2 minutes ago, Finni said:

SI and graphic images very strong

I'm so sorry to hear this Finni. Sending love. I get weird paranoia, akathisa, depression and SI at night also. Sometimes during the day too but much worse at night.

8 minutes ago, Sminismoni said:

I'm so sorry to hear this Finni. Sending love. I get weird paranoia, akathisa, depression and SI at night also. Sometimes during the day too but much worse at night.

I’m sorry you’re suffering.

Si is driven by the physical pain in my body. When I’m not in pain, I don’t have these thoughts or images. It’s always an escape hatch, I think

What is causing this horrible horrible pain?

The only thing I did differently was three nights ago my .1026 g was a full tablet. It seems like things started ramping up more after that.

Why are we supposed to avoid ibuprofen?

25 minutes ago, Finni said:

Why are we supposed to avoid ibuprofen?

I’m just taking this from Luke’s post in the symptoms & coping strategies section, but it sounds like it’s observed in the community that over the counter meds, including pain killers, can make people worse. So you have to be cautious and balance the need for relief of pain symptoms against the possibility of worsening your WD symptoms.

I can say that I’ve taken ibuprofen a couple times in the last few months and it’s been fine, but I also don’t seem as sensitive generally as a lot of folks on here. So please do be careful!!

Sorry you’re in so much pain @Finni, I really hope it lessens soon 💜

@Finni I can only share my experience. I have had Ibuprofen a few times without problems in WD. It hasn't made it worse, that is.

Thank you @Sminismoni 💗

19 hours ago, Finni said:

It’s always an escape hatch, I think

I think we all have had this, natural.

Im sorry finni, better days coming for you xxxx

13 hours ago, SarahMc said:

it’s observed in the community that over the counter meds, including pain killers, can make people worse. So you have to be cautious and balance the need for relief of pain symptoms against the possibility of worsening your WD symptoms.

I can say that I’ve taken ibuprofen a couple times in the last few months and it’s been fine, but I also don’t seem as sensitive generally as a lot of folks on here. So please do be careful!!

sums it perfectly

6/27/26

10:15 am

I’ve cannot figure out why I’m in this sort of intense, intense withdrawal like state

It has been 27 days since the last disruption which was taking my dose late.

The only other thing that seemed to make me worse was taking a full tablet that weighed my target weight, but I know that nobody can believe that’s possible.

My head is squeezing very tight. All my muscles are super tight. My ears are ringing like I’m in acute cold turkey off of something.

6 minutes ago, Finni said:

only other thing that seemed to make me worse was taking a full tablet that weighed my target weight, but I know that nobody can believe that’s possible

It's not that we don't believe it....what a manufacturer should do and what the reality is, may be 2 different things.

Apparently mirtazapine quickly degrades with exposure to air, humidity, light. Do you cut your pill fresh before you take it, or do you do a bunch ahead of time?

If you do a bunch ahead of time, the drug may be a bit weaker and then when you take a full pill, it may be stronger due to no degradation.

15 minutes ago, LostinCanada said:

It's not that we don't believe it....what a manufacturer should do and what the reality is, may be 2 different things.

Apparently mirtazapine quickly degrades with exposure to air, humidity, light. Do you cut your pill fresh before you take it, or do you do a bunch ahead of time?

If you do a bunch ahead of time, the drug may be a bit weaker and then when you take a full pill, it may be stronger due to no degradation.

I file it about 4 hours before I take it

50 minutes ago, LostinCanada said:

It's not that we don't believe it....what a manufacturer should do and what the reality is, may be 2 different things.

Apparently mirtazapine quickly degrades with exposure to air, humidity, light. Do you cut your pill fresh before you take it, or do you do a bunch ahead of time?

If you do a bunch ahead of time, the drug may be a bit weaker and then when you take a full pill, it may be stronger due to no degradation.

Thank you so much for taking the time to respond. I’m going to try to start doing my filing and weighing maybe just a few minutes before I take it….

I also have several tablets that are .1026 g in a complete form…

I wish I could special order them ☺️

6/27/26

Just keeping track here

ChatGPT explanation

That “cold turkey” feeling—like your brain is desperately missing something—is one of the sensations people can experience during a very sensitized nervous system or antidepressant withdrawal. The feeling itself is real. But the feeling by itself doesn’t tell us what is causing it.

In your situation, there are several possibilities that can produce that same sensation:

• Your nervous system is still fluctuating as it adapts after the earlier disruptions and the late dose.

• Your brain is having one of the intense waves you’ve been describing for weeks, where terror, vibrating electricity, and pelvic/tailbone sensations all surge together.

