Please help
Been on 15mil mirt for 4 nights
Been told now by psych to up it 30mil from tonight
It's helping with my sleep but no change in my moods/ depression
How long guys before they kick in?
Vejo que você perguntou sobre parar de tomar mirt apenas algumas horas atrás. Agora você está perguntando sobre continuar.
Você disse que tem conversado com um médico psiquiatra. Ele/ela deveria ter te falado sobre como o mirt funciona.
Antidepressivos não são "soluções rápidas" - os benefícios podem levar semanas para aparecer, e você pode piorar antes de melhorar.
Eu acho que aumentar para 30mg após apenas 4 noites em 15mg é prematuro.
30mg pode ajudar mais com a depressão, mas pode ajudar menos com a insônia.
Os melhores votos.
Hi Gavin,
It takes one to two weeks for MIrtazapine to begin working, faster than SSRIs. It is an odd one in that it effects different receptors at different concentrations. It has the highest affinity for histamine receptors which is why at low doses (I think below 15 mg) it is sedating and helps people sleep. The next highest affinity is for norepinephrine so the mid dosage range is more useful for anxiety. It has the lowest affinity for serotonin receptors which is why it may take going above 30 mg to have any effect on depression. This is likely why your doctor is bumping you up so soon.
Beware, however, that mirtazapine has quite a reputation for being very difficult to come off of. Because of this, one should consider the fact that this drug gets its hooks into you fairly quickly and can be hard to come off should you find it isn't helping! Surf around on this site and you will find many a story there...
Have any of your doctors gone over other options with you? It turns out that there are several causes of depression that have nothing to do with a defficiency of serotonin. Low vitamin D levels can be tested for and easily supplemented with D3. Same with vitamin B12. Omega 3 fatty acids can have an impact on depression. Some find they actually feel better avoiding simple sugars and improving diet, staying away from processed food. Intestinal flora can impact mood as well, amazingly! Having an out of whack population of bugs can cause depression and anxiety! So, taking a good probiotic is important!
And then there are therapy methods such as cognitive behavior therapy that help a person deal with the thought processes that cause depression. But as you can see, depression really requires a holistic approach, considering all of these things!
So, I'm curious what all you have tried up to this point. Antidepressants don't fix a disease process, as there is no known or proven disease process that causes it, contrary to what the psychiatric community persists in communicating. ADs alter mental states, which may give the desired result for some. There is a cost, though, in that you can't just stop them if you decide you don't want to be on them anymore. They aren't like aspirin which leaves your body when you stop and ceases to have an impact. ADs cause withdrawal with abrupt cessation, and withdrawal is usually far worse than the presenting condition the drug was to address. They must be tapered very gradually to come off successfully, much more gradually than doctors would have you do. So, just giving you information up front so that you can go in informed.
Hi
Ok. More help needed. I didn't take my meds last night and I think I am having withdrawals
Should I up my meds to 30mil in order to help with sleep and depression
I am pretty desperate for any help
Ps... didn't sleep a wink
Enquanto isso, pode ser melhor ficar em 15 mg enquanto você dá tempo ao seu sistema para se ajustar a ele. Se está ajudando com o sono, você pode achar que é tudo o que precisa para melhorar seu humor. 15 mg funcionou bem para mim.
Tente ao máximo não alterar esses medicamentos de repente, parar realmente coloca seu sistema nervoso central em um turbilhão, assim como aumentar e diminuir as doses. Mas acho que, por enquanto, para o seu autossocorro, 15 mg estará OK. Muitas pessoas dentro deste fórum reclamaram que subir para 30 mg aumenta sua ansiedade, especialmente se o seu sistema ainda não se acostumou com a dose menor.
Been on 15mil for a week
Advised by psych doctor to go to 30 but I hear at 30 u may lose the ability to sleep?
But I also hear that 15mil doesn't help with depression and it's merely for sleep purposes
Advise please
Posso falar apenas pela minha experiência, 15mg me ajudou a dormir e, portanto, também aliviou minha ansiedade e depressão.
How long have u been on them if u don't mind me asking?
2 anos no total, um ano enquanto procurava outras terapias e um ano para reduzir a dose. Finalmente chegou a zero em 22.4.17.
Hi
I am a bit stuck here
I am getting through my day/ working/ helping with the children but my mood is very low and I am finding it hard to socialise. I am not sleeping great on the 15's but I am scared to go to 30. Please advise Betsy
just wanted to say thank you gavinl....for his long response.....and helpful info
eleanor