Mirtazipine Propanolol and arrythmia

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Ive been diagnosed with arrythmia and have severe anxiety, panic attacks and depression have however gained masses of weight from mirtazipine which is making me more depressed than ever wanting to know if it is safe to come off mirtazipine cold turkey and become solely reliant on the propanolol...

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  • Posted

    i wouldnt if i was you,,i was told by phychiatrist to come str8 off after 6weeks and caused me so much grief and palpitations and still suffering with same palpitatins as i nvr had them b4 going on mirtizipine,i have heart probs too,,
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  • Posted

    I recommend you consult your doctor before making any changes. Propanalol could control the anxiety symptoms but I don't think it will touch the depression. You might need to try another antidepressant instead of mirtazapine. I had severe withdrawal symptoms when I reduced mirtazapine just marginally, so I'm back on my normal dose (30mg) which has been successful for me for over 6years. I also take haloperidol for panic attacks.
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  • Posted

    I agree with a03 and Pixie.  I suggest an SSRI antidepressant such as Sertraline or Citalopram.  However they have side effects too.  I got insomnia - which is why I take a low dose (~10mg) of mirtazapine too.   Haloperidol is an antipsychotic; it  would be "over the top" for anxiety/depression.           
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    • Posted

      I agree with you that haloperidol is classed as an antipsychotic now. However, I am on a lower dose than that recommended for psychosis (I take 0.25 or 0.5mg at night) and it acts as a tranquilliser. My GP explained that it can be taken more long term, unlike diazapam etc which should only be taken short term.
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  • Posted

    As it says on the packet, it is dangerous to stop suddenly, you don't say how long you have been taking it or what dose you are taking, if short term then it may be slightly easier.  A slow withdrawal plan is needed to get off Mirt, if you want one let me know the above details.  But of course you may well need another AD and discussions with your doctor.

    Propranolol is available as a slow release which is so much better (apparently as I havn't got to try it yet).

    Best wishes to you.

    C

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