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Oaktree1: Can't get off Mirtazpine and using Seroquel as needed

Featured Replies

Hi

I am starting a thread here and here is the link to my old thread on Surviving Anti depressants. Afraid story was not a success as I had to reinstated Mirtazapine to 7.5mg in my last post but have now reduced again to 4mg but am regularly taking 25mg Seroxat to sleep at night.

SA Thread

Edited by Lighty

1991 - 1992 - Surmontil 50mg and Fentazin 4mg

Jan 1992 - May 1993 - 30mg Seroxat (Paxil); Fentaxin 4mg

May 1993 - July 1994 - 220mg and after two months 165mg Dothiepin - Melleril for two months from July - September 1994

2006 - 2014 Surmontil (Trimipramine) 50mg

2014 - April Cold turkeyed Surmontil and started Cymbalta 30mg; April 2014 15mg Mirtazapine reduced to 7.5 after six weeks

Tapered Cymbalta 30mg from June 2018-Feb 2019 and Seroquel 150mg to zero from Oct-December 2020.

Mirtazapine Taper2021 -tapered from 7.5mg liquid taper to 1.08 in December 2025;

Jan 2026 - Had to reinstate at 7.5mg; March reduced to 4mg and holding

2025 August - January 2026  50mg quetiapine generally three times per week at night; two  0.5mg tablets clonazapem per week ongoing

July 2026 - stopped Seroquel

This is not medical advice .  Please do not PM me thanks.

  • Lighty changed the title to Oaktree1: Can't get off Mirtazpine and using Seroquel as needed

Welcome to the forum!

 

This is a volunteer-run, community forum aimed at helping those who are tapering and/or experiencing difficulties with psychiatric medications and withdrawl syndrome. We are not medical professionals and cannot offer medical advice. We simply offer support and opinions which you could use as talking points with a medical provider knowledgeable in withdrawing off psychiatric medications.

 

Please familiarise yourself with the forum rules and the disclaimer located here: Guidelines

 

Please make sure your signature is kept up to date with your drug history. This will allow members to see some basic information about your drug history and situation so that they may help you best. You didn't put your current drugs in your signature, please include your current drugs list and your latest tapering with mirtazapine. When did you start taking Seroxat again ?


23 minutes ago, Oaktree1 said:

Afraid story was not a success as I had to reinstated Mirtazapine to 7.5mg in my last post but have now reduced again to 4mg

That's okay, our first priority should be feeling well, after that we slowly taper the drug, I'm glad you have been making a bit of progress with tapering the drug, I'm sure you will eventually get rid of it.

25 minutes ago, Oaktree1 said:

am regularly taking 25mg Seroxat to sleep at night.

that's okay, first focus on tapering the mirtazapine, once you are done with that, you can choose to taper the Seroxat if you wish to.

 

In the mean time this is what I would do if I were you:

 

-Stay Hydrated 

 

-Eat a good clean whole food diet, avoiding processed foods and sugars.

 

-Stay away from caffeine, alcohol and antihistamines and any other psychoactive substances.

 

Supplements are to be avoided initially, as they often irritate our nervous systems. Try to get your nutrition through food.

 

Down the line, you may wish to introduce Fish Oil and Magnesium. Those who can tolerate them have found them calming to the nervous system. Be careful try one at a time and start low and see how you get on should you choose to try them.

 

A daily walk is very important as much as you can manage, if you can manage it. Gets you your fresh air and Vitamin D does wonders for your mind!

 

It's great to see you here Oaktree.

I’m not a medical professional and cannot offer medical advice. I only offer my thoughts as support. Please speak to your health practitioner about your care. This is a peer site where we support each other on our taper/recovery journeys. 
Feel free to mention me whenever help is needed.

 

Current Supplements: Morning: Aloe Vera Gels. Night: 6mg melatonin and 133mg magnesium glycinate. Taking Omega 3 as needed to calm dyskinesia or over stimulation..

Current Medications: Mirtazapine, Lasea (lavender oil) before bed.

------------------------------------------

Tapering: Mirtazapine 15mg, (went compounded) 13.5mg 08/May/2025, 12.1mg 10/July/2025, 15/July/2025 15mg (half tablet), 26/July/2025 14.35mg (moved to dry cutting method) ), 03/Aug/2025 14.6mg, 24/Nov/2025 14.47mg, 29/Jan/2026 14.35mg

Note: Had a lot of issue with degradation with different cutting times and compounded pharmacy which caused withdrawals and a more sensitive nervous system.

14 hours ago, Oaktree1 said:

Hi

I am starting a thread here and here is the link to my old thread on Surviving Anti depressants. Afraid story was not a success as I had to reinstated Mirtazapine to 7.5mg in my last post but have now reduced again to 4mg but am regularly taking 25mg Seroxat to sleep at night.

