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I started Mirtazapine 7.5 mg last year around February due to sleep issues. This dose didn't help me, and after 2 weeks I increased to 15 mg and after a month to 30 mg. However, it didn't help. So it was mid-September 2023 that I started to taper off from 30 mg to 15 mg, and was on 15 mg for 2 weeks. Being so naive about the consequences of Mirtazapine, I fast-tapered, and on the 10th of November 2023, I reduced my taper from 7.5 mg to 3.75 mg. Two days after that I lost my libido and sexual function. From the 10th of November to 14 December 2023, I was on 3.75 mg. 1. It was the 14 of December, and based on someone's advice I up-dosed to 6 mg from 3.7, for 5 days. 2. I tapered back to 4 mg till the 5th of January from 6 mg, as somebody else told me I would inflict more harm to my neurons. It means I was on varying doses from 6 to 4 for 20 days. 3. it was 12th of January that I regained all my sexual activity and libido, it normal as before. 4. By the 5th of February 2024, I tapered to 3.5 mg. 5. I again gradually lost all my libido and sexual function by Med February, and by now I have zero libido and erection. No morning, night or daily erection, my penis is shrunken and atrophied. Based on the above information, did an up-dose of 20 days help me regain my sexual function? Or it was a window from withdrawals? 1. Should I increase my dose back to 7.5 or 6 mg to regain my sexual life? 2. Should stay at the same dose of 3.5 mg and wait? 3. Should I stop altogether cold turkey 4. Or I should gradually increase the dose? PLEASE HELP me Thanks

Hello! As you can see in my signature, I’ve been tapering from Mirtazapine for a little over 2 years now. I’ve been using the information from this site the entire time, which has been super helpful. Unfortunately, I’ve hit a bit of a wall at 0.26mg. I’ve been trying to taper further but every time I do, the withdrawal symptoms become quite unbearable. The symptoms include: headaches, dizziness, lightheadedness, nausea, hypoglycemic like symptoms, tinnitus, unusual heart rate. I’ve also been dealing with long covid for the last 1.5 years or so, which has muddied the waters a bit as to whether my symptoms are from the taper, long covid, or both. I’ve decided to take a break from tapering for the next 6-12 months to give my nervous system plenty of time to settle but I was wondering if anyone had any advice for when I continue my taper. Any help/information would be greatly appreciated! Not sure if I missed any relevant information so I’m happy to answer any questions. Thanks!

Dear SA team, Can you please help me/advise me regarding my issues with Mirtazapine? I was told by my psychiatrist that I simply stop taking 15mg Mirtazapine per night (I have been taking it for 18 months). He said that there shouldn't be a withdrawal period due to me also being put on Quetiapine (25mg per night) around 6 months ago. 17 days ago, I started to reduce my Mirtazapine intake from 1x 15mg tablet per night, to 1x15mg tablet every 3 nights. In the first 14 days I had horrible withdrawal symptoms including significant cognitive impairments like brain fog, dizziness, inability to think straight, forgetfulness, loss of coordination, feeling very spaced out mentally. I also found it very difficult to fall asleep, being awake until 9am on some nights. I then experienced palpitations a few nights ago around 2am which persisted all night long. Out of desperation, I took half a tablet (7.5mg Mirtazapine) at about 4am. However it seemed to do little- the palpitations persisted and I didn't fall asleep until 8am and only slept a couple of hours here and there. These palpitations stayed with me for several days. I rang my psychiatrist and he advised me to either stop taking the Mirtazapine entirely or to go back to taking it 1x15mg per night (my original dose). I came across your section on Kindling and became afraid that if I take the original dosage again, it might have a bad effect. I tired to call my psychiatrist back to ask this question, however his secretary told me that he couldn't see me until April and that he'd already advised me on this. 3 nights ago, I started taking half a tablet each night. It seemed to do nothing for the first day. However yesterday I felt calmer during the day insofar as the palpitations stopped. They did re-appear last night though. Today also the palpitations seem absent. However I have been worried by how energised and overstimulated I feel despite existing on just a couple of hours of sleep. Whilst I'm very thankful that the palpitations have relented (at least during the daytime yesterday and today) it worries me that I still feel overstimulated. Could this lead to akathisia/ mania due to taking too much (half the original dose 7.5mg)? Or is it because I'm taking too little and this is simply anxiety? Can you please recommend me a reinstatement dosing amount? I don't know what else to do right now. I am terrified of this getting worse (and potentially becoming permanent?) and am not receiving any proper help from my psychiatrist. I really don't know what to do here. I just want to know how much I should take that is a safe reinstatement amount. Is half a tablet too much? Will it lead to kindling? Or is it too little and I need to go back to the full amount to get better? Is this overstimulation a sign of kindling or is it an anxious nervous system? Mirtazapine is also a unique drug in that it functions more strongly as a sedative at lower doses and as an anti depressant in higher doses. So shouldn't the half tablet be a stronger sedative for my nervous system than the full tablet? Sorry if the information is a bit all over the place, my mind isn't coherent right now. I would greatly appreciate any advice given. Thank you very much, Brendan.

Hello, This site was included in an article about the dangers of antidepressants that was in Dr. Mercola's daily email. I am not or have never been on any antidepressants myself, but have been on a mission to research and find the best way and support for my son to wean off of Remeron. The reason he was put on this med was for chronic insomnia. Prior to being prescribed Remeron he had been taking Nyquil every night for a very long time. Over the years he has tried many natural vitamins and supplements with none of them helping. For about six months the doctor had him on both Remeron and Vistaril at the same time, but for the past month he has just been on Remeron 45mg. Thank you very much for accepting my registration. Cecelia77

Hello all fellow mental health warriors, I am having a tough go of it currently. I was on an SSRI (of some sort) for 20 years. My most recent psychiatrist and I decided to try to bridge me over to Lamictal 50mg ER to see if my sexual side effects from the SSRI would go away. They did, (which is amazing) BUT Lamictal has given me such severe headaches and now such severe insomnia that I am now relying on Ativan now almost every night. My psychiatrist recently tried me on very low dose Mirtazapine (3.75mg), as a substitute for Ativan, which made me sleep for 12 hours and made me dizzy for the next 48. I am currently unsure if I should just stay on the benzo (Ativan) which does not leave me groggy and dizzy all day and try to taper slowly from there or keep trying liquid Mirtazapine (Remeron) at maybe 1mg per night for sleep. I also am going to request liquid Lamictal to taper eventually but for now, I am tolerating it ok. I want to be drug free so bad but I also need to sleep to function at work and give my children a functional mother. Currently waking up crying in the middle of the night at 2 or 3 pm and unable to fall back asleep. Just wanted to reach out to the community for support. With love and hope, L

