Mirtazapine 7.5MG Withdraw. (Please read)

Edited , 29 users are following.

**Anyone who reads this please do not go cold-turkey from this medication**

I have tried to come off this medication once -- I went cold-turkey without realizing what it would do. I wasn't informed about the withdrawal symptoms I would get if I tried to stop it and If I had known before taking it I never would have considered taking this medication. When I went cold-turkey my following symptoms were;

Insomnia.

Vomiting.

Rapid weight loss.

Panic attacks.

High-anxiety.

Depersonalization.

Derealization.

Heart-palpitations.

I was off the medication for about two weeks and I couldn't take it anymore so I went back on it. I was on 15MG for three years, I cut down to 7.5MG when I went back onto Mirtazapine and this is my fourth year on it. Anyone who says 7.5mg isn't doing anything, you're very mistaken because this dosage helps me sleep and has caused me to put on a lot of weight, too. Now I want off it -- but my question is, how do I exactly come off this medication without experiencing what I did before? I need like a guide on how much I should cut down each week or something, and I cannot speak to my GP about this because as far as I'm concerned my GP isn't well informed about this medication because my GP's advice was to stop taking it after 3 days which I did and then I had that hell experience and he actually wanted me to not go back on it. So I am doing this solo, I just need a helping hand.  

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  • Posted

    I agree, 7.5 mg is a very active dose, doctors say the lowest therapeutic dose is 15mg - right, we know a little more.  You are so right to do your research before starting to taper, Mirt' is an extremely difficult drug to discontinue fast -  however, it is doable if you go slow.  The 10% rule is suitable for most, but some find 5% every 2 weeks a little kinder to the system.  Are you UK?  Liquid Mirt is available here, you could try getting it from your doc, but it is a slow process (don't tell your doc you need it for 9 months + though).  

    Click on my name and read the links under my status for starters, get more info', be ready to do some calculating.  So from 7.5 mg - less 5% - it is 7.12 mg.  Anyone dropping from 7.5 by halving the tablet to go to 3.75 mg is dropping 50% and it will play havoc with the CNS (central nervous system).  Be wise, trial the 5% for 3 weeks to begin with.

    It is poss to make a liquid if you can't get the liquid version.  

    Anyway, I am sorry for your suffering, but don't despair, there is a way to get off this stuff smile  

    Wishing you well.

     

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    • Posted

      Hey there, I am indeed in the UK and I asked my GP before about the liquid form but she declined me and said they don't do that anymore because it's far too expensive. How can you make it? 

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    • Posted

      Could always ask for a private prescription if you have some some spare cash, although it is expensive, I think about £60.  I'll send you a message with instructions of how to make liquid, I think there are a few brand names in them and the Moderators don't allow them here.  

      Wishing you well October et al smile  

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    • Posted

      iv been put on 7.5mg and my weight has spiraled put of control. please can you let me know how to make it into liquid form. so i can start to reduce the mediation

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  • Posted

    Hope its going ok today for you.  I am doing this alone, asked for,liquid but dr just said too expensive. I am very worried i am feeling awful and the nightmare last night on 3.75 was sooo real. Took me ages to try to dismiss awful thoughts.  Is this all part of the lowering?

       Dr gave me diazepam so might be it but people say no, its the mirtaz.   Did you have this when you tried the dropping last time?

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    • Posted

      I did take Diazepam when I went cold-turkey but it only helped for a few hours, although some of my withdrawal symptoms were still there like the derealization and depersonalization part, those were the scariest symptoms compared to the rest and I don't want to go through that again. 

      I'm on day 2 of 3.75 and I woke up with the most horrible headache ever and I'm starting to experience a bit of anxiety so I suspect it's due to coming off the pills. How are you feeling?

