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I have stopped mirtazapine 10 weeks ago at the beginning of April after tapering off from 15 mg since December 2019. I went faster than recommended because I had no major issues in lowering the doses first to 7.5 then to 3.75 and 1.875. After 1.875 I dropped 0.1 mg every 3-4 days till reaching 0.1 then jumped off. Normally I expected the rebound insomnia to appear and it did at 0.4 mg. After stopping completely the first 3 weeks and a half I slept around 3-4 hours per night in one block being unable to fall asleep again once waking up (usually around 3 am). After that period I started to have random nights with longer sleep (5, 6 even 7 hours) but in the last two weeks things went wrong again coming under 5 hours and constantly waking up around 4.30 - 5.00 with a very strange feeling that I am not able to describe in words. It's like I am shaken by an electrical burning without being able to determine where it starts and where it ends and once awake I feel weak, trembling and somehow anxious. I have to get out of the bed and start moving around waiting 1-2 hours till I get better. I checked on the forums about this feeling and I may think about a spike in cortisol that is waking me up. I did a blood check at 08.00 in the morning and the level of cortisol was in range but very close to the upper limit.
During withdrawal I am already using a variety of supplements to help like magnesium glicinate, holy basil extract, l-theanine, lemon balm, ashwagandha, b and d vitamins and for the nights when I cannot fall asleep naturally I took valerian but it is effective for me only in dose larger than 600 mg which is affecting the stomach and gallbladder. I also do a lot of breathing and mindfulness meditation.
Any ideas about this strange morning feeling or similar experience during withdrawal ?
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