Psycho-Babble Medication | about biological treatments | Framed
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Re: I need some advice regarding my medication regimen

Posted by mtom on July 30, 2019, at 10:38:04

In reply to Re: I need some advice regarding my medication regimen, posted by linkadge on July 29, 2019, at 19:14:31

Problem is, everyone reacts differently to each antidepressant.

Sertraline (Zoloft), tried many years ago, was horrifically activating for me. More recently Citalopram (Celexa) also made me very agitated and anxious along with other side effects. So switched to Escitalopram (Lexapro-Cipralex). Still made me very anxious, slightly less so than Celexa, and other side effects. But some people find it helps anxiety (!?).

So recently started decreasing Escitalopram while adding very low dose Mirtazapine (Remeron). Have been cross-titrating slowly for about 7 weeks, gradually decreasing Escitalopram while also gradually increasing Mirtazapine (I'm unusually sensitive to AD side effects).

I'm now taking very low dose Escitalopram and 7.5 gm Mirtazapine. And I have started to feel better for the first time in over a year. It's not consistent yet, buy my anxiety is definitely less on average, and I'm having some happier days. The Mirtazapine made me slightly groggy in mornings and after each dose increase, but this wore off. I'm also underweight - I've put on just a few pounds so far. The biggest downside has been an increase in Nightmares and Vivid dreams, but this also happened on higher doses of Escitalopram, and for the Mirtazapine, they increased upon starting and after dose-increases but gradually faded over a couple of weeks.

So, just sharing my experience. Mirtazapine is prescribed by some doctors as an add-on to SSRI's in addition to use on its own.




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