Mirtazapine withdrawal
Posted , 136 users are following.
Hey everyone,
I've been on Mirtazapine 30mg since Feb his year but I've had alot of problems with. Ear infections, burning mouth syndrome etc. so my Psychiatrist think's I should come of it. He told me to cut down to 15mg and only take them for a week and then just stop. So I finally stopped taking the 15mg on Mon night and I feel terrible.
It's not just my moods (my depression/anxiety had been great before coming off med), I physically feel really sick, been feeling extremely nauseated and last night couldn't sleep because I kept thinking I was going to throw up. Is this a normal reaction coming off mirtazapine?
Because my depression/anxiety had gotten alot better, we didn't feel the need to just take me off mirtazapine and put on on another drug because I thought I was cured. Plus, I don't want to take any more antidepressants at all really.
PLEASE, any help or advice you offer would be greatly appreciated because I'm really worried now and I don't want to have to go back to taking mirtazapine .
Will the withdrawal last long? How long will it take to fully get the tablets out of my system?
Please help,
thanks,
Star
7 likes, 878 replies
Pauljdme
Posted
: )
mini3585
Posted
As I keep saying and will keep repeating you need time, time, TIME!
I hope you can work out what you want to do, but please stop messing your body about.
I understand about the doubting...I was there about 9 months ago. I have to be careful taking vit/mineral supplements as they trigger tremors and insomnia at times. I had muscle aches and took magnesium 2 nights on the run. 1st night it really relaxed me and I slept well, 2nd night I was up with tremors really badly. Might have been the coffee I drunk too. I will take it again tonight and see what happens, if I am suffering again I will not take it for more than one night at a time in future. It really is trial and error. If I take vit C my head buzzes at night and I cannot switch. I used to take herbal nytol but that triggers symptoms too. I really think that only time, rest, and good diet are the healers. Chin up! It will get better.
christopher12298
Posted
mini3585
Posted
Remember though that w/d anxiety has no trigger, it just happens. So if you get anxious in a certain situation I am sure it is possible to train your body to gradually react differently until you can face that situation without anxiety. In w/d there is very often no such triggers. It happens without warning and without reason - the worst sort of anxiety because there is no explanation to why you are feeling the way that you are. This brings with it a sense of hopelessness and helplessness that you may not get at any other time.
I have spoken to people who have been through benzo and antidepressant w/d. Some have said the antidepressant was at least as bad and for some people worse.
Yes it is normal to have good and bad weeks. It is normal to have good and bad hours and minutes too! W/d is very unpredictable.
I STILL get runs of days where I feel absolutely crap!
Sometimes there are triggers to your symptoms being worse....for me it's tiredness mostly, and supplements. I developed a lactose intolerance during w/d too.
I found at one point when I was working a lot of long hours that that triggered a week or so of bad symptoms. I learned to not take on as much. Heavy exercise caused problems too. I would take it easy at the gym for a while....gentle to moderate is probably ok....some people find too much activates them and they end up 'wired' as you say! When I used to go to the gym I went 3 times a week and I would manage 2 weeks before coming down with a cold virus, I would take a week off or 2 then my fitness level would almost be right back where it started then I would go back and end up ill again. I stopped going. I will maybe try again in about 6 months or so.
Listen to your body and take a mental note of when you feel bad. What were you doing that day or the day before? Has your body responded to that in the same way previously? If so maybe avoid that for a few weeks. Are you tired/dehydrated?
christopher12298
Posted
Last night continued to be a good night. After leaving my moms, I got home, immediately started working on my basement, hanging up insulation. I think keeping busy really helps. I then took a Zyrtec for allergies, took a nice shower. Got into bed, and read a book, put Christmas Vacation on in the background, played on my phone for a bit. Then got comfy, and fell asleep. Sleep is still pretty difficult. I remember waking up many times throughout the night, but remember dreams. I still get bouts of mind chatter/nonsense information flowing through my head at night, but then fall back to sleep, b/c I remember dreaming. Towards early morning, I toss and turn the most. My stomach feels gnawing, like stomach acid/empty. I also remember feeling this sensation all over my body, like mild bad energy, but it's not horrific in my sleep occasionally.
