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Planningforsuccess: Remeron taper


Planningforsuccess

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Hello,

 

I have had a rough year that all started with me just looking for help with sleep and was eventually prescribed Zeprexa, which I foolishly took for 5 months.  I then went to a psychiatrist to get off them.  She prescribed Klonipin, which I took for 2 months at 1mg, have not taken them for 17 days now.  Still taking Buspar, which will be tapered completely tomorrow and Remeron for last two months at 15mg.  I'd like advise on Remeron taper as my Dr wants me to lower to 7.5 mg to start, suggestions?

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  • ChessieCat changed the title to Planningforsuccess: Remeron taper
  • Moderator

Hello and welcome to SA @Planningforsuccess

 

Please start by listing your drug history in your signature.  Dates, amounts and changes will help us see your drug history more clearly and provide better assistance.

 

When you changed between all these drugs, did you just stop taking one and start the other, or cross taper?  

I am not a health professional - your actions are your own.  

Please do not seek tapering support via private message

My taper visualised as a graph   |   My intro thread

Backdrop:  2003 10mg olanzapine | 2004 2-3mg risperidone | end 2014 3wks aripiprazole

2015: olanzapine  10 -> 7½ -> 6⅔ -> 5mg  by crude pill cutter

2018:  Mar 5.00mg -> water titrated taper -> Aug2.5mg tablet and hold

Jan 2019 2.50mg water titration -> Jan 2020 1.214  -> Jan 2021 0.44 -> 2 Oct 0.205 ->3 Oct ZERO🥂

"Ask not what you can do for your country, but what your country did to you"  -- KMFDM

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My psychiatrist said to just go from 15mg to 7.5 in one go, stay there for a week and then stop. I tried this twice. It doesn’t work. Raging insomnia within days and I reinstated immediately, fortunately with no problems.  Then I got into big trouble skipping days - don’t do this!  Now I am doing the BrassMonkey slide which is very smooth for me. Well done for coming here for advice, do be sure to do all your research first ☺️

Mirtazepine 15mg Nov 2018 -April 2019

April - Sept 2019 Mirtazepine 7.5

October 2019 - about 4 Nov 6mg Mirtazepine 

4-13 Nov anxiety & sleep problems caused by change of brand & jumping around with doses

13 Nov 2019 to 7 Dec 2019 10mg Mirtazepine 

8-10 Dec 2019 15mg Mirtazepine 

11 Dec 2019 to 14 Dec 12.5mg Mirtazepine 

15 December 2019 to 13 June 2021 15mg Mirtazepine 

14 June 2021 started brass monkey Slide.  
2021: 23 August 12.3mg, 28 October 11.1mg, 6 Dec 10mg

2022: 12 Feb 8.5, 27 Feb 8.1, 22 March 7.7, 5 May 6.9, 25 July 5.7 (hooray!)

 

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I tapered from one to the other and now just have the remeron left.  I've only been on it 2 months and it's hard to imagine a taper that will take double that time or more.  How long were you taking it before you tried cutting to 7.5 and then zero?

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  • Moderator

After a month your brain will have adapted to the drug, but it's very individual how much it will have adapted and how fast you can taper. We advise decreasing by no more than 10% of current dose every 4 weeks. Some can taper faster and some must go slower.

 

I found this post helpful to understand what is going on and why healing takes time:

How Psychiatric Drugs Remodel Your Brain

 

Here are some links about tapering:

 

Tips for tapering off mirtazapine (Remeron)

Why taper by 10% of my dosage?

NEVER SKIP DOSES TO TAPER

Why taper? Importance of gradual change in plasma concentration

Coming off these drugs can cause many different withdrawal symptoms, often leading to doctors thinking the original condition is returning or that another mental illness has emerged.

What is withdrawal syndrome?

Dr. Joseph Glenmullen's withdrawal symptom checklist

When we recover, there are times of feeling OK mixed in with times of feeling bad.  This is called windows and waves.

