Quetipine and Mirtazapine

wontsee60again · Jun 14, 2014, 07:19 AM

I was on Quetiapine 300mg and Mirtazapine 15 mg for months, but only started feeling more energised/cheerful when the Mirt was doubled to 30mg. Does anyone think I should taper down the Quet, which makes me sleer 10 hours and just stick to the Mirt - praps at 45 mg? Only had one serious mania in 2002, and I was stable for 11 years on zero meds till latest sudden downer 6 months back

bluekoi · Jun 14, 2014, 10:23 AM

wontsee60again, I would discuss your dosage levels with your doctor and pharmacist, as you have been on these meds for 15 months.

Probably the safest choice.

Sometimes psychotic · Jun 14, 2014, 10:35 AM

The lowest maintenance dose for bipolar is 400mg so you're already on the low side...I might give it a little longer before tapering off.

Seroquel (Quetiapine Fumarate) Drug Information: Indications, Dosage and How Supplied - Prescribing Information at RxList

wontsee60again · Jun 14, 2014, 11:03 AM

Quote:

Originally Posted by bluekoi

wontsee60again, I would discuss your dosage levels with your doctor and pharmacist, as you have been on these meds for 15 months.

Probably the safest choice.

6 months actually but thanks for the reply. Just poss there might be Docs or MH workers on this forum. I'd have to discuss it with my doc for a changed Prescription - but would welcome any experiences ppl have. Thanks again

wontsee60again · Jun 14, 2014, 11:08 AM

Thanks for your reply but I was completely stable from May 02 to Dec 13 with no meds at all. Wouldn't wish to take them more than another 6 months if possible. Thanks again and I'd welcolm any personal experiences..

Sometimes psychotic · Jun 14, 2014, 12:25 PM

Quote:

Originally Posted by wontsee60again

Thanks for your reply but I was completely stable from May 02 to Dec 13 with no meds at all. Wouldn't wish to take them more than another 6 months if possible. Thanks again and I'd welcolm any personal experiences..

I don't actually know for isolated mood disorders but for psychosis they want you stable with zero symptoms for 6 months before you even start tapering...then tapering takes another 6 months. I imagine it depends on how fast you cycle. I guess in my mind you just found a med combo that made you feel good again so yeah I'd give it a solid six months of feeling good before messing with the meds. But at the same time you can always go back up if things start feeling bad. Unfortunately I think meds are much more an art than a science and there basically isn't good literature on getting off of them.

wontsee60again · Jun 14, 2014, 02:35 PM

Thanks for your further reply. I'll carry on as I am for another 4 or 5 months, and start tapering in the Autumn and hope to be off meds by next Easter

Berrylotus · 02:27 PM

I HATE Mirtazapine it made me put a **** tone of weight on which to this day I am struggling to lose

Jun 15, 2014, 01:49 PM

I'm on both meds. I'm palnning on decreasing the mirtazipine and hopefully going off it. I think Seroquel is more helpful for mixed-state bipolar...but of course, that's just me. You really have to speak w/ your p-doc and find out what works best for you. It's frustrating. I wish we all reacted the same way to meds.

wontsee60again · Jun 15, 2014, 06:21 PM

thanks for your reply. I think I'll raise it with doc anyhow..

bluekoi · Jun 15, 2014, 07:17 PM

wontsee60again, Good plan!

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Quetipine and Mirtazapine

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