Hi all, I have come to this website fairly late (I hope) in my journey with psych meds. I no longer take anything, but 9 weeks from my last dose of Fluoxetine I am still suffering bad waves/windows. Until May of this year, I was still suffering badly with waves/windows from Diazepam withdrawal, which began properly in June 2022. I have been off work pretty much since then. Things got a good bit better between May and August, more like a higher baseline of anxiety/vulnerability to stress, rather than the waves/windows pattern. During this time, I was doing Neurofeedback and the ketogenic diet (thanks to Dr Chris Palmer's excellent book). I was able to do a speech at a family gathering, which feels unthinkable now. In June, I started tapering from Fluoxetine, 20mg (my history with which you can see in my signature), using the liquid solution, reducing by 2mg every 3 weeks. I now realise that was too fast. In mid-August I started getting waves again. I had not done nearly as much reading into SSRI withdrawals as I had with benzos, so I assumed it was the Diazepam waves coming back (which Ashton says can happen), but then at the end of August I got one of my worst waves ever for about 4 days: suicidal depression, 0hr sleep (even during worst of benzo withdrawal I could get 2-3 hours a night), tremors, agitation. At the time, I believed that was because I was given a different brand of the liquid solution - I thought maybe more of the active ingredient was getting into my system somehow, causing serotonin syndrome (because of the tremors). But now having read about the dangers of linear tapering I am guessing that it was withdrawal from Fluoxetine, and my cliff edge was around 10mg, made worse as I was/am not yet fully recovered from the Diazepam withdrawal. However, at that stage I decided to just to jump from 10mg, partly influenced by doctors who said that would be fine. I have now read about the need to do hyperbolic tapering, but I am where I am - 9 weeks off and I do not really wish to reinstate. I am having waves/windows every 3 days, which is very different from Diazepam - that was more like 3 week waves, 1 week windows - but they do seem to be just as severe, particularly the depression. I realise that I am perhaps lucky that I was on Fluoxetine rather than another SSRI (I am well over a year out from stopping Mirtazapine, so I don't think that is likely to be playing a role still). I am interested to hear any indications/opinions from folks on here as to how long it may be before the waves disappear and I return to my previous level of function. I am encouraged by the fact that although they are regular/severe, the waves do seem to have identifiable triggers rather than totally random. This is embarrassing, but I have found that one definite trigger is orgasm/ejaculation. In that process, there is a huge release of dopamine, followed by a decrease but also an increase of a hormone called prolactin which at a high enough level can cause psychosis. I am thinking my dopamine levels/receptors are just too low, because dopamine restrains prolactin production. You may ask, why not abstain? But another clear symptom of my withdrawal is uncontrollable nocturnal emissions, which I didn't even have in my teenage years - roughly once a week, followed by a 3-day wave. I did not have obvious sexual dysfunction while on Fluoxetine, but I am thinking that this symptom is some kind of rebound hypersexuality. Finally, the other clear triggers for symptoms are sweet foods and stress. Thanks for reading - I wish you all continued, and quick, healing.

Hi Everyone, I’ve been on Bupropion 300xl since beginning of 2019 so almost 5 years. I also was taking Trazodone 50mg nightly for sleep and dropped to 25mg for a month or so then discontinuing it around June 2023. I also discontinued Losartan a blood pressure med around the same time. The doctor said my blood pressure was doing great and I could come off if, I wanted to. Around July 2023, I started to experience anxiety creeping in slowly due to a trigger thought from my past. I let it manifest and get bigger and bigger day by day until I went in full panic mode. It got so bad I went to VA hospital where I get care and they gave me Hydroxyzine for anxiety and panic attacks. I took it but it really didn’t help the anxiety was too strong at this point. I wasn’t sleeping very good. Had a couple more panic attacks. I then went back to the VA and saw mental health provider who told the Bupropion was causing the anxiety. He dropped me from 300xl to 150mg (75 ir X 2 a day).and started buspar 5mg morning and 5mg night. This was 21 Sep 23. I take the bupropion at 6am and 2pm. I also had a blood panel, thyroid test, and ekg to rule those out for the anxiety. All came back normal. I also started therapy. I stopped taking the buspar after a week. Didn’t really feel it was doing anything and made me feel weird. The anxiety has been debilitating at times it seems to be getting better slowly day by day. I’ve never had it this extreme in my 47 years. I’m retired from the Navy after 20 years and have had some stressful situations but this has really got me. I went back and saw mental health twice saying this a rough ride not being able to sleep a full night and the anxiety. They gave me rameron 30mg to take at night. I took it one time and then didn’t take it again. Didn’t want to get started on something else and the side effects of weight gain not worth it to me. Also tried Trazodone again 100mg just to see if I could get some relief made me too groggy and didn’t really help same with Hydroxyzine 25mg. I just feel off, tired, irritable, frustrated, depression and anxiety comes and goes. Sometimes I have passing suicidal thoughts but would never act on them and I share this with my wife just so she knows what’s going through my head. They definitely scare me. Definitely affects your quality of life. I guess I just deal with it now. It’s no where near like before or at panic level. Oh and they want to put me on Prozac now. I haven’t touched it yet. I mentioned my sister is on it with good results so they feel that would be a good fit. I think I was dropped too fast on the bupropion and I’m feeling the withdrawal. It’s been five weeks now and just wanted to see what everyone’s input on this is. I want to try and be done with these meds and go natural. I don’t want to introduce more stuff that I’ll have to come off of. The biggest thing I’m dealing with is anxiety and poor sleep. I’ve looked at the taper schedule and guess I’m beyond the taper from 300xl spot. What are your recommendations at this point? I think it was odd I was dropped to 75ir x 2 a day. Any recommendations to ease the burden? Many Thanks!

