Mirtazapine Withdrawal :: Dreadful, With Nausea, Palpitations, Ringing In The Ears


Jun 18, 2014

Almost 3 weeks ago I stopped Mirtazapine cold turkey. I was on a small dose of 7.5mg but I'm also a small person (8 stone) and that dose seemed to work for me. Just before I stopped I tried to taper but then changed my mind and double the dose which almost immediately gave me some nausea, palpitations and very bad muscles and joints pain. I stayed on that dose for a week but none of the symptoms cleared completely so on Friday 30.05 I stopped it completely. 

Next few days were dreadful, with nausea, palpitations, ringing in the ears (and ear pain), burning skin on legs and arms, painful joints and muscles, especially left leg, muscle twitching, back pain, insomnia. They don't all come in at once and I do have a better moment or day but pretty much i'm still in pain most of the time and exhausted. I'm sure that the fact i've been on an antibiotic (doxycycline) for a bacterial infection drains the body as well and perhaps contributes to feeling ill but my GP says it shouldn't matter. 

Please can anyone having a similar experience reply to this post. My GP just took my hope away today telling me that I don't have any withdrawal as he's never had a problem with this drug, but the only other choice is probably a serious autoimmune disease, which I'm terrified to think of. I never had any muscle or joint pain until about 4 weeks ago and now having a very sad time thinking what happened to my life as I'm not able to look after my family. I just want to have my hope back that there is a light at the end of the tunnel, even if it's a few more weeks or months...

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Over the past few months my knuckles have gotten bigger so that I cannot put on rings or remove my wedding band. My fingers also swell, & there are some nodules on the knuckles of 2 fingers up near the fingernails. My rheumatologist told me I now have RA.

I have been taking prednisone bursts every now & then to help with my problems. I have also taken it for several weeks at a time, either 10 mg/day or 5 mg/day. Most recently I had been taking 5 mg/day but it was not helping me. I asked at my last appointment about bumping it up to 10 mg/day again, but she is not wanting to do that. I don't know if its just this state I'm living in or what, but every medical professional I see tells me that taking prednisone long term is not good ... yet I know of people elsewhere who have been taking it for many years.

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I called my dermatologist's office & unfortunately her nurse took the call. This nurse seems to feel that she is a doctor. She has given me incorrect instructions in the past regarding medication. When I told her what was happening, she told me to stop taking the hydroxychloroquine for one week, then to start taking it again ... "just to see that there's nothing else that could be causing the ringing."

If the ringing hadn't been happening prior to me taking the medication, & it stopped immediately after I stopped taking it, then why do I need to start taking the medication again? Again, this ringing is described as an "unlikely but serious side effect." I am concerned that starting to take it again may result in irreparable harm to my hearing.

Am I just being silly/overcautious? Has anyone had this experience or a similar one?

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I have been getting a pain in my right leg and convinced I have a blood clot as I got the pain before. Probably just twisted my knee or something but my mind goes crazy.

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My questions now:

1) did anybody experience really heavy back pain + shoulder pain + weakness in arms and palms (fingers) - all the time while on Mirtazapine?

2) did anybody experience huge volume of stool every day - all the time while on Mirtazapine?

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Having read some of the experiences others have had withdrawing from Mirtazapine I thought I would post my own. I hope it may be of use to others. I recently was re-prescribed Mirtazapine,after three years of not taking it. I took one 15mg tablet, felt like I'd been hit over the head with a riot shield and fell out of bed with severe restless legs syndrome. I decided there and then "there is no way I am going through all this again", and stopped it right there.

Previously, I had been prescribed Mirtazapine for severe anxiety and depression. This medication caused restless leg syndrome, and caused me to put on 3 stones in weight. Despite being previously a fit and active person. I became lethargic, and fatigued easily, needing to rest after evey 20 minutes of moderate activity, not to mention the dreadful hangovers I would have all morning. I persisted in taking it for nearly 5 years because I looked forward to the sedative effect it has. I even looked forward to it at night, despite the dreadful side effects, because I felt it helped me escape the world into sleep. Personally I think Mirtazapine is addictive and I was addicted.

I eventually decided enough was enough and decided to get my life back.

My GP was of little use when it came to advice for tapered withdrawal, though damn quick to prescribe the stuff in the first place. I determined an action plan of my own. I was aware of the unpleasant withdrawal symptoms of suddenly stopping, as I had previously, on occasion, run out of money and couldn't afford my prescription. Dizziness, extreme anxiety, nausea, insomnia, sweating and flu like muscle and headaches are all in store for any one who stops this medication abruptly. I tapered Mirtazapine over approximately 3 months by, cutting up 30mg tablets. 1st week I took 3/4rs of a tablet, then 1/2 plus an 1/8th second week, then 1/2 plus 1/16th for the 3rd week and so on. Eventually I was taking 1/16th of 30 mg (or less) per night for the last 2 weeks after which I felt no withdrawal symptoms upon cessation. The doses are approximate as cutting these tablets is accurately is difficult.

All of this took a lot of focus and bloody-minded determination. I find it surprising that the manufacturers don't provide decreasing doses for people wishing to stop taking their product without discomfort. At the moment I have decided to cope with life without Mirtazapine, or any other chemical horror. It can be very difficult at times, but vastly better than being a Drs. corporate guinea pig/junkie. I would say though, that for people who are severely depressed, Mirtazapine or other medications could be helpful if used for the short term, but please be aware of the very real side effects and problems with these substances. Ask yourself very carefully if you think you need this, despite what your Dr. may say. These drugs should be a last resort, not first port of call. They most certainly are no magic cure, and have serious "side effects" that should not be underestimated.

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I am so shocked that I have such a severe reaction after only taking the tablets for a week. Can anyone out there tell me if this is normal?

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