mirtazapine

[Springvale23]

after a history of depression, anxiety, cyclothymia and various meds over nearly 50 years. Although past 15 years continuously taking meds. I started Mirtazapine 15 mg in August 2024. First tablet to help lift my mood and sleep better. But side effects of muscle pain are severe. Especially in my fingers and upper arms and legs. Struggling to move around. I decided to reduce to 7.5 mg hoping side effects less , but my mood plummeted and I was in a state of distress. So have increased again and after 4 days of taking 15 mg my mood has rallied. But pains severe. Will continue with meds albeit with the pains as I can’t go back to the terrible state I was in.

any tips on help for pain. Not nagging pain like toothache, dull pain and stiffness are sore when moving. Dr gave me naproxen and co codomal .

[linuxusr]

Hi Springvale23: These are questions for the GP (re: the pain) and for a psychiatrist with a strong background in psychopharmacology. Members here do a great job offering sympathy but no one here has the capacity to offer professional advice. Sympathy may help you to feel a bit better but will not solve the problem.

[Springvale23 in reply to linuxusr]

Thanks. My GP is kind and attentive but is recommending a different anti depression and at same time pointing out all meds have side effects. Will have a chat again and ask for referral

[linuxusr in reply to Springvale23]

That's true. All medications have side effects but not all medications have the same side effects, plus particular side effects occur with greater frequency (common) or lesser frequency (uncommon). Individuals react differently so it is possible that you will not experience a given side effect. The only way to evaluate side effects is to start the medication and take a "wait and see" approach. Some side effects are short-lived and disappear in time. Others are chronic and you have to decide if it is worth living with them or not (cost/benefit). Sometimes if you cannot live with a certain side effect, a medication change will be indicated. Sounds like you have a good plan. I'm happy to hear how things work out (or don't) if you are up to sharing.

[jjpeabody]

Hi Springvale23, mirtazapine really helped me with my anxiety, insomnia and just about everything but eventually seemed to stop working and gained about 15 pounds plus higher cholesterol. The all time best medication was nefazodone but it had the potential to cause serious liver damage so I quit it, it is still available as a generic by tevia I believe. Meds are not an easy journey. I like recommendation of psychopharmacologist and possible combination therapy, as I never had an SSRI work by itself. Some people have mentioned imipramine, an older med as possiblity. Good luck, it's not easy. Take care

[Springvale23 in reply to jjpeabody]

I have never had a successful anti depression tablet. As I have cyclothymia , I experience pleasant highs and confuse this with the thought that meds are working. Only to crash and realise they aren’t . Thanks for responding

[SsgCulldelight]

Hey oh I don't like to hear that your in pain, you should know though that meds only mask the pain and after taking them so long your body builds a tolerance just like it did for Everything else, and of course the temp answer is always another med. Smh, it's never too late to fast, and use pure herbal remedies because most med Are petroleum based, and That Is part of the problem. I am not saying to stop anything, I'm just saying that the meds are part of the issue. Your body is not going into neutral or remissing because of meds, your natural protections are actually systematically being turned off or muted. The body is a metabolism machine, minerals, vitamins , fats, and enzymes Are all natural when we medicate we tell those Lil workers to do something else, I know disease is prevalent and must be addressed, but the cure for any ailment has forever lay on the body's ability to perform its function. Herbal teas, and one I know works immediately, rubbing alcohol and crushed avocado pits, mixed in a spray bottle let sit for 2 hours, spray and rub on affected area, immediate relief from pains in joints or muscles. Try it. Cheers hope this helps.