Hi all I’m Matthew 38 the last few days have felt like opening a Pandora’s box of what it may take to get me off mirtazapine I got tinnitus distress last year and anxiety which was stopping me from sleeping mirtazapine has helped me and I’ve been on it for 8 months now feeling alright and ok about my tinnitus I thought about coming off the mirtazapine 15mg tablets Doctors gave me the advice of dose skipping and jumping off from various levels. A cut to 7.5 gave me a bad withdrawal effect and scared me. so now I’m here and have familiarized myself with the Horowitz work. I plan to resettle myself at 15mg for a month or two before I Re attempt using the 10% method. I plan to use precise scales and file the tablets, although I realise this could be challenging in the end game. I’m a bit scared to use liquid. That’s about it; hope I’ve not broken any rules, my intentions are all genuine and I hope to update here and help support others. the length of time to get off looks very daunting and scary and I never anticipated to be weighing out drugs but tapering strips are not an option here. Still asking my gp about liquid maybe. So yea very scared about this whole thing and hope I can do it ok. I may even go just 5% at the start as I really want to minimize withdrawal feelings. thank you for reading

Introduction topic I promised myself that if I ever survived psychiatric drugs, I’d post a “success story” on the internet because I always found such stories encouraging to read, even if they felt like a distant dream—somewhere I could never really reach. And yet here I am—I’ve made it—and it’s “withdrawal” that now feels like the distant dream (or nightmare) from a past life. I feel it’s time then for me to share my story, albeit as a video. I didn’t expect or want to make a video but my own path to “healing” is somewhat unconventional. It goes beyond tapering, which for me was insufficient on its own. So, to really share my story, I need to provide a fair amount of background information. And, for me, this centres on how I’ve come to reframe my experience with “protracted withdrawal” into something else altogether, called The Mindbody Syndrome or TMS (a concept by the late John Sarno, a rehabilitation physician). It’s through my understanding of Sarno’s mindbody approach to chronic pain and other medically unexplainable phenomena that my years of withdrawal sensations (or TMS) finally ended. I’d note I’m not the first person to use a TMS approach for “protracted withdrawal.” Others have had success as well. I’ve communicated with some of them. It seems, therefore, that more people could benefit from knowing about this. To be clear I’m not saying this approach is necessary for anyone nor am I proclaiming a definitive explanation of “protracted withdrawal syndrome.” What I’ve done is taken a demonstrably successful approach for chronic pain of unknown origin and adapted it for withdrawal sensations that seem to go on and on for no particular reason. Given the limited scientific understanding of “withdrawal syndrome”, however, my adaptation comes with significant simplifications, speculations, and leaps that many people will reasonably see as implausible and too reductionistic. I get it. Despite this, I’ve posted this video because, well, this is my own understanding of how I resolved withdrawal sensations for myself—and, also, exact physiological details aren’t so important for a mindbody approach; it’s the broader psychological concepts that matter. And, who knows, maybe this will resonate with someone else. Regardless I hope everyone finds the best path for themselves. This is the one that worked for me. Finally, I’d just say that the following video is sort of like a self-help video as well. So for any person interested in this approach, I make suggestions based on my own experiences and interpretations, but I'm not saying what anyone should actually do or think. There are also references throughout the video so there’s lots of info and authors listed for anyone who feels so inclined to look into this beyond one random guy on the internet. Note: If you find the video too confusing or shoddily made but you’re interested in this idea, I’d suggest The Mindbody Prescription by John Sarno or The Great Pain Deception by Steve Ozanich for a better explanation of the psychology of TMS; or, if you’re interested in a more “scientific perspective”, I’d suggest Psychophysiologic Disorders by Howard Schubiner et al. (Psychophysiologic disorder is basically just another name for The Mindbody Syndrome.) Each of these books goes into medically unexplainable phenomena beyond chronic pain.

So my history is that I started taking anti-depressants for anxiety and mild to moderate depression. Ive always suffered with social anxiety, in particular eating in front of people that I perceived to be 'important' people but they were strangers. If I knew I was going into a situation where I would be expected to eat in front of strangers then I always had an extra pill prescribed by my GP. Propranolol was the drug of choice to be used as a PRN drug on top of my SSRI tablet. I used to take venlafaxine but this was changed a few year ago to Fluoxotene and has recently been added to by my GP and so I now take Mirtazapine in the evening. So as you can see I am not looking to withdraw at the moment but having watched the Panorama programme which has given me food-for-thought. I will come here again when the time is right to look at withdrawal! I will also use this and other sites to gather support and information.... Oh and I am 57. Been on anti depressants for over 30 years and I live in Wiltshire, UK

Hi, Thank you for this forum. Very interesting. My name is Caroline, I live in Switzerland and I suffer from anxiety and depression. My mother tongue is French and I'm 52 years old and I have a son Tiago, 14 years old. In 2022 I was prescribed Deanxit by a psychiatrist because I was suffering from anxiety due to the covid situation. A year later, I went to my doctor to get a prescrpition for Deanxit. My doctor refused because Deanxit, in addition to an antidepressant, contains a neuroleptic which can cause muscle contractions. So she told me to replace Deanxit with an antidepressant, Mirtazapine. Today, the Mirtazapine has no effect on me. I have strong anxiety attacks and I suffer from depression (this can also be due to the sudden stop of Deanxit). My doctor advises me to take Brintellix in addition to Mirtazapine. Then if I support the Brintellix, she advice to reduce the Mirtazapine. What to do ? - I stay on Mirtazapine and start withdrawal ? But the situation i am in this moment is not very good. I'm anxious and depressed. How I will be able to identify if the effects I am feeling are due to the reduction of the drug or to my depressed state - I take Brintellix which will add a new molecule and it's not sure that it works. Thank you for your help and for your website with all these tips. Carolin

I have been off of Mirtazapine since May 31st. Unfortunately I think I need to go back on. I was given the wrong advice and did an extremely fast wean. I was only taking 15 mg for 5 months. They had me completely weaned off within 10 days and now I’m really suffering the withdrawals. I currently have long Covid. I’ve had it for 7 months. It’s reason I was put on Mirtazapine to begin with. I am also taking 100mg of fluvoxomine. My question is can I just start back up on Mirtazapine (7.5mg) starting tonight? I need some relief from these symptoms. Then once my long Covid is better I will start a much slower weaning process

