8 minutes ago, HopeHeals said:

Just dropping by to send you my thoughts and well wishes. I too am struggling with a fear of changing my dosing even if I think for myself it is likely necessary for stabilization. It is so hard to make changes. I can't offer advice but just wanted to say I am thinking of you in these difficult times and sending you solidarity. 

Thank you ❤️💗

I’m throwing this out here because I keep really wanting to take mirtazapine twice a day in divide doses.

 

I really wish I was already set up with this because I think the change might be too much better right now, but I wanted to hear from anyone who might take mirtazapine twice a day and let me know how that works for you.

 

Anybody? 😊

Edited March 27Mar 27 by Finni

1 hour ago, Finni said:

I’m throwing this out here because I keep really wanting to take mirtazapine twice a day in divide doses.

 

I really wish I was already set up with this because I think the change might be too much better right now, but I wanted to hear from anyone who might take mirtazapine twice a day and let me know how that works for you.

 

Anybody? 😊

Why do you want to split you dose? This is normally to resolve interdose wd. The way to tell if this is what’s happening is to see an improving after your dose, ie your body is happy to get it, signally it ran out of drug too early. So splitting it evens the dose out and tries to adjust for this. You said in the past you felt you worsened on taking your dose which wouldn’t point to that imo. 
 

I wouldn’t move things around until you are more stable either as you said here. You need a good clear run of a hold without inconsistency’s and mistaken doses. 

2 hours ago, Finni said:

wonder if I would drive myself completely batty if I just weighed each pill in general, even the more normal ones , and took off 1.5% from each pill every day.

This is absolutely the wrong way of getting a consistent dose.

You have accurate scales now. Use the number you were using previously for your dose. As long as you stick with the same manufacturer and are using a 15 mg pill, you never need to do the average again. 

The drug is evenly mixed in your tablet with filler. 

Weight is the consideration, nothing else. This is what works. 

What is the average weight you are using for a 15 mg ? What is the weight you are now taking? 

Just get your dosing stable, that is your first priority.

Edited March 27Mar 27 by LostinCanada

26 minutes ago, LostinCanada said:

This is absolutely the wrong way of getting a consistent dose.

You have accurate scales now. Use the number you were using previously for your dose. As long as you stick with the same manufacturer and are using a 15 mg pill, you never need to do the average again. 

The drug is evenly mixed in your tablet with filler. 

Weight is the consideration, nothing else. This is what works. 

What is the average weight you are using for a 15 mg ? What is the weight you are now taking? 

Just get your dosing stable, that is your first priority.

Thanks LIC for clarifying. From what I’ve read on sa it was recommended to recalibrate the average between batches to allow for slight differences in fillers. I might have got the wrong end of the stick or perhaps some did but it’s not widely considered the way to go. Happy to take your advice here though as always. Xxx

13 minutes ago, Chippy said:

Thanks LIC for clarifying. From what I’ve read on sa it was recommended to recalibrate the average between batches to allow for slight differences in fillers. I might have got the wrong end of the stick or perhaps some did but it’s not widely considered the way to go. Happy to take your advice here though as always. Xxx

You probably read correctly but it's like chasing rainbows.... every batch varies slightly in both filler and drug...it could be more or less of either component. But the molds they use for the pill, therefore the pill weight is a constant. When changing batches for myself...I don't make a dose cut till after a couple weeks with the new batch to be safe.

Edited March 27Mar 27 by LostinCanada

4 minutes ago, LostinCanada said:

You probably read correctly but it's like chasing rainbows.... every batch varies slightly ith both filler and drug...it could be more or less of either component. But the molds they use for the pill, therefore the pill weight is a constant. When changing batches for myself...I don't make a dose cut till after a couple weeks with the new batch to be safe.

Makes sense LIC. Hold to be safe. Yeah when you think of the potential inconsistencies in tolerance it’s like you said chaining rainbows. I like that. Good analogy! We can only do our best! Accept the rest. 

@LostinCanada

here’s the conundrum

My old scales weighed every single 15 mg mirtazapine tablet as .100 g

on top of that, it would only consistently weigh .098 g every once in a while so I was constantly battling to get it to .098g

 

I think part of the time I was just having to kind of guess because I could never be sure.

Sometimes it would only register the weight after I cut too much and made it go down to .096

I didn’t wanna take that much off so then I would just try to eyeball it

 

So now I have new scales that are weighing 15 mg mirtazapine tablet as at an average of .1040 g

 

I think really my old scales were weighing at the top end of .098 so closer to probably .099

 

So I’m just meeting in the middle and weighing at . 1027.

 

The problem is some of the individual mirtazapine pills way less than that.

 

I can’t imagine taking a full pill again and throwing my whole system out of whack again

 

I’m still having very loud disregulated nervous system surges after the 15 mg mixup

9 minutes ago, Finni said:

very loud disregulated nervous system surges after the 15 mg mixup

Have you weighed a pill on your old scale and then weighed it on the new scale. Please do this and tell me what each scale says. Thanks 

I’ve measured I’ve weighed 10 pills on my new scale and the average of those is .1040 with some of them being outliers. Those same pills weigh just .100 on my old scales.

 

are you wanting something else?

I have one pill that I cut too much off of that weighs .096

On the old scale and .09602 on the new scales

 

That’s the only pill that I can get to weigh the same

 

@Finni really all you need to do is trust the new scales.

If the average for a 15 mg pill is 0.1040g and you were doing a 2% reduction, you need to be taking 0.1019g. The new scale registers to a 0.0002g so weigh 0.1018g.

It's either that moving forward or stick to 0.0980g with the new scale.

