Mirtazapine withdrawal (liquid instead of tablets)

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Hi everyone

Just thought I would start a discussion up for everyone who is currently on or trying to get off this drug.

The process I intend to do is come down from 45mg down to 0mg with a little bit of help from God.

My plan is to come down 5mg very 2 weeks until I get to 10mg then I will be coming down 2mg every 2 weeks until I get to 4mg then lower is by half a mg once a week until down to zero mg.

Well that's the plan, if I can get there.

I spoke to my dr today who has suggested if I would like to come off it very slowly them to do it using the liquid solution rather than the tablets.

I was put on mirtazapine for depression about 15 months ago, I started at 15mg then 30 then 45 over a period of 6 weeks.

I found that when I got to the 45mg my anxiety levels have rocketed and have been a problem ever since the increase about 13 months ago.

For anyone who is thinking about coming off mirt or is currently doing so, please give me your feed back

If anyone would like to follow my progress I am more than happy to post a couple times of week, just please let me know.

Wish me luck guys, think I'm going to need it. Haha

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13 Replies

  • Posted

    Hi Matthew,

    Well done you on trying to come off mirt! You've obviously got your Dr's consent & he's happy for you to do it the way you plan too.

    Wishing you the very best of luck & do keep us posted on your progress

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  • Posted

    Well done with the plan. I have one warning. When I tried slight reduction, the withdrawal effects kicked in with a vengeance 2 weeks after I started the reduction, so you might be wise to wait longer at each stage. Of course, you might be fine. I'm back on 30 mg for the moment because of other health issues but I will try again. Withdrawal effects were physical in my case, not mental-health related.
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  • Posted

    Hi Matthew

    Wishing you well on your decent off Mirt' fellow suffferer !  Think you're vgery wise to pace out a plan; have to agree with Pixie - as you can read on other discussions on this forum, waiting for between 2 to 3 weeks for any signs or symptoms of withdrawal might be wise and then if you're stable move down and again wait the 2 - 3 weeks.

    There are a lot of people suffering terribly for trying to wd too quickly, be kind to yourself and read their stories - informed choice and all that.

    Wishing you well and do keep up the blog Matthew, take care.

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  • Posted

    Thanks guys

    thanks for taking the time to read the above. 

    I was was just reading that side affects kick in 2 weeks after starting the withdrawal process. 

    Pixie what what dose was you on and what dose did you mange to get down to ? 

    I will 100% be keeping you guys updated, just so that if I make it or not you guys might learn something that may help you whenever you decide to give it a go. 

     

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    • Posted

      I was on 30mg, and had only got down to about 22mg (chipping bits off 15mg tablets) before the WD effects got too bad. Should add that I also have ME/CFS and the muscle spasms from WD aggravated that so I had to stop the reduction.
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  • Posted

    Just a quick update 

    I've just opened the mirtazapine liquid for the 1st time and and filled the syringe to the equivalent to 40mg. 

    It it doesn't say if I should mix it with water or just squirt the liquid directly I to my mouth, if anyone knows could you please let me know. 

    Anyways for for tonight I just took the liquid directly, it did not taste very nice and kina took my breath away. 

    Hopefully the the lower I mange to get down to the less my anxiety will spoil my day. 

    My my anxiety is always at it worst when I wake up, usually gets slightly better as the day goes on and is usually complete gone by 7pm onwards, but shows it's ugly face the next morning without fail. 

    I will ill keep you posted guys, for those who would to join wmy ithdrawal journey. 

    If you guys have any questions, I will try my best to give you my honest feedback of this withdrawal period. 

    Just yo add my dr gave me a pack of 2mg diazepan to take if I am having a really bad day, but will try not to take them, but it's nice to know there in my wallet if I do feel the need. 

    Thanks again fir  your kind words and support, means a lot to speak to people who are going through the same thing as me. 

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    • Posted

      Sounding very positive Matthew, keep up the good work and hope you have a relaxed weekend.  Do keep us informed.

      p.s. are you in the UK?  If so did you get the liquid on NHS prescription or private?

      Sweet dreams, I'm off  zzzzzzz

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    • Posted

      Hi calmer

      Thanks for your support

      I'm from Wales UK and git the liquid from my GP NHS. Was hard getting him to agree at 1st, apparently a 100ml bottle costs £111 per bottle compared to the £21 for the tablets.

      2nd day on the liquid, don't feel any different at the moment but it's only my 2nd dose.

      Have to remember that I felt like crap I the Mirt so must remember that while feeling like crap coming off them, if I felt amazing on mirt I would just remain on.

      Night guys.

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    • Posted

      Hi Matthew,

      My pleaseure, no rush, take it as slow as you like, amthinking ... as wd can take between 2 to 3 weeks to 'kick in' if at any time youu feel unstable - remain at that measure of Mirt' until you settle again - I think if you get a return of symptoms on your slow decent (!) it would be a good idea to tread water, so to speak for as long as it takes.  GP will just have to be informed that you may need more liquid.  If he/she doesn't believe you print out some of the stuff on here & produce it to him/her !!!  Glad the GP did it for you this time any way.

      Best of luck on your carefully laid out plan to wd Matthew.

       

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  • Posted

    Hi Matthew, I have to say this med never did a huge amount for my anxiety. Did give me much needed sleep and I never went above 15 mg. So i will wish you luck and I am sure you get loads of support from this group. 
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  • Posted

    Not Been on here for a few days so thought I would provide a update.

    I started my dose of 35mg last night coming down from 45mg.

    Have been feeling really tired today, and anxiety didn't seem to wear off like it usually does.

    Found today really hard, but some how got through the day, so ready for another round tomorrow haha.

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    • Posted

      Hi Matthew

      Sorry to hear you're not too great today, you have my every sympathy, I'm feeling exactly the same today, so tired I could sleep standing up, low mood, generally feeling yuck.

      Good luck Matthew

      Take care x

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