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Don't Make These Mistakes With Mirtazapine 

Conan Liu, M.D.
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We commonly prescribe mirtazapine for patients, but here are some facts you might not know. In this video I'll discuss risks of sedation with mirtazapine and the utility of the start low, go slow approach, and also discuss the risks and benefits of appetite stimulation in geriatric patient populations. Is it worth it to prescribe mirtazapine? Let's find out
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8 сен 2024

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Комментарии : 316   
@emilholmsten8600
@emilholmsten8600 21 день назад
I took Mirtazapine for 2 years felt great! Then I asked my doctor how I should Quit the medication!! This was in January 2019. The doctor told me just to quit cold turkey..... I can not in words describe the pain and horror I have been through for the last 5 years... I was immediately hospitalized at a mental hospital due to zero sleep and Psycosis, with debilitating Brain zaps and extreme headaces. Im barley functioning right now 5 yeras later and still have lots of healing to do before I can get back to a normal life. It is no exaggeration that this medication has ruined my life... Please just stay away from this horrible drug..
@magichobbiest3425
@magichobbiest3425 Год назад
Changed my personality completely and I was crying all day everyday. 4 months of my life down the drain. Doctor said it's not normal but I think I was having an allergic reaction blisters, burns and leg pains.
@j-uk2189
@j-uk2189 Год назад
Leg pains are restless leg syndrome, it’s awful! Mega dose magnesium
@lyndayates7533
@lyndayates7533 Год назад
I've spoken to so many people who have lived with this drug and their lives destroyed. TD, anaesthesia, hair falling out. Ruined lives all round. No one listens to them. It's a chemical lobotomy in a bottle. I only wish I could go back and undo the damage its caused me. Random brain damage and dementia. Psych drugs kill. It's their intention to make money off of your pain. I pray don't let them.
@idipped2521
@idipped2521 Год назад
I was on it and it changed my personality completely too. It made me really paranoid and have strange dreams
@magichobbiest3425
@magichobbiest3425 Год назад
@@idipped2521 omg. Same exact thing. My doctor said it didn't cause those side effects though. But here we are
@NMW80
@NMW80 10 месяцев назад
@@j-uk2189also take iron vit c cos that can cause rls too but so can low dopamine etc etc
@0Demiyah0
@0Demiyah0 Год назад
I have really benefited from mirtazapine to treat insomnia and panic attacks, but I also gained 60lbs across 14 months. I've always been naturally skinny my entire life, and suddenly I have swollen like a balloon. While the mental benefits of mirtazapine really helped me pull through, I've also made adjustments in my life and done the psychotherapy to stop using it, so I am going to taper off. I have good hopes that most of my weight gain is fluid buildup.
@aquarius113
@aquarius113 Год назад
hi do u still take it?im taking it fr sleep and taking half of it daily
@0Demiyah0
@0Demiyah0 Год назад
@@aquarius113 I do still take the mirt, also half daily. Im losing weight by increasing excercise and being more restrictive with my diet, but I still belief I would drop weight faster without meds. At least its going in the right direction.
@aquarius113
@aquarius113 Год назад
@@0Demiyah0 im on ativan on off for 1yr and afraid of the side effect amd recently I've difficulty falling asleep and make me so tiring.taking melatonin but doesn't work some time
@facemask2127
@facemask2127 Год назад
​@@0Demiyah0does tab mirtaz cure insomnia permanently. Can anyone recovered from insomnia after completing the course and stopping med. What do you think and your experience plz.
@antonioborrelli6726
@antonioborrelli6726 Год назад
Tell me my friend ,a question ...what about libido ?
@user-tk3ou5ru1n
@user-tk3ou5ru1n 10 месяцев назад
I have adhd and experience sedation from adderal. I also feel more sedated at larger doses of mirtazapine. Taking mirtazapine makes me feel more effect from my adderal, nothing like other ssri medications I've taken, including bupoprion. This is just my personal experience bit I think mirtazapine seems underrated in treatment of those with adhd
@elijahplays644
@elijahplays644 10 месяцев назад
100% it really helped me out with my adhd
@user-ne8vl2uh8g
@user-ne8vl2uh8g 9 месяцев назад
Really???? I thought Adderall would keep you awake?
@user-ne8vl2uh8g
@user-ne8vl2uh8g 9 месяцев назад
I have severe ADD
@user-tk3ou5ru1n
@user-tk3ou5ru1n 9 месяцев назад
@@user-ne8vl2uh8g It can depend on the individual and situation. Sometimes adhd/add can cause us to lack enough norepenephrine to be calm, so taking a substance that would overstimulate a person with enough could help another get in the right chemical balance to feel tired
@elGamiReal
@elGamiReal 2 месяца назад
Absolutely not, it gave me psychosis and I felt almost mind controlled. Worst drug I've ever taken even against my will
@brandilyn6720
@brandilyn6720 3 месяца назад
I like this medicine MUCH better at the lower doses! The sedative effects don’t seem any different to me at lower or higher doses. But the big appetite & feelings of laziness isn’t as hard to fight at the lower dose.
