Mirtazapine 15mg down to 7.5mg

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Hi there. Just looking for a bit of advice on Mirtazapine. I know we all have different reactions to meds so it's hard to get a definite answer, Im just looking for user opinions at this dose. I've been on this med before, but it was 10yrs ago and I was on 30mg for about 6 months and then down to 15mg without much problem, i came off it very slowly though. I'm currently taking it for anxiety due to cannabis withdrawal (long term use) and also peri menopause symptoms (hot flushes) I decided on a low dose of 15mg have been on that for a week, all good at this dose, but I can feel myself getting bloated and getting some muscle cramps in my legs at night and to be honest I want to spare myself a long withdrawal when I decide to stop taking it! I'm wondering how I will go at 7.5mg.. last night I only took 7.5mg, I woke up a few times during the night so not the best sleep and am feeling a bit dizzy today, wondering if that will subside ? Does anyone have experience with being on a regular dose of 7.5mg ?

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  • Posted

    I took 15 for two years twenty years ago and it worked.  Move on to now and i have had difficulty with anything above 7.5, i get anxiety the higher i go so im on 7.5 for months.  Sleep is ok but anxiety is not. So i think it depends on what youre taking it for.  Never had dizzy spells. Answer is try it and see how it goes, you can always increase, drs always start on 15 as its supposed to be the therapeutic dose.  There are many on these sites never get above 7.5. Hope this helps
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    • Posted

      Thanks ! I took 15 last night and had a perfect sleep, but strangely my anxiety seems worse today.. I noticed it because I have an ectopic heartbeat (skipped beat) and it seems to be a lot worse today, it's usually bought on by anxiety. I think I'll drop back to 7.5 for the rest of the week and see how I go.

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    • Posted

      That was good you had a better night on 15.  I had been trying 15  on a few nights recently and did sleep well but i really want off this as it makes me feel terrible the rest of the time.  I have dropped down to 7.5 again and the sleep is awful, wake in nght, take diazepam, then wake with awful nightmares, i know this is a mirtazapine thing but its so horrible.  Sych wants me to increase it, gp suggests lowering dose.  I am just lost, but i do know i would like to get rid of it.  Did you say you were cross tapering i am afraid i cant remember.  Another norrible day ahead, roll on evening.  What will you do, 15 or 7.5
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  • Posted

    To be honest I don't know what to do ! The reason I want to try stopping it might sound crazy but I am one of the one in 1000 who suffered hair loss previously when I was on it, it was considerable and I don't want to go through that again.. I think what is happening with me is it's my hormones I am 48 and I think I am just starting perimenopause I have noticed when my progesterone / oestrogen is at the lowest in my 'cycle' that's when I feel my worst and the anxiety is unbearable,, so I'm not sure what to do, but right now I just want to get off the mirtazapine and save my hair. Tonight I will take 7.5mgs and try and wean myself down from there, once I am off it I think I will look at hormone balancing as a solution, will have to see a specialist though

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