September 21Sep 21 1 minute ago, Steve1 said:I tried to tell him that we aren't treating anxiety now, we are treating the side effects/withdrawal. He didn't believe me.you can't talk about this with 95% of the doctors, unless they are knowledgeable with withdrawal. just tell the doctor the ssri helps so he doesn't pull you out of it. 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: Night: 6mg melatonin and 133mg magnesium glycinate. Taking Omega 3 as needed to calm dyskinesia or over stimulation (Lately been reacting more negatively to supplement Omega 3).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 14.35mgNote: Had a lot of issue with degradation with different cutting times and compounded pharmacy which caused withdrawals and a more sensitive nervous system.
September 21Sep 21 The Maudsley Deprescribing Manual should be required reading for physicians! At the very least For US members: Please report med to FDA Med Watch2017 (May) - Ativan .5 mg (3 x Daily) 2018 (Feb) - Mirtazapine 7.5 mg 2018 (May) - Ativan to Valium - Switch - Can’t Remember how long it took -tapered to 3 mg of Valium2024 (May) - Valium Tolerance2024 (2 Nov) - Completed taper off Valium 2024 (2 Nov) - Mirtazapine increased to 15 mg2025 (Feb) - Ativan 0.25 mg (3 x Daily) - Became Paradoxical - Started weaning got to 0.11mg2025 (Mar) - Ativan 0mg - CT In detox2025 (April) Started Depakote 1500mg - In detox2025 (April) - Depakote 500mg (2 x Daily) once home2025 (Aug) - Completed taper off Depakote2025 (Aug) - Akathisia surges throughout the day with calming in between2025 (Sept) - Gabapentin (Micro Dose) - Was calming at first and then became paradoxical so stop2025 (Oct) - Depakote - RI – (Two days of small dose) Became scared and stopped with WD & aka2025 (Oct) - Seroquel 50 mg XR – 1 Week - more and more activating and increased aka2025 (Oct) - Psychiatrist told me to stop it. But I took a few days of a smaller dose of IR then stopped - Not activating2025 (Nov) - Hydroxyzine 2.5mg - it was paradoxical so stopped2025 (1 Dec) - Mirtazapine 22.5mg - (2 Days) Was incredibly overstimulating started reducing to previous2025 (3 Dec) - Mirtazapine 18.75mg2025 (10 Dec) - Mirtazapine 16.87mg2025 (22 Dec) - Mirtazapine 15mg2026 (23Jan) - Mirtazapine 14.7mg2026 (23 Jan) - Mirtazapine 1mg Panic dose2026 (24 Jan) - Mirtazapine 15mg2026 (25 Feb) – Mirtazapine 14.7mg (-2%)2026 (18 Mar) - propranolol 2.5 mg one time2026 (21 Mar)- Mirtazapine- 15 mg accidentally in sleepy state2026 (22 Mar) - Mirtazapine 14.79 mg (more accurate scales) 2026 (29 April) Mirtazapine 14.7 mg/.1020 g (on suggestion of Horowitz) immediate intense symptoms2026 (30 April) Mirtazapine 14.79 mg (.1026 g)2026 (23 May) propranolol 2.5 mg one time2026 (01 June) Mirtazapine 14.79 mgdose was 5 hours late2026 (22 July) Mirtazapine 14.76 mgIntense electric activation, muscle tightness, autonomic surges, terror followed2026 (23 July) Mirtazapine 14.79 mg return2026 (Oct 5) attempted moving 2 mg of dose 45 minutes earlierSevere activation followed
September 21Sep 21 Author Is the Maudsley manual available free to read anywhere? Thanks in advance 2014- April 2025 Escitalopram 10mgApril 2025 - straight swap to Sertraline 50mgDec 2025-Jan 2026 - tapered off Sertraline 50mg - 0mgJun 2026 - Escitalopram 10mg 9 weeksAug - Escitalopram 5mg