@rocnoir4233
@rocnoir4233 Год назад
I began taking Mirtazapine 15mg at the age of 36. I'm now 38 and tapered off it around 8 months ago,going back on it a few months later. I now have a constant state of dizziness/nausea and suffer from constant dehydration,terrible nightmares/dreams and tension type headaches. It has improved my appetite throughout but not enough to raise my dangerously low BMI. I now wish I had never been put on it.
@fasihkhan2998
@fasihkhan2998 11 месяцев назад
What's your current weight? You only want to gain weight that's why u took this med or any other reason?
@rocnoir4233
@rocnoir4233 10 месяцев назад
@@fasihkhan2998 My BMI is 17.3. I was prescribed this drug for severe anxiety and poor sleep,not for weight gain.
@rocnoir4233
@rocnoir4233 9 месяцев назад
Tapering off again now and feel absolutely dreadful. Upset stomach,feeling of impending doom,nausea and low energy.
@anatino
@anatino 9 месяцев назад
@@rocnoir4233how did you taper? 10%
@ChiralityPracticality
@ChiralityPracticality 7 месяцев назад
My nightmare's are so real, I even have reoccuring dream realities. Some times it's like I've been downloaded into a instant world as soon as I fall asleep
@sheikfrankicechibu1827
@sheikfrankicechibu1827 Год назад
7.5 help sleep but a CRAZY railroad of dreams.. Every night ~4 I wake up and can remember everything in the dreams.. not a bad dream, not a good dream... just seems like work. I quit taking.
@realitywinner7582
@realitywinner7582 8 месяцев назад
very accurate ! God Bless You...same experience here !
@brandilyn6720
@brandilyn6720 3 месяца назад
I’ve been on it 4 years, down to 4 mgs and STILL have vivid dreams almost every night. The dreams really bothered & upset me for years but now I just brush it off.
@Steven-gl4cw
@Steven-gl4cw 2 месяца назад
If your having weird dreams the dose is to low and you will probably get this across the board on antidepressants. That is not to say a higher dose will definately fix it. Mirtazapine is my 8th different antidepressant in 3 years and i have literally just started 15mg. It seems none will work tbh.
@DP-lt6sy
@DP-lt6sy 20 дней назад
​@@Steven-gl4cwdo u go tolit in the morin
@DP-lt6sy
@DP-lt6sy 20 дней назад
Can't control my poo
@mssmiley5691
@mssmiley5691 10 месяцев назад
Well in many older patients having a better appetite & enjoying food is huge quality of life improvement, depression or not!
@areuarealman7269
@areuarealman7269 9 месяцев назад
Doesn't help if it agitates wanting too get wasted unfortunately or maybe I'm used too passing out not sleeping for fuel like what it's for and I can't eat comfortably so f this med .
@ZenPepperClub
@ZenPepperClub Год назад
You can go as low as 1-2 mg for sleep, without side effects
@alexwallace6120
@alexwallace6120 Год назад
I once tried it for depression in 1998,not sure what dose, but it knocked me out at Husband I had trouble going to work. After work I took a nap. I felt out of it. My legs felt heavy and hurt a bit. Then my appetite really increase and I was gaing weight. I was 38. I called my Dr. and stopped it. I year ago, prescribed 10mg for sleep and it work well. No weight problems but increased libido. I was 62,and that was fine. After 2 months, signs of Tardia dyskinesia ,all increased mouth movements. I called my Dr ,and she didn't believe me, as mirtazapine is an anti-depressant, not an anti-psychotic ,which I wasn't on.
@sarahpearsall2248
@sarahpearsall2248 4 месяца назад
Did you stop taking it and if so how and did your issue resolve?!
@alexwallace6120
@alexwallace6120 4 месяца назад
@@sarahpearsall2248 I stopped taking it. I still have tardia dystkenia, which my Dr. doesn't believe only see her every 3 months for 15 min.
@alexwallace6120
@alexwallace6120 4 месяца назад
@@sarahpearsall2248 Yes, I stopped taking it ,tardia dyskinsia still a problem, DR .doesn't believe me.
@Sigmaminon1233
@Sigmaminon1233 5 месяцев назад
why would i take something thats gonna make me more depressed im on the edge as is i dont wanna risk making it worse
@casey00X
@casey00X Месяц назад
Medication prescribers should be required by law to tell patients how horrible getting off the med can be first.
