Hi ive been on mirt for 5months now for the first 4months was on 35mg was doing ok then had a bad week were i was feeling very depressed and sick doctor upped them to 45mg. took a further two weeks to kick back in and feel ok but now im waking up in mornings feeling very down and low in mood, the feeling does subside once im up and moving about, but still have the odd moments were i feel down again. I dont want to be taking mirt all the time but im so scared to come off them after reading so many people having trouble like panicking nausea, etc.
Patricia, different people respond to mirt in different ways. I was on 45 mgs for 8 years, then had to come off because of serious side effefcts. It was 2.5 years ago, and I have tried 3 times to get off them, and I am, as of today, 8 months since my last one, and still having problems. My mother, however, has been on them for over 15 years, and I don't know whta she would do without them. We thought that she was going to die. Mirt is known for the morning handover, and I had it for a long time before coming off. When I dropped to 30, the hangovers stopped. I will tell you this, if you decide that mirt isn't the drug for you, start getting off of it asap, and do a long taper guided by a health care provider to have the least withdrawal symptoms. If I hadn't had the side effects that required me to get off the mirt, I would still be taking it and would not think anything about it. I wish you well, and hope things work out for you. Take care of yourself, David
The withdrawal's are different for everyone. It is scary changing and or stopping meds. I recently reduced Mirtazepine over a month from 45mg to 15mg, whilst introducing Venlafaxine.
Apart from the fact nausea and I'm more awake (so much so I'm seeing 3am on the clock again 😴), I haven't noticed much difference.
I wish you well xx
Hi Patricia,
I've been tracking my moods for 15 months now, using free mood tracker online. It really helps me to be able to go back and look at any period of time or medications and doses. I've recently come to the understanding that in spite of medications that work well most of the time I have a rough few days or week for no reason at all. I take several medications for Bipoloar Disorder, Mirtazapine being one of them.
I have had a love/hate relationship with the Mirtazapine, it was prescribed primarily to help me sleep 15 years ago (dose from 7.5 -30 mg over the years) I have the feeling that it interacts with the Lithium, Seraquel, Clonazapam...
I've just begun to titrate down to 15 mg. This time I am tracking my moods more and watching how they ebb and flow - I'm pushing myself to take responsibility and more so, awareness for mood fluctuations.
I wish you well. Not everyone has panic and major withdrawal. I think that the goal in titration is to follow a schedule that just makes tiny cuts - and stay at a fixed dose if things get difficult - don't go up or down until things sabilize. Make the next cut when you're ready - the trick is to make such small cuts that you fool the body.
The only steadfast rule is not to go back up to a previous dose (though I've had a doctor suggest just that.)
Please have a look at mood tracker site and see if it's for you. It is a useful tool to use with your doctor too - I just hit the 15 month mark for keeping the chart and it remains very helpful - a good snapshot of med, moods, sleep etc. and it only takes a minute or two a day. also have daily journal if you want one.