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    • Posted

      Yes, i had that headache on wednesday, floored me so much i had to cancel cpn appt as i couldnt get off floor.  Took till evening to start to lift.   Never had a migraine like it.  Still having nausea every morning when i wake.  Holding steady on mirt.  How has your tsper been so far, manageable or awful?  Do you take benzos often.  I have ended up with every day low use so that will be another hurdle.  Meantime i just want to feel like food before 4pm each day.  This is pure hell.  Next cut is seemingly one of the worst so im doing as Calmer says, and going slow.
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    • Posted

      forgot to ask, how long were you in hospital and did you gain any help from it.  It is hoped that the consultants there would be more aware of the problems and able to sort them out. Being under just gp isn't enough, they are not experienced in this withdrawal.  I dont have any other anti dep but this low mirtaz, do you?   I expect at next appt they will try to push another onto me.  I have seen lots of these sites and there are hundreds of people,who just cant tolerate these meds.  Why arent the professionals listening?  Its only about 40 % dont get worse.

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    • Posted

      Being in hospital didn't help me at all, none of the doctors or nurses knew what was wrong and just put it down as panic attacks and mental illness, I ended up fainting one day because I was nausea all the time and wasn't eating so when I went out to pick something up I collapsed in the shops and within 6 hours at the hospital they sent me home and told me to see my GP. 

      The key thing here is to take it slowly. Be patient with it and if you need to take a little bit more, so be it. I hope you are okay.

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    • Posted

      How are you doing now?  I hope your tapering is sorting itself out and youre feeling better.  I am hoping to use Calmers method for final taper. This is a good support system, when you feel all is lost you can talk to others who know.
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  • Posted

    Hi,

    My advice to you would be if you want to taper, listen to Calmer, she knows more about MIRT then any GP or MH Doctor that I have seen. She should be writing a book on this Mirtazapie as she has helped a lot of people who come to this site out of desperation. (like me)

    Good luck to you

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    • Posted

      Thank you Switchman, I'd rather not have had to learn about Mirt' but my doc prescribed it for insomnia back in 2014 & I had no choice.  

      Tapering is not difficult if done slowly, trouble is getting the message to people before they get into trouble with it all - isn't this the doctors role?  Well they are called General Practitioners here in the U.K., but only an idiot Doctor could have missed all the media attention given to coming off AD's & of course Benzo's over the last few years.

      Let's spread the word maybe 😉

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    • Posted

      Hi Calmer

      I am currently tapering off olanazapine. Last dose on sunday. I also take venlaflaxine, diazepam ( 10mg daily so as not to withdraw) and 45mg of mirt. I have been on mirt for nearly 2 years starting on 15 then 30 then 45 for over a year. I do not think it helps much.

      I plan to start a taper once i am off the olanazapine and had a chance to settle. I have managed to get liquid olanazpine. My psychiatrist says i can just drop to 37.5 then go off over a couple of months. I do not believe her. I want to get liquid mirt but it is expensive and from 45mg i would need to for over a year reducing at 10% every 4 weeks. How will they agree to that ? I am in the uk.

      I am scared to make a liquid myself incase i get it wrong. I have a toddler to look after and can t afford to get really ill again.

      How do you make a liquid ? Any other advice ?

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    • Posted

      Hi Sarah

      Olanazapine ... bipolar ?  I know nothing of this med' except the same rule applies to all of these psychotic drugs - do not taper more than 10% every 3-4 weeks, or for those so sensitive 5% every 2 weeks.  Yes you will need to make a liquid or you won't really be able to do the small drops.  Big dips in doses can bring about upsetting and destabilising symptoms for many folk - that doesn't mean to say it does for all.  

      I think you are right to mistrust your psychiatrist "go off over a couple of months" pfff - like to see them do it that's all I can say.  You can use another form of Mirt which dissolves a little easier than the tablet, your doc shouldn't mind giving it to you as its the same price as tablet - its called Mirtazapine Sol Tabs ... I will write up the method to make a liquid and put it on the forum so all can see (not just this thread).  

      Might be best to wait 2-3 weeks after completing the Olanazapine taper as if you then go straight into another drug taper and symptoms arise you won't know what it is from.  

      Look out for the liquid instruction, maybe tomorrow now.  

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    • Posted

      Hi

      I am not bi polar was prescribed it for anxiety. It has not been too bad tapering off a very low dose but not sure how the final drop to nothing will go.

      My cpn said not to use the soluable mirt as not licensed for making small drops. Something about the way it dissolves but not sure if i believe her. Do you think it works ?

      Look forward to your post on making a liquid.

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