@druo7840
@druo7840 Месяц назад
Truth!
@renarteiji5804
@renarteiji5804 Месяц назад
In France, I don't know if it is required, but good doctors do tell you! I, personnally, always check the instructions, in fact I have many pills, so I don't want its to have bad interaction (I do trust my doctor, but mistake is a human thing...)
@TheSubpremeState
@TheSubpremeState Месяц назад
Facts. I'm stuck on lyrica for no good reason and I'm going to take this very cautiously
@BerkantCetin07
@BerkantCetin07 28 дней назад
@@TheSubpremeState what problem do you have?
@TheSubpremeState
@TheSubpremeState 27 дней назад
@@BerkantCetin07 I had a painful autoimmune disorder called wegeners. It's known to be particularly nasty , to quote one expert on it. Very rare and before the 70s fatal most of the time and 5 months average life expectancy. I think it's not my problem anymore because I was very ambitious when I was younger but struggled to find much success. Coming so near to death and mostly having to endure such pain I gave up my silly goals and my stress went with them. I lived a very happy life for two years after a rituximab infusion destroyed all symptoms but I gradually noticed a relentless fatigue developing . I can't pin point when it started but I would get dull aching joints and extreme fatigue. Painkillers like tramadol used to give me energy so I would get them by saying I was having a flare up ( lying). I was actually on the verge of losing my house and had been in court several times so I needed to be able to work and tramadol were my "get up and go" med. I'm fairly sure they messed up my endorphins in a semi- permanent way cos after being off them for over a month I would get aching joints and extreme fatigue and I was told I had fibromyalgia which I don't believe in to be honest. It's obvious doctors/drug companies just put a name on a bunch of symptoms caused by lifestyle factors so they can use a drug to treat said " disease" and make millions while making the patient worse in the long run. You could justify giving heroin to a junkie if you consider the suffering they go through but not if you consider the causes of the condition. If doctors can't find the cause ( which isn't profitable) then they shouldn't attempt treatment with addictive drugs
@tibikeresztes8207
@tibikeresztes8207 Год назад
I started on 15mg. I was a bloated vegetable on them, all i could do was sleep and eat continuously. I stopped taking it for a couple years until i was finally diagnosed bipolar 1 & PTSD. Then i started on 15mg and am now on 45mg. It doesn't do what it used to do as in eating non stop. I still sleep alot and luve in a fog/haze. That's what it has always done to me though.. makes relationships impossible as well as holding down a job due to being in a pea soup haze. These are my experiences on it.
@ahill5568
@ahill5568 Год назад
I can relate to your experience
@laerciojr18
@laerciojr18 7 месяцев назад
Thank you so much for helping us to understand more about this medicine 💊
@kupuewkustream1509
@kupuewkustream1509 Год назад
I was prescribed mirtazapine in a dosage of 7.5 mg to try to cure paroxysms: sleepwalking and sleepwalking. The medication didn't help, and the 15 mg dosage didn't help either. But at least I finally got a job, though before I often had to make appointments for interviews and cancel them (the prefrontal cortex began to work better)
@leapage1490
@leapage1490 2 месяца назад
I was prescribed this drug & I started getting dizzy spells. Then I threw them in the bin.😢
@islewait6107
@islewait6107 5 месяцев назад
I notice that it states that the sedating effect is prominent only in the first few weeks of therapy. " There are some VERY serious side effects listed for this medication.😮
@Mushibuh
@Mushibuh Год назад
I was prescribed 15mg Mirtazapine (2 weeks ago) after being on Paxil for almost 5 years. Paxil made me always feel exhausted and had difficult sleeping. I gained 40kg on Paxil. I am really worried that I will continue gaining weight on Mirtazapine. My gynecologist wants me to loose weight to handle my PCOS. I lost 10 kg with Metformin, but have managed to gain it all back while still on it. Mirtazapine has already made a big change in my life for the better. I am excited to do things, Doing basic things like taking a shower does not feel exhausting anymore and I have a little bit of hope for the future. I really hope I do not have to change it. Hopefully Metformin and Wellbutrin will help me out.
@emchammer1815
@emchammer1815 8 месяцев назад
Just wondering how you are doing with the weight gain. I am going off Quetiapine which gained me 50 lbs (up to 200 from 150) and I’m afraid the Mirtazapine will resume the gain. FWIW, I plateaued with the Quetiapine. If I get any bigger, I think it will make me more depressed.
