Results 1 to 9 of 9

Thread: 7.5mg and 10mg Cit - should I up dose to 15mg Mirt?

  1. #1

    7.5mg and 10mg Cit - should I up dose to 15mg Mirt?

    Hiya

    I have been struggling with anxiety for many many years with regular visits to me drs. Eventually I was referered to see a p/doc - who i saw on 24th June.

    He diagnosed me with GAD and, as I already take citalopram, put me on 10mg of cit and 7.5mg of mirt. ((I previously had tried upping the cit to 20mg but had bad side affects - my p/doc said that i am most likely sensitive to meds as 20mg should be easy for me to tolerate after the inital 2 week start up)).

    From 24th June for a month I have felt wonderful - life has been a total joy and pleasure....in this month I was on holiday in Greece for 2 weeks without a care in the world. Hooray, I have been 'cured' and am now back in control.

    HOWEVER, I am now back from holiday and since sunday night (back to work monday) my anxiety has come flooding back with avengence. I have had a really bad few days (mon / tues / and so far today).

    so in the month since seeing p/doc I have felt fantastic for 4 weeks - but horrendous for the past 3 days.

    is this because the 7.5mg of mirt has pooped, or just because coming back to work after hols is generally stressful and i have worked myself up to my bad thinking habits again...

    should i ride it out and stay as I am - or up the mirt to 15mg....my d/poc said up the dose to 15mg if 7.5mg of mirt isnt working - but the thing is, is that the 7.5mg has been working - right up until the past 3 days (where I have come back to work after being on holiday).....tricky!!

  2. #2

    Re: 7.5mg and 10mg Cit - should I up dose to 15mg Mirt?

    Been bad all week and this week hasn't started much better. Come on guys - 58 'reads' and not one reply!

  3. #3
    Join Date
    Apr 2003
    Location
    , , United Kingdom.
    Posts
    45,385

    Re: 7.5mg and 10mg Cit - should I up dose to 15mg Mirt?

    Not all the replies are "real" people - just so you don't feel you are being ignored.
    __________________
    Nicola

    “Don't be afraid of death; be afraid of an unlived life. You don't have to live forever, you just have to live.” - Natalie Babbitt

    Please help keep NMP running and donate to the running costs: http://www.nomorepanic.co.uk/donate




  4. #4
    Join Date
    May 2013
    Posts
    64

    Re: 7.5mg and 10mg Cit - should I up dose to 15mg Mirt?

    Hi, I didn't want to read and run. Got no real advice for you but just wanted to say only YOU can make the decision!
    It may well be that you have had a wonderful stress free time because of going on holiday and that the reality of going back to work has hit you with avengance. Why not see if you can ride it out for a few more days and if you're still really anxious see about uping to 15mg. You can always go back down to 7.5mg if you find 15 to high!

    I am also on Mirt (15mg) and my Doc recently said about increasing it to 30mg as i felt they had stopped working for me which i did for a few days and they made me feel so bad (probably the side affects like when you first start taking them) so i have gone back down to 15mg! Am seeing my Doc tomorrow so will discuss with her what to do now!

    Hope this helps you a little!
    Remember you are not alone in this. There is lots of help out there.

  5. #5
    Join Date
    May 2013
    Posts
    418

    Re: 7.5mg and 10mg Cit - should I up dose to 15mg Mirt?

    Quote Originally Posted by Devonchap View Post
    I previously had tried upping the cit to 20mg but had bad side affects - my p/doc said that i am most likely sensitive to meds as 20mg should be easy for me to tolerate after the inital 2 week start up.
    I don't have experience with it so I don't know how realistic it is to keep upping the mirt, but that doesn't seem like a long term solution. Obviously you could go up to 15 on the mirt, but the question is how long before that poops out too? I would try to look at this is an opportunity to plot a long-term course with no fear of mirt pooping

    How about trying 10 mg escitalopram, rather than cit? Some people find that easier and it is sort of equivalent to 20mg cit, with fewer side effects for some people. I just transferred from 20mg cit to 20 mg escit and... so far so good.
    __________________
    "Tous les jours à tous points de vue je vais de mieux en mieux" (Every day, in every way, I am getting better and better) - Émile Coué

    "If you are going through hell, keep going." - Winston Churchill

    "When it is dark enough, you can see the stars." - Ralph Waldo Emerson

  6. #6

    Re: 7.5mg and 10mg Cit - should I up dose to 15mg Mirt?

    thanks all

    As the Mirt seems to poop quite quickly, I think I am going to try to increase the cot to 15mg - which hopefully I will tolerate better than the 20mg (which was awful last time i tried)....and stick on 7.5mg of mirt for sleep.

