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

    Morning everyone,

    Hope you all had a restful night.

    I was still awake early but think I had a better quality of the sleep I did have.

    It's lovely and sunny here at the moment so might try to go for that walk today!!

    Three weeks today on Escitilopram!

    Seeems like I've been going through this much longer though!

    Hope everyone has a good day.

    Hugs 🤗 

  • Posted

    Thanks for all that info. I really appreciate it. Its awful feeling like this.

    yes im still needing the diazepam during this lowering. I am so unsure whether to continue at the lower ad level, or go back up, even though it wasnt helping.  I aso would rather not need the diaz to get through.

    heres hoping its only withdrawal and will get better given time.

    thinking of you too going through this is no joke.

    any help appreciated

    • Posted

      It certainly is horrendous Ann that's for sure!!

      Apparently Escitilopram is better for anxiety, allegedly!

      I try to leave off the Diazepam for as long as possible too, but still need it to take the edge off, it's only 2mg.

      Gosh can't remember what it's like to feel 'normal ' !!

      Flipping smoking more too, which doesn't help with the adrenaline!!

      Hope your day is ok.

      Hugs 🤗 

    • Posted

      Hi Karen

      I can't find your post from earlier today to reply to! I had a visitor today, family member who I can be myself with, so I've not been on to respond. I'm absolutely exhausted as still unable to sleep or switch off in the day but it was good to have company. 

      I've noticed I get a real rise in anxiety and my mood drops mid to later afternoon. This has to be a chemical thing! 

      I've not taken my anti sickness pills today as couldn't face the drowsiness on top of things (after all that getting them!). At least I've got them now. 

      I've been thinking of you and all the ladies here today.

      I will say to Ann that I've found Escitalopram brilliant in the past, am just hoping it'll be that way for me again. 

      I'm sorry if this is a bit disjointed, I'm finding it hard to think.

      How is everyone doing? 

      ????

    • Posted

      Hi Nikki,

      I'm glad you had some company from someone you could be yourself with, it helps a lot I think.

      At least you have the anti sickness tablets there if you need them.

      Not been the best of days for me, hoping I get some sleep tonight, it's becoming a real issue now.

      Hoping everyone has a restful night.

      How's the churning Nikki?

      Hugs 🤗 

    • Posted

      Bless you Karen, I will pray you get some half decent sleep tonight. I wonder if your doctor will give you something for sleep until things have settled. Something that won't clash with the Quetipine (has to be something!). 

      My tummy's been churning through the day. Tonight the lump in my throat seems to be worse. Though I do still think the churning isn't as instant and powerful when I first wake.

      Here's a big hug 🤗 I'm thinking of you. X

    • Posted

      Hoping today will be better for all.

      i am just the same, cpn yesterday told me to stay at level im at and see dr in two months to report in!   So i find myself either having to cope or only other option is crisis team and they just say take more diaz or if really bad try to take you into hosp which is not. What i want.

      i havent had escitalopram. But have had many others.  Sounds like it makes you very nauseous to begin with but once you are a few weeks in it seems to work.  I am keeping hoping for you all that we get through this awful phase.

      not sure where you all are but im up north and its been a bit chilly during night and watery sun now.

      good luck all, keep pushing, i am doing my best.

    • Posted

      Hi, that was good you didnt need the anti sickness pill yesterday,  yes they do make you tired, alongside diazepam and the mirtazapine i am half here some of the day.

      i am scared to ask for escitalopram if it makes me nauseous when starting.  Not sure if i can have it due to warfarin either.  Next appt isnt till october with psych and no drug change till,then.

      can i ask if anyone gets really nervous about little,things, normal things. I cant even go to have my hair done, used to be such a pleasure but something inside saying too scared to go, dentist too. Meeting old friends even for coffee is a big deal.  Need diazepam.   How on earth did this happen? I was fine with all these before.  I am assuming it is anxiety and dr says its 80% anxiety but has brought on depression.  Nobody knows how to fix it.  Friend asked me to go to yoga class but i cant face it and ive put on loads of weight with mirtaz.  Just got to get through this.

    • Posted

      Hi Ann

      Oh yes the smallest thing even doing stuff at home feels too much and going it is super tough. I have to try to get to the chemist later and have been putting off going to the vets to collect some things for my dog. It's not just the anxiety though it's the fatigue, I need to get a window where I'm not too fatigued plus can push through the anxiety.

      I find self care hard with the anxiety, like doing my hair and things. 

