Mirtazapine (Remeron): What you NEED to Know!
HTML-код
- Опубликовано: 29 июл 2023
- Resources:
Deprescribing Guide: amzn.to/4dZEUMk
Stahl's Prescribing Guide: amzn.to/3UXj8QL
🎥 This video was edited by:
Rahul Kanchi / rahulkanchi24
🚑 If you are in a mental health crisis, please dial 9-8-8 from the U.S. Or text HOME to 741741 and connect to a crisis counselor.
You can find a list of international crisis lines here: blog.opencounseling.com/suici...
References:
AlBreiki, M., AlMaqbali, M., AlRisi, K., AlSinawi, H., Al Balushi, M., & Al Zakwani, W. (2020). Prevalence of antidepressant-induced sexual dysfunction among psychiatric outpatients attending a tertiary care hospital. Neurosciences (Riyadh, Saudi Arabia), 25(1), 55-60. doi.org/10.17712/nsj.2020.1.2...
Lee, K. U., Lee, Y. M., Nam, J. M., Lee, H. K., Kweon, Y. S., Lee, C. T., & Jun, T. Y. (2010). Antidepressant-Induced Sexual Dysfunction among Newer Antidepressants in a Naturalistic Setting. Psychiatry investigation, 7(1), 55-59. doi.org/10.4306/pi.2010.7.1.55
Preeti, S., Jayaram, S. D., & Chittaranjan, A. (2018). Sexual Dysfunction in Patients with Antidepressant-treated Anxiety or Depressive Disorders: a Pragmatic Multivariable Longitudinal Study. East Asian archives of psychiatry : official journal of the Hong Kong College of Psychiatrists = Dong Ya jing shen ke xue zhi : Xianggang jing shen ke yi xue yuan qi kan, 28(1), 9-16.
Stahl, S. M., Grady, M. M., & Muntner, N. (2021). Stahl's essential psychopharmacology: Neuroscientific basis and practical applications. Cambridge University Press.
Stahl,S. (2021). Stahl’s Essential Psychopharmacology: Prescriber’s Guide, 7th Ed. Cambridge University Press.
Disclaimer: All of the information on this channel is for educational purposes only and not intended to be specific/personal medical advice or substitute for diagnosis and treatment of any conditions discussed herein. Furthermore, watching these videos or getting answers to comments/questions, does not establish a provider-patient relationship. Please consult with your own healthcare provider for proper diagnosis and treatment.
This medication was my absolute lifesaver. I respond terribly to SSRIs, my body is very sensitive. This medicine worked from dose one for my insomnia and debilitating anxiety. I’ve been on it almost a year and a half witu no need for a dose increase. No weight gain at all (I’ve lost 15 lbs in the last year in fact), I look at life much more positively and have a lot more energy, am more outgoing and social. This is a Godsend. To anyone struggling to find their medication or combination PLEASE do not give up, it takes a few tries as it did for me and I was so discouraged but there is something that works for ur brain chemistry 💖
Exactly the same experience with Mirtazapine as myself, it really has transformed my life for the better, I was prescribed it for anxiety attacks and insomnia but it has made such a difference to every aspect of my life.
Did u experience weight gain?
Sqme for me I take it before bed and try not eat
@@thejudderman8265 at what dosage do you take it? Thanks
Me too, after trying 10 other antidepressants since the 1990s i finally settled on this one. I don't believe i can ever come off it though as the depressive tendancies and automatic extreme worrying are too enmeshed in my personality.
Wasn't right for me, but reading the comments gives me appreciation for how different we all are. I got terrible RLS and night terrors with sleep paralysis.
Thank you so much for this video and the comments below. I am severely underweight, I have no appetite and have been depressed since 2015. One day my mom was taken away only to die in 2019. I left Florida and moved to Tennessee and my new primary care doctor has prescribed me this drug. I don’t really have sleeping issues but The loss of appetite and depression stand out. I pray this works for me.
The issue for a lot of people, is when you first start taking it the sleepiness. So if you're working at the time it can affect that. When the sleepiness during the day goes after a few weeks, it actually helped me a lot at work, reduces anxiety and stress and gave me a drive to work hard.
Exactly, and muscular weakness, so I will not continue with this, only took 15mg and 7;5 and didn't take the third day
I am Italian. I take mirtazapine to counteract the early awakening insomnia that made me ill after several years of shift work. I currently take 7.5 mg of mirtazapine along with 2 mg of melatonin. the treatment works. mirtazapine saved my life.
I’m Italian also !! ❤I’m on mirtazapine 7.5 , but I haven’t tried the melatonin with it . I work second shift .
Who asked
ti posso scrivere ? hai instagram?
@@amedeocristiano2026 no, scrivi qui e ti risponderò
Great work, thank you!
