Mirtazapine withdrawal

Everyone says only 10% cut a month which is hard to do with cutting the pills. There is a support group on FB that has a lot of knowledge. Liquid form of Mirt is more accurate. I can send you how to change pills to liquid if you want. I am trying to taper off right now and going to change to liquid. I started in July 7.5mg. I went to 5.62 then went back up and feeling worst. I wouldn't recommend going back up.

Everyone says only 10% cut a month which is hard to do with cutting the pills. There is a support group on FB that has a lot of knowledge. Liquid form of Mirt is more accurate. I can send you how to change pills to liquid if you want. I am trying to taper off right now and going to change to liquid. I started in July 7.5mg. I went to 5.62 then went back up and feeling worst. I wouldn't recommend going back up.

Hi, you're nearly there, keep going. I would try other over the counter sleep aids and natural remadies also. Don't go back. I'm almost down to 30mg on liquid form and I've noticed my sleep not as good, but just need to get clean off it and deal with the fall out in other ways until my body levels out to 'normal' again, as it was b4 mirt. Good luck

I do think you may have to go back up to 22.5 and see if you can get your sleep stabilised again. It may even be that coming down from 30 for just a week has also caught up with you. The main aim, I suggest, is to consider how much any side effects of continuing Mirtazapine are troubling you. If they are not a problem, then taking a relaxed approach to coming down slowly is not going to interfere with your life. I think you are trying to come down much too quickly.

My own unecouraging experience is probably not typical and you could probably come down with shorter pauses between reductions, but it illustrates one attempt to come down from the low dose of 7.5 mg. which I had been on for nine months. I had 49 mainly trouble-free days of alternating 1/2 and 1/4 of a 15 mg. tablet before starting every day on alternating 1/4 and 1/8. From then (27 days) until day 76 I had twelve scattered days of anxiety. On day 77 I went down to nil, but I had terrible problems every day with insomnia, anxiety and fainting. On day 96 I went back to 1/8 but had anxiety (without insomnia) every day until day 111, when the anxious days began to become more scattered. But on day 176 I am still on 1/8, trying to get really stabilised before going down to a daily fragment. So that's how tricky it can be for some people.

I use a PillMate Pill cutter and have no problems with the cutting as described. I doubt that you need the liquid version if it proves difficult to get or make.

it's funny how everyone reacts different to this medication. you slept on 22.5mg and 30mg but not 15mg. everywhere I have read says 7.5mg and 15mg are best for sleep. I only slept 3 days well on 7.5mg and it stopped working and I made mistake of upping it to 15mg which never worked at all. now instead of tapering of 7.5mg I'm left to taper 15mg mg.

Dear Marcusdevon,

I think the reason why you are not sleeping well on 15 mg like you used to is that you have come down too fast, as I said before. It's not possible to assess the effectiveness at a particular level if you are also experiencing withdrawal symptoms. You might sleep well on 15 (and later less) if you have reached that point in a slowly phased tapering. I sleep quite well on approx. 1.875 mg (1/8 of a tablet) but it is interesting that your insomnia starts at 3.30. 3.00 a.m. is the time when, after some hours of rather

light sleep, I usually get up to visit the loo and then sleep solidly for four hours with pleasant dreams. I wonder if it means that Mirtazapine kicks in around 3.00 and the reduced dose is also felt at that time if the body is expecting more?

I would urge you to join survivingantidepressants.org read as much info on there as possible.