Mirt and citalopram together? Seratonin Discontinuation withdrawl? Can I use both together? x
Posted , 7 users are following.
Hi,
Was wondering if anyone has had similar experience / could advise...
I tried Citalopram (upped from 20 to 30mg) for 3 months and while I had some good days, I was very up and down and had a few big meltdowns near the end.
I also wasn't sleeping so my doc changed me to 15mg Mirtazapine.
This happened 4 days ago and for the first few days I was ok and it has helped me sleep. He told me to stop the Cit (all this was done over the phone as no time for appointments) but after internet research I didn't stop the cit and decided to taper off (going from 30 mg straight to 10mg cit in the morning while taling 15mg mirtazapine at night).
Last night I had the most terrible pains and was rollling around, sweating and vommiting all night (never had anything like it and can only imagine it would be similar to heroin withdrawl) and today I am feeling completley dazed and achey.
Not sure if I made a mistake and should've come off Cit like he said. Worried might have seratonin syndrome or discontinuation syndrome. The symtoms seem to be similar.
Doc is ok but don't think they listen / care / know what they doing and I also feel embarrassed as I can feel he is exhausted with me and my depression and will be angry that I didn't follow his advise. The bits that I did find on the internet was 50 / 50 on tapering off / mixing mirt and cit / stopping cit. Anyone had similar experience of taking mirtazapine and citalopram together?
Also sleeping ok but bloody hell so groggy / tired during the day. Does this wear off?
Also been suggested hormonal problems (as well as depression), which sounds probable as my meltdown often (though not always) coincide with the time before my period. Any experience with hormonal imbalances and depression (particularly suicidal behaviors) citalopram / mirtazapine
Sorry lots of information there and questions. Advice on any of these points much appreaciatted
x
1 like, 40 replies
tony15730 caramax
Posted
Mirt will make you very groggy the next day and will probably increase your appitite so be aware of that as well. For me it took a couple of weeks to adjust but it never fully wore off for me and I stopped mirt after a month but for you it may work out well as it has for others.
My wifes depression and anxiety is always a lot worse before her period, in fact I can tell when she is due on just by her temperment lol
caramax tony15730
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I was worried that I cut my 30mg to 10mg to quickly as last night was horrendous and one of the most ill I can ever remember feeling, but I'm hoping it was a one off.
My partner is the same with guessing if I'm due on You sound understanding, as in mine which is a real gift.
Are you completley off meds now? How is your depression (if that's what you took Mirt for?)
The thought of another 4 - 8 weeks readujusting to a new medication (after 3 /4 months trying the citalopram is crap, half wondering if I should just come off (or taper off) everything and hope for the best. I seem to be in a pretty bad way with or wthout them.
x
tony15730 caramax
Posted
Anyway you'll know if mirt is for you or not by week 4. For me it worked but the side effects I could not tolerate, I had way to many problems.
Sleep wise there is lots you can try without meds. Heres a post I wrote for someone else here that also had sleep problems and i think it may also help you.
I used to suffer bad insomnia. The first thing to do is not to worry about not sleeping. The worry will tire you out the next day much more than the not sleeping to the point that if you got 4 hours sleep but were stressing over it at night you will feel worse than if you got only 2 hours but didn't worry about it.
Secondly consider moving any clocks so that you cant see them. This stops the clock watching. I always found myself looking at the clock and working out how much sleep I would get and stressing over it- 7 hours, 6 hours, 5 hours (oh I'm gonna feel rough now), 4 hours (how can I work on 4 hours sleep?!) and so on.
Finally, just go to bed later. I always found going to bed later and not worrying about it was a lot better than going to bed on time and laying awake staring at the ceiling stressed out. Also because I went to bed later I was often more tired and fell to sleep quicker.
Other tips,
No tv in the bedroom,
Leave a light on! I know this sounds odd but I found that when I turned the light off I was suddenly under pressure to fall asleep which made it harder to sleep but with a lamp or side light on I didn't feel that pressure and found I could more easily just relax and doze.
No electric devices the bright screen stimulates the brain. Maybe just read a book or magazine.