I was just put on 7.5 and the first 2 days I wasn’t feeling well. Now it’s been over a week and I’m feeling better. I can now get a good night sleep. And enjoy a good meal. Thank you for this video. I have learned alot watching you. Thank you
How much r you on
Why is Seroquel bad? I’m on a few nights 15mg at night
Today took half in morning and other half in afternoon as I get bad anxiety heart racing panic attacks
@@Ohkeh640dont use it in day
As it increase sleep time i am using 30mg mirtazpaine 1st week i feel awkard but after that is works wells now using mirtaz 30 after that will slowly lower my doses and than stop medications .you can use walkalert 50in day u can consult with your docter
7:30 sickness and pain 😢😢
@@Ohkeh6409:46
20 yrs all the SSRI's from Zoloft to Prozac done Absolutely nothing but gave me a crook gut. This medication almost worked instantly! I'm kinda pissed this was never an option earlier on! Thanks for the Vid.
I am glad you found it helpful!
How much r you on
Why is Seroquel bad? I’m on a few nights 15mg at night
Today took half in morning and other half in afternoon as I get bad anxiety heart racing panic attacks
@Ohkeh640 never had seraquil myself (I don't think) but it seems to zombify ppl. I never even suffered full on panic attacks I was actually suffering opioid withdrawal. But since having been given anti anxiety meds I too now know what a panic attack is, like you're drowning or dying but you're not. Absolutely horrible feeling. This medication seems to only have 2 main side affects for me hunger and morning drowsiness. Otw it's just a slight mellow feeling taking the edge off things throughout the day. I tried to go up on the dose but felt a bit weird at times so I stuck with the low dose. I can think much clearer and actually do basic things without being as frozen or paralysed with anxiety. This drug doesn't seem to zonk me throughout the day which is great. Hoping I can take it short term n get on with things after that. Cheers.
I got this prescribed today and it is the first time I will take antidepressants, so I am happy to get more information on it, thank you.
I love your video's. Thank you for making them
Glad you like them!
Thanks so much for making this videos. I learnt a lot about all kinds of medicine. After watching this, I actually mentioned it to the psychiatrist of my relative who then prescribed it to my relative. And from day one, he is sleeping much better now. And anxiety also gradually goes away, and it's only been 2 weeks. Before that, another doctor was prescribing Lorazepam and Trazodone which didn't help that much with the anxiety and stopped working after a while for the sleeping as well. Really appreciate your education videos. They save lives.
Mirtazapine is great as a sleep aid and antidepressant. However, I gained so much weight, I had to come off it. People should approach this med with caution.
Were you able to lose weight when you went off it?
@@lazylurker2842 Yes, eventually. But I do now have to watch what I eat, to a degree, and exercise, which I've never had to do, to make sure it stays off!
Did you manage to lose weight after??
I am so glad you are so versed in this medication, I had a partial thyroidectomy and was depressed afterward, I cannot tolerate the neausea with SNRI's but mirtazipine helps neuroepinephrine and seratonin it helps me alot and helps me sleep, however i do have a problem with weight gain and this may be why....Thank you for this video information.
Mirtazapine helped me through a rough time and helped me manage anxiety and depression and to get to sleep at night. Unfortunately, it caused me to gain 40 lbs in less than a year. I also felt tired, low energy all the time. I decided to go off of it this summer. It was rough but I am feeling pretty good now.
Thanks for sharing your experience. Do you know if you gained weight because you ate more (I know it increases hunger) or did you eat the same amount and still gain weight ? (I've heard it can also affect metabolism)
It made me constantly hungry, so I am positive I was eating more. When I went off of it, I noticed a huge difference in my appetite.
@@laurenc5524
Can I ask how you came off it
Did you cut the pill or use liquid
I’m sorry that was a downer for you. I’m praying I gain a lot of weight. I’ll be so disappointing if it doesn’t work. Happy you’re happy though ❤️
Yup I've gained 10kg in less than two months 🤯. Since I'm taking it for insomnia it's not worth it for me. Can't stop eating... glad it helped you ❤
Hello, I just wanted to say your vids are really helpful and has helped me out a lot! I just had a genesight test done and turns out I have MTHFR C677T gene mutation and was wondering if that is something you could make a video of? It explains a lot on why different meds have not worked for me and hopefully helps me find the right meds to help me.
Yes, this is a great topic to discuss. I will definitely make a video about this in the future. Thank you!
@@LevelheadedMindis mirtazapine affecting us differently with mtfhr mutations?