SA Thread

Hi @Oaktree1 welcome to the forum.

Are you taking 25mg Seroxat regularly? You should not take these drugs 'as needed'.

How were things once you RI 7.5mg? Are you keeping an eye on your symptoms, really you should have mild 1-3/10 symptoms before considering a cut and only reduce a max of 10% per month. Often this is too much and we need to go slower.

Tapering Information

Sleep in WD

I’m not a medical professional and cannot offer medical advice. I only offer my thoughts as support. Please speak to your health practitioner about your care. This is a peer site where we support each other on our taper/recovery journeys. 

 

If you are from the UK please make sure you fill in a 'Yellow Card' report for the MHRA. It is you doing your bit to help make a difference.

Please take the time to do it today 🙂 https://yellowcard.mhra.gov.uk

For US members details here.

  • Author
22 hours ago, Lighty said:

That's okay, our first priority should be feeling well, after that we slowly taper the drug, I'm glad you have been making a bit of progress with tapering the drug, I'm sure you will eventually get rid of it.

Hi Lighty

Thanks very for replying to me and for the info. I have no plans currently to reduce the drug any further. I decided to start a thread on the site here just to show what happened when I tapered which was that when I got under 2mg my sleep and mood issues worsened to the point of severe suicidality and severe mood dysregulation so I felt that had no option but to reinstate. To be honest I think I'll be on this and the Seroquel for the rest of my time - I just wanted to put my info here just to show the difficulty in trying to get off this drug. Hope that is ok - the more that gets out into the public domain about these drugs the better I think. There were loads of threads on Surviving Anti depressants that just went silent after the person posted or went below a certain amount. I always said I would post if I failed and yeh I did fail to taper.

1991 - 1992 - Surmontil 50mg and Fentazin 4mg

Jan 1992 - May 1993 - 30mg Seroxat (Paxil); Fentaxin 4mg

May 1993 - July 1994 - 220mg and after two months 165mg Dothiepin - Melleril for two months from July - September 1994

2006 - 2014 Surmontil (Trimipramine) 50mg

2014 - April Cold turkeyed Surmontil and started Cymbalta 30mg; April 2014 15mg Mirtazapine reduced to 7.5 after six weeks

Tapered Cymbalta 30mg from June 2018-Feb 2019 and Seroquel 150mg to zero from Oct-December 2020.

Mirtazapine Taper2021 -tapered from 7.5mg liquid taper to 1.08 in December 2025;

Jan 2026 - Had to reinstate at 7.5mg; March reduced to 4mg and holding

2025 August - January 2026  50mg quetiapine generally three times per week at night; two  0.5mg tablets clonazapem per week ongoing

July 2026 - stopped Seroquel

This is not medical advice .  Please do not PM me thanks.

  • Author
9 hours ago, Chippy said:

Hi @Oaktree1 welcome to the forum.

Are you taking 25mg Seroxat regularly? You should not take these drugs 'as needed'.

How were things once you RI 7.5mg? Are you keeping an eye on your symptoms, really you should have mild 1-3/10 symptoms before considering a cut and only reduce a max of 10% per month. Often this is too much and we need to go slower.

Tapering Information

Sleep in WD

Hi Chippy

thanks for posting. My GP said I could take the Seroquel as needed and to be honest the way things are now for me I have to do that. I did a very careful reduction liquid of Mirtazapine starting in August 2021 and only reduced by liquid about 3 or 2% per month and had several long holds over over three and six months. I followed all the protocols on Suriviving Antidepressants. I still had severe symptons below 2mg- even though I went back up to 2mg and waited there for several months being stable being lowering again. I don't think I will be reducing this drug below 4mg again as my symptoms became too severe. I posted here because I want to add to the document of iatrogenic damage about this drug. I wouldn't be a regular poster. I hope this is ok.

1991 - 1992 - Surmontil 50mg and Fentazin 4mg

Jan 1992 - May 1993 - 30mg Seroxat (Paxil); Fentaxin 4mg

May 1993 - July 1994 - 220mg and after two months 165mg Dothiepin - Melleril for two months from July - September 1994

2006 - 2014 Surmontil (Trimipramine) 50mg

2014 - April Cold turkeyed Surmontil and started Cymbalta 30mg; April 2014 15mg Mirtazapine reduced to 7.5 after six weeks

Tapered Cymbalta 30mg from June 2018-Feb 2019 and Seroquel 150mg to zero from Oct-December 2020.

Mirtazapine Taper2021 -tapered from 7.5mg liquid taper to 1.08 in December 2025;

Jan 2026 - Had to reinstate at 7.5mg; March reduced to 4mg and holding

2025 August - January 2026  50mg quetiapine generally three times per week at night; two  0.5mg tablets clonazapem per week ongoing

July 2026 - stopped Seroquel

This is not medical advice .  Please do not PM me thanks.

