i was on anti dept.s for 20 years +after i stopped .just took the odd one to give me a boost when lo
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i now have realy bad chronic insomnia/depr/anxciety/chlosterphobia.no sleep for weeks.and i mean NONE.I WENT TO G/P.he put me on mirtazapine 30mg but i was scared to take that amount so took 7.5mg the first tnight i slepted for 3 hours good ??? but could not move all day i was a zombie.i reduced the dose to 4mg.zero sleep that was 10 days ago still no sleep dep/anx.ect a lot better if i could get some sleep i think i will get over the dep/anx/ect..i have a lot of worry for last 8 months.started to drink a lot more and slepted for 3/4 hours but that only lasted a few weeks then no sleep again so stopped drinking ..i am on other meds for high blood pressure/copd/hiatus hernia/pain killers for arthritus....any suggestions with the MIRTAZAPINE...........DESPERATE.BLUESY
0 likes, 16 replies
cheryl06744 BLUESY
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Everything you described for your initial symptoms is classic withdrawal symptoms. How you tapered could have alot to do with it.
Mmirtazapine is not for everyone. It's an antidepressant as well. But you mentioned that if you could only sleep then maybe other symptoms would be better so why not have the doctor prescribe all z class drug instead (iemail. Ambien, sonata etc.)
BLUESY cheryl06744
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Calmer BLUESY
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Sorry for your suffering, nothing on earth worse than insomnia, that is what probably drives all the other symptoms included the Claustrophobia which is awful also.
So you say you took 7.5mg - how long for before dropping to 4mg - and how do you get to the dose of 4mg ?? Are you saying you have been on 4mg for 10days??
Mirt' does knock you out initially, made me like a zombie to begin with, but really helped with my insomnia. If you could just let me know how long at 7.5 before the 10days at 4mg that would be a help.
I think you're so right, the anxiety brought on by insomnia then prevents us from sleeping, its like we're "wired" and even the slightest noise prevents sleep.
Wishing you well Bluesy.
Calmer
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BLUESY Calmer
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WHAT DO YOU SUGGEST.??????????????? BLUESY.
BLUESY Calmer
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Calmer BLUESY
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I think it sounds like WD from the previous AD/AD's, unfortunately another AD cannot cover this, only the med itself can relieve WD. It's not what you want to hear, sorry, but 3-4 months taper isn't really long enough. The golden rule now is 10% drop every 3-4 weeks, to enable your nervous system to adapt carefully without rocking the boat. You're not the first to be told by a doc or even p.doc to quit within a few months, they just don't seem to know about doing a very slow taper, especially after 20 years.
Maybe think about reinstating, check with your doctor to see if you can take Mirt at the same time, with some AD's you can - and if you do decide to do this - DON'T increase the Mirt.
It's a bit risky to break the 30mg tablet into 8, far better to ask for Mirtazapine Sol tabs and make a liquid - anyway its all explained... click on my name and read the links under my status - there is far too much to copy & paste here.
BLUESY Calmer
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Calmer BLUESY
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Which AD did you taper from ?? Which ever one it was, that is the reason for no sleep, Mirt can't cover that - just time will heal any insomnia caused by withdrawal from it ... not sure how long as everyone is different.
Bear in mind that on start up of Mirt' 99% of people feel like a zombie the next day but it does get better once you have taken 7.5 for 5 days or so.
I'm not suprised you don't know what to do - you are recovering from withdrawal of the last AD (with insomnia) and your doctor has given you another AD (they like to do this !!) and eventually you will then have to come off this AD which in turn will have its own WD symptoms - Mirt isn't easy to come off as we all know now.
7.5 mg may not help you sleep better than the 3.5 mg that you are taking and then again it might help, no one can tell you, however in mho I slept just as well at 3.5 as I did at 7.5, so maybe that helps a little. But of course I wasn't having the wd from another AD.
Sleep does return but I understand it may be slow, getting better gradually, it's an awful thing insomnia, can feel like torture.
Alcohol plays havoc with sleep pattern, whilst you're unwell if you can't just enjoy one glass, and lets face it, its hard sometimes not to have another glass, then try to do without, get your mental health in tune first maybe?
But one thing for sure, cutting a 30mg pill into 8 will in turn give you different doses, sometimes 3, 4, or even 2.5mg ... and even that tiny difference can play havoc - see if you can get the 15mg & cut into 4, 'fess uup to your doc and say its hard to do - or get Mirt Sol Tablets and dissolve and use a small syringe.
Hope this helps, bless you and I hope your sleep returns soon.
Calmer
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Did you see the other discussion re insomnia on this forum?? It's here:
https://patient.info/forums/discuss/coming-off-mirt-549761?page=0#2454802
BLUESY Calmer
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Calmer BLUESY
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amanda69978 BLUESY
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Hi Bluesy,
Really sorry you are having such a difficult time.
Calmer's advice is always very good: she knows far more about WD than the likes of me. You can't go far wrong if you follow her advice.
I had two months of severe anxiety and depression, provoked by bad insomnia, at the end of last year. I would sleep for about two to two-and-a-half hours, and then wake up in the very early hours. My Mirt dose was increased to 30 mgs. I still woke up after 2 - 2 1/2 hours.
I now think that the severe insomnia was caused by anxiety.
i was prescribed Pregabalin for anxiety at the beginning of this year. It made no appreciable difference, and I am now weaning myself off it. So far, I have dropped from 150 mgs daily to 50 mgs daily. I hope to come off it altogether by next Spring. I am keeping at 50 mgs until after the Christmas period.
I was put on Venlafaxine by the Psychiatrist this summer, and it has made a great deal of difference. I am on a high dose - 220 mgs - but I had to go to this dose for it to have any effect on my chronic, life-long, severe anxiety. Like most people, I would rather not be on medication, but I prefer taking meds to being suicidal, which is where the severe anxiety led me.
Once I have finally managed to come off the Pregabalin, I will look to reducing the Mirt, but not before.
I, too, have had problems with alcohol. I have a lot of stress in my life, and I felt - no doubt wrongly - that it helped me to cope.
I would prioritise dealing with the insomnia. I know from painful experience how difficult it is.
Please message me if I can be of any further help.
Like Calmer, I wish you well.
Amanda
BLUESY amanda69978
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amanda69978 BLUESY
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Hi Bluesy,
I am 53, and have been on anti-depressants, of one sort or another, for 18 years. I also drink far more than is good for me, although I never get drunk. Unfortunately I find that if I don't have at least a couple of drinks a night, I sleep badly, and end up feeling much worse than if I had had the drinks in the first place. This is not what we're told: all the advice out there suggests that you sleep better without alcohol.
I think the Mirt will work for you soon. I am still on 30 mgs, having been prescribed this dose about October last year. I started on 7.5 mgs, and went up to 15 mgs for a couple of years, before being put up to 30 mgs in October 2015. Most people, I think, find it takes a good three-four weeks before they feel any difference. I think it's very encouraging that you feel better.
I think we just have to keep plugging away.
I always feel very concerned when I read people's posts concerning severe insomnia. I had over two months of two hours sleep a night, max, and it wore me down so much that I took two half-hearted overdoses, because I reached a point where I felt I could no longer cope. I am proof that there can be light at the end of dark tunnels.
Now I am battling the usual Mirt weight gain, but I must say it seems a small price to pay for relative stability and peace of mind.
I would keep on with the Mirt for a while yet, but check in with your doc again if you feel things aren't progressing.
All the best,
Amanda
BLUESY amanda69978
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