Posted by linkadge on May 31, 2019, at 15:19:21
In reply to Re: Mirtazapine/Remeron recent experience, SE's, etc?, posted by Radish on May 29, 2019, at 19:39:12
Mirtazapine has a completely different profile than other antidepressants. Certain side effects (i.e. sedation or increased appetite) can be difficult for some to tolerate, but it is relatively devoid of certain SSRI side effects (akathisia, insomnia, apathy, nausea, sexual dysfunction etc). I have used it, in conjunction with Effexor, lithium and medical cannabis for a few years now.
It is very good for sleep, and offsetting poor quality of sleep from SSRIs. I took it with citalopram a few years back with excellent results. It has been a godsend for chronic insomnia that otherwise only responded to antipsychotics.
In lower doses <= 7.5mg it is very good for sleep and insomnia. Even 15mg likely won't cause any anxiety. In higher doses, the noradrenergic side effects become more pronounced, and some people can have transient anxiety, or irritability.
Personally, I would try agumenting escialopram with a lower dose of mirtazapine rather than doing a complete switch. Mirtazapine can be a good antidepressant for certain individuals, but the feel of it is very different than SSRIs and, depending on your level of activity, the side effects might be deal breakers.Linkadge
poster:linkadge
thread:1104640
URL: http://www.dr-bob.org/babble/20190513/msgs/1104668.html