Hello, I had a horrific year from late 2021 to late 2022. All of this culminated in a very bad mental breakdown, and I was struggling to eat. I was prescribed 15mg of Mirtazapine in mid-November 2022. I had quite intense physical side effects for a while, mainly fatigue and very heavy, aching limbs. I took the first dose before bed and had the side effects the next day. I also had an instant loss of libido and ED. I tried to taper off the drugs in January 2022 and quickly had another breakdown after initially feeling better, no physical symptoms. I ended up being prescribed 30mg by the GP and had 3 weeks off work. I returned to work, but was still not good emotionally/mentally ie. I don't think the medication really helped. I had EMDR therapy, which helped me to get better from the traumas I had suffered, and I was doing well mentally. I spoke to my GP (regular doctor in the UK), and tapered down from 30mg over around 4 weeks and took my last dose on around the 24th/25th April. All through tapering I felt pretty great. I was going to the gym and my physical strength increased all the time back to where it was pre-drugs. My sexual side effects were rapidly diminishing and I met a wonderful young woman. On the 1st May I did a 6mile walk and went to the gym. I thought everything was going great, and I had no idea that I was going too quickly and felt better and better every day. I had no idea that symptoms could be anything other than mental/emotional and poor sleep from withdrawal. My sleep was lighter and not great, but still okay. On the 2nd May I was at work and felt very anxious and had worse brain fog throughout the day. By the end of the work day I felt terrible and thought I was just getting unwell. My boss had been unwell and I had been in close contact with him. I had awful illness from then on. "Flu-like" symptoms- found it very difficult to eat and when I could it was the plainest food possible. Intense fatigue. These were all symptoms of what my boss had been ill with. After some days, I wasn't getting better, and although I was sleeping I was experiencing common issues similar to those I have since found online ie. waking up at 3am every night, waking up each morning fairly early with a big cortisol dump/anxiety. I worked from home as best I could for three weeks, but this week I have finally had to take time off work. I have improved from the first week and a half of intense flu, and am left with mainly chronic fatigue and still have difficulty eating. I feel pretty rough from not eating much as well. I am sleeping, but still often waking up at 3am and then again at 6ish. I have days when I don't feel as bad, and then I have days where I'm totally exhausted and can barely eat, like today. Yesterday was okay. Sadly, a week ago, my erectile dysfunction also returned for the most part. I have windows of entire evenings when I feel okay. My GP's theory is that withdrawals should be mild, and that I had a viral bug at the same time as withdrawals which made it worse. I did have blood tests done on Tuesday which I am hoping to have an appointment with the GP tomorrow (Friday) to discuss. He said that reinstating seemed risky now that I'd gone so far through withdrawals and that I should just start feeling better very soon. I'm so torn as to what to do. I have improved since the earliest, very acute symptoms. I haven't had ANY relapse depression at all, I just want to be physically well like I was during/before tapering. From reading this forum, I'm around the 1-month mark where reinstatement starts to get risky. The smallest prescription dose is 3.75mg. Although the general trend is upward, I still have awful days and quite frankly unless I improve significantly I cannot return to work any time soon. I know it's somewhat unrelated, but I have a holiday in two weeks that I booked in Autumn, and although the wonderful person I've been seeing briefly is very patient and understanding, and I've seen her at times when I've been feeling okay, if I am unwell for much longer I cannot expect her to hang around as we've only recently met. I am desperate not to be so unwell anymore. I was doing so well other than physical side effects, and was living life etc. I will update tomorrow with blood test results etc. but what would people recommend? Push through or reinstate a low dose? I've ordered DAO enzymes that should arrive tomorrow. I'm intensely fatigued today so maybe a good night of sleep tonight will make tomorrow better.

Hello I am from Germany and on 0,6 mg cita from 30 mg and 3 mg Mirta, both since 2019 slowly taper.

Hello all and thank you for this valuable forum. Seeking advice. Was put on 7.5 mg in 2021 to help with sleep in coming off of klonopin. Finished Klonopin in 1/2022. Struggled with tapering Remeron. Failed attempt to switch to liquid and then could not get stable back on dry cutting dose. As you can see my history below, I have been all over the board. I am thinking about reinstating but am concerned about the timeframe. My main symptoms are ringing in the ears, tingling over my body, and rapid heartbeat. Sleep is ok and GI issues are fine. I would appreciate some advice and thoughts. I know there are no guarantees and reinstating may not help and then I have to taper again. If I did reinstate what does should I reinstate at and what is a realistic timeframe of if, and that's a big if I would see some benefit. My only other things I take is astepro nasal spray and melatonin. Thanks. 2021 - prescribed remeron taking 7.5 mg4/15 - taper Remeron 10%4/22 - 10% more4/27 - to quick went back to 7.5 mg5/2 - trying a 5% drop - 7.125 estimated mg9/9 - Currently at 5.5 mg 9/10 - Tried switch to liquid - unsuccessful back to pills 12/1 - Jumped at 5.512/8 - reinstated at 2.5 mg12/25 - never could get stabile - stopped completely.3/1 - reinstated for 1 day at 7.5 mg and stopped3/21 - reinstated at 2 mg3/27 - stopped again 5/20 - Little over 7 weeks med free again

Hi everyone, please bear with me, I am suffering a lot 😔 So I was diagnosed with MDD and prescribed Mirtazipine at an initial dose of 15mg for one week, then went up to 30mg. All was great for about three months, then the side-effects started… I decided to cut my dose in half, after trying to contact my psychiatrist and having him advise me to do this through the nurse on the phone 🤯 One week on I woke up with the worst symptoms and got taken to the ER. I later received a positive COVID test, so decided this was what it was. I now believe it was not COVID; I was in withdrawal with no clue. I began getting heart palpitations at around that time and they were there all throughout the day. So I made the decision to give up the drug completely CT (on the advice of another GP). Two weeks on from that and I am struggling BIG-TIME. Have just made up my first batch of medicine for reinstatement. Would 1mg be enough, as I am obviously highly sensitive and it has been quite a long time since I stopped. What do the moderators think of this please? I want to feel some relief of my overwhelming nausea and insomnia soon!

Hey everyone, I've wrestled with two crippling bouts of insomnia in my life, both within a year a half of each other. Both bouts of insomnia weren't driven by anxiety or depression, but rather came through illness. So, I don't ordinarily have depression or anxiety. The first time I had insomnia it lasted around 3 months and I got through it with temazepam and remeron, which I tapered off of successfully. The second bout of insomnia started December 8th, 2022, again due to illness. I started temazepam again and later remeron. I had some med changes over the course of several days, which is reflected in my signature, but eventually got back on remeron. My sleep eventually stabilized, so I tapered off the temazepam successfully, with the added help of hydroxyzine. I then stopped the hydroxyzine cold turkey and didn't seem to have any issues. The last thing to go was the remeron, which I always took at 10pm and went to bed at 10:30pm. I was on remeron for about 2.5 months, most of that time being on 15mg, which I then reduced to 7.5mg for a week, then 3.75mg for another week. During the remeron taper I also used 5-10mg of THC and 30mg of CBD at night and I only had one night I didn't sleep well. The last day I took the 3.75mg dose of remeron was March 2nd, 2023. So, I hopped off at 3.75mg and it's been two days and I haven't slept at all either night. I'm guessing I should go back on the 3.75mg dose and do a microtaper with a compounding pharmacy?

