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Joyari: need help tapering mirtazapine 15 mg


Joyari

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need help tapering mirtazapine 15 mg ,i am only on mirt for last 2 months firtst month 3.75 mg then 7.5 for two weeks last week on 15 mg ..but i wanna get rid of it thus need help

Clonazepam started 23rd June 2021 tapered from .5 to 0 by 20th July 2021

Started Mirtazapine  on 4th July upped from 3.75 to 7.5 to 15 MG as of date

Clonazepam started 24th Aug 2021 tapered from .5 to 0  currently on .25 2021

Supplements-B Complex,VIt d, ltheanine 200 g, magnesium, zinc, melatonin

 

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  • ChessieCat changed the title to Joyari: need help tapering mirtazapine 15 mg
  • Moderator

Hi Joyari,

 

Welcome to this support site. Before we can answer your questions, please give us more information first. Good that you came to this website. There is a lot of knowledge to be found and shared here. Also the members can support each other here.

 

Can you please give us specific information about your drug history for all drugs you are on and have been on, especially for the past 18-24 months?  It would be especially helpful to have the details of your drugs in a concise list (no symptoms), only drug names, specific dates (as best you can say for example early March if you don't recall the day) and dosages of each medication decrease or increase.  Please read the link below for instructions.  This will allow us to give you the best guidance.  

 

https://www.survivingantidepressants.org/topic/18343-please-summarize-your-withdrawal-history-in-your-signature/

 

Can you also explain why you started mirtazapine and why you went up in dosage?

 

1993    Anafranil (Clomipramine) for a few months. Later in 1993 Paxil for a few months 1993- 2006      No medication

2006   Effexor, Cymbalta, some Benzo’s. All for short periods. Later in 2006 Lexapro (escitalopram) 10 mg and shortly after Wellbutrin XR 150mg, against side effects Lexapro 

Since 2006 until end of 2015: Several times on and off Lexapro and Wellbutrin and several slight dosage changes. Mostly taken dosages: 5mg Lexapro and 150mg Wellbutrin

2016  Dosage change Lexapro from 5mg to 2,5 mg. Wellbutrin stayed om 150mg

November 2016 – April 2017 Down from 2,5mg to 0,6mg Lexapro (in steps) without much problems. Wellbutrin down from 150mg to 66mg. Also without much problems.

April 2017 – March 2019       Lexapro 0,6 mg        April 2017 - August 2018       Wellbutrin in small steps down from 66mg in to 37,5 mg . Quite heavy WD after each step.

March 2019 – May 2019 Lexapro down from 0,6 to 0,3mg then Prozac to 0,6 mg switch because severe discontinuation effects (may also have been from Wellbutrin..)    

Wellbutrin down from 37,5mg to 35,3mg 

October 2019        Seroquel 12,5 mg for 4 weeks because of extreme sleeping problems, then weaning off in 2 weeks       Prozac up dosage to 1,2 mg

March 2020     Wellbutrin in 2 steps down from 35,3mg to 33,3mg   Extreme withdrawal affects during 8 months. Stopped tapering Wellbutrin  until total off Prozac. 

February 2020 – November 2020   Prozac down in steps from 1,2mg to 0,57mg. 

Jan 2021  Prozac down to:  0,55> 0,53>0,51mg,   Feb 0,47mg ,  Mar 0,42mg,   Apr 0,37, longer hold because of WD symptoms July 0,36 and hold again, Sept 19 0,35, Sept 26 0,34mg, Oct 3 0,33mg  

January 20, 2022:  Wellbutrin from 33,3 to 32,3mg

March 22, 2022 Prozac down from 0,33mg to: 0,30mg, Apr 0,29, May 0,28, 0,27, June 0,26, 0,25, July 0,24, 0,23, 0,22, 0,21, Aug 0,20

 

Supplements: Fish Oil (3000mg), Magnesium 100 mg, 2 drops of Lavender Oil when feeling anxiety. 50mg of L-Theanine when severe discontinuation effects caused by Wellbutrin

 

Please note this is NOT a medical advice. Discuss all your medical issues with a doctor who understands psychical drugs and really knows how to withdraw from them. I wish that you will find one.