I am tired a lot during the day, but not too bad, but im typically like that anyways. I don't think I'm dehydrated.
How long were you on Remeron again? And I'm wondering why I had such a harder time getting off this time vs. the times in the past.
I've made it this long. So I'm going to keep on trucking.
Also, when you say w/d anxiety comes without reason. Back when I had anxiety 6 years ago, before meds, I didnt know why I was having anxiety though either. There may have been multiple triggers that I didnt realize back then. So it's confusing.
But really, all of this doesnt matter.
What matters is, is that I'm going to do therapy, therapy can not hurt, whether this is w/d or a mix of w/d and anxiety. It may help take my fears away from w/d. I keep obsessing about, how I feel, I obsess about sleep, I obsess about sensations, I obsess about these forums, and am on them constantly. lol. So I've got to learn to break away, and just live.
I'm just thankful that the trembling is gone. That's the worst.
Will keep you guys updated as I go along. Stay strong! Keep your head up!
mini3585
Posted
Started on Risperidone for 'resistant depression' end of Feb 2011
Stopped Sertraline October 2012
Started Mirtazipine October 2012
Stopped Mirtazipine December 2012
Stopped Risperidone March 2013
Lets hope that therapy helps you. The obsession could be worse because of w/d too
christopher12298
Posted
Basically my battle right now is anxiety. And I can't figure out if its still remeron w/d related or just anxiety.
His answer was "it doesn't matter". I really liked this answer! I even feel better!! I think I'm having a mix of both. But I'm obsessed with the thought of w/d, and that in itself IS giving me underlying anxiety which is not helping. He also did a background on myself, some test, and he's almost certain I'm borderline creative genius. With all the instruments I can play, the video production and film awards I've accomplished so young in my life.
But he said its a blessing and a curse. But we are working on all of that.
3 things we are going to start working on.
1. Control thoughts
2. Control adrenaline
3. Calm mind
Also he also said a few other cool things.
"Where my focus goes, my energy flows"
"Fear is the enemy. The opposite of fear is faith"
He also said to turn "what if" thoughts into "so what" thoughts.
Happy healing everyone. Whatever we are struggling with, there IS hope!!
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Dubai
Posted
I have reduced to 22.5mg 12 days back after being on 30mg for 6 months. The reason for my reduction was increased anxiety and agitation, I found MINI's comments Interesting
Quote " I found at one point when I was working a lot of long hours that that triggered a week or so of bad symptoms. I learned to not take on as much. Heavy exercise caused problems too. I would take it easy at the gym for a while....gentle to moderate is probably ok....some people find too much activates them and they end up 'wired' as you say! When I used to go to the gym I went 3 times a week and I would manage 2 weeks before coming down with a cold virus, I would take a week off or 2 then my fitness level would almost be right back where it started then I would go back and end up ill again. I stopped going. I will maybe try again in about 6 months or so."
I feel as if I have experienced the same issue with the GYM and lots of work/activities, I haven't been to the gym since 6th Nov. I joined beginning September and was working out heavily and made great progress, but suddenly the anxiety hit me from no where but I kept at it but ultimately I felt something was wrong.
I'm planning to go back and see how it goes, but I will keep you guys posted.
Never give up
mini3585
Posted
This way it is a steady reduction and gives the body more time to adjust. A reduction of 10% per month is adequate. Some people wait for longer between dose changes if symptoms are bad.
I have unfortunately been suffering from prolonged withdrawal syndrome.