Welcome to the forum.

1 minute ago, Oaktree1 said:

I posted here because I want to add to the document of iatrogenic damage about this drug. I wouldn't be a regular poster. I hope this is ok.

Whatever you want or need from this place. That's ok.

Nothing I say is medical advice, it is simply my opinion. I am an anonymous person on an internet forum with no relevant qualifications other than being badly harmed by a drug. For all you know, I could be an idiot. You are making your own decisions and part of that is deciding how much to listen to my opinion, if at all.

 

Perhaps you should consider this post an artistic work of fiction written for entertainment purposes.


Story from SA: LukeUK: Remeron/Mirtazapine Severe Withdrawal - Introductions and updates - Surviving Antidepressants

 

15mg Remeron/Mirtazapine November starting 2022 (severe physical side effects)

Attempted to taper off January 2023, ended up having a major breakdown and going up to 30mg, took weeks to stabilise

1 month taper  to 0mg

Last dose April 2023

Severe withdrawal syndrome with many physical symptoms

Summary: 5 months using Mirtazapine, including 1 month taper ending late April 2023.

Hello Oaktree. I am glad you made in over here to this new site. If you need to hold your doses to feel okay that's fine since it stabilizes you. I wish you peace and wellness. Marie.

Trazodone 75 mg completed taper

Ambien 5 mg completed taper

Tapering Mirt .22 mg

2/18/25 .20 mg

3/10/26 .16 mg

3/23/26 .14 mg

4/18/26 .12 mg

4/27/26 .1 mg

5/7/26 .08 mg

5/19/26 .06 mg

6/2/26 .04 mg

8/12/26 Walked off the POS mirt. Done.

14 hours ago, Oaktree1 said:

thanks for posting.

Pleasure

14 hours ago, Oaktree1 said:

My GP said I could take the Seroquel as needed and to be honest the way things are now for me I have to do that.

Gps think a lot of things are not correct. Obviously it is your choice and I respect that,

14 hours ago, Oaktree1 said:

I wouldn't be a regular poster. I hope this is ok.

Welcome here as little or as much as you want.

I’m not a medical professional and cannot offer medical advice. I only offer my thoughts as support. Please speak to your health practitioner about your care. This is a peer site where we support each other on our taper/recovery journeys. 

 

If you are from the UK please make sure you fill in a 'Yellow Card' report for the MHRA. It is you doing your bit to help make a difference.

Please take the time to do it today 🙂 https://yellowcard.mhra.gov.uk

For US members details here.

  • Author
On 7/15/2026 at 6:53 PM, Marie said:

Hello Oaktree. I am glad you made in over here to this new site. If you need to hold your doses to feel okay that's fine since it stabilizes you. I wish you peace and wellness. Marie.

Hi Marie

Thanks very much for posting - you are doing a fantastic job with your own Mirt taper - I wish you the best too for the finish.

Oaktree1

1991 - 1992 - Surmontil 50mg and Fentazin 4mg

Jan 1992 - May 1993 - 30mg Seroxat (Paxil); Fentaxin 4mg

May 1993 - July 1994 - 220mg and after two months 165mg Dothiepin - Melleril for two months from July - September 1994

2006 - 2014 Surmontil (Trimipramine) 50mg

2014 - April Cold turkeyed Surmontil and started Cymbalta 30mg; April 2014 15mg Mirtazapine reduced to 7.5 after six weeks

Tapered Cymbalta 30mg from June 2018-Feb 2019 and Seroquel 150mg to zero from Oct-December 2020.

Mirtazapine Taper2021 -tapered from 7.5mg liquid taper to 1.08 in December 2025;

Jan 2026 - Had to reinstate at 7.5mg; March reduced to 4mg and holding

2025 August - January 2026  50mg quetiapine generally three times per week at night; two  0.5mg tablets clonazapem per week ongoing

July 2026 - stopped Seroquel

This is not medical advice .  Please do not PM me thanks.

  • Author
13 hours ago, Chippy said:

Pleasure

Gps think a lot of things are not correct. Obviously it is your choice and I respect that,

Welcome here as little or as much as you want.

HI Chippy,

Yes - I am in agreement as regards the medical profession's acceptance of withdrawal although my GP is beginning to come around as regards withdrawal (and I didn't even say anything). I have decided to drop the Seroquel as I read an article last night that said that 20 to 50% of the people on it develop tardive dyskinesia - I hadnt realised that - plus the weight gain. I have added a few kilos.

https://psychiatryonline.org/doi/10.1176/ajp.156.5.796a

It's good to link in with a community here - was very sad when Surviving Anti depressants closed.