Hi guys this is gonna be a ton I apologize but Im afraid I've ruined my life and am in desperate need of help both physically and mentally. ABOUT ME I am an 18 year old girl from the Bay Area in California and I have a lovely boyfriend and family who are trying to understand what I'm dealing with. I have been dealing with anxiety/depression/DP/DR ever since I was ten, coming in episodes, with it not being extremely debilitating until Covid lockdown hit. As of now my current diagnosis are MDD and GAD (which was only recently diagnosed in the psych ward and am pretty sure it came on due to withdrawal symptoms). Starting meds I started Zoloft early April 2021 and I would say at the time it definitely helped me sink out of a depression. It definitely worked in all senses for a while but I think I felt so good on it that I thought increasing the dose would make me feel even better. Eventually I was on 200 mg by October 2021 (probably earlier) which was the stupidest decision I've ever made. I was in such a "fog" on this medication and didn't bother to do any research but its too late now. It eventually killed my motivation so I began going down at some point I wish I could remember when. But I do know the reason I decided to stop it all together was because I realized how "blunted" my emotions became and I wanted to feel more intense emotions for my boyfriend, and my mental health slowly started declining due to how horrible I was doing in school. All of these memories are foggy to me but I believe I started tapering some point in 2022 and at some point I thought I was okay enough to just stop in the middle of tapering before my trip to the UK in mid-November 2022. Downfall I thought I was okay for a few weeks after stopping but everything took a turn for the worst. I was sobbing everytime my boyfriend had to leave and would break down into tears at the smallest things. But then some days I would simply feel nothing at all and started to feel extremely disconnected from myself and reality(DP/DR). I thought these feelings would go away with time but **** the fan when I had an anxiety attack on Dec 20 and then another one on Dec 24. Never in my life had I experienced anything like those. After that I basically went two days without eating. I was bed-bound and horribly anxious, shaky, believed I was going to die, and terribly depressed. I couldn't concentrate on anything, had horrible suicidal thoughts and I thought I was going insane. I think I was given a weeks dose of Ativan around this time for sleep which helped but I reinstated Zoloft then (probably 25 mg) and found myself feeling better physically and was on for two weeks until I had another anxiety attack and racing suicidal thoughts and got taken to the ER to stabilize myself (given 1 mg Ativan). I was then put on Prozac 20 mg as it was thought that it would be any different than Zoloft. Not sure why I was given this high of a dose but the five days I were on that were hell (severe anxiety, dry heaving, insomnia, suicidal thoughts). I refused to eat and was so concerned about my reaction to this med and my weight loss and especially the suicidal thoughts that I was taken to the ER and stopped Prozac and felt relief then. I stayed in the ER for two days after while they waited to take me inpatient and thats when I was started on Mirtazipine. Things then started looking up for me, although I was horribly depressed and anxious still I started eating and sleeping and was eventually discharged from the hospital around a week later. I was put into an out patient program and felt some relief for about a week. I noticed my racing thoughts were still there and I started to experience intrusive thoughts/dissacociation/anxiety very bad again. I was told to increase my Mirtazipine dose to 30 mg. The next day I woke up suicidal and at this point I was losing it and decided I did not want to give Mirtazipine more of a chance. Since then I've been using Gabapentin (100-200 mg) as needed and CBD oil while weaning off Mirtazipine but noticed that although CBD and Gaba helped anxiety all they did was make me sleepy and feel so completely dysfunctional that I could not even worry anymore. And when those wore off I felt even more depressed than before. I've been trying to stop CBD and Gaba and yesterday and today I have taken none and am currently taking half a 15 mg Mirtazipine pill. Im not sure what to do because I feel so helpless and alone and that I've ruined my life. Of course Im very depressed and anxious but even worse I find it so difficult to hold a conversation with anyone as Im afraid im hypersensitive to everything now. I cant cry, im not eating, Im stuck in horrible negative thought loops, experiencing horrible brain fog, sometimes even forget what Im saying mid sentence and feel it takes to much energy to talk to anyone. Ive been living in fear and am afraid nothing will help me and I honestly feel heartbroken. I dont feel like myself whatsoever and have never felt this disconnected from myself and my emotions. Along with that im finding it so hard to fall asleep and when I wake up I feel horribly anxious (I think its the cortisol morning thing). Im not sure what to do??? My family is here for me and of course my lovely boyfriend but they dont seem to understand and my parents still arent sold on me being off psych drugs but I swear I'll never touch any of those again. But then again I dont know what the best idea is for me at all. I have never felt this confused or heartbroken in my life and Im so afraid I'll never go back to normal. I'm being sent to a residential program in two weeks so hopefully they help me get back to sleeping and eating and I feel like all they'll try and do is force me to take another antidepressant. I know you all can relate to me and know the trauma of experiencing a relapse of your mental health issues along with withdrawal symptoms to go along with that. I have so many questions right now and would love if anyone can give me advice on what to do from this point on as I am feeling stuck in an endless loop of pain I can't get out of. Here are the questions I have and I'd appreciate any advice. -Also not to mention I've been vaping Nicotine consistently for around a year and tried to stop when I stopped Zoloft only to start again due to how horrible this situation is and the stress from it. I know it doesnt help but quitting an addiction along with all these drugs that have been put into my body is difficult. 1. How would I go weaning off of Mirtazipine completely? I have only been taking it for a month and 15 mg for only two weeks so I'm not sure how that would work or if I even should consider going off as it might make things worse. 2. Am I experiencing a relapse in depression or do you think the depression is being caused by withdrawal Ive gone through the past two months? Or maybe both. 3. Should I focus on basic eating/drinking/sleeping for now and try weaning off Mirtazipine when thats more under control? 4. Would going on Zoloft for the third time make a difference? Any kind of advice would help and I am willing to answer any questions about the timeline of medications to the best of my ability and how many I have been on. I think you all are so brave for going through this journey and persisting through and through. Please please help me. -Julia

Hi- Two weeks ago I quit taking 15 mg. of mirtazpine after being on it for 5 weeks to treat insomnia. Well, what a mistake taking that was! I now have my friend insomnia back but worse than ever and am anxious all day long (that was never a problem before). I know it's just my brain re-adjusting but how long will it take? I hate to take sleeping pills but have to every other day just to get a few hours of relief.

