Short temper on mirtazapine

Posted , 10 users are following.

Hi I have tapered off sertraline and on to mertazapine over 3 weeks.

I was on 150mg of sertraline for Depression and anxiety, it made me ten times worse, realy thought I was going mad, they took me to a very dark place!

I went to see a physiatrist who decided to taper me off the sertraline and on to mirtazapine.

I have been on 30mg of mirtazapine on its own now for nearly a week.

I felt I was feeling a lot better with my depression and anxiety until last couple of days.

Has anybody suffeRd a short temper on these and feeling angry??? I am not an angry person like a mouse in fact however been very short and wanting to cause arguments with my husband. This breaks my heart as without him I don't know what I would do!! My apertite for sweets are unreal, I wake early hours and will come down looking for anything sweet, all I think of is food. I have gained 8lb in the last 3 weeks and now coming out of a size 14 which makes me feel very sad and anxious.

My sleeping pattern is all over the place living on a few hours at night then getting up then going back and sleeping in until 1pm some days. I'm also grinding my teeth so much they are sore!

Also last week I was aware of me feeling euphoric, over excited.

I am at my whits end with it all, have silent treatment today off my husband as I took off on him. Do I need locking up????😢😢😢

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20 Replies

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  • Posted

    Hi Dadoo,

    It may be that 30mg is too much. I can only say from looking back over the past few years of being on increasing doses that more doesn't necessarily mean improved symptoms. Also it takes a while for symptoms to settle down. The standard advice given seems to be 4-6 weeks but it can take longer than this.

    I can only say what happens in UK, but GPs are left to titrate doses when they are not specialists in the field of Psychiatry. It's definitely not a 'one size fits all' type of condition.

    I am now reducing my Mirtazapine having been on them for many years. I'm down to 22.5mg, I started to feel the benefit very quickly, especially in terms of anger management and anxiety.

    I would say 3 things therefore:

    1. Consider a smaller dose

    2. Give yourself more time to settle in.

    3. Get dietary advice now re. the cravings etc

    I hope this helps.

    Take care of yourself and good luck

    Catherinex

    • Posted

      Thanks Catherine, all I have done is cry this morning it's so upsetting.

      Your right I will see how it goes the next 2 weeks and if no better will make another appointment with psychiatrist .

      Wouldn't attempt g.p as you say there only a general practitioner.

      Thinking also the 150 sertraline is leaving my system which may have some affect.

      Thanks again for your response Catherine. X

  • Posted

    Hi there.

    I came of sertaline the same dose. Found my good in general but the sweats were hurendous. I went onto mirtazapine started at 15mg and was quickly upto 45mg. Like you suffered with the anger thing. It was horrible. And also the sugar cravings drove me insane and they get worse the higher the dose!!!! Well I found they did for me. Loads of weight gain. And no matter how hard you try I could not lose weight. The anger thing did calm down but I felt dreadful on them. They did nothing for me. Except sleep was good and no sweats. I then started taking duloxetine with them and my mood slowly got better. So came of the mirtazapine and that was last November. The crazy eating took a long time to subside and my weight is now going back down again. But I have had dreadful insomnia and still get waves of it now and again still. I remain on duloxetine. Sorry you are having these problems. It is a nightmare trying to find a medication that suits you. Wish I had good news for you about mirtazapine. But I hated them....... Maybe they work well for some people. Pay really close attention to your gut feelings and if all this persists maybe talk to your gp about trying something else. I do wish you luck. Sarah.

    • Posted

      I wish I could clear my body of it all!!

