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Re: Mirtazapine - how long to wait??? » tecknohed

Posted by Viking on September 30, 2007, at 17:29:17

In reply to Mirtazapine - how long to wait???, posted by tecknohed on September 30, 2007, at 14:19:15

> I'm getting a bit impatient with this drug. I know 2 weeks is not very long, but I seem to be getting worse (by the day) not better.
>
> I've been on 30mg/day since day 1 and, apart from the first few days (there was an almost immediate lift in energy levels, which has now gone) I just feel 'flat'.
>
> Question to users of mirtazapine: should I have noticed 'something' positive by now, especially at my dose?
>
> I'm thinking of trying fluvoxamine for the next 2 weeks, before I see my pdoc. Its the only SSRI I haven't tried (I suffer Social Phobia, OCD, depression & various other anxieties).


I have taken Mirtazapine (Remeron) on several occasions, mostly with good results. Here is what I have learned through my personal experience with it:

It takes 4-8 weeks before it starts working. Until then it will be sedating.

A dose of 30 mgs is a minimum start dose. I need 45-60 mgs before it really works.

I had to take it in the evening. Anyway else I simply could not stay awake during the day. 1-2 hours before bedtime is the best for me.

I have taken Remeron together with Cipramil and with Effexor without any problems.

Remeron is not known for causing serotonin syndrome.

I hope this helps you.
Viking


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