Hi everyone thanks for having me. My story is a little complicated so I will try and explain it as best I can. I started the road to where I am now in 2016 after having a bad dose of Flu and pneumonia followed by a huge flare up of my Ulcerative colitis which caused my mental health to decline and I started having panic attacks and low mood. A trip to the Dr and I tried serteraline but it did not agree with me after a couple of pills so was switched over to Escitalopram 10mg and also told to use a quarter of a tablet of mirtazapine 3.75mg to help with sleep. After a few months I started to feel better and was told to come off the Escitalopram and Mirtazapine which was done with a quick taper if I remember. In 2017 I started to feel bad again with my mental health and was put back on Escitalopram again at 10mg and also mirtazapine at 3.75mg 1/4 tablet this again helped and after approx a year I was told to come off and again followed a quick ish taper. 2019 my Ulcerative colitis became very bad and high dose steroids failed to help so I had emergency surgery to remove my colon and an ileostomy done. This went ok although I was still taking steroids after the surgery and had been for about 2 years constantly. About 2 months after surgery my mental health once again decided to falter so again I was put back on Escitalopram starting at 5mg and increasing to 10mg after a month. Once again this seemed to help. I was taken off steroids (hydrocortisone) in Jan 2022 after seeing an endocrinologist who said my adrenals were ok. (I’m not convinced they were tbh). I also again tapered off the Escitalopram in April 2022 again this was done in quarter of a tablet increments from 10mg. July 2022 was off all head meds. Roll on to Nov 22 and I out of the Blue have a panic attack over a mark on my eyelid that’s been there for years and this keeps happening with waking feeling very anxious. I see the dr who tells me there’s nothing wrong with my eye and suggests starting the mirtazapine again at 1/4 tablet to help with the sleep issues. This did help with the sleep but not much for the anxiety so I was told to try half a tablet of mirtazapine this gave me really bad restless legs so I dropped back down to 1/4 tablet after only 2 days. Going back to the Dr I was told re-starting Escitalopram low dose might be helpful so on the 1st Jan 2023 I added 1/4 of a 5mg Escitalopram tablet approx 1.25mg. I did this for a week with no real noticeable difference and was then told to up this to 2.5mg which is where I am now after approx 3 weeks. At first it did seem to help it has stopped the panic and given me a small bit of my appetite back but my anxiety is in a bad way I’m waking with Anxiety, sweating and increased heart rate. I’m having quite bad suicidal and intrusive thoughts and I get the shakes in my legs often. I have lots of feelings of not being able to cope. I’m also very hypersensitive in my nerves according to the Dr. My reflexes are very sensitive and I’m finding myself thinking I might be hypersensitive but tbh I’m not sure. The Dr has referred me to a Neurologist for assessment. Being off the head meds is my goal but tbh I’m not sure where to go from here. Tbh I’m really struggling especially with the emotions. I have listed my current meds intake below. This is the 4th time starting the Escitalopram/Mirtazapine combo and I’m not sure starting was the best idea but it’s what the Dr advised. Since finding this site and reading into things I’m not sure if I might be having a reaction. My Dr agrees about being hypersensitive but thinks it might be the Anxiety rather than meds but I’m not so sure. I have just had a whole load of blood tests done by the Dr to rule out lots of things inc Thyroid, minerals, B12 etc which were all clear apart from Im pre diabetic in the lower range which I have been for a while. Escitalopram 1/4 tablet 2.5mg 8am 3 weeks at this dose Mirtazapine 1/4 tablet 3.75mg before bed 5 weeks at this dose loperamide one 2mg 4 times daily to control stoma before Breakfast, Lunch, Dinner and before bed. Tesco Multivitamin once in the morning have been taking since stoma surgery in 2019. Salofalk suppository 1g twice weekly. O.R.S Hydration tablets in water for hydration.

I am a 23 year old guy. I have been exploring this forum for the first time and it has renewed hope that I might one day be able to come of these drugs. In the past I’ve dealt with opioid addiction even coming off of buprenorphine (currently over a year clean), but Effexor withdrawal is especially nasty. I am currently on 75mg of Effexor and 30mg of Remeron. I have been on on them for about 3 years respectively. I haven’t yet attempted to taper off of either drug and have had enough issues in my life to deal with. They are not causing me any obvious issues, but I cannot stand being at the mercy of doctors just so that I can live a normal life. I had asked my doctor about how he’d approach the issue and his suggestion (over the course of a few months with significant decreases) seemed to me to be absolutely ludicrous given the experiences I’ve read online. I do not know what I’m looking for here honestly. Perhaps just some hope.

