What is the equivalent dose?

[Missy_D]

Hi. I have had several changes in medication since December 2017 because of extreme side effects and I am now wondering as my mood is taking a definite downward spiral whether I am on the equivalent dose. In December 2017 I was on 225mg Venlafaxine but this gave me serious cardiac issues so I was weaned off onto Sertraline. At 100mg I was so ill (and ended up in the care of the Mental Health Crisis Team) because of the suicidal idealization and racing thoughts that it triggered, I was quite quickly weaned off onto Mirtazipine. However I have always been at 15mg. I did think that once they stopped the Sertraline they would have increased it but it hasn't happened. Sadly because I have managed 4 months without a crisis and have completed STEPPS (I suffer from EUPD and STEPPS is a recognised psychological programme for this illness) I have been discharged from my local Mental Health Team so only have my GP to sort my medication out.

[MAS_Nurse]

Hello Missy_D

Thank you for your message. It sounds as if you have had a lot to cope with and have worked in a very positive way towards getting to this point.

May be you could have a talk with your GP about getting some further referral to help with your medication?

The pinned posts and topics might have more information and help for you.

MIND may also be able to help with your situation mind.org

This is a supportive forum, so other members may have more information and personal experience that will be helpful.

Do let us know how things go for you.

Take care and best wishes

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Missy-D

i have an appointment with my GP tomorrow, they changed a medication about a month ago and tomorrow I have a review to find if I will stay on this improved medication. The amount of medication is different than the amount of the old medication although the new medication seems to be working well, all medications have different recommended doses.

If you have gone through all your treatment options and been discharged make an appointment with your GP and ask what He now recommends. Could it be He may wish to see how you get on before more decisions are made regarding your health and medications.

If He decides to try you on a new medication, give the medication time to work. Four weeks or more, Ask for a review say four weeks to discuss how you are getting on.

Your GP will advise, follow His recommendations

BOB