September 21Sep 21 11 minutes ago, SarahMc said:Siiggghhh. I’ve heard this one too, another classic 🙄.All the doctors said that. its really another classic 🤣 11 Years of Citalopram/Escitalopram2015 citalopram 20 mg 3 month with deanxit month2016/4 esctilopram 10 mg 3 month with deanxit 1month2017 esctilopram 10mg 5 month2018 esctilopram 10 mg 2 month2018 citalopram 20 mg 5 month2019 esctilopram 10 mg 6 month2020 New, severe symptoms that do not resemble any symptoms of my previous illness, which is anxiety.esctilopram 10mg 7 month 3 day to 20 mg but my body make a reaction2021 esctilopram 10 mg 6 month deanxit 2 month2022 esctilopram 10 mg 8 month sibralix 1 month2023 esctilopram 10 mg2024/1 left the medicine2024/10 esctilopram 10 mg2025 esctilopram 10 mg2025/8 left the medicine2025/9 deanxit 1 month2025/10 1 esctilopram 10 mg one day2026/2 impramine 10 mg 5 days2026/3 deanxit 40 days2026/5/13 Zoloft 25 mg for 3 days2026/5/16 no medicine 4 ever
September 21Sep 21 2 minutes ago, Steve1 said:Is the Maudsley manual available free to read anywhere?Thanks in advanceI don’t think it’s available for free anywhere. @Chippy ?It looks like it’s available as a pdf for around $20 in USActual book $60 or $70 Edited September 21Sep 21 by Finni For US members: Please report med to FDA Med Watch2017 (May) - Ativan .5 mg (3 x Daily) 2018 (Feb) - Mirtazapine 7.5 mg 2018 (May) - Ativan to Valium - Switch - Can’t Remember how long it took -tapered to 3 mg of Valium2024 (May) - Valium Tolerance2024 (2 Nov) - Completed taper off Valium 2024 (2 Nov) - Mirtazapine increased to 15 mg2025 (Feb) - Ativan 0.25 mg (3 x Daily) - Became Paradoxical - Started weaning got to 0.11mg2025 (Mar) - Ativan 0mg - CT In detox2025 (April) Started Depakote 1500mg - In detox2025 (April) - Depakote 500mg (2 x Daily) once home2025 (Aug) - Completed taper off Depakote2025 (Aug) - Akathisia surges throughout the day with calming in between2025 (Sept) - Gabapentin (Micro Dose) - Was calming at first and then became paradoxical so stop2025 (Oct) - Depakote - RI – (Two days of small dose) Became scared and stopped with WD & aka2025 (Oct) - Seroquel 50 mg XR – 1 Week - more and more activating and increased aka2025 (Oct) - Psychiatrist told me to stop it. But I took a few days of a smaller dose of IR then stopped - Not activating2025 (Nov) - Hydroxyzine 2.5mg - it was paradoxical so stopped2025 (1 Dec) - Mirtazapine 22.5mg - (2 Days) Was incredibly overstimulating started reducing to previous2025 (3 Dec) - Mirtazapine 18.75mg2025 (10 Dec) - Mirtazapine 16.87mg2025 (22 Dec) - Mirtazapine 15mg2026 (23Jan) - Mirtazapine 14.7mg2026 (23 Jan) - Mirtazapine 1mg Panic dose2026 (24 Jan) - Mirtazapine 15mg2026 (25 Feb) – Mirtazapine 14.7mg (-2%)2026 (18 Mar) - propranolol 2.5 mg one time2026 (21 Mar)- Mirtazapine- 15 mg accidentally in sleepy state2026 (22 Mar) - Mirtazapine 14.79 mg (more accurate scales) 2026 (29 April) Mirtazapine 14.7 mg/.1020 g (on suggestion of Horowitz) immediate intense symptoms2026 (30 April) Mirtazapine 14.79 mg (.1026 g)2026 (23 May) propranolol 2.5 mg one time2026 (01 June) Mirtazapine 14.79 mgdose was 5 hours late2026 (22 July) Mirtazapine 14.76 mgIntense electric activation, muscle tightness, autonomic surges, terror followed2026 (23 July) Mirtazapine 14.79 mg return2026 (Oct 5) attempted moving 2 mg of dose 45 minutes earlierSevere activation followed
September 22Sep 22 17 hours ago, Finni said:I don’t think it’s available for free anywhere. @Chippy ?It looks like it’s available as a pdf for around $20 in USActual book $60 or $70No it's a paid for item. Can buy it on amazon in the UK think it was about £40 when I got my copy 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.ukFor US members details here.