Oaktree1

1991 - 1992 - Surmontil 50mg and Fentazin 4mg

Jan 1992 - May 1993 - 30mg Seroxat (Paxil); Fentaxin 4mg

May 1993 - July 1994 - 220mg and after two months 165mg Dothiepin - Melleril for two months from July - September 1994

2006 - 2014 Surmontil (Trimipramine) 50mg

2014 - April Cold turkeyed Surmontil and started Cymbalta 30mg; April 2014 15mg Mirtazapine reduced to 7.5 after six weeks

Tapered Cymbalta 30mg from June 2018-Feb 2019 and Seroquel 150mg to zero from Oct-December 2020.

Mirtazapine Taper2021 -tapered from 7.5mg liquid taper to 1.08 in December 2025;

Jan 2026 - Had to reinstate at 7.5mg; March reduced to 4mg and holding

2025 August - January 2026  50mg quetiapine generally three times per week at night; two  0.5mg tablets clonazapem per week ongoing

July 2026 - stopped Seroquel

This is not medical advice .  Please do not PM me thanks.

  • Author
On 7/15/2026 at 5:36 PM, Luke said:

Welcome to the forum.

Whatever you want or need from this place. That's ok.

Thanks Luke - really grateful you had the drive to set this forum up.

Oaktree1

1991 - 1992 - Surmontil 50mg and Fentazin 4mg

Jan 1992 - May 1993 - 30mg Seroxat (Paxil); Fentaxin 4mg

May 1993 - July 1994 - 220mg and after two months 165mg Dothiepin - Melleril for two months from July - September 1994

2006 - 2014 Surmontil (Trimipramine) 50mg

2014 - April Cold turkeyed Surmontil and started Cymbalta 30mg; April 2014 15mg Mirtazapine reduced to 7.5 after six weeks

Tapered Cymbalta 30mg from June 2018-Feb 2019 and Seroquel 150mg to zero from Oct-December 2020.

Mirtazapine Taper2021 -tapered from 7.5mg liquid taper to 1.08 in December 2025;

Jan 2026 - Had to reinstate at 7.5mg; March reduced to 4mg and holding

2025 August - January 2026  50mg quetiapine generally three times per week at night; two  0.5mg tablets clonazapem per week ongoing

July 2026 - stopped Seroquel

This is not medical advice .  Please do not PM me thanks.

38 minutes ago, Oaktree1 said:

I have decided to drop the Seroquel as I read an article last night that said that 20 to 50% of the people on it develop tardive dyskinesia - I hadnt realised that - plus the weight gain. I have added a few kilos.

Hey @Oaktree1 what's your plan is for tapering the seroquel? Like you, I was taking up to 50 mg as needed for sleep (probably a few times a week) until I found this forum. I was already destabilized from other med changes, but when I tried to stop the seroquel I got bad WD symptoms, including severe insomnia. I'm now taking 12.5 mg/day to stabilize, as I understand that taking it "as needed," especially in an already unstable state, can cause even more destabilization. Once I'm stable I plan to taper.

I think you're the only other person I've seen on here who has taken seroquel on an as needed basis for sleep, which is why I'm curious.

I’m not a medical professional and cannot offer medical advice. I am new to this journey and my thoughts are based only on my personal experience with psychiatric drugs. This is a peer site where we support each other on our taper/recovery journeys. 

Current regimen:

Cymbalta - 90 mg/day

Seroquel - 12.5 mg/day

*holding to stabilize as of Apr 2026

 

History:

Seroquel - up to 50 mg as needed for sleep (generally 6.25-12.5 mg a few times a week, though sometimes more) - 2009 (ish) to present

Cymbalta - 60 mg/day, periodically down to 30 mg/day - May 2014 to May 2025

Clonazepam - up to 1 mg/day as needed - March to May 2025, quick taper off

Zoloft - 150 mg/day - May 2025 to Aug 2025 (quick cross-taper from Cymbalta)

Pristiq - 50 mg/day from Aug 2025 to mid-Oct 2025 (quick cross-taper from Zoloft); 100 mg/day from Oct 2025 to Dec 2025; back down to 50 mg/day from Dec 2025 to Jan 2026

Lyrica - 200 mg/day - Nov 2025 to Jan 2026 (quick taper off from mid-Jan to early Feb 2026 due to severe depressive symptoms)

Cymbalta - 60 mg/day - Jan - March 2026; up to 90 mg/day from March to present

 

9 hours ago, Oaktree1 said:

Thanks Luke - really grateful you had the drive to set this forum up.

Oaktree1

No problem. I did it with @Chippy

Nothing I say is medical advice, it is simply my opinion. I am an anonymous person on an internet forum with no relevant qualifications other than being badly harmed by a drug. For all you know, I could be an idiot. You are making your own decisions and part of that is deciding how much to listen to my opinion, if at all.

