 18.75mg Valium

Feb. 2021, begin 10%/4 week taper of 18.75mg Valium  

End 2021  year 1 of taper at 6mg

End 2022 year 2 of taper at 2.75mg 

Current dose as of Feb. 25, 2023 2mg

Taper is 89% complete.


Imipramine 75 mg daily since 1986.  Jan-Sept 2016 tapered to 14.4mg  

March 22, 2022: Begin 10%/4 week taper

Aug. 5, 2022: hold at 9.5mg and shift to Valium taper

Taper is 87% complete.  


Supplements: omega-3, vitamins C, E and D3, magnesium glycinate, probiotic, zinc, 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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welcome 🌞 @Samira

2021:  started celexa 10mg feb 2nd 

feb 25th took my last 10g; feb 26th 5mg; feb 27th 5mg; feb 28th 2021 cold turkey 

currently taking mag

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