September 22Sep 22 Author Feel completly trapped by this medication.Feel like I'm getting activation and withdrawal. Surely 5mg settles down soon (6+ weeks)? 2014- April 2025 Escitalopram 10mgApril 2025 - straight swap to Sertraline 50mgDec 2025-Jan 2026 - tapered off Sertraline 50mg - 0mgJun 2026 - Escitalopram 10mg 9 weeksAug - Escitalopram 5mg
September 22Sep 22 1 hour ago, Steve1 said:Feel completly trapped by this medication.Feel like I'm getting activation and withdrawal.Surely 5mg settles down soon (6+ weeks)?the best way to deal with this, is just acceptance, let off the control, just believe in god and let whatever needs to happen, happen, this will free you a lot from the suffering.just gotta hold up and do what you can and do whatever hobbies you can ❣️ 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: Night: 6mg melatonin and 133mg magnesium glycinate. Taking Omega 3 as needed to calm dyskinesia or over stimulation (Lately been reacting more negatively to supplement Omega 3).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 14.35mgNote: Had a lot of issue with degradation with different cutting times and compounded pharmacy which caused withdrawals and a more sensitive nervous system.
September 22Sep 22 Author Thank you would just love to know when symptons will calm down 2014- April 2025 Escitalopram 10mgApril 2025 - straight swap to Sertraline 50mgDec 2025-Jan 2026 - tapered off Sertraline 50mg - 0mgJun 2026 - Escitalopram 10mg 9 weeksAug - Escitalopram 5mg
September 22Sep 22 Author And would be great to know if the body is screaming out for more or less escitalopram? 2014- April 2025 Escitalopram 10mgApril 2025 - straight swap to Sertraline 50mgDec 2025-Jan 2026 - tapered off Sertraline 50mg - 0mgJun 2026 - Escitalopram 10mg 9 weeksAug - Escitalopram 5mg
September 22Sep 22 2 hours ago, Steve1 said:Feel completly trapped by this medication.Feel like I'm getting activation and withdrawal.Surely 5mg settles down soon (6+ weeks)?Something that helps me is to assess if there has been any settling every two weeks instead of expecting a change overnight. Having a future checkpoint can take some pressure and worry off. ❤️ For US members: Please report med to FDA Med Watch2017 (May) - Ativan .5 mg (3 x Daily) 2018 (Feb) - Mirtazapine 7.5 mg 2018 (May) - Ativan to Valium - Switch - Can’t Remember how long it took -tapered to 3 mg of Valium2024 (May) - Valium Tolerance2024 (2 Nov) - Completed taper off Valium 2024 (2 Nov) - Mirtazapine increased to 15 mg2025 (Feb) - Ativan 0.25 mg (3 x Daily) - Became Paradoxical - Started weaning got to 0.11mg2025 (Mar) - Ativan 0mg - CT In detox2025 (April) Started Depakote 1500mg - In detox2025 (April) - Depakote 500mg (2 x Daily) once home2025 (Aug) - Completed taper off Depakote2025 (Aug) - Akathisia surges throughout the day with calming in between2025 (Sept) - Gabapentin (Micro Dose) - Was calming at first and then became paradoxical so stop2025 (Oct) - Depakote - RI – (Two days of small dose) Became scared and stopped with WD & aka2025 (Oct) - Seroquel 50 mg XR – 1 Week - more and more activating and increased aka2025 (Oct) - Psychiatrist told me to stop it. But I took a few days of a smaller dose of IR then stopped - Not activating2025 (Nov) - Hydroxyzine 2.5mg - it was paradoxical so stopped2025 (1 Dec) - Mirtazapine 22.5mg - (2 Days) Was incredibly overstimulating started reducing to previous2025 (3 Dec) - Mirtazapine 18.75mg2025 (10 Dec) - Mirtazapine 16.87mg2025 (22 Dec) - Mirtazapine 15mg2026 (23Jan) - Mirtazapine 14.7mg2026 (23 Jan) - Mirtazapine 1mg Panic dose2026 (24 Jan) - Mirtazapine 15mg2026 (25 Feb) – Mirtazapine 14.7mg (-2%)2026 (18 Mar) - propranolol 2.5 mg one time2026 (21 Mar)- Mirtazapine- 15 mg accidentally in sleepy state2026 (22 Mar) - Mirtazapine 14.79 mg (more accurate scales) 2026 (29 April) Mirtazapine 14.7 mg/.1020 g (on suggestion of Horowitz) immediate intense symptoms2026 (30 April) Mirtazapine 14.79 mg (.1026 g)2026 (23 May) propranolol 2.5 mg one time2026 (01 June) Mirtazapine 14.79 mgdose was 5 hours late2026 (22 July) Mirtazapine 14.76 mgIntense electric activation, muscle tightness, autonomic surges, terror followed2026 (23 July) Mirtazapine 14.79 mg return2026 (Oct 5) attempted moving 2 mg of dose 45 minutes earlierSevere activation followed
September 22Sep 22 Author Feel like things have got worse in the last two weeks. I was feeling more hopeful on wk3/4 of reducing the dose? 2014- April 2025 Escitalopram 10mgApril 2025 - straight swap to Sertraline 50mgDec 2025-Jan 2026 - tapered off Sertraline 50mg - 0mgJun 2026 - Escitalopram 10mg 9 weeksAug - Escitalopram 5mg
September 22Sep 22 38 minutes ago, Steve1 said:And would be great to know if the body is screaming out for more or less escitalopram?windows and waves, no change, the answer never changes. 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: Night: 6mg melatonin and 133mg magnesium glycinate. Taking Omega 3 as needed to calm dyskinesia or over stimulation (Lately been reacting more negatively to supplement Omega 3).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 14.35mgNote: Had a lot of issue with degradation with different cutting times and compounded pharmacy which caused withdrawals and a more sensitive nervous system.
