Mirtazapine question/help please
Posted , 5 users are following.
Hi I've just been prescribed Mirtazapine and am a bit worried after reading some of the reports on here. Most here seem to start or only be on a low dosage and still have problems. I've been told to start on 30mg. No blood pressure etc. tests, just a perscription
I struggled with weight problems for a few years which added to my depression but have finally managed to loose one stone, but its taken me a whole year, so the thought of weight gain oviously worries me. I also have a low blood pressure which worries me. Just don't know what to do now.
0 likes, 18 replies
carole66603 j80131
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j80131 carole66603
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tony15730 carole66603
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Also I don't put on weight easy (I'm an ectomorph) but I put on 4 to 5 pubs in 3 weeks. The stuff makes me hungry. It's not unbearable so if you take note you can stop yourself, I could once I realised anyway.
On final thing , do you have young kids? Unless you have someone, hubby or boyfriend etc to help with them just make sure they are safely in bed before taking the tablet because once asleep a lorry in the room won't wake you.
Desperate_now j80131
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Hope you can tolerate the medication it did work on my depression and anxiety in the 8 weeks I was taking it.
tony15730 Desperate_now
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I also have really achy arms and legs. It feels like the aches you get from flu but obviously no cold symtons. Tbh I thought at first it was down to feeling so tired on mirt. No swelling though.
teresa21490 Desperate_now
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Desperate_now teresa21490
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la12 j80131
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all the side affects listed i all ready had even before i took any medication so didnt notice any
never start any drug on the maintenance dose unless it is medically necessary, iwould start on 15 for about 2 weeks and then up it to 30 give it a month and youll know if its right for you. never take it in the day, you will want to sleep , about an hour and a half before bed gives it time to work. it is in my opinion much better than any of the ssri drugs, well tolerated many people seem to get little if any side affects. if you want to stop taking it after a while come off slowly you can break the 15 mg tablets in half. if your on 30 mg taper off over about 10-12 weeks, on 15 mg 3-5 weeks.
teresa21490 la12
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la12 teresa21490
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mandy54873 j80131
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teresa21490 mandy54873
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mandy54873 teresa21490
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teresa21490 mandy54873
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j80131
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Desperate_now j80131
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j80131 Desperate_now
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tony15730 j80131
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At the lower doses it is very similar to an ssri and will only increase serotonin to a therapeutic level. At a certain dose the max serotonin level is reached. After that any increase in dose only increases the nor-epinephrine levels.
So basically
Low doses = Serotonine increase
Mid to High doses = serotonin + Nor-Epinephrine increase.
Bottom line is a low dose may not give much release for you if previous ssri's did not work BUT higher doses may still help because thats when the benefit of the Nor-epinephrine kicks in.