• Your nervous system has become so sensitive that even without an actual drop in medication level, it can generate a powerful “something is missing” alarm.

None of those possibilities means you have literally run out of mirtazapine in your body. You took your medication, and it is still present. The sensation can be much stronger than what is actually happening pharmacologically.

You’ve described this same cluster before:

• overwhelming terror,

• “cold turkey” feeling,

• vibrating electricity,

• tailbone and pelvic burning,

• head pressure.

4 hours ago, Finni said:

I file it about 4 hours before I take it

might be relevant, i found my brand to degrade through trial and error, so i always make my dose around the same time, put it in a capsule in a bottle and then put it in the refrigerator until i take it.

and also i find using small blades and cutting it up way easier then filing the tablet, but that's up to you.

5 minutes ago, Lighty said:

might be relevant, i found my brand to degrade through trial and error, so i always make my dose around the same time, put it in a capsule in a bottle and then put it in the refrigerator until i take it.

Wow! How did you figure out that your brand was degrading? By taking these extra measures and starting to feel better?

I don’t leave mine uncovered- I file the tiny bit off through weighing, then put that single tablet in a very small sterling silver pill box.

I guess I might need to use some of your method and see what happens

Just now, Finni said:

Wow! How did you figure out that your brand was degrading? By taking these extra measures and starting to feel better?

i saw correlation between humidity and changing time to how powerful the dose felt, games that caused a bunch of issues.

others didn't have those degradaing issues, i noticed those only in myself. I can't conclude that is your issue, if your humidity and heat is consistent in your area, and it's a low humidity area with not that hot weather, it may be less of an issue, in my country humidity can flactuate and is high a lot of the time.

1 minute ago, Finni said:

I don’t leave mine uncovered- I file the tiny bit off through weighing, then put that single tablet in a very small sterling silver pill box.

it's still outside and the tablet is 'opened' cause you filed it, again assuming you have this issue that you probably don't have but i don't have experience with your brand and your climate, so no clue.

38 minutes ago, Lighty said:

i saw correlation between humidity and changing time to how powerful the dose felt, games that caused a bunch of issues.

others didn't have those degradaing issues, i noticed those only in myself. I can't conclude that is your issue, if your humidity and heat is consistent in your area, and it's a low humidity area with not that hot weather, it may be less of an issue, in my country humidity can flactuate and is high a lot of the time.

it's still outside and the tablet is 'opened' cause you filed it, again assuming you have this issue that you probably don't have but i don't have experience with your brand and your climate, so no clue.

I live in Oklahoma USA

It’s hot and pretty humid outside.

Inside temp is air conditioned 77 degrees

5 minutes ago, Finni said:

I live in Oklahoma USA

It’s hot and pretty humid outside.

Inside temp is air conditioned 77 degrees

yeah well it makes it more likely, you said you notice difference between when you cut and when you don't?

is it consistent or just a one time feeling.

Edited June 27Jun 27 by Lighty

11 minutes ago, Lighty said:

yeah well it makes it more likely, you said you notice difference between when you cut and when you don't?

is it consistent or just a one time feeling.

Yes- I’ve always been convinced a full pill that weighs my target .1026 g is much stronger than a filed tablet that weighs .1026 g

Sometimes I feel like it kindles me in a way because I feel like I go into a sort of withdrawal days after feeling that stronger effect

Full pills knock me out at night.

Just now, Finni said:

Yes- I’ve always been convinced a full pill that weighs my target .1026 g is much stronger than a filed tablet that weighs .1026 g

Sometimes I feel like it kindles me in a way because I feel like I go into a sort of withdrawal days after feeling that stronger effect

Full pills knock me out at night.

might be worth a try, but also could not be just the humidity thingy and also full tablet, if you are going for this, make sure you cut in half your full tablets as well, so both of them recieve the same humidity and temperature exposure if you put them in the refrigerator (make sure it's rhe right weight after splitting), outside and same time will still not be 100% as consistent, cause humidity can change from day to day and also temperature.

there is no way to get 100% accuracy but if its the humidity and heat degrading (and not tablet weight), it makes sense why non-cut tablet feels stronger.

8 minutes ago, Lighty said:

there is no way to get 100% accuracy but if its the humidity and heat degrading (and not tablet weight), it makes sense why non-cut tablet feels stronger.

Are you saying I should split my full tablet that weighs the correct weight so that it is also exposed?

8 hours ago, Finni said:

Are you saying I should split my full tablet that weighs the correct weight so that it is also exposed?

yeah, but you can also just make the tablet before taking it, will be easier if you are able to consistently make your tablets before needing to take them.