That's good you've got some 30s. The problem would be if you ran short and had to wait weeks for an appointment. If you're on 22.5 now, I'd stay on that for a total of at least 4 weeks. Then if you can, chop up what you've got to get to 18.75mg and do that for a month. Then on 15mg for a month, all the way down to zero in 3.75mg increments. I'm doing increments of half 3.75. 15mg tablets are easy to work with at 30mg are a faff to cut. Does that make sense?
Hi Dan, sorry for late reply but my phone went dead. I've only got 2 weeks supply of 22.5mg. Plenty of 30s that i can half to 15 & then they will give me 2 weeks supply of 15mg to half to 7.5mg. So what would be the best way?
Yeah, just use a knife to chop them up and go down 3.75 increments. I'd go back to your docs and ask for 15s. Easier to cut.
Ok will do. But i've only got 2 weeks supply of 22.5mg & approx 2-3 weeks supply of 30mg to half to 15mg. After that i will have to get some 15mg & half them to 7.5mg for a couple of weeks & if they give me some more 15mg i can split to 3.75mg for a couple of weeks.
I know that's probably not ideal. But they are adamant about what the plan is. In fact my gp says she can't get involved regarding this medication & that it's down to the local mental health services to deal with.
Man that sucks. Their plan is to sh1t! Get booked in to see a different doctor if you can. That's ridiculous saying she can't get involved. She washing her hands mate, get booked in to see someone else. Good luck! Let me know if you have any joy.
It's been put on the system that the local mental health team are dealing with it. So there's really no way around that. They given me 2 weeks supply of 22.5mg, i have about 2-3 weeks supply of 30mg that i can half to 15mg then they're giving me 2 weeks supply of 15mg to half to 7.5mg. But i will ask them for more 15mg so i can split them down to 3.75mg for a couple of weeks instead of completely coming off from 7.5mg.
Definitely maye, you need to have a word and tell them you're not happy. Bit of a joke really. Get them to give you more. You'll probably have to state your case and be assertive.
So the best i can do will probably be
22.5mg for 2 weeks
15mg for 2-3 weeks
7.5mg for 2 weeks
3.75mg for 2 weeks
That sounds like a good plan mate. The jumps are quite big but hopefully you'll tolerate it. If not, keep badgering them!!
I have been on Paroxetine for 22 years which worked well just the occasional blip. However they decided to put me on Mirtazapine & wean me off Paroxetine. However i got to 20mg Paroxetine & just came off. 3 weeks later i informed the doctor who rushed me straight back on the Paroxetine. So now i'm back on the Paroxetine i don't want to stay on the Mirtazapine. Hence why i'm coming off them.
Blimey, well if something agrees with you why change?!
I know that's why i've decided to stay on the Paroxetine. I had a terrible 3 weeks when i came off it. The Mirtazapine may of helped during that time, but since i been back on my usual dose of 40mg Paroxetine i don't see the point of staying on the Mirtazapine aswel.
Hey. I’ve been on mirtazipine 15mg for 4 years give or take a few months. Was prescribed it due to alcoholism mainly because of my anxiety when I didn’t drink. After a lot of life choice changes, I don’t have that anxiety for a drink anymore. But I still was reliant on mirtazipine for the sleeping aid with a couple glasses of wine. I have a very good bond with my recent doctor & we both have discussed on weaning off the mirtazipine. I am not talking nonsense. You need to take half a tablet of your usual dose for at least a month. Some days you might need to take a whole one depending on your day. We all have bad days & good days. After a month or so, take half a tablet every other day. Like I said before, sometimes you might need a couple days in a row. After about 3 months of this, you will see the difference. Xx
Hi. I have been on mirtazapine for a little over 2 weeks, 7.5 mgs. I take in conjunction with Prozac (20 mg), which I have been on for years without any problems. Initially, mirtazapine seemed to be working -- I was getting about 7 hours of sleep and my appetite had improved. I am now getting less sleep and I feel jittery, particularly in the morning. I have come to the conclusion that the side effects outweigh the benefits and would like to wean off the drug. I see everyone talking about 10% reductions, but if I have only been on the drug for a little over 2 weeks, is it safe to go from 7.5 to 3.75 and then 0 within a short period of time, e.g., 2 weeks or less?
I hate this drug. it makes me jittery and nauseous, like I've had too much coffee. I have a hard time getting out of bed and I have no get up and go. I just want to sit in my recliner all day. I am suffering greatly. Any guidance you can provide is greatly appreciated. Thanks!
Hi, I really didn't know who to reply to. This is my first post.
I'm on remeron 7.5 and have been for a few weeks. Suffering from nausea so I want to discontinue. Psychiatrist said to just go cold turkey and he would prescribe something else.
It is a low dose, and I haven't been on it long. I feel that I should at least cut it in half to start.
Anyone else agree? Thanks in advance. CF.
I have been on Mirtazapine over 1,5yrs and most of it on 45mg.
I gained like 2st this spring (didn’t earlier cause was in very physical job), and cause I truly feel so much better and the gains of weight started to push me back down again I decided to stop.
I have been tapering but not so slowly. Started with 45->22.5mg for almost 2 weeks, then 22.5->15mg for 2 weeks, now just started 11.25mg. After couple of weeks will drop to 7.5mg, and then just stopping quietly taking only 1 every 2nd day for a week, then once in 3 days, once a week and then stop.
So far after 4weeks my withdrawals started just yesterday. Few mood swings earlier but nothing major.
Yesterday then whole day headache and towards the evening flu like symptoms.
Headache is today not that bad but feels like flu otherwise and when tried to have a nap, experienced my first ever brain-zaps. Not painful or scary cause I had read about them, but definitely prevented me for having that nap. Otherwise I sleep like a log lol.
So fingers crossed I’m soon out of it.
Hi Finn,
Keep me updated on your progress. I'm on 60mg. I am an "ultra rapid metabolizer" so it's basically 45mg for me. I plan to taper eventually so I have been prepping myself. I would love to hear about your journey though if you don't mind finding the time to post.
Xx.
Personally, I think you're dropping the dose too quickly, particularly since you have been on the drug for 1.5 years at a reasonably high dose. I had brain/body zaps too, but only once I discontinued. I was on a low dose though; 7.5 mg was all my body could tolerate.
Yup I’ll keep updating if you like.
Yes I know it might be fast. I’m just sick and tired of the weight- gain and stressing about that, and the fact that I don’t seem to get results even with exercising 5xWeek and having healthy diet and my doctors answer to my frustration was just to tell me that Mirtazapine has the unfortunate side-effect of weight gain and slow metabolism just made me decide that No, this ends now.
I know I will possibly have harder withdrawal than with very slow tapering, but thinking how badly my increased weight affects my moods, this was the best option for me.
Just making the decision to stop has been a major boost.
And it’s not still going “cold turkey” even if it’s happening faster than recommended.
I will post my honest comments about my development here so others might then make their own decisions about tapering speed etc.