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A number of people have asked for withdrawal advice thinking it is a mine field, it isn't, if followed slowly and carefully it is pretty straight forward.
Mirtazapine is available in 3 different forms, tablets of 15, 30, & 45mg, Sol Tabs which can be dissolved and liquid. The liquid is very expensive, only available in the UK, and doctors are reluctant to prescribe it because it costs approx £66. Maybe you could get the latter on a private prescription - beware that the liquid, once opened only lasts for 6 weeks, which may be an issue once at the lower end of the doses.
Sol Tabs can be very useful if you are withdrawing, or maybe even if you are changing doses. SolTabs dissolve very readily in water but they settle due to the fact that Mirt' is not soluble. Ora-Plus suspension liquid, available from amazon (around £19) will help with this, it does keep the Mirt suspended long enough to dose accurately.
For every milligram of Mirt, add the same amount of liquid
I would suggest half water and half Ora-Plus
So if you want to taper from 15 mg less 10% = 13.5 mg
Mix 3 x 15 mg (45 mg in total) Sol Tabs of Mirt with 45 ml of water
Each nightly dose is 13.5 ml - using a 20 ml syringe draw up the 13.5 ml
The method above is enough for 3 nights, throw away the remainder, and on day 4 start agin. Of course you can adjust how many Sol Tabs you use as and when necessary.
*You will need a 20 ml syringe and also a 1ml syringe with markings on at 0.1ml intervals
*A small accurate measuring jug or medicine cup with measure on.
If you are tapering from 30 mg less 10% = 27 mg = 27 ml
Liquid Mirt' is ready to use, but the ml to mg is different and needs working out, for instance 12.75 mg Tablet = 0.85 ml liquid Mirt, 7.5 mg tablet = 0.5 ml liquid Mirt. If anyone wants the breakdown I'm happy to share/send my copy.
People who have been on Mirt' for a considerable time, especially if over a year, would benefit from doing a slower taper of 5% every 2-3 weeks (me also), or maybe those of us who are sensitive to the drops.
Happy to help if anyone needs more info' ~ wishing you well, as always.
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