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hi all, i've been coming off mirtazapine under community mental health team.
Been on mirtazapine for over 6 years, mostly 15mg for sleep but recently 30mg and then 45mg for depression. wasn't working so psych said to drop from 45mg to 15 mg overnight. wasn't sure but she insisted.
never had mania before, i went manic 5 days after the drop and they said go back to 30mg, took a week to stop mania/hypomania (no psychosis). got over that, 2 weeks later they said to drop to 15mg, was ok apart from headaches/diarrhea/sleep disturbance, week later dropped to 7.5mg for 3 days, then 0mg, the week after went manic, then crashed the next day, went up again manic yesterday crashed the same day, now i feel like i've had my power cable unplugged.
also been having normal discontinuation stuff like cracking headache, diarrhoea, thirst, nightmares, no appetite, sleep disturbance,muscle tension and dizziness and weirdly one spontaneous orgasm, but compared to the mania/hypomania/crashing its nothing.
they gave me some diazepam but i don't want to take it because they want me to get a medication free baseline period and i don't want to mask symptoms.
they're saying its a rare discontinuation syndrome but haven't said how long it will last. i called them yesterday to tell them the mania was back but they didn't call me back and now its the weekend. tbh i'm getting a bit scared and not sure what to do. each high seemed to be a few days after a drop in the mirtazapine and i've had a high after the drop to 0mg now, so i'm hoping this will be the last one.
have any of you experienced this before? there's not much on the internet or in the scientific research papers.
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