I am in the UK (well Wales) and have just started on these last week, started on 7.5 to give me some peace from my crippling anxiety (I have suffered regular mental collapses since 19 on and off) they have helped to an extent however find myself sleeping in up to 11:30 (bare in mind a lie in for me is 8am) and struggle with grogginess for 1 to 2 hours after afterwards, one side effect I have had from them is increased aggression/burst of rage over silly things on and off, I have just upped to 15gm the aim is to hit 30mg and the rage seems to have got worse so will be speaking to my GP/MHP about what to do next (as I dont stomach SSRIs very well since turning 40), and whilst not helping me with regards to the anger issues, I just wanted to thank you for the best and most informative video I have found on RUclips, It has helped on many other levels of understanding, you have yourself a new subscriber, thank you
Try boxing if or a punch. My testosterone is ..feels.. so low rage would be a good thing but I don't know how bad your rage is but we all know how a few seconds of rage can do more harm than years of drug abuse. I played online poker and my god if you want to experience the full range of emotions that is one place to experiment. I hated being a loser and that drove me to control my highs and lows and although Xanax won me tournaments in real life there is honestly no need for medication in controlling your rage. All these meds catch up on you at our age and take any bit of good out life there is ✌🏻
Poker will mess you up but it has a lot to teach you about life. I got made a fool of one year and was going around angry until I wandered into a casino and remembered all I learned about controlling my emotions and realized that I had let an "opponent" get me angry causing me to make catastrophic mistakes in the game. My god ... I'll never forget that moment.
I wish I had an opponent now cos I have zero motivation. I want money but I'd rather watch RUclips than walk across the road to collect it. Side effect of the poker I'm starting to think
I had a breakdown after havin 2 giv up succesful horse career due 2 congenital heart disease & other health issues. then suffering from crippling anxiety depression (cldnt leave house 4 4mths) I now hav take diazepam 2go the house. Hav 2 b careful with meds I take. Plus side Mirtazapine only thing that knocks me out (45mg). Downside makes me feel 'numb' & detached hardly ever cry now use 2b so active and work outdoors now hav 2 push myself to go out with my beloved dog.
I'm so glad someone else has said this!! I raised this with my GP when my dose was upped to 15mg and was told "that's not possible because that's not a side effect of mirtazapine" but upped my dose to 30mg because I was still feeling pretty low. Now I've been on it a year it seemed to have mellowed out but I still get flare ups of "irritability " i.e rage, lets be honest, every so often. How have you got on with it now?
Could the rage be associated with peri menopause? From my research and talking to friends and family and being in a few Facebook groups, the rage, along with the anxiety is very common in women approaching peri menopause. Also it’s very common for peri menopause to start in late 30s early 40s!
@@Cat-uq7kj I came off them and swapped to amitriptyline which did not cause the same issue, since then needed to add sertraline each morning and have the combo that finally works, hope you have found equilibrium also.
Some of the side effects ive found at the beginning was restless leg, very lucid dreaming, and can also making you feel a little foggy in the morning, but luckily all of those side effects have disappeared over the next few weeks
This drug saved my life. I was rushed to hospital with LC and was delirious for a week, pushed out of hospital in a wheelchair. I was bed ridden for 12 weeks. I went though hell as my autonomic nervous system was wired. I was waking up with electrical shocks, panic attacks. I then was prescribed 7.5 mg for sleep and wow, awesome. The sleep calmed my system and helped my body repair
have you noticed any weight gain? Also, just curious if you were effected by grogginess in the morning. Thinking of taking this but one problem I have is not being able to fall asleep until late and severe trouble getting up in the morning
@@JamesTarkovI found grogginess at 15mg but 7.5mg was better
@@JamesTarkovNo weight gain as I do 18 hours fasting
Did the exact same thing for me. Are you still dealing with any symptoms? I get like flare ups now and then ever since getting Covid in 2021. Starting to think I have hyperthyroidism.
@@aw8one Yes, still many symptoms it has affected my brain and nervous system the most. Nausea just typing this. Needle stabbing pains in my eyes, involuntary neck jaw and head twitches. Still insomnia, days were I can’t go out. The martazipne is a god send though. I’ve also still got tachycardia and if I walk for more than 500 metres I’m paying for it the next day. Slow progress
I have been on Remeron for 10 years. I have been scared to quit. But I decided a while back to stop. I had extreme insomnia and suffered from overthinking at night. But for 10 years I have been very overweight because of this drug. I binge at night, which also led to bad self esteem and another type of depression. I have been drowsy and had no energy for years. I can barely remember my life without it. For a couple of days I felt weird and unstable. Shaky. But then I all of the sudden out of nowhere feel happier and a type of joy I haven't felt in years. I also lost all my cravings instantly. It is really weird. I think Remeron is a great thing for a while to get you back on track. However I think 10 years have been far to long so you lose sight of who you used to be. For me, I should have probably quit years ago. And for some it probably works wonders over years too :) I think these kinda drugs there is such a huge variety of experiences. And you can only really know until you try it yourself. Dont lose yourself like I did. I am happy to be out of it now and to find who I used to be again :)
i completly get where your coming from i was on the stuff for 9 months and its hard to describe to people who arent on it, but the best i can say is that part of your brain which motivates you is gone, i was so diffrent as a person while on it, i lost all emotion and i didnt see anything wrong until i realized one day that on my daughters birthday that i felt nothing a complete indiferance of emotions, i couldnt even cry anymore, and i aplaud you for coming of it after 10 years, it truelly is a nightmare drug which only people who have taken it will understand, because it made me not depressed but also made everything else disapear which you kinda need to be a fuctional adult, and i do wish doctors would stop recommending this because its cheaper and less tested then the alternative.