September 22Sep 22 5 minutes ago, Steve1 said:Feel like things have got worse in the last two weeks. I was feeling more hopeful on wk3/4 of reducing the dose?It’s so disheartening, I know. Weeks 5 and 6 after a change have been hard for me, too. Sometimes it really does seem that things get worse before they get better. For US members: Please report med to FDA Med Watch2017 (May) - Ativan .5 mg (3 x Daily) 2018 (Feb) - Mirtazapine 7.5 mg 2018 (May) - Ativan to Valium - Switch - Can’t Remember how long it took -tapered to 3 mg of Valium2024 (May) - Valium Tolerance2024 (2 Nov) - Completed taper off Valium 2024 (2 Nov) - Mirtazapine increased to 15 mg2025 (Feb) - Ativan 0.25 mg (3 x Daily) - Became Paradoxical - Started weaning got to 0.11mg2025 (Mar) - Ativan 0mg - CT In detox2025 (April) Started Depakote 1500mg - In detox2025 (April) - Depakote 500mg (2 x Daily) once home2025 (Aug) - Completed taper off Depakote2025 (Aug) - Akathisia surges throughout the day with calming in between2025 (Sept) - Gabapentin (Micro Dose) - Was calming at first and then became paradoxical so stop2025 (Oct) - Depakote - RI – (Two days of small dose) Became scared and stopped with WD & aka2025 (Oct) - Seroquel 50 mg XR – 1 Week - more and more activating and increased aka2025 (Oct) - Psychiatrist told me to stop it. But I took a few days of a smaller dose of IR then stopped - Not activating2025 (Nov) - Hydroxyzine 2.5mg - it was paradoxical so stopped2025 (1 Dec) - Mirtazapine 22.5mg - (2 Days) Was incredibly overstimulating started reducing to previous2025 (3 Dec) - Mirtazapine 18.75mg2025 (10 Dec) - Mirtazapine 16.87mg2025 (22 Dec) - Mirtazapine 15mg2026 (23Jan) - Mirtazapine 14.7mg2026 (23 Jan) - Mirtazapine 1mg Panic dose2026 (24 Jan) - Mirtazapine 15mg2026 (25 Feb) – Mirtazapine 14.7mg (-2%)2026 (18 Mar) - propranolol 2.5 mg one time2026 (21 Mar)- Mirtazapine- 15 mg accidentally in sleepy state2026 (22 Mar) - Mirtazapine 14.79 mg (more accurate scales) 2026 (29 April) Mirtazapine 14.7 mg/.1020 g (on suggestion of Horowitz) immediate intense symptoms2026 (30 April) Mirtazapine 14.79 mg (.1026 g)2026 (23 May) propranolol 2.5 mg one time2026 (01 June) Mirtazapine 14.79 mgdose was 5 hours late2026 (22 July) Mirtazapine 14.76 mgIntense electric activation, muscle tightness, autonomic surges, terror followed2026 (23 July) Mirtazapine 14.79 mg return2026 (Oct 5) attempted moving 2 mg of dose 45 minutes earlierSevere activation followed
September 22Sep 22 50 minutes ago, Steve1 said:And would be great to know if the body is screaming out for more or less escitalopram?I know everyone is different, but every time I tried to make a change to lessen mirtazapine activation after I got back down to 15 mg, things got worse. I needed to hold at that 15 mg. How I wish I could go back in time. Things have just gotten way way more stirred up. For US members: Please report med to FDA Med Watch2017 (May) - Ativan .5 mg (3 x Daily) 2018 (Feb) - Mirtazapine 7.5 mg 2018 (May) - Ativan to Valium - Switch - Can’t Remember how long it took -tapered to 3 mg of Valium2024 (May) - Valium Tolerance2024 (2 Nov) - Completed taper off Valium 2024 (2 Nov) - Mirtazapine increased to 15 mg2025 (Feb) - Ativan 0.25 mg (3 x Daily) - Became Paradoxical - Started weaning got to 0.11mg2025 (Mar) - Ativan 0mg - CT In detox2025 (April) Started Depakote 1500mg - In detox2025 (April) - Depakote 500mg (2 x Daily) once home2025 (Aug) - Completed taper off Depakote2025 (Aug) - Akathisia surges