Mass Hunger

[SEANML]

Lol I can handle the weight but the catch is... I had a Nissen Fundoplication last year. So this craving has led to some crazy times. May have busted my surgery. So my only question is, who has lasted over 6 months and knows tips on the cravings maybe foods that fill you up. I feel the urge for sugar, massive amounts of sugar lol, but I use to drink syrup (no diabetes thank god lol ) So whats your story! I cant stop and wont stop this med. Dr gave me stims for my adhd and I am still hungry!
Amazing medication, many years to find this solution with a nasty side affect. My mom told me the hunger I describe is like a diabetes patient (she has type 2) my sugar is low.
I somehow do a 24 hour fast once a week but I cant fight it any longer and its painful lol, insanity ( completed 1 fast, doing one right now! I want to do a 48 hour one day. I hear it can help discipline hunger.

~Sorry for my rough english, I have a hard time typing due to a brain injury I do apologize~

[panic_down_under]

I cant stop and wont stop this med

I understand the desire to stick with a med that works when others haven't, but also consider the bigger picture. How good is a med that might be causing you real long term harm? You might not be diabetic, atm, but the intense carbohydrate craving is likely taking you down that path and with a family history of the disease you are at higher that usual risk anyway. Mirtazapine isn't really that good an antidepressant. It mostly relies on sedation and there are other meds which may give you a similar outcome without the hunger issue, for example trazodone (Desyrel, or preferably the extended-release Oleptro formulation).

You could also try eating a moderately high protein, moderate fat (mostly unsaturated) and low carb diet, but the mirtazapine induced carb cravings are not going to make it easy, especially at the beginning.

[SEANML]

I understand the desire to stick with a med that works when others haven't, but also consider the bigger picture. How good is a med that might be causing you real long term harm? You might not be diabetic, atm, but the intense carbohydrate craving is likely taking you down that path and with a family history of the disease you are at higher that usual risk anyway. Mirtazapine isn't really that good an antidepressant. It mostly relies on sedation and there are other meds which may give you a similar outcome without the hunger issue, for example trazodone (Desyrel, or preferably the extended-release Oleptro formulation).

You could also try eating a moderately high protein, moderate fat (mostly unsaturated) and low carb diet, but the mirtazapine induced carb cravings are not going to make it easy, especially at the beginning.

Truth is, I already use trazodone 200mg plus 30 mg mirtazapine to sleep. 200mg trazodone use to put me to sleep and then it stopped after years of use. mirtazapine and amitroptiline have worked well for mood and sleep but I stopped ami cause of the ana scare, and having a harder time passing waste lol.Also couldnt even flex my stomach muscles and that was only 20mg. I dont like seroquel and the drug benzos hurt my brain. Mirtazapine has this calming effect makes me so worry free. Not a fan of ssris either, evil side effects for me.

Daytime I do not use anything, stopped my stims just cause... it really makes you mood so medium so boring, was on 60mg Ritalin on 10 mg increments. Solves hunger but definitely can make your personality different.I take a 20mg CBD pill in the morning and there is my day Plus coffee all day. Not much water when I come to think of it lol.

Ooo also I can fight the urge to eat sugars. I eat fruits all day and I am fine, sure some syrup would make me feel amazing but I just wont drink it, sometimes I will take a raw cane sugar pack once in the night if I am driving lol, but no more insane drinking of it.

[panic_down_under]

Truth is, I already use trazodone 200mg plus 30 mg mirtazapine to sleep. 200mg trazodone use to put me to sleep and then it stopped after years of use.

The thing about trazodone, and also mirtazapine to a lesser extent, is that the higher the dose the lower the sedation. Trazodone is typically far more sedating at 25mg than 200mg and it pretty much disappears completely at the recommended 300mg+ for anxiety and depression, especially with slow/extended release formulations which are better at keeping plasma levels above the sedation threshold.

mirtazapine and amitroptiline have worked well for mood and sleep but I stopped ami cause of the ana scare,

The added risk of heart disease from TCAs is small, the risk from mirtazapine weight gain and diabetes is much higher with the risk from uncontrolled anxiety and depression being higher again.

and having a harder time passing waste lol.

Increasing fibre and water intake often lessens TCA induced constipation.

Daytime I do not use anything, stopped my stims just cause... it really makes you mood so medium so boring, was on 60mg Ritalin on 10 mg increments. Solves hunger but definitely can make your personality different.I take a 20mg CBD pill in the morning and there is my day Plus coffee all day. Not much water when I come to think of it lol.

Ooo also I can fight the urge to eat sugars. I eat fruits all day and I am fine, sure some syrup would make me feel amazing but I just wont drink it, sometimes I will take a raw cane sugar pack once in the night if I am driving lol, but no more insane drinking of it.