Isn't it supposed to help with motivation?
Can I ask what dose are you on please?
Your videos are great thank you for all the info! I would recommend going easy on all the text effects and the background music it's a bit distracting. Since this is an educational video, I would enjoy the videos more if it felt less gimmicky. Nevertheless great content!
I also loveeeee that you include your studies and references in the description!! Thank youuuu
Thanks for the tip!
@@LevelheadedMind I actually love the text effects and whatnot! I’m a bit more visual and it helps me to remember! I think everyone’s different! Still great video!
Thank you for your continued education. Was wondering if starting this for insomnia at 7.5mg would it be hard to come off eventually since it hits lots of receptors? Maybe safer than the z drugs?
Thank you
Why would you use the dissolvable instead of the tablet, and vice versa? What are the advantages / Disadvantages of using each method? Does the dissolvable work quicker? Is it sublingual? I, like many others, haven't responded well to SSRIs (Last tried Lexapro) and I'm trying to resolve both insomnia and depression which absolutely eats at me and makes feel me awful. I feel heavy hearted everyday and almost anytime I'm awake. Also I also feel so tired and not alert because of not enough rest. Thank you for the good video. Depression is a horrible disease. Just to anyone else, when you are lost, you are not alone.
I have MDD. I started lexapro but it leveled off and i was still struggling. So my doc just added this to my lexapro. I took my first one a bit ago. So remeron at 15 mg and lexapro at 20 mg. Hoping this really helps! My BMI is down to 15 from the GAD so im certainly not worried about the increased appetite. I need that part of it lol.
Thanks for the info!
You're welcome! I hope this helps you.
I had that with lexapro it worked well for 5 month then completely stopped working then tried prozac and turned into a zombie sleeping 18 hours a day now I am on setraline is better but the fatique in thr muscles is horrendous and the insomnia is back 6 hours to get to sleep from when I put my head on the pillow. I tried effexor first that was utterly mind bending the worst of the lot. Time to try something new.
How has the combo been working for you?
@@jenniferlee9029 it didnt. The remeron has side effects and i was constantly sweating. Like soaked sweating. So they put it as a reaction and took me off of it. Lexapro is doing nothing alone, however still taking it. My current doctor just took another job. So now i have to get a new one and start over i guess. I did gain like 10 pounds in 2 months though. But lost it after i was taken off. They just added more lexapro. So now i take 30 mg.
Excellent video!! Can you please make a video about OCD specifically and best medication for treating it?
Great video idea, I will consider it.
Thanks for this information I just got it today for sleep 😴💤
I hope it helps you.
Miratazapine gave me Insulin Resistance, after i put 20 kg weight on, it made me to be all the time Hungry, i dont recomend that anybody
I experienced this as well when I took 30 mg. Other antidepressants as Paroxetine caused gastrointestinal problems and weight loss. Now Mirtazepine 7,5 mg -> a little bit of weight gain but not to say bothering.
I been on this medication for 2 years its saved my life. But i don't want to be on antidepressants for ever.
And what they don't tell you can become dependent on antidepressant.
I get moodswings thinking its all in my mind i want to find myself again.
Heal and move on but i scare of withdrawals symptoms.
I ended up getting covid this week
And i thought that was in my head too. No it was covid.
Thank you sharing the information! I've been taking Mirtazapin on and off for several years. I take 7.5 mg and it helps me sleep longer and fall asleep faster. Appetite is somewhat increased and I have hangovers, however no impact at all on my libido and sensation down there, I still very much enjoy sex 🙂 For me it's a great medication to treat my sleep disorder.
Been taking 45 mg for over a year snd a half, but over the last four months have become incredibly lightheaded, and only get relief when laying down
I want off this drug, so I'm trying 30 mg have been at that for about three weeks and will try 22 maybe next week.... hoping for better dsydy
Thank you for this. My doctor just put me on mutt for my PTSD but I was reluctant to turn to pharmaceuticals to treat it.
I stopped taking my mirtzapine rather quickly so I feel abit strange although I’m so over weight since taking this drug. 40 kg
Anyone gain wait on only 7.5? I've used it a few times & gained weight so much on 15g but I'm going to stick to 7.5 this time. I really don't like weight gain but the only one that works for me
This medication works incredibly well for my depression. I tired sertraline and citalopram (ssri’s) for four years before getting on mirtazapine, and they didn’t do anything to help. The only side effects that I get from mirtazapine is weight gain and vivid dreams (that sometimes manifest as nightmares, but not often enough for it to feel like a problem) but I’d rather be overweight than depressed at the end of the day. Mirtazapine also does wonders for helping me get to sleep, and feeling well rested in the morning. It also acts as a strong anti-histamine which has cleared up my allergies and hayfever so I no longer have to take tablets for that anymore.
