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Misc Ran out of remeron (mirtazapine) what can I use to substitute?

Yeah, I have it now. Just I forgot it one night. Then next two nights I slept in uncontrollably until past 5pm or so when most pharmacies close on Weekends.

As for the tramadol, I dunno. I have taken 200mg + day with no problems with everything else. I know my brain is depleted on serotonin, even with all the stuff I'm on. I don't know if that makes a difference.
 
I can't sleep even on a cocktail. Advice? I went to bed around 5am. I didn't fall asleep until 2pm!!!! And woke up at like 8pm..... How can I make it so that way I can wake up at a semi decent time tomorrow? Is it even possible? I want to be awake by 2pm at latest.... if humanly possible.
The night before I went to bed at 2-3am and was awake all the way until 4PM before my body finally passed out from exhaustion. And I was on all the meds listed below both times! How was I even standing and not knocked out!?

I now take (slightly different than above):
-- 12-14mg Clonzepam , ALL AT ONCE before bed. I am prescribed up to 20mg daily.
--15mg mirtazapine
--10 to 15mg Oxycodone IR before bed
--20mg Oxy ER
--350mg to 700mg Soma
-- 2 Doxylamine OTC sleep aid (50mg total)
--Sometimes I take Trazadone, or even Clodine (for opiate WD, it makes me tired and I'm less likely to wake up in WD) before bed when the above isn't enough, or both of them together + all the above.
-- 1 or 2 Benadryl at 25mg per pill
--The emergen-C sleep drink that has 4mg melatonin, etc.
-- 100mg 5htp
-- 400mg Magnesium Glycinate

God help me.

1.) What else can I take that would force me to sleep? I could take an extra 6mg of Clonzepam. Or an extra 10mg, making it like 20mg + taken all at once. I just wonder if I would OD or not. My tolerance is super high, so I don't know.
2.) I could double or triple the dosage of Cloidine.
3.) I have only taken 50mg of trazadone the last couple nights. I could double or triple the the Trazadone dosage...
4.) I could take 30mg oxycodone before bed instead of my standard 10-15mg before bed. Maybe even throw in a 15mg ER tablet before bed too. Maybe it will make be fatigued enough to sleep?
5.) I have Prozac, Effexor ER, Tramadol, but I think all those would probably stimulate me....
6.) I also generally smoke a cigarette before bed because it makes me feel very heavy and tired. I know nicotine is a stimulant, sometimes, but surely it wouldn't keep me awake all night even if it was stimulating me?
7.) I think I have 1 pill left of Flexiril muscle relaxer... or maybe it's tizadine. I haven't taken either in 6 months to a year so maybe they will make me tired?
8.) I tried a higher dosage of mirtazapine (30mg) but it seemed to give me anxiety the night I tried it, so I couldn't sleep. Probably since it started to work on NE reuptake...

Any ideas? I can't live like this, and I don't want to. I can't do anything or go out because I sleep in until 8pm to as late as 12am, only because my body only seems to be capable of falling asleep during the afternoon when I'm at the point of pure exhaustion...
I take ALL those pills above and yet I lay in bed for 12+ hours without getting 1 minute of sleep, and I don't even feel drowsy? What is wrong with me? There's gotta be some way for me to sleep..
 
You're going to kill yourself if you're adding more drugs to the cocktail
Go to a sleep laboratory and maybe go a few days without sleep till you're exhausted enough to sleep at night

If you're adding more drugs you'll eventually become more tolerant, need more drugs and so on till respiratory depression increases so much that you stop breathing..
 
Damn dude. Your doctors are insane.

One wonders if you have sleep apnea. You REALLY should see a sleep specialist and get a sleep study done.

Do you get any form of exercise? Even with chronic pain, there should be SOME type of exercise you could do, and this could help a lot.
 
I'm going to try to exercise today... cause I didn't sleep AGAIN!

And I took around 18mg Clonzepam + all the meds I listed before PLUS I added 5mg of Flexiril and 4mg of tizaidine... By adding those two I actually felt tired, and thought I was going to sleep, but nope, body REFUSES to shut down. I laid in bed for 9 hours before I gave up trying to sleep..

I think I'm having Benzo induced anxiety... cause I still feel anxiety/stress after taking all that Clonzepam, just enough to not allow my body to shutdown it seems..
 
I guess you know it, but don't stop the benzos cold turkey, with your dosage it's almost certain that you'll experience seizures and most likely die if you stop them abruptly
 
IMO

You should not be figuring out how to get off all this shit on your own and with internet-guidance. You need a doctor to supervise and set up a long-term tapering plan. Half the shit you're taking is (likely) just to treat the effects of something else.

I had similar problems, and honestly you probably need to put the entire rest of your life on pause no matter what you lose / how painful it is, and get some help.

You're gonna feel like shit for a long time, accept it now, and start looking for professional and supervised help.
 
I setup an appointment to discuss a SLOW SLOW TAPER of benzos. My doctor thinks an SSRI will help. He may be right. I can take SO MANY serotonin drugs and not have any problems. My guess is because I am extremely low on serotonin, and those drugs just bring me to normal levels? I remember when Prozac made me feel "normal", more self confident, way less OCD, all signs of Low serotonin.
After all the Adderall usage, benzos, opiods, and dozen other drugs I take.... maybe I did really mess my serotonin.