throughout the day with calming in between2025 (Sept) - Gabapentin (Micro Dose) - Was calming at first and then became paradoxical so stop2025 (Oct) - Depakote - RI – (Two days of small dose) Became scared and stopped with WD & aka2025 (Oct) - Seroquel 50 mg XR – 1 Week - more and more activating and increased aka2025 (Oct) - Psychiatrist told me to stop it. But I took a few days of a smaller dose of IR then stopped - Not activating2025 (Nov) - Hydroxyzine 2.5mg - it was paradoxical so stopped2025 (1 Dec) - Mirtazapine 22.5mg - (2 Days) Was incredibly overstimulating started reducing to previous2025 (3 Dec) - Mirtazapine 18.75mg2025 (10 Dec) - Mirtazapine 16.87mg2025 (22 Dec) - Mirtazapine 15mg2026 (23Jan) - Mirtazapine 14.7mg2026 (23 Jan) - Mirtazapine 1mg Panic dose2026 (24 Jan) - Mirtazapine 15mg2026 (25 Feb) – Mirtazapine 14.7mg (-2%)2026 (18 Mar) - propranolol 2.5 mg one time2026 (21 Mar)- Mirtazapine- 15 mg accidentally in sleepy state2026 (22 Mar) - Mirtazapine 14.79 mg (more accurate scales) 2026 (29 April) Mirtazapine 14.7 mg/.1020 g (on suggestion of Horowitz) immediate intense symptoms2026 (30 April) Mirtazapine 14.79 mg (.1026 g)2026 (23 May) propranolol 2.5 mg one time2026 (01 June) Mirtazapine 14.79 mgdose was 5 hours late2026 (22 July) Mirtazapine 14.76 mgIntense electric activation, muscle tightness, autonomic surges, terror followed2026 (23 July) Mirtazapine 14.79 mg return2026 (Oct 5) attempted moving 2 mg of dose 45 minutes earlierSevere activation followed
September 22Sep 22 Author So continue to hold at 5mg for the foreseeable? 2014- April 2025 Escitalopram 10mgApril 2025 - straight swap to Sertraline 50mgDec 2025-Jan 2026 - tapered off Sertraline 50mg - 0mgJun 2026 - Escitalopram 10mg 9 weeksAug - Escitalopram 5mg
September 22Sep 22 I personally would, because I have hindsight working for me!How does it feel to say you’ll hold for two more weeks and then reevaluate? this is not medical advice. This is what I would do personally. For US members: Please report med to FDA Med Watch2017 (May) - Ativan .5 mg (3 x Daily) 2018 (Feb) - Mirtazapine 7.5 mg 2018 (May) - Ativan to Valium - Switch - Can’t Remember how long it took -tapered to 3 mg of Valium2024 (May) - Valium Tolerance2024 (2 Nov) - Completed taper off Valium 2024 (2 Nov) - Mirtazapine increased to 15 mg2025 (Feb) - Ativan 0.25 mg (3 x Daily) - Became Paradoxical - Started weaning got to 0.11mg2025 (Mar) - Ativan 0mg - CT In detox2025 (April) Started Depakote 1500mg - In detox2025 (April) - Depakote 500mg (2 x Daily) once home2025 (Aug) - Completed taper off Depakote2025 (Aug) - Akathisia surges throughout the day with calming in between2025 (Sept) - Gabapentin (Micro Dose) - Was calming at first and then became paradoxical so stop2025 (Oct) - Depakote - RI – (Two days of small dose) Became scared and stopped with WD & aka2025 (Oct) - Seroquel 50 mg XR – 1 Week - more and more activating and increased aka2025 (Oct) - Psychiatrist told me to stop it. But I took a few days of a smaller dose of IR then stopped - Not activating2025 (Nov) - Hydroxyzine 2.5mg - it was paradoxical so stopped2025 (1 Dec) - Mirtazapine 22.5mg - (2 Days) Was incredibly overstimulating started reducing to previous2025 (3 Dec) - Mirtazapine 18.75mg2025 (10 Dec) - Mirtazapine 16.87mg2025 (22 Dec) - Mirtazapine 15mg2026 (23Jan) - Mirtazapine 14.7mg2026 (23 Jan) - Mirtazapine 1mg Panic dose2026 (24 Jan) - Mirtazapine 15mg2026 (25 Feb) – Mirtazapine 14.7mg (-2%)2026 (18 Mar) - propranolol 