Posted by GoddamnElectric on May 15, 2012, at 21:22:50
In reply to Re: What will work for my panic disorder + MDD??, posted by gilmourr on May 15, 2012, at 19:08:23
> Actually forgot to mention that I've tried mirtazapine. I was on 15 mg for about 6-7 weeks, it helped my mood but I was sleeping 16 hours a day, even taking it at 9 pm. Was always tired during the day. Did nothing for anxiety/panic. And it gave me a huge acne break out. Mirtazapine was meh, probably somewhere in the middle if I had to rate it.
15mg is quite sedating. It can take more than 2 months for the overall drowsiness to ease, which is why 30mgs or more would probably work better for you. Mirt tends to be less sedating the more you increase the dose. The sedating effects of the medication alone should have kept some anxiety/panic away.
While you may have suffered an acne outbreak with Mirtazapine, it is infrequently reported. I would suggest persisting with it for up to 6 months, and titrating to a higher dose (45-60mg) and see how things go.
If you don't think this is acceptable, then try an NRI/norepinephrine type medication... perhaps you need to jump onto another neurotransmitter.
All the best.