      It is closely linked to depression. Anxiety can cause it because it's tough and also can just be part of the same bag. 

      But anxiety is so much more than most people think. It's not just worrying about things. It's a full on experience!

      I have certain places I can go or things I can do that I can just about handle (go to local shop or park to sit in bench for a little while) but others I wouldn't entertain when like this, just too much.

      It's not us, it's the illness. And it is Anxiety. Like me, you probably question if it's something else it feels so bad, but it is what your doctor says. 

      I phone a helpline some days, just to talk to someone and it helps to get a bit grounded and hear a reassuring voice. Samaritans. They're just good to talk to. 

      You will get back to doing the things you used to do, we all will, but take things in little chunks and try not to put too much pressure on yourself to do big things (big for us). 

      Keep writing on here too, so many of us on here experiencing the same. I'm sending you a big hug 🤗

    • Posted

      Hi Ann, 

      Let's hope we all get through this horrid phase and soon!!

      I don't go out either, pushed myself to walk to local supermarket the other day by myself, had to take Diazepam first though!

      Nearly turned back a few times but persevered!

      All we want is to be our old selves again isn't it?!

      Hope your days goes ok.

      Hugs 🤗 

    • Posted

      Hi Ann,

      I'm in Gloucestershire, was wet first thing here, but now a breezy but sunny day.

      Hope your day is going ok.

      Hugs 🤗 

  • Posted

    Morning ladies

    Just up after an uneasy night. 

    Anxiety is right up. When will this settle?! 

    I didn't take any diazepam yesterday. I generally take one or two. Is it a bad idea to have missed a day? I wanted to see if it helped me feel less depressed. Maybe too early to tell. 

    I was so sweaty again last night and wondering if it's missing the diazepam or just the way it is right now with meds adjusting and anxiety.

    Pretty worn out. X

    • Posted

      Oh no Nikki poor you 😢

      I would take some Diazepam today, if you've been taking it regularly it's not a good idea to just stop.

      It could be why you feel so bad?

      My night wasn't too bad, still up early and had tiny waves of anxiety which passed quickly.

      I hope your day gets better.

      Sending massive hugs 🤗 

    • Posted

      Thank you Karen.

      Yes I think I will take one today. Like you say, not good to just stop. I was hoping I'd be able to cope and eliminate one thing from my system but I'm not up to it yet.

      I'm glad your night wasn't too bad and that the waves of anxiety passed quickly. Seems like you're experiencing that a bit more.

      Big hugs to you 🤗

    • Posted

      Hi Nikki,

      Hope you feel more settled now.

      Yes, I don't know why I keep getting this little waves? There not very intense, I can just feel them??

      Just walked to the supermarket and back again.

      Got half way there and realised I didn't have my  Diazepam with me, but I carried on anyway!

      Hugs 🤗 

    • Posted

      That's brilliant Karen! Well done. 

      It seems like the little waves of anxiety are better than they were? I imagine it means things are getting to work and it's a little breakthrough anxiety, I expect that'll lessen too.

      I was pretty restless and knew I had to get to the vets and Boots for prescriptions so I went out and did both (they're close by). I felt reasonable while doing them. Anxiety kept trying to rise up but I got through. 

      I'm really hoping I can have a little sleep after lunch but I think that might be something that comes for me further down the line. My head's too active with anxiety stuff to shut off in the day it seems. 

      I'm really pleased you got out to the supermarket Karen! ??

    • Posted

      Thank you Nikki, your support means so much ??

      Well done to you too on getting out 😘

      I might try to have a little sleep too, I'm shattered after all that walking!

      I hope your anxiety settles a little this afternoon.

      Hugs 🤗 

    • Posted

      How has everyone's day been?

      Hope things have settled for everyone for at least a little while today.

      Mine hasn't been too bad, didn't manage to nap this afternoon even though I'm shattered after that walk!

      Got Drs tomorrow, hope I remember everything I need to say to him, hubby will be with me and he usually remembers things I've forgotten.

      I really need to rebook my mammogram but don't know if I can face the stress and worry of waiting for the results at the moment!

      Hugs to everyone 🤗

    • Posted

      Hi Karen, I can understand why you're not sure if you can face the mammogram and wait for the results. Is it worth asking your GP's advice? I wonder if you can put it to one side for a few days and then see how you feel? 

      I couldn't sleep again today. I rested as best I could. 

