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Dr. Bob is Robert Hsiung, MD,
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Posted by jules354 on April 25, 2006, at 14:30:08
In reply to Re: mirtazapine/remeron updates? » SLS, posted by johnnyj on April 24, 2006, at 14:27:53
that sounds so rough, johnnyj. hang in there. did you go down to 3.75? how long till you kick that dose?
take care,
jules
Posted by johnnyj on April 25, 2006, at 21:10:37
In reply to Re: mirtazapine/remeron updates?, posted by jules354 on April 25, 2006, at 14:30:08
Actually, I am contemplating the reduction tonight. I don't think there is a good time really. I am a little scared ya know? I just hope my sleep will return to normal and the insomnia is not too bad. Wish me luck everyone.
johnnyj
Posted by musky on April 26, 2006, at 0:38:19
In reply to Re: mirtazapine/remeron updates? » jules354, posted by johnnyj on April 25, 2006, at 21:10:37
>Good luck johnny... try to stay positive... I'm kinda scared too, but im not dwelling on it too much.. just under 1month until i am completely off the remeron.. been on about 2mg for the last 2months...
been exercising,, it helps even out the mood, and the nightmares have been much better since tapering...
Dont let your fear rule you...
MuskyActually, I am contemplating the reduction tonight. I don't think there is a good time really. I am a little scared ya know? I just hope my sleep will return to normal and the insomnia is not too bad. Wish me luck everyone.
>
> johnnyj
Posted by Marian29 on April 26, 2006, at 7:52:34
In reply to Re: mirtazapine/remeron updates?, posted by musky on February 22, 2006, at 19:51:26
I *thought* I'd posted in this thread, but can't find my previous posts. Oh well. Just wanted to thank everyone who responded to my queries. I've managed to be Remeron-free for four days, after a short tapering period. Sleeping is difficult, and when I do sleep the nightmares are apocalyptic. But I am beginning to be able to fall asleep every other night by taking some Bendaryl (guess I'm totally exhausted by then). I'm recovering from surgery, so can't exercise at my normal pace for about 3 more weeks, but am determined to start walking again today. My mood is good, surprisingly--I'd anticipated a full blown return of the anxiety/depression, but so far so good.
When do I start losing the weight I'd gained, lol?
Posted by cashy72 on April 26, 2006, at 9:19:48
In reply to Re: mirtazapine/remeron updates?, posted by Marian29 on April 26, 2006, at 7:52:34
Well done Marion, how long have you been taking Mirtazapine?? I've just tapering down now from 30mg too 15mg. How quickly did you lower the dose over? i'd be interested too know how you got on.
Whenever in the past i've forgotten to have my 30mg at nighttime the nightmares have been very strong, really freaky, and heavy sweating during the night? Is this what you've experienced??
It goes too show what a powerful drug this is...
Good luck
Cashy72
Posted by johnnyj on April 26, 2006, at 9:29:04
In reply to Re: mirtazapine/remeron updates?, posted by musky on April 26, 2006, at 0:38:19
I slept close to 7 hours so I feel ok, a little anxious but that is to be expected. I feel a little spacey but not bad.
If you are on 2 mg I think it is just a matter of time before you are off for good. I can't reall see much benefit at these lower doses for anixety or depression. I think if you are on a low dose and have stabilized it is doable. I go for acupuncture this Friday.
cheers
johnnyj
Posted by Marian29 on April 26, 2006, at 12:28:53
In reply to Cut dose to 3.75 last night? » musky, posted by johnnyj on April 26, 2006, at 9:29:04
I'd only been taking it for four months, so I guess I was lucky. It sounds like a true horror to get off of if you've been on it for longer than that.
Yeah, the nightmares and the night sweats--what an experience! But a little Benadryl really does seem to help. I also have very low dose xanax (.25 mg) on hand, and have had to take it in the middle of the night occasionally.
My insomnia was terrible before the Remeron, which was one of the reasons the psych gave it to me. I'll be starting from square one on that again. But nothing is worth the weight gain.
Posted by Marian29 on April 26, 2006, at 12:34:00
In reply to Re: mirtazapine/remeron updates?, posted by cashy72 on April 26, 2006, at 9:19:48
Cashy, I cut my usual dose of 30 mg to 15 mg for two nights--then took that every other night for a couple of nights--then just stopped. I know you're not supposed to do that, but I've been laid up and out of the gym for almost a month because of surgery, and I was desperate not to put on too much additional weight. The thing I've found with this drug is that if you do gain any weight while on it, it's absolutely impossible to take it off--and I've been eating very carefully and working out hard every day (except for the month after the surgery). So I'd rather experience the dreadfulness of the cold turkey now and get it out of my system, and then ask the psych for a new med that's weight-neutral. (Guess I'll have to figure out how to sleep again, too).
