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!!!
1 like, 556 replies
nikki30670 karen32905
Posted
Oh that's good news the churning has subsided a bit! Yay!
I was reading the diazepam leaflet and you're not supposed to stop it abruptly so you gp has to prescribe more, you're not ready to stop and if you were, you'd have to do it gradually. I'm just sharing that as back up.
My gp is meant to be calling me this pm, I phoned the surgery and the receptionist said. So I'm hoping he'll prescribe me some more Zopiclone. Don't want to rely on it but not at a stable enough point to stop it yet.
That's really hard going not getting your night time sleep. I've been like that before. Big hugs 🤗
Wishing you well for your appointment. I hope you get support and the meds you need. X
karen32905 nikki30670
Posted
Wishing aga the very best of luck for tonight 😘🤗
edwina97301 nikki30670
Posted
Hi Nikki and ladies, your right, if you've been taking diazapam for a while and taking every day you will eventually have to cut down or taper off if you want to stop. Never stop this benzo cold turkey. If it's helping you through this bad patch, great , but if you start relying on it to sleep you may dread trying to sleep without it. Diazapam works best if you take it maybe when really anxious but not constantly. I didn't sleep for weeks once, maybe an hour then would wake in a panic, eventually got better, was a case of watching TVs, etc till I nodded off, hope you get good sleep soon , it's half the battle .??
karen32905
Posted
Well hooray he listened!
Not changing any medication at the moment, I did say that maybe the Escitilopram was beginning to kick in, but it's difficult to tell with taking Quetiapine too.
He was just happy that I was not in such a state as I was last time he saw me!
Oh and got Diazepam too!!
Hugs 🤗
ann55375 karen32905
Posted
i have to meet someone ive not seen for a couple of years later today, my diazepam will help. This didnt used to be a hassle, cant understand whats gone wrong, hey ho, see how it goes.
karen32905 ann55375
Posted
Thank you Ann.
Yes the Diazepam is a safety blanket , they are only 2mg ones.
Oh I hope this afternoon goes ok for you , I know the feeling! I never used to feel like that either, I do often wonder where it all went wrong too, I've always been anxious but never to this level, it never used to stop me from doing things like it does now!
Hugs 🤗
nikki30670 karen32905
Posted
Hey that's good news about your appointment, Karen!
Pleased you got some more diazepam and that your doc noticed a bit of an improvement in you. It's good you're not making any changes right now too. I hope and pray those good signs increase for you, like the reduced tummy churning etc.
I've been getting by ok today after my usual rocky start. Hoping my gp phones soon as I don't want to miss him and not get my represcription. Just feeling sleepy now!
I hope you can have a bit of sleep this afternoon Karen. Well done on getting your appt done and your gp to listen! X
karen32905 nikki30670
Posted
Thank you Nikki ??
I hope your Dr rings soon and you manage to get some Zopiclone.
Glad your day has improved a little too.
Today I feel there is hope for us.
Hugs 🤗
nikki30670 karen32905
Posted
Thankfully my gp phoned about 3, got a represcription, phew!
I took a diazepam and had a sleep. But I've woken up all anxious again and a bit down. It was the same yesterday. Funny how the routine changes a bit. I'm hoping it eases after I've eaten. Just doing a basic dinner tonight! As is the way at the moment. Not much appetite but I'm so hungry!
Is this shifting around of mood/ anxiety usual for a change in med? It's a week now I've been on the new levels/meds.
Just longing for a bit of stability. X
karen32905 nikki30670
Posted
Hi Nikki,
Glad you got your prescription!
Yes this change in mood etc is normal with changing meds unfortunately!
Hopefully it will settle soon, it's the anxiety on waking that gets to me!
At least your eating something , which is good.
I haven't had a sleep today to see if I sleep any better tonight, probably won't make any difference lol.
Hope your evening and night are easier.
