Mirtazapine failed taper - reinstating

Hi - need some advice.

I have been on mirtazapine since August 2016 and I had been doing great with my depression and also my anxiety... but I put on a load of weight so my Psych wanted to swap mirtazapine for Wellbutrin... well I tapered from 30mg to 0 in 8 days.. and after 2 weeks - I CRASHED big time... suicidal thoughts, adrenaline rushes, depression, anxiety the full works were back.... so I have decided to reinstate... so I reinstated last Thursday at 30mg and I just don’t feel the way I did before I messed with the meds. Does anyone know how quick I will get back to operating on a normal level - my depression has gone but my anxiety is still there loud and clear.... help 

You need to reinstate with whatever dose works and taper very slow. It has taken me 7 months to get from 30mg to 7.5. The recommended taper is 1% each drop

Takes. Abit longer to work on anixety I'm still only only on 15mg as can't tolerate the 30mg

I had same problem, just couldnt stand 30.  Now dr has me going down to try to get off as its doing very little for me.  Anxiety never left.  Worse on discontinuation.

Benjammin,  just keep taking the 30mg and wait for stabilisation, sometimes it takes days or weeks, but as you have reinstated quite quickly and not switched doses quite a bit you should be alright.  Some people up and down the doses because their doc or even p.doc advises this way and it plays havoc with our CNS. 

You say your doc said to "SWAP" you over to Wellbutrin - yes BIG mistake - coming off Mirt' takes time and the safest way is a slow taper, which now you have found out for yourself, good !!  Once stable you should be able to do a slow taper and should be fine - it takes a while to avoid the nasty WD effects.  Those symptoms you describe are more than likely NOT your old symptoms coming back but WD - fear not on that.

Be gentle with yourself, get plenty of rest when you can, meditate, drink plenty of water, avoid sugar as it makes anxiety worse, avoid booze if you can too.  Click on my name and copy & paste the links to research how to taper.  Good luck.

Wishing you well.

Benjamin, good thing the depression leveled off. That was apretty big drop/reinstated you did there. I would give it a few weeks. Good luck

I have been on Mirt 15mg for 9 weeks for depression and anxiety. Both are now less but still around. I decided not to increase the dose but to have weekly therapy as well to discuss pain from the past. I think the meds plus the talking therapy is the answer for me. I started to put on weight but counting calories has helped me stop the cravings. I hope some of that helps.

Hi

ive been in different doses and each time I go back to the dose they changed me from I've never felt the same so for me no once to change dose it never returns to what it was like first time around

im now off mirt 16wks tomorrow been horrific as I was took of it overnight but I've came this far never will I use mirtz again in my life 

hopefuly you get sorted out soon 

kaz

Thank you so much for your response, it’s awful I have been in remission since April 2017 and very stable.. the doctor pulled me off in 8 days and I just crashed.... adrenaline rushes, no sleep, depression, suicidal thoughts and crazy anxiety. I just want to stabilise again I have dosed right back up to 30mg and been back on them since Thursday last week... what’s worrying me is it says on most websites that things should improve within 48 hours and that ain’t the case with me :-( 

Thanks Gretal, I know I should have realised I really thought they would offset each other :-( hopefully i stabilise  soon. I’m recovering in windows and waves . Sometimes I’m fine then some I’m in the grips of it all! 

Hope you are feeling better, Benjamin. Just goes to show that the cumbersome symptoms dont last forever. Mirt definitely keeps us on our toes with trying to figure out what is coming next.

Doctors advising WD from AD's, they just don't get the training, which I just don't understand in light of all the media attention right now on how addictive they are.

We're all different & react differently when RI so no one can say how long it may take.  Keep posting & hang on in there, you're not alone, many before you & you certainly won't be the last.

Try to distract yourself as much as is possible with relaxing hobbies/activity/TV films, comedies maybe if you're not sleeping the sofa might be your best friend? - are you working??

Benjamin, you have been off since last April and you are up to 30mg since last week? Im just trying to make sure i understand.

I was working until last week when I had a strange urge to throw myself under a train and it panicked me so I said I needed some time off. I been signed off for 4 weeks as doctors know it’s tough. The sofa defo seems my best friend at the moment, I got out and about today just for a long walk and to the park with one of my kids. It’s horribke feeling this way and the negative rumination that goes with depression. I just need to level out and then get back to work and being me 

No I had my first MDD episode in August 2016 which is when I started mirtazapine I have been at all doses and finally settled on 30mg... been in a remission since April so been fixed... so decided with doctors in December to come off as I was putting on load of weight.. so I jumped off last Thursday so it’s been 7 days 

Benjammin, definitely know this is a mirt driven scenario. The negativity sucks. Do whatever you can to stay positive. Do you have a support system?

Benjammin, there is a support group on fb. If you are intetested. It is not meant to take away from this site. There are only 15 people so its less overwhelming.

Thanks Gretal. It’s horrible I’ve managed to leave the house the last few days although it still feels like s**t! Mainly just negative thoughts and anxiety/depression now! Yeah my psych is available 24/7, have family etc  it’s harder as I love my

Work and just want to be at work x

HI Benjammin

Just listen to what Calmer says, it is very important my friend. You can stabolize now on a dose lower than 30Mg and than after feeling stable you can taper slowly. 10% every 3-4 weeks is teh rule of thumb my friend. It is doable and i know you can do it. It took me 1.6 years to taper from 15Mg to 0 where i am currently in. 

All the best buddy

 Hi Benjammin.

Did you manage to stabilise in the end ?