Hi Lisa,

Mirt will zonk you at first, certainly - but many people are in hell when they first take it, so that can be handy. You should feel less zonked after a while.

Many people in these parts are on Mirt & Preg, including me.

You are also on Fluox, which makes for 3 mood drugs - most GPs wouldn't want to manage someone on so many, so s/he must be pretty expert, which is good. (my experience is that most GPs sadly arent expert with MH and don't like managing multi-drug people, preferring to leave that to Psychs.)

Certainly it seems that Mirt + preg can work well - dont know how/if Fluox too can add, but I've never taken that one.

The good news is that in that news report about AD efficacy, Mirt came 2nd from top (just behind Amitryptaline, which is old as the hills...)

https://www.theguardian.com/science/...ve-study-shows

Bottom line, you shd get over the start-up side effects of Mirt soon; discuss with your doctor re dosages etc.

Albert