( mod note, mmt) Ewa's Introduction topic is here: Ewa;Cymbalta 60 mg coldturkey My name is Ewa, I’m 49 years young and I have recovered from the voyage to hell that was initiated by cold turkey from 20 years of antidepressants use. In the title SHE is my daughter (now 12 years old) my first and main reason to stay here, second is my husband Eric who was my caregiver and was there for me unwaveringly, third information about withdrawal from this website (was my first website I found when looking for answers) and others like it, success stories of people who came through victorious, and relentless search for truth. On February 2018 I cold turkey from 60mg of Cymbalta (December 2017 I turned 44 years old) almost instantly I was in altered state of consciousness (in medical community labeled as mania, I dislike their terminology but I will use it here in parenthesis) had out of body experiences and visions (not hallucinations) one of them was my mothers trauma I didn’t know about. I was in trans like state very euphoric, didn’t need much sleep, had diarrhea for about one month, metallic taste in my mouth, could not eat meat and other foods. I was functioning but in different way. Gradually I was coming down from euphoria, it took 8 months and one day it was clear to me that I was very much different in past months (I had that awareness during but was not afraid of it) also I started to feel internal vibration that I thought was anxiety (never had anxiety before in my life). In the end of August 2018 I went back on 60 mg Cymbalta plus 0.5 mg Ativan (first time in my life I was put on benzodiazepine), two weeks into being back on drugs I became suicidal. Every two months I was in hospital changed the antidepressant Ativan stayed the same 0.5 mg twice a day or as needed. My condition was worsening and in January 2019 I did ketamine which put me further down the hell. By this time my diagnosis changed from depression (my original sign 😉) to treatment resistant depression, all they have left for me was ECT, I had 8 sessions in total and after last one as I was walking out of hospital (for my last two sessions I was outpatient, for so called maintenance sessions) I heard just a whisper of my own soul “Ewa you have to find your own way out of here, if you stay,there will be no coming back”, by this time I was a shell of my former self, a mare shadow of a human being, that upon waking from last ECT had to guess what year it was, I was successful in this but the president of USA in 2019 was still Obama.As soon as I got home I went on internet and found this website, my search for my own way out of hell has begun. At that time I was on Zoloft and Ativan, I decided to cold turkey again (two months taper) and in May 2019 my drug free life has begun. The level of suffering has intensified greatly and stayed the same for two years. I did not have windows not even one. I had severe insomnia, slept 2 or 3 or 0 hours, anhedonia, depersonalization, déréalisation, intrusive thoughts, suicidal ideation and urges, memory loss, cognition loss, complete loss of appetite, my GI was twisting and burning, I forced myself to eat and it was two bites at the time, I didn’t shower for weeks only when I was on my period (I never lost my menstruations still have it now), all consuming terror was always there, didn’t brush my teeth (had to have 3 crowns last year), I had light sensitivity sunny days in summer where extra torture, sounds sensitivity (I love music but in that state was torture), my whole body was stiff like I was log of wood very hard wood. Adrenaline rushes like toxic waves through my body, Agoraphobia ( was mostly bad bound), apathy, confusion, crying it was more wailing like a caged animal I became. Inner trembling, lethargy, complete loss of libido, during my very short sleep I manage to have nightmares. Tinnitus was not severe and it went away after about one year. January 3 2020 I wrote this “All I want is to be able to be a mother and wife again ! I love Chloe and Eric so much” at that time I had all the symptoms I listed above. Also I have to add that during my altered state of consciousness (mania) April 2018 I had breast lift surgery(it was scheduled in 2017), day after walking up the stairs I heard myself saying “it is not normal to cut healthy body” , this procedure so accepted and even praised by our sick society is a band aid in form of self mutation to secure love and approval of others behind which is a very deep pain. I had infection and was put on very strong antibiotics, further destroying my got. (I have to go to my appointment now second part of my root canal treatment, I will continue later on today, I will submit this now because I don’t know how to save this and don’t want to loose it 😊) Thank you to my father Jan whom I love deeply, it was from his life journey and strength I drew inspiration to go on.

Hi all, I have a 16 year history on SSRI/SNRI (see signature) as well as a few years on Mirtazapine and one year on Bupropion. The two latter I quit fairly easy without any tapering worth mentioning. I'm also a medical doctor. I've read this forum now and it's been very helpful. The main reason I'm now registering is I'd like to contribute to the Escitalopram tapering thread, where there seems to be a quite well established misconception about the water solubility of the drug (I don't seem to be able to repy there yet though). Escitalopram is, as the post states, "sparingly soluble" in water (and "soluble" in saline water). Sparingly soluble by definition means that it takes 30-100 ml of water to fully dissolve 1 g of a chemical (such as a drug). (I'll still to 100 ml instead of 30 - 100 ml for simplicity, and 100 ml is at the less solvable end of the spectrum) 1 g is 1000 mg. So, with 100 ml of water you can dissolve ONE HUNDRED 10 mg pills of Escitalopram (as the salt Escitalopram oxalate). To dissolve one 10 mg pill, you need only 1 ml of water. I suspect most people will use much more water than this, as 1. there is no reason to work with such a small amount of water and 2. people seem to think you need lots of water. So, let's say that you use 10 ml or more instead of the necessary 1 ml. Now, there is NO reason whatsoever to increase solubility by adding sodium chloride (i e, making a saline solution), worrying about decreased solubility in refrigerator temperatures, etc. Note, there is stuff in the pills that does not dissolve, but the active drug does, easily. On the term "sparingly soluble": from a required 30-100 ml of water to dissolve 1 g of Escitalopram follows that in 100 ml water the amount of solvable Escitalopram is 1 - 3.3333333... g. Compare this to table salt (sodium chloride) which I believe you can dissolve 36 g of in 100 ml of water. Hence, it is easy to understand why "sparingly" is appropriate.