2.5 mg one time2026 (21 Mar)- Mirtazapine- 15 mg accidentally in sleepy state2026 (22 Mar) - Mirtazapine 14.79 mg (more accurate scales) 2026 (29 April) Mirtazapine 14.7 mg/.1020 g (on suggestion of Horowitz) immediate intense symptoms2026 (30 April) Mirtazapine 14.79 mg (.1026 g)2026 (23 May) propranolol 2.5 mg one time2026 (01 June) Mirtazapine 14.79 mgdose was 5 hours late2026 (22 July) Mirtazapine 14.76 mgIntense electric activation, muscle tightness, autonomic surges, terror followed2026 (23 July) Mirtazapine 14.79 mg return2026 (Oct 5) attempted moving 2 mg of dose 45 minutes earlierSevere activation followed
September 22Sep 22 Author Feel like I've no option but to hold as getting activation and withdrawal concurrently.Just hope the body finds some sort of equilibrium soon as this is rough! Edited September 22Sep 22 by Steve1 2014- April 2025 Escitalopram 10mgApril 2025 - straight swap to Sertraline 50mgDec 2025-Jan 2026 - tapered off Sertraline 50mg - 0mgJun 2026 - Escitalopram 10mg 9 weeksAug - Escitalopram 5mg
September 22Sep 22 8 minutes ago, Steve1 said:Feel like I've no option but to hold as getting activation and withdrawal concurrently.Just hope the body finds some sort of equilibrium soon as this is rough!It is a very very trying experience. Holding is definitely the safest option in my opinionThings calmed down considerably for me. I learned the hard way. I had no idea it could get worse. For US members: Please report med to FDA Med Watch2017 (May) - Ativan .5 mg (3 x Daily) 2018 (Feb) - Mirtazapine 7.5 mg 2018 (May) - Ativan to Valium - Switch - Can’t Remember how long it took -tapered to 3 mg of Valium2024 (May) - Valium Tolerance2024 (2 Nov) - Completed taper off Valium 2024 (2 Nov) - Mirtazapine increased to 15 mg2025 (Feb) - Ativan 0.25 mg (3 x Daily) - Became Paradoxical - Started weaning got to 0.11mg2025 (Mar) - Ativan 0mg - CT In detox2025 (April) Started Depakote 1500mg - In detox2025 (April) - Depakote 500mg (2 x Daily) once home2025 (Aug) - Completed taper off Depakote2025 (Aug) - Akathisia surges throughout the day with calming in between2025 (Sept) - Gabapentin (Micro Dose) - Was calming at first and then became paradoxical so stop2025 (Oct) - Depakote - RI – (Two days of small dose) Became scared and stopped with WD & aka2025 (Oct) - Seroquel 50 mg XR – 1 Week - more and more activating and increased aka2025 (Oct) - Psychiatrist told me to stop it. But I took a few days of a smaller dose of IR then stopped - Not activating2025 (Nov) - Hydroxyzine 2.5mg - it was paradoxical so stopped2025 (1 Dec) - Mirtazapine 22.5mg - (2 Days) Was incredibly overstimulating started reducing to previous2025 (3 Dec) - Mirtazapine 18.75mg2025 (10 Dec) - Mirtazapine 16.87mg2025 (22 Dec) - Mirtazapine 15mg2026 (23Jan) - Mirtazapine 14.7mg2026 (23 Jan) - Mirtazapine 1mg Panic dose2026 (24 Jan) - Mirtazapine 15mg2026 (25 Feb) – Mirtazapine 14.7mg (-2%)2026 (18 Mar) - propranolol 2.5 mg one time2026 (21 Mar)- Mirtazapine- 15 mg accidentally in sleepy state2026 (22 Mar) - Mirtazapine 14.79 mg (more accurate scales) 2026 (29 April) Mirtazapine 14.7 mg/.1020 g (on suggestion of Horowitz) immediate intense symptoms2026 (30 April) Mirtazapine 14.79 mg (.1026 g)2026 (23 May) propranolol 2.5 mg one time2026 (01 June) Mirtazapine 14.79 mgdose was 5 hours late2026 (22 July) Mirtazapine 14.76 mgIntense electric activation, muscle tightness, autonomic surges, terror followed2026 (23 July) Mirtazapine 14.79 mg return2026 (Oct 5) attempted moving 2 mg of dose 45 minutes earlierSevere activation followed