@Mushibuh
@Mushibuh 8 месяцев назад
@@emchammer1815 I managed to keep of the weight gain for a couple of weeks, but started to gain weight and got 5 extra kg. I had a mental breakdown over it and stopped taking it. I think the weight gain was hurting me more than the medication could help with my depression. I am now down 6 kg, I just hope I can keep my mental health in check. I am still on Wellbutrin, so it is helping a bit and I have started to take Metformin again. Stopped Metformin since I managed to gain weight on it.
@user-in4mz9go4d
@user-in4mz9go4d 2 месяца назад
I was prescribed mirtazapine 15mg and alprazolam 0.5mg, im 27 f, bro the next day was hell. I felt upside down and as though i was drugged. Three days later, im still out of balance.
@GatorAidMedical
@GatorAidMedical Год назад
I had two video suggestions, if they're at all interesting or something you would've done anyway: - How do you treat insomnia in the elderly, especially when their current insomnia regimens are clearly causing oversedation? - What can you do about patients who were sent for audiometry, or maybe have tried a few diff. hearing aids, and now are just kinda stuck / have given up on being able to hear?
@natiebear1812
@natiebear1812 3 месяца назад
I’m on Mirtazipine 22.5 along with 25 mg Zoloft. This is the best medication I’ve ever taken for my depression and anxiety the downside is the weight gain. I don’t want to stop Mirtazipine because it work’s amazing but the weight gain sucks.
@savejosef
@savejosef Месяц назад
Is the weight gain because more hunger?
@Youtubepremiumaccountuser
@Youtubepremiumaccountuser 17 дней назад
Any sexual side effects?
@MrFinallythere
@MrFinallythere 9 месяцев назад
Thank you Conan. Im not sure Mirtazapine as prescribed for my MIL will be beneficial at 87 years of age. Im just going down this worm hole. I appreciate you sharing.
@taylorbelge5957
@taylorbelge5957 9 месяцев назад
You mention this being a synthetic cannabinoid. Could you please share more information about this. I have been recently prescribed this medication and I’m experiencing wry troubling symptoms of euphoria similar to being high. Which as a recovering addict I do not appreciate.
@igo9481
@igo9481 8 месяцев назад
It isn't a synthetic cannabinoid, the video discusses the use of synthetic cannabinoids as a medication for appetite stimulation, which mirtazapine also gets prescribed for. The video and paper it references both suggest that over prescription of medication for appetite stimulation soley for the purpose of weight gain (without the patient specifically citing this as a goal they are struggling with) to be a bad idea
@eddjordan2399
@eddjordan2399 4 месяца назад
7.5mg is great for sleep problem is its moved my sleep into the day. i have terrible sleep patterns but i think the world is wrong.
@nmc9929
@nmc9929 10 месяцев назад
I was on 15mg for 15 years. Came off it 2 weeks ago and i have severe nausea and severe fatigue and no energy. Feel slow. not interested in anything and or excited about things. Feeling low mood etc. I bought a book on coming off anti depressants so hopefully when that arivess that will help me get through the withdrawal symptoms.
@danh2310
@danh2310 9 месяцев назад
Hows it going now
@nmc9929
@nmc9929 9 месяцев назад
@danh2310 it's getting better somewhat. I no longer have the great nausea everyday. I still have a lot of fatigue, depression, no zeal for anything but it is getting better thankyou for asking. 😊
@danh2310
@danh2310 9 месяцев назад
@nmc9929 that's good 15 year is along time. I've been on 15mg for 8 weeks thinking of stopping cold turkey. Has your sleep been ok?
@nmc9929
@nmc9929 9 месяцев назад
@danh2310 15 yrs is a long time indeed. May I ask why you want to quit cold Turkey? My sleep has not been the best although some nights iv been okay and others iv been up all night.
@danh2310
@danh2310 9 месяцев назад
@nmc9929 well I ended up having a few sleepless nights and fell into a anxiety insomnia cycle. I was anxious about bed time worrying all day. And the sleep deprivation was multiplying the anxiety and stress making me feel like death. The tablets have helped calming me at night and I do sleep most nights. I just want to be able to sleep without any medication as I've always been a great sleeper before this. I dont like the side effects either.
@Slugworth88
@Slugworth88 9 дней назад
Iv been taking mitazapine for ten years, im am now terrified reading this. I just to want to try more natural remedies. Utttowwww
@rustyfarland4993
@rustyfarland4993 8 месяцев назад
I started week ago and I’m experiencing confusion and disorientation
@BigM-k7o
@BigM-k7o 23 дня назад
I found when stopping the medication, alternating doses helps. For example, 15mg one day, 7.5 the other. Then dropping down to 7.5mg. I got off of it in about 3 weeks.
@deant6361
@deant6361 Год назад
I’m on mirtazapine 5 years. Over about 3 years gone from 90kg to 140kg so horrible just want off this medication get my health back. So sad being so over weight.
