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I have been an avid reader of people's experiences of this drug and wanted to share my own, positive (so far) experience. I'm starting to withdraw after 7 months on it and will post back about how it goes following what I think must be a 10% taper (link below).
I started 15mg of mirtazepine in october 2018 as I had become severely depressed due to a very difficult living situation. I had not eaten properly for three months, had been having trouble sleeping for most of that period and by the time these were prescribed I had been barely sleeping, getting out of bed or eating for two weeks. I refused anti depressants from my GP as he’s always given me SSRIs which have nasty side effects of reducing my appetite and increasing anxiety even further and I was too weak to endure awful side effects.
As I was so desperate I paid to see a private psychiatrist who prescribed mirtazepine. Once I received the prescription I spent about four days googling about it (during this time my living situation improved and I hoped I might not need them afterall) however I finally took the plunge after a very desperate day. I can say I didn't look back. Within 30 minutes I prepared and ate a small meal and the next day I was on three full meals a day plus snacks. I'd dropped about from over 60kg to about 52kg during the prior three months. My mood didn't take long to lift, in fact the suicidal thoughts I'd been having went within a few days. After two weeks I did a phased return to work which was successful although (unfortunately) I’ve had a lot of practice at going back to to work after these episodes so have learned how to pace myself. I can only work part time atm as I just don’t have the energy for more because of the Mirtazepine.
I've now been on the meds about 7 months and taken the decision to do a very slow taper off. As anyone who has looked up the withdrawal effects will know it's a very hard drug to get off because it makes you sleep! I decided to come off because I am getting frustrated with having lower energy levels than I would like and I have more than put back on the weight I lost.
After endless googling I have come up with the following strategies:
I found what I hope is an excellent taper schedule here http://www.citap.org.uk/SSRI-Tables.pdf and I’m in the very early stages of the taper. So far I’ve only had two days at 7.5mg. I did find it very hard to sleep on those days and am addressing this through using CBD oil. Last night despite being on 15mg I couldn’t sleep so I used the CBD oil which helped. Today I feel extremely relaxed and wonder if the effects of the oil are building up to create more calmness!
I also ordered omega 3 fish oil which is supposed to be very good for your brain as it heals from the illness and anti depressants.
I did buy HTP-5 which is supposed to help you sleep but it didn’t the first time I tried it and I prefer the CBD oil. So I am not using it at the moment.
As I get further into the withdrawal I will have more information about how it’s going and aim to come back to share it. I found so much information myself online and wanted to contribute, hence this post. At the moment I feel very positive because I think I’ve got some helpful strategies in place. I’m also working on taking things 1 day at a time and trying not to worry about what may lie ahead in terms of withdrawals; easier said than done!
Since writing this I have had another dose at 7.5mg and had more energy than usual the following day. There was some slight anxiety although only about 2/10 and nothing that affected my ability to go about my day as usual.
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