 

Perhaps you should consider this post an artistic work of fiction written for entertainment purposes.


Story from SA: LukeUK: Remeron/Mirtazapine Severe Withdrawal - Introductions and updates - Surviving Antidepressants

 

15mg Remeron/Mirtazapine November starting 2022 (severe physical side effects)

Attempted to taper off January 2023, ended up having a major breakdown and going up to 30mg, took weeks to stabilise

1 month taper  to 0mg

Last dose April 2023

Severe withdrawal syndrome with many physical symptoms

Summary: 5 months using Mirtazapine, including 1 month taper ending late April 2023.

10 hours ago, Oaktree1 said:

It's good to link in with a community here - was very sad when Surviving Anti depressants closed.

Its good to have you here. We were shocked and saddened too. That is why we started this site.

I’m not a medical professional and cannot offer medical advice. I only offer my thoughts as support. Please speak to your health practitioner about your care. This is a peer site where we support each other on our taper/recovery journeys. 

 

If you are from the UK please make sure you fill in a 'Yellow Card' report for the MHRA. It is you doing your bit to help make a difference.

Please take the time to do it today 🙂 https://yellowcard.mhra.gov.uk

For US members details here.

  • Author
7 hours ago, Chippy said:

Its good to have you here. We were shocked and saddened too. That is why we started this site.

Thanks Chippy - you're a really strong contributor here - thanks in setting up and running the site - with SA - there is nothing comparable anywhere else.

1991 - 1992 - Surmontil 50mg and Fentazin 4mg

Jan 1992 - May 1993 - 30mg Seroxat (Paxil); Fentaxin 4mg

May 1993 - July 1994 - 220mg and after two months 165mg Dothiepin - Melleril for two months from July - September 1994

2006 - 2014 Surmontil (Trimipramine) 50mg

2014 - April Cold turkeyed Surmontil and started Cymbalta 30mg; April 2014 15mg Mirtazapine reduced to 7.5 after six weeks

Tapered Cymbalta 30mg from June 2018-Feb 2019 and Seroquel 150mg to zero from Oct-December 2020.

Mirtazapine Taper2021 -tapered from 7.5mg liquid taper to 1.08 in December 2025;

Jan 2026 - Had to reinstate at 7.5mg; March reduced to 4mg and holding

2025 August - January 2026  50mg quetiapine generally three times per week at night; two  0.5mg tablets clonazapem per week ongoing

July 2026 - stopped Seroquel

This is not medical advice .  Please do not PM me thanks.

  • Author
17 hours ago, SarahMc said:

Hey @Oaktree1 what's your plan is for tapering the seroquel? Like you, I was taking up to 50 mg as needed for sleep (probably a few times a week) until I found this forum. I was already destabilized from other med changes, but when I tried to stop the seroquel I got bad WD symptoms, including severe insomnia. I'm now taking 12.5 mg/day to stabilize, as I understand that taking it "as needed," especially in an already unstable state, can cause even more destabilization. Once I'm stable I plan to taper.

I think you're the only other person I've seen on here who has taken seroquel on an as needed basis for sleep, which is why I'm curious.

Hi SarahMc

I am not going to taper it - I have just cut it starting yesterday

I have only been taking Seroquel on and on/off basis since November 2025 - maybe 2 to 3 times a week. Once I got under 2mg in Mirtazapine, my sleep more or less disappeared and I had a few weeks of that before reaching for the Seroquel eventually at 5am in the morning. I also took it like a smartie pill from July 2020 until October of that year when I had a bowel impaction and as a result tapered off it very quick more or less cold turkey - the adverse effects were not too bad - mainly muscle aches.

I had a quick look at your med history and it seems from all the med changes you have had over the last few years with Lyrica, Clonazapam, Pristiq and Cymbalta (which is a yucky drug to come down on ) that I would just remain holding at 12.5mg if I was you particularly as you've been on it since 2009 and do a very slow taper.

Sorry I can't be of more help - stabilisation and handling symptoms such that you can manage them I think is key - that's why I went back up the Mirtazapine.

Oaktree1

1991 - 1992 - Surmontil 50mg and Fentazin 4mg

Jan 1992 - May 1993 - 30mg Seroxat (Paxil); Fentaxin 4mg

May 1993 - July 1994 - 220mg and after two months 165mg Dothiepin - Melleril for two months from July - September 1994

2006 - 2014 Surmontil (Trimipramine) 50mg

2014 - April Cold turkeyed Surmontil and started Cymbalta 30mg; April 2014 15mg Mirtazapine reduced to 7.5 after six weeks

Tapered Cymbalta 30mg from June 2018-Feb 2019 and Seroquel 150mg to zero from Oct-December 2020.