    Does that sound sensible?

    i am also trying to get step 3 CBT for longer term resolution!

  7. #7
    Join Date
    Jul 2013
    Posts
    44

    Re: 7.5mg and 10mg Cit - should I up dose to 15mg Mirt?

    Hi there. I'm on mirtazapine 30 mg. I think it did help me a lot to begin with. It brought me out of my low mood and quietened me down a bit if that makes sense. I was so agitated to begin with and it helped. I do want to just say though it didn't cure my anxiety and I do still have to work on myself. I think when you came back from holiday and felt bad again that was in a way to be expected. A lot of anxiety is memory and coming home probably brought past suffering back. Keep trucking on, bad days always pass. You are on a very low dose so maybe u could up it a bit. I couldn't tolerate ssris so I can't offer any advice there

  8. #8
    Join Date
    Feb 2011
    Posts
    421

    Re: 7.5mg and 10mg Cit - should I up dose to 15mg Mirt?

    Mirt doesn't poop quickly. Many people take mirt for years and continue to have real benefit.

    It is common for people with anxiety to have blips of high anxiety even when taking medication. They may jump to the conclusion that the medication has pooped out. This is not necessarily the case. When you go through a blip you have to ride it out, it could last a day or several weeks.

    Mirt can be taken as a high dose 30mg / 45mg or a low dose 7.5mg / 15mg.

    The low dose works completely differently to the high dose.

    Low dose: Sedating / calms you down

    High dose: Stimulating / picks you up

    Combined with an SSRI a low dose of Mirt will calm your nerves and the SSRI will improve your mood. A good combination.

    Talk to your doctor, a higher dose is not necessarily better as it causes a different effect eg. from calming to stimulating.

    CBT is the best long term solution

  9. #9
    Join Date
    Jul 2008
    Posts
    2,587

    Re: 7.5mg and 10mg Cit - should I up dose to 15mg Mirt?

    I take 45mg mirtazapine and 1,000mg lithium at night. I find the two in combo extremely sedating. I had always believed from my psychiatrist that the mirt was still sedating even at 45mg. It certainly helps me sleep. If the lower dose is helping with your anxiety then I would stick with that. I'm not sure whether the mirt is stimulating but I do work part time and also have a fairly hectic 'other' life. It keeps the gremlins at bay but I do not feel over sedated. I was taking 175mg of dothiepin as well at one time. That was really sedating!! EJ

Thread Information

Users Browsing this Thread

There are currently 1 users browsing this thread. (0 members and 1 guests)

Similar Threads

  1. 30mg of Mirt & 15mg Cit
    By MardyBum in forum Mirtazapine /Zispin
    Replies: 3
    Last Post: 27-08-12, 14:51
  2. Increased from 10mg to 15mg -- anxiety got bad!
    By nagiko in forum Citalopram / Celexa
    Replies: 1
    Last Post: 16-03-12, 15:33
  3. Upping my dose from half a 15mg tablet to whole 15mg tablet
    By MardyBum in forum Mirtazapine /Zispin
    Replies: 13
    Last Post: 17-10-11, 21:11
  4. Afraid, prescribed 15mg Mirt
    By SadBear in forum Mirtazapine /Zispin
    Replies: 8
    Last Post: 22-09-10, 22:14
  5. Why lower dose Mirt = more sedative effect than higher dose?
    By Desprate Dan in forum Mirtazapine /Zispin
    Replies: 7
    Last Post: 06-08-10, 21:52

Tags for this Thread

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •