Mirtazapine reduction.....help

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I have been on 45mg for 9 months and on 15 then 30 for 9 months previous to that. I'm also on venlaflaxine and diazepam.

I dropped to 37.5mg 2 days ago. Psychiatrist wanted me to drop straight to 30mg. Today I feel more exhausted than I ever have with slight nausea. Is the exhaustion a withdrawal symptom. I was feeling exhausted on 45mg but not this bad. I can barely stay awake.

If it is how long will it last as I have a baby to look after.

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  • Posted

    Sorry for your suffering Sarah. You were so right not to drop to 30 mg !!

    To ease any WD or discontinuation symptoms it is best to do a slow taper, no more than 10% every 3-4 weeks, preferably 4 weeks OR listen to your body and if you are still having symptoms at 4 weeks, wait a while longer.  

    The fatigue you have sure is a symptom of tapering; you have done a 17% drop.  In one way its good you now know that your own body can't really handle a big drop though hey !

    Full informed choice ... click on my name/see the suggestions under my status & follow the links / copy & paste them.

    Wishing you & your baby well smile  


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    • Posted

      If I go at 10 % every 4 weeks is will take 2 to 3 yrs. I wouldn t mind that but I feel so I'll on this drug. The withdrawal symptoms I have now are only worse than how I feel all the time.

      If I were to stick at 37.5 how long would it take to feel back to just feeling crap instead of very crap ?

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  • Posted

    Hi Sarah

    I was on 45mg til june 2016 and when my grandson was born decided to come off mirtazapine

    I didn't know about the forums then so did it my way (GP not helpful)

    I went from 45 to 30mg and started to get anxiety I was on 30 for 2 months then halved and halved again. I now know this was not my best idea. I stopped altogether 6 weeks ago and my anxiety went through the roof and lost my appetite (lost a stone in 2 months) and no sleep.

    I feel your pain

    As Calmer says do a slow taper and let your body tell you what to do. I ignored mine and was determined not to start mirtazapine again. These last 2 days have been great, hopefully I have turned the corner.

    I wish you all the luck in the world and you will get there , just b patient and enjoy your baby who is your inspiration to beat this.

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