Miracle after coming off mirtazapine/problem with my GP/lack of joined-up treatment

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Last week I came off Mirtazapine immediately after my psychiatrist told me to. I knew of the sedative effect but then having not taken mirt in the evening about 10 days ago I realised that I could pee much easier in the morning. Previously it had been extraordinarily difficutl. Obviously this is something that one notices immediately. I emailed my psychiatrist and he iimmediately told me to come off. I have been taking 15 mg and I did not taper off. I have just stopped takin them. I should stress that my psych is clearly happy with my progress such that he has said that if I feel I need it I can just go to my GP for an anti-depressant.

That comes to the question of my GP - he is supposed to be a general practitioner. That iss he takes general care of me - he is not an expert in psychiatry. But I don't now have a care-coordinator from the hospital, he is supposed to perform that role. Yet when not so long ago I went to him about mirt I think it was, possibly commenting about its sedative effect. he said that that was what my psych had  prescribed and, looking at me terribly sincerely at me he said that he couldn't do anything about it. Well, my sister is a GP and Idon't recall if she had advised me so, but I looked back at him and asked to put something in my notes which he did so reluctantly.

If the GP doesn't write anything about it, the psych won't know. I assume that then my psychiatrist can look at my GP's notes and see this. Can someone clarify this for me?

What I do know is that when my psych writes to my GP after my meeting with him, the psych faxes him. 1 Why can't he email my GP? 2 Why can't he attach the letter to my patient notes in the practice from his PC? I thught that the hospital were able to see my GP's notes and vice versa. I do know that when I have been to the Intermediate Treatment Hosp they haven't been able to see my GP/hospital notes.

Going back to the problem with peeing - am I right that this is a male problem - I have reported this on a number of occasions to my GP. Once he tested my prostate which is the obvious source of such a problem. He reported that it didn't seem too large implying that there wasn't any point doing anything about it for the time being. I have been off mirt for about 2 weeks now and I haven't thought another thing about my peeing problem. I don't need to tell you that once something like that has gone away it is difficult to imagine the difficulty that I was in previously.

As I say the GP is a generalist but he should be looking out for such things. Now one is able to look up such things on the Internet fortunately,

For a long whike I have been having problems with general aches and pains - the sort of things that one gets as one gets older. I was getting cramps in my back/thigh area such that I had difficulty getting up from my bed in the morning. I have suddenty realised that I have no more backpains. It is really miraculous. Even the stiffness in my neck has almost gone. I can turn my neck almost without any twinges.

This was causing such a problem that I have been given a referral to a physio. I will take up the appointment but it looks as though I won't need it. In fact, this was proving such a problem that my sister, the GP. had suggested that I should see an orthopaedic or nerve specialist.

So much for joined up treatment. I have come to the conclusion that my GP is a waste of space. Fortunately he has a junior partner who seems more thorough. I have come to the conclusion that my GP just wants a cushy life. He treats conservatively - which means less work for him. On one occasion when I was less well my sister actually had to ring him up to suggest a particular treatment to him. He was reluctant to do so. I now sometimes say when I see him, that my sister said etc and that does move him. Pity the porr person who doesn't have a relation who is a doctor. Another realtion said that if he refers to the hospital then this comes out of his budget.

But I am not going to change doctors at the moment which I have thought about. If I go to a new GP they will not know about me - I will be having to explain my history and the doctor might not be any better, Unfortunately people with psychiatric problems are probably not given the respect that general patients receive so that any comments are not treated with the degree of seriousness that they would be given otherwise.

Finally I am 60. One reads that there is a problem with middle-aged men not taking their health seriously. Well, there also seems a problem, certainly in the case of my GP, of not taking the health of this middle-age man seriously.

There are a number of other things I don't understand about my GP.

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  • Posted

    I must say that reading the information on the tin, you must decide about your own treatment possibly in consultation with your GP/psych or support workers. Nothing that I have said here constitutes advice or recommendation. You have to take responsibility for your own treatment.

    To add I am off for a week so that I won't be able to respond until after I come back.

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  • Posted

    I'm so sorry you had to go through all this hell about a medication. It's a medication that should come with a warning, which both of my doctors did not warm me about the physical addiction involved in this drug. They never stressed to me how important it was not to miss, or go off this medication. Even a warning of " some people become physically addicted to this medication".

    hope you feel better real quick.

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    • Posted

      Its a medication which should be easiliy divided into 10 small parts to facilitate the road back. I think I will file a lawsuit against remeron, or organize a class action.

