Hi, I'm Holly123

Hi @Holly123, and welcome to the community. The feeling of isolation during withdrawal can be overwhelming, but please know you are not alone. You have found a space full of people who understand exactly what you are going through. It is completely understandable that you thought stopping at 3.75 mg would be fine. Doctors rarely (dare I say ever?) warn us otherwise! Unfortunately, with these meds, even the smallest doses require a very slow, careful taper to avoid the exact muscle spasms and anxiety you are dealing with right now. I'm not familiar with Mirtazapine, as I'm tapering off Zoloft. But you will find drug-specific resources on the left sidebar, along with a Mirtazapine specific forum section. One of our members (@Cosmic1973) even wrote a letter to his younger self there about his experiences there: https://taper.community/thread/a-complete-guide-to-tapering-off-mirtazapine---a-letter-to-my-younger-self-1e4917d8-405e-4d99-894a-98f7fbe4b858 Are you currently holding at a specific dose? We all want to be done with this yesterday, but it looks like this process just takes time. In the meantime, if we can help, we will gladly try to.

Hi Holly, and welcome to the wonderful world of Mirtazapine. The joy of jaw ache, yep, my jaw felt like i had been smashed me in face with a baseball bat and my jaw continually jutted in & out because it didn't know what position to be in. How long did you take the 3.75mg for? How long did you stop for? What dose are you taking now? If you're still tapering now, it sounds like you've two choices; 1. White knuckle it and hope things start easing away soon ( i stopped at 0.3mg and it still hit me like a freight train) 2. Be pragmatic. You're tapering too fast and you need to slow down or even backtrack on your dose a little. The symptoms should ease off within days. Regarding your jaw. Top tip about it's natural position; Say the word 'nine, then lips lightly together, teeth slightly apart.

Thank you:) Was on mirtazapine since April so about 3 months at 3.75 mg. I stopped/abruptly-no taper in June-made it about 5-6 days-had terrible symptoms, went back on to the 3.75, tried to taper with pills/halving, etc and had terrible symptoms, again. Dr took me to 5 to stabilize, now I'm at 4.5 for the last 11 days (yes, I'm counting) and I'm on a liquid suspension so I can measure it more accurately. Yesterday was terrible-I'm very tired of the tongue numbness, jaw tightness, teeth clenching, neck pain and overall emotionality of this. I'm not going back up, again so I'll white knuckle but hold for now. My next drop will hopefully be to 4.02--trying to do 10% drops....hyperbolic tapering....we shall see.

I've been reading through my journal and all my jaw aches coincided with a drop or when i stopped mirtazapine but eased eventually after being on a stable dose. Looks like you've done a bit of stop/start/stop/starts IMO, you're doing the right thing by holding at 4.5 till you stabalise, which will happen eventually. I would also see a physio to check your neck, jaw and get tips on posture if you have a desk job, Finally, listen to a 15min mindfullness/meditation audio on youtube or something to try and relax as much as you can. I found when i was on holiday, my jaw ache eased off, but returned with vengeance when i went back to work. From my experience 3.75 V 4.5 isn't going to make that much difference, but being stable will and yes 10% drops are very wise from now on because IMO you're now more sensitive to Mirtazapine.

Welcome @Holly123! We have plenty of other members who are tapering @Mirtazapine, so you'll be in good company. Catina 🩵 https://taper.community/drugs/mirtazapine https://taper.community/resources/blog/mirtazapine-withdrawal-symptoms

thank you-I'm staying steady for now on my current dosage on 4.5 mg. I've learned the hard way not to drop too quickly. I do have some good days and today is not as bad as yesterday--trying to focus on things I'm grateful for. Yes-meditation is wonderful--I meditate every morning for 1 hour-I probably need to do this during the day-more-and I love the suggestion to meet with a physio-or PT for my posture--I'm at a desk all day, although I do pull away to walk and bond with my puppies regularly.