Anyone taking 15mg Mirtazapine with 10mg Escitilopram?

Hi Nikki,

I hope it helps to calm you a little.

Have you managed to eat today?

Try not to google too much, I was doing that constantly and freaking myself out!

If things don't settle I think you should speak to your Dr again.

Hugs 🤗 

Thanks Karen.

I have eaten today, a few things which is good. 

I'm starting to get a headache and was feeling like I was going to be sick which made me think it was because I'd missed the diazepam again today.

Going to try to relax a bit. Will write more later ??

That's good news Nikki 😊

I'm glad you've managed to calm a bit and have done some of your sewing too!!..... all positives!

 I'm just about to do some ironing...... so thrilling I know lol 😂 

Not feeling too bad at the moment!

Hugs 🤗 

Hi Karen

I hope you enjoyed the simple pleasures of ironing, it's good to be able to feel like doing something like that. 😊

I had that calm ish spell then had a really bad panic attack and took a diazepam and sort of dozed for a bit. I've had a tough afternoon actually with anxiety. My head goes round about stressful events then I'm convinced I'm beyond repair and it all goes to pot!

I just want to feel better. As we all do. 

So I'm still taking the diazepam. Will stick with the one or two a day for now as it's what I've been doing. Though in July I was taking more so I'm wondering if taking fewer is affecting me too?!

Hope you've been doing ok X

Hi Nikki,

Sorry you had a panic attack this afternoon, they are so frightening and worse when you are by yourself!

They always leave me feeling tired too.

Maybe you have reduced the Diazepam too much? If you were taking more in July did you feel calmer then?

I think we start questioning everything when we feel so anxious , I know I do. I end up driving myself mad with it all.

Yes, even doing something simple like the ironing is a achievement these days......crazy isn't it?!

I hope you have a calmer evening.

Sending you loads of hugs 🤗 

Thank you for the hugs Karen. 

I didn't keep a record of what I was taking in July, that was when I was in the 30mg Mirtazipine and was struggling so much I was told I could take up to 6 x 2mg a day. I think I took 5 one day and generally 3 a day but sometimes none! 

I've started getting this (sorry for the description) dry-retching later in the day. Like I'm going to be sick but I'm not. Hasn't lasted long but it's horrible! Why's that?! 

I think being able to enjoy simple things is really important. So ironing, cooking, knitting... whatever it is! 

X

I think the dry retching is anxiety.  I get it when I feel really anxious or panicky.

What dosage Mirtazapine are you down to now. 

I'm still taking between 8-12mgs of Diazepam a day at the moment too. I have 2mg ones too.

Hugs 🤗 

 I can't remember?

I don't know what's what at the moment! 

I'm still on 15mg Mirtazipine, 2 weeks now. 

I just can't work out why I'm not settling down.

I started 15mg Mirtazipine in April and had no problem, that was alongside escitalopram and a low dose of pregabalin.

I had to come off the pregabalin which I think I did way too quickly and stopped early June. I had a couple of weeks feeling quite good on exactly what I'm on now then cut out the escitalopram because I thought the Mirtazipine was going to be the one! My anxiety shot up so they put me on 30mg which was awwwful. Now I'm back to the mix of 15mg Mirtazipine and 10mg escitalopram.

It's a lot of changes in a short space of time I guess. 

I remember the good old days of enjoying my food and the tv and sleeping normally! 

That will come back won't it? X

Bless you Nikki,

You've had a lot of changes in a short time like me, and believe me it is horrendous!

How long have you been on this mix for this time?

Hugs 🤗 

It's two weeks today for this mix. 

Plus the Zopiclone because my sleep had gone and all the nightmares when I did sleep.

But two weeks today😕

X

I guess it's still early days to tell if it's going to work or not, but if your feeling  so bad on it I would make a Drs appointment and discuss it as you can't carry on like this!

It's making you ill !

Maybe give it another week to see if it settles down? It could be withdrawal from the pregabalin too?

I really hope it settles soon for you as I know how awful it is to feel like that practically all the time.

Hope you have a restful night.

Hugs 🤗 

Thanks Karen.

Yeah I'm thinking give it one more week. 

I was wondering if I was getting pregabalin withdrawal. I started it last Autumn but never got beyond 100mg as it made me worse, so I stopped it literally over about two weeks. 

I really hope you have a more settled night Karen. 

