Posted by SLS on August 26, 2021, at 19:44:31
In reply to Re: Can mirtazapine (Remeron) cause increased anxiety? » SLS, posted by Jay2112 on August 26, 2021, at 13:33:43
> > > it could be a short term reaction, but i know nothing about mirtazapine, i know more about fluoxetine
> > >
> > > SLS, link could maybe awnser this
> >
> > I cannot tolerate alpha-2 adrenergic antagonists. They fool the presynaptic neuron into manufacturing and releasing extra norepinephrine / noradrenaline.
>
> Interesting. I had my first psychotic episode when I first started mirtazapine. But, I think the eventual down regulation of my norepinephrine/beta-adrenergic receptors by very high-dose Effexor, and the extra norepinephrine produced by mirtazapine, really helped my depressive episodes in my experience with BP II. I learned to cap the mania with carbamazepine, small dose propranolol, and risperidone. Oddly, the addition of amphetamine (or pretty much an extended-release version, Vyvanse) has been amazing, and sustained a smooth antidepressant, pro-social effect for over ten years. As well, high dose Lyrica (for an amazing pro-GABAergic effect!!) has kept me balanced, but with a very controllable anti-anxiety and antidepressant effect.
>
> Anyhow...sorry for going off-topic...as usual..lol.
>
> ~Jay :)
Jay, that's a remarkable use of tools. Kudos...- Scott
Some see things as they are and ask why.
I dream of things that never were and ask why not.The only thing necessary for the triumph of evil is that good men do nothing.
poster:SLS
thread:1116679
URL: http://www.dr-bob.org/babble/20210723/msgs/1116708.html