Anyone taking 15mg Mirtazapine with 10mg Escitilopram?

Posted , 5 users are following.

I was initially prescribed 30mg Mirtazapine about 7 weeks ago, was fine for a while, then I had a major family upset which triggered my anxiety, so GP up'd dose to 45mg, this was too much for me and my anxiety worse.

My mental health nurse specialist, got me tapering off 30mg to 15mg Mirtazapine ( 30mg for 3 days then 15mg for 4 days introducing 10mg Escitilopram when down to 15mgs )

I stopped the Mirtazapine 2 days ago and feel horrendous, major panic attacks, shaking, hyperventilating, nausea etc.,

Can anyone give me any advice please, I haven't slept for more than 3-4 hours in 36 hours!!!

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  • Posted

    Thanks to all you ladies, when I first found people thought like me, 'wow' what a relief. Wouldn't wish anxiety on anyone, but the best thing to come out of it is my faith in human beings. At my worst I avoided people, actually didn't care if I never saw anyone, disliked people even, as they didn't understand. The empathy people show here and support has proved we need people. We need to push ourselves daily to achieve little things and pat ourselves on the back. I was told to get through the day an hour at a time, do small things , anything, keep the mind active and stop our 'stinking thinking'. Thanks ladies, always here,  ??

  • Posted

    Feeling so fed up 😢

    I thought the night before last and yesterday were a turning point, but last night, awake again at 1.30am straight away feeling very anxious, managed to over ride it until 5am when woke again feeling the same.

    Eventually got up and took some Diazepam.

    Just feeling like it's 10 steps forward and 20 steps back at the moment.

    It's coming up to the first anniversary of losing my mum and I'm wondering if that's in my subconscious?

    • Posted

      Hi there, sorry your night wasntnsomgood.  I have got used to waking and taking a diazepam tp get me back to sleep so dont beat yourself up about things.  Anniversaries can be a setback but you will come through that and better days ahead.  I find waking is the worst time in some ways as my mind starts racing with all the things i used to do and now just cant. I usuaally wake nauseous too which doesnt help.  I can eat proper meal by 4pm. Has to turn down friends from London today, wanted to go for lunch.  I just,cant face it. Poor hubby is losing out on his life because of this too.

      hope you will feel better as day goes on. This site is so helpful as there are many of us whomjust want to be normal.

    • Posted

      Thank you Ann ??

      It just feels never ending doesn't it?

      Oh poor you having to miss out on seeing your friends, I know how that feels too, I am always cancelling or making some excuse as to why I can't do something or go somewhere.

      I feel sorry for my husband too, it feels like it's not just my life that's in this mess but his too because of me.

      Hope your day gets better  .

      Hugs 🤗 

    • Posted

      Don't beat yourself up about not seeing friends, when you are feeling better you can tell your friends you went through a bad patch and apologise , they will understand and just be glad you are better, you will get better, . Poor Karen, greatbyour supporting each other, , . Also my poor hubby missed out on so much and often went places on his own , put up with a lot, he says I never have to apologise , just keep working on keeping well that's all they want , to see us happy again ??

    • Posted

      Hi Edwina,

      My close friends know and understand, it's difficult for them too I think as they want to help it don't know what to do.

      It's good your husband too is understanding, I think we must of all struck lucky with that!

      I'm seeing my GP, on Friday, for what use he is!!

      Hugs 🤗 

    • Posted

      Hi, hope today willmbe ok formyou (and others here).   The total fatigue feeling as really bad just now.  I am not aure if its because im lowering the mirtazapine and nowmdown to about 5mg.  Cant wake up, get up etc.  Then feel the anxiety start and have to take a diazepam to quell it.  Feel agitated inside but dopey too, hard to explain.

      i got out yesterday, felt the same uncomfortable but helped polish car and emptied a cupboad trying to keep mind off things.

      not sure where im headed with this dropping of mirtazapine but hope to find some others experiences of it.  

    • Posted

      Hi Ann,

      Sorry your still struggling with the reduction in Mirtazapine.

      I can completely empathise with the feeling anxious but dopey inside!

      It's like a vicious circle isn't it?

      How long do you have to stay at 5mg for?

      I'm sorry I can't remember, but are you taking Escitilopram too? If so what dosage?

      I find I feel tired during the day , probably a mixture of lack of sleep and medication I guess!

      So glad you got out for a while yesterday, that's definitely a positive!

      I'm still unsure what do regarding the Escitilopram, I'm on day 16, I know my mental health nurse specialist said if no improvement after 4 weeks we'd have to rethink, but I'm seeing my useless GP tomorrow and not sure whether to bring it up with him?

      Hope your day is as good as possible.