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HI I am very new to Pysc drugs i was on short term benzo course of around 32 days from 23 rd june(Clonazepam) 1st 8 days   .5 then 2nd 8 days.375  similarly .25 and then .125 as per my doc(finished 20th july)at started Mirt on 4th of July initial 1 month on 3.75 then 7.5 for 2 weeks and then15 mg till date..I am showing side effects like hypnic jerks for which i wanted to get off Mirt, i have started taking magnesium which helps lil bit. My other supplements include high dose of B complex, zinc,ltheanine 200 gm,Vit D and chamomile tea.I do take eposom salts bath before bed. Currently also Doc put me on again a short course of benzo Clonazepam starting from 24th august in same routine starting  8 days   .5 then 2nd 8 days.375  similarly .25 and then .125 as per my doc(i have just started .25 yesterday).I also take melatonin before bed

 

I started Mirt as prescribed by my Pych due to insomnia as for sleep anxiety disorder(work stress related)Pych wanted me to go 15 rite away but i was reluctant so i stayed on 3.75 mg but when i started getting hypnic jerks my pysch told that i need to follow the regualr schedule and dosage so i kind of got pushed into it( i am only on 15 mg Mirt for last 1week)

 

Appreciate your help so far

Clonazepam started 23rd June 2021 tapered from .5 to 0 by 20th July 2021

Started Mirtazapine  on 4th July upped from 3.75 to 7.5 to 15 MG as of date

Clonazepam started 24th Aug 2021 tapered from .5 to 0  currently on .25 2021

Supplements-B Complex,VIt d, ltheanine 200 g, magnesium, zinc, melatonin

 

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  • Moderator
12 minutes ago, Joyari said:

Currently also Doc put me on again a short course of benzo Clonazepam starting from 24th august in same routine starting  8 days   .5 then 2nd 8 days.375  similarly .25 and then .125 as per my doc(i have just started .25 yesterday).I also take melatonin before bed

 

Is this also meant as sleep medication? 

 

Mirtazapine works best on sleep at low dosages like 5 mg. Do I understand that you did not have good results from low dosage Mirtazapine (3,75 to 7,5mg)?

 

Better be careful with benzodiazepines . They are HIGHLY addictive and difficult to come off! Better do not use them longer than 2-3 week in a row. Better not use them at all if possible.

 

If you want to taper Mirtazapine I would go down to 7,5mg immediately, since you have not used to 15 more than 1 week.

 

Have you ever used a SSRI before (anytime)? This is important to know. If this is your first time on a SSRI you may be lucky that you could taper off faster than 10% per month. Not sure about that, since everybody reacts different. But it could be worthwhile trying. 

 

 

1993    Anafranil (Clomipramine) for a few months. Later in 1993 Paxil for a few months 1993- 2006      No medication

2006   Effexor, Cymbalta, some Benzo’s. All for short periods. Later in 2006 Lexapro (escitalopram) 10 mg and shortly after Wellbutrin XR 150mg, against side effects Lexapro 

Since 2006 until end of 2015: Several times on and off Lexapro and Wellbutrin and several slight dosage changes. Mostly taken dosages: 5mg Lexapro and 150mg Wellbutrin

2016  Dosage change Lexapro from 5mg to 2,5 mg. Wellbutrin stayed om 150mg

November 2016 – April 2017 Down from 2,5mg to 0,6mg Lexapro (in steps) without much problems. Wellbutrin down from 150mg to 66mg. Also without much problems.

April 2017 – March 2019       Lexapro 0,6 mg        April 2017 - August 2018       Wellbutrin in small steps down from 66mg in to 37,5 mg . Quite heavy WD after each step.

March 2019 – May 2019 Lexapro down from 0,6 to 0,3mg then Prozac to 0,6 mg switch because severe discontinuation effects (may also have been from Wellbutrin..)    

Wellbutrin down from 37,5mg to 35,3mg 

October 2019        Seroquel 12,5 mg for 4 weeks because of extreme sleeping problems, then weaning off in 2 weeks       Prozac up dosage to 1,2 mg

March 2020     Wellbutrin in 2 steps down from 35,3mg to 33,3mg   Extreme withdrawal affects during 8 months. Stopped tapering Wellbutrin  until total off Prozac. 