Mirtazapine Taper2021 -tapered from 7.5mg liquid taper to 1.08 in December 2025;

Jan 2026 - Had to reinstate at 7.5mg; March reduced to 4mg and holding

2025 August - January 2026  50mg quetiapine generally three times per week at night; two  0.5mg tablets clonazapem per week ongoing

July 2026 - stopped Seroquel

This is not medical advice .  Please do not PM me thanks.

7 minutes ago, Oaktree1 said:

I am not going to taper it - I have just cut it starting yesterday

I have only been taking Seroquel on and on/off basis since November 2025 - maybe 2 to 3 times a week. Once I got under 2mg in Mirtazapine, my sleep more or less disappeared and I had a few weeks of that before reaching for the Seroquel eventually at 5am in the morning. I also took it like a smartie pill from July 2020 until October of that year when I had a bowel impaction and as a result tapered off it very quick more or less cold turkey - the adverse effects were not too bad - mainly muscle aches.

Ok, best of luck -- hope it goes ok.

9 minutes ago, Oaktree1 said:

I had a quick look at your med history and it seems from all the med changes you have had over the last few years with Lyrica, Clonazapam, Pristiq and Cymbalta (which is a yucky drug to come down on ) that I would just remain holding at 12.5mg if I was you particularly as you've been on it since 2009 and do a very slow taper.

Sorry I can't be of more help - stabilisation and handling symptoms such that you can manage them I think is key - that's why I went back up the Mirtazapine.

Yes I have no plans to do anything but hold and stabilize for now, since I'm still quite destabilized. I was just curious about what others who were taking drugs "as needed" and found themselves needing to taper were doing. Appreciate the response!

I’m not a medical professional and cannot offer medical advice. I am new to this journey and my thoughts are based only on my personal experience with psychiatric drugs. This is a peer site where we support each other on our taper/recovery journeys. 

Current regimen:

Cymbalta - 90 mg/day

Seroquel - 12.5 mg/day

*holding to stabilize as of Apr 2026

 

History:

Seroquel - up to 50 mg as needed for sleep (generally 6.25-12.5 mg a few times a week, though sometimes more) - 2009 (ish) to present

Cymbalta - 60 mg/day, periodically down to 30 mg/day - May 2014 to May 2025

Clonazepam - up to 1 mg/day as needed - March to May 2025, quick taper off

Zoloft - 150 mg/day - May 2025 to Aug 2025 (quick cross-taper from Cymbalta)

Pristiq - 50 mg/day from Aug 2025 to mid-Oct 2025 (quick cross-taper from Zoloft); 100 mg/day from Oct 2025 to Dec 2025; back down to 50 mg/day from Dec 2025 to Jan 2026

Lyrica - 200 mg/day - Nov 2025 to Jan 2026 (quick taper off from mid-Jan to early Feb 2026 due to severe depressive symptoms)

Cymbalta - 60 mg/day - Jan - March 2026; up to 90 mg/day from March to present

 

15 hours ago, Oaktree1 said:

I am not going to taper it - I have just cut it starting yesterday

Keep an eye out for symptoms after this, you took it long enough and regularly enough to gain some dependance so you may not be able to just stop it. You may be lucky and it will be fine.

I’m not a medical professional and cannot offer medical advice. I only offer my thoughts as support. Please speak to your health practitioner about your care. This is a peer site where we support each other on our taper/recovery journeys. 

 

If you are from the UK please make sure you fill in a 'Yellow Card' report for the MHRA. It is you doing your bit to help make a difference.

Please take the time to do it today 🙂 https://yellowcard.mhra.gov.uk

For US members details here.

  • Author
4 hours ago, Chippy said:

Keep an eye out for symptoms after this, you took it long enough and regularly enough to gain some dependance so you may not be able to just stop it. You may be lucky and it will be fine.

Hi Chippy,

Thanks for commenting - I will report back if I have bad symptoms and have to go back on it. I did come off it before after being on it 4 months at around 150mg and it wasn't too hard - hopefully I will have a similar result this time. I had forgotten to mention that Seroquel and Mirtazapine taken together also cause a risk of serotonin syndrome and irregular heart beat - really shouldn't be taking them together at all.

https://www.drugs.com/drug-interactions/mirtazapine-with-seroquel-1640-0-1979-1274.html

1991 - 1992 - Surmontil 50mg and Fentazin 4mg

Jan 1992 - May 1993 - 30mg Seroxat (Paxil); Fentaxin 4mg

May 1993 - July 1994 - 220mg and after two months 165mg Dothiepin - Melleril for two months from July - September 1994

2006 - 2014 Surmontil (Trimipramine) 50mg

2014 - April Cold turkeyed Surmontil and started Cymbalta 30mg; April 2014 15mg Mirtazapine reduced to 7.5 after six weeks

Tapered Cymbalta 30mg from June 2018-Feb 2019 and Seroquel 150mg to zero from Oct-December 2020.

