Mango: Opinion on plan to taper Mirtazipine

[Altostrata]

Please consult Google for US pharmacies carrying 0.125mg clonazepam.

[Mango]

I did as you suggested. And ordered from Amazon only to have them tell me they couldn’t get it. 
I contacted my local pharmacist who now tells me you can’t get .125mg anymore as they stopped making it. 
now I have to go to .25 mg tablet and split it. (I previously took .125mg oral dissolving tablet twice a day). 
I already feel like I’m having withdrawal symptoms from using a different manufacturer of .125mg ODT which I had to use for last 2 weeks. 
 I’m just putting this info out there in case someone else is using .125mg ODT of Clonazepam. 

 

[Mango]

I don’t know how much more I can withstand. I had. These early morning Cortisol spike fill me w dread for most of the morning and so,etimes longer. I can’t remember any day in past 2 years where I woke and felt normal like I used to. I have to force myself to go thru the day masking my depression and anxiety. Sometime I give in to crying like now. 
 

I am now on 3.75 Mortazapine, 1.25 Clonazepam twice a day, and 58 mg Nortriptyline ( which I am reducing at very slow rate as my doctor thinks it’s causing Orthostatic Hypertension). And I want to get off this stuff before I die. I’ve been through 5 years of distress and am so ready for relief. And I have learned to go very slow. 
 

I guess I’d just appreciate if there’s anything I can do to reduce these morning horrors. 
thank you

 

 

 

[FireflyFyte]

20 hours ago, Mango said:

I am now on 3.75 Mortazapine, 1.25 Clonazepam twice a day, and 58 mg Nortriptyline ( which I am reducing at very slow rate as my doctor thinks it’s causing Orthostatic Hypertension).

 

Can you update your signature to reflect your current medication and dosages?

 

20 hours ago, Mango said:

These early morning Cortisol spike fill me w dread for most of the morning and so,etimes longer.

 

We have a thread on morning cortisol spikes at Early-morning waking - managing the morning cortisol spike. Have you tried keeping your bedroom as dark as possible upon wakeup?

[ChristopherC]

I also had the Stellate Ganglion Block but it did not work for me either. It makes a ton of sense and has great results for PTSD (85% success rate) but when the nervous system is so destabilized from WD the "reset" doesnt seem to have impact. Its seems like the only "solution" is time

[Mango]

I was so disappointed because of its success rate w PTSD which I have. But you’re probably right in that the CNS is too destabilized. I know this because for 3 years I’ve been getting thos early morning cortisol surges. They are debilitating. It takes me all morning to recover. Also, a myriad of other symptoms make it clear my CNS is working hard to try and heal. One thing that does help is ending my shower w a cold one for about 2-3 minutes. It just shifts my mood

 

explanation on internet

“Our findings showed that participants felt more active, alert, attentive, proud, and inspired and less distressed and nervous after having a cold-water bath. The changes in positive emotions were associated with the coupling between brain areas involved in attention control, emotion, and self-regulation.”

 

id say that helps 75% of time. 

[Mango]

My neurologist would like me to taper off the Clonazepam (K) because of real concern for cognitive injury. (In fact his practice recommends avoiding any CNS Depressants meds, e.g. Benzos, antihistamines or other sleeping aids with Benadryl because they increase risk of dementia.) of course, I’m extremely concerned about this and I have experienced a few incidents. 

I would like to start Benzo taper. I am on 2 other ADs listed in signature. I was about to restart a taper on Mirtazapine but feel K taper is more important due to dementia risk. I will let Nortriptyline stay as is for now. 

Does this make sense then to taper the Benzo as to not continue any more?

[Mango]

I tried to update my signature but wasn’t accepted because it violated some rules. I’ll put it here as maybe one of managers could do it for me. 
Also, how do you “private message”?

 

 

April 2024 Nortriptyline 50 mg (finished 10%  tapering from 60 mg, using capsule

                   and liquid Nortriptyline.  Holding at 50mg

May 2024  Mirtazipine 2.25mg.
                   Been at this dose for a year  (Started taper at 7.5mg in            
                  Apr 2022, stopped Apr 2023 at 1.85 mg but had sxs. Back to 2.25 mg)

May 2024 Clonazepam .125mg BID