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I've long suffered from depression, hashimotos thyroid, and chronic migrained. The last two conditions, I've been very active in treating with an endocrinologist and neurologist, but depression has never been under control.
For thyroid I take, 113.5mg desiccated organic thyroid (naturethroid) and have been steady for years.
For migraines, I take topamax 75mg nightly, which i realize is also a mood stabilizer. I actually tolerate it very well and have been on it for 4 months with minimal side effects - just weight loss. And additionally I take magnesium oxide 800mg and b2 300mg.
And abortive migraines I take naratriptan 2.5mg.
My migraine medicine routine cut down attacks from 12 a month to 2-4, making life livable again.
So now I finally set out to treat depression, and first found lexapro untolerable. I was drunk and slurring and unable to drive, my psych deemed that class out of the question for me.
So now I'm on mirtazapine 7.5mg, nightly, and i'm supposed to go up to 15 in two weeks. This is my 4th day, and i'm already experiencing terrible brain zaps and clicking in my eyes and head every afternoon around 1pm. It's really scary, and kind of feels similar to the beginning of how the lexapro experience started for me. I read somewhere that triptans for migraines and seratonin meds shouldnt mix but my doctors never mentioned this concern and all know my meds.
I really really want to tackle my depression and try to have a fulfilling life. I just got a new job and have a few weeks over the holiday to test out these side effects and or deal with withdrawals. Does anyone have any advice or hope on the brain zaps? Im so scared that mirtazapine will stop me from being able to work at my new job, or contribute to migraines. But if i stop the medicine im not sure ill try another antidepressant for a long while. I'm not sure what to do.
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