Mirtazapine Taper2021 -tapered from 7.5mg liquid taper to 1.08 in December 2025;

Jan 2026 - Had to reinstate at 7.5mg; March reduced to 4mg and holding

2025 August - January 2026  50mg quetiapine generally three times per week at night; two  0.5mg tablets clonazapem per week ongoing

July 2026 - stopped Seroquel

This is not medical advice .  Please do not PM me thanks.

20 hours ago, Oaktree1 said:

I had forgotten to mention that Seroquel and Mirtazapine taken together also cause a risk of serotonin syndrome and irregular heart beat - really shouldn't be taking them together at all.

It awful doctors prescribe drugs that interact with each other, it is very common for this to happen, awful.

Hope all goes well going forwards, always here for you.

I’m not a medical professional and cannot offer medical advice. I only offer my thoughts as support. Please speak to your health practitioner about your care. This is a peer site where we support each other on our taper/recovery journeys. 

 

If you are from the UK please make sure you fill in a 'Yellow Card' report for the MHRA. It is you doing your bit to help make a difference.

Please take the time to do it today 🙂 https://yellowcard.mhra.gov.uk

For US members details here.

  • 2 weeks later...
  • Author

Thought i better update in case anyone wants to know about cold turkey Seroquel since I last posted three weeks ago. First three days did not notice anything. Then I had neuropathy (burning hands and feet for one week); this has gone now. Then I had the mother of all TMJ migraines - really really bad - can't describe how bad - had it for three days - I had had alcohol (wine) the night before. I don't drink much but my life is nearly over and occasionally I like wine with dinner.

In the last five days my anxiety has skyrocketed. I was diagnosed autistic so have constant anxiety anyway but this was at the point where I could not focus on anything. I have had three or four really bad meltdowns, crying, vicious suicidal ideation at times and yes I had to take 0.5mg Clonazapam four times since I last posted.

For the last two weeks I have had all over body stiffness. I had this the last time I came off Seroquel too. I've been off it now three weeks.

I I do wonder if I am doing the right thing sometimes with these meds and whether I should not just bite the bullet and try Lithium to mellow out because i was allergic to the other mood stabilisers and gabapentinoiids (should have listed them - willl update profile when I am up to it). However what puts me off the LIthium is the bloody toxicity which can happen alarmingly quickly and on a low dose and apparently autistic people or so I was told by a psychiatrist are more sensitive to these meds . Also I have eczema and Lithium dries out your skin further. A guy I knew who had psoriasis was put on it and ended up with all over body plaque. I research other users experiences on Reddit and also on Drugs.com.

It sounds paradoxical but my depressed mood is better since I am off Seroquel - apparently it blocks dopamine which is a feel good hormone. I came off it because I really don't want to get tardive dyskinesia and my bloods are not good.

I am staying on 4mg Mirtazapine (liquid dose made with maple syrup)

To calm myself down in the past few months I returned to church services. I don't know if I believe or not but it is nice to think that someone up there might care and stuff like that and that there is a purpose to suffering- even lighting a candle and making an intention for good of someone else can make me feel better. i have had a lot of rage and I am tired of doing that. I don't agree with anti gay stuff/trans stuff but I am choosing because I kind of feel I need something else to ignore that part. I have also had issues in mental health support groups in the past and really don't feel like going and opening up in there again - feels unsafe. My therapist fired me last April and that shook the life out of me - I was going to her for five years - I decided having left a few angry hurt messages over the past while to just leave it go. Getting fired by the therapist with no notice was one of the reasons I started going to church.

anyway - I am planning to try and stick out staying off the Seroquel. Will post new developments if something else happens symptom or drug wise.

1991 - 1992 - Surmontil 50mg and Fentazin 4mg

Jan 1992 - May 1993 - 30mg Seroxat (Paxil); Fentaxin 4mg

May 1993 - July 1994 - 220mg and after two months 165mg Dothiepin - Melleril for two months from July - September 1994

2006 - 2014 Surmontil (Trimipramine) 50mg

2014 - April Cold turkeyed Surmontil and started Cymbalta 30mg; April 2014 15mg Mirtazapine reduced to 7.5 after six weeks

Tapered Cymbalta 30mg from June 2018-Feb 2019 and Seroquel 150mg to zero from Oct-December 2020.

Mirtazapine Taper2021 -tapered from 7.5mg liquid taper to 1.08 in December 2025;

Jan 2026 - Had to reinstate at 7.5mg; March reduced to 4mg and holding

2025 August - January 2026  50mg quetiapine generally three times per week at night; two  0.5mg tablets clonazapem per week ongoing

July 2026 - stopped Seroquel

This is not medical advice .  Please do not PM me thanks.

