TaperCommunityTaperCommunity
L

Tapering: Mirtazapine

active

2 posts

Midwest US

Hi, I'm Libie Sullivan

September 20, 2026··
Early Past Medical History Bouts of depression in college I sought counseling, journaling, reading self-help books Continued with mix of rage and depression into early 20’s and motherhood. Eventually above symptoms were attributed to PMDD (Premenstrual Dysphoric Disorder) In early 30’s started taking Effexor (venlafaxine. SNRI) - it worked until it didn’t. I titrated off. I cant remember the side effects but hormonal extremes returned. I met with a Psychiatrist sometime in 2003 who diagnosed me with anxiety and depression. He put me on Lexapro (escitalopram - SSRI). I did relatively well for 10 years and thought I would be able to work with a chiropractor nutritionist and wouldn’t need this any longer, so decided to self titrate off meds Fall 2012. Went off rather quickly, and then spent 6 months with agoraphobia, deconstructed psyche, suicidal…gutted it out. Spring of 2013, I was placed back on Lexipro (escitalopram - SSRI) as well as Wellbutrin (bupropion - NDRI) to counterbalance for energy. I had felt like I had a floor under my feet for the 11 years as far as functioning in life tasks, but I felt emotionally numb. Low Libido . I had a difficult time getting out of bed in the morning before 8:30 or 9am and I went to bed 9ish most nights. Took naps. Severe Sugar and carb cravings. Still struggled with road rage, some fixations I turned 60 No longer cycling, so I figured I no longer needed the medication Started a self titration off Lexapro (escitalopram - SSRI) over a 3 month period starting in January 2024.. My withdrawal symptoms initially were: chills, hot flashes, jittery, road rage, some OCD, occasional tears Losing weight as no desire to eat, flood of feelings, journaling resumed. Then my symptoms became: Anhedonia Breakthrough crying daily Anxiety Isolating Difficulty resting but want to sleep to get away from myself and life Irrational Fear Hopelessness Fragility of feelings and thoughts Nausea Lack of interest in food Face breakouts of rashes/ dry skin around nose and eyes Severe seasonal allergies (Have suffered from these for years) Lightheadedness Body temperature deregulation Very low threshold for stress Through genetic testing I found that I have Slow COMT and MTHFR polymorphism (impaired ability to metabolize Dopamine, Epinephrine and Norepinephrine) Therapies: I did 40 sessions of neurotherapy. Did not see any improvement in fact felt like conditions was worsening. Developed Akathisia, and was not sleeping. Was prescribed (by psych nurse practitioner) Mirtazapine (Remeron - tetracyclic antidepressant) to help with sleep, and Lorazepam (Ativan - Benzodiazepine) Then went to see Psychiatrist/Neurologist Added Lamotrigine (lamictal - anti leptic) Also wanted to trial low dose sublingual Ketamine (ketalar - dissociative anesthetic), which I did not tolerate. Trying to taper mirtazapine (1.8mg currently) then will try to taper lorazepam/lamotrigine. It’s now September 2026, and I am still suffering daily with Akathisia, OCD, Clinical depression and panic disorder and HIGH suicidal ideation. Can’t go out, can hear people’s telling what’s going on with them (traveling, parties, etc), have lost many friends, can’t read a book, watch TV, be a mother/grandmother. I am homebound, and fighting to stay alive. So, my questions are: Is there anyone out there with the same genetic vulnerabilities that is experiencing similar symptoms Is there any hope of my ever getting better Are there any suggestions regarding therapies that I am missing?

Mirtazapine — 1.8 mg — 1 yr — actively tapering | Ativan — 1.5 mg — 1 yr — holding | Lamictal — 87.5 mg — 1 yr — holding

1 Reply

Catina
Catina1h ago
Community AnchorEffexor
Hi @Libie Sullivan, welcome to Taper Community! You have been through so much, and my heart really goes out to you. There's a lot to unpack. ❤️ First, I want to address your suicidal thoughts. This is very concerning, and you need to be in a safe place where you're not a danger to yourself. Is that possible? We are here if you need to talk, and we have some helpful information about dealing with suicidal thoughts: https://taper.community/thread/a42c21cc-01a1-4189-a989-9e6333a428ab https://taper.community/resources/blog/suicidal-thoughts-during-withdrawal https://taper.community/thread/4af4f28b-1cc4-470f-b354-65058eeb38b8
"Eventually above symptoms were attributed to PMDD (Premenstrual Dysphoric Disorder)" — @Libie Sullivan
I suffered with this too - it was awful! It's what led me to psychiatric drugs in the first place, although they didn't even help much.
"Went off rather quickly, and then spent 6 months with agoraphobia, deconstructed psyche, suicidal…gutted it out." — @Libie Sullivan
Yes, unfortunately a rapid taper can cause these severe symptoms. It's not your fault that you didn't know how to taper properly. I've made mistakes like this too.
"Spring of 2013, I was placed back on Lexipro (escitalopram - SSRI) as well as Wellbutrin (bupropion - NDRI) to counterbalance for energy." — @Libie Sullivan
It's no wonder this exacerbated your issues since your CNS was already sensitized.
"Started a self titration off Lexapro (escitalopram - SSRI) over a 3 month period starting in January 2024.." — @Libie Sullivan
This was another rapid taper, so it's no wonder you had further issues. I'm so sorry! Regarding the extra therapies: It's natural to reach for something to "fix" our situation, but the greatest healers I've seen are simply time and patience and allowing the body to heal naturally. Adding additional drugs into the mix with a destabilized nervous system many times can make things worse. This is my opinion based on what I've learned and seen over the years in the withdrawal community. Sometimes "more" of something isn't always better. Keeping things simple and stable is best. We have some other members who have gotten GeneSight testing, and we have some information about it if you'd like to read it: https://taper.community/thread/genesight-testing-can-it-be-useful-50141d88-a09e-46f5-886e-d7bf5d15b5ee Regarding further tapering, considering your complex history it would be best to approach this extremely slowly and cautiously. It's best to taper from a place of stability. Also, when dealing with multiple drugs it's best to taper just one at a time. The human body and brain are amazing in their ability to heal, but just like with any injury things take time to get better. https://taper.community/thread/will-i-ever-heal-e1c656d4-6c8a-4304-ac77-f783c9c2825a For tips on how to handle withdrawal symptoms, go to the Symptoms and Self-Care section and also the I Need Support section and click on the Guides tab at top. It will then pull up various helpful articles. I hope this helps, even a little bit. I'm really glad you're here so we can all support one another during our tapers! Catina 🩷

Venlafaxine (tapering) - Current dose 17.92 mg
Trazodone - 50 mg
Levothyroxine - 25 mcg

“Your brain and body know how to heal. Trust the process and keep going.”

Please Note: I am not a healthcare professional. Any advice given is based on personal experience and that of others in the lay withdrawal community.

Join the conversation

Sign in to share your experience and connect with others.

Need a clinician who understands tapering?

Browse our map of deprescribing-informed providers worldwide.

Find a Deprescriber