      Hugs 🤗 

    • Posted

      Hi, im just slowly decreasing, 5mg for two weeks then down to 4mg etc. See how it goes. Gp said i could stop it in four weeks. No chance. Do they understand? I cant take escitalopram as i am on warfarin. That makes things more difficult for me.

      been out this pm to see arts festival, felt good but very tired, fatigue is such a problem.

      hope you can discuss all your concerns with gp and get good answers, keep us updated.

      blessings to everyone here, it definitely helps.

       

    • Posted

      I do sometimes wonder if these Drs actually look at our notes before prescribing medication!!

      I don't think they do understand to be honest, I think mine used to but not anymore!

      I'm glad you managed to get out this afternoon, I get the afternoon fatigue, think it's where I don't sleep so well at night plus the medication.

      Trouble is I have a nap in the afternoon and that probably doesn't help with my sleeping at night.

      Hugs 🤗 

  • Posted

    Morning ladies

    Good to read your posts but I'm sorry you had another bad night Karen. My gp has given me a few Zopiclone as I was so sleep deprived but I don't know how long I'll be able to have them as it's short term. Can you ask your gp about them on Friday maybe?

    All the anxiety flooded back when I woke as usual, gosh been like that for 5 or 6 weeks now! Just longing for that breakthrough but I suppose having just lowered the Mirtazipine and introduced the escitalopram it'll take a while?! 

    Does anyone else get restless legs? Mine are when I wake and it's exhausting on top of the anxiety. I never had that until I upped the Mirtazipine early July. 

    When I got up and had a cup of tea, I had a massive hot flush, sweating like mad, and went v dizzy, thought I was going to faint. Got on the sofa and breathed and it passed but was horrible. Anyone else had that?

    No plans today other than doing basic chores and resting in between. I have ME/CFS (have had it for a long time but worse this last year which is why I think the anxiety and depression kicked in). It's hard to manage it when I'm dealing with this stuff on top.

    Just keep telling myself I'll adjust to meds and find a dose/ med that works well enough to feel calm again.

    X

    • Posted

      Hi Nikki,

      Yes I can relate to going hot and sweating etc., I think it's the anxiety?

      It just seems never ending doesn't it?  And it's so exhausting too !!

      Hate how the anxiety kicks in as soon as I wake!

      I don't know if my GP will give me Zopiclone as I'm also on Quetiapine which is meant to be sedating too?

      I  was on sleeping tablets for quite a while a few years back when I had breast cancer, they definitely helped.

      I haven't had restless legs but there was one medication ( can't remember which one ) that I used to get restless legs with, it's painful too!!

      Hope you have a good day.

      Hugs 🤗 

    • Posted

      Hi Karen

      Oh yes, I forgot you'd said you were taking Quetiapine, sorry. I was recommended that too by a psychiatrist if things don't settle. But you're not finding it helpful? 

      You could always ask I suppose but I don't want to confuse you by suggesting the zopiclone.

      I think sleeping meds are helpful for getting through a tough time aren't they. 

      Yeah I wondered if the hot and sweaty spell was actually a panic attack! 

      I think we're all warriors!!! 

      Hugs for your day 🤗

    • Posted

      Hi Nikki ,

      The Quetiapine helps a little, I'm surprised they give it to us when we're on Escitilopram as they interact!!

      Totally freaked me out when I read it, but my mental health nurse specialist reassured me.

      Sometimes I feel they are just sticking a pin in a book and seeing what medication it comes up with!!

      Hugs 🤗 

    • Posted

      Try bananas for restless legs . Full of potassium, one at night or when they start. If they don't get any better ask doc, not dangerous  but drive you mad.??

    • Posted

      Hi Karen

      I didn't realise they interact. Maybe it depends on the dosage. I'm glad you were reassured by your nurse. 

      All this does make you wonder doesn't it.

      I've had another muddled day. It's strange because I had a half hour in the middle of the day where I just felt nice in myself. Then the rest of the day has been just about being exhausted, trying to have a nap (I find I can't drop off, I can feel myself dropping off then something odd will come into my mind and I'll jump awake again) and finding things to try to focus on. 

      A couple of diazepam today but could have been more! 

      I forced myself to the local park and shop as my dog was desperate for an outing (she follows me around and stares at me!). I always feel not really there when I'm out!

      X

    • Posted

      Gosh yes, so exhausting and horrible feeling!

      I got out to buy bananas! 👍

    • Posted

      Well done on going out Nikki!

      Hope the bananas help with the restless legs.

      My days been pretty muddled too, spent the afternoon trying to sleep as so tired, eventually put some mindfulness on you tube and dropped off about 5 !!

      Probably in for another rough night now!

      Think I'm going to say about all this medication to my dr on Friday, not that he's been much use lately!!