Good luck to you, too. I think this drug is nefarious, and never would have taken it if I'd known what it can do.
Posted by jules354 on April 26, 2006, at 13:25:33
In reply to Re: mirtazapine/remeron updates?, posted by Marian29 on April 26, 2006, at 12:34:00
For everyone who has bad insomnia (even before taking Remeron), have you checked out Trazadone? I took it at one time and have no idea what its interactions are with other meds, but I remember liking it. It was nice and mild, and not habit forming.
Marian29, i think you're right about not only the weight gain but how hard it is to get it off...i believe rem. affects your metabolism as well. it's so frustrating!
take care,
jules
Posted by johnnyj on April 29, 2006, at 10:09:15
In reply to Cut dose to 3.75 last night? » musky, posted by johnnyj on April 26, 2006, at 9:29:04
I have been on 3.75 since Tuesday. I slept great on Thursday night. I had acupuncture on Friday and slept ok, woke up in the middle of the night once. When falling asleep I jerked awake once and that was not fun.
Acupuncutre didn't seem to do much for me to tell you the truth. I will go few more times and see if there is any benefit.
I definately feel that a slow taper is probably best since I can feel the grip of sponge brain lessen a tad since reducing my dose. Things are clearer also, but there is a little anxiety.
How is everyone else doing?
cheers
johnnyj
Posted by Marian29 on April 29, 2006, at 16:01:39
In reply to Re: Cut dose to 3.75 last night?, posted by johnnyj on April 29, 2006, at 10:09:15
Glad you're doing well, Johnny! Hope the anxiety doesn't get too bad for you.
I'm off completely as of a week ago. No depression, manageable leve of anxiety--but it's almost impossible to sleep. As I start to drift off, I wake up in a panic, and this happens over and over again all night. I tried Benadryl, but it didn't work; my doc gave me some Ambien, but that makes me horribly down and wiped out the next day--it's not worth it.
I really don't want to take another drug to get to sleep, but may need to find some relief soon. Any ideas out there? (I'm postmenopausal, very physically active).
Thanks!
Posted by jules354 on April 29, 2006, at 21:55:53
In reply to Re: Cut dose to 3.75 last night?, posted by Marian29 on April 29, 2006, at 16:01:39
Hi Marian29,
i was waking up in a panic for about 2 weeks after discontinuing. i still sometimes wake up with some anxiety in the morning, but my sleep got a lot better. i'd recommend hanging in there a bit longer if you can, try not eating too late in the evening and doing something relaxing before bed (yoga, meditation, tea etc.).
if things don't get better, in the past i've tried trazadone for sleep and it worked well for me.
take care,
jules
Posted by jules354 on April 29, 2006, at 21:58:07
In reply to Re: Cut dose to 3.75 last night?, posted by johnnyj on April 29, 2006, at 10:09:15
so glad to hear you're feeling better!
i'm doing pretty well...my appetite is stabilizing a bit too.
take care,
jules
Posted by brazilnut on April 30, 2006, at 8:37:07
In reply to Re: Cut dose to 3.75 last night?, posted by johnnyj on April 29, 2006, at 10:09:15
> I have been on 3.75 since Tuesday. I slept great on Thursday night. I had acupuncture on Friday and slept ok, woke up in the middle of the night once. When falling asleep I jerked awake once and that was not fun.
>
> Acupuncutre didn't seem to do much for me to tell you the truth. I will go few more times and see if there is any benefit.
>
> I definately feel that a slow taper is probably best since I can feel the grip of sponge brain lessen a tad since reducing my dose. Things are clearer also, but there is a little anxiety.
>
> How is everyone else doing?
>
> cheers
> johnnyj
Hi there!I have being reading the posts for a while, and it has helped me. Thanks to all that contribute with support and information.
I reduced my mirtazapine from 45 to 22.5mg in a month, but instead of making it by steps I did it progressively, each night a little less than the previous. My doctor oriented me to take the step approach and stay 30 days on 22.5 mg. Until yesterday, after 18 days on the same dosage, I felt quite stabilized and had thoughts of starting a new reduction. But last night I had a sudden crisis, with increased abdominal pains, heat over the whole body, extreme anxiety, difficulty to sleep, nightmares…
I am taking also risperidone, 0,35mg daily, prescribed to help me overcome the w/d symptoms. Yesterday I learned that risperidone is also a drug with potential for serious troubles. I believe now it was a bad move.
