Undiagnosed small fiber neuropathy or post-Mirtazapine withdrawal induced neuropathy?

[tsranga]

Since my CT withdrawal 3 years ago, I have been experiencing many of the symptoms listed under autonomic/small fiber neuropathy i.e. damage to the unmyelinated nerve fibers of the autonomic nervous system and somatic neural systems. 

 

My most consistent symptoms are irregular/delayed gut motility (almost like gastroparesis), leg/feet paresthesia (mostly below the knees), and sinus pressure, and it mostly occurs when I go to sleep/wake up. Lying down seems to always get the gut moving. 

 

I have searched through this forum, and it appears that neuropathy like symptoms are another withdrawal effect, and I am wondering if it specifically targets the unmyelinated nerves, including the vagus nerve, which results in slower healing.   

 

I am meeting my gastro next week to check on my GI issues, and an autonomic specialist in Jun, and I am wondering what would rule out actual neuropathy vs withdrawal symptoms?

[MrMiyagi]

I had the same symptoms that kept worsening with time until I reintroduce a diffrent Antidepressant and restabilized. I felt defeated it was over a year of bedridden misery. I regained some normalcy after reststabilizing on a diffrent AD I don't belive I would have made it without. 

 

I also somehow had a relapse of lyme during this time so some how it effected my immune system. I researched alot and their are just so many unknown variables. I started the 10% taper recently on my new Antidepressant I guess we can keep in touch if you'd like.