I was also offered a 8K treatment to pay for 3 day rapid opiod detox under anesthesia. My fear is after 3 days I will be so depressed I will jump right back to taking Vicodin/Oxy to feel better, and since my tolerance will be lowered drastically (for a short time) it will make me feel the "power of them" again.......And I just wasted 8K of families money.

Anyone ever go through a rapid 3 day detox under anesthesia with success? I know they give Naltrexone therapy when you leave... I just don't want to waste 8K and end up back where I am.

Also I don't wanna go 3 days with benzos so I assume they would give me that, even if via IV while I'm under anesthesia knowing I could die without it... I also experience Soma withdrawals (it's a real thing, Google it) so that would suck.
I wonder if there's any Benzo-detox places, cause opiods and Benzos are the two most important things I need to get off ASAP... or risk death daily. Guess I will try to google it.
 
Rapid detox protocols are notoriously ineffective and dangerous. They also generally cost significantly more than 8k.
 
Thank you. I was unsure about it, but my family was willing to pay for it and told me "they give you special 'stuff' that makes the WD last only 48 hours or so. And by the time the 3 days is up, the WD is fully gone". They they give you Naltrexone and other vitamins to stay better....

But I thought it was a bad idea... Good to hear others confirm it..

What about long term rehab? I liked the "rapid one" since it was private, and wouldn't go on your record....

Man, all I want is to have my normal life back. I want to sleep NATURALLY! It makes me wanna off myself when I see other people lay down and pass out snoring within 30 seconds every night! While I lay there for 2-12 hours every night begging for sleep.

What about the SSRI idea to help reduce my anxiety instead of relying on MEGA dangerous doses of Clonzepam?

I used to take 10mg to 50mg of 5HTP (to make serotonin) and 10-20mg Prozac to "make it more useful". As SSRI don't make serotonin, so if you're very low on serotonin it won't work as the SSRI has "no serotonin to work with". There are published medical studies showing low dose 5HTP and an SSRI are the "only way to make an SSRI work properly". One (5htp) synethizes the production of serotonin while the other (SSRI) reuptakes it, making it last longer and be more effective. It is said by some medical studies that BOTH are needed to balance serotonin levels.
 
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IME I found outpatient based ORT concurrent with MBSR (mindfulness based stress reduction; that mindfulness thing again ;)), therapy and the like to be much more useful in terms of promoting long term stability in life and recovery from substance use disorder than any amount of time behind the walls of a rehab. Plus it is a lot more cost effective and lets you get on with your life. ORT presents its own set of challenges, but statistically speaking two years of ORT gives one a better chance of remaining sober long term than rehab alone (significantly so). A lot depends on your specific situation and life goals however.
 
Mirtazipine are the worst stop taking them. I'm week five off them I just doubled downed on my methadone or even H and struggled through. Don't panic the crab goes away eventually
 
I have no evidence, but I think benzos interfere with stage 4 while i also remember opiates promote. I'd recommend trying to slow down the kpins for daytime anxiety and not sleep.
 
I don't take Klonopin during day... I take my entire dosage (12mg up to 20mg) all at once before bed. Massive tolerance has built up from that..

I also think both benzos and opiates both suppress sleep. Mirtazipine I think is the one that might promote deep sleep?

BTW, is there any way I can change the thread title? Originally it was just for advice on running out of Mirtazipine but has nothing to do with that anymore.
 
Perhaps: "I take a deadly cocktail to sleep. Advise please" or something along those lines. So far I haven't gotten any better (cut out a couple things though but added another) and now take Belstroma 20mg on a nightly basis in addition to everything else
 
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Treefa said:
Holy shit OP how the fuck are you able to take Tramadol with this mix-bag of Anti-depressants, Promethazine, Dxm, and all these other things without having a seizure?
I mean without having AT LEAST a seizure?

Promethazine will put me into a narcosis all by itself LOL, wouldn't touch Trazodone with a stick.

I hate anti-depressants though...Clinical depression is over-diagnosed & rampantly Over-treated...CIRCUMSTANTIAL depression, however, is far more prevalent and likely in 9/10 people. True clinical depression is not common at all, unless it's inherited, or drug-induced.

Remeron is NOT a narcotic, can't your doctor call you in a refill easy peasy?
Click to expand...

Sorry to double post, but just wondering what would cause the seizures? Too much serotonin? Or? If it's too much serotonin then I must be extremely low that's why it's not doing much...And now I added max dosage of Tramadol (450mg, one tablet over max).

I now take Belstroma 20mg nightly, it makes me the most drowsy. I also added (in addition to all the other drugs) 450mg daily of Tramadol, anywhere from 100-200mg taken at once crushed up in a pill cutter then poured into my mouth =| not so good tasting, then wash it done with something with flavor like Soda.

I only take around 30mg Oxy a night now in order to sleep.., I thought..... I thought going down to Tramadol vs just Oxy only would be a huge step down.... Now I realize it's just trading one addiction for another.... I tried
=| but I failed.

I also cut the cloidine out. And promethazine I did not take last 2 nights.

My heart hurts, it's very weak and I can't really really even feel it beating when I put my hand on it... It's not heartburn as I took antiacids like alka-seltzer and didn't help one bit. Also: my hands are shaking, can't hold my phone straight.
 
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