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Re: switching from venlafaxine/mirtazap to moclobe

Posted by europerep on January 10, 2010, at 10:37:11

In reply to Re: switching from venlafaxine/mirtazap to moclobe, posted by West on January 3, 2010, at 11:12:32

hi west..

sorry for not replying earlier, but the last week was quite stressful, and I wanted to take some time for writing this..

I actually wanted to go down on mirtazapine, so that I can add bupropion soon, the problem is that at 600 venlafaxine/30 mirtazapine, I started to have some trouble sleeping, i.e. I woke up early in the morning, with difficulties to fall asleep again, or waking up again just a couple of minutes later, and so on.. that is why I decided to go back to 600/60 for the moment, because right now I need to be preparing for the upcoming exams, and for that I really need to have a sound sleep.. plus I am a little better than when I originally started my thread, but still, I am far from being well.. I am still wondering whether I should increase mirtazapine, I might at least have a try at it, but personally I don't think that will be the solution, the improvement I felt when starting to take it, and when increasing dosages, was very minimal..

Were you refering to duloxetine for example when you said that I might profit from a more equal targeting of NE and 5HT?

as for the circumstances.. of course it would be too easy to say that all the problems I currently have are a mere result of the depression.. I have already done a psychotherapy, and I guess I will start another one, so I am certainly not rejecting this approach to improving my current state.. however, there are limits as to what that can do for me, especially in the sense that, the way I feel right now, it would be very, very difficult to introduce substantial changes into my life.. I don't expect a better medication scheme to solve my problems, but merely to get me to the point (where I was already, before effexor lost its effectiveness), where I am confident that I can actually do this..
the difficulties with studying I was refering to are primarily a result of the inability to get up before noon or even later, which I experienced about a week ago.. now that is gone, and I am back to the situation I was used to, which is that I don't have trouble getting up, just that I need more sleep than others (eight to nine hours), in order to be able to study, concentrate, etc..
as for the last question, I did not have academic difficulties before being depressed. in fact, I am still doing rather well in classes etc., but that does not reflect a general state of well-being..

thanks for taking the time to read this!

 

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poster:europerep thread:930533
URL: http://www.dr-bob.org/babble/20100103/msgs/933116.html