September 22Sep 22 Author Thanks for the response @FinniI know everybody is different, but after holding how long did things calm down for you? 2014- April 2025 Escitalopram 10mgApril 2025 - straight swap to Sertraline 50mgDec 2025-Jan 2026 - tapered off Sertraline 50mg - 0mgJun 2026 - Escitalopram 10mg 9 weeksAug - Escitalopram 5mg
September 22Sep 22 15 minutes ago, Steve1 said:Thanks for the response @FinniI know everybody is different, but after holding how long did things calm down for you?Until this last time when I have become so so destabilized,I could feel a lot of improvement by week 8 of each dose disruptionI’ve had a lot of dose disruptions since FebruaryI should’ve just held it February because I was nowhere near as bad as I am now For US members: Please report med to FDA Med Watch2017 (May) - Ativan .5 mg (3 x Daily) 2018 (Feb) - Mirtazapine 7.5 mg 2018 (May) - Ativan to Valium - Switch - Can’t Remember how long it took -tapered to 3 mg of Valium2024 (May) - Valium Tolerance2024 (2 Nov) - Completed taper off Valium 2024 (2 Nov) - Mirtazapine increased to 15 mg2025 (Feb) - Ativan 0.25 mg (3 x Daily) - Became Paradoxical - Started weaning got to 0.11mg2025 (Mar) - Ativan 0mg - CT In detox2025 (April) Started Depakote 1500mg - In detox2025 (April) - Depakote 500mg (2 x Daily) once home2025 (Aug) - Completed taper off Depakote2025 (Aug) - Akathisia surges throughout the day with calming in between2025 (Sept) - Gabapentin (Micro Dose) - Was calming at first and then became paradoxical so stop2025 (Oct) - Depakote - RI – (Two days of small dose) Became scared and stopped with WD & aka2025 (Oct) - Seroquel 50 mg XR – 1 Week - more and more activating and increased aka2025 (Oct) - Psychiatrist told me to stop it. But I took a few days of a smaller dose of IR then stopped - Not activating2025 (Nov) - Hydroxyzine 2.5mg - it was paradoxical so stopped2025 (1 Dec) - Mirtazapine 22.5mg - (2 Days) Was incredibly overstimulating started reducing to previous2025 (3 Dec) - Mirtazapine 18.75mg2025 (10 Dec) - Mirtazapine 16.87mg2025 (22 Dec) - Mirtazapine 15mg2026 (23Jan) - Mirtazapine 14.7mg2026 (23 Jan) - Mirtazapine 1mg Panic dose2026 (24 Jan) - Mirtazapine 15mg2026 (25 Feb) – Mirtazapine 14.7mg (-2%)2026 (18 Mar) - propranolol 2.5 mg one time2026 (21 Mar)- Mirtazapine- 15 mg accidentally in sleepy state2026 (22 Mar) - Mirtazapine 14.79 mg (more accurate scales) 2026 (29 April) Mirtazapine 14.7 mg/.1020 g (on suggestion of Horowitz) immediate intense symptoms2026 (30 April) Mirtazapine 14.79 mg (.1026 g)2026 (23 May) propranolol 2.5 mg one time2026 (01 June) Mirtazapine 14.79 mgdose was 5 hours late2026 (22 July) Mirtazapine 14.76 mgIntense electric activation, muscle tightness, autonomic surges, terror followed2026 (23 July) Mirtazapine 14.79 mg return2026 (Oct 5) attempted moving 2 mg of dose 45 minutes earlierSevere activation followed
September 22Sep 22 Author Sorry to hear that @Finni . Are you seeing and greenshoots of improvement currently or is it still very chaotic? 2014- April 2025 Escitalopram 10mgApril 2025 - straight swap to Sertraline 50mgDec 2025-Jan 2026 - tapered off Sertraline 50mg - 0mgJun 2026 - Escitalopram 10mg 9 weeksAug - Escitalopram 5mg
