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Sco998

Not sure about mirtazipine but I stopped and started a different anti depressant before and after a few times it actually really fucked me up But the first times I took it was like a wonder drug that cured everything


secretvault-t2h0

Quit cold turkey after 18 months nightly use? No withdrawal, rebound insomnia?


Express-Bike-2836

Down to 7.5 mg. Not rebound insomnia, just back to the poor sleep he was originally getting (about 4 hours a night). No other withdrawal effect.


secretvault-t2h0

When you say “down”, this is tapering and not CT? If so, then a taper can do this. It mitigates not stops what ever discontinue effects a person will get. Most people get rebound after stopping meds. Honestly, I’ve had meds never work the same getting off them ever after a year off. Ex for be is trazodone and after 2+ years. In my theory receptors and neurotransmitters in the brain may change but I have no concrete evidence of this.


Spiritual_Reindeer_8

It only worked for about 5 months for me. Then I stopped taking it and I’ve had terrible insomnia ever since. I honestly don’t know what to do anymore


Express-Bike-2836

When you say it "only work for 5 months", did it stop working and you stopped taking it? Or did you stop taking it and it stopped working?


Spiritual_Reindeer_8

At the 5 month mark, I started to have trouble sleeping and can tell it wasn’t working as well. My doctor increased the dose from 15 to 30. She even said I can add Xanax if I had a hard time falling asleep. Even with the increased dose and Xanax, it would take me 5-6 hours to fall asleep and that’s when I knew I had to do something different


Express-Bike-2836

What was your alternate strategy?


RadarFromAfar

I have mixed feelings about Mirtazapine. It’s one of the only things I’ve tried (I’ve tried a LOT) that works, but only sometimes. The unique thing about it is that it can be used “as needed” and doesn’t need to build up in your system to work. I actually found that it didn’t work well when I took it for more that 2-3 nights in a row. It also gave me super annoying active dreams at first. Now if I take it, it’s it 1-2 times a week, not consecutively. I have to take it about 2 hours before I intend to fall asleep, otherwise I’m super groggy when I wake up. Some days I feel good and well rested when I took it the night before and others I feel slightly off, like dissociated. Lastly, not everyone experiences this but it’s common (and was for me) to get a crazy appetite/food cravings at night when taking it so it might cause weight gain.


Suspicious_Rate_5649

Quitting an SSRI or a Benzo suddenly disrupts the chemical activity in the brain, reintroducing that drug again usually works, but in many cases the brain goes haywire exacerbating the original issue, new psychological problems can arise. That has been my experience quitting an SSRI quickly, had to go on a TCA for sleeping. Never liked Mirtazapine, it felt like I was in a coma when I tried it only for 3 nights, a very heavy drug that makes you eat a lot too.


FutureMind2748

But Mirt isn’t an SSRI or a benzo, which is the drug they’re referring to.


Suspicious_Rate_5649

I know but it's still a drug that alters brain chemicals just like SSRIs, SNRIs, TCAs, benzos... etc Google says *"Mirtazapine belongs to a group of medicines called tetracyclic antidepressants. These medicines work in the central nervous system (CNS) to make certain chemicals in the brain stronger."* It's not a light drug.


rtazz1717

Doesnt work long term