It is now day 16 off mirtazapine and I don’t know what to think at this point. Things just do not seem to be improving, still nausea, headaches, tinnitus, anxiety and insomnia. No sweats the past few days though. I have had to use trazodone to sleep the past three nights, I have fallen asleep on my own about 930 but wake up at about 1030, so only sleep about an hour, then I just lay there and can’t sleep. I do not feel anything other than comfortable, tired and relaxed at that time but simply do not sleep, so at about midnight I give in and take 50mg trazodone. I then usually fall asleep about 1230 but wake up for good about 3. Again I feel ok at 3, in fact, not even tired anymore at that time. But most days the anxiety starts around 9am and continues for a few hours and nothing alleviates it. I don’t know if this is still mirtazapine withdrawal or the trazodone is causing it, or some of both. I have also developed bad hip pain when lying on my right side and that’s the side I normally sleep on, so it’s pretty difficult to sleep much at all.
I saw my pcp yesterday and he said he thinks my hip is bursitis so I have an appointment with an orthopedic next Friday, the past two nights however pain has not been as bad. He also said mirtazapine doesn’t have much of a withdrawal and it should be over at two weeks off and suggested perhaps trying another antidepressant, which I declined. So he left it with I should let him know when I’m ready to try something else, he thinks it’s anxiety even though I told him prior to going on cymbalta I didn’t feel anxious. Said something about don’t have to feel anxiety to have anxiety. What did that mean? In the meantime I have had a first visit with an acupuncturist who says she has had success with drug withdrawals and insomnia. Only issue is she wants to see me twice a week for the first six weeks and it’s private pay because Medicare and my insurance don’t cover acupuncture. First visit was 145 and all subsequent visits are 80, husband is not real happy about it but I willing to let me give it a try.
I just don’t understand where this anxiety is coming from, I did not feel anxious or any of these various things, nausea, dizziness, headaches and such, prior to withdrawing from the cymbalta and now even more so since I have stopped the mirtazapine. I don’t really want to medicate the withdrawal, if that’s what it is, with another drug that will require another withdrawal. I am so confused at this point I don’t know which way to turn. Sorry to ramble so much, hope this makes sense and hat if you could weigh in here I’d much appreciate it.