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changing from venlafaxine to mirtazapine and confused

(9 Posts)
chopin33 Sat 25-May-13 21:07:08

Hi there Pumpkin Pudding pie. I have been on mirtazapine since the end of March and it has done wonders for my mental state. I was on prozac for ages but it stopped working my (new) GP then put on me onto dosulepin which did nothing for me at all so I rang in the surgery at the end of March - this was oh Mauny Thursday and said all the dosulepin was doing was giving me dry mouth and making me go to bed at the same time as my kids - about half seven to eight o clock. I was pretty desperate so he suggested changing to mirtazapine as I say I got the prescription on the Thursday took it on Thursday night - GP's parting words to me were "have a nice Easter and get a good night's sleep " I did not think either were possible as I have been feeling very depressed for so long and not sleeping lo and behold I slept like a baby and the next day Good Friday my kids were off I felt great put in a full day went to church with them went out to soft play came back and made dinner. So I would say go for it it is the best anti d I have been on - it works fast (for me) and no feeling ok one day but bad the next which I have experienced on other anti ds. I did put on some weight I had lost but ate healthy and lost some of it again So I would urge you to give it a try hth chopin

PumpkinPuddingPie Wed 22-May-13 16:45:06

I ended up going back to see my GP, my mood/mental state went downhill very quickly.
As I have had 5 days with no venlafaxine gp said I could start on the mirtazapine today, also have some diazapam to get me through the next few days. I am filled with dread at the children being off school next week sad

Dancingqueen17 Tue 21-May-13 14:04:27

I am currently cross tapering from venlafaxine to sertraline. I've come down from 375 venlafaxine daily. It's been a long slow process but has gone v well with min side effects now down to quarter of a 37.5mg tab daily. I went down in 75mg increments doing 3 weeks at each dose until I got to 37.5 (smallest available dose) then halved the tabs then quartered them. Also taking 100mg sertraline but that dose can't be increased until off venlafaxine. At one point I was reducing by taking tabs every other day but then told not to do that because the drug has too short a half life. Had some experience of feeling electric shock like symptoms when a dose over due but other than that felt really well. This is just my experience, I would highly recommend contacting GP or psych to confirm their plan for you. Good luck!

justpoppy Tue 21-May-13 12:23:08

I would speak to the pharmacist just to confirm. Some psych's do prescribe Venlafaxine and Mirtazapine together tho (V in the morning and the Mirtazapine at night) so I wouldn't see any harm in starting the Mirtazapine right away (especially as you're feeling a little wobbly). Do make sure you take it at night though - about 30 minutes before you want to go to sleep because it will (for the first few days at least) have a very sedating effect.

PumpkinPuddingPie Tue 21-May-13 12:07:18

Thanks tabbycat, hadn't thought of that and a damn site easier to see our pharmacist than to get a doctors appt

tabbycat15 Tue 21-May-13 10:12:48

You could always ring a pharmacist & see if they could advise.

PumpkinPuddingPie Mon 20-May-13 22:38:21

thanks altered, I suppose that would be the most sensible option wouldn't it. I'd just prefer to find out the protocol without the faff of even trying to getting through to the surgery smile

AlteredState Mon 20-May-13 20:19:25

Have you tried ringing your gp? It might be written in your notes what to do and then you wouldn't have to wait for another appointment iyswim.

PumpkinPuddingPie Mon 20-May-13 14:39:40

I am in the process of changing over medication and can't remember how I was told to do it, google hasn't helped either!
I have tapered down the venlafaxine from 300mg daily to 150mg every third day.
I am feeling decidedly wobbly now. I really don't want to have to go back to the go and waste an appt getting explained to me.can I just start the mirtazapine now or do I have to wait. Sorry this message is so disjointed but my brain hurts!

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