      Hugs 🤗 

    • Posted

      It's good you've found that the mindfulness can help you get a little sleep. I'm glad you dropped off eventually.

      Definitely squeeze out as much of your appt with your gp on Friday as you can! I often turn up with a piece of paper covered in questions, notes on how I've been doing etc and plonk it down. Helps to communicate stuff I might forget or not get across.

      I know what you mean about docs not being much use! 

      X

    • Posted

      Mine just doesn't listen Nikki, I've been seeing him for years and I honestly believe he's got too complacent with me.

      I know these SSRIS aren't suiting me, just got to convince him!!

      Hugs 🤗 

    • Posted

      It's terrible isn't it that a doctor doesn't listen!! 

      I hope he does listen to your feelings about the ssris on Friday. X

    • Posted

      🍌🍌🍌🍌👌hope bananas help, worth a try. I also have two little rescue dogs and I get the sad faces if I don't let them out. Used to have to force myself to take dogs out or get mum to go with me, just didn't want to go out, felt so guilty, but kind of glad There little faces made me.🐶??

    • Posted

      Ahh sweet little dogs. Mine's a rescue too. Yes, I was glad to get her out even though it was tough! 

      Had a banana earlier so won't overdo it with another one. Will see how it goes but try not to think on it too!

      X

    • Posted

      I just have a banana every night couple hours before bed, does help but scared I may turn into a monkey🐒.  Glad you got your dog out, little things like taking dogs out is nothing to some people. For us it's an achievement, sometimes a chore but glad they are here to push us. I found my dogs in a terrible state out in Spain and brought them back to uk, when I'm down I think what bad lives they had and how happy they are now and that I can't let them down. ( crazy to people who aren't animal lovers)? One of my dogs was starving and weighed 5kilos, I think of what he's been through and what people can go through and come out the other side . I'm so soppy. Hope you ladies and all out there get a good nights sleep , keep up the good work supporting each other????

    • Posted

      Hi Edwina, you are such a good support to all on this site.  We are all looking for that goal, a decent day!  

      When you were really bad did you change meds then just come through it, or did you stop one then see how you were before restarting.

      My gp has asked me to slowly stop the mirtaz in four weeks, i am finding that hard so going very slowly down as per others instructions on here.

      i have heard that slowing it down may not show side effects for three weeks, eek im not even there yet and have loads of bad effects.  

      I dont know if she will want to start me on another a.d but two years on mirtaz up and down doses and not better, i guess it didnt work!  Also tried sertraline which i managed for three weeks and anxiety rocketed, couldnt cope, then duloxetine which made me a zombie, just sat in chair looking at walls. My first one was lofepramine with quetiapine for five months, still no better. There were also others 20 years ago when i had a breakdown, prozac nearly killed me then, then i found mirtaz, in 1999 i suddendly got better, never looked back till now.

      So you see, i have tried but seem to be pretty resistant to these.  All i need is to get the anxiety down and im hoping when mirtaz leaves my body that might happen.  If not i wonder what the psych will do next.  I have been seeing them for three years and am now on fourth one due to staff leaving.  Doesnt help does it?

      Anyway thats my story, hoping all here getting better days and thanks for all your support.

    • Posted

      Hi Ann. Meds can be such a nightmare , just trying to find something that helps. Over years I have been prescribed anti depressants, benzodiazepines, opiates, the list goes on. Ads I had terrible side effects, after few weeks tapered off, just didn't see any improvement . My doctor is great and agreed, I came off another abruptly( cold turkey ) and it was hellish. Everyone's different and some people need meds definitely, I decided to try to manage eventually without, just taking diazapam for social occasions and if I have a day when I feel super anxious and shaky. Everyone is at different stages so I have learned how my anxiety works and know it will pass, even though it still gets me down I mostly cope. Really feel for you out there that are really fed up trying to figure out wether to stick with meds or switch etc. I do believe meds help short term just wish they kicked in straight away so we didn't have to suffer and worry, and wish you all had good gp's. Jan and others tips on self help are great , my doc pushed me to try everything. ( believe me at first I needed pushing) everything was a chore and I was so down and negative. The reasurance here would have helped me so much on my journey, I really felt alone and wanted to give up, Someone to talk to who understood would have meant so much at some points. Keep supporting each other, everything takes time, been there, wish I had a magic wand but when things seem never ending talk to someone else, by helping others we help ourselves, its productive and something positive is coming out of this . Hopefully you'll feel much better soon and carry on posting about your experience and how to cope. ( wow, bit of a long one) hope today's a good one ??

    • Posted

      Hi Ann

      Just read your story. I really feel for you and can identify with your journey trying different meds. Please try not to despair. I've found different meds work or don't suit at different times in my life. There will be something for you. Im sending you a big hug 🤗 Nikki x

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