r/Mirtazapine_Remeron

Want to stop, should I taper off or safe to quit immediately?

I was prescribed mirtazapine for insomnia, take as needed at night. I’ve been taking 15mg on weeknights (not on weekends) for only about a month, I think 4-5 weeks. I’ve gained almost 10 pounds in that time and I really want to stop. But I’m not seeing my psychiatrist until November. is it safe for me to just stop because I’ve been taking it for such a short time?

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u/Pikachooblessyu — 4 days ago

Rebound insomnia from caffeine?

Was prescribed 7.5mg for insomnia coming off from cocaine, took it for 15 days and cold turkey about a month ago on sept 8-9.

Wd were minor first day head pressure and anxiety. 2 weeks ago I drank quite a bit of mixed shots and had 2 nights of no sleep. Then a week later I slipped and did a very small amountof cocaine and didn’t sleep for a night.

Thursday I went fishing all day and smoked a little too much cigarettes and before bed I drank a whole bottle of lemon tea didn’t know it was caffeinated and instantly felt the anxiety and have been up since then maybe 2 hours of sleep in the 3 nights.

Having a really hard time any input would be greatly appreciated. Feels like I’m dying from paranoia I don’t know wtf is going on with my body.

I asked ChatGPT and explained my whole timeline these two months and this was the verdict.

“The main reason you are struggling right now isn't that you are permanently lacking mirtazapine; it is that your vulnerable brain keeps getting hit with heavy, unpredictable chemical spikes (like the alcohol rebound, nicotine surges, caffeine, and heavy cannabis use) [The Wave Columbia, White Light Behavioral Health].”

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u/Ookiepookiee2646 — 4 days ago

Weight stabilization

At what point, if ever, did your weight stabilize on this drug? Did it take a certain amount of time before you stopped gaining? How much weight did you gain?

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u/knewbalance3 — 3 days ago

Anybody here who gradually tapered off but still dealt with major anxiety days and weeks after?

I stopped almost 4 weeks ago. I did essentially 10% cuts every 2 weeks all the way down to a super low 0.1 mg (using a water taper). My anxiety is through the roof, it started to get worse about 4 days ago.

I also came off benzos but that was 16 months ago so I am not sure it’s benzo withdrawals that far off.

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u/El-Iskender2 — 3 days ago

Really fighting to see a purpose of this medicine

I've been posting here for awhile now it's just been rough nothing is improving.. still coming home just laying here doing nothing even brushing my teeth feels so hard to do man I hate it.. maybe it's my unmanaged ADHD but now I'm stuck on this garbage medicine that's gonna be hard to get off of lovely.

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u/coldest4 — 4 days ago

Advice

Hi everyone, I never usually post on here but just wanted some insight.

I have been on mirtazapine for over 10 years, usually on 30mg or 45mg, i have gone up and down here and there. I have spoken to my doctor about the ongoing issues and he would like to trial me on pristiq and discontinuing mirt.

I am happy to try that but have some doubts as he wants me to drop from 30mg to 0 overnight, I have re visited him to ensure that is what he wants to do instead of a slow taper and he says it is safe. Has anyone else ever quit mirtazapine that quickly before, if so, how did it go ?

I do trust my doctor because he has been good to me for many years now. Just wanted to ask for other people's experiences?

Thanks

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u/Hot_Scholar_7089 — 11 days ago
▲ 2 r/Mirtazapine_Remeron+1 crossposts

Rebound Insomnia? Mirtazapine.

I ask you please take me seriously!

When I was very quickly tapered off of Mirtazapine, my sleep got forcefully shifted forward. Before I was sleeping from 3-4am to 12-1pm, it was broken but it was a lot better & far more restorative compared to my pervious on going insomnia(days without sleep).

My Doctor put me on Mirtazapine, they said would help with sleep & my depression.

The first 2 weeks on it, I told them this is no good, it's made me feel significantly worse & if anything making my sleep MORE broken. They kept me on it for another week, went back, same thing but this time they DOUBBLED THE DOSE. It was causing me to be irrationality angry, I was terrified of myself & I was fading in & out of consciousness during the day so I demanded a taper.

(Timelines for Mirtazapine: Start: 7.5mg for 3 weeks - Doubled: 15mg for 2 weeks - Taper: 7.5mg 1 weeks - 7.5mg every other day for 1 week - STOP!)