Hugs to you 🤗

Hi, just checking in with you two, see things are still a bit ropey.

i would be very careful with the mirtazapine.  I had to go on it for a second time and its really so different, not working in the same way at all. First time i felt so much better on it.  Wonder if our bodies change over time.

i think ive said i tried several a.d.s and they all gave me awful side effects.  Gp suggested i drop down off mirtaz now.  It is proving really hard.  I hope you find it helps you, as it does for many. Just not me.

i am existing on this low dose, trying to come off, and diazepam for the anxiety.  Not good.  Wish someone cOuld just come up with one drug to suit all.

there are people on these sites who can just take one and be fine.  

Well hope your day goes ok, i am already feeling awful and not up yet.

Hi Ann,

Sorry you are already feeling awful!

I think Mirtazapine has a lot to answer for to be honest!

like every other AD it appears to work great for some but definitely not for others and seems to be a nightmare to come off!

I thought it was working great for the first 3 weeks at 30mg but then it was increased to 45mg and all hell broke out!!

Plus I think now, that it was also the time the withdrawal symptoms from Trazadone started too, then of course I was tapered too quickly of Mirtazapine onto Escitilopram, so had the double withdrawals plus side effects of Escitilopram!

I'm still having some good days and some bad, have been off Mirtazapine about 3 weeks and on 10mg Escitilopram for nearly 4 weeks.

I hope you feel better as the day goes on .

Hugs 🤗 

Hi Ann

Yes still pretty rough but here and there some calmer moments. I find mornings the hardest.

I was on Mirtazipine years ago too and had no problems then. It worked brilliantly!

Not changing anything for now, my doc said. 

I think you're doing really well managing in a low dose and diazepam. 

It seems endless doesn't it.

I don't know what I'll end up on. Really hoping I can settle on this.

It does seem more complicated than it needs to be!!

Big hugs Ann 🤗

Hi Karen

I too think I'm dealing with withdrawals on top of new doses etc.

As I said yesterday, so many changes in a short time.

I've managed a shower and to get to the local shop after feeling pretty down when I first got up.

I'm determined I'm gonna get there!

I'm so pleased you're having some better days. 

Big hugs 🤗

Hi Nikki,

Wow that's great you've managed that already this morning!!

Such a mine field with these medications isn't it?!

I did sleep a little better last night, but still woke early ggrrr I think my soft clock is just used to waking up at that time now.

I did manage to visit my daughter and grandchildren yesterday evening, which is the first time in weeks.

I think it's a case of little steps for all of us.

Hope your day continues well.

Hugs 🤗 

Well done Karen, big pat on the back to go to see grandchildren.   Little steps seem to be working for you.

good luck today, ive just taken half diaz but feel awful, starting to feel i dont want to be here and i know thats not good

Oh gosh Ann please don't start thinking like that!!

We are all here for you ?? If necessary ring a professional as those are not good thoughts!!

Please, please keep talking to us it might help.

Sending massive hugs 🤗 

Hi how is everyone's day going?

I managed to go into town for an hour with hubby, then went for a coffee.

Treated myself to a bottle of my favourite perfume, it's quite expensive so usually only get it for Christmas and birthdays, but thought, blow it , I'm treating myself lol.

Hugs 🤗 to everyone 

Hi Karen and Ann

I'm sorry I've not been on since this morning. Ive been nursing a massive headache but despite this, I've felt some good moments. Almost like I've felt like myself here and there! I'm aware I'm quite vigilant of my thoughts and how my body feels though, checking for anxiety.

Karen it sounds like you're doing more things that are enjoyable. It's wonderful you saw your daughter and grandchildren! And going out today too! Brilliant. I don't blame you treating yourself. Good for you. 

I'm worried about Ann. I will write another message X

Hi Ann

Have you called anyone? Please phone Samaritans or the Crisis team. I too have felt like that. I felt awful this morning in the first hour or so after getting up. 

You are not alone. How are you doing? X

Glad you've had some calmer moments today Nikki.

But sorry to hear about the headache 🤕 

I'm constantly vigilant about my body and anxiety, I guess that's what makes it worse, it's like a fixation!

I'm worried about Ann too, she hasn't replied since this morning, I hope she's ok!!

Hugs 🤗 

Hi Ann,

Please let us know you are ok!!

We are all worried about you and here for you.

Hugs 🤗 

Thank you Karen. 

Gosh anxiety went up again this evening, pretty tough, but now I'm actually doing some drawing for the first time in weeks. Headache less intense now.