Religion is like a violin, some play it beautifully, others make horrible noises with it. I think it's a very nice thing to light candles and make good intentions. Hoping things will get better for you.

2018 Dec. Started Escitalopram 15 mg
2021 Oct. Switched to Paroxetine 20 mg
2021 & 2022 Upping and lowering dosages
2023 10mg Paroxetine
2024 17 Jun 7.5mg, 15 Jul 7mg, 5 Sept 6mg, 14 Oct 5mg, 12 Nov 4mg, 9 Dec 3mg.
2025 10 Mar 2mg.
2025 25 May 2.5 mg.
2025 ?? ??? 3 mg
2025 23 October 3.5 mg. 

  • Author

Hi Vince

thanks for the good vibes

Oaktree1

1991 - 1992 - Surmontil 50mg and Fentazin 4mg

Jan 1992 - May 1993 - 30mg Seroxat (Paxil); Fentaxin 4mg

May 1993 - July 1994 - 220mg and after two months 165mg Dothiepin - Melleril for two months from July - September 1994

2006 - 2014 Surmontil (Trimipramine) 50mg

2014 - April Cold turkeyed Surmontil and started Cymbalta 30mg; April 2014 15mg Mirtazapine reduced to 7.5 after six weeks

Tapered Cymbalta 30mg from June 2018-Feb 2019 and Seroquel 150mg to zero from Oct-December 2020.

Mirtazapine Taper2021 -tapered from 7.5mg liquid taper to 1.08 in December 2025;

Jan 2026 - Had to reinstate at 7.5mg; March reduced to 4mg and holding

2025 August - January 2026  50mg quetiapine generally three times per week at night; two  0.5mg tablets clonazapem per week ongoing

July 2026 - stopped Seroquel

This is not medical advice .  Please do not PM me thanks.

  • Author
19 hours ago, Vince said:

Religion is like a violin, some play it beautifully, others make horrible noises with it. I think it's a very nice thing to light candles and make good intentions. Hoping things will get better for you.

good analogy

1991 - 1992 - Surmontil 50mg and Fentazin 4mg

Jan 1992 - May 1993 - 30mg Seroxat (Paxil); Fentaxin 4mg

May 1993 - July 1994 - 220mg and after two months 165mg Dothiepin - Melleril for two months from July - September 1994

2006 - 2014 Surmontil (Trimipramine) 50mg

2014 - April Cold turkeyed Surmontil and started Cymbalta 30mg; April 2014 15mg Mirtazapine reduced to 7.5 after six weeks

Tapered Cymbalta 30mg from June 2018-Feb 2019 and Seroquel 150mg to zero from Oct-December 2020.

Mirtazapine Taper2021 -tapered from 7.5mg liquid taper to 1.08 in December 2025;

Jan 2026 - Had to reinstate at 7.5mg; March reduced to 4mg and holding

2025 August - January 2026  50mg quetiapine generally three times per week at night; two  0.5mg tablets clonazapem per week ongoing

July 2026 - stopped Seroquel

This is not medical advice .  Please do not PM me thanks.

Oaktree1, so very nice to see you here and welcome to the forum, you mentioned going to church, so I thought I'd just share a few fun facts with you that I learned when my Mother of 85 visited France. So my Mother named me Bernadette, I was always curious on how she came about the name Bernadette, well I was named after St.Bernadett. Location: Groth of Massabiello in Lourdes southwestern France. Date:1858, when a 14-year old girl named Bernadette Soubirous witnessed 18 visions of the blessed Virgin Mary. The Spring: During the vision, Mary told Bernadette to drink and bath in the spring, though no water was initially visible. Bernadette dug into the muddy ground with her hands, causing a spring to flow that has continued to run uninterrupted ever since. Like you , I have reached out to God, and have asked on numerous occasions, why?Why Lord must I and so many others have to endure such pain and agony. But then remind my self what my Mother told me. " The Lord our God would never put more on our shoulders than we can handle " Yes there were days that seemed heavy and I couldn't go any further, but he lifts us up when we feel we can go no more, gives us strength at our weakest, and a vision to see the beauty of a new day. My faith is what got me this far and the belief I and everyone here will see the glorious path ahead, to heal and strength, to know we will prevail even stronger than before. My Dad up above, looking down on me, saying " Socker Lou, get up, brush your self off, you can do this" We are all strong, and we will all get through this.

Dec 23 Citalopram 15mg

13 March 24 13.5mg

27 March 24 10mg

12 March 24 7.5mg

20 March 24 6mg

10 Aug 24 5mg

24 Aug 24 4mg

2 Sept 24 3.5mg

11 Sept 24 3mg

19 Sept 24 2.5mg

26 Sept 24 2mg

5 Oct 24 1.5mg

12 Oct 24 1mg

17 Oct 24 Jumped off.

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