Advice needed !!!

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I see my psych on tues and don t know what to do.

I have severe pnd and am on 45mg of mirtazapine, have been for 8 months. Also 150mg if venlaflaxine and diazepam.

I think the mirt helps me sleep but I feel like death every morning. In a fog heavy head. I get tension headaches some days and feel out of it. I know it is not the diazepam as on a low dose early eve and have taken it on and off for years. I ve only been on the venlaflaxine for 7 weeks and think it is helping but the mirt side effects may be making it harder.

The psych will want to put the venlaflaxine up to 225 but I think I should reduce the mirt. I am not sure it is the mirt doing this but it is the obvious culprit. I know I will have to reduce slowely but I just want rid of it. I think I ve been more anxious on it.

Any advice or experience ? Have people found mirt causes a hangover or increased anxiety ? Tapering advice ? I know 10 % every 3 to 4 weeks so it will take at least 7 or 8 months to get 15. Also worried as more sedating at lower doses but I'm sure I was not this bad on 15mg.

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  • Posted

    I had this chat with my doc the other day. I am on 45mg only (no other meds) i can go days feel8ng fine then the next i feel like i have had a heavy night the night before. He says this can happen. X speak to your doc, or psych. X
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  • Posted

    Hi Sarah - I've been on mirt for 8 years. No problems. However, initially I was on venlafaxine (efexor) and it was hell. That particular drug has been known to cause suicidal ideation in some patients. It was a rollercoaster ride with tingling electric-like problems with joints, headaches, and the occassional swooping feeling like I was falling. It should be noted that AD drugs effect everyone differently and what's sauce for the gander might cook the goose. Best of luck to you, and I hope your doctor is a good one.  

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  • Posted

    Yes Sarah, foggy head is a common side effect.  Mirt contains sedative and for me I was sedated 24/7, for some it wears off in the morning but not for me.  

    You are right to be cautious to taper, I woyld say the same, no more than 10% every 3-4 weeks.  I did 5% every 2 weeks using liquid Mirt available in the UK.

    Best wishes.

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