I hope this helps. Goodluck!
caramax tony15730
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Thanks, that is good tips. TBH I think I came of Cit too quick and not sure I can go through another 4 weeks of trying mirtazapine. Back to the drawing board I think. Thanks for your replies x
vixxxen222 tony15730
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smart !
gillian66830 tony15730
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tony15730 gillian66830
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Why was you put on Mirtazipine? Because of sleep problems, thats the normal reason GP's go with it. Have you tried propanolol (beta blocker) to help with anxiety attacks? It may not help the mental feeling but could help with the physical symptons like the shakes etc.
gillian66830 tony15730
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gillian66830
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Pauljdme caramax
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caramax Pauljdme
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terry03243 caramax
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caramax terry03243
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Thanks for your reply, it's great to hear your feeling better and they have done their job Thanks for your advise too, much appreaciatted. It took 10 weeks for citalopram to start working for me and I went through bad anxiety to get there and still had massive dips when it started working.
I really don't think I can go through all that again.
I figure I feel awful on or off meds so am going to keep my 10 of cit and try leave the mirtazapine for now. Maybe giving it a proper go if this doesn't work.
Thanks for your kind words and reply, all the best.
x
australia2014 caramax
Posted
SSRIs are commonly prescribed, though it depends what you are being treated for?
Depression? Anxiety? PTSD? I would listen to the doctors advice.From experience SSRIs are not the option for every person, espically depression asscoiated with other mental disorders.Myself and other reports have indicated increased anxiety and emotional imbalance when taking SSRIs.To answer your question, yes hormones play a major role in emotional health.The endocrine system and CNS are linked.The hypothalamus connects the two, which is responsible for certain behaviours such as sleep, stress and emotional responses.The hypothalamus controls the release of hormones from glands in the endocrine system.
australia2014
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tony15730 australia2014
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australia2014 tony15730
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very much agree with hormone levels being a big problem when it comes to mental health, though as mentioned they are linked for communication for the body to respond in a healthy manner...I am not to sure if the ssri produces serotonin in the body, as to my knowledge a ssri is not actually serotonin but works to build the persons own serotonin in the brain, this is done by blocking to build up a persons own serotonin in te synapse...SSRIs are not a synthetic serotonin as to some other medications. Some medications are formulated to match as closely as possible to the chemical we have in our brains,actual synthetic chemicals, so in theory they will operate the same as the chemicals we produce naturally..You are correct about the hormone in men and women and how we function differently because of our gender..naturally...Measuring the chemicals in the brain is once again difficult, some chemical levels can be seen via brain scan.Other ways to detect abonormalties in brain are also done by brain scans that show abnormalites due to chemicals related imbalances....interesting subject really...
tony15730 australia2014
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australia2014 tony15730
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I didnt know that ssri increase serotonin in the body, only the synapse- but good to know I agree that we have a long way to go with depression and treatments, all the better for great minds to share ideas and experience
caramax australia2014
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Thank you very much for your lengthy reply.
I am on for anxiety and depression. The citalopram did eventually make me feel good but I would get massive crashes / wobbles on them that left me contimplating suicide and I ended up in a&e. They have put me on Mirtazpine but I don't think they agree with me either and have an inkling it is hormone related for me.
Thanks for passing on your knowledge. TBH I will have to re read a few times as these have got me so zoned out I can't make sense of much at the moment.
xx
caramax tony15730
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I want to try for a child soon (clock ticking) so I'm not sure I can go on HRT. I am hoping to see an endrocoligist / hormone / mental health expert (if there is such a thing), but looks like I may have to go private, which I can't really afford so just researching that at the moment.
Thanks again for sharing your knowledge, as I said earlier to Australia my head is so fluffy at the moment form the Mirt I can barely take it in but I will be looking into this further.
Warm wishes
x
tony15730 caramax
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caramax tony15730
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Do you take anything else and did you taper off? I'm thinking of stopping them tomorrow and just put up with the side effects. Only been on 15g for a week and I know people say to wait but even with citalopram where I had horrible anxiety I still felt like myself. Feeling very zombie and uncompforatble on these.
I would miss the sleep sedating though as I had bad insomnia for almost a year.
x
tony15730 caramax
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You should go back to the gp and tell him/her that mirts not for you so you can try something else.
australia2014 caramax
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I had the very same symptoms with ssri- suicide thoughts are a side effect..they did help but with non-helpful symptoms- Another suggestion is asking your dotcore to be refered to a psychiarist- The reason being doctors are limited to what they can prescribe, psychiarist have more medication and knowledge available to patients..It doesnt mean that some people are crazier than others, it just means the medication doctors have at their disposal are not the right medication for you..Its common for people to have negetive reactions to meds- best of luck- you will find a solution and you will win the battle