February 2020 – November 2020   Prozac down in steps from 1,2mg to 0,57mg. 

Jan 2021  Prozac down to:  0,55> 0,53>0,51mg,   Feb 0,47mg ,  Mar 0,42mg,   Apr 0,37, longer hold because of WD symptoms July 0,36 and hold again, Sept 19 0,35, Sept 26 0,34mg, Oct 3 0,33mg  

January 20, 2022:  Wellbutrin from 33,3 to 32,3mg

March 22, 2022 Prozac down from 0,33mg to: 0,30mg, Apr 0,29, May 0,28, 0,27, June 0,26, 0,25, July 0,24, 0,23, 0,22, 0,21, Aug 0,20

 

Supplements: Fish Oil (3000mg), Magnesium 100 mg, 2 drops of Lavender Oil when feeling anxiety. 50mg of L-Theanine when severe discontinuation effects caused by Wellbutrin

 

Please note this is NOT a medical advice. Discuss all your medical issues with a doctor who understands psychical drugs and really knows how to withdraw from them. I wish that you will find one.

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My Pysc keeps putting me in this 4 week course of benzos this is my 2nd time i have got good results for sleep on 3.75 mg but i started getting jerks which i see less prominent in 15 mg ..should i complete my benzo course and then drop mirt as far as i know Mirt is not a SSri and i have only been on Mirt and clonazepam till now,none other Pysc meds

Clonazepam started 23rd June 2021 tapered from .5 to 0 by 20th July 2021

Started Mirtazapine  on 4th July upped from 3.75 to 7.5 to 15 MG as of date

Clonazepam started 24th Aug 2021 tapered from .5 to 0  currently on .25 2021

Supplements-B Complex,VIt d, ltheanine 200 g, magnesium, zinc, melatonin

 

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  • Moderator
20 minutes ago, Joyari said:

should i complete my benzo course and then drop mirt as far as i know Mirt is not a SSri

 

You are correct there. But it is important what you said that this is your first time on psychotropic drugs. In that case you might be lucky that you could taper faster than 10% per month. If I were you I would go down to 7,5mg directly since you were only 1 week on 15mg. 

 

I wouldn't stay too long on mirtazapine if I were you. Maybe first go down to 7,5mg, then to 5mg and see what happens. If you do not get withdrawal symptoms you could go down to 3mg. As soon as you notice any WD symptoms hold immediately and report here.

1993    Anafranil (Clomipramine) for a few months. Later in 1993 Paxil for a few months 1993- 2006      No medication

2006   Effexor, Cymbalta, some Benzo’s. All for short periods. Later in 2006 Lexapro (escitalopram) 10 mg and shortly after Wellbutrin XR 150mg, against side effects Lexapro 

Since 2006 until end of 2015: Several times on and off Lexapro and Wellbutrin and several slight dosage changes. Mostly taken dosages: 5mg Lexapro and 150mg Wellbutrin

2016  Dosage change Lexapro from 5mg to 2,5 mg. Wellbutrin stayed om 150mg

November 2016 – April 2017 Down from 2,5mg to 0,6mg Lexapro (in steps) without much problems. Wellbutrin down from 150mg to 66mg. Also without much problems.

April 2017 – March 2019       Lexapro 0,6 mg        April 2017 - August 2018       Wellbutrin in small steps down from 66mg in to 37,5 mg . Quite heavy WD after each step.

March 2019 – May 2019 Lexapro down from 0,6 to 0,3mg then Prozac to 0,6 mg switch because severe discontinuation effects (may also have been from Wellbutrin..)    

Wellbutrin down from 37,5mg to 35,3mg 

October 2019        Seroquel 12,5 mg for 4 weeks because of extreme sleeping problems, then weaning off in 2 weeks       Prozac up dosage to 1,2 mg

March 2020     Wellbutrin in 2 steps down from 35,3mg to 33,3mg   Extreme withdrawal affects during 8 months. Stopped tapering Wellbutrin  until total off Prozac. 

February 2020 – November 2020   Prozac down in steps from 1,2mg to 0,57mg. 

Jan 2021  Prozac down to:  0,55> 0,53>0,51mg,   Feb 0,47mg ,  Mar 0,42mg,   Apr 0,37, longer hold because of WD symptoms July 0,36 and hold again, Sept 19 0,35, Sept 26 0,34mg, Oct 3 0,33mg  

January 20, 2022:  Wellbutrin from 33,3 to 32,3mg

March 22, 2022 Prozac down from 0,33mg to: 0,30mg, Apr 0,29, May 0,28, 0,27, June 0,26, 0,25, July 0,24, 0,23, 0,22, 0,21, Aug 0,20

 

Supplements: Fish Oil (3000mg), Magnesium 100 mg, 2 drops of Lavender Oil when feeling anxiety. 50mg of L-Theanine when severe discontinuation effects caused by Wellbutrin

 

Please note this is NOT a medical advice. Discuss all your medical issues with a doctor who understands psychical drugs and really knows how to withdraw from them. I wish that you will find one.

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Sure let me work on that any other suggestions

Clonazepam started 23rd June 2021 tapered from .5 to 0 by 20th July 2021

Started Mirtazapine  on 4th July upped from 3.75 to 7.5 to 15 MG as of date

Clonazepam started 24th Aug 2021 tapered from .5 to 0  currently on .25 2021

Supplements-B Complex,VIt d, ltheanine 200 g, magnesium, zinc, melatonin

 

Link to comment
  • Moderator
18 minutes ago, Joyari said:

Sure let me work on that any other suggestions

Don't stay longer on benzodiazepines than 4 weeks maximum. 

1993    Anafranil (Clomipramine) for a few months. Later in 1993 Paxil for a few months 1993- 2006      No medication

2006   Effexor, Cymbalta, some Benzo’s. All for short periods. Later in 2006 Lexapro (escitalopram) 10 mg and shortly after Wellbutrin XR 150mg, against side effects Lexapro 

Since 2006 until end of 2015: Several times on and off Lexapro and Wellbutrin and several slight dosage changes. Mostly taken dosages: 5mg Lexapro and 150mg Wellbutrin

2016  Dosage change Lexapro from 5mg to 2,5 mg. Wellbutrin stayed om 150mg

November 2016 – April 2017 Down from 2,5mg to 0,6mg Lexapro (in steps) without much problems. Wellbutrin down from 150mg to 66mg. Also without much problems.

April 2017 – March 2019       Lexapro 0,6 mg        April 2017 - August 2018       Wellbutrin in small steps down from 66mg in to 37,5 mg . Quite heavy WD after each step.

March 2019 – May 2019 Lexapro down from 0,6 to 0,3mg then Prozac to 0,6 mg switch because severe discontinuation effects (may also have been from Wellbutrin..)    

Wellbutrin down from 37,5mg to 35,3mg 

October 2019        Seroquel 12,5 mg for 4 weeks because of extreme sleeping problems, then weaning off in 2 weeks       Prozac up dosage to 1,2 mg

March 2020     Wellbutrin in 2 steps down from 35,3mg to 33,3mg   Extreme withdrawal affects during 8 months. Stopped tapering Wellbutrin  until total off Prozac. 

February 2020 – November 2020   Prozac down in steps from 1,2mg to 0,57mg. 

Jan 2021  Prozac down to:  0,55> 0,53>0,51mg,   Feb 0,47mg ,  Mar 0,42mg,   Apr 0,37, longer hold because of WD symptoms July 0,36 and hold again, Sept 19 0,35, Sept 26 0,34mg, Oct 3 0,33mg  

January 20, 2022:  Wellbutrin from 33,3 to 32,3mg

March 22, 2022 Prozac down from 0,33mg to: 0,30mg, Apr 0,29, May 0,28, 0,27, June 0,26, 0,25, July 0,24, 0,23, 0,22, 0,21, Aug 0,20

 

Supplements: Fish Oil (3000mg), Magnesium 100 mg, 2 drops of Lavender Oil when feeling anxiety. 50mg of L-Theanine when severe discontinuation effects caused by Wellbutrin

 

Please note this is NOT a medical advice. Discuss all your medical issues with a doctor who understands psychical drugs and really knows how to withdraw from them. I wish that you will find one.

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