Remeron Tapering

About Remeron Tapering

It is not uncommon to be misdiagnosed in a brief outpatient visit. Some researchers estimate that between 10 & 20% of medical diagnoses were incorrect.10 Misdiagnosis is a common reason for considering tapering from Remeron. Of particular note, the DSM V (prescribers’ manual) may have upgraded its prescribing criteria since you began taking Remeron treatment.1

There can be many reasons for stopping Remeron; probably just about as many as there are side effects and individual situations. However, there is one point that is absolutely critical to understand for anyone contemplating Remeron tapering. And that is to avoid stopping Remeron abruptly. Weaning off Remeron safely requires a very gradual and gentle approach, preferably with compassionate, medical oversight and monitoring throughout the process. With these cautions in place, Remeron titration can be successfully completed without lingering symptoms of discontinuation. One will suffer from lingering reactions most profoundly where the process was done too quickly. The body needs to be allowed time to adjust and normalize. Otherwise, it may be nightmarishly difficult to endure.

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Remeron Discontinuation Syndrome

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Problematic antidepressant withdrawals are common enough that the phenomenon has been dubbed “discontinuation syndrome.” 7 The term refers to a cluster of symptoms a person may experience when Remeron is discontinued, especially when the withdrawal is done too quickly or without adequate preparation and support. According to NAMI, symptoms can include paresthesias (prickling or tingling sensations on the skin) headache, nausea, dizziness, vomiting, and nightmares. A single case report published in the Primary Care Companion to the Journal of Clinical Psychiatry also reported insomnia, restlessness, and anxiety as withdrawal symptoms.8,9

While physicians are ethically bound to inform their patients about the risks of treatment, exceptions exist.6 We have found, unfortunately, that most of our clients were not completely informed about Remeron discontinuation syndrome. This could be because the physicians themselves were uninformed. Often, no guidance was given as to how to stop taking antidepressant medication correctly. In fact, the majority say that had they known what was ahead for them, they would have decided on an alternative plan for treatment that didn’t involve antidepressants like Remeron. We can provide the level of care and support needed to safely resolve the challenges of Remeron tapering and discontinuation syndrome as comfortably as possible.

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