mirtazipine

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First week on mirtazipine 30mg was good   took at 9pm every night was asleep by 10 was up 7pm fine no more depression or anxiety or feeling anxious  so told doctor it was good he then put me on 15mg so took at 9pm   and it was hell   my arms wer twitching  and going every wher then my whole body started jumping around    so took 15mg more and it stoped    and I went to sleep    will let u no how it gose tonight 

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  • Posted

    30 mg I think made me so comatose such that despite my pscyh saying that 30 mg was the suggested dose I have since then broken it in half to take just 15 mg. And indeed when I have a important morning appt I don't take it at all the previous evening.

    Please note I am just giving of my own experience and I am not drawing any comparision between myself and yourself. We are all different and have our different problems etc.

    In fact, I discovered that my shaking was due to Lithium. I came off that and the shaking stopped I could now write so that people could read it. I could also open platic bags at Sainsburys.

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    • Posted

      Thanks for repost    your ok    I think everyones experiences shood be written  out    going to  try havein one   15mg and half a 15mg   tonight as was  on 2x 15mg   and was told to half my dos . will speek to my doctor 2moro  sorry about my spelling  
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  • Posted

    This might be the Willis-Ekbom type of condition you get with Mirtazapine. It's otherwise known as restless leg syndrome, but you can get it as you describe. Strange though that it should come on with the lower dose rather than with the higher.
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    • Posted

      Thanks for the repost  thinking the same as u on what u said about takeing more shood have made it worse   so I will speek to my doc   just taken 1x 15mg   and half  a 15mg      will let u all no  2moro    sorry about my spelling  

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    • Posted

      I am not quite sure whether saying something is this or that syndrome. It might be but these are names given to different symptoms, it seems to me.

      Having said that it also seems to me that certain symptoms are known to psychs but denied by them. That is they are afraid that if they admit to them the patient would want to stop aking the med.

      In my own case, for instance,after stopping taking Lithium my shaking stopped. This was despite my psych shaking off my comments about this.

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    • Posted

      Well, I think sometimes GP's won't hear about these things either because they're outside their experience or because sometimes a person may be able to "forget" his condition and it will go away. As I understand it, for some things, fibromyalgia for example, there is no specific test.

      But I think drug-induced tremor is something different to Willis-Ekbom/RLS. I see SSRI's and tricyclics are listed as likely to or capable of causing the former, but not Mirtazapine specifically.

      In my case I get a somewhat similar shoulders and upper torso problem when I wake up from sleep, particularly a postprandial nap at lunchtime. (I will have taken no medication and yet I cannot stop myself falling asleep even sitting up in front of my computer.) At times it feels as if my whole system is going to stall if I don't get up and move.

      The problem that occurs in one of my legs, or very occasionally both of them, (but not my upper torso) occurs when I go to sit or lie down in the late afternoon or evening.

      The only drugs I'm currently taking are Ropinirole and Zopiclone. My Mirtazapine days are now over 3 years back.

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    • Posted

      I am not talking about GPs, I am talking about psychiatrists.

      I recently had to insist with my GP that he put down on my notes that he put in the sedative effect that I report on my notes.

      If you have a care coordinator you should report these things to them, otherwise the GP. If the GP is concerned then they should report the matter to the psychiatrist.

      In my case my GP was saying that this is what the psych ordered effectively. In fact, his junior colleague when I reported the problem that I was having with mirt when I started taking it told me to try taking half. That is what GPs should be doing - not just being a rubber stamp.

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    • Posted

      GP's like to understand and know everything they can surrounding a drug before they prescribe it. The problem I've read is that GP's are often asked by specialists to undertake follow up treatment prescribing drugs for a patient when the GP is not fully conversant with the drugs. It's therefore understandable that a GP would defend himself by saying he was only doing what a specialist had essentially asked him to do.
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    • Posted

      That is right. The psychiatrist is the specialist - that is why you go and see him. The GP then prescribes what the psycgh has asked him to do. If he has any concerns about how the med is affecting you then he/she should take it up with the psch.

      The GP cannot be expected to know about every aspect of medicine. That is why they send you to the consultant.

      Now if the GP iis not happy with the psych I suppose that they could send you to another psych or ask for a third opinion.

      If the psych is not fully conversant then that is something to worry about. Even they can't know about the effects of every drug. That is for us to tell them - because if we don't tell them they can't know. We take the drugs and,psychs, NICE are all the time looking for side-effects.

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  • Posted

    Well last night I took 1  15mg  and  a half a 15mg  of mirtazipine   had good sleep  but feeling very anxious depressed and felling cold   so its a trp bk to see the doctor 
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