Safe to reduce dose again?
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I have been on mirtazapine 30mg for four years now but it has stopped working for me and so I am coming off it. I cut my dose to 22.5mg ten days ago and feel fine. So am planning to reduce to 15mg in a couple of days time if I still feel fine. Has anyone come off mirt after being on it for a long time and not had any severe problems? Am I going too fast or should I be okay to reduce further if I'm feeling okay?
0 likes, 47 replies
evergreen
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Calmer evergreen
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Your doctors surgery must be quite remote to say the least to have such poor continuity, is there another practice you could consider? couldn't be worse than that one perhaps.
evergreen
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Sleep-wise I took a temazepam before trying to sleep last night and got six and a half hours before my early alarm went off. I felt nailed to the bed and it was so hard to get up, but I had to. Still so, so tired.
evergreen
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Calmer evergreen
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Hope my doc will give me Tamazepam if I need it later into my WD - us it just for sleep or s tranquiliser?
evergreen Calmer
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Calmer evergreen
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Did you discuss the liquid with your doc? I have a chart if you want a copy, conversion from mg / ml. 1 ml = 15 mg - you won't need it for
15 mg of course, tablet is easier - I miss the tablet form actually, far easier ... messing about with a syringe & drawing up at bedtime is no fun, scared of knocking the liquid gold Mirt' bottle over!
evergreen Calmer
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Calmer evergreen
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I would say the lower dose is more sedating, even going from 15 to 9.75 which I'm at now ... so slow but hey ... don't want to kick start any sleep problems basically if I'm honest.
The 3.5 drop is the hardest ... everyone says this is the one that you feel the most. Can you remember David who cold turkey'd - he had to go back to 3.5 after 8 months of WD hell - and it sorted him out straight away. Some may find that hard to believe really, but so true.
evergreen Calmer
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evergreen
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betsy0603 evergreen
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evergreen betsy0603
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betsy0603 evergreen
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Calmer evergreen
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And also ... there is a plan of WD for Temazepam, there's a plan for everything ! There are withdrawal indications of course from Benzo's including inappropriate secretion of adrenalin so there is catch 22 - the nights you try to do without the wonderful Temazepam it makes secretions for you !!!! Is it any wonder you can't sleep with this running in the background.
The answer CITA states is to convert to Diazepam, at a rate of
1mg Benzo to 0.75 mg Diazepam - there is not a lot written but I'm happy to copy it to you.
Of course the right thing to do, as you well know, is exactly what you are doing - Mirt' WD first, then the Benzo, if desired (!) with the help of Diazepam. Or help of CBT, or Sleep Clinic - whatever floats your boat ... take your time, think and research And then there's Phenergen ...
x
evergreen Calmer
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Calmer evergreen
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Glad your wd is going so smoothly, amazing not to have any anx' - Happy days
evergreen Calmer
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Calmer evergreen
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I can't remember - did you say Inositol was from the doctor or is it a supplement?
evergreen Calmer
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Calmer evergreen
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