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Been taking 40mg Paroxetine for 22 years which worked really well. However due to the occasional blip it was decided to try switching to Mirtazapine. Stupidly decided to go cold turkey once i had tapered down to 20mg. After 3 weeks i wasn't coping well & informed the doctor about what i had done. Was subsequently put back on the Paroxetine 40mg. Now that i am back on the Paroxetine (7/8 weeks) i want to drop the Mirtazapine. I have been on 15/30mg Mirtazapine for approx 4 months. The doctor told me to drop from 30 to 15mg for 2 weeks & then come off. However after researching tapering i decided this was too quick. So i tapered from 30mg to 22.5mg the main problem that i have is insomnia, this started even when i had been on 30mg. At first i could sleep but all of a sudden i was struck with insomnia, something which i have never suffered from before. I have been on 22.5mg for a week now & apart from the insomnia i am feeling ok. Thinking of dropping the dose tonight to 15mg because i know no matter how slow i taper withdrawals are inevitable & i really don't want to lengthen the process. Any suggestions would be greatly appreciated.
0 likes, 9 replies
alison46649 tim11033
Posted
You are on an antidepressant Paxil already so why did he put you on Mirt as well as it seems the side effects are similar? Insomnia was my problem as well on Mirt 15mg and dr said you up the dose each time it stops working-I did not like this idea so decided to go cold turkey. Why draw it out? Some of these drugs take months to work properly. I am not a dr but it's up to you-I know what I would do. Good luck just hang in there as it well get better after the withdrawel symptoms go.
ann55375 alison46649
Posted
Dr gave me mirtaz two years ago for insomnia and anxiety with depression. I was told to keep uppping it but past 15 i couldnt handle it, felt really awful so ended up on 7.5 for ages now. Gp said we should get off it and have gone down to 5mg for a bit, now 3.75'for a month and boy i feel awful. Waking 5am needing diazepam and the nausea is really bad. I know you went cold turkey, did you have any of these symptoms then? I would love to get off it but not sure if these are original symptoms or withdrawals. Did tou take it for long?
sarah24378 ann55375
Posted
Did you ever feel good or ok on mirtazapine ?i ask because you are clearly really suffering and i wander if you have never been well is this part of your mental health problems and /or withdrawals. If you have felt better on the mirt then it shows it worked for you and now you are reducing you could be withdrawing and it may not be the right time for you. If you have never felt better on it then your mental health has not been managed and perhaps withdrawals is just part of it.
ann55375 sarah24378
Posted
sarah24378 ann55375
Posted
Have you discussed venlaflaxine. It was the only thing that worked for me. SSRI s made me worse. Mirt just helped me sleep.
alison46649 ann55375
Posted
nightly with diazepam substitution. (30mg temazepam is
approximately equivalent to 15mg diazepam)
Night time
Equivalent diazepam dosage
Starting dosage temazepam 30mg
15mg diazepam
Stage 1 (1-2 weeks) temazepam 15mg
diazepam 7.5mg
15mg
Stage 2 (1-2 weeks) temazepam 7.5mg
diazepam 12mg
15.75mg
Stage 3 (1-2 weeks) Stop temazepam
diazepam 15mg
15mg
Stage 4 (1-2 weeks) diazepam 14mg
14mg
Stage 5 (1-2 weeks) diazepam 13mg
13mg
Stage 6 (1-2 weeks) diazepam 12mg
12mg
Stage 7 (1-2 weeks) diazepam 11mg
11mg
Stage 8 (1-2 weeks) diazepam 10mg
10mg
Stage 9 (1-2 weeks) diazepam 9mg
9mg
Stage 10 (1-2 weeks) diazepam 8mg
8mg
Stage 11 (1-2 weeks) diazepam 7mg
7mg
Stage 12 (1-2 weeks) diazepam 6mg
6mg
Stage 13 (1-2 weeks) diazepam 5mg
5mg
Stage 14 (1-2 weeks) diazepam 4mg
4mg
Stage 15 (1-2 weeks) diazepam 3mg
3mg
Stage 16 (1-2 weeks) diazepam 2mg
2mg
Stage 17 (1-2 weeks) diazepam 1mg
1mg
Stage 18 Stop diazepam
--N OTE-I was on Temaze 10mg to start with not 30 mg.
ann55375 sarah24378
Posted
i think venlafaxine cannot be used with it. Correct me if im wrong.
alison46649 ann55375
Posted
ann55375 alison46649
Posted