Re: Mirtazapine prescribed for stomach issues
Originally Posted by
Belleblue
But to be fair to him perhaps he is more used to the TCAs being used for IBS issues and is not aware that SSRIs etc. are being used to help if there may be some visceral hypersensitivity caused by or alongside reflux.
I can understand the reluctance as SSRIs can be tricky when it comes to the gut. They may work well, or they can make things much worse very quickly. The is also much less data compared to TCAs like amitriptyline and its metabolite nortriptyline which have been in use for decades. It can also take a long time for information to get from the lab to GPs and some may get missed under the avalanche of new info GPs have to cope with. As one of my former GPs used to say, GPs know less and less about more and more (as information grows across all fields and new fields emerge such as on the gut) and specialists more and more about less and less (as specialities increasingly split into sub specialities - it may get to the point that if you want a bunion removed who does the slicing and dicing will depend on which toe and whether it's the right, or left foot!)
However when I tried SSRIs many years ago I found I couldn't sleep and felt very jittery and anxious. Though I must confess that I feel I may have given up too quickly.
Do you remember which ones? Fluoxetine (Prozac) and sertraline (Zolof, Lustral) tend to be be the SSRIs most likely to trigger jitters and insomnia, citalopram and escitalopram less so, though as with everything about ADs, YMMV.
__________________
The opinions expressed above are based on my observations and, where applicable, interpretation of cited data and are general in nature. Consult your physician before acting on anything stated.