Mirtazapine 'cold turkey' withdrawal hell advice needed please

Posted , 2 users are following.

Hi, I was on 15mg of mirtazapine for 10 weeks, upped to 30mg for 2 weeks, started noticing some visual disturbances (seeing after images a lot, patterns vibrating, moving dots in the sky) so doctor said to go back down to 15mg for a week and then switch to 50mg of sertraline to see if the mirtazapine is the cause. Straight after going down to 15mg I started getting constant (every 10 seconds or so) muscle tremors through the night in random parts of the body which woke me and kept me awake. I told the doctor who didn't mention that it may be withdrawal and told to come off the mirtazapine after 4 nights and been on sertraline for 5 days. After reading, other peoples posts I read of the horrors of coming off these. My anxiety has spiked, having hot flashes, no appetite, nausea and headaches. Worst of all though I've had a full week of these muscle tremors which are really scaring me now and causing no sleep. Phoned 111 yesterday and the doctor said its withdrawal and will last about a week(!?) and prescribed 4 lorazepam to give me some sleep and told to go down to 25mg Sertraline. I'm wondering now though whether I should go back on the mirtazapine again instead maybe in a smaller dose and taper down?? I'm really worried about what is happening in my head/body and what damage may be being done :-(  has anyone else experienced such constant tremors coming off? Have been reading about people saying to reinstate, have I been off them too long to go back on and should I just stick it out from here?? I didn't want to go on antidepressants  in the first place but gave in to the pressure - really wish I'd never taken the things now  :-( 

Any help/advice much appreciated

0 likes, 6 replies

6 Replies

  • Posted

    How long have you been off?
    • Posted

      if you've only been off 5 days then that's not really a long time at all... reinstate.

    • Posted

      Thanks Jeffy, what dose would you go back on??
    • Posted

      I don't like giving that kind of advice.

      I would try 7.5mg though, but that is me.

    • Posted

      I would try to hang on a few more days though since you haven't been off for long.

  • Posted

    I've read so many horror stories since about people who went cold turkey and these muscle twitches/tremors seem to be getting worse if anything so is a bit scary. I've spoken to the doctor since who doesnt think it's a withdrawal symptom but said I could go back on 15mg if I wanted. I really don't know what to do for the best :-(

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