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Doctor insights on: Going Off Remeron

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Dr. Barbara Lavi
381 doctors shared insights

Mirtazapine (Definition)

Mirtazepine (remeron) is a noradrenergic/specific serotonergic antidepressant [nassa]. It is used for major depressive d/o, various anxiety disorders, chronic pain, and others. In some, it can help ssri-induced sexual dysfunction & "poop out." it can be sedating and also increase appetite -- good for some ...Read more


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Can i go off lexapro (escitalopram) without weaning.I am also on remeron.

Can i go off lexapro (escitalopram) without weaning.I am also on remeron.

Lexapro (escitalopram): Depending on your current dose. Generally I would recommend gradual tapering. ...Read more

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Straight switch from Zoloft to lexapro (escitalopram). Doc told me to just switch without tapering off. Is this ok. Was on 150mg Zoloft going to 20 mg of lexapro (escitalopram).

Zoloft to Lexapro (escitalopram): Many physicians will do a cross taper gradually lowering the dose of one antidepressant while raising the dose of another. If however it has been determined that the zoloft has been of absolutely no benefit than there is no need for a cross taper. The Lexapro (escitalopram) should block any possible ssri discontinuation syndrome. Discontinuation symptoms with zoloft have been reported to be 1 to 2% but in my clinical experience have actually been far less than that. You should have no problem doing this. Best wishes. ...Read more

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I am going cold turkey off clozapine, suggestions?

Yes: Don't do it. Please work with your prescribing provider to safely come off this medication. ...Read more

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How to wean off Zoloft (sertraline) 50mg?

How to wean off Zoloft (sertraline) 50mg?

Lower the dose: Meds like zoloft (sertraline) can sometimes cause withdrawal effects including dizziness, electrical sensations in your head, nausea, mild muscle aches, feeling flushed, anxious, etc. Zoloft (sertraline) does this infrequently. These withdrawal effects are not dangerous, but they can be uncomfortable. If you are having problems stopping from 50 mg talk to your doc about cutting to a lower dose for a week or 2 and then stop. ...Read more

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Should I taper myself off of Ambien and xanax (alprazolam)?

Should I taper myself off of Ambien and xanax (alprazolam)?

Under supervision: Highly recommended that you taper under a doctor's/provider's supervision. Not only can there by uncomfortable withdrawals, medications like Xanax/alprazolam can result in life-threatening withdrawal seizures if an appropriate/safe tapering does not take place. What does of Xanax, how often taking? High dose/daily use may require inpatient detoxification. ...Read more

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How do I taper off Xanax (alprazolam) while trying to switch to klonopin?

How do I taper off Xanax (alprazolam) while trying to switch to klonopin?

Xanax (alprazolam): Depends on current dosage, how long u have been on xanax, (alprazolam) & what other medications are used concurrently. Work with your prescribing doctor. ...Read more

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How do you combat vivid dreams from seroquel? Had to wean off mirtazapine

How do you combat vivid dreams from seroquel? Had to wean off mirtazapine

Not for you: If you are having vivid dreams and it is resulting in worsening mood or fatigue then perhaps Seroquel is not for you. Consult with your doctor for possible alternatives. Some people don't mind the vivid dreams if the medicine is working well otherwise. ...Read more

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Can going off Zoloft (sertraline) cause weight gain/bloating? How do you rectify that without going back on zoloft (sertraline)?

Can going off Zoloft (sertraline) cause weight gain/bloating?  How do you rectify that without going back on zoloft (sertraline)?

Not usually: Weight gain or boating isn't usually a result of gradually stopping zoloft (sertraline) - bloating can actually improve on zoloft (sertraline). However, in some folks, there are flu-like symptoms that arise from the first couple of weeks of being on zoloft (sertraline). See below for more info. http://www.ncbi.nlm.nih.gov/pubmedhealth/pmh0001017/. ...Read more

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Why im not hungery after coming off effexor (venlafaxine) 37.5 mg?

Why im not hungery after coming off effexor (venlafaxine) 37.5 mg?

Appetite and effexor (venlafaxine): You mean you have stopped taking Affexor? While you were discontinuing the medication were you under medical supervision? Or you did on your own, just one day decided to stop it jut like that.? First option is OK, Second is VERY wrong. I need to know your height and your weight, before passing a comment. I do not know the cause. But may be good for you ...Read more

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I am on 15mg Lexapro (escitalopram).Can I reduce to 10mg without weaning off it.Thanks?

Yes but....: do this under a physician's guidance. (tapering of the Lexapro (escitalopram) from 15 to 10 mg) Use of Valium for anxiety has its drawbacks as it has such a short half life and can promote depression and chronic pain (not to mention rebound anxiety) Can I assume you are splitting up the dose into at least 4 evenly spaced allotments ? ...Read more

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How should I taper off Donezepil 10mg?

How should I taper off Donezepil 10mg?

Consult: Please consult your physician who knows you best. ...Read more

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Can i go off endep (amitriptyline) 10mg cold turkey?

Can i go off endep (amitriptyline) 10mg cold turkey?

Go see your doctor!: Australia's endep (amitriptyline) is sold in states as Elavil brand of Amitriptyline which is an early antidepressant w/anticholinergic properties, causing dry eyes & mouth, constipation, inability to urinate & confusion. Both http://www.Webmd.Com/drugs/drug-9159-endep (amitriptyline)+oral.Aspx?Drugid=9159&drugname=endep (amitriptyline)+oral & http://www.Drugs.Com/elavil.Html recommend tapering off under your doctor's supervision. ...Read more

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Can i go off pristiq (desvenlafaxine) without bad side effects?

Can i go off pristiq (desvenlafaxine) without  bad side effects?

Please don't: You may develop discontinuation symptoms. You should taper off the medication under medical guidance. ...Read more

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Could it be okay to go cold turkey off Effexor (venlafaxine) 75mg switching to luvox 100mg right away?

Could it be okay to go cold turkey off Effexor (venlafaxine) 75mg switching to luvox 100mg right away?

Talk to your doctor: Efexor is well-known to cause withdrawal symptoms if stopped abruptly, but you are not on a high dose, and switching to Luvox (fluvoxamine) should prevent withdrawal symptoms. But talk to your prescribing doctor about how s/he wants you to transition from one drug to the other and follow your doctor's guidance. ...Read more

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Cousin went off of anxiety meds and gained 15lbs in the weaning process. I start weaning off Lexapro (escitalopram) July 10th. Will this happen to me also?

Lexapro (escitalopram): Not necessarily because no two people respond the same way. But if worried about weight then would be proactive by eating balanced healthy meals and incorporating a regular exercise regimen. ...Read more

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Can you advise me on going cold turkey off clozapine?

Can you advise me on going cold turkey off clozapine?

Stopping Clonazepam: Depends upon the dose used. However, it is recommended that the medicine be weaned off as abrupt stoppage can lead to a seizure spell. Check with your physician. ...Read more

Dr. Joseph Weiner
364 doctors shared insights

Remeron (Definition)

Remeron is a serotonin antagonist and reuptake inhibitor which is a kind of ...Read more