@darrensmith8455
@darrensmith8455 11 месяцев назад
I just come off mine 7 weeks ago I was on them 6 years I come down from 18 stone 10 to 16stone 4 in 7 weeks I still can’t sleep properly
@deant6361
@deant6361 11 месяцев назад
@@darrensmith8455 I’m feeling pretty good now dropping the weight slowly and finally getting sleep. I struggled first 2 to 3 weeks but all good so far. Good luck to you for the future.
@ericbryant-dz8mj
@ericbryant-dz8mj 11 месяцев назад
Did it cause any type of hair loss?
@deant6361
@deant6361 11 месяцев назад
@@ericbryant-dz8mj I hadn’t thought about it hair loss before but yes slowly over 4 years I’ve lost body hair although not on my head. So that’s a possible side effect ? I’m not really sure though. It’s been 6 or 7 weeks since I jumped off 15mg cold turkey, I should of tapered but I just wanted off these meds but I’m feeling ok now. I hope you are ok ? Your not alone. Chat anytime 👍
@jesseblanco2697
@jesseblanco2697 4 месяца назад
I think Mirtazapine has made my dogs kidney disease worse. Does anyone know if this could be ?
@Magnificentearth26
@Magnificentearth26 Год назад
I went through major depression panic attack last year. Doctor prescribe me Setra (sertaline) 50mg and Mitrazin (mirtazapine) 15 mg. Both two times per day. I dream everyday. Normal dream or nightmare. Its killing my sleep quality. At morning i woke up exhausted. Doctor told me it Will slowly bring back your sleep quality. Anyone facing same problem?
@painterhut5478
@painterhut5478 11 месяцев назад
Mirtazapine and sertraline are not meant to be mixed, it’s strictly prohibited because of the effects it has on you, you should bring this up to your doctor because they should be losing their licence if they are prescribing you both
@JayJay-tb5cw
@JayJay-tb5cw 10 месяцев назад
​@painterhut5478 that's not true
@Magnificentearth26
@Magnificentearth26 10 месяцев назад
@@painterhut5478 i take morning sertraline and night mirtazapine
@neekagraceoffical
@neekagraceoffical Год назад
My mother started on Mirtazapine 4 weeks ago. She was given 15Mg for insomnia but she had to stop taking it 3 days ago as it’s caused blur vision. Her body has rejected the drug and she has developed a dry rash on her face neck and chest. This drug is not good for people. It’s her bodies way of telling her the drug is no good for her body.
@Pushing_Pixels
@Pushing_Pixels Год назад
Everybody reacts to psychiatric medications differently. Some people might get one set of side effects, while another person will get completely different results. I didn't get anything like a rash or blurred vision.
@facemask2127
@facemask2127 Год назад
I am also having blur vision and eye paining as side effects of tab mirtaz.
@brittanyb5942
@brittanyb5942 Год назад
I have blurred vision and I’m retaining a lot of fluid.
@bhasithavanneti4803
@bhasithavanneti4803 8 месяцев назад
​@@facemask2127Did it got better?
@bhasithavanneti4803
@bhasithavanneti4803 8 месяцев назад
Hi, may i ask if blur vision got better?
@thejordanchronicles6715
@thejordanchronicles6715 6 месяцев назад
I’m thinking maybe Mirtazapine helped me more at 30mg than now at 45mg- it does help my mental issues VERY much but makes me restless with endless ‘thought loops’- I also seem to pick more at my skin ☹️xxx
@Domn879
@Domn879 Месяц назад
Damn, i never made the connection with picking my scalp. Which I’ve stopped since quitting it.
@user-do1sr9wg1w
@user-do1sr9wg1w 3 месяца назад
For me this is the reason i can't stop taking it. I want to stop because i'm too tired, all day basically. If i just stop, i don't sleep at all. If i try to taper out, i get even more tired.
@johnt697
@johnt697 Год назад
So if 7.5mg increases sedation. Does that mean at 4mg, it would be even more sedating? How is this possible. At some point, it cant be as sedating when you are taking such a small amount.
@mike7920
@mike7920 4 месяца назад
Exactly my question
@truehuman9449
@truehuman9449 Год назад
Half of 7.5 mg worked well for my sleep and anxiety but made me very aggressive. What to do?
@haskeam
@haskeam 11 месяцев назад
get off that rat poison
@6ixOverdoses
@6ixOverdoses Месяц назад
​@@haskeamis it really that bad?
@michaelwayne1977
@michaelwayne1977 8 месяцев назад
My dr prescribed 15 mg to help me sleep. Is that too high for sleep?
