I have been depressed since end of December

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doc put me on Prozac two weeks took me off them m,then over to escitralpram 20 mg was on this for 7 weeks then doc took me off them put me on mirtrazine 15 mg for two weeks then upped it to 30 mg been on that dose for 7 days started ok now have anxiety like I did when I started on 15 mg is this what happens before it gets into the body repeat signs of 15 mg it says 2 to 4 weeks on leaflet does this revert back when upping the dose to being still 2to4 weeks 

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  • Posted

    Sorry to read of your depression, sucg an awful illness.  Little alarm bells go off in my head when I read of people being "taken off" antidepressents.  Doctors don't always know to taper off them slowly.

    This is particularly important to you regarding the Escitralpram as you were on them long enough to cause a disturbance to your CNS (central nervous system) if you suddenly stopped with a slower taper.  So what I think 'might' be causing your anxiety is not the uptake of Mirtazapine but the sudden discontinuation of  of the Esc' - maybe I've got this wrong, maybe you did taper, if so that's great and I apologise.

    So maybe be mindful of the necessity to taper ESPECIALLY WITH MIRTAZAPINE, it is not one AD that you can just 'stop'.  A fully informed choice will help you I hope and more importantly save you from further suffering.

    If you were to decide that 30mg was too high and that you prefered a lower dose, 15, 22.5 for instance, it would be helpful for your CNS to step down gradually and not going down in one large drop.  The golden rule is usually 10% per every 3-4 weeks.

    Wishing you well Dawn smile

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    • Posted

      Thank you for that I was stopped abruptly I did not realise this .it sure does explain the anxiety I have been experiencing.i certainly will take that into consideration and ask doctor if he does suggest dropping .such a mine field it has been eye opener and some help reading this forum Thankyou again Calmer for your information so helpful .


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  • Posted

    Hi Dawn.I've found that when switching drugs it takes time for your body to adjust,especially when your weaning off one at the same time as being put on another.Over the last 2+ months I've been weaned off Paxil(20 years of it) and adding Mirt and Gabapetin.I'm just now starting to adjust somewhat.God Bless

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