How was your withdrawal with sertraline and citalopram? Thanks.
Does it help with motivation and interest in activities that bring you pleasure. Or it makes you emotionally numb?
Can you do a video about moclobomide?
I have adhd and have had insomnia in different degrees of severety throut most of my life. Mirtazapine accutally is more sedating to me at higher doses. It makes a lot of sense since my adhd medication also makes me sedated
This medication fixed my sleep issues and has very little downside. I think it has a slight drying effect but not super noticeable and I just have a big glass of water when I wake up.
After first dose I got terrible RLS,dizziness, grogginess and total brain fog.After first dose I was hungry during the night,couldnt stop thinking about food.Not for me at all.
Been on 6 weeks went to 22.5 week 4. No effect on my anxiety or depression . It has helped me sleep. Im about ready to give up on this med.
My house doctor took me off Mirtazapine because it helps not as good against anxiety as sertraline.
so you mind doing a memory and focus meditation?
Thank you for such an informative video! I’ve been on mirtazapine for a year now and it has been an absolute lifesaving medicament (plus therapy) and I am so grateful it worked, but, I have gained noticeable weight while on it but was wondering if people can lose the weight is gained whilst still taking antidepressants? My appetite hasn’t increased and I exercise regularly but can’t seem to manage to lose the extra weight.
It can be difficult to lose the weight, but it is possible. Intermittent fasting and/or Keto diet may be helpful, but be sure to clear this with your doctor first.
@@LevelheadedMindketo is a deadly diet. Stick to meds🙏 sorry
I use 7,5mg per day for insomnia. Works wonders. After one hour of intake, you will fall asleep. I do wake up in the night tho, but I will fall asleep basically immediately after that. Always have an audio book runnin to mitigate my tinnitus, and never remeber where it left off.
I take it, the sedating effect actually peaks 2-3 hours after taking the pill. Or about 45 minutes for the dissolving ones.
Nice to know, and I am taking that into consideration when I take the medicine. I was going after the fact, that the CMAX was about an hour after intake.@@rocksoliddude1
any chance to your tinnitus since taking it?
@@JamesTarkov Interesting question. Will do without the medication for a month. Remind me to post answer in late jan.
@@oshixxxx Did anything help with your tinnitus? Did you ever try Apple cider vinegar?
How do you taper if it is more sedating at lower dose?
Helped me sleep, but that's about it. Hoping i can get some anxiolysis.
I can’t imagine life without it, the sedative part happens on low doses, but with a higher dose it doesn’t make you sleepy. Works great for me to keep my thoughts in order, and keep the anxiety at bay.
How many mg do you take when and how long have you been on it
Any weight gain
How much r you on
Why is Seroquel bad? I’m on a few nights 15mg at night
Today took half in morning and other half in afternoon as I get bad anxiety heart racing panic attacks
@@Ohkeh640 30mg, once a day. I also use Prozac, this combination works for me.
@@Ohkeh640 none to speak of. Maybe a few pounds.
I been on Mirtazapine for 5 year's on all doses - mostly 30 or 45mg. Also taking Sertraline 200mg. I am still having depression and intrusive thoughts and anxiety. Doesn't keep me asleep very well. No weight gain as I have no appetite, in fact struggle to put weight on and can loose 30 pounds or more in few months when my head is bad.
You should be on a low dose to help with sleep I take 7.5g and it works for me I have been on higher dose 45g that just kept me numb not able to do anything.
Does these meds just keep you numb?
So why be on it for 5 years? 😢
@@diana.erika.333 cause shrinks don't want to change them
This medication should help with weight gain and sleep .
Does the tiredness wear off from Mirtazapine as you increase the dose?
for me most SSRI's had minimal to no effect on me Mirtazpine is one of few antidepressant that is right for me.
Hey.... I'm on mirtazapine 15 mg is that enough for depression and anxiety?
Thank you for the vid. Do you know which component of the medicine which promotes sleep ? Thanks
Blocks histamine receptors
@@karenpeart5997 ?
Mam please reply my gp prescribed me remeron for ptsd of sexual assault i ready many articles remeron is good for ptsd related nightmares but i don't have nightmares i hve flashbacks and avoiding places does it help with them plz reply
I took it in a small dose at first as suggested by my doctor it knocked me out cold but as I increased the the dosage it was less of a sedative worked well but the the 3 stone weight increase from 12 1/2 stone to well over 15 stone
Did you eat more
i literally took half a 45mg mirtazapine (doctor prescribed 45mg, psychiatrist told me to take half) for insomnia (also with some depression) and started watching this video... realized half of 45mg is still way too much for the sedative effect i'm looking for...
@levelheadedmind mirtazipine worked great at just half of 7.5 but gives me constipation and craving for carbohydrates .But it works so well for anxiety and insomnia.... Any suggestions.
