How do you know when it is safe to taper again?z

It's tricky because you were on 15 for a relatively short period and want to get off as fast as possible before the drug really gets integrated into your system, causing more withdrawal. It sounds like it already has by the sound of your symptoms. From the withdrawal support forums, they say it takes at least four days for your system to register a dosage change, and then you need to let your system heal from that change before moving on to another cut, 3 weeks. Then, you only want to cut again as long as you settled out and aren't having obvious withdrawal. Diarrhea is a wd symptom of Mirt, but if it were the ONLY one, you might be able to go ahead and cut again.

Just think of it this way: If you are having uncomfortable symptoms, that is a sign that your system has been destabilized by the cut, and to do another cut would only destabilize it further before it has had a chance to heal/adapt to the previous cut. It is very much a "listen to your body" situation. For those who aren't having significant wd symptoms, by all means get off as fasts as possible when you've only been on the drug for a month or less. Problem is, Mirt gets its hooks in pretty quickly, as short as two weeks.

The reason we have withdrawal coming off these drugs is due to dependency, though not the same as opiate addiction because with that type you have cravings. Nonetheless, the nervous system adapts to the presence of the drug by making modifications to the nerves to try to bring about homeostasis. This is actual remodeling, and so when you cut the drug you are left with those changes unopposed by the drug, which causes the symptoms until your system reverses the changes to match up with the new level. If you do too big of cuts, it is very destabilizing because it isn't just about that one neurotransmitter (serotonin) being adapted back, but all the others that have feedback loops with that one. It takes time for all the reverberations to settle out!

I worked my way up to 37.5 mg over the course of a few weeks and then was on it for 6 weeks with my symptoms worse, at which point Effexor was added back in. Turns out I was in withdrawal from Effexor, having come off it 8 months prior. At any rate, I wanted off the Mirt and learned about the 10% rule so began following a 10% taper. In hindsight I wish I had gone a little fast since I hadn't been on the drug that long, but I did experience wd even with 10% cuts though not severe.

You want to be successful, so listen to your body!

I was on mirtazapine 15mg for 3 months. Doctor just took me off it cold turkey. told me I wont experience any withdrawal as I wasnt too long on it. How wrong was he. But some people dont have any side effects when they come off it. Why dont you consult it with your doctor ? you should never come off medications on your own.

Have you only been on mirtazapine for 3 weeks ? smaller dose of mirtazapine always works more sedative maybe thats why you experience all these symptoms. I doubt you will have withdrawal from being on it for 3 weeks. More likely you are still having side effects from mirtazapine which are all you have described.

To taper down my advice is to listen to your feelings your having and if it feels right and your ready then taper down... But please TRY to avoid the scare storys as it wont help and of course every one is different so what works for you might not work for someone else.