Tapering off Mirtazapine

Hi all, I've been on here a few times talking to people,but my story is a little different.   I was put on 45mg of Mirt about 7-8yrs ago for IBS,I know don't make sense to me now either. Anyway after about 3yrs I came off it without any problem,then I was taken in Hostpital for a life threatening desease.         ( Ephesema ) When I came home I was very low so GP put me back on 45mg of Mirt again.  Now due to the fact that I'm on a lot of meds,I'd like to come off it again,well I've got down to 15mg no problem,but going lower is killing my Stomack ,the pain is unbearable at times.   Now I doubt anyone out there has been put on Mirt for the same reason,but have any of you got any suggestions on vitamins or anything that might help. I would be grateful of any ideas.  

i Norma sorry to hear of your plight i too am having stomach pains on mirt i have coeliacs among other things. I was miss diagnosed for years with IBS until i had private blood testing. Anyway i found the only thing that calmed my stomach and stopped nasty spasms was colofac have you tried this? Its only available on prescription. My carer swears by it she suffered terribly with ibs until she went on it. Its not got any nasty side effects that i am aware of. Hope i have been of some help. Carole.

Don't know if it's relevant to your case, but pharmacist told me that breaking mirtazapine tablets in half can cause stomach upsets because they are film coated to protect the stomach. I take Buscopan for IBS, I find that helps.

Thats so true. When i first started mirt my GP gave me 30mg tablets i dare not take that dose so broke them in half. After a few days i started being sick in a morning and had very bad nausea. Symptoms like early pregnancy i would imagine. Anyway had phone call from doc and he changed me to 15mg and the sickness and nausea slowly stopped. So there is a reason why these tablets are enteric coated.

Colpamin (peppermint oil capsules) helped my IBS pain loads. But when I went on mirtazapine I no longer had to take it. If I eventually come off mirtazapine then I will probably go back on the peppermint oil. You have to take the special capsules that are designed not to disolve in the stomach though as the peppermint oil needs to get right into your intestine to work.

Sorry it's colpERmin.

Thank you Carole, that's one thing I haven't tried I'll ask my GP see what he says.  As for breaking Mirt in half I don't know as that would make any difference as they have a breaking Mark on them. But I won't dismiss it I'll ask my Pharmasist. Thanks for your help.

Sorry Pixie Tried Buscupan does nothing for me.  But my Gastrologist tells me a 10mg Buscupan only gives you 2mg the rest just resolves away,he offered me Buscupan injections but I have a heart problem and they could give me palpatations so I rejected it.  But thanks for your time.

 Hi evergreen, once again tried Colpermin to no avail. Also tried Peppermint tea and ginger tea.   My IBS is quite severe I've even had Tramadol I'm just at a loss.  But also thank you for your time.

Hi Norma

  2x20 mg Omniprazole will put a coating in the lining of your stomach -taken at breakfast.  Hope things work out for you.  Best wishes Nessie

 

Thank you Ness,I'll ask GP about it.  I take lanzoprazole I would have thought that would help.  Anyway how are you nowadays,have you stopped the Palpatations yet ?

Omniprazole and lanzoprazole have a similar effect, protecting the stomach. I was given them after I'd had serious emergency surgery and was just starting to eat again.

I was given Lanzoprazole because I take Asprin after a heart attack. I was going to stop taking it but somone on another forum told me not to it would cause me a lot of trouble but she never said why.

Taking Lanzoprazole makes sense because Aspirin can irritate the stomach.

This is really interesting topic for me, have been on 30 mg mirt for 5 Years  now and am planning to stop it but don't know how to go about it

Hi Charles, The first thing I would say to you is to see your GP about coming off them. But having said that GP don't know a lot about Mirt. In my oppinion ( and I've spoke to a lot off people on here who are now off them) you really do have to take it really slowly,especially since you've been on them for 5yrs. Most people have a few problems reducing but also some people sail through, because as you know all our bodies don't work the same.  But they are a really hard drug to come off. Another thing you can do is Google CITA PROTACOL and they give brilliant help.           Take care and let us know how you get on.

try natural yoghurt like yeo valley if your ok with yoghurt and dont have milk intolerance.

taer slowly i did it from 30 mg like this

first 3 weeks       2 1½ 2 1½ 2 1½ 2,  1½ 2 1½ 2 1½ 2 1½,  2 1½ 1½ 2 1½ 1½ 1½

next four weeks  1½ 1 1½ 1 1½ 1 1½,  1 1½ 1 1½ 1 1½ 1,  1½ 1 1½ 1 1½ 1 1½,  1½ 1 1 1½ 1 1 1

next 3 weeks  1 ½ 1 ½ 1 ½ 1,  ½ 1 ½ 1 ½ 1 ½,  1 ½ ½ 1 ½ ½ ½

 last 2 weeks  ½ 0 ½ 0 ½ 0 ½,  0 ½ 0 ½ 0 ½ 0

Hi La12, I'm going even slower than that, same idea but not such low doses,I don't care how long it takes me.  I used to talk to a person on here who really struggled to come off them,a his knowledge was brilliant . But he's off them now so he's gone off the site. But I do remember a lot of his advice . This is my second attempt but I'm determine I'll get of them this time.  All the same thank you for your post much appreciated.