Work on your microbiome, use a good probiotic with clinical research that it works such as MegaSpore. This can really help with digestive issues that are commonly caused by antidepressants. Of coarse make sure you are eating good, clean food and increasing fiber and water in your diet. Also, discuss with your doctor if probiotics would be safe for you to take.
I dont like the anticholinergic effects like dry mouth, light sensitivity and zombie hangover.
Could i drink a light coffee with this please ❤
I’m 5’3 108 pounds and I’m terrified of weight gain. I’ve been pretty much the same weight since I was 15 (I’m 22). Does it just increase appetite or also hunger (these are different but often used interchangeably)? After I eat, I’m still starving but don’t eat because I think my body is tricking me. It’s terrible. I’m always starving.
Thanks for information but music was very annoying during video
I was on it and it didn't really help me it was really drying my sinuses very bad..
My anxiety was so bad it was making me suicidal. I was prescribed Sertraline by an idiot doctor who failed tell me that it makes anxiety worse to start with. Before I went completely crazy another doctor prescribed Mirtazapine. I am 8 months in and though I am still slowly improving on the depression side, Mirtazapine is almost a miracle drug when it comes to anxiety. I went from a skaking wreck to a relatively calm person from the moment I started the medication. And I found that I have still been able to LOSE weight with my disciplined eating habits.
Better than most of the SSRI's / SNRI's. You have to trust the medicine and keep taking it at least a month before judging it. The extreme sedation during daytime tends to go away completely with time. The appetite increase does not go away but if you can excerise some willpower you can keep yourself from gaining weight / overeating. This drug can augument or be combined with almost everything (unlike most other antidepressants). It is also very effective against allergies.
I am tapering off Valium currently at 3mg and also taking 10mg of ambien. I take both Valium and ambien at bed time but only get 3-4 hour of sleep. My psychiatrist nurse Practinioner said that I need at least 6 hours of sleep to be functional, so he prescribe mirtazapine 7.5mg at bed time to help with sleep and weight loss . Please advise if I should take it during taper of Valium ?
Adding more medications when you are going through a benzo taper and most likely experiencing neurological injury is not advised. Look to the benzo coalition for support on this matter. www.benzoinfo.com/resources/#safer-cessation
Can i take this with Bupropion and Guanfacine?
So in the lower dosage such as the 7.5mg, is the weight gain still a big issue or is it more prevalent at the higher dosages???
Did u gain weight?
I'm coming off this one. Slow withdrawal for all a ti depressants. 3 months is too short. Weight gain too
New in antidepressants. Last month I tried for 2 weeks lexapro. Omg that pill gave me horrible sleep and nightmares, extremely sweating, bowel issues and felt nervous all day long. My doc told me to stop it because my body cant handle it because of my chronic stress that reacts with it. Today he gave me this medicine but i didn't start it today. I am scared of side effects and weight gain. I suffer from burnout I am totally exhausted. My body is like having an inner nervous shaking and I feel nervous, have a hard heartbeat and difficulty to relax. And insomnia of course. I dont want to take medicines but i am at the bottom now. Maybe I will find the courage to take it tomorrow. So 😱
Did you end up trying it?! I was also on Lexapro and just got prescribed this med instead.
@@kristinaluster Hi. I am on mirtazapine 0.75mg for 3 weeks now. Sleep is better now but hard to wake up. Some drowsiness during the day as well. But it helps with anxiety and fix my mood so far. Since i started I gain no weight but yes I am hungry but I don't let myself to eat more than usuall. My doc told my to try 15mg. I will do it at next weekend. Give it a try
How are you doing? Seems it works good so far besides the drowsiness but better then some sort of pain or anxiety. I also god it and im a bit scared to take it but it seems it doesnt have hard sideeffects
@@jimmyhopkins4095 give it a try. I am much better now. It helps with anxiety and sleep issues but tell your doctor to give you a starter dose at 0.75mg just to see how your body tolerate the med. I started with 3,5mg and after two weeks 7.5mg. I am ok with this dose so I don't need to take more at the moment. Don't be afraid as I was. Take it and if you don't like the way makes you feel stop it. I m waiting for your feedback. Good luck. Be brave and remember you are not alone
@@kristinaluster hello there! Did you started it finally? How are you?
I have found that this buspirone and agomelatine have the fewest side effects. I got prescribed duloxetine and got so terrible side effects that they were unberable. The gi side effects just started with the first day. I have to go back to mirtazapine because the sides were much better.
J am starting with 3.75 mg (half of 7.5 mg) of mirtazapine for insomnia, can be this very low dosage of mirtazapine (3.75 mg) potentially sufficient for insomnia?
Hello I am 73 and been on 7.5mg mirtazepin since 2018.
It was given because I had previously lost half body weight 80lbs.
I was almost dead.
Could not sleep had no appetite!
I did slot of praying upon my life.
I live with my son and he was loyal to care for me.
Sleep became a resting place.
