Tapering Seroquel and/or Mirtazapine

Posted by slr65 @slr65, Mar 30, 2023

My 24 year old son was started on Seroquel & Mirtazapine when he was in the throws of drug addiction. He’s currently taking 600 mg Seroquel and 30 mg mirtazapine, and has been drug free for over a year now. He does not have psychosis, but does have significant depression & anxiety. He wants to try tapering off them. Is it wise to taper both at the same time, or try one and then the other?
Thanks for any input.

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@slr65
Taper one then the other.
Taper SLOWLY
If withdrawal symptoms start he's probably tapering too fast.
Jake

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When I was on Lyrica and Cymbalta, I was told by my doctor to taper off the Lyrica and then the Cymbalta. It threw my body into a bit of a mess but I’m sure it would have been way worse to stop them both at once. Good luck to your son. 🤗

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Profile picture for Jake @jakedduck1

@slr65
Taper one then the other.
Taper SLOWLY
If withdrawal symptoms start he's probably tapering too fast.
Jake

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Thank you for your response. One at a time seems wiser intuitively, but I appreciate that confirmation. Also the advice to go slowly. He is impatient to get off, but we will heed your caution.

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Profile picture for sussudio75 @sussudio75

When I was on Lyrica and Cymbalta, I was told by my doctor to taper off the Lyrica and then the Cymbalta. It threw my body into a bit of a mess but I’m sure it would have been way worse to stop them both at once. Good luck to your son. 🤗

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Thank you for your response. We will buckle up and be ready for a storm before the calm!

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I have been in depression since January 2021 or earlier but started taking medicines since March 29 2025

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Profile picture for Afridi @afridi

I have been in depression since January 2021 or earlier but started taking medicines since March 29 2025

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I was taking Mirtazapine for about 3 months and I didn’t feel well from the medication. I couldn’t get in touch with the doctor to see what he suggested I do, long story short, I simply weaned myself by slowly reducing a day each week and I finally got off of them. I don’t recommend that you do this but I felt fine with my own method, you can also ask the pharmacy but they will probably tell you to contact your doctor. I would like to add that this drug had more side effects than benefits for me but I have also read stories that people found it very helpful.

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Profile picture for Afridi @afridi

I have been in depression since January 2021 or earlier but started taking medicines since March 29 2025

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@afridi
Since you haven’t been on it long, let your doctor know you want to stop it. I could not take mirtazapine because it made me so hungry and I do not want to gain more weight. They tried different medications and combinations that didn’t work for me for over a year. I finally landed on a combination of Sertraline and Bupropion that works some for my major depression.

What other medications have you tried?

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Profile picture for dlydailyhope @dlydailyhope

@afridi
Since you haven’t been on it long, let your doctor know you want to stop it. I could not take mirtazapine because it made me so hungry and I do not want to gain more weight. They tried different medications and combinations that didn’t work for me for over a year. I finally landed on a combination of Sertraline and Bupropion that works some for my major depression.

What other medications have you tried?

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@afridi
I meant to mention I only took one pill of mirtazapine and immediately stopped since the hunger symptoms started immediately and I got scared. Since you haven’t been on it about a month, you will want to gradually wean off it. It is ideal to work with your doctor but you may be able to do it yourself.

1. https://www.drugs.com/article/pill-splitting.html
2. https://www.mayoclinic.org/drugs-supplements/mirtazapine-oral-route/description/drg-20067334
3. https://druggenius.com/half-life/mirtazapine/
4. https://half-life-calculator.com/drug/mirtazapine
5. https://dailymed.nlm.nih.gov/dailymed/fda/fdaDrugXsl.cfm
6. https://benzodoc.com/safely-tapering-off-mirtazapine-a-step-by-step-guide-to-managing-withdrawal-symptoms/
7. https://www.newhealthadvisor.org/Mirtazapine-Withdrawal.html

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Profile picture for dlydailyhope @dlydailyhope

@afridi
I meant to mention I only took one pill of mirtazapine and immediately stopped since the hunger symptoms started immediately and I got scared. Since you haven’t been on it about a month, you will want to gradually wean off it. It is ideal to work with your doctor but you may be able to do it yourself.

1. https://www.drugs.com/article/pill-splitting.html
2. https://www.mayoclinic.org/drugs-supplements/mirtazapine-oral-route/description/drg-20067334
3. https://druggenius.com/half-life/mirtazapine/
4. https://half-life-calculator.com/drug/mirtazapine
5. https://dailymed.nlm.nih.gov/dailymed/fda/fdaDrugXsl.cfm
6. https://benzodoc.com/safely-tapering-off-mirtazapine-a-step-by-step-guide-to-managing-withdrawal-symptoms/
7. https://www.newhealthadvisor.org/Mirtazapine-Withdrawal.html

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I hear you! I have been taking Mirtazapine for almost 20 years. I just have had enough. I gained so much weight, can't enjoy the foods I like because I am always worried about weight.
I will say it helped for a time. But then I think it just became a habit. I've been cutting pills for awhile and am now down to 1.75 mg. Soon to be off completely.
I think in retrospect that these drugs have their place. I just think we take them for too long.
Hope you can get through this time without too much trouble.

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Profile picture for Afridi @afridi

I have been in depression since January 2021 or earlier but started taking medicines since March 29 2025

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I consulted my GP and weaned off it over an 8 week period, just take regular dose for 5 days then one off for a day for two cycles and follow that pattern increasing the days off each fortnight.

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