September 22Sep 22 10 minutes ago, Steve1 said:Sorry to hear that @Finni . Are you seeing and greenshoots of improvement currently or is it still very chaotic?Very chaotic but now mostly physical My mind seems pretty normal. Just very overwhelming body activation. Seems to be getting worse For US members: Please report med to FDA Med Watch2017 (May) - Ativan .5 mg (3 x Daily) 2018 (Feb) - Mirtazapine 7.5 mg 2018 (May) - Ativan to Valium - Switch - Can’t Remember how long it took -tapered to 3 mg of Valium2024 (May) - Valium Tolerance2024 (2 Nov) - Completed taper off Valium 2024 (2 Nov) - Mirtazapine increased to 15 mg2025 (Feb) - Ativan 0.25 mg (3 x Daily) - Became Paradoxical - Started weaning got to 0.11mg2025 (Mar) - Ativan 0mg - CT In detox2025 (April) Started Depakote 1500mg - In detox2025 (April) - Depakote 500mg (2 x Daily) once home2025 (Aug) - Completed taper off Depakote2025 (Aug) - Akathisia surges throughout the day with calming in between2025 (Sept) - Gabapentin (Micro Dose) - Was calming at first and then became paradoxical so stop2025 (Oct) - Depakote - RI – (Two days of small dose) Became scared and stopped with WD & aka2025 (Oct) - Seroquel 50 mg XR – 1 Week - more and more activating and increased aka2025 (Oct) - Psychiatrist told me to stop it. But I took a few days of a smaller dose of IR then stopped - Not activating2025 (Nov) - Hydroxyzine 2.5mg - it was paradoxical so stopped2025 (1 Dec) - Mirtazapine 22.5mg - (2 Days) Was incredibly overstimulating started reducing to previous2025 (3 Dec) - Mirtazapine 18.75mg2025 (10 Dec) - Mirtazapine 16.87mg2025 (22 Dec) - Mirtazapine 15mg2026 (23Jan) - Mirtazapine 14.7mg2026 (23 Jan) - Mirtazapine 1mg Panic dose2026 (24 Jan) - Mirtazapine 15mg2026 (25 Feb) – Mirtazapine 14.7mg (-2%)2026 (18 Mar) - propranolol 2.5 mg one time2026 (21 Mar)- Mirtazapine- 15 mg accidentally in sleepy state2026 (22 Mar) - Mirtazapine 14.79 mg (more accurate scales) 2026 (29 April) Mirtazapine 14.7 mg/.1020 g (on suggestion of Horowitz) immediate intense symptoms2026 (30 April) Mirtazapine 14.79 mg (.1026 g)2026 (23 May) propranolol 2.5 mg one time2026 (01 June) Mirtazapine 14.79 mgdose was 5 hours late2026 (22 July) Mirtazapine 14.76 mgIntense electric activation, muscle tightness, autonomic surges, terror followed2026 (23 July) Mirtazapine 14.79 mg return2026 (Oct 5) attempted moving 2 mg of dose 45 minutes earlierSevere activation followed
September 23Sep 23 Hey @Steve1 sorry things are rough for you mate. No one can tell you what is the correct answer, you can only work things out for yourself unfortunately as everyone is different and on different drugs and has different circumstances. We are here for you what ever you decide to do with your dose. 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.ukFor US members details here.
September 23Sep 23 20 hours ago, Steve1 said:And would be great to know if the body is screaming out for more or less escitalopram?Hello Steve1, maybe this interview with Chris Paige may be of help to you. It was for me. Its about healing while staying on the medication. It says its not so much the drugs harming you, but the dose-changes you made. Fluvoxamine (2000-present)50mg raised to 75mg in March 2020Benzodiazepines (2020-2021)Used for 2 years until 6 December 2021 Medical Detox off 22mg Valium (3 weeks hospital).Mirtazapine (2022-2024)7 July 2022 start 3.75mg (liquid)3 February 2024 taper to 0mg.Fluvoxamine taper 2025 doing max. 10% per month: start in March at 75mg. Latest cut was at 1 October 2025 47mg-> 43mg crashed. Updosed back to 50mg at 24 October. Not good, too much activation.
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