I personally think you had improvement when you lowered and any time you went up it has been disastrous so I would go with the lower dose. But the choice is yours.... whatever you choose...stick with it.

1 minute ago, LostinCanada said:

@Finni really all you need to do is trust the new scales.

If the average for a 15 mg pill is 0.1040g and you were doing a 2% reduction, you need to be taking 0.1019g. The new scale registers to a 0.0002g so weigh 0.1018g.

It's either that moving forward or stick to 0.0980g with the new scale.

I personally think you had improvement when you lowered and any time you went up it has been disastrous so I would go with the lower dose. But the choice is yours.... whatever you choose...stick with it.

As a thought. What about making up a dose ready to take on the old scales. Then weighing it in the new scales and making that new .0000 weight from now on?

2 minutes ago, LostinCanada said:

@Finni really all you need to do is trust the new scales.

If the average for a 15 mg pill is 0.1040g and you were doing a 2% reduction, you need to be taking 0.1019g. The new scale registers to a 0.0002g so weigh 0.1018g.

It's either that moving forward or stick to 0.0980g with the new scale.

I personally think you had improvement when you lowered and any time you went up it has been disastrous so I would go with the lower dose. But the choice is yours.... whatever you choose...stick with it.

The thing is I don’t know if I was ever doing a true 2% reduction because I think I might’ve been closer to .099

1 minute ago, Chippy said:

. What about making up a dose ready to take on the old scales. Then weighing it in the new scales and making that new .0000 weight from now on?

Yes...a simple solution.

13 minutes ago, Finni said:

thing is I don’t know if I was ever doing a true 2% reduction because I think I might’ve been closer to .099

Please stop second guessing...it isn't helpful. I know it is easy to overthink it. I would do as Chippy mentioned...make a pill on the old scale, weigh it on the new and use that as your dose moving forward.

Edited March 27Mar 27 by LostinCanada

I’m trying my best
 

I wish I would’ve weighed 10 pills instead of five when I first started on the old scale. 
and I wish I would’ve done it again when I got a new bottle of pills

 

I’m wearing some on the old scale now that are reading .105

 

I’m in the middle of a huge nervous system surge which the surges aren’t new it’s just the intensity are worse

 

I’m not going to come back to this after this intensity lessens  I will be back

One more thing
I did get better after I reduced from 15 mg and then two weeks later the bottom fell out…

2 minutes ago, Finni said:

trying my best

I know you are. It is frustrating that we are left having to do this without help from the doctors that put us here.

4 minutes ago, Finni said:

Some on the old scale now that are reading .105

Don't worry about any of that. 

Shave a pill to .098g on the old scale, weigh it on the new one and use that weight moving forward. We just have to do our best with what we have. 

❤️🙏

 

 

You are doing great @Finni just do like LIC said and don’t sweat it anymore. It’s gonna be good enough. Just focus on staying as chilled as you can. You deserve some peace now. Xxx

maybe I should just stick with what I weighed on my new scale last night and just keep going without trying to redo all of this because I’m incredibly stressed and crying and freaking out

4 minutes ago, Finni said:

maybe I should just stick with what I weighed on my new scale last night and just keep going without trying to redo all of this because I’m incredibly stressed and crying and freaking out

Please do whatever you feel comfortable with. I was trying to be efficient with my words. I apologize if they came across unkind. 

I wish it was easier for all of us. 

Try to keep it simple as possible for yourself. ❤️🙏

11 minutes ago, Finni said:

maybe I should just stick with what I weighed on my new scale last night and just keep going without trying to redo all of this because I’m incredibly stressed and crying and freaking out

Im sorry Finni. Take a break from it for a minute. The main thing is what ever you do from now onwards you do the same each day. Xxx

 

sending you a big hug!

6 hours ago, Chippy said:

Why do you want to split you dose? This is normally to resolve interdose wd. The way to tell if this is what’s happening is to see an improving after your dose, ie your body is happy to get it, signally it ran out of drug too early. So splitting it evens the dose out and tries to adjust for this. You said in the past you felt you worsened on taking your dose which wouldn’t point to that imo. 
 

I wouldn’t move things around until you are more stable either as you said here. You need a good clear run of a hold without inconsistency’s and mistaken doses. 

I react less to mirtazapine when there’s less of it at night…I’m able to sleep better.
That was one of the main improvements when I dropped from 15 mg to 14.7 mg.

 

And in the afternoon/evening I start feeling like I’ve gone cold turkey off of something because I feel like there’s not enough in my system

 

Dr. Horowitz suggested split dose for me when I told him those things. 
 

he said to start with maybe a milligram of the dose an hour before the rest of the dose and then gradually start taking the milligram earlier and earlier. 
I’m not sure how that would all work to get more than a milligram in my morning dose. 

 

I think I should probably stabilize a bit before I try anything, but WOW I’m curious. 
 

This drug is both too much and not enough…

7 hours ago, Finni said:

I react less to mirtazapine when there’s less of it at night…I’m able to sleep better.
That was one of the main improvements when I dropped from 15 mg to 14.7 mg.

 

And in the afternoon/evening I start feeling like I’ve gone cold turkey off of something because I feel like there’s not enough in my system

 

Dr. Horowitz suggested split dose for me when I told him those things. 
 

he said to start with maybe a milligram of the dose an hour before the rest of the dose and then gradually start taking the milligram earlier and earlier. 
I’m not sure how that would all work to get more than a milligram in my morning dose. 

 

I think I should probably stabilize a bit before I try anything, but WOW I’m curious. 
 

This drug is both too much and not enough…

I see! So the hope is that you can move some of your dose to earlier in the day to help with this. Makes sense. 
 

Yes I’d wait before adding any more complications to your current situation. Might be a good idea at some point though!