Mirtazapine, strong chest and back pain

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Hello everybody. I need some advice and encouragement as I think I'm going crazy again. I was prescribed mirtazapine 15 MG but I only take 1/4 of the tablet and it already makes me feel sleep dizzy, sick all the time and the worst is I have constant strong chest and back pain that won't go away as though I'm having constant panic attack without psychological symptoms only physical. I have been in ER today and as usual they told me I'm ok. Has anyone experienced this with mirtazapine. Please help!

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  • Posted

    Hi Terry

    What springs to mind initially is that I wonder if you are taking, or have recently stopped any other medicaion?  

    Mirt' has a slow release sedative effect and needs time, a week or two, to settle into your system.  For some, I've read this sedation can last 24/7 (me also) but others a few hours after waking in the morning.  hge lower doses of Mirt' are more sedative, 15mg usually prescribed for sleep aid or sometimes a start-up dose leading to upping the doses.  30mg & 45mg being for depression.  A lot of people struggle going up to 30mg, it can increase symptoms ugh ...

    Hope some of this helps Terri 

    You shouldn't be experiencing any nausea with uptake of Mirt I don't think.

    The strong chest and back pain could be anxiety; I guess if you are worried about the med's effect, this could also be adding to any previous symptoms of anxiety?

    I'm not sure I understand a panic attack without psycological problems?  

     

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    • Posted

      Hi Calmer. I just stared to take meds. About 3 weeks ago I was prescribed Sertralin but almost went crazy after just about 3/25 mg tablets. Doctors said I have serotonin syndrome so they gave me mirtazapine. I have taken it for about 7 days now but only 3.5 mg. And it is actually working for me with all my anxiety, panic and depression but the heart ache is freaking me out, as I ha e all the symptoms of heart attack at the same time, but my mind stays clear. Not sure if you understand what I mean. But that's how I feel really. I don't want to stop this medicine cos it is helping my mental side.

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    • Posted

      So you are experiencing chest pain that is radiating to your back, without the mental presentation of anxiety attack? Did your ER check your blood pressure and pulse? Adrenal storm can do that. Bloods need to be checked. Serotonin syndrome usually has a mental component (hallucinations, confusion etc) so this needs to be further checked. Many ER's aren't very sympathetic to what they think is a panic attack, and if you are going to be mis-diagnosed, it's going to be in the ER. 

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    • Posted

      Hi John. I was in ER about 6 hours. They wouldn't let me go. Took 9 blood proofs and even checked my lungs, made me run around the hospital too so they can check how my heart reacts and did 2 ECG. My doctor suggests that it can be costochondritis, so today and tomorrow they gonna check for that. Thank you for support. I'll keep you updated.

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    • Posted

      Tietzes Syndrome? How on earth did you get that? Not common. Injury? Although virus can do it as well.  Damn painful sometimes - good luck.

      From memory (which can be dodgy) they aren't sure what caused it about 50% of the time, but can be treated conservatively with pain killers and it will go away. Some people who do heavy lifting etc might have to be careful. 

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  • Posted

    Hi terry

    I just suggest you to take melatonin with this, it works together; I'm just saying. I've done that and has worked for me

    hope it helps you

    Take care

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    • Posted

      Thank you Marti a for the reply. Dear I'm too sensitive to drugs not sure my body can handle it but I'll discuss it with my doc)

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  • Posted

    Hi Terri,

    I'm sorry that you are having such nasty side effects from the Mirtazapine. I can relate to the dizziness, but take my meds at bedtime so I don't notice once I'm in bed.  Mirtazapine is a strange drug, have you read up on it?  Are you taking it as an antidepressant or to help with sleep? There certainly are other medications that would do either. If you decide to go off it please read the discussions on this site. Someone worked out a titration table that makes withdrawal easier. be sure not to stop cold turkey.  As everyone is different it's very important to taper off at the right speed for you, even if it seems like a tiny amount.

    Sorry to hear that you are having pain like a constant panic attack. Do you have a doctor?  I would suggest a referal to a psychitrist, they are much more familiar with these drugs.

    Wishing you wellk

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    • Posted

      Hello dear Karin. I'm taking in the morning to help it with my anxiety and panic, well also depression (whole package herelol). Me and my doc decided I take it during the day time cos I was scared of meds like hell after what Zoloft did to me. I lost my mind after just 3 small doses and the first time in my life I couldn't control my brain 's and body. Was toooo scary. I'm gonna see my doc tomorrow and hope they can do something about this side affect bc I really like mirtazapine. I even don't have that huge appreciate everyone talking about on them and despite some tiredness I can still full function during the day. Tha k you so much for support. Hugs)

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