I've eaten almost properly today too!

I really hope these are good signs even though the anxiety gets very high still at times each day. 

I hope you're having a reasonable evening. 

I'm thinking of Ann ??

X

Hi Nikki,

So glad your day has been better and the headache has gone off.

Damn anxiety, just as you think its subsiding it rears its head again doesn't it ggrrr 😡

I'm worried about Ann, hope she's ok ??

Feeling tired at the moment or is it bored with this rubbish TV lol 😂 

Hope you have a restful night.

Hugs 🤗 

I hope she's ok too.

I'm shattered and yes the tv is pretty rubbish isn't it!

Hope you get some quality sleep tonight 🤗

Thanks Nikki 😘

Managed to get out for a bit yesterday and eat some dinner.  Off to bed 8pm to watch tv. Had 3mg diaz in day.

small doze mirtaz then slept till 2 and took 5mg diaz. Woke very agitated  at 5.30 and had fo take another 2mg to settle as agitation was bad. 

Couldnt sleep, just lay with rubbish rolling round head.

awake now and wondering if its the mirtaz making me feel so bad, or is it the withdrawal,of mirtaz doing it?  If i go to gp and say im more agitated shes going to bump it up, or even refer me for something different.  I just feel these meds are what is causing me to be ill and i ned to get rid of them, so many tried, so many failed.

anyway, not sure if i can get up later and face the day. Keep lowering, start upping, or what

Thank goodness we've heard from you Ann!!

It is very difficult to know what to do for the best isn't it!?

Problem is, I guess it could be the lowering of the Mirtazapine causing you to feel so bad or it may not?!

What dosage are you down to and what did you start on?

I'm glad you managed to get out yesterday and managed to eat.

I can see why you are afraid of speaking to your Dr in case they increase the Mirtazapine, but I do think you need to speak to them tomorrow if you can't before, and explain everything.

Look at the problems I had with my Dr, eventually he listened!

It's our bodies and our lives we have to fight to be heard, which is damn annoying!! But the only way we can get them to listen!

I hope things calm down a little for you today, I know how horrendous these feelings are and frightening too.

We're here for you x

Hugs 🤗 

Morning everyone,

Hope your night was ok Nikki.

I was up early again!!

Don't think taking a extra Quetiapine is helping other than stopping me waking 3 hours after I go to bed, in fact my anxiety is starting to play up again, but I'm not sure if this is related to the fact that it's a year ago my mum went into hospital for the last time, I keep replaying those final two weeks in my mind 😢

I know other people who have lost a loved one are probably the same, when you have anxiety though it just heightens it too.

I hope you have a calm day.

Hugs 🤗 

Thanks Karen.  Im glad you are doing ok, bad sleep isnt great though is it?

i am down to 3.75 mg from originally 15mg, then six months at 7.5 

dr says its too low and doing nothing, correct!  Its doing nothing but i cannot tolerate the higher dose.

i think my body/brain cannot take these meds, tried too many, all not tolerable.

dr says i have anxiety and depression but cannot find anything to help.  

Remind me of what you are taking, was it escitalopram?  Because of my wRfarin i cannot use certain anti deps.  Doesnt help.

thanks to you both for support, cant see a way i can get good help, psych is new and rubbish.  

Hi Ann,

Jeez you poor thing, I've been through a fair few but probably not as many as you trying to find one that suits me.

Yes, I'm 10mg Escitilopram, before that Mirtazapine for about 7 weeks, before that Trazadone for about 2 years.

Tried Sertraline, couldn't tolerate that at all !

Tried another, one, can't remember the name but didn't help me.

Before all that was on Citalopram for many years, yet when I tried it again a few years ago it didn't help.

The sleep thing is a pain in the butt!! Never had this problem on Trazadone, Dr only took me off it ( cold turkey) because I just happened to mention my anxiety seemed a little worse...... absolutely nothing like it has been these past weeks though!!

Ggrr doesn't help that your new psych is rubbish either!!

Seems like trying to find a professional who is actually of some use is practically impossible!

Makes me so mad 😡 as we're the ones going through hell, yet they just don't seem to understand!!

We don't want to be their guinea pigs, we want help!!

Sending hugs 🤗 

Morning Karen and Ann

I'm going to write again later as I've had a busy morning and a friend calling in soon. Anxiety right up again this morning!

