Posted by West on January 3, 2010, at 11:12:32
In reply to Re: switching from venlafaxine/mirtazap to moclobe, posted by europerep on December 31, 2009, at 13:03:54
Firstly, I wanted to remind you that in many ways, you are already on the way to remission. By seeking out treatment and alerting those with specialist psychiatric experience, you are already half way there. Try and hold on to this idea, however distant a reality it might seem now.
More pragmatically, there is a chance that adding mirtazapine could improve mood, but it is not something I could gauge with any certainty. Others with experience in this area might be able to help you more. Do YOU think it is a possibility? How are you tolerating it? There are systems at work with higher doses that may worsen sleep, specifically noradrenergic firing. Some depressions respond better than others to drug therapy targetting NE and 5-HT roughly equally.
I need to know how much you think your current depression is the result of your cirmcustances - you mention difficulties studying. I don't know if you ascertain these as being the result of low mood?
Or have you had academic difficulties before becoming depressed? This is potentially a very important question regarding the nature of your diagnosis and further treatment.
poster:West
thread:930533
URL: http://www.dr-bob.org/babble/20100103/msgs/932297.html