Re: Venlafaxine and mirtazapine
I've had a look online and it seems that you don't have to be hospitalised to be on 375mg of venlafaxine, though it also mentions that doses above 300mg should only be prescribed by a specialist.
At the highest dosage, venlafaxine inhibits reuptake of dopamine also, which can have an added antidepressant effect.
I think its good how you are being involved in your treatment - most doctors will tell you to take something or other and not give you any say in the matter.
If its depression that you're facing - have you considered taking vitamin D or B-vitamins to help your mood? Also consider a supplement called L-Tyrosine. I've taken these supplements with antidepressants before - but as you're taking a really high dose I would run it by your GP/psychiatrist for their opinion. Generally, the vitamins should be safe, however. Omega 3 fish oil would be beneficial too.
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Today's mood rating - calculation in progress.