Posted by plenair on July 10, 2019, at 12:56:57
In reply to Mirtazapine-Remeron looking somewhat hopeful » plenair, posted by mtom on July 10, 2019, at 12:16:42
Hi mTom,
Thanks for taking the time to reply, and thanks for making me aware of the Lancet study and summarizing some of the mirtazipine/fluvoxamine material.
I hope that the nightmares fading are a good sign for you.
Yes. I have OCD and GAD and any medication is these - my states are much more anxiety based than depressive. Some months ago, I posted a summary of my issues in another thread on this forum. I have much mental repeated rumination that makes me go into the fight/flight response regularly. It's happening every night overnight and I'm disabled from this.
I have severe insomnia from the OCD and other causes. If I took mirtazipine, I would hope that it would have a positive effect on my ability to sleep. I trialed fluvoxamine previously starting at 25mg, but had the urinary problems and tinnitus starting at 50mg going up to 100mg before tapering off. My current choice is between another go at fluvoxamine and this time start up even more slowly (but the effective dose for OCD is as high as 300mg!) or try mirtazipine with the hope being that it allows me to sleep in the short term and modulates my OCD in the long term.
Regarding mirtazipine, I am concerned about cholesterol and weight gain. My ability to exercise is compromised, so I do not know if this is a good option.
P.S. Among many other meds trialed, I took Citalopram some years ago at a dose of up to 60mg - got lots of side effects and no benefit for anxiety/ocd.
Are you now taking the 7.5mg of mirtazipine?
poster:plenair
thread:1104640
URL: http://www.dr-bob.org/babble/20190513/msgs/1105238.html