Goodbye Citalopram, Hello Mirtazapine

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Morning all

Been to the doctor this morning.

Told him that after 12 weeks, the Citalopram, even at 40mg per day is not working. :blue: He's told me to reduce my dosage of Citalopram for a week and then start taking Mirtazapine which he says should help with my sleeping also.

Wants to see me in a fortnight to check side effects and signed me off another month. :roll:

Good luck to all of you battling this thing. It's so hard but we have to keep believing that we will all pass through these bitter waters and reach the sweet beyond.

Best regards

me gone

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8 Replies

  • Posted

    Morning Stiltman

    Fingers and toes crossed here for you hoping the new tablets work.

    Keep us posted please.

    Out of interest, has your doctor never referred you for any sort of therapy?

    Melbi xxx

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  • Posted

    Hi Melbi

    Thanks for your support. I am seeing a counsellor regularly - have been since January - and it does help. Since I was a kid, i've always been someone that's always bottled things up, controlled my emotions (big boys don't cry do they?), so it's quite cathartic for me to just talk for an hour about what's in my head and I do see it as being part of my recovery.

    Doc told me he could refer me but the waiting list here would be around six months! :shock: So had to organise this myself.

    So pleased to hear that your first CBT session was a positive experience for you. You really do sound like you're well on the road back :surfer: which is great to hear.

    Take care - All good wishes also for tomorrow. I'm sure you'll nail it!!

    Best regards

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  • Posted

    hi Stiltman and Melbi,

    Melbi, my advice to you (for what it's worth), (and offered with love), is to try and relax as much as you can in CBT and do not feel an obligation to report back to us about it. Fine if you want to, but in your situation I think I would miss the important help offered by setting myself up as a conduit to others about what should really be a very intimate relationship between your mind and the therapist's. Please don't take offence, Melbi, you know me well enough to know I mean no offence, but this CBT is a real oppportunity for you to allow a professional third person to actually look inside and help you. Tell us in six weeks if you want, but honestly, this is an opportunity you've been waiting for for a while. Grab it with both hands!

    Stiltman, I too found counselling helpful and cathartic. I can identify with the \"big boys don't cry\" statement, and I too was never prepared to allow anyone a glimpse into the despair I felt. After 42 years dealing with depression, (I'm 56), I have finally found that it is no good to dwell in misery, that just takes time and the clock is ticking. I would like to ask you what the difference is between Citalopram and Mirtazapine. Is Mirtazapine an SSRI too? Are the constituent ingredients similar? If not, can we find out what the difference is and why it is recommended?

    I have several other issues I'm dealing with (don't we all!!), but I would like to know if there is an alternative to Citalopram, because I am going to see my doctor next month and hope to get off Citalopram completely.

    Good luck to you both.

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  • Posted

    LOL sorry laughing here

    Breezman, I will never be discussing what has been discussed at the sessions. That as you say is between the therapist and myself.

    I only ever intend to post here what is actually involved. So many people ask what actually happens during these sessions (I too was very curious when my GP referred me)

    I didn't even give you lot (sorry) a secind thought whilst in CBT yesterday :oops:

    I didn't make notes so that I could come home and report back to anyone - but I will (as promised) give as much information on here as I possibly can as to what the sessions actually involve, this I believe I can do without it affecting my CBT.

    No offence taken my good friend and yes I think I know you well enough to understand what you mean.

    Love

    Melbi xxx

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  • Posted

    Breezeman, good afternoon, or probably early morning where you are!

    Mirtazapine is not an SSRI like Citalopram, It's a Tetracyclic Antidepressant which is supposed to work by blocking the presynaptic alpha-2 adrenergic receptors which usually inhibit the release of the neurotransmitters norepinephrine (noradrenaline) and serotonin, thus increasing active levels in the synapse.

    Doc tells me that they should also help me sleep. The single worst side effect of Citalopram that I have experienced is insomnia which I have only been able to ameliorate with Zopiclone tablets. In fairness, my sleep pattern had been erratic for months before I initially went to see the doctor in January so may be unfair to blame this all on Citalopram.

    Have to say my doctor is very good at explaining what he is prescribing and why, what the desired effects are and what some of the side effects may be. I was totally candid today and told him that the Citalopram was not working for me so what do we try now?

    I'll let people know how I get on with the new tablets and compare/contrast with the Citalopram.

    Best regards to all

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  • Posted

    Mr Stiltman I have just popped over from the mirtazapine forum which you are most welcome to join. I have been taking mirtazapine for seven months now after a relapse in September. The mirtazapine should help you to sleep. Its effects were quite dramatic for me in the first few weeks. If you work I suggest you plan a few weeks off. I also take other meds and found the drowsiness very hard to cope with for the first few weeks. Dont be put off by all the side effects as you might not experience them at all.It should certainly help to lift your depression. Look foward to seeing you on the mirtazapine forum. Pooh bear.
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  • Posted

    Thanks for the welcome Pooh Bear!

    I've got to run down the Citalopram this week and kick off the Mirtazipine next Friday so will post on there once I know how things are going.

    Best regards

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  • Posted

    Inever had a problem with mirtazapine. Quite the opposite. I took it with seroxat and it was only when a new Dr spotted this and told me to stop that the chaos started. mirtazapine was fine all along ... Great for sleep. I'm desperate to avoid the cit insomnia so am hoping to switch from cit to mirt. Fingers crossed.
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