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Inner vibration and tremors keeping me up all night - any advice


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Posted

Oh my goodness these inner vibrations and tremors and nerve twitches all over my face are killing me. I don't sleep even though I'm exhausted and waking up all the time. I feel so low with it all and reduced to tears.

 

I've been on Mirtazepine (Remeron) 15mg since just over a year - tried to come off a couple of times but can't do it yet though it's nott working anymore for sleep. Should I increase the dose? Is there anything else I can take. I can handle the vibrating during the day but at night it seems to vamp up massively. It messes with your head.

 

Thanks.

 

Posted

I don't know anything about remeron but I've noticed many other people on this forum are taking it. Have you checked out the Other Meds section of forums? You might find something helpful there. Also, this is something from the ashton manual I found useful:

 

Muscle symptoms. Benzodiazepines are efficient muscle relaxants and are used clinically for spastic conditions ranging from spinal cord disease or injury to the excruciating muscle spasms of tetanus or rabies. It is therefore not surprising that their discontinuation after long-term use is associated with a rebound increase in muscle tension. This rebound accounts for many of the symptoms observed in benzodiazepine withdrawal. Muscle stiffness affecting the limbs, back, neck and jaw are commonly reported, and the constant muscle tension probably accounts for the muscle pains which have a similar distribution. Headaches are usually of the "tension headache" type, due to contraction of muscles at the back of the neck, scalp and forehead - often described as a "tight band around the head". Pain in the jaw and teeth is probably due to involuntary jaw clenching, which often occurs unconsciously during sleep.

 

At the same time, the nerves to the muscles are hyperexcitable, leading to tremor, tics, jerks, spasm and twitching, and jumping at the smallest stimulus. All this constant activity contributes to a feeling of fatigue and weakness ("jelly-legs"). In addition, the muscles, especially the small muscles of the eye, are not well co-ordinated, which may lead to blurred or double vision or even eyelid spasms (blepharospasm).

 

None of these symptoms is harmful, and they need not be a cause of worry once they are understood. The muscle pain and stiffness is actually little different from what is regarded as normal after an unaccustomed bout of exercise, and would be positively expected, even by a well-trained athlete, after running a marathon.

 

There are many measures that will alleviate these symptoms, such as muscle stretching exercises as taught in most gyms, moderate exercise, hot baths, massage and general relaxation exercises. Such measures may give only temporary relief at first, but if practised regularly can speed the recovery of normal muscle tone - which will eventually occur spontaneously.

Posted

Thanks Red sky. That was really helpful as I haven't read the Ashton Manuel for a while. I need to print that off to remind me when I'm overwhelmed.

 

Really appreciate your comment.

 

All the best to you.

 

Bo

Posted

Thanks Red sky. That was really helpful as I haven't read the Ashton Manuel for a while. I need to print that off to remind me when I'm overwhelmed.

 

Really appreciate your comment.

 

All the best to you.

 

Bo

 

It helps me to read through it now and then too so I can remember I'm not actually losing my mind to this. I've been reading this post over and over the past couple days. It's also helping a lot. Maybe it will help you find a little peace too. http://www.benzobuddies.org/forum/index.php?topic=66397.0

Posted

I am sorry that you are struggling. I take remeron for sleep only. I take a very low dose. Remeron or mirtazapine is very different from other meds. Only the much lower doses help with sleep. I have taken 7.5 mg and now I take half of that. (3.75 mg). Essentially, I am using mirtazapine's side effect to help me sleep. Increasing the dose will not help you sleep. Ask your doc if you can decrease the dose for sleep.

Hope this helps in some way.

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