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Clematis501: help with Mirtazapine


Clematis501

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6 hours ago, Altostrata said:

 

I agree with @OldDodgy, I'd give the 7.5mg some more time.

 


thank you @Altostrata

Nov 21 - started Mirtazapine 15mg

3rd Feb 22 - halved to 7.5mg taken for two days

5th Feb 22 - Mirtazapine stopped

19th Feb 22 - 2mg taken

20th Feb   - 7.5 mg - taking daily

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  • Moderator Emeritus

I concur with altostrata and dodgy - I'd stay on the 7.5 mg for a while longer.  Having ups and downs in symptoms is typical in withdrawal from psych meds.  We don't want to change our dose every time we have an up or a down, as this puts you at risk for further destabilizing your system, and making withdrawal worse.  Sometimes, it can take several weeks to a couple of months for a reinstatement to fully settle in your system and do it's work.  Also, a reinstatement reduces the symptoms, it doesn't necessarily make all the symptoms go away, but it makes WD bearable.  

Please do not private message me.  Only tag me for urgent questions about tapering and reinstating - thank you.  

 

***Please note this is not medical advice.  Discuss any decisions about your medical care with a doctor who understands psych meds and how to withdraw from them, if you can find one.

 

Lexapro   Started Apr 15 2010 - 10 mg;  started taper August 2017, recent taper info: Apr 2 '20  0.18 mg; Jul 16  0.17 mg, Aug 23  0.16 mg, Oct 7  0.15 mg, Nov 8 - 0.14, Jan 16 '21 - 0.13, Feb 7 - 0.12, Feb 22 - 0.11, Mar 26 - 0.10, May 21 - 0.09, June 15 - 0.08 Aug 16 - 0.07, Oct 6 - 0.06, Nov 21 0.05, Dec. 17 0.04, Jan 14 '22 0.03, Feb 19 0.02, Apr 18 0.01, May 15 0.005,  Jul 8, 0.00.  Psych Drug Free as of July 8, 2022!!  Woohoo!!!

other meds: Levothyroxine 75 mg

magnesium in small amounts at 4 AM, before bed

suppl AM: fish oil, flax oil, vit C, vit E, multivitamin, zinc

suppl 8 PM: magnesium 350 mg, extended release vitamin C, melatonin 2 mg

 

Paxil 2002 - 2010, switched to Lexapro 2010 

Trazodone 50 mg. 2002 - 2019, fast tapered in 2019 

Xanax 0.5 mg as needed 2002 - 2019, up to 3x weekly 

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Many thanks @getofflex that is so helpful

best wishes

C

Nov 21 - started Mirtazapine 15mg

3rd Feb 22 - halved to 7.5mg taken for two days

5th Feb 22 - Mirtazapine stopped

19th Feb 22 - 2mg taken

20th Feb   - 7.5 mg - taking daily

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Hi @Altostrata 

 

i have a quick question.

 

I am currently cutting 15mg in half with pill cutter.

I then weigh on scales. Sometimes one half will weigh 0.074 and other 0.076 or one will weigh 0.073 and other half 0.077.  

should I just continue to take each half on consecutive days as I would be definitely be receiving exact 15mg over the two days or should I be shaving slightly larger amount to exact 0.075 and discarding smaller  amounts. Or are these small variations okay.  I have Gemini scales and have followed this sites guidance on calibrating each time. However I do occasion find the scales still vary a little in their consistency at the far right number.

 

many thanks

C

Nov 21 - started Mirtazapine 15mg

3rd Feb 22 - halved to 7.5mg taken for two days

5th Feb 22 - Mirtazapine stopped

19th Feb 22 - 2mg taken

20th Feb   - 7.5 mg - taking daily

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@Clematis501

i am sure that your two day approach is fine. 
Are you planning to move to liquid titration ? 
I found a search on mirtazipine solution very helpful. 
Glad you stabilised, take your time. 
OldDodgy 

My Intro topic.  Was Dickie in FB gabapentinoids 

2020 January Stopped Quetiapine 150 at night in a fairly chaotic fashion with holds, jumping at 6mg 

2020 June Stopped Pregabalin 150 at night using Ashton Method Some holds. 

2021 December Stopped Mirtazipine 15 using Ashton Method. (Slower at end). 

Nov 21 - Given Quetiapine 12.5 for sleep. Reduced mid March 2022 to 6mg - Off 30/5/22

Feb 2022 Ongoing Diazepam 17.5, Blip at Christmas when took 22.5mg for a few days, now 24 FEB Stable 17.5 as advised. Had long covid. Now going to 16.25 from 8/7/22. 7% drop 

Oxazepam 10mg.STOPPED 10th FEB 2022  “Rescue dose x 2 in 2 months. 

Buccastem 3mg less than 1 a month for nausea. 

Past meds since 1969 -Approx dates only available. Tranxene 15, Clomipramine 150 for about 25 years. 1993 Paroxetine 20 AD change. Diazepam 20mg swap from Tranxene.

Oxazepam 10mg Prn since 1990's  1995 Trial of MAOIS. 2000 Escitaopram 10mg. 2015 trial of Trazadone. 2004 Pregabalin 150 at night.