Utek (Jeff) Hello new friends: Attempting to get off Mirtazacrap Hello, I will try to make this as coherent as possible. By my estimation, my brain is functioning at around 50-60% of what was normal. But that is a vast improvement over just a couple of weeks ago. First, I would like to say one thing about mirtazapine. If it were not for the next day brain fog, sleepiness, fatigue, dizziness, lethargy, and worsening bph symptoms, and weight gain, it would be a pretty good sleeping pill. The last couple of years have been difficult for me and my parents, as I know it has been for the rest of the world also. But I really handled it like a superstar. My Dad was in the last stages of dementia, and he got covid. My mother has a mild case of MS, so I had my hands full. Being an only child put all the responsibility on me. My Dad died in March, 2022. I then decided to focus all of my efforts on the health and happiness of my Mother. We had a couple good weeks. Due to a cascading series of negative health events for my Mother involving afib, paranoid delusions, and 2 lengthy hospital stays, I rapidly lost the ability to sleep. On August 2, I was sleeping about an hour a night. I had nurses helping me with my Mother, but I still had loads of responsibilities. I was barely functional. It took great effort just to write a check. (From what I know now, my cortisol levels must have been off the chart.) After a month of little to no sleep, my best friend drove me to the Emergency Room at the VA. They gave me trazodone and hydroxyzine. I also got appointments for primary care and the psych doctor a week later. The first night I got 6 hours sleep with the trazodone, but felt horrific the next day. I did not mess with the hydroxyzine. After the first night, I only got around 3 hours sleep. Through some kind of miracle (“Jesus take the wheel”) I was able to drive myself the VA the next week to see the psych doctor. She gave me mirtazapine and Buspar. I sort of freaked out, because I remembered we gave my Dad a low dose of mirtazapine to help with his appetite. I took a Buspar that day but it made me so dizzy that I never took another one. After researching Mirt online, I decided to stick with the trazodone. Trazodone just did not work for me. I was only sleeping around 3 hours a night. I reluctantly switched to Mirtazapine a week later. The first night on mirtazapine, I slept over six hours but felt like the walking dead the next day. After the first night, I could only sleep a couple of hours on mirtazapine, and I still had the next day hangover symptoms. This is when things really got bad for me. I am a lover of life but I didn't want to live anymore. I was just so tired. The next 5 days were bad, and dark, and then suddenly I began to sleep 6 to 8 hours on the mirtazapine. I still felt like dog crap the next day, but I decided to fight as hard as I could to live. The first night that I was able to sleep with mirtazapine, I decided to taper to get off it. I had been spending most of my time studying and implementing the free cbti online course the VA offers. I tapered from 15mg to 10mg and still slept good. You can imagine how happy I was. Then the next night I did not sleep at all. So I went back to 15mg and started researching how to get off this crap. I found Altostrata's article which led me to this site, and the instructions on the no harm 10% taper. With my mind only functioning at around 30% capacity, all this measuring and turning the medicine into liquid was quite overwhelming. But I bought my scale and pill cutter on Amazon, and understand exactly how to do the liquid when the time comes. As of today, November 22, 2022 I am down to 12.5mg and I am still sleeping good. Since I started the medicine, I have only not been sleepy 2 days. Today is one of those days, so I decided to do this intro. A few weeks ago this would not have been possible. For me the side effects of mirtazapine are truly awful. The brain fog, and fatigue are intense. This seems to improve a minuscule amount each day. A few weeks ago I was barely functional. Driving to the dentist was a monumental task. But now I can function a little better. I believe I could handle a crisis. But everything takes intense mental focus. My favorite thing in life was walking a 5 mile trail near my home. I made the full walk yesterday, but there was no pleasure. I can now watch a 30 minute sitcom, but a movie would be out of the question right now. I am very grateful for this website. The information is so vital. The sleep mask and garbage bags on the windows have made a huge difference. I sleep an extra hour because of it. The supplements are helping and must say the Lactium is extremely effective for me. I am holding it in reserve for the inevitable rebound insomnia. A few weeks ago, I was at the point where I did not see a light at the end of the tunnel, but I acknowledged the possibility that one might exist. Today, I see a flicker of light, and plan to fight with all my might to reach it. A funny/weird side story: I am a huge Carolina basketball fan, and a couple of weeks ago, I was thinking to myself, I wonder how Carolina did last year. I did remember Roy had retired and Hubert took over. I had completely forgotten that Carolina had a miraculous year, playing Duke in the final 4 and playing in a heart wrenching loss in the championship game. I'm not sure if this is due to the month of no sleep or the mirtazapine. And I had a hard time averaging numbers a few days ago, even thou I am a math wiz. My main focus right now is to get off the mirtazapine and still be able to sleep. If anyone knows how to deal with the intense fatigue and brain fog, I would love to know. Coffee does nothing for me anymore. The mirt seems to neutralize the effects of caffeine. How insidious! Many thanks to all the volunteers here, and all the advice. I will update as I continue my journey to get off mirtazapine.

SleepPls009 - Luvox Withdrawal, Insomnia, and Heart Problems (Oh my!) Hi All, It’s great to meet you! Though I wish it were under better circumstances. I’m looking for advice around Luvox reinstatement and doctors who deal with withdrawal; more information is at the bottom of the post. I thank you in advance for your help! I am seven months off of Luvox after having taken it for roughly 20 years. After years of experiencing persistent fatigue, muscle twitches, and some increasing insomnia, I decided to go off Luvox in March to see if that helped my symptoms. Go figure, it made everything ten times worse! I was on 200mg daily in winter ‘21, went down to 100mg without incident at the end of the year. Then in March ‘22 I began tapering little by little until I hit zero on April 12 (note: I was aware that stopping cold turkey was a bad idea, but I was unfamiliar with the concept of protracted withdrawal). Little by little I kept waking up earlier and earlier until I could barely sleep, and depression symptoms kicked in hard. My PCP started me on Prozac in mid-May to treat what she thought was underlying, emergent depression, and after a week I reacted so badly to it that I went to the hospital (couldn’t sleep for days, got a fever, upset stomach, shaking uncontrollably). I proceeded to try a number of different meds with my psychiatrist, but every antidepressant would either keep me awake for days, and every sleep med would lose effectiveness fairly quickly. I eventually got the idea that I might still be withdrawing from Luvox, so we decided to do a med washout to see what would happen. I survived on melatonin at the time, which was abnormally effective at low doses, and kept putting off going back on Luvox, somewhat out of stubbornness, since I felt it would be a “waste” to go back on after all that effort if I could make it to the other end of withdrawal. Eventually (about mid-late August), my brain flipped a switch, and the deep depression spontaneously went away. At the same time, my insomnia problem switched from staying asleep to falling asleep (kind of like what I occasionally had before stopping Luvox but much worse). That’s when medicine reactions became weird. I’d taken ambien before a number of times (roughly 10, 11 in total?) before August. I tended to avoid it because it made the depression a lot worse. I tried it again when the depression went away, and started having strange heart palpitations. One day after I took ambien, I went to the hospital for chest squeezing, but they found nothing. Thinking I was being paranoid, I tried it again a few weeks later and started to have what felt like a full-on heart attack. After working with a cardiologist for a number of months, it seems that ambien was causing vasospasm, or prinzmetal’s angina. A few other meds started causing this, too: Lunesta (I let a doctor convince me it was chemically different enough from ambien - dumb mistake), Quviviq (totally different mechanism than ambien, so confusing), and even melatonin causes odd heart palpitations now. The vasospasm itself seems to cause some sort of injury, because running (which I could do with ease before) brought on an episode, and after episodes I am weak and have chest pain for weeks. I am now at the point where I’m trying to decide what to do next. If my nervous system is still changing, I’m worried that it could further affect my heart or other systems if I let it continue to go unchecked. So this is what I’m wondering: Bottom line: I would love advice on whether I should reinstate Luvox. While I know this is a doctor’s realm, my current psychiatrist doesn’t understand (or acknowledge) protracted withdrawal. I will either need to take evidence and a concrete plan to him, or find a doctor who better understands these issues. As for the arguments for/against reinstating, I am now sleeping better, though not well (I still go about two nights without sleep a week and average 5-6 on a good night). But the crazy/dangerous reactions to meds give me pause. On one hand, I don’t want to cause more problems, and I’m almost worried that taking Luvox now would trigger another vasospasm. But if my nervous system is still rearranging itself I’m also worried that, left alone, it’s bizarre reactions to things could get worse! I would also like to get rid of the visual snow if at all possible. I’d also love recommendations for doctors who deal with or specialize in this sort of withdrawal and nervous system disregulation. I know they are few and far between, but I’m willing to travel pretty much anywhere at this point to get the help I need. Thank you all for your help, and I look forward to hearing back from you!