Tapering from 3.75mg mirtazapine

Treatment and medication
1

hi all
been on 15 mg for 18months now down to 3,75mg without to much problem should I go lower before stopping completely any positive advice would be helpful

2

can you get 3.75mg tablets in mirtazapine?

3

hi andrew ive come off 3 times id say if youve had little withdrawals youd be safe to come off but you may get insomnia as its more sedative at lower doses x

4

you are so close to coming off of it, stay with it for at least 3 months of feeling okay on it. i wouldnt want the risk of upsetting things by coming off too soon. 3 months on 3.75mg with no further issues, would allow you to reduce further, with less concern.

5

andrew-what were you taking mirt for?

what problems are you noticing as you taper?

6

Hi Richard I'm using a pill cutter to split the 15mg tablets in half and quarters to split lower might prove difficult

7

Thanks for your reply Nigel this is my 3rd attempt at getting off mirtazapine the insomnia has always got the better of me think I will half again and stick with that a while

8

Hi tasha I'm taking it for anxiety and insomnia didn't have much problems coming down from 15 to 3.75mg it's my 3rd attempt at stopping as many people on here say the last bit is the hardest insomnia being the reason to reinstate at the last dose I stopped

9

Hi toria yes this is my third attempt at stopping and insomnia has been the reason to reinstate at the last dosage 3.75 mg so I will reduce again stay there a while and see how that goes in my opinion I don't think a lot of GPS understand how hard it is to get off these meds

10

totally agree andrew, im currently trying to get off citalopram and its hell!

11

for people trying to come off meds, who cant manage it, either they need to stay on as low a med dose as possible, or taper over a very long period, eg 7.5mg to 3.75mg, stay on 3.75mg for 6 months or so, then drop again. you need a really long period on the lower dose, to minimise changes, and solidify your behaviour and coping mechanisms.

12

Good luck with the citalopram taper toria be strong we will succeed I'm sure

13

how long were you on mirt?

14

thank you andrew, really hope you manage to get off, best of luck!

15

others mat not agree but i would say cut down lower if you can. half your 3.75 mg and stay there for at least 4-6 weeks. then continue to keep cutting down till it becomes difficult to determine dosage.

in the meantime i would try to find alternatives to add to your own body's ability to produce its own seratonins. which for those that suffer with insomnia ive found lack the normal levels of seratonins which is why antidepressants work.

accupuncture, exercise, yoga etc.

16

hi Andrew. did you suffer any symptoms going from 7.5mg to 3.75mg?

17

I was on 15mg for just over a year I don't think they did a lot for my anxiety they helped with sleep they tried to up the dose to 30mg but the side effects were to much so with the docs advice have decided to taper off I'm currently on 3.5mg but have noticed my morning anxiety is creeping in hoping my this will resolve itself don't want to go up again

18

Hi Richard the only symptom I'm having is a return of my anxiety on waking hope this will pass don't really want to go back up again think the answer to this isrise and get out of bed

19

I think that's probably the smallest you can possibly go cutting the pill after that it might get a bit tricky ,like you say exercise is a great boost for your mental well being

20

epsom salts are awesome too and music x