My mirtazapine tapering update

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Sorry for my poor English but I will try my best to explain my story

I started taking antidepressants for chronic headache in 2012 and tapered all the pills in 2015 April . I was in a new city by then and my withdrawal symptoms were so severe that I couldn't sleep for a month and my doctor advised me to take escitalopram (10 mg), clonazepam (0.5 mg) and mirtazapine (7.5mg). I started living my life again. Last year I tapered escitalopram and clonazepam without any withdrawal. But life became hell when I lowered my dosage of mirtazapine from 7.5 to 3.5 mg. Insomnia, anxiety, weird feelings in body, brain fog etc. My doctor increased my dosage to 11.25 mg but that didn't help out either. After 2 months I decided to taper again and my tapering schedule was like this :

7.5 mg 2 years

3.75 mg 1 week

11.25 mg 2 months

9.375 mg 10 days

7.5 mg 10 days

5.625 mg 10 days

3.75 mg 10 days

1.875 10 days

I have started taking ashwagandha (an Indian herb) at night time which is helping me with my anxiety.

I was thinking of tapering by making liquid solution but I am leaving to USA on 22nd July for my higher studies and I want get rid of this pill completely by then.

Now I will use the same strategy I used to taper escitalopram. From today onwards I ll start taking 0.9 mg for 7 days and then 0.9 mg on alternate days and then 0.9 mg every three days and so on.

My main issue right now is sleep and I have only been sleeping for 3-4 hours since I started taper. I am not getting enough sleep but Thanks to ashwagandha, vitamin d, vitamin b12 because I don't feel anxious even after the sleep deprivation.

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8 Replies

  • Posted

    Hi try 5htp too this helps with anxiety and insomnia and also phenegran for sleep. They've helped me through the withdrawal

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    • Posted

      Thanks for the suggestion. Can you tell me in detail about your withdrawal? Like you're dosage, tapering schedule and symptoms.

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  • Posted

    Go steady with the tapering now you are nearing the very lower doses Rish, I wouldn't rush off the 1.875.  You've already had trouble with insomnia and being kind to yourself now can really make a difference to helping you quit Mirt once and for all.

    There is a golden rule of tapering no more than 10% every 3-4 weeks, and that is key to success.  I am sure if you stay at that dose until your sleep improves, that will be the right time to do another drop.  The insomnia is telling you your central nervous system isn't ready for another alteration in the chemical that is Mirt.

    Click on my name and follow the links under my status for your full informed choice.

    Wishing you well.

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    • Posted

      Thanks for the advice. I will drop my next dosage until my sleep gets stable. Let's see how it goes.

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    • Posted

      Sorry it’s not a golden rule. Everyone’s individual. Once you get to 7.5mg it’s such a low dose you can go to half that again without issues 
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  • Posted

    Hi Rish000,I would say continue your tapering rate but don't rush it just to be off it by July 22nd.If you can do it by then great but if not don't.It's better to keep yourself stableAs for sleep you could maybe get another sleep aide,possibly over the counter  or natural.Since I'm on Mirt and not coming off it I don't have any specific ideas but possibly others will.Just giving you some support.Godd luck and God Bless You,Bob

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    • Posted

      Hi Robert

      Right now I am taking 0.9-1 mg since Saturday and will not drop it further until I get stable. I have been on various drugs since 2012 but this is the hardest drug to come off with. I hope this time I ll be successful and will remain drug-free for rest of my life.

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