Hugs 🤗
nikki30670 karen32905
Posted
Hi Karen
I am really looking forward to the day I enjoy my meals again! Just shovelled down my breadcrumbed fish n baked beans lol. I'm glad my son is happy with things like that!
Yeah that waking anxiety is the pits.
Thank you for your reassurance.
Does anyone else find it hard to enjoy much on tv? Sometimes I can get absorbed by something but it's got to be sometimes really light and gentle.
I hope you do get a bit more sleep tonight. Or a lot more!
??
karen32905 nikki30670
Posted
I can't enjoy much on TV, find myself avoiding certain programs I used to enjoy, can't concentrate to read a book either, which I used to love.
I must admit my appetite has come back, I think it's the
Quetiapine.
Fingers crossed I'll get some sleep, but I'm not building my hopes up!
Hugs 🤗
But I've got no interest in cooking anything, hubby has been doing the cooking.
nikki30670 karen32905
Posted
Yeah I can't watch a lot of stuff I used to. Though I did just enjoy a bit of Gardener's World! My concentration is so disjointed though!
That's brilliant your appetite has come back. I've read it's things like that that might start settling first and is a sign meds are working. I must admit I get the munchies late evening when I really fancy something yummy which is a pleasant feeling.
Here's for some sleep and waking less anxious 🤗??
edwina97301 karen32905
Posted
Hi, just me, glad you ladies are getting your appetite back, sounds like you could be past the worst, once my appetite Came back I improved daily, got stronger, slept better , energy came back and could think more rationally without being in blind panic. Fingers crossed for you all, your such a great supportive little group, watching my late night tv🙄Then off to bed.??
edwina97301 nikki30670
Posted
Hi Nikki, are you still on 🍌 bananas, following your posts, your all doing great, if you look back on old posts you can see the great progress and support??
nikki30670 edwina97301
Posted
Hi Edwina, thank you so much. Yes, had my bedtime banana 🍌 about an hour ago 😊 I have noticed a bit of an improvement in the restless legs. Plus I'm enjoying eating bananas again, I hadn't had any for months!
Will start bedtime routine soon. Been watching late night tv too. I've got BBC4 on now. But need to get son and dog and myself off to bed soon, think I'm putting it off as I've enjoyed the last hour of tv and nice food!
Thank you for your wonderful encouragement and support Edwina ??
edwina97301 nikki30670
Posted
Hate this, keep pressing something and it wipes real out and have to go all way. Ack again. Anyway , night , night, hope you sleep well, one of my dogs is telling me it's bed time, was going to watch bit more (repeats on to) think I've seen everything even shopping channels ( food mixers , ovens, hoovers) . If anxiety doesn't drive us mad that will.🙄😊??
edwina97301
Posted
Meant wipes reply out😬??
nikki30670 edwina97301
Posted
Hehe, I've done shopping channels before too. Time to tuck the doggies up. Mine's taken herself to bed. Night night and sleep well X
karen32905 edwina97301
Posted
Hi Edwina,
You are constant positive to us.
Proof that we can get through this, hopefully !!
Think I go to bed too early , about 10/10.15, might try staying up a bit longer tonight as awake at stupid hour again.
It's lovely you and Nikki have your dogs, I have cats and I swear they sense whim not right as they are constantly on my lap or trying to get next to me .
Hope you all had a restful night.
Hugs 🤗
karen32905 nikki30670
Posted
Morning,
Another night pretty much the same sleep pattern for me.
Hope everyone else had a restful night.
Niki the churning is definitely a lot less now and the waking anxiety is not quite so bad, so hopefully things are beginning to settle.
Hugs 🤗
ann55375 karen32905
Posted
I am pleased for you, sounds like you are turning a corner at last. I wish i could find a deug which did that for me. Can anyone tell me why i go tombed quite ok can laugh at tv then wake feeling down and anxious? Been the same on all doses of mirtaz. I take diaz about 3am to get to,sleep, maybe its the culprit?
i wake every day from light dream of my past friends, socialising good then find myself crying awake as i realise that's not the case now.
