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Re: When AD's work, can it be up and down initially? Lamdage22

Posted by mtom on July 10, 2019, at 22:32:02

In reply to Re: When AD's work, can it be up and down initially?, posted by Lamdage22 on July 10, 2019, at 21:05:27

> Did it destabilize you?

No, it's not like that. I don't feel worse. I just am feeling noticeably a bit better some days, and not so much other days.

It may be more like what TH posted. I guess I have to give it a bit more time and keep increasing the dose in small increments, slowly and gradually, in the hope that I'll hit a dose that has efficacy without huge side effects. So far only notable side effect from Mirtazapine is some nightmares and vivid dreams. But I've gotten those on Escitalopram and other AD's also, especially when titrating dose. They seem to decrease in intensity over time.

Maybe a little groggy in the morning, but not too bad. This is the first AD I've tried that hasn't increased my anxiety (happened even at very low doses with others), in fact I think it may have improved slightly on average. But, per my initial post, things are a bit up and down still.

And still concerned that at some point as I increase dose the NE effect of Mirt will kick in and that might increase the anxiety again.


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