@ThatHippyDuck
@ThatHippyDuck 2 месяца назад
Is it normal to have very pained, dry and burning lips and mouth? I can’t figure out why I have it and it only started after taking mirtazapine
@6ixOverdoses
@6ixOverdoses Месяц назад
Problem allergic or sum yo you should let tour doc know bc I took this and never experienced that ngl
@BerkantCetin07
@BerkantCetin07 28 дней назад
how are you now?
@mikaellindqvist5599
@mikaellindqvist5599 7 месяцев назад
At 15mg its no longer sedative to me. 7.5mg and its even a good sleeping aid for me. Much better than 15mg zopiclone or how its spelled.
@samanthacarlson5519
@samanthacarlson5519 8 месяцев назад
I’m 5’3 108 pounds and I’m terrified of weight gain. I’ve been pretty much the same weight since I was 15 (I’m 22). Does it just increase appetite or also hunger (these are different but often used interchangeably)? After I eat, I’m still starving but don’t eat because I think my body is tricking me. It’s terrible. I’m always starving.
@Angelsworld777
@Angelsworld777 7 месяцев назад
Try and have fruits when you are starving. That’s what I do. Try and do some workout everyday even if it's for 15 mins
@anonya8135
@anonya8135 3 месяца назад
My daughter is 23 she weighs 100 lbs she’s dealing with depression after a loss but she wants to gain at least 15 lbs she’s always been around 125 lbs but she’s only 4’ 11”
@druo7840
@druo7840 Месяц назад
I gained so much weight. Had the munchies 24/7. Tapering off now.
@xsamsworldx
@xsamsworldx 8 месяцев назад
Just started this and my face broke out
@scoobydee3954
@scoobydee3954 Год назад
I was on Mirap 45mg for 7 years I stopped taking them 2 months ago and I have been so sick since. Loss of appetite and lost alot of weight and nauseous all the time.
@EmotionalTrance
@EmotionalTrance Год назад
Also vertigo?
@scoobydee3954
@scoobydee3954 Год назад
@@EmotionalTrance no thank god
@Pushing_Pixels
@Pushing_Pixels Год назад
Did you stop cold turkey or taper off? You need to taper.
@dadovukic2896
@dadovukic2896 Год назад
No just cold turkey and stay strong
@JTR_3
@JTR_3 11 месяцев назад
How's your sleep?
@rythmgamer8189
@rythmgamer8189 Год назад
What is the effect of mirtazapine on androgens like testosterone and estrogen?
@user-sc9yf5up5q
@user-sc9yf5up5q 7 месяцев назад
Massive weight gain!
@jayroberts4900
@jayroberts4900 7 месяцев назад
The weight gain on it is just wild Though
@chrispasson1940
@chrispasson1940 2 месяца назад
this is excellemt
@Mr.Sirb0si
@Mr.Sirb0si Год назад
This hypothesis is often discussed by psychiatrists. I take mtp for insomnia and depression and my first doctor informed me about the potentially paradoxical effects of higher doses. But this is not true in all cases and varies from person to person. My new psychiatrist recognized this and has a lot of experience with this drug. We decided to increase the dosage which increased sedation and my sleep improved. Another interesting fact is that mirtazapine is often safer in bipolar disorder compared to other antidepressants, contrary to what is often claimed. I wonder if that has anything to do with the antihistamine and anticholinergic effects.
@Pushing_Pixels
@Pushing_Pixels Год назад
I have bipolar 2 and mirtazapine is the only antidepressant I've tried (out of many SSRI/SNRIs) that didn't trigger hypomania.
@rocketshipevan
@rocketshipevan 5 месяцев назад
From what I understand, it doesnt produce a lot of seratonin or block its recycling like SSRI's, instead it is more just "stimulating" the actual seratonin receptors.
@Mr.Sirb0si
@Mr.Sirb0si 5 месяцев назад
​@@rocketshipevanIt has a totally different mechanism. Mirt works mainly by antagonizing specific serotonin receptors, 5-HT1, 5-HT2A and 5-HT3. It is a potent antihistamine and works on norepinephrine as well. Specific receptor affinity is also dose dependent.
@kathieloumoser6205
@kathieloumoser6205 Месяц назад
Gaining weight and have edema in ankle.
@somnium5603
@somnium5603 10 месяцев назад
I just stopped using Mirtazapine. It was given to me because the doctor was concerned about my anxiety and weight and that I have eating and sleeping issues, but you would think that is a good thing, not really. I struggled to wake up every morning and I got an obsession about my weight, I wanted to force myself not to eat, because I have gained so much weight and I felt like my body isn't mine. It has really helped with anxiety, if I wasn't sleeping and tired or having no energy and feeling really bad about myself. This medication just isn't for me, but everyone is different.