At least your life is coming back now.
nikki30670 karen32905
Posted
Morning
That's such good news Karen, about the churning and waking anxiety! Yay. Such a positive change.
Mine was still pretty strong and I'm just up and it's still with me. Same pattern.
I find my thoughts on waking are often about past sad stuff, I'm not trying to think about them, they're just there. Is this part of the anxiety? I don't want to be thinking about the past, it just comes up. I've had counselling in the past about it all, I just want to move past it, which is why I'm wondering if it's just what anxiety does.
That's lovely you have your cats. They are sensitive creatures aren't they.
Hoping my anxiety eases off again. X
karen32905 ann55375
Posted
Hi Ann,
I'm not even sure if it's the Escitilopram or the Quetiapine that's helping at the moment!
I was ok on 30mg Mirtazapine it was when they put it up to 45mg it all started to go wrong!
What dosage are you taking?
I still have to take Diazepam about 5am and during the day though!
I think there is still a long way to go as still very jittery and still getting anxious.
It's such trial and error with these meds, I wish they had left me on Trazadone to be honest.
I hope your day is brighter.
Hugs 🤗
karen32905 nikki30670
Posted
Hi Nikki,
That's exactly the same as me, I think about the past and my anxiety kicks straight in.
I think they call it remuneration???
I've had counselling too, I had bereavement counselling regarding my mum.
And I was paying for a private counsellor for the anxiety, she was lovely as she had suffered herself too so understood, but I couldn't afford to keep going with not being able to work.
I hope your anxiety settles soon for you.
Yes, my cats are very sensitive and mischievous 😏
Hugs 🤗
ann55375 karen32905
Posted
karen32905 ann55375
Posted
That's good Ann.
As I'm convinced my Dr taking me off Trazadone cold turkey really messed me up to start off with.
Then coming off Mirtazapine over a week was too quick too!!
If I knew then what I know now I never would of done any of it like that!
Hugs 🤗
nikki30670 karen32905
Posted
Thank you for sharing that, Karen. It's reassured me that it's not just me. But I'm really sorry it's what you experience too and I'm very sorry about your mum.
Private counselling is so expensive isn't it. I'm meant to be hearing from my community mental health team soon about some sort of support but I think they're so stretched for resources. I don't really want to go over the past again, I'd like help to be able to move forward positively though.
Well I just managed to eat my breakfast. I've been doing some craft stuff to give me some focus.
Cats are so funny aren't they. I like your description of them being mischievous 😊
I hope everyone is getting by ok so far today. I've still got underlying anxiety that goes up a bit here and there.
I'm really hoping my body is adjusting to things. I can't help but wonder if the Mirtazipine is still too much for me but my gp said yesterday let's not change anything yet. I'm hoping another week and I'll have an idea if this mix is going to be positive for me going forward.
Big hugs for today 🤗
edwina97301 karen32905
Posted
Hi Karen . Was it you that got private message off that plonker. Thanks for letting everyone know. Read Marlene's reply,she's very supportive and positive. it is hellish at moment, won't be forever, just seems like it at mo, but your another day in.can't wait for you all to come out other side , I have some trusty lavender oil. Has anyone heard fromAga? Hope you all get some decent sleep( was going to send a sleepy, snoring emoji but can't find one). 😴/ cancel thatabove, found one??
karen32905 edwina97301
Posted
Hi Edwina,
Yes it was me who got the message, people like that make me angry 😡 I know all forums get them, but as there are so many vulnerable people on here it alarmed me that someone might fall for it!!
Marleen has definitely given us hope too, it's so helpful when you read someone else's experience and know there will be light at the end of the tunnel!
Although I'm up early I did sleep better 😊
Hope you are also doing well Edwina.
Hugs 🤗
karen32905 edwina97301
Posted
Hi Edwina,
Aga is doing remarkably well.
I don't want to divulge too much as obviously it's her decision if she wants to share it.
But she is definitely one very strong , determined lady.
Hugs 🤗