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So a little back story if you haven’t seen my previous post. I’ll also preface this by adding that I am SEVERELY emetophobic. So I have to be careful with weaning as everyone seems to throw up from withdrawals and that’s not something I can have happen.
I started mirtazapine in March 2017. I wasn’t eating or sleeping, I was housebound and having multiple panic attacks a day before I was prescribed mirtazapine.
Once I got on it, I slowly began sleeping and eating. Fast forward to this year, I had gained 32 pounds from this med. The highest dose I took was 22.5 mg and I didn’t feel like it did much of a difference. So after a couple months I’m sitting around 12 mg. The past couple of weeks I’ve definitely felt off. At night before the mirt kicks in I feel almost seasick.
Five weeks ago this Friday I changed my diet completely. I am eating clean, officially full vegetarian and taking an iron supplement due to low iron levels [all discussed and okay by PCP], as well as exercising almost daily. I have lost 6 pounds since the change.
The panic attacks are creeping back in and my phobia is really bad again. I’m afraid to drive far distances and my phobia is starting to dictate my life like it used to. Since I’m a photographer and a mother this is a big issue for me. I can’t be cooped up like this.
Any other emets in here deal with this? Part of me wants to just jump down to 7.5 mg because I feel like either way I’m gonna feel crappy. I can’t take any SSRIs because of unpleasant side effects and Buspar was bad too. I have zofran but I feel like that’s a gamble as it makes me constipated and I swear sometimes it makes my nausea worse.
My doctor is on board with whatever I decide and listens to my concerns. She’s not the one who originally prescribed me this med either, she just wants to help me get off of it safely.
Definitely stuck right now. Not sure if the anxiety is creeping back because of the lower dose or it’s because I’m slowly tapering. I feel like it’s important to remember the state you were in pre mirt, so some of it may not actually be withdrawals?
When I was on 7.5mg for a while I had no issues dropping to 3.75 mg and sometimes skipping a dose when I was that low.
Thanks for reading.
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