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Thread: Mirtazapine to Citalopram

  1. #1
    Join Date
    Nov 2012
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    Mirtazapine to Citalopram

    I recently decided to change back to Citalopram which was my original anti Anxiety medication. I Tapered the mirtazapine down to 7.5mg and I have been on 20mg of Citalopram since the 27th of December which is also when I dropped to 15mg from 20mg. Last night I tried to stop the Mirtazapine completely and seemed to fall asleep OK but woke up anxious and wide awake at 3am and was awake for quite some time. Should I try and half the 7.5mg to 3.75mg or just try and persevere with being off it completely?
    I don't have many tabs left and my doc will not prescribe any more as she wasn't happy with me cross tapering anyway....

  2. #2
    Join Date
    Dec 2012
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    1,996

    Re: Mirtazapine to Citalopram

    The official guidance is to cross-taper from mirtazapine to citalopram, in fact it recommends "cautious" cross-tapering and "Speed of cross-tapering should be judged by monitoring tolerability of the individual patient"

    http://www.mims.co.uk/news/882430/Sw...ntidepressants
    (last entry on the list)


    So I'm surprised your GP was against it. It seems like you're doing the right thing and should cross-taper as gradually as you need.

    You might want to try 7.5mg on alternate nights for a week or so before stopping totally, rather than try to split further.
    __________________
    Daily Medication for GAD: Amitriptyline 25mg and Mirtazapine 15mg

  3. #3
    Join Date
    Nov 2012
    Posts
    159

    Re: Mirtazapine to Citalopram

    Quote Originally Posted by Mark13 View Post
    The official guidance is to cross-taper from mirtazapine to citalopram, in fact it recommends "cautious" cross-tapering and "Speed of cross-tapering should be judged by monitoring tolerability of the individual patient"

    http://www.mims.co.uk/news/882430/Sw...ntidepressants
    (last entry on the list)


    So I'm surprised your GP was against it. It seems like you're doing the right thing and should cross-taper as gradually as you need.

    You might want to try 7.5mg on alternate nights for a week or so before stopping totally, rather than try to split further.
    Thank you for your advice Mark. To be honest I always here here conflicting recommendations from doctor
    Looking at that it looks like its possible I need another week
    Glad to see you're doing well back at work

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