      I don't know when I'll speak to my GP again. He doesn't have any face to face appts until September! I'm hoping he'll call me next week.

      I am confused about the diazepam. I felt clearer headed without it but don't want to end up giving myself more problems by cutting back. Hmm.

      It's good news your day wasn't too bad 🤗

    • Posted

      Yes I'm going to mention the mammogram to my Dr tomorrow.

      It's difficult to know what to do if you feel more clear headed without the Diazepam but really need it to help with the anxiety.

      That's both of us unable to sleep today, we'll be shattered!

      That's the problem when your Dr only works a few days isn't it, it's so difficult to get a appointment, that's why I book mine in advance.

      I hope you feel more settled tonight.

      Hugs 🤗 

    • Posted

      I only just saw a post you'd written yesterday I think in reply to me! 

      I'm feeling quite drowsy now but that'll be the diazepam! 

      I think I started to get overwhelmed by the thought of the path ahead with the mix of the meds I'm on and worrying about it. 

      I hope you have a more settled night X

    • Posted

      Thank you Nikki 

      Hope your night is settled and tomorrow is a brighter day.

      Hugs 🤗 

    • Posted

      Morning everyone,

      Well another night with rubbish sleep gggrrr 😡

      Getting me down now, going to talk to the Dr about it today!

      Hope everyone else had a restful night and is feeling ok this morning.

      Hugs 🤗 

    • Posted

      Hope you come out of drs with some help today.

      question forcall - coming lower down on mirtaz can you feel like youve got a cold i e sore throat, sweating in night etc?  

      Feeling downntoday but had a rubbish sleep and feel like ive swallowed a stone.

    • Posted

      Morning Karen and all

      I'm sorry you had such a rubbish night again. You must be so fed up with it now. I really hope your doctor has something helpful for you. 

      I dropped off before I took my Zopiclone then woke up feeling panicky at 1.30. So took it then. Clearly if o didn't have that to take, I'd not be sleeping. Got a bit of sleep but am up with my usual intense anxiety. I'm fed up with this too. When will things improve? Just want to feel an improvement in my anxiety and my whirring head. Pretty worn out.

      Two weeks today on current meds and doses. 

      Hard to believe it's going to improve.

      I don't think my doctor knows what to suggest anymore.  He's holding out for things to improve on this.

      Good luck today Karen. I'm thinking of you X

    • Posted

      Hi Ann

      I certainly have a feeling of a lump in my throat a lot of the time. Night sweats too. 

      I think lowering Mirtazipine causes all sorts of physical feelings. Try not to worry. It may be you have a bit of a cold coming if you have a sore throat. I think it all takes its toll on our immune system as we're changing med doses. 

      I wake up so sweaty most nights. 

      Big hug for you 🤗

    • Posted

      Hi Nikki,

      Jeez Dr was running an hour late!

      He's really pleased with me and said he can see a great improvement, not just that the shaking and intensity of anxiety has reduced, but he can see I'm also caring for myself again, as, in his words " a few weeks ago you didn't care what you looked like " .... yes those were his exact words....... you can tell he's known me for years lol 😂 

      He is sure the Escitilopram is working!!

      Regarding the sleeping, I'm changing the way I take the Quetiapine and taking 4 at night to see if it helps.

      He's going to review it next Friday!

      Hope your day isn't going too badly.

      Hugs 🤗 

    • Posted

      Hi Ann,

      I think I did feel like I had a cold coming when I was tapering, but it didn't come to anything so difficult to tell if it was just coincidence?!

      Hope your day is going ok .

      Hugs 🤗 

    • Posted

      That's all very good news Karen! 

      Lol about what the doctor said 😄 It's really great he can see the improvements.

      I'm so pleased you've got an updated plan with the Quetiapine. Hopefully that will start to help you get some better sleep.

      I'm having what I'd call a semi calm period, since about 11 or so. That morning anxiety is hideous! 

      It's so encouraging for you that your doctor was so positive and could see those good changes in you. 

      Big hug 🤗😊

    • Posted

      Ps I bet that hour wait was hard going! Blimey. Good job you had company X
    • Posted

      Thank you Nikki x

      It does all sound like positives doesn't it?

      Even though some days it doesn't feel like it!!

      I really wish that morning anxiety would calm down for you, I know it's horrendous, used to hit me as soon as I woke up!!

      I'm glad you feel a little calmer as the days gone on.

      What are you doing about your Diazepam?

      Hugs 🤗 

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