Re: Starting on Mirtazipine and diary
Originally Posted by
BrokenGirl
I was thinking of asking her about Mirtazapine because I can't tolerate any SSRIs - have tried many of them but the side effects were too much for me.
A TCA like amitriptyline might be a better bet. The TCAs tend to produce fewer initial side-effects than the SSRIs anyway, but they are also available in very low dose tablets compared to their therapeutic dose range which makes it much easier to start at a low dose and ramp it up by the same small amount to limit the severity of any initial side-effects. The trade off may be some ongoing side-effects such as dry-mouth and constipation which can usually be well managed.
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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.