I’ve read many feedbacks on mirtazapine on the web, and some mentioned a kind of pain in the back. Does anyone know something about that? I have a pain in the back that I believe is a problem in the spine, but doctors are not so sure. Could it be related to mirtazapine?
Regards,
Bob
Posted by little mommy on April 30, 2006, at 16:05:07
In reply to Re: Cut dose to 3.75 last night? » johnnyj, posted by jules354 on April 29, 2006, at 21:58:07
I, too, have been on 3.75 (darn if those pills are hard to split to that size) and so far so good. I am not craving food as much and have been sleeping okay. I do wake up through the night but I have had no difficulty falling back to sleep. I am going to taper very, very gradually trying to even split the 3.75 into something smaller. I am going to see a naturopath this week as I want to get off these drugs and do something natural. I will be getting hormones checked and everything. I am pre menopausal and I think that this is the cause of my anxiety, etc. It sounds like that you all are hanging in there and doing what you know works for you. I wish you all the best.
Little Mommy
Posted by Marian29 on May 1, 2006, at 5:57:44
In reply to Re: Cut dose to 3.75 last night?, posted by little mommy on April 30, 2006, at 16:05:07
Little Mommy, when I was pre-menopausal I took small doses of melatonin for sleep, and it worked well (for awhile). Maybe that would be a good solution for you.
I am still struggling with sleep---even with some Ativan, I wake up many times a night. And the other thing I've been noticing is sheer exhaustion during the day. This may be a result of not sleeping, or a direct effect of cold turkey withdrawal. Or maybe the Remeron was giving me artificial energy, which is a scary thought.
I'd love to know what you find out about natural ways to sleep, Little Mommy. Good luck to you!
Posted by johnnyj on May 1, 2006, at 8:50:38
In reply to Re: Cut dose to 3.75 last night?, posted by Marian29 on April 29, 2006, at 16:01:39
Oh my god, I am experiencing the same as you are! Last night I started to drift off and had this terrible "startle" and it kept me up most of the night. The thing is it happens after I take my dose of remeron??? Maybe I just need to stop the dose and gut it out?? Because if I stop the head problems will be better.
I started to think I just had anxiety and it was coming back and I must have an AD. I don't think this is true, I hope it is not. I think it is withdrawal as this is the 7th day after cutting my dose. I finally slept from about 3:30 to 6 but I am wiped out. Heavy head too. This sucks. Is this withdrawal?
Posted by johnnyj on May 1, 2006, at 8:55:21
In reply to Re: Cut dose to 3.75 last night? » Marian29, posted by jules354 on April 29, 2006, at 21:55:53
Good to hear that someone else experience this startle stuff, well not good for you though. Did you have trouble falling asleep or just have anxiety after waking?
Did you try Lunesta for sleep? Will trazadone knock me out? What about morning hangover?
I also had some shock type stuff yesterday in my head. Very weird. Kind of like a headache but then a slight shock and then it went away.
I am starting to think that maybe tapering is just prolonging the agony? And that I might be better served going to 0 from the 3.75 in a week or so.
Posted by johnnyj on May 1, 2006, at 8:59:54
In reply to Re: Cut dose to 3.75 last night?, posted by Marian29 on April 29, 2006, at 16:01:39
For what it is worth my doctor said don't use bendryl. Something about the antihistamine effect combined with remeron's antihistamine stuff.
I am thinking xanax might be helpful? Any suggestions out there? We have trazadone mentioned and I will look into it.
johnnyj
Posted by anahata31 on May 1, 2006, at 9:36:33
In reply to Re: Cut dose to 3.75 last night? » jules354, posted by johnnyj on May 1, 2006, at 8:55:21
from johnnyj:
> I am starting to think that maybe tapering is just prolonging the agony? And that I might be better served going to 0 from the 3.75 in a week or so.i hear you. i'm down to crumbs now - about 2 mg - and was wondering if i should just stop right now. i already experience withdrawal anyway, and i don't want to prolong the side-effects for longer than necessary. to tell the truth, i think a lot of it has to do with the fear of being pill-free. even though this is just what i want, i am so used to the habit of taking a pill before bed (before remeron, it was sleeping pills) that i am very nervous to go without. perhaps a natural supplement such as valerian will help. for now, i only go to bed when i feel tired, and if i don't get enough sleep, being light-headed for most of the day still is better than feeling full-headed and hangover after 8 or 9 hours of remeron sleep.