Just a few days after stopping & not being given an antidepressant to replace it(I've been on them all my life) I could no longer sleep at my normal 3-4am, I was being FORCED awake against my will(it did not matter HOW SLEEPY I was/am, I couldn't/can't fall asleep). I finally passed out from around 7-8am to 3pm, it's been stuck like that for 26 days now. The sleep get is NOT restorative, I wake up just as exhausted as when I fell asleep.

My 24/7 Symptoms: Burning/sore/heavy/sleepy eyes. It's gotten to the point now where I feel like my brain & body have a severe flu, they feel heavy & sick. Eating is difficult. The fatigue... unbearable. Even when physically calm, no physical anxiety, this persists.

I also now have severe RLS that keeps me awake longer or wakes me up!!! 300mg of Gabapentin dose NOTHING for it! it is NOT the CAUSE of this new sleep issue, but it sure DOSE NOT HELP!

I went back to the Doctor who tapered me, he REFUSED to listen to anything I had to say & asked me why I'm staying up until 8am as if it's a CHOICE I'm making(I'm not, ever second awake is a living HELL). He tossed me a Sleep Hygiene Booklet & sent me home.

I have tried Dayvigo 10mg

Clonazapam 0.5mg(used to work)

Both have failed to put me to sleep before 7-8am(or later)

PS: I was doing everything I normally do that was starting to help my original insomnia: cold dark room, black out curtains, eye mask, no screens before bed, Magnesium Glycinate, Ashwagandha, L:Theanine, seeing the sun immediately after waking, seeing the sunset, being outside for 20-40min everyday, ect but it no longer works!

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u/TheBaconBooty — 10 days ago

first time w mirtazapine: my god.

i struggle with mdd, chronic / severe / recurrent subtype. it’s a bitch, but my meds help quite a lot.

recently prescribed mirtazapine for sleep (i’m a hypersomniac, but falling asleep is difficult as my other meds wear off in the evenings), appetite (i’m underweight), and a general antidepressant boost.

this med absolutely rocks with knocking you out. i’m used to getting very anxious and sleep-disturbed in the evenings, and feeling genuine sleepiness before bedtime again is so comforting. it’s absolutely lovely. my appetite has slowly increased as well, even after just a few days on the dose.

HOWEVER,

holy shit the nightmares are bad. i already struggle with them, but mirtazapine injects steroids straight into my dreams. vivid as all hell.

the worst part for me is the morning ‘hangover’. i’ve developed some sort of sleep paralysis when i wake up; i can feel, but cannot move, my limbs, and i can mumble, but cannot speak. it’s crazy and an absolute bitch.

when my brain catches up and i’m actually able to get out of bed, im dizzy and shaky, and all around exhausted for the next couple of hours.

again, im underweight, so that doesn’t help, and i struggle already with fatigue issues, but man, this med has a kick to it.

good to see that it has very positive expiriences for the people who metabolize it well! great medication, but for people who are newly prescribed, be wary of its potential side effects when you start it.

curious to see if anyone else has struggled with these issues, by the way. easily the most bizzare side effects i’ve ever had with any medication.

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u/Dramatic_Banana9218 — 11 days ago

Hi,

I'll keep this short, been on Mirtazapine 11 days, 7.5mg, previously been suffering weeks of insomnia, panic attacks and anxiety, sleep now is on and off but I can deal with it, no appetite increase, panic attacks have stopped, anxiety has subsided BUT the last 2 days I've had slight anxiety and stomach churning returning, I'm not sure how to proceed, up dose to 15mg or carry on 7.5mg hoping it's just a blip? Thanks

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u/freddy212121 — 11 days ago

I’m crashing out because of the manufacturer differences

I understand that generic Mirtazapine isn’t supposed to behave differently because of the manufacturer. But for me it does. I take it not because of my depression but because I have zero appetite and I’m incapable of feeling sleepy. It works for my Sensory Processing Disorder.

I’ve tried Viona pharmaceutical and it was working wonders. Three minutes from taking it and I’d fall asleep. Rising pharmaceutical was good as well. It was consistent with making me drowsy and hungry and I never increase the dosage once.

But after moving to NYC, I’ve had to work with different pharmacies and they gave me aurobindo and aurolife.

They don’t work. I’m so exhausted from not being able to sleep for more than two hours. I feel like I’m back to the days where I only was able to sleep when I passed out from exhaustion. It’s tiring me. I don’t know what to do.

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u/Mundane_Bit_7278 — 11 days ago