UPDATE help plse

[crazychickuk]

Hi well, i went to the physciatrist yesterday, she kind of said to me that valium was bad to take and to stop taking it, she also mentioned that alot of people have been suffering from nightmares since the new release of mirtazipan (tab to soltab) I told her i stopped them, i told her about wat affects i had with dothiapen.. she offered me effexor can you beleive it? i blame that for my anxiety in the first place :-( BUT i was in 2 minds weather to give it a g o or not, she said high blood pressure is rare and only happens when you go up to 220mg but i would be on such a low dose, she also said inderal would combat the side affect of a raised heart rate etc... then she changed her mind and said i should try remeron again, she rang her hospital pharmacy and they had 5 mnths supply of the tablet form mirtazipan... she told me to cut them in half to 15 mg so i got 10 mnths on them, mainly for sleep and for my anxiety... anyways, she has signed me of again, i will be going to the mental hospital one time a week for therapy only for a few sesions, i dont know what to do, i asked her if i could take effexor and mirtazpan together but no she said no no no no wtf? so what shall i do? shall i just go to the doctor and talk to him about it?

p.s.. i got a ecg 24 hr monitor schedualed for 10th september to ease my mind before i me ss about with any more meds, i hate the raised heart rate from them it freaks me out, so i wont be trying nothing till after i have had the monitor..

anyways what you guys reccomend?



Luv Y'all


Donna

[sweetwater]

hi donna,
i have been on both efexor and mirtazipan...and neither worked for me, but everyone is individual and mirtazipan may be the go for you, as it is not an SSRI like efexor, which can cause elevated heart rate, if you are sensitive to the serotonergic effects of it, which i found i was. mirtazipan, is a newer drug, and tends to sedate more than efexor. you cannot take the 2 together because they are kinda opposites, efexor tends to fire you up with the serotonin "feel good" hormones, which seems strange for people for anxiety because they are already wired up enough, but the principle is, that they increase your hormone levels so it raises your pulse, your blood pressure a bit, to make you feel good and energised, so then you don't suffer the anxiety and depression because you feel better. mirtazipan tends to make you a bit drowsy, working more on the blocking the anxiety principle, it also increases your hormones or something too, but one of the biggest things i noticed with it was the cotton wool feeling in my head. if you are not keen on either, ask for something else. hope this helps.

[crazychickuk]

hi thanks for the reply, well i was taking effexor for mildest of mild depression 4 years ago and i blame that for the cause of my severe anxiety..... i tryed tca's makes me hrt go all fluttery, ssri's make my heart rate high and raise my bloddy pressure, i am to afraid to take inderal which i have here, valium which i have here dont touch me... [V] i was taking mirtazpan for over a year it was pooping out on me anyways, still made me sleep like a baby.. BUT as soon as they changed it to soltab i started having probs... [V] i have also tryed trazadone which gave me same reaction as tca's did....... whats left?

Luv Y'all


Donna

[sweetwater]

i totally sympathise with you...i've had problems with meds too...most made my anxiety worse or doped me up so i couldn't think straight...seems you have one class called the MAOIs left to try. it stands for monoanamine oxidase inhibitor, which is a hormone in your brain that this drug inhibits the re-uptake of it, so therefore you have more of it, because all antidepressants are working towards inceasing hormones to correct the chemical imbalance. i have been on one of those called parnate. unfortunately with this particualr class, the drug interacts with this enzyme tyramine, which is found in food, so you have restrictions on what you can eat. you cannot have matured cheeses, certain red wines, vegemite, processed meats (ie. salami) and there are others. ask your psychiatrist about it, they are the specialists. with regards to inderal, it can be good for blocking panic attacks, and also good for keeping a racing heart under control, and keeps your blood pressure down too, so it could be ok for you. the down side of it is it can make you feel light headed, breathless, and when you go from sitting to standing you can feel dizzy. but it doesn't mess with your head because it works on blocking the physical sensations of a panic attack, so it assumed if you don't feel the racing heart, the shakes, the difficulty breathing, your mind stays calm and you don't actually suffer the attack.