Mirtazapine - just started after 8 weeks of Citalopram
Posted , 5 users are following.
Hi Folks,
I hope you are as well as can be. 1 week ago I started on 30mg Mirtazapine to help my depression, having found that 40mg Citalopram, which I took for around 8 weeks, was not really helping lift my low mood. Is anyone else on this dose and what are your feelings on it? How long before you felt it 'kick in'? I should add, I am 37 years old and in good physical health aside.
Part of the reason I asked to try something away from Citalopram was that I was not sleeping well - I have been on 30mg Mirtazapine for 1 week now and already I can recall vivid dreams, so know I am getting some sleep at least!
I am very interested in hearing from others who are or have been on Mirtazapine, particularly if you also started on Citalopram.
Thanks
Jason.
0 likes, 14 replies
thomas_59848 jason15970
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jason15970 thomas_59848
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shinkansen jason15970
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Interesting how you've switched from Citalopram. I take Mirtzapine in conjunction with 2 other pills: Concerta (72 mg) for ADHD and Olanzapine (5mg) for mood swings.
Stick with the Mirtzapine. It's not a quick fix, but it helps.
jason15970 shinkansen
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thomas_59848 jason15970
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betsy0603 jason15970
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I went off of Effexor last year and didn't realize I was in protracted WD, was having a terrible time and finally went back to the doc out of desperation thinking I had relapsed. He put my on 7.5 mg mirt. At first it really helped; I felt better and was able to sleep through the night! However, very quickly, I was sliding back down even though the good sleep held, so I increased to 15 mg. That helped briefly, but then not, so I increased again. My doc told me I could play with it and increase as needed. Within a month I was up to 37.5 mg and feeling horrible, so apathetic I didn't care to get off the couch to shower or feed myself! I was agoraphobic. I knew going up further was not a good idea since it simply wasn't working! I went back to my doc and he reinstated the Effexor; within one hour of taking it I was feeling 100% better! So, I finally realized I was in withdrawal, which is why the Effexor worked so quickly! Normally it should take 4 to 6 weeks to start working so well!
So, there I was on a high dose of mirt that had failed to make me feel better. I don't know if it was the Effexor withdrawal that made the mirt not work, or whether it just wasn't going to work for me regardless. My situation is unusual, but I have read many peoples' posts about it just not helping even after a period of time. Since taking it for 6 weeks I have been doing a 10% taper off of the mirt, and feel better now at 17 mg than I ever did at 37.5, for sure! I am also tapering off the Effexor, going from 37.5 mg (the dose at reinstatement) to 30 mg, and again I feel better now than I did when I reinstated!
My understanding of mirt is that it should help quicker than most SSRIs. Also, I have heard that the combo of mirt with SSRI/SNRIs is supposed to work better than each drug individually. They call Effexor plus Mirt "California Rocket Fuel!"
jason15970 betsy0603
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Thank you! One week in as of tonight, so hoping I too have Mirtazapine help me! In March this year I was diagnosed with a terrible nerve condition called trigeminal neuralgia which caused intense pain on one side of my face. The drug I was given, Tegretol, I have since learned, is also used to bring down the mood of people with mania! The doctor said the period between me ending this and starting on Citalopram probably meant it was 'flushed' out my system, but I cannot help but wonder!
betsy0603 jason15970
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jason15970 betsy0603
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I started on Tegretol (600mg) around April and continued until the end of July, there was a few times I took 800mg per day and even 1200mg but for the latter, only a few times. I did, perhaps stupidly, just come right off Tegretol when I stopped getting TN pain, I had no idea Tegretol was also used in depression. I started on Citalopram on the first week in September, having felt gradually lower for the two weeks before that.
Calmer jason15970
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I was on Citalopram for around 3 months then started Mirt' - Mirt' gave instant relief from the anxiety and insomnia, so was successful. Citalopram did nothing to help me either, although it is widely used I havn't heard or read of any success from it.
I'm intrigued by your story ... your original condition Trieminal neuralgia which was medicated with Tegretol which caused your low mood and depression - is that right? If so it seems (unless I have misread your story above) that you are chasing a condition caused by a drug with another drug - sorry if I'm mistaken, but if I've got this correct, surely something is amiss, wouldn't the answer be to stop the original "mood depressor Tegretol " and let your mood return to normal and try something different for the original condition?
Anyway, and either way, the vivid dream - yep I got those, although after a month or two these diminish. It's worth you realising that Mirt' has a slow release sedative effect that lasts 24/7, and as such can cause limited uplift I'd say. Although on the other hand it is brilliant for anxiety.
I hope youu can get relief from your low mood, it just doesn't seem right to be crossing those 2 meds.
Wishing you well Jason.
jason15970 Calmer
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Many thanks for such a detailed, and interested response! Yes, when I was on Tegretol for the neuralgia, this was as pain relief due to the excruciating nerve pain that neuralgia causes. I had no idea until about a week ago it can be used to bring down the mood of patients with 'mania'. I would say there was around a two month period between stopping Tegretol (I came 'straight off' when the nerve pain ceased, which in hindsight may not have been good for me) and starting on Citalopram.
Right now, I just long to 'feel' again. I gave been on Mirtazapine for one week and already my sleep has improved, I badly want to feel good about myself again.
Best Regards
Jason.
Calmer jason15970
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Bear in mind for later ' a slow WD' from Mirt, like 10% every month.
Wishing you well Jason
jason15970 Calmer
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Thank you, I shall indeed look up some Tegretol discussions to hopefully help me. I imagine going from taking 600mg daily of it (some days higher, even as high as 1200 on a few occasions), to stopping a week or so after the nerve pain vanished, has not helped me. However, having not been made aware Tegretol was actually an AD did not help!
Best Regards
Jason.
Calmer jason15970
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Best wishes
C