Mirtazapine withdrawal

Posted , 7 users are following.

hello everyone - hope you are well.

i started off in June on 15mg of MIRTAZAPINE then went up to 30mg in AUGUST.

I would very much like to come off it - I did a week of 22.5 which was fine and now im on day 10 of 15mg .

For the last week Ive been waking up at 3.30 am and i am struggling to get back to sleep even though i take an over the counter sleep aid.

My question is - now ive come this far shall i soldier on with 15mg for a few weeks and hope the insomnia regulates itself or shall i go bsvk up to 22.5 please ?

It would be great if someone else who is doing /has done this could help me ? best wishes Marcus

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10 Replies

  • Posted

    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.

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  • Posted

    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.

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  • Posted

    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

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  • Posted

    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.

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  • Posted

    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.

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  • Posted

    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?

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    • Posted

      I dont sleep well on 15mg. i only slept 3 days well on 7.5mg and then it stopped working. upper to 15mg and that never worked at all. I'm hoping when I start my taper and come down it will help with sleep.

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  • Posted

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

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