HomeAnswersInternal Medicinedrug withdrawalI was on Mirtazapine and Olanzapine while being treated in a hospital. Can I discontinue the medications as I have been discharged?

Can a person who was on Mirtazapine and Olanzapine stop them after being discharged from the hospital?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Ramesh Kumar S

Medically reviewed by

iCliniq medical review team

Published At August 30, 2023
Reviewed AtAugust 30, 2023

Patient's Query

Hello doctor,

I am an 18-year-old female and I am looking to come off these two medications:

  1. Mirtazapine 45 mg
  2. Olanzapine 7.5 mg

I have been on both these medications for about a year and a half, but was on Olanzapine for nine years. I was in a mental health unit and was discharged six months back to my family home. I am attending a psychiatrist in an outpatient service and as I said before, I would like to come off both of these medications. My psychiatrist is not giving me information on how to come off them and my general doctor cannot override her decision. However, my doctor has told me I could do this on my own if I want to. I am ready to come off this medication and my parents support me too but we would like some information about how to go about that.

Kindly help.

Answered by Dr. Ramesh Kumar S

Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

As the famous saying goes by one of the authors, I suggest you get every experience in life be it good, bad, sweet, or bitter. Do not be afraid of anything and become more mature. The pain can make you alert. Several studies suggest that crying is a useful coping mechanism because it communicates pain to others. It may also encourage others to show support. It is thought that crying removes toxins from the body. This may be true, although the amount of toxins eliminated by crying is negligible. Most tears are reabsorbed in your nasal cavity. One study suggested that whether you feel better after crying is linked to how you and your close circle of people view crying. If your set of people views crying as something shameful, you may not feel better after crying. Do not make yourself cry if you do not feel like it. While popular wisdom holds that not crying after a sadness-provoking incident is unhealthy, this is not the case. Crying because you feel obligated to may keep you from recovering.

Several studies have shown that exercise releases endorphins and other chemicals that can help fight sadness. One study showed that participants who did moderate exercise over 10 weeks felt more energetic, positive, and calm than those who did not. In addition, the benefits of exercise were greater for people experiencing depressed mood. Exercise will also give you time to focus on one specific goal. This may help distract you from focusing on your sadness. You do not have to run a marathon or go to a gym to see the benefits of exercise. Even light activities such as gardening and walking show a positive effect.

Several studies have shown that smiling, even when you are sad, can help you feel better. Duchenne smiles, or smiles that engage your eye muscles as well as those near your mouth, have the strongest positive effect on your mood. So if you are feeling sad, try to smile. Even if you do not feel like it at first, it may help you feel more positive. Research has also shown the opposite, people who frown when they feel unhappy are likely to feel more unhappy than those who do not frown.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ramesh Kumar S

Dr. Ramesh Kumar S

Medical Gastroenterology

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