The Windows and Waves Pattern of Stabilization

The search function on this site doesn't work very well.  The best way to search this site for specific information is to use your favorite search engine. Type in survivingantidepressants.org then the symptom, treatment, supplement or information you wish to search for.

To give members the best information, we ask them to summarize their medication history in a signature following these instructions:

How to List Drug History in Signature

 

To make sure someone sees your post write @ and then start typing their username so it becomes blue.

These are my opinions based on my own experience and what I have learned, not medical advice.

 

Drug history

2002-2019 Citalopram/Escitalopram, Lamictal
2019 April Escitalopram, quit at 10mg (withdrawal), Oct Escitalopram 10mg reinstated, quit after a few days (adverse reaction)

2019 Oct Lamictal cut from 200mg to 100mg
2019 Dec Lithium 83x2 mg

2020 Aug-Nov Lamictal tapered to 50 mg

2020 Nov 24 Lithium taper started, 30 Jan off Lithium

2021 15. March-31. May Lamictal tapered to 32.5 mg (holding)

2022 10. Jan started taking 25mg+5mg+2mg+0.5 liquid, 22. Jan went back to taking 25mg+5mg+half 5mg

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On 11/13/2021 at 3:01 PM, Planningforsuccess said:

I tapered from one to the other and now just have the remeron left.  I've only been on it 2 months and it's hard to imagine a taper that will take double that time or more.  How long were you taking it before you tried cutting to 7.5 and then zero?

About 3 months. Tried again after about 2 more months. Finally skipped days - got very unstable. Returned to 15mg but it was v difficult, it took about 3 -4 months for my body to adjust to the dose and I was exhausted & unstable throughout, unable to work. Pandemic started & I was able to return to small amounts of work. Took over a year to stabilise emotionally. After another 7 months I started the BrassMonkey taper which is going so well I can’t quite believe it. I’m still working only very part time but am gradually able to do more as the dose reduces. 

Mirtazepine 15mg Nov 2018 -April 2019

April - Sept 2019 Mirtazepine 7.5

October 2019 - about 4 Nov 6mg Mirtazepine 

4-13 Nov anxiety & sleep problems caused by change of brand & jumping around with doses

13 Nov 2019 to 7 Dec 2019 10mg Mirtazepine 

8-10 Dec 2019 15mg Mirtazepine 

11 Dec 2019 to 14 Dec 12.5mg Mirtazepine 

15 December 2019 to 13 June 2021 15mg Mirtazepine 

14 June 2021 started brass monkey Slide.  
2021: 23 August 12.3mg, 28 October 11.1mg, 6 Dec 10mg

2022: 12 Feb 8.5, 27 Feb 8.1, 22 March 7.7, 5 May 6.9, 25 July 5.7 (hooray!)

 

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  • 3 weeks later...

Advice needed

 

Hello, I just met with my psychiatrist and advised how Mirtz is impacting me negatively.  On 15 mg for last 3 months and she said to stop today and start taking fluvoxamine 50 mg. 

 

Should I be concerned about stopping abruptly and starting a new one?  I'm trying to stop these meds.

 

Edited by ChessieCat
added topic title before merging with intro topic
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  • Moderator Emeritus

As requested by hayduke and  Kiasofia above, please create your drug signature following these instructions:

 

Instructions:  Withdrawal History Signature

 

Your drug signature allows the staff to see your drug history at a glance and saves them time because they do not have read back through your posts to get the information.  Please update it whenever you make a change.

 

I will let the other mods know that you need assistance.

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

 

MISSION ACCOMPLISHED:    (6 year taper)      0mg Pristiq      on 13th November 2021

Woohoo!!!  Finally off Pristiq    Post 0 updates start here

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 from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

My full 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.  Please DO NOT TAG me - thank you.

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  • Administrator

Hello, @Planningforsuccess We'd like to know more about your drug history and whether you have withdrawal symptoms from any of the drugs you've gone off so far. In general, we don't advise changing another drug when you already have withdrawal symptoms.

 

If you don't care to supply that information, you can do it yourself without counseling from the staff, see Tips for tapering off mirtazapine (Remeron)

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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