2015 Started on Quetiapine 150 note, Mirtazipine 15 note. Diazepam increased to 30mg split dosing. 

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Thank you @OldDodgy

 

Yes the reinstatement definitely helped and I’m still stabilising.

 

I haven’t decided yet about best method to use when I start to taper.

So hard weighing up the pros and cons of worrying about accuracy of scales vs diluting soltabs and worrying about how evenly it has diluted.  However I know many have gone before and will just have to decide and drop the worrying when the time comes!!

Many thanks for the search tip too.

 

How are things going with you?

 

C

 

 

Nov 21 - started Mirtazapine 15mg

3rd Feb 22 - halved to 7.5mg taken for two days

5th Feb 22 - Mirtazapine stopped

19th Feb 22 - 2mg taken

20th Feb   - 7.5 mg - taking daily

Link to comment

@Clematis501

 

Hi 

I am stabilising too.  
Some better days. 
Dreading the next drop of Diaz. !!! 

OldDodgy 

My Intro topic.  Was Dickie in FB gabapentinoids 

2020 January Stopped Quetiapine 150 at night in a fairly chaotic fashion with holds, jumping at 6mg 

2020 June Stopped Pregabalin 150 at night using Ashton Method Some holds. 

2021 December Stopped Mirtazipine 15 using Ashton Method. (Slower at end). 

Nov 21 - Given Quetiapine 12.5 for sleep. Reduced mid March 2022 to 6mg - Off 30/5/22

Feb 2022 Ongoing Diazepam 17.5, Blip at Christmas when took 22.5mg for a few days, now 24 FEB Stable 17.5 as advised. Had long covid. Now going to 16.25 from 8/7/22. 7% drop 

Oxazepam 10mg.STOPPED 10th FEB 2022  “Rescue dose x 2 in 2 months. 

Buccastem 3mg less than 1 a month for nausea. 

Past meds since 1969 -Approx dates only available. Tranxene 15, Clomipramine 150 for about 25 years. 1993 Paroxetine 20 AD change. Diazepam 20mg swap from Tranxene.

Oxazepam 10mg Prn since 1990's  1995 Trial of MAOIS. 2000 Escitaopram 10mg. 2015 trial of Trazadone. 2004 Pregabalin 150 at night.

2015 Started on Quetiapine 150 note, Mirtazipine 15 note. Diazepam increased to 30mg split dosing. 

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17 minutes ago, OldDodgy said:

@Clematis501

 

Hi 

I am stabilising too.  
Some better days. 
Dreading the next drop of Diaz. !!! 

OldDodgy 


Really great to hear that you’re having some better days

Nov 21 - started Mirtazapine 15mg

3rd Feb 22 - halved to 7.5mg taken for two days

5th Feb 22 - Mirtazapine stopped

19th Feb 22 - 2mg taken

20th Feb   - 7.5 mg - taking daily

Link to comment
  • Administrator

At your dosage level, splitting the tablet is close enough.

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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28 minutes ago, Altostrata said:

At your dosage level, splitting the tablet is close enough.

Thank you!

Nov 21 - started Mirtazapine 15mg

3rd Feb 22 - halved to 7.5mg taken for two days

5th Feb 22 - Mirtazapine stopped

19th Feb 22 - 2mg taken

20th Feb   - 7.5 mg - taking daily

Link to comment
  • Moderator Emeritus

I'm glad to hear that you are continuing to do well on the reinstatement, Clematis.  Keep up the good work!  

Please do not private message me.  Only tag me for urgent questions about tapering and reinstating - thank you.  

 

***Please note this is not medical advice.  Discuss any decisions about your medical care with a doctor who understands psych meds and how to withdraw from them, if you can find one.

 

Lexapro   Started Apr 15 2010 - 10 mg;  started taper August 2017, recent taper info: Apr 2 '20  0.18 mg; Jul 16  0.17 mg, Aug 23  0.16 mg, Oct 7  0.15 mg, Nov 8 - 0.14, Jan 16 '21 - 0.13, Feb 7 - 0.12, Feb 22 - 0.11, Mar 26 - 0.10, May 21 - 0.09, June 15 - 0.08 Aug 16 - 0.07, Oct 6 - 0.06, Nov 21 0.05, Dec. 17 0.04, Jan 14 '22 0.03, Feb 19 0.02, Apr 18 0.01, May 15 0.005,  Jul 8, 0.00.  Psych Drug Free as of July 8, 2022!!  Woohoo!!!

other meds: Levothyroxine 75 mg

magnesium in small amounts at 4 AM, before bed

suppl AM: fish oil, flax oil, vit C, vit E, multivitamin, zinc

suppl 8 PM: magnesium 350 mg, extended release vitamin C, melatonin 2 mg

 

Paxil 2002 - 2010, switched to Lexapro 2010 

Trazodone 50 mg. 2002 - 2019, fast tapered in 2019 

Xanax 0.5 mg as needed 2002 - 2019, up to 3x weekly 

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Thank you so much for your support @getofflex

best wishes

C

Nov 21 - started Mirtazapine 15mg

3rd Feb 22 - halved to 7.5mg taken for two days

5th Feb 22 - Mirtazapine stopped

19th Feb 22 - 2mg taken

20th Feb   - 7.5 mg - taking daily

Link to comment

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