Want to hear from folks about Mirtzapine tapering

I have tapered from 30 to 5. I went very slow. 10% every 6 weeks. I think I could have gone faster in the first stage as it gets harder in the lower. But becuase I have gone slow, it was been smooth sailing. I make a liquid with water and maple syrup.

Thanks!!

I went on this taper over about a year and a half. Started at 30-15-7.5mg no issues, and then started a water taper over the last few months as I couldn’t split the 15mg tablet into small enough pieces. I ended up down at 3mg in June after a few months of slowly dropping and dropped off to 0mg from 3mg as i realised the lower the dose the worse the sedation and appetite enhancing effects became. I had no real issues with my sleep, I took l-theanine, magnesium and I am prescribed Rx Clonidine for my ADHD and increased the dose to 400mcg while tapering off mirtazapine. I am back down on 300mg of Clonidine now I’ve been off mirtazapine for a few months. I would suggest water tapering on mirtazapine as I couldn’t personally drop off from 7.5 to 0mg as the nausea and insomnia came out of nowhere. But dropping off from 3mg was perfectly fine once my body was accustomed to a lower dose. I still wake up a few times a night but it’s not as bad as people have made it out to be where they are awake for days on end. I also have no food noise anymore and I have lost almost 20kg. The benefits of coming off it far outweighs the cons of staying on it. I did some research when I was tapering after I was sharing my experience on the reddit forum and I think my success with the taper came from dropping very slowly especially at the end, and there were some attributes of being on Clonidine that help mitigate the negative symptoms caused by coming off mirtazapine. But the water taper method was really effective because there are no smaller pills in my country than 15mg and I couldn’t split my 7.5mg smaller. I have a dose or conversion chart of how to dissolve the tablet into the water and dose the water equivalent of a tablet with the water taper method if you are interested. Water tapering worked well

I can cut 7.5 in half and am doing so with pill cutter. Have you tried?

You are really going to want to make a liquid for you lower dose taper

I am also struggling with all these dizzyness insomnia blurred vision anxiety. I think the docter took me down to fast. But dont want to go back up to 22.5mg again. I am at 15 mg. Will take it very slow from now on. Will stay on 15mg for at least a month 🙏🏻🙏🏻 It feels as if these symptoms are never going to subside. I am at day 10of 15mg only.

I'm stunned that some people can be 30mg, surely that's a saturation dose and having little more effect then say 20mg. I was on Mirtazapine only. Quickly found that 1/4 of a tablet (4mg) was easily strong enough to get me to sleep and ease the anxiety. I found it easy tapering from 4mg to 0.3mg so i then stopped. Then a week later it hit me like an express train and i was ill for 6 weeks. Now on 0.2mg and taking it really slow now. You may find it ok tapering down towards zero and get a false sense of security and come off to soon. I did. Just listen to your body and be ready to backtrack a little if thing's start getting tough.

Went from 30mg to 7.5mg in 2 months. Have been ok but will play it by ear. Thanks for sharing

You might find you'll be ok tapering from 7.5mg to say 1mg in a couple of months too. In fact I went from 4mg to 0.3mg in about 3 months and generally felt fine. But it's when I stopped it hit me hard and I was stunned at how powerful these micro doses are. Imagine having £15 but all in 10p pieces and all I was taking was 30p of it. I seriously thought by the time I got to 0.3mg it's so tiny it won't make any difference, but here I am after 6 weeks severe withdrawal back on 0.2mg (20p worth) Anyway good luck with coming off, slow and steady is my moto now :-)

Thanks! How do you get 1mg?

You'll need 2x spoons, 1x child’s 5ml syringe from a Calpol medicine bottle, Break a 15mg tablet in half and crush the half between the 2 spoons to get 7.5mg powder. Use the syringe to measure 7.5ml of water into something like an egg cup, Add the powder to the water and stir very well which makes a 1mg/ml solution Using the syringe, suck up the dose you need, eg if you want 1mg then suck up 1ml of solution, if you want 2mg suck up 2ml of solution, bin the rest.

Thanks will try it. Seem better than trying to break the tablet more and guess how much you have. In S-Africa you dont get smaller tablets than 15mg.

Thanks so much!

Thank you.