sertraline to Mirtazipine: Hi, I... - Mental Health Sup...

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sertraline to Mirtazipine

Dawnyvo profile image
13 Replies

Hi,

I recently switched from mirtazipine to sertraline, I think now it was not a good move, the side effects from sertraline are beyond debilitating. Nausea , diarrhea and worse anxiety, is it worth starting over again on mirtazipine? I’m really struggling and have been out of work with the side effects..

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Dawnyvo profile image
Dawnyvo
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13 Replies
Boston001 profile image
Boston001

How long have you been taking the sertraline? I was taking that for 4-5 years

Dawnyvo profile image
Dawnyvo in reply toBoston001

hi, I was originally on it for 15 yrs, then stopped abruptly, off for 9 months. I was started on mirtazipine last September 2022, was increased in slow doses, long story short I was on 30mg and felt I did better on sertraline. I’ve been on it now 4 weeks at 50mg, I’m just really struggling with side effects which is making think to go back to mirtazipine!

Boston001 profile image
Boston001 in reply toDawnyvo

Ya you really have to talk with your prescriber. I abruptly stop sert too for about the same amount of time, but when I got reensured and started taking it, it just wasn't working anymore, no major side efects, I had just formed a tolerance to it

kenster1 profile image
kenster1

hi I was the same took one sertraline never again ended up back on mirtazapine.

Dawnyvo profile image
Dawnyvo in reply tokenster1

hi, can I ask what dose you started mirtazipine on, I was up to 30mg for about a month and did not feel it did the same job as sertraline, i am just hoping sertraline works, these side effects from sertraline are just debilitating, my appetite has gone, I feel nauseous and am taking meds now for the nausea, I can see why so many stop taking sertraline within first month, I have lost so many days from work now, I’ve been there for only a short time, they will probably fire me at this point.

Hello Dawnyvo, what side effects did you experience from Sertraline?

I'm only asking because i've been bedridden with a condition called PoTS, severe anxiety and agoraphobia, but i've been reluctant to take any form of medication, until recently, my doctor wants me to start a course of Sertraline.

I've read a lot of things about this drug and not all of them are good, i've always preferred a more natural approach to taking any medication and don;t really want to start these.

Look forward to hearing from you soon.

Dawnyvo profile image
Dawnyvo in reply to

hi, truthfully, this medication is one of the worst for side effects, it works well once you are adjusted to it, but first 2-4 weeks are rough, higher anxiety, nausea, loss of appetite. Loss of work, I’m just heading into my 4th week on it🙄

in reply toDawnyvo

Thanks for your reply, I really don't want to start this drug, or any for that matter. My doctor says I have nothing to lose, but that's easy to say once you've gone home to your little flower garden in the country. My partner did pick up the prescription about 3 weeks ago, but they're still unopened in my drawer, I really don't want to take them.

ford08 profile image
ford08

You need to take a generic blood test ,which should tell you which antidepressant works best for you ,best of luck

Great_Artiste profile image
Great_Artiste in reply toford08

You mean genetic test, right?

Dawnyvo profile image
Dawnyvo in reply toford08

hi, I have asked my MD. They told me it’s not accurate so will not order it, also insurance will not cover it.

Tee50 profile image
Tee50

I tried various medications in this area and Mirtazipine is the only one that seems to work for me but it knocks out my sex drive!!!!

Nhyxx profile image
Nhyxx

I had sertraline before and the side effects where so painful, specially when I took the pill without water on with an empty stomach. I changed to fluoxetine with medical consent and personally I think it’s a lot better, although there are a lot of options. I would recommend you to talk with your psychiatrist

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