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Going from mirtazapine to amitriptyline for sleep - how to taper?

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jo66327
jo66327

When I hit menopause I also hit insomnia in quite a big way. I started amitriptyline 10mg and that seemed to help to a certain extent. However, I started getting a condition called cervical dystonia, which can be caused by ami, so I was advised to go onto mirtazapine 15mg instead. I took that for 5 weeks but my sleep was not good, so I asked to go back to ami and the GP switched my prescription back.

My sleep has just crashed since switching, and having read around, I realise that I could be suffering from mirtazapine withdrawal as there was no tapering. I have had a look at the 10% tapering withdrawal method and that looks like a good way to go. However, my question is, how do I toggle that with the ami? Should I start the ami with 10% of the prescribed dose and build it up as I reduce the mirt?

Huge thanks in advance for any help - there's so much useful information here!

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  • jo66327
    jo66327

    Posted

    Also, I wonder if going back to the ami is a good idea or not? This withdrawal business is a real eye-opener to me and I wonder if there's something that would help with my sleep that doesn't come at such a high cost to my wellbeing?

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