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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 13 of 13. This is the beginning of the thread.
Posted by herpills on May 14, 2014, at 11:52:49
I thought I would share that I've been feeling significantly better since adding mirtazapine about 3.5 months ago. It has a nice antidepressant effect which is what I needed, but I'm also happy with how it is helping my anxiety as well. I wish a doctor would have mentioned mirtazapine a long time ago but of course SSRI is always first line treatment, but I like mirtazapine so much better, less side effects and I don't feel like I'm "on something" it works good in the background for me similar to Lamictal.
So here's what has been working for me:
Lamictal 150mg
mirtazapine 22.5mg
lorazapam 1mgLovaza (4000mg total EPA+DHA omega3)
vitamin D 4000IU
vitamin b12 1000mcg
methylfolate 800mcgherpills
Posted by Beckett on May 14, 2014, at 12:15:10
In reply to doing better with Lamictal+mirtazapine+supplements, posted by herpills on May 14, 2014, at 11:52:49
Wow, that's great. You get an antidepressant effect at that dose of mirtazapine? Interesting. I let my mirtazapine run out because I thought it wasn't doing anything. I've been sliding again, though. I was taking 30 mg. Hmmm.
Your meds are nice and low. Only a few. Thank you for sharing your good news. Is the vitamin B12 sublingual? Did you work on your supplements with a doctor?
Posted by herpills on May 14, 2014, at 13:08:35
In reply to Re: doing better with Lamictal+mirtazapine+supplements, posted by Beckett on May 14, 2014, at 12:15:10
> Wow, that's great. You get an antidepressant effect at that dose of mirtazapine? Interesting. I let my mirtazapine run out because I thought it wasn't doing anything. I've been sliding again, though. I was taking 30 mg. Hmmm.
>
> Your meds are nice and low. Only a few. Thank you for sharing your good news. Is the vitamin B12 sublingual? Did you work on your supplements with a doctor?Thanks Beckett! Yeah, I know I've read that higher doses are better...I was surprised how much of a lift I got just on 15mg. I might go back down to that dose as I'm not seeing much of a difference with the 22.5mg.
The vit b12 is subligual Solgar brand. I have a great new primary care doc who knows and suggests alternative treatments. Currently not seeing a pdoc anymore as was not getting better after 2+ years with that provider. I got a second opinion from different pdoc at same clinic who suggested the mirtazapine. Now I just plan on staying on this combo and see how it goes. I like that the doses are low and I can always go up to 200mg Lamictal and 30-45mg mirtazapine if symptoms return. I'm also thinking about trying higher doses of methylfolate again. I've tried Deplin before but not with mirtazapine. I would say at this point my depression is maybe at 70% remission right now. Thanks again for your comments. Have you ever tried mirtazapine above 30? herpills
Posted by phidippus on May 14, 2014, at 15:14:30
In reply to doing better with Lamictal+mirtazapine+supplements, posted by herpills on May 14, 2014, at 11:52:49
You should bump the Lamictal up to 200 mg and the Mirtazapine up to 30 mg.
Eric
Posted by SLS on May 14, 2014, at 15:30:16
In reply to doing better with Lamictal+mirtazapine+supplements, posted by herpills on May 14, 2014, at 11:52:49
I like hearing good news. Thanks for posting.
- Scott
> So here's what has been working for me:
>
> Lamictal 150mg
> mirtazapine 22.5mg
> lorazapam 1mg
>
> Lovaza (4000mg total EPA+DHA omega3)
> vitamin D 4000IU
> vitamin b12 1000mcg
> methylfolate 800mcg
>
> herpills
>
Posted by Phillipa on May 14, 2014, at 18:26:53
In reply to doing better with Lamictal+mirtazapine+supplements, posted by herpills on May 14, 2014, at 11:52:49
Congrats to you. I once tried 15mg of remeron and nothing. No side effects. So stopped in a month. How long did you take before you noticed it? Phillipa
Posted by Tomatheus on May 15, 2014, at 18:59:55
In reply to doing better with Lamictal+mirtazapine+supplements, posted by herpills on May 14, 2014, at 11:52:49
Herpills,
I too am glad to hear that you've been feeling significantly better since adding mirtazapine to your combo. I'd be making an understatement by saying that mirtazapine didn't treat me well, but it's good to hear that you're having success with the medication. I hope that the feelings of well being that you're experiencing now will continue for at least some time.
Tomatheus
Posted by herpills on June 8, 2014, at 18:14:31
In reply to Re: doing better with Lamictal+mirtazapine+supplements » herpills, posted by SLS on May 14, 2014, at 15:30:16
Posted by herpills on June 8, 2014, at 18:15:41
In reply to Re: doing better with Lamictal+mirtazapine+supplements » herpills, posted by Phillipa on May 14, 2014, at 18:26:53
> Congrats to you. I once tried 15mg of remeron and nothing. No side effects. So stopped in a month. How long did you take before you noticed it? Phillipa
Well started sleeping better immediately. Noticed antidepressant effect after 2 weeks. herpills
Posted by herpills on June 8, 2014, at 18:16:41
In reply to Re: doing better with Lamictal+mirtazapine+supplements, posted by Tomatheus on May 15, 2014, at 18:59:55
Posted by herpills on June 8, 2014, at 18:19:18
In reply to Re: doing better with Lamictal+mirtazapine+supplements » herpills, posted by phidippus on May 14, 2014, at 15:14:30
> You should bump the Lamictal up to 200 mg and the Mirtazapine up to 30 mg.
>
> EricThanks, Eric for the suggestion. Do you think I would experience increased daytime sedation at 30? I actually went back down to 15 because I wasn't noticing a difference vs the 22.5
herpills
Posted by phidippus on June 9, 2014, at 13:34:48
In reply to Re: doing better with Lamictal+mirtazapine+supplements » phidippus, posted by herpills on June 8, 2014, at 18:19:18
I didn't experience an increase in daytime sleepiness when I increased my dosage of Mirtazapine on two occassions-from 15 to 30 and from 30 to 45 mg. If you do, you can always take some Nuvigil.
Eric
Posted by Lamdage22 on June 24, 2014, at 12:09:58
In reply to Re: doing better with Lamictal+mirtazapine+supplements » Beckett, posted by herpills on May 14, 2014, at 13:08:35
I found Mirtazapine to have an interesting effect. But i had funny (or not so) nightmares.
This is the end of the thread.
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