Ann, I'm on Mirtazipine 15mg and escitalopram 10mg. Just over two weeks into that. Before that I'd tried 30mg Mirtazipine and it was dreadful! Hard to tell if things are any different now to be honest. My anxiety seems to take on different forms as the weeks have passed. But always feeling on edge and rushing thoughts. 

It might be worth trying escitalopram Ann, if you can take it with your warfarin.

It is good for depression and anxiety.

I don't know if I'm still going through pregabalin withdrawal from June or what.

Karen, I'm sorry to hear your anxiety is up again. I think it's completely understandable with the anniversary. I also understand when things go round in your thoughts. I get that too.

It is hard to get the right support regarding medication. We just want to be progressing and getting ourselves back on track. I feel like my gp has just left me to it now. 

I'm sending hugs 🤗 

Hi you two, thanks for the support.  Having difficulty keeping anxiety down today, making me feel a bit sick too.

i think youre right, our drs seem to just leave us to get on with it and get away with an easy life when it comes to this illness.

i will see if i can get some help like escitalopram - if they will listen to me!

just getting through the day is my target just now.

wondering if i take diaz this will all blow over as withdrawals, or is it my original illness getting worse, oh dear, how to tell.

Hi Nikki,

Have a lovely day with your friend x

Hope your anxiety settles a bit.

Yes I think it is to with the anniversary, I think it's heightening my anxiety.

Hugs 🤗 

Hi Ann, it's worth a try as long you can take it with your warfin.

Just getting through each day is how I'm doing things at the moment too..... and it's hard!

One good day seems to be followed by two bad ones!

It's just getting someone to listen that seems to be the biggest hurdle!!

And I don't know why. In this day and age with so many suffering different mental illnesses you would of thought things would be different!!

Maybe try some more Diazepam and see if it helps?!

Hugs 🤗 

Dear Ann

It's so hard to know what's withdrawals and what's where you're at but I think medication changes are a big factor.

Can you speak to a doctor soon and ask about escitalopram?

I wish I could wave a wand and make it all better. I think it's a case of getting through a little at a time, use the diazepam to help and get an appointment to ask a gp about another ssri (or whatever type you can take). 

Just my feeling but you're on a low dose of Mirtazipine now and as you say (and doc said) it's not enough to be effective and you could introduce a new one now. 

I'm on 15 Mirtazipine and 10 escitalopram and although the anxiety is still rocky, my depression has levelled out a bit and I'm getting hints of improvement. More than I did on 30 Mirtazipine though I only stuck that 3 weeks! Too harsh.

I'm thinking of you and rooting for you X

Hi Karen

I enjoyed seeing my friend though the waves of anxiety came a couple of times. She stayed about an hour and a half then I was shattered so tried to sleep but ended up just resting. 

I had to get out so went to a nearby shop. Glad to get home again! But glad I went too.

I've eaten more normally again today. 

Resting again now before embarking on dinner!

I hope you've got through the day ok. I know you must be feeling a mixture of things. I hope you've had a little let up in anxiety? X

Hi Nikki,

I'm glad you managed to enjoy seeing your friend despite the anxiety.

So many positives for you , going out and eating too!

Went to the supermarket earlier with hubby and did the dreaded food shop lol

Feeling tired now, just had roast dinner, will see if I can nap for a while.

Hope your evening is ok and the anxiety lets up a little for you.

Hugs 🤗 

Hi to both.

went out for a walk this pm. Cant shake off the anxietynthough.  Ended up with a second 2mg diaz and not much help.  See dr tomorrow but i know shell say put dose up as she wont change my drugs without an appt with psych and thats october unless she will.

bRing it forward which i doubt. Its like finding hens teeth.

cant face more days like this so i think i will end up putting dose up, even till next psych appt.  i am trying to check and see if i can have escitalopram with warfarin but not having much success.

pray for a quiet night and a decent wake up. Hubbys birthday in two days he has asked sister over, eek, im not really up for visitors. 

Oh Ann what a nightmare having to wait until October to see psych!

Fingers crossed 🤞 you get some sense out of your Dr tomorrow, I think we have to be quite forceful in our approach now, as we know by how we're feeling what's working and what isn't or hasn't!!

Glad you managed to get out for a walk at least!

Oh eek 😬 re hubbys birthday and sister in law visiting!.... I'd be feeling the same, hopefully it will go ok for you.

Hope you do have a restful night and that things are not too bad on waking.

Do let us know how you get on at the Drs, will be thinking of you.