@fayerosenthal2399
@fayerosenthal2399 7 месяцев назад
Thank u for ths informative video.Im in UK & the lowest dose of Mirtazapine is 15mg. My doctor said to cut it in quarters to lower.How do u advise the best way to lower & come off? The 15mg are scored.Thank you
@tiffanytran4970
@tiffanytran4970 Год назад
Please do a video on EKGs!
@fly2148
@fly2148 Год назад
Mans read your comment and overnight created a 50 minute ecg tutorial
@ananananana627
@ananananana627 Год назад
@@fly2148 a win is a winnn
@themusician4393
@themusician4393 7 месяцев назад
Hey thank you for this lovely video can I reduce from 15mg mirtazapine to 7.5 Yes the medication is helping me however I’m gaining a lot of weight I’m an ex bodybuilder and I was at 90 kg but now I am 120 after mirtazapine. Please give me some advice on this and thank you for your channel
@purplerider2362
@purplerider2362 8 месяцев назад
I found six bottles of this stuff. In a locked box my mom left us. And was wondering what it is. So it’s nothing good. In the trash it goes. I was hoping they were something good
@milanic7267
@milanic7267 2 дня назад
Can mirtazapine cause tinnitus?
@giacomograndi5527
@giacomograndi5527 9 месяцев назад
J am starting with 3.75 mg (half of 7.5 mg) of mirtazapine for insomnia, can be this very low dosage of mirtazapine (3.75 mg) potentially sufficient for insomnia?
@user-nk4wz1vm6f
@user-nk4wz1vm6f 3 месяца назад
Why does my scalp has a weird sensation the next morning when I wake up. Through out the day it goes away. I take it for sleep.
@avenlayatherrien8021
@avenlayatherrien8021 Год назад
Hello! I have tried about 10 different medications for my depression/anxiety and mirtazapine is the only thing that has worked for me. And it REALLY worked, right away the first day of taking it. It was like I had a new lease on life. However, I already struggle with being overweight and mirtazapine was causing weight gain. I also was sleeping way too much and was so tired. So I quit the medication to find another one but again, nothing else I have tried works so I want to go back on it. I see from your video that actually I might have been so tired because I was on 7.5 mgs. I don’t know what to do about the weight gain though, I read that mirtazapine actually changes your metabolism, so even if I manage my appetite (Which is hard cause that medication made me so hungry), and exercise a lot, I might gain weight still anyways. Do you happen to have any suggestions for this problem? Thanks!
@ConanLiuMD
@ConanLiuMD Год назад
I would definitely talk to the doctor who is treating you about it - but you could bring up this study and see if going up on the dosage may help with the fatigue. Do note that the studies suggested the fatigue side effects should wear off after several weeks regardless of dosage. Unfortunately I don't have a great suggestion for the weight gain as it's a well known side effect of mirtazapine (other than trying other medications though it sounds like you have sort of gone down that route already!). Would defer to your treating doctor to see what other options might be worth trying since they would know what you've tried already!
@avenlayatherrien8021
@avenlayatherrien8021 Год назад
@@ConanLiuMD thanks so much for the reply! 😊 the doctors I have been to don’t have a solution for that problem yet either but I’m still trying to find the right doctor and the right solution for everything. Thanks again, this was good info to know!
@deepthoughts8393
@deepthoughts8393 Год назад
@@avenlayatherrien8021 get off all antidepressants that will harm you in the long run anyways. RSO is a miracle. Better known as Phoenix tears. It cures everything including cancers and epilepsy. You can get Phoenix tears / RSO from your local dispensary. This medicine will change your life. No grogginess either. You start with the size as a grain of rice and slowly work your way up.
@anatino
@anatino Год назад
I’ve lost the weight while still tapering Mirtazepine by eating no carbs, no sugar. Eat only meat, eggs, vegetables, some fruits and only drink water. No legumes, no carbs, oats etc...
@avenlayatherrien8021
@avenlayatherrien8021 Год назад
@mikokbl6531 yes I was
@Rbase12
@Rbase12 Год назад
Hi. Is it safe to take Mirtazapine after having a cardiac ablation for Afib. Thank you for the informative video.
@ConanLiuMD
@ConanLiuMD Год назад
Yes it should be, but please ask your doctor to see if there are any other reasons you shouldn’t take it
@Rbase12
@Rbase12 Год назад
Thank you, Doctor Liu, for the quick reply. I appreciate it. You're the best!