      I am so fed up of it😢I can't see any light at the end of it as if it fixes my illness I then have to deal with being overweight. I thought to myself ok let's worry about the weight thing when I get my head sorted but if you say the weight won't shift sarah your fighting a loosing battle.....🙈🙈🙈xx

    • Posted

      I know how you feel. I have swapped and changed only to be back to where I started 2 years ago with awful sweats!!!! I too just think bin the lot of them. But sadly not a good idea. Try to take a day as it comes. You might calm down on this medication and feel good. It's just such a waiting game when you just want to feel better now. Give it some more time and if you are still really worried about the weight gain make another appointment to go back and talk these out with the person you saw. It's so hard...... When you start feeling awful with weight gain all that just adds to your general mood aswel so it's a vicious circle. I find anyway. X

  • Posted

    Same here. Short temper on mirtazapine and it got worse, not better. 17 years. Huge weight gain. Huge. Was at 90 mg - now down to 14 mg. Took me almost two years taper down but I won't give up. My pdoc says the lower the dose the more weight gain there is. He's correct - I have gained even more weight.

    I do not think one med is better or worse than another. They all mess with our brains in ways they shouldn't be messed with. In my humble opinion. I'm sorry you are suffering.

    • Posted

      O poor you Frances. Keep going hun. Stay strong...the appetite thing does seem to correct itself once you get of them. How is your sleeping? Just taper so slowly. It's good you are doing that. I came off far too quickly but just thought I can't stand these anymore. I wish you luck. Sarah. X

  • Posted

    Hi Dadoo

    I don't think it is just the Mirt' causing your symptoms, although I do think starting at 30mg is too high, I have read of many whose anxiety gets worse at this dose.   Your pdoc should know that it takes far longer than 3 WEEKS (!!!) to taper from an AD.  Even though you have been popped onto another AD this WILL NOT cover any withdrawal/discontinuation symptoms.

    For a full informed choice follow and read below.  And there is a choice, you could retake the Sert and taper more slowly.

    Doctors !!!  You don't need locking up, doctors need more training, makes me so angry that folk like you are suffering needlessly.

    https://patient.info/forums/discuss/depression-resources-298570

    and then click on the link "REDUCING AD'S USING 10% WITHDRAWAL METHOD". 

    • Posted

      Hi thank you for your comment.

      I didn't start on 30mg of mirtazapine I tapered from 150mg of sertraline to 100 plus 15mg of mirt for one week then 50 sert, 15 mirt the following week then thirty mertazapine 25sert and now this 4th week I am on just 30mg of mirtazapine.

      What do you mean by you don't think it's just the mirt causing these symptoms? Do you think it could be to high? To low??

      Xx

    • Posted

      I see what you mean, just read that link.

      It states there about tapering over a longer period than 3 weeks! And that is going private to see a physiatrist thinking she new best! My god I don't know weather I am coming going or already been.🙈🙈

  • Posted

    Hi Dadoo

    I had the same reaction to serataline it gave me very intrusive thoughts and made me very angry and I too am not that way at all. I was on Mirtazapine for over 2 year up to doses of 60mg. Im tapering off it now and on 7.5mg . The best thing I found for cravings was taking a casein protein shake to bed with me it tasted sweet so felt like I was having sweet stuff. A year on and I am still struggling after the sertraline itdid a number on me big time.

    Hope you feel better soon

    • Posted

      Hi it's the mirtazapine that is making me feel this way not the sertraline!! Sertraline was a complete blur.... I was in a terribley dark place with them.

      Only been on the mirtazapine 3 weeks tapering from the sertraline and am feeling this way with a very short temper, have that urge to speak my mind and tell people what I think of them🙈🙈its almost like a form of turrets.

    • Posted

      I understand that, what I meant was the serataline had a long lasting affect on my mood and anxiety long after I stopped taking it for a number of weeks. If mirtazapine isn't for you its best to leave it as it does cause anger in some people. I really hope you get it sorted and feel much better soon

    • Posted

      Yes that's what I'm thinking after hearing comments.

      Im starting to think tapering over a 3 week period is not good!

      You have trust in these doctors thinking they know what there doing...frightening realy is.

      Thank you.xx

    • Posted

      It really is. Most Docs spend a short time in medical school on pharmacy. They dont fully understand the importance of tapering or withdrawal. Best of luck. X
    • Posted

      Hahaha! Tourettes! That cracked me up, Dadoo, because I fel the SAME WAY!

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