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Re: New Report on Mirtazapine » Maximus

Posted by Elroy on June 3, 2005, at 21:06:31

In reply to Re: New Report on Mirtazapine » Elroy, posted by Maximus on June 3, 2005, at 20:14:13

No, will be starting it first part of next week (am on a wash out period right now). Am to do 15mg for 2-weeks and then go to 30mg for a while after that to see how it goes. My pdoc said that if I find the 15mg dose "too sedating" and "too much hunger pangs", to go up to the 30 mg dose earlier. Apparently the side effects are actually more intense at the lower dose. Actually since I have severe insomnia and almost no appetite, I might want to stay on the lower dose :)

Had the "deadened emotions" feeling with the SSRIs... plus with the SSRIs I could still detect the anxiety strongly in the background! Now with the SSNRIs, I had increased - very increased - levels of anxiety and extremely severe "prostatitis type symptoms" (i.e., burning urethra - not burning when I urinated, burning ALL the time). Was much, much worse with Effexor - and occurred almost immediately versus with after a couple weeks Cymbalta.

I find it interesting that in anxiety cases that most pdocs are so concerned with using an SSRI or SSNRI to treat them! Those meds are good in cases involving pure depression but have some - but limited - effectiveness at best with anxiety cases. If elevated cortisol is involved, often the SSRI or SSNRI choice can make the situation worse as some SSRIs and SSNRIs have been shown to INCREASE cortisol levels (which - of course- could be a good thing if LOW cortisol is the cause of your depression... but wil almost never be the cause of high anxiety).

Elroy

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> Thanks for the news. Hum, sponsored by Organon... Are you taking Remeron? If yes, are you able to tolerate it?
>
> No emotion on SSRI/SNRI? Zombiefication is the hallmark of SSRI, see my recent post...
>
>


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URL: http://www.dr-bob.org/babble/20050601/msgs/507466.html