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Re: Remeron - just trashed it! }} tecknohed

Posted by sdb on October 22, 2007, at 5:49:20

In reply to Re: Remeron - just trashed it! }} tecknohed, posted by sdb on October 22, 2007, at 4:24:24

> > > Hi T
> > >
> > > A lot of diabetics (especially type 2) seem to end up getting prescribed drugs which cause sedation and weight gain eg. dothiepin, amitriptyline and mirtazapine. I think a lot of doctors don't think it through when prescribing.
> > >
> > > Ed
> >
> > I agree with you totally. Thing is it was MY idea to try mirtazapine. I thought the higher dose would be more activating & overpower the sedation. But of course it didn't go as planned.
> >
> > Also, oddly enough, instead of making me hungry it turned me right off food! I mean, I COULD eat but there was just no trigger for it. No appetite. Even when I did eat I was full very fast. But thats just plain old paridoxical me!
> >
> > The worst complication was obviously my diabetes. For example, during a hypoglyceamic episode it was very hard to try & stuff down a Mars bar without an appetite! Normally a hypoglyceamic attack will trigger immense hunger & I'll keep eating untill I feel better.
> > The other big problem was the sedation masking hypoglyceamia. Normally if I have an attack during the night I immediately wake up. But the sedation of mirtazapine was so strong not even a fog horn in my ear would have woken me up! Also, tiredness is often a first symptom of low blood sugar, yet the mirt made me feel tired until well after noon, so you can see the problem there!
> >
> > Still, a lesson learned I guess. One good thing to come from it is that I found a med which increases my sexual pleasure, even to the point of premature ejaculation! And as I CAN tolerate low doses of mirt this is something to remember next time I'm pestered with any sexual side effects.
> >
> > teck
> >
> > P.S. Nice to 'read' from you by the way - its been a while. Take care mate!
>
> you have diabetes type II (I....other)? My recommendation is to avoid mirtazapine if possible.
>
> warm regards
>
> sdb

hmm, quite paradox but very interesting.

For example, during a hypoglyceamic episode it was very hard to try & stuff down a Mars bar without an appetite! Normally a hypoglyceamic attack will trigger immense hunger & I'll keep eating untill I feel better.
> The other big problem was the sedation masking hypoglyceamia.

transient hypoglycemia and hyperinsulinaemia increase the appetite leads to adipositas and the
development of early arteriosclerosis (macroangiopathia/diabetes specific microangiopathia). Take care to control the diabetes cautiously and rightly :-)

warm regards

sdb


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poster:sdb thread:789137
URL: http://www.dr-bob.org/babble/20071019/msgs/790607.html