Please research your concerns, talk to people .
Medications will have side effects that may make things worse.
Try prayer, yogo, research foods.
Find massage person.
I massaged my feet every day.
I learned to avoid toxic negative people, study your TV programs some may be too much for you.
Listen to music.
Dance, sing love yourself.
Research your Vagus Nerve it controls every organ and your brain it talks to them.
I am back now to 120 lbs feeling much better.
Find Your balance!
Have doctor test your B12 vitamin.
And your metabolic things.
Vitamin deficiencies can cause mental problems.
I will soon be taking the lowest dose of 3.5mg.
Are you sleeping now on that.?
Keep a journal of daily notes about your progress or problems.
It will greatly be your friend.
Don't allow fear or doubt to play on your mind.
Find a positive statement about your journey destination and use as your wakeup voice of truth.
Also not everyone around you will accept your journey ,so listen to your outer life and learn about trusting people who love you.
Accept that this moment your on is not your destination, but a new way to reach your desired goal.
Be kind to you, others may or may not follow that, but you will see who will or not.
Stand up for you!
You have right to be all you can be each day.
Some days may test you.
Learn about how you may want to be tested,.
This medical person here is very informative, but she may have not answered your questions enough.
Side effects are very important .
Your body will tell you how it feels on this medicine.
So love yourself through this too..
You are made for greater times.
Rise up and greet your life.
Hug yourself and believe in you!
I would love to know how the 3.5mg works for you to!
Peace to you!
A PA has me on Mirtazapine 7.5mg, 300mg Trazodone, and 300mg Effexor.
I'm afraid to take all this. Is it truly safe?
Not for people who alternate morning and evening shift like nurses or manufacturing line workers.
I have been recently prescribed 7.5 mg of Mirtazapine for sleep. So far, it really helps with me falling and staying asleep. However, I my dreams are very vivid and some dizziness in during the morning. Also, I have quickly noticed a major increase in my appetite. I counter the increased appetite by exercise and eating healthy small portions to prevent unwanted weight gain. I am also prescribed 100mg of Sertraline (Zoloft) for my depression. I have been using Sertraline for about six months. I am interested in knowing you opinion on this drug combination. So far I am content with everything, I am sleeping better and improved overall mood. Thank you so much for this video.
Do you still get vivid dreams ?
@@vanessanguyen4008 yes , I still do.
Yes, I still do
@@victoriaadams9697 how are you feeling now ? Are you happy with your life now ?
@@vanessanguyen4008Yes, I feel a lot better compared to earlier times. I suffered from depression immensely and I feel as if I finally have fighting chance.
Can mitrazapine effect periods ?I found it causes huge weight gain too.
Is mirtazapie more sedatiing at low doses and does thsi medicine effect kidney function on long term as my creatinine level is 1.2mg/dl age 25 male plz reply
It is more sedating at lower doses and it can impact kidney function over time so make sure you are monitoring your kidney function with routine labs.
Did your patients improve significantly after increasing the dose to 60 mg
Causes restless leg syndrome for sure
I’ve read about high efficacy when combining this with Buproprion. What are your thoughts on this?
Yes, can be great combination. Especially when using higher doses of mirtazepine to get greater norepinephrine effect. Bupropion can also mitigate the increased appetite of mirtazepine.
Would it be weird to request this combination from my psychiatrist (or at least ask her about it)? I've been trying TMS therapy but it's just not enough for my MDD and meditation has been a double-edged sword for me. Thank you.@@LevelheadedMind
Appreciate the video, but background music without distracting high-hats (high pitched claps) would make it easier to hear you. Like music from "Boards of Canada" for example, or a similar royalty-free music.
Not been on it long sometimes it feels like it’s working sometimes it feels like it’s not sometimes I can’t remember going asleep and sometimes I can’t sleep I wake up in a zombie like state we’re I don’t know what day it is and I’m just not with it very groggy ,I’m very agitated all the time for no reason tired and it makes me want to eat the world to the point I almost make myself sick and I’ve gained weight which is upsetting me alot because this will be the 3rd one I’ve tried 😢
Im on propanol beta blocker 40 mgs morning n night is there something else i can take to reduce my anxiety as i think mitraz would be idea for me
Hi, I took this for the exact reason and whilst I never suffered from anxiety attacks I've found that mirtaz has made me see logic in some situations and able to put harmful thoughts to the back of my mind. Been on them roughly 1 month.
Terrible medication propranolol
This cause really bad dry mouth. I also gained 10lbs.
Being on Mirtazapine 15mg since January 2024 works a bit but not fully. My doctor has put me back on fluoxetine. Is it wise to start taking fluoxetine I'm concerned the mirtazapine is still in my system. Advised, please.