@haskeam
@haskeam 11 месяцев назад
@@Rbase12 it cause left side heart falure
@ioannisstermougkou8015
@ioannisstermougkou8015 10 месяцев назад
@@haskeamwho Mirtazapine ? After you stop it ? Answer please
@rustyfarland4993
@rustyfarland4993 8 месяцев назад
I stopped taking it
@lukeyboii94
@lukeyboii94 Год назад
I've been on these for 7 years...they've brought on a sleep disorder in the process 🤬🤬🤬
@areuarealman7269
@areuarealman7269 9 месяцев назад
I was put on it after a misdiagnosis I'm just so sick of psycants but psycan give me drugs but bitch about weed ....weed gave you PTSD I was told like mf what kind of weed gives you PTSD ?laced with PCP maybe but not buying that BS anymore .
@ginakendrick2581
@ginakendrick2581 Месяц назад
So when I got depression out of the blue, I was really bad and I couldn’t sleep and the save my life like when I went on it not only did I sleep, but I never had a panic attack not even one or any depression in over 25+ years that I’ve been on it but now I heard from a new doctor as I’m getting older that she never would’ve had me on it this long and she had no idea why other doctors allowed me to stay on it this longis there any help in getting off of it? I am doing 10% a month every Friday I take 7.5 mg and every Tuesday I take 7.5 I’ve been taking 15 mg for 25 years.
@adamlengyel2174
@adamlengyel2174 5 месяцев назад
Hi, is it possible to take CBD and mirtazapine "together"? Not at the same time though.
@michaelthau1007
@michaelthau1007 Год назад
Thank you Dr!! I have had chronic insomnia for 3 years, tried everything nothing has worked. My Dr has suggested Lunesta 3mg as lower doses have not worked. She said that this z drug is the only FDA approved for longer periods. Any thoughts on this medication? Only thing to give me some sleep. Thank you God Bless you
@lyndayates7533
@lyndayates7533 Год назад
Low dose benzo. Use for sleep only and don't play with the drug.
@michaelthau1007
@michaelthau1007 Год назад
@@lyndayates7533 thank you for your response. I was on klonopin for 2 years, and have been off for 13 months. This benzo is the cause of my insomnia, so i would stay away from any benzo
@lyndayates7533
@lyndayates7533 Год назад
@@michaelthau1007 been on then 27 years. Don't trust psych Drs. Benzos were the least of my worries.
@Practitionher
@Practitionher 3 месяца назад
Yup . Dose dependent
@Trish-ql9kz
@Trish-ql9kz Год назад
Was on 15mg for 6 weeks with no improvement for depression or sleep... I wouldn’t say it increased appetite either which I need as I’m underweight, dosage was increased 2 weeks ago to 30mg.. still no improvement in any of the above
@Allsmilelovee
@Allsmilelovee Год назад
I at a low unhealthy weight because of another prescription I’m prescribed, it suppresses my appetite. They prescribed me this. I am very hopeful. But I’ve saw a couple people say it didn’t increase their appetite. I’ll be so disappointed if it doesn’t help with my appetite. I want a healthy appetite so bad.. even more, a healthy weight.
@Sym190
@Sym190 Год назад
It seems to help me sleep , I suppose everyone is different
@Pushing_Pixels
@Pushing_Pixels Год назад
@@Allsmilelovee Everyone reacts differently. My appetite has increased and I sleep 10 hours a night.
@fasihkhan2998
@fasihkhan2998 Год назад
​@@Allsmileloveewhat about now did it increase your appetite??
@mrwazo
@mrwazo Год назад
I take 7.5mg for my sleep, however, it seems I have built up a tolerance to it. What would you suggest as next steps?
@ConanLiuMD
@ConanLiuMD Год назад
Always recommend talking to your personal physician since these decisions will need to be individualized based on your medical history!
@Pushing_Pixels
@Pushing_Pixels Год назад
Ask your doctor about Agomelatine. It's an anti-depressant that also helps with sleep, but it has a different method of action to mirtazapine.
@Can-kp8md
@Can-kp8md Год назад
do mirtazapin again working for you??? how long you taked that? pls answer
@luzdeluna001
@luzdeluna001 8 месяцев назад
I'm at the same point. I also take 7,5...at first it helped me with my insomnia but now it doesn't make me anything 😣 How are you? Did you increase the dosis?
@mohammadkhadra2604
@mohammadkhadra2604 Год назад
Read the book The Copper Revolution by Jason Hommel.
@Sameoldfitup
@Sameoldfitup 5 месяцев назад
I took 15mg by mistake this morning
@laurenclark1480
@laurenclark1480 Год назад
Mortality?
@amrit1111
@amrit1111 10 месяцев назад
Hi doctor, I am on mirtazapine but it has suppressed my appetite so my doctor suggested me cyproheptadine, should i take it?
@ConanLiuMD
@ConanLiuMD 10 месяцев назад
Usually mirtazapine is considered an appetite stimulant so it’s unfortunate you had that side effect. Cyproheptadine is usually