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tapering off Remeron

Remeron Tapering

There may be a variety of reasons a person may consider the benefits of Remeron tapering. One of the more popular reasons for stopping Remeron is because the side effects of the drug may have begun to outweigh any benefits of continuing the drug treatment. Getting off Remeron may be a logical choice where the drug has perhaps fallen short in expected treatment results.

One commonly overlooked reason that might lead to considering withdrawal from Remeron is that the DSM V (prescribing manual) recently upgraded the necessary criteria that would indicate antidepressants as a valid treatment, and it may well be that some patients had been put on Remeron in error, and now may desire to begin Remeron tapering as it wasn’t the right choice to begin with. (1)

One example, and it may be one that could affect quite a number of people who were prescribed antidepressant medication for PTSD treatment, is that the criteria for PTSD has changed a few times. A diagnosis of PTSD may include as a criterion the sadness after a family member or close friend dies. (1) There have been other changes made to the criteria for what is considered a valid PTSD diagnosis. Remeron tapering may be indicated especially where the accuracy of a PTSD diagnosis before prescribing antidepressants was unclear.

If you feel you may have been prescribed antidepressant medication unnecessarily, you may wish to speak about it further with your prescribing physician and find out more about what steps are needed for how to get off Remeron or whatever the medication was that you were prescribed. It is recommended that a person not delay in seeking medical assistance, as the longer one remains on medication, especially where it was not the most correct treatment option to begin with, the more complex the process can be of getting off Remeron safely, comfortably, and without further compromise of the person’s health.

Learning More About How to Get Off Remeron

In terms of side effects, there can be many of these and they may be different for each individual in character and also intensity can vary widely. Some side effects may be mild for one person, and intolerable for another. However, below are outline just some examples of what may lead a person to choose to withdraw from Remeron. Learning more about how to get off Remeron may be a wise choice where:

  • mild side effects have begun negatively affecting the person’s quality of life, such as dry mouth, ulcers in the mouth, swelling of the lips or tongue, drooling, bleeding gums, loss of ability to taste, indigestion, altered sensations of taste, smell, etc.
  • a person may experience more serious health concerns due to more severe side effects, such as vomiting, bleeding intestines, worsened depression, sleep disturbances, agitated. edgy or irritated feeling, shaking, flu-like symptoms (cough, fever, sore throat, headache), anger, twitching, restless legs, anxiety, back pain, muscle pain, etc.
  • side effects have become extremely severe and in some cases may have life-threatening potential, such as suicidality, akathisia, mania, confusion, pancreatitis, convulsion, stupor, and other adverse reactions of a high level of severity and therefore may become a risk to health.
  • a woman who becomes pregnant or plans to become pregnant may be concerned regarding the higher instances of miscarriages and premature birth rates that may occur among mothers taking Remeron during pregnancy. (2)

remeron tapering

Stopping Remeron Should Never be Done Abruptly

There can be many reasons for stopping Remeron, probably just about as many as there are individuals who started taking the drug. However, there is one point that is quite common to anyone trying to quit Remeron or any antidepressant medication. And that is to avoid stopping Remeron abruptly. Getting off Remeron safely requires a very gradual and gentle approach, with qualified medical oversight and monitoring throughout the process of Remeron tapering so that it can be successfully completed without lingering symptoms of withdrawal from Remeron. Where this occurs, one factor may have been that the body needed more time to adjust during its withdrawal from Remeron.

Tapering Can Be Made Simpler, Safer, and Easier to Tolerate.

WARNING: NEVER ABRUPTLY ATTEMPT GETTING OFF REMERON AS FDA CAUTIONS TO DO SO CAN RESULT IN SIGNIFICANT RISKS TO HEALTH. There are safer and more gradual ways that can ease the process of how to get off Remeron without endangering one’s health. (3)

Remeron is an antidepressant drug in the tetracyclic class, meaning its atomic structure consists of 4 rings rather than the 3 rings of other antidepressants. This is why, in part, Remeron is referred to as an “atypical” antidepressant, because it is believed that it has characteristics that are quite different from other types or classes of antidepressants. And, important to note, it is not known exactly how it creates the effects that it does in the brain and CNS. There are some indications suggesting Remeron affects the histamine receptors, adrenaline receptors plus dopamine and serotonin receptors, but it is not known how these interact exactly. At low doses, Remeron often has more of a sedative effect. At higher doses, the drug tends to have a stimulating effect.

Because of the complex structure of the drug and these various potential interactions that will likely be attempting to normalize during Remeron tapering, having an adequate time frame in which to do the Remeron cessation comfortably will be of great importance. The length of time for Remeron tapering will depend on what is needed to avoid harsh and lingering after-effects of trying to quit Remeron too fast.

The Alternative to Meds Center Remeron tapering programs recommend that the client enrolls for 60 days, on average, although a longer stay can be arranged if requested. Our goal at the center is to provide the means for our clients to achieve natural mental health. Clients are given a program that is designed to test for and address any possible factors that may have contributed to unwanted symptoms that were troubling the person before starting to take prescription medications. This approach is supported by nutritional testing and correction of deficiencies, neurotoxin testing and removal, and addressing many other factors that may have never been previously addressed, and that could have lead to seeking relief through unnecessary medication.

Please contact the Alternative to Meds Center for a much more detailed description of our inpatient Remeron tapering programs and what benefits are available to our clients who wish to improve their natural mental health.

  1. Depression Definition and DSM 5 Diagnostic Criteria,, published by Remedy Health Media, March 2019, accessed Sept 20, 2019.
  2. Article published by US National Library of Medicine August 2006, “Exposure to mirtazapine during pregnancy, a prospective, comparative study of birth outcomes”,, accessed Sept 20, 2019.
  3. Article entitled ” Steps Following Attainment of Remission- Discontinuation of Antidepressant Therapy”, author Richard Shelton, MD, published in the US National Library of Medicine”,, accessed Sept 28, 2019.

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