Severe Depression...Don't Know What to Do
Posted , 8 users are following.
Some advice would be great please. I've been sufferering from severe depression for a number of years now. I've dabbled a bit with therapy, but I'm not a great believer that it can help me. I was prescribed Sertraline about a year ago but after being on it for a couple of months and having the dosage upped, I suffered from serotonin syndrome and came straight off it (Doctors orders). She prescribed me Mirtazapine but it's been sat in the drawer ever since...nearly a year now.
My depression is now the worst it's ever been. I've booked an appointment with my Dr but she's on holiday till september so it's not for another 3 weeks. My partner says I need to be on tablets now, rather than waiting (he's suffered from, and beaten depression and can't understand why I can't do the same) but he just doesn't understand how bad a reaction I had to tablets last time and therefore doesn't understand why I don't want to just start them - especially with my Dr being away (I don't want to see a locum). He's also pushing me to try therapy as the combination of tablets and that worked for him.
Any advice would be appreciated - what are others take on starting Mirtazapine please and has anyone suffered from serotonin syndrome whilst on this tablet?
Thanks in advance.
0 likes, 14 replies
sarah78504 AmazonianNat
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I can recommend a very good book - the hapiness trap. Very good for depression and anxiety.
AmazonianNat sarah78504
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clarkio AmazonianNat
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I was prescribed Mirtazapine which I took with few side effects (tiredness, big appetite and slight irratability). For me I don't think they helped my anxiety and have now started coming off them. However I didn't have any of the problems I had with Citalopram.
Mirtazapine is generally acknowledged as having fewer side effects compared to other ADs. In addition I believe it is commonly prescribed where there may be a risk of Serotonin syndrome as it is not an SSRI type AD. Believe technically it's a tri or tetra syclic. However it does not affect Serotonin levels in the ways that other SSRI based ADs sych as Serraline do. Indeed sometimes it is presribed withh an SSRO AD.
I can understand your reticence to try it. Maybe if you've had the tablets for a year if you can you might be better waiting till your GP is back and discuss it further with her. However I believe instances of Serotonin Syndrome are far rarer with Mirtazapine than other ADs if that provides any reassurance.
AmazonianNat clarkio
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I think I'll do that - wait until my GP is back and have a full discussion with her. Thanks again.
NickOliver AmazonianNat
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AmazonianNat NickOliver
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NickOliver AmazonianNat
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AmazonianNat NickOliver
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1980 AmazonianNat
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I'm not sure my response will resolve your dilema but I can tell from my experience, that sertraline was not good for me at all, as I was very unstable, I could have two good days and three very bad and then one good again and two bad. Mirtazapine works well for me. It gives you a good sleep and apetite (I'm skinny and need to put on weight - if you're not I'd watch out, in a week I've put on 4 lb). It's not easy to come of Mirt as well but very slow tapering ussualy works best. It's not an ideal drug but I'm only able to function thanks to it. I'm on 7.5mg and would recommend a small dose to start off with, as sometimes it's just enough. Good luck with whatever you decide!
AmazonianNat 1980
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sarah78504 AmazonianNat
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sarah78504 AmazonianNat
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I am suffering badly because of mirtazapine. I know everyone reacts differently but wished I had found the book before meds.
I recommend everyone read it.
Maggieee AmazonianNat
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good luck don't give up & listen to your partner
AmazonianNat Maggieee
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I didn't ignore her advice, I was just wary of putting myself in the same position of collapsing once more whilst on meds. I wanted to go back and see her to discuss my options - perhaps see if there are any group therapy places available etc. The thought of putting on weight on the tablets scares me, weight is something I have struggled with over the years. Thanks for your advice.