Perhaps you could try going back up to 30mg until your symptoms settle and then reduce by a smaller amount. There is plenty of info online on how to do this with liquid or tablets
Christopher, I am glad you have found someone that is willing to work with you. Be patient...and give yourself time
waza19229
Posted
No perfect English but willing to share my expercience:
I have been om 15mg for a year for anxiaty and depression and withdrawal symptoms took three months after my last dose. withdrawel peaked at 3 weeks, slowly it got better. I tappered down over a month period until 3,75 mg and then stopped. My WD symptoms were, chronic diarea (gave me a perianal abscess!), shivering and racing thoughts.
A certain vulnarability remained, so that now almost half a year later I had to resart again. I have had two months of bad sleep due to becomming a dad of a baby that has to beed fed every three hours and my wife is still recovering.
I only take 3,75 mg and it eases anxiaty right away and makes makes me sleep again after feeding twice a night.
I know that i have to go through WD again later and it was horrific but now I have no choice.
For diarea i took a pro biotic supplement and loperamide. For nausea I took traveler tablets occasionaly, wich are also 5HT blokkers. Also raw cacao beans is good for mood. (but not tasteful)
Good luck all
LondonLife
Posted
jehodiah
Posted
on Mirtizapine 30 mg. now for around four years. I can see that what I am going through
now is Mirtazapine withdraw. I have read some horror stories concerning it's withdraw
before, but never tried to stop taking it until five days ago. I am on a B/P med. called
Clonidine so when I stopped the Mirtazapine I started taking 0.2 mg. of that twice a day
Instead of 0.1 mg. twice a day and thought that would help. I want to get off of Mirtazapine because I now weigh 220 lbs. when I weighed 180 lbs. before taking it. It doesn't matter
how you eat you will still gain weight on this medication. Well I thought I was doing good
until today. I felt fine for four days, but today I have all the withdraw symptoms I read in this forum. I thought the Clonidine was keeping me from getting them, but was I WRONG.
I felt so bad today I thought I was getting the flu, but I don't have a temperature. Now after
reading these post I see what is wrong with me. I always cut the 30 mg. of Mirtazapine in
quarters and took one quarter before bed and one in the middle of the night and two during
the day. I just took one quarter again after reading about what somebody in this forum said about serotonin shock when you go cold turkey which could kill you. It is around four PM
and I just took one quarter. I will take another quarter before I go to bed tonight. I don't
want to take the two quarters I usually took during the day because I don't want to go back
to 30 mg. I will see how this works and wait until trying to reduce any more. I can see like
other post I am in for a long miserable journey getting off of this medication. I even take
Lunesta 3 mg. and still had a hard time sleeping last night. I want to thank all you for
all your post here in this forum which let me know what is happening to me. I am glad to
know what is happening and that I am not getting sick. I have to watch my health seeing I
am a 63 years old man and since I been on Mirtazapine my health isn't as good especially
since gaining all this weight. Thanks again to all of you and Merry Christmas.
jules888
Posted
My doctor is trying to tell me its menopause symtoms
Im not sure
any suggestions?
thanks Jules
Pauljdme
Posted
as for the serotonin shock you mentioned, it is just your nervous system readjusting to you're normal self, it will take a bit of time... since my withdrawal ordeal with mirtizapine, i have read up on this med and other anti/deps and psych meds... im no doc, but i have now a bit of understanding of what they are and what they can do... it was mentioned earlier in this thread that a person can die from Serotonin Syndrome if they were to stop their med, this is not the case. Serotonin Syndrome only happens if the said person had taken too much of the med, not too less.. some people can throw up misinformation even when they are trying to help i guess...
anycase, just make sure you eat plenty of good nutritional food, greens and veg, rice, oily'sh fish, vit c, plenty of water, a good drink is red grape juice, squeezed, not from concentrate, have this with 50% filtered water, if you can... tomato juice lemon, orange etc and veg/fruit smoothies, i think you get the picture : ) just eat good food and cut out any junk, coffee, sugar, dairy stuff etc. it will speed up your recovery, good old mother nature provides the best...
let us know how you get on yukg, and all my best to you and all else. we know where you have been or are going, be strong and encourage yourselves, you will get better : )
Pauljdme
Posted