Coming off of Mirtazapine 30mg...

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Hey all, I've been on Mirtazapine 30mg for over a year and I have spoken to my Dr who told me I should take 15mg for 2 weeks and then drop down to 15mg every other day for the remaining days ( I have 21 pills). Does this sound correct? Or have I not remembered the instructions correctly?

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8 Replies

  • Posted

    Sounds a bit quick. If you google mirtazapine tapering you will see people going much more gradually. Expect they are advising that because you can't get a smaller dose than 15mg that easily. I believe you can get an oral solution of it according to NHS web site which would enable a more gradual taper. Apparently you should wait two weeks after every reduction so you stabilise.
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  • Posted

    I agreewith h9000. That sounds far too fast and you are likely to suffer unpleasant withdrawal sympptoms. I would maake another appointment asap to discuss a slower taper and the possibility of getting the oral suspension for the final few weeks. Good luck and let us know how you get on!
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  • Posted

    I agree with h900 and evergreen. I tried something similar and got unpleasant withdrawal effects so am going much slower. Having no problems cutting the 15mg tablets (despite the chemist telling me not to!) so dropping from 2x15mg tablets (30mg dose) a night to one and three quarters (approx 25mg)three times this week, then will be every other night, then every night, before next drop to one and a half. You might not need to go that slowly, but I'm being careful.
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  • Posted

    That's too fast. Maybe check in with your doctor again to clarify the instructions. You should taper off more slowly to avoid awful withdrawal symptoms.

    I'm also coming off 30mg at the moment. I was on that for one year. Right now I'm down to 7.5mg and it's going well. My doctor advised me to take a minimum of TWO WEEKS for every phase. Some people do three weeks, which is probably more sensible, but I wanted to get off them faster so I did two lol. But it was totally fine.

    My method:

    1st stage: two weeks on 15mg

    2nd stage: two weeks on 7.5mg

    3rd stage: two weeks on 3.75mg

    4th stage: 3.75 every second day for a week

    5th stage: none!

    Good luck.

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    • Posted

      How did your taper go? I've only been on them for a month, but want to know if your method worked with minimal side effects so that I can replicate it. Thanks.
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    • Posted

      Hi Sapphire! I know its been about a year that you sent this thread but wanted to know what scale you used for your taper? I am also on 30mgs of mirtazapine for about a year and have gained 15 pounds so am really anxious with starting to reduce the meds. I am on these meds orignally bc I was dealing with nasty insomnia for 9 months.
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  • Posted

    Thank you... The consensus it seems is to go back to my GP.

    I appologise for my ignorance but what side effects have you all had while coming off of the mirtazapine?

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    • Posted

      Withdrawal effects I'm having are brain zaps (like electric pulse through head & body), restless body, dizziness, churning tummy, aching. I liken it to the physical symptoms of anxiety, but without the worrying . I' m only reducing from 30 mg to about 25mg every three days, but I have been on mirtazapine for 6 years. Withdrawal effects started about 2 weeks after first reduction. Hope that helps. But you might be fine!
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