       

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    • Posted

      I did feel better quicker. That was how I noticed these when missing the med for a day, or I realised the benefit of giving it up very quickly after stopping it.
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  • Posted

    How long did you stay in mirta?

    The withdrawal simp. could arrive at the third week...

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    • Posted

      I was on for maybe 18 months at 15mg per night. I stopped it immediately and I have given it up 3-4 weeks ago and I feel no withdrawal effects.
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    • Posted

      Incredible story. You stop abruptly...Goodness. I unfurtunatelly am very sensitive, so at my first 25% reduction I  had a major headache 3 weeks later. The withdrawal symp might as well arrive 3 weeks later. Can you please write again in 2 weeks? 'm very curious. God bless, Manuel
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    • Posted

      Have you got a problem? I have not got a problem. I will post if and when I have got one, but I am not going looking for one. But thanks for your concern.
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    • Posted

      OK! I posted origninally. But I did indicate how things had been much better since stopping taking mirt some weeks ago. So there was a problem - essentially now problem has gone away -- I know things change but at the moment things are very good - previously I had back pains and neck pains such that I have a physio appt. It is difficult to remember how bad things were - I couldn only get out of bed with great difficulty. So I will know when things are not so good - but I am not going to go looking for them.
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    • Posted

      A major headache hit me at the third week and stayed for 10 days with mild but annoying nausea and flu symp.
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  • Posted

    Hi Nick well said i agree with everthing you have said about gps they just dont care about you .....you are in the room for 5 mins and its see ya later iv been om this antidepression now for ten years and my sleep is terrible im hopeing to get looked at again to try change me meds but not holding out on this good luck hun liz 
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    • Posted

      Fortunately I see a psychiatrist and my GP gets his instructions from the psych. I also have the email address of my psych, although he has told me that if it is really important I should phone him.

      When I ring the MH Unit and ask to speak to my psych the admin asks me who my care coordinator. Fortunately I don't have one and they have to take a message for him.

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  • Posted

    I was on this med originally for 6mths I started on 45mg, 4yrs later I still on it.But I went and seen my GP to come off it as I'm also on a lot of other meds.I have had to tapper down very slowly this weekend I'll be down to 15mg,that's took me nearly 3mths,and feeling quite unwell at times.Iam determined this time to come off it,and if I'm ever given another drug that don't work within a month I'll drop it,I think we tend to think the GP right give it a bit longer but that bit longer goes on for years.And I most certainly agree with Nick GP are a waste of time nowerdays,you have to take your own health into your own hands.Good Luck 
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    • Posted

      As slowly as possible my doctor told me to use my own judgement as our bodies are all different.Its took me about 3mths to come from 45mg to 15mg,but with a lot of tummy pain.So I have to go very slow.
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    • Posted

      Goodness. Yes, but how are technically tapering? Just cutting the pills? oral solution? It gets tough from 7.5 downward.  I think I will file a lawsuit against remeron, the pill does not facilitate the tapering off...They should poduce a pill which should be easily cut into 10 small pieces. Or...a class action. People are suffering.
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    • Posted

      I went from 45mg to 30mg that was a bit tough sleepless nights,bad temper,anxious,so I stayed with 30mg for about six weeks untill I felt a bit more stable,then I went a bit less to 22.5 which I've been on for a month I'm going on 15mg this weekend,so I'll see how I go with that before I go any less.I agree with most people on this site it's a terrible tablet but everyone seems to have a different reaction to tapering off but nevertheless unpleasant . My next defeat will be Pregablin.Oh one of my biggest problems tapering of these meds is I suffer with chronic IBS and as I'm tapering down the pain gets worse.
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    • Posted

      Thank you manuelmanuel I've been on 15mg since Saturday I'm not getting much sleep at the moment and feeling quite irritable and very bad tum due to IBS but I'll wait until it all settles down before I go any lower .But thanks for your support that goes a long way.
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    • Posted

      You have to keep this dose for at least 3 weeks. I learned it the hard way...Then seeing how you feel you can make reductions accordingly...Withdrawal sympt might arrive on the third week, this is why this drug is tricky...
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    • Posted

      Hi I've found that withdrawal symtotoms have come about third week,but this drop seems to have started almost immediately .Because of all my other health issues I find the lack of sleep the worsed but I'll get over it .Ithink it will even out I will stay with 15mg untill I settle down a bit.
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