Meds Update

Hi I had a meeting with my psychiatrist this morning. He thinks that I am much better and we discussed me reducing my mirtazapine by taking them on alternate nights. As my husband is going away next week I might do it when he comes back as I never sleep well when he is away. We discussed the possibilites of my relapsing which are quite high so ensuring contingencies are in place. He will not reduce the prothiaden which is the other anti depressant that I am on. I am hoping that I will be able to address the weight problem that I have. I am a bit nervous about reducing the mirtazapine because of the dreadful paranoia that I had as well. I dont want it to return. I will post with my experiencies. Pooh.

Hi Pooh

its been a week since my venlafaxine was stopped because it caused a terrible tremor with lithium,im still on olanzapine 3 x day and 15mg mirtazapine.Im scared that the lithium wont be enough tostop me sliding back down into a suicidal mess again,I sometimes get anxious but it doesnt last long.Im scated of this reduction of meds (no more diazepam either) but the psych seems sure of her plan.I know how you feel.Im not sure my tremor is getting better after it initially improved,its holding a pen or putting makeup on that are hard,I have to get rid of it before I go back to work which she thinks should be in a couple of months.I have to literally force myself to go out but am going out every day and its ok,the longer you stay home the worse it is to do anything I find.I hope you manage ok with the change in meds

take care

love jo x

Hi Jo how much lithium are you taking now? Lithium can cause tremor and I have a very slight one. Has the psych checked your lithium levels recently? Toxicity can also cause tremor. I think that it is very easy to believe that you will relapse as you are still only a few months away from being very very ill. You survived. I fear relapse too and the chances are high for me too. I'm trying to get contingencies in place to prevent it happening. The psych says that I can have him 'on tap' oh I wish it was a that easy. You have built up a relationship with your psych and I'm sure she would help you if you became ill again. As for work I would put it to one side and concentrate on getting well. I'm always prepared to listen to your struggle and offer support if I can. Take care Pooh.

Hi Pooh

thanks for your continuing support.Am on 500mg lithium and have monthly bloods now,as my levels were so stable.I have qiute a marked tremor after I thought it was going,I dont want to contemplate starting all over again with depakote which seems to be the only alternative,am glad to be more stable though.Problems with my 14 year old are now critical,she swears and lashes out at us regularly.I wish this would stop.

jo x