I been on it 2 weeks I never had dreams or problems with my sleep recently but I cam only sleep 4 to 6 hours with intense night terror dreams and waking up feeling like I ran a mile or two... schizoaffective bipolar type on invega but added remeron to try to address depression even though I don't usually deal with depression long but I have lack of motivation and loss of pleasure in activities. I can't afford to disrupt my sleep schedule I will end up manic and delusional if I stay on remeron it's affecting my anxiety negatively as does any anti depressant. I wanted to attempt addressing depression but I can't handle the change in sleep duration lack of sleep and all of a sudden intensely horrific dreams from sleeping fine and zero dreams. I'd call it thr Friday the 13th drug ugggh
It takes nine weeks to kick in
Verry Bad, extreme Weight Gain, and developing of Insulin Resistance, later Diabetes, same bad as Olanzapine
It increases the release of serotonin and noradrenaline by blocking the presynaptic alpha2 autoreceptor.
it also blocks postsynaptic 5-ht2 and 3.
mianserin is similar.
These drugs do not primarily inhibit reuptake.
This made me a zombie while I was taking it regularly for depression. I still have it prescribed in a small dose it to assist with sleeping and it can be effective for that if used infrequently and carefully timed but I can't take it for long - as it accumulates I quickly lose all motivation and 'energy'. I have no effect from withdrawal other than relief of the symptoms.
How did u come off them
@@Ohkeh640 just changed to something else. cant remember what that was now
Hi ...I'm 18 years old ...medical student and because of that i need to work so hard also I have PCOS and low calcium (bone)...i just dont want to sleep alot (7/8hr per day) I want to reduce my sleep ~3/4hr ...plz tell me how to manage consistency in this schedule ....because if I sleep 3hr per day I just feel sleepy for whole day and my day is wasted plz prescribe me a tablet to reduce sleep and feel energetic in day time😢
Goin back on it mirtsz just for sedative 😮
Remeron has never helped me sleep at any dose so not everyone gets this side effect unfortunately.
So what causes the weight gain? Is it the increased appetite or a chemical itself in the drug?
Increase in appetite caused by the histamine blocking. Some people can overcome this with intermittent fasting and exercise.
Was just looking at this video and looked at comments. You're the first person I've heard of that said the same as me. Its really helped my hayfever as well. The only side is weight gain.but I'm going to start some exercise and cut down on snacking and see if that helps.
I get a lot of side afects off matazpine it gives me panic atacts
Why do you take it then if it doesnt work for you>?
@@brock8281 i took it becouse the dr sied it would help ?
Thanks, you did a video about Mirtazapin as I asked you some weeks ago! Wow, Thanks! I m on 150 mg sertraline and 30mg Mirtazapine per day (mirtazapine in the evening of course) for GAD and panic disorder. My doctor may want to high the dosage of mirtazapine to 45mg per day. Should I be afraid of this combination? I feel a little bit better now but I m afraid I need a little higher dosage.... thanks for your help!
You're welcome! You don't have to be afraid of that combination. Just make sure you know about serotonin syndrome and avoid OTC meds that can also increase serotonin. Here's the video I made on that ruclips.net/video/lhNXaG_kozE/видео.html
Took it for 9months 30mg titrated slowly off but am in such a mess with anxiety presumably withdrawal. No medical safety net
I am taking 45mg Mirtazapine and 200mg Sertraline and it's fine, just doesn't work well enough
@@xujznajit thank you for your answer. I m on 200mg sertraline now + 30 mg mirtazapine and it s pretty ok. I still have some heart palpitation sometimes but less than before. Hope you will be ok soon. Take care.
..... @@xujznajit
I'm on day 11 severe fever like symptoms body vibration does they go away please reply mam
Took me about 3 weeks before the side effects went away. I don't have any now, been on them for 7 years.
can u make a explaining video for dummies like me without all the scientic words XD
Get weird dreams & greater startle response on mirtazipine
I'm supposed yo take this for cptsd... the6 said it would help my extreme startle response... did it ever help?
Are there any smart drugs to increase memory and cognitive abilities?
Nootropics are used for enhancing brain function including memory and cognition. There are many nootropics out there not just one. One medication that was termed "smart" drug was Modafinil which is an NDRI stimulant medication used for narcolepsy, which I discuss in the video here ruclips.net/video/Vc2axpatrMU/видео.html
@@LevelheadedMind I’ve been using Modafinil to combat the foggy brain my PTSD gives me. It’s been a miracle drug
Is this good for people who need help with sleep (25mg) but have dementia and experience hallucinations and delusions?
huge weight gain
Gained huge amount of weight currently getting off them the withdrawal is bad beware
Let's say you're feeling better & going out late at night with friends. Should a person continue taking while avoiding alcohol or just miss that evenings dose? 🤔
Alcohol is the devil😂
I used to take it while drinking heavily regularly. I don't know what damage it caused, but I'm still here. Alcohol isn't a big deal with this drug. It just makes you more drowsy.
Mirtazapine 15mg helped me to sleep better during first 3 weeks, but now I sleep badly again...
Take 5 mg of zolpidem any sleeping pill or melatonin