Hugs 🤗 

Thanks, before my appointment can anyone give me any thoughts about whether they think the reduction from 7.5 mirtaz to about4-5 is what is causing my anxiety increase? Any help from people accepted.  IS it just a case of waiting it out till next drop and it will realign levels, or is this a permanent feature of low dose????

Hi Ann,

I think it could be caused by Mirtazapine withdrawal.

Obviously everyone is different, but as you have been reduced it appears your symptoms are getting worse, is that right?

When I was reducing Mirtazapine, bearing in mind I reduced and stopped within a week!

I went from 45mg to 15mg then after 3 days at 15mg introduced Escitilopram as well, my symptoms were exactly the same as yours.

My Dr said it was because I had no Mirtazapine and obviously not enough Escitilopram in my system.

How true that was I don't know, but I know I was going through hell.

Whether or not it will settle at the lower dose I really don't know.

Sorry that's not much help.

Hoping you get some answers tomorrow.

Hugs 🤗 

Hi Ann

I know your pain with this.

I dropped from 30 to 15 and I'm two weeks along and anxiety has been high everyday but there are little signs of improvement in last few days despite this. I've really got to note them though otherwise it just seems like all anxiety. Also, I've had new symptoms but am seeing this as part of the adjustment. 

I'm sharing this in the hope it helps you. It could be that the increase in anxiety is because of the drop (how long since you dropped it?) which is natural and it'll level out.

Did you drop it because you couldn't tolerated higher?

I remind myself when I question my going from 30 to 15 that I could not tolerate that dose any longer and I feel some positivity from the fact I've at least reduced it. 

Does that make sense?! X

It's hard to see the positives when I still feel I'm working so hard to cope with the anxiety but they are there.

Well done on your supermarket trip Karen! 

I hope you've had a nap. Roast dinner sounds lovely. I managed to eat all my dinner!

Feel I could sleep for a week but still can't snooze in the day. When that returns I will be so grateful!

Nothing much good on TV again tonight lol.

X

Hi Nikki,

Yes managed to have a nap but still so tired and know I will only sleep for a few hours tonight again ggrrr

It is hard to see the positives when you are still struggling every day, hubby tells me there are positive signs but I can't see them as I know I'm still struggling.

Glad you managed to eat too.

Yep! Nothing on TV again and nights are drawing in too!

Hope you have a restful night.

Hugs 🤗 

It tends to be that others see the positive changes first. I'm glad your hubby is noticing and telling you that.

I'm pleased you had a nap as I know your nights are hard but I really hope and pray you see some improvements there soon. 

🤗 Hugs

Hi, i am having it tough again.

woke today nauseous but the worst bit is i had a terrible feeling of fear of having to see anyone i know.  I jusfeltmhelpless and not able to cope with anything.  I know it sounds strange but i have to see my son tomorrow, he is great and understands my illness, but it seems like I dont want to see anyone for the fear in me.   Do you think this is tied up,to my lowering slowly the mirtaz or is it something i need different meds for?

I am nowmthinking i need to put dose back up.   What is this im feeling, is it derealisarion or depersonisafion or just bad anxiety?.   Whatever it is I have never felt like this before.

i think, its out of my gp level and needs experienced input

what do you think.  Sorry to throw this at you but you seem to understand.

Hi Ann,

Sorry you are feeling so awful.

I know how it feels to not even want to see family or people you know, I've isolated myself for weeks, only letting my sister come round last week, which was hard and going to see my daughter and grandchildren the other day as I was having a good day!

I think it's to do with lowering the Mirtazapine, but I could be wrong!

Are you still going to see your GP today?

If you do have a appointment I would still go even though you think it's out of his level, it's better to talk to him than nobody! And your psych appointment isn't for ages yet, if it is something your GP can't deal with ask if he can bring that appointment forward, it seems you are getting worse whilst tapering the Mirtazapine, which suggests it's because you have such a low dose it's not doing anything ?!

I wouldn't let him push you to increasing it unless you want to, ask him what other options there are that won't interact with your warfarin.

I hope you get some answers, I know how it feels to be battling with Drs.

Hugs 🤗 

Hi Ann

You don't need to apologise. I think this is bad anxiety. I've felt that way too. It's distressing I know. 

I think this is down to anxiety and the fact you're not getting the support you need from your gp and medication that will help the anxiety heal enough so that you can function without the intense fear and feel more like yourself. It's crippling and makes you dread even seeing a familiar loved one. 