Again, taking/eating stuff with far more potential negative health effects compared to the small added TCA risk.

[SEANML]

I hate the positive Auto Immune and Rheumatoid factor for Amitryip, My biggest fear is auto immune disease, right beside cancer. Other then that I would take amitriptiline in a second. Also hair loss from it is scary :P My doctor retires in a week and this is the last chance I have if I wanted to change. I wont have a doctor for a few months.

I have health anxiety that I overcame but seeing the auto immune risk just scares me shitless. I can avoid diabetes by not eating that sugar :P But my surgery paid for it. I dono its a tough one, I just wonder if anyone has stayed on it long term conquering hunger?

Do you know anyone who was on mirtazapine long term successfully? Or amitrip

[panic_down_under]

I hate the positive Auto Immune and Rheumatoid factor for Amitryip,

Just because something is listed as a potential side-effect doesn't mean the med actually causes it. The lists are compiled from drug trials reports and list everything that is reported, even things that can't possibly be caused by the med such as bacterial and viral diseases. I have been only able to find one case report involving antinuclear antibodies (ANA) and amitriptyline and the AD was used to treat the condition, not its cause. Like many TCAs, amitriptyline is a potent antihistamine which can significantly ease immune disorder symptoms and may prevent them in some circumstances.

BTW-anxiety and depression are arguably themselves the results of an autoimmune response which kills brain cells in the hippocampal regions of the brain. ADs work by stimulating the growth of new cells - see: Depression and the Birth and Death of Brain Cells (PDF) and How antidepressant drugs act..

I have health anxiety that I overcame but seeing the auto immune risk just scares me shitless.

A little knowledge is a dangerous thing. You are taking meds which have a far higher risk of doing you harm because of a potential risk which probably doesn't exist.

Do you know anyone who was on mirtazapine long term successfully? Or amitrip

People have taken both for decades without issue.

[SEANML]

thank you for that info I go visit my new doctor in January. But I see my main family doctor next week (for the last time)
Current dr just said "be careful" lol. I know alot but I dont know Serotonin syndrome, never had it luckily

Can you suggest other meds like traz/mirt/ ? Just to give me other ideas to read up on and maybe discuss with a doctor? Seroquel was a fail :P and benzo is horrid on my brain injury.

I am trying the amitrip again but too be honest I hate starting new meds and side effects :P . I didnt even like Mirtazapine . I was able to sleep on just 200mg traz for 20 years lol. Something went horribly wrong and not I am trying all these drugs that have weird side effects :P Traz never had side effects for me :P

Supposedly amitrip can be a really good drug if I give it it's chance. But I just have fears of side effects you kno a worrier :P

[panic_down_under]

I know alot but I dont know Serotonin syndrome, never had it luckily

It is much, much rarer than Dr Google suggests. Very few doctors have ever seen a genuine case. It is something more likely with MAOI class ADs.

Can you suggest other meds like traz/mirt/ ? Just to give me other ideas to read up on and maybe discuss with a doctor? Seroquel was a fail :P and benzo is horrid on my brain injury.

I think TCAs and SSRIs/SNRIs are better bets than some of the marginal ADs such as mirtazapine (which is more sedative than antidepressant).

I am trying the amitrip again but too be honest I hate starting new meds and side effects :P .

The only people who are happy at the prospect of starting an AD are those who've never been on them. They are a necessary evil. The thing to keep in mind is that while the initial side-effects can be unpleasant, they are rarely a sign of harm.

I was able to sleep on just 200mg traz for 20 years lol. Something went horribly wrong and not I am trying all these drugs that have weird side effects :P Traz never had side effects for me :P

You were lucky. Trazodone is just as capable of producing severe side-effects as any other AD. It all comes down to how a med meshes with individual biology. Interestingly, however, trazodone can counter some common SSRI/SNRI side-effects.

Supposedly amitrip can be a really good drug if I give it it's chance. But I just have fears of side effects you kno a worrier :P

Unfortunately, in addition to our main anxiety disorder many of us also get med phobia as a freebie. Personally, I would have preferred the steak knives!

[SEANML]

Hmm have you hear much about Nortriptiline?

[panic_down_under]

Hmm have you hear much about Nortriptiline?

It is a TCA which mostly inhibits noradrenaline, aka norepinephrine reuptake. It can be very effective and is definitely worth a try if serotonin biased reuptake inhibitors prove ineffective, or intolerable. Old school psychiatrists would treat treatment-resistant depression by combining it with a SSRI, usually sertraline, to essentially create a bespoke SNRI, but most psychiatrists these days seem oblivious to the potential/advantages.