the main side-effects so far, besides insomnia, are dizzyness and some nausea. intense cravings for carbs and sugar are pretty much gone. i also definitely feel full much faster now, and lost about 5 pounds in the last two weeks. so, for the person who was wondering about the weight gain induced by remeron, in my experience, and if you exercice and eat well, you will lose most of it pretty fast.
i wish i could do something about the dizzyness, which tends to be worst after exercice, or even just walking. sitting down, drinking water are the only helpful things i can think of right now, but i know this is only temporary. i've also been experiencing all sorts of strange little things, like suddenly increased heart beat, some pressure in my chest, legs falling easily asleep, ears ringing, etc. i don't know how much of it has to do with withdrawal, of if it's anxiety, or if i'm simply too focussed on my physical state right now. what i know is, the less i think about it, and the more i get absorbed in activities i enjoy, the less it bothers me.
and it is the month of may. i can't think of a better time to be off chemicals. best of luck,
nathalie
Posted by johnnyj on May 1, 2006, at 10:06:47
In reply to Re: Cut dose to 3.75 last night?, posted by anahata31 on May 1, 2006, at 9:36:33
I too have the nausea, and full chest. The full chest stuff was worse when I tried to taper before. But, that is denfinately a side effect. The sleep stuff is the most disturbing and I am going to see my doc in a week and get some ideas. I have some dizsiness but not too bad. The nausea started today, about day 7 or so of my reduction. Sleep meds worry me so I am just going to take something every other day or three if I have too. I do feel that my heart starts to beat faster for no apparent reason at times. I will not do much excercise because that might be too stimulating for me. I just want to SLEEP.
johnnyj
Posted by Marian29 on May 1, 2006, at 10:16:07
In reply to Re: Cut dose to 3.75 last night?, posted by johnnyj on May 1, 2006, at 10:06:47
Jonny, sorry, I didn't see your last posts. I think it's ok to take Benadryl once the Remeron is completely out of your system--which it is in my case since it's been 10 days since my last dose of 15 mg. I agree, I wouldn't take it on top of Remeron--that's a lot of antihistamine.
I'm having dizziness, too. If I roll over in bed, the world starts to spin. But I think that will pass.
I had nausea while tapering but none now that I'm off. It really does go away quickly.
As for xanax, yes, it helps, but not as much as I would like. It really doesn't help me sleep anymore, although it did at the very beginning of my withdrawal. I have to take it for anxiety from time to time.
Posted by jules354 on May 1, 2006, at 12:59:20
In reply to Re: Cut dose to 3.75 last night? » jules354, posted by johnnyj on May 1, 2006, at 8:55:21
i had lots of trouble falling asleep and i also woke up w/ the startle during the night after i discontinued the remeron. v. troubled sleep, like only 2-3 continuous hours/night. but it did get better and i'm sleeping all the way thru now. i still frequently wake in the morning after 6-7 hours of sleep with some anxiety, but that just might be stress.
i really liked trazadone. it was very mild, non habit forming, and didn't cause a hangover for me. i was on a v. low dose, maybe 5 or 10 mg? i can't remember. i stopped taking it when i started the remeron bcs rem. made me sleep. trazadone was originally developed just as an AD but because of its nice sedative effect they usu. prescribe it primarily for sleeping but of course the AD effect doesn't hurt either.
hang in there johnnyj.
take care,
jules
Posted by jules354 on May 1, 2006, at 13:01:53
In reply to Re: Cut dose to 3.75 last night?, posted by anahata31 on May 1, 2006, at 9:36:33
i've had some dizziness, too. weird!
i would REALLY recommend limiting caffeine (elimitating altogether if you can stand it, at least for a few weeks). it made my sleep much better when i was in heavy w/d from remeron and helped w/ the jittery anxiety too. i feel like since stopping the rem. i'm much more sensitive to caffeine than before, which is kind of good actually. helps me keep it in moderation.
take care,
jules
Posted by johnnyj on May 1, 2006, at 14:04:46
In reply to Re: Cut dose to 3.75 last night? » johnnyj, posted by jules354 on May 1, 2006, at 12:59:20
Thank you for you post. It is so very helpful to have people post as it can make one get through the day :)
After I ate lunch things have calmed down. Last night was brutal. The funny thing is it happened about 30 minutes after my 3.75 dose. I did have lots of anxiety when I started remeron so having similiar feelings when quitting is not crazy.
I am very anxious to discuss things with my doc next Monday.
cheers
johnnyj
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