I'm not sure about your backstory with Mirtazipine (how long, what doses you've tried) but I feel that you need a more therapeutic dose of that or a new med. But it could also be withdrawal from the Mirtazipine as it is full on. 

When you see your gp, you need to insist on being heard and that you need support. 

You will come through this. It's absolutely awful I know. But you're trying to work this out on your own and you need support from gp. 

I have paid to speak to a private psychiatrist in the past when I needed help i didn't feel I was getting. They can make medication suggestions that your gp can prescribe. I'm not suggesting you do that but it's an option. 

Rest assured that this is bad anxiety and med stuff and not anything else.

A big hug for you 🤗

Thanks again, you are a great help.

as you have experienced this not wanting to see anybody do you think this is because of the withdrawing or is it an illness that needs treatment?  I dont know if i can face having to take another anti dep as ive had such bad reactions to them all, but i need to get better.

new young psychiatrist seems though he is stuck.

i had thought of trying a private psychiatrist but gp said they wouldnt do anything different.

Yes i agree its bad anxiety but will it ease if i drop mirtazapine? I have been on for two years or so, never able to increase. Have been on diazepam all that time too for the anxiety  and having to increase it just now since lowering mirtaz. Dr says we will deal with that after off mirtaz.

Hi Ann, 

I think it's all related, withdrawing and anxiety, but I believe the one is causing the other..... withdrawing is causing the anxiety.

 

As Nikki said you are battling this on your own without much support from your GP.

I was in the worst place I have ever been with my anxiety, my mental health nurse specialist told me I was in crisis!

When I saw my Dr on Friday he said " you have been very ill "

Which surprised me as I didn't think he had been listening to me!

My withdrawal symptoms were horrendous and have only just begun to let up a bit now I'm 4 weeks into Escitilopram, well I'm hoping that it's working!!

I also considered going private, but haven't yet, as it now seems my GP is listening.

I do believe you are suffering from chronic anxiety the same as me.

That is why we are isolating ourselves, as it's too much of an effort to cope with this illness and seeing even familiar people.

We are wrapping ourselves up in our illness.

I'm not sure how we break out of this circle, although I've made little steps in this so far.

I can understand you not wanting to try another AD, I feel the same.

But I honestly believe this is chronic anxiety due to withdrawing from Mirtazapine.

Hugs 🤗 

Hi Nikki,

How are you doing this morning?

Looks like a autumn day here, guess the summer has gone!!

Now I'm seeing things Christmas related everywhere.....!!

Gosh this illness makes you lose track of time as you struggle to get through each day doesn't it?!

Hugs 🤗 

As you will be able to tell, i am living this nightmare all day, consumed by it.

to be able to change anti dep i need appt with psych - only way round this is to call crisis team here.  They tend only to see suicidal cases. Last appt i had with him was when he told me to use mirtaz in day and at night. That was not a success.

my hubby is great but just sees this as a blip just now and thinks it will pass.  He doesnt seem to realise how bad i am and keeps telling me I have been worse and got through it.

well, it might just be mirtaz withdrawal, in which case i should up it but having come this far that seems defeatist.  On the other hand i cannot tolerate any other anti dep tried so just what next.

 

It's hard to say Ann but it sounds like it could be withdrawal so it should settle as you slowly decrease. 

dont worry about using the diazepam. A step at a time. 

I've found when my withdrawal has been at it's worst I've had to use more diazepam. 

It's really tough on you isn't it Ann. I identify with everything you're experiencing. Withdrawal is a big factor X

Nikki

your words are identical to mine

i will try the diazepam today again.

i cant remember, did you replace the mirtaz with anything or just keep dropping?

Hi Karen

I had my usual start but I've had a shower, a bit of food and feeling less anxious. 

It does make you lose track of time doesn't it! 

It's quite muggy here today. Overcast and humid.

How was your night? X

I'm still on Mirtazipine 15mg after dropping from 30mg and reintroduced escitalopram at 10mg.

I stopped the escitalopram and pregabalin in June and I think it was too much! The 30 Mirtazipine was too much also so I'm trying this mix now. 

??

Hi Nikki,

That's good you've had a shower and something to eat!

I didn't sleep too bad, up early as usual!!

Maybe one day it will ease up being up at the crack of dawn!!

Raining here now,  you never know we might get a bit more summer lol 😂 

Hope your day goes ok.

Hugs 🤗