How to best taper off Mirtazapine 7.5mg
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Hi, I'm 21, and I started taking 7.5mg of Mirtazapine sometime after the 18th of May in 2021. It's now June 16th 2021, and I'm wanting to stop the medication. I weigh around 80 lbs, so the medication affects me a lot more than other people. The drowsiness effect lasts anywhere between 12 hrs and 14 hours after I've taken it, and it's not doing me any favours on anxiety, depression, or appetite.
I've read that even at a dosage as low as this, withdrawal symptoms are hellish, but most of these reports are from long term users, where I've been taking it for less than a month at the time of writing this. My PCP, the one who prescribed the medication, said that at this low of a dose I could just go cold turkey and be fine, but I'm hesitant to trust this information based on the stories I've read on here.
How quickly can I taper off? I've seen a 10% decrease per month, but I don't want to keep taking this for that long with how many hours of my day it's sucking up. Would a 50% decrease per week be okay? And since the 7.5mg is already half a pill, how would I keep slicing it when the pills are already pretty small?
If it helps, I have some other medications I'm taking listed down here as well, as this may affect some of this. I've been taking both of these for years, Mirtazapine is the only new one.
Adderall XR 10mg for ADHD
Trazodone 75mg for sleep
EDIT: Update 6/18/21
I decided to start tapering at 50% per week. The first day was a lot of crying and anxiety, but no physical ailments. It's been a couple days, and I'm mostly experiencing depression, a lack of motivation, tiredness, and, surprisingly, an increased appetite. Not sure whether these are withdrawal symptoms or merely the effects of the medication. The lingering drowsy feeling i had for about 4 hours after my normal wake time on the 7.5mg dose has decreased significantly.
I'm still seeking help though. I really want to be rid of this medication as soon as possible, and I'm debating going down to 50% per every three days instead of per week. Would this be safe to do, or should I continue with the 50% per week? and once I get down to 1.625mg, would i be able to quit completely after the week timeline, or should i go down to 0.8125mg and THEN quit completely?
EDIT: Update 6/22/21
Decided to stop completely on the 19th, felt wonderful that first day. Felt a little lousy the second day, but after that I have no withdrawal symptoms.
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