Switching to mirtazapine from citalopram
Posted , 6 users are following.
citalopram was no longer managing anxiety so gp moved me to 15 mg mirtazapine. Having very unpleasant side effects after one week. Twitching, brain fog, sleepy but not able to sleep. How long before i can expect this to settle?
1 like, 10 replies
Karl_-_UK lbaztoul
Posted
There should be others on here who can better your question, but for me? I would say give it another week.
If you don't get much of a response from other users/members straight away, consider providing a little more info, such as how were you prior to starting on Mirtazapine, How long were you on Citalopram, and was it initially working but then stopped working (hence the change to Mirtazapine)? ...its good for others to get a real feel for someone elase particular situation and might iad someone in giving an answer to any questions etc. Just a humble thought.
More important than any answer I personally can give, I would humbly suggest you definately do the following:
ADVICE: Monitor yourself (simple to dobut extremely valuable for assessing who well or not well Mirtazapine worked for YOU. Just get a notepad and scribble a short entry down each and EVERY day. In 2, 3, 4, 5+ weeks you'll be able to compare and see your progress etc.
All the best and hopes that you begin to feel better real soon!
pixie22 lbaztoul
Posted
craig2828 lbaztoul
Posted
Calmer lbaztoul
Posted
I too switched from Citalopram to Mirtazapine last year - for a while I was taking both as there was obviously time needed to withdraw from the Citalopram. You don't say if you withdrew from Cit s-l-o-w-l-y ... ... ... even if your doctor said it was ok to "just stop". Could this be adding to your anx' at all.
Mirt worked immediately as a sleep aid for me - in fact I was so drowsy for about a week I thought I would not get back to normal (whatever normal is). But yes, Mirt is one of the best to help sleep.
If you should decide that Mirt' is not for you, please do your research (read about wd on here) as you can't just stop.
Best wishes, you're not on your own, we're all struggling
bozzer Calmer
Posted
Calmer bozzer
Posted
I would think the pins and needles is not a side effect of wd but another symptom of anxiety (paresthesia) also known as hyperventilation. There's a good write up here I found : http://www.calmclinic.com/anxiety/symptoms/needles-and-pins
It might reassure you to know, and it certainly helped me when my CBT therapist told me - hyperventilating and panic attacks are not actually dangerous, they are brought on by fear - fears can be challenged with some practice, fears are thoughts that we somehow let roller coaster us to a tizz, like a rolling stone gathering more and more crap. With a bit of practice through relaxation (or even meditation - especially meditation) we can overcome the negative thatseems to take control of us..
Sorry for your suffering, I hope this may help a little.
Calmer bozzer
Posted
Sorry, the moderator still hasn't put up my reply to you of yesterday. So here is another ...
I switched from Cit to Mirt last September, the GP said to wean off over 2 weeks - I weened off over 6 weeks taking both of the meds - after that time I got brain zaps occasionally, 3/4 weeks after being completely off Cit (even tho' I got down to nearly nothing once a week) anxiety hit me again, I panicked, went back to the doctor and asked to go back of Cit ... a good friend said try to wait a few days, which I did, and the anx disappeared.
Now reading your post it 'appears' you came off Cit in 20 days - if that's correct it may well be the wd of Cit and not the initial symptoms of Dep & Anx returning. It can be most confusing when wd'ing or swapping meds as there is nearly always a degree/rebound of anx' ... I wonder if you've tried any relaxation / CBT / Mindfulness / Meditation.
I was in a very bad place last year and was feeling desperate, since then I have done all the therapies mentioned, which lead me up all avenues and became all encompassing for a while. Now I feel I am putting the "tools" learned into place to ease any negative feeling/anxiety/sleeplessness all all that goes with these terrible episodes. I am not "there yet" or back to normal - whatever normal is - I have a way to go as I have to come off Mirt' one day - no rush though.
I wish you well, take each hour and day at a time, try a relaxation cd/body scan if you can find one on the internet.
Namaste
bozzer Calmer
Posted
accepting is the first step. Now taking it on is the next !!
Wish me luck !!
Any ideas to make this journy a bit easier are very welcome !!! Love to everyone !!!
michaela27139 lbaztoul
Posted
I to have just switched from cit to mirt. I was told by my doctor to stop cit and take 15 mg mirtazipine following day. It's been a week now and I thought I was going off my head. Not sleeping when I feel so tired painfull jumpy legs, crying for silly things. I'm so glad I looked it up on here. Knowing I'm not on my own helps. Family don't understand so I feel totally alone.
Thank you
Calmer michaela27139
Posted
Hi Michaela
This thread is a year old, so I'm not sure if the previous folk will reply.
Although Citalopram isn't one of the difficult AD's to taper from, I'm sure it is responsible for your recent symptoms - sometimes its hard to know causation when you stop one med' and start another.
I was on both AD's for several months before doing a slow tpaer from CIT, over say 5-6 weeks. If your symtoms continue maybe discuss with youur doctor that you may have discontinuation syndrome, reinstate 75% or the CIT and every week drop by say 15/20%, no good suffering for sufferings' sake.
Oh yes, don't expect GP's, general doctors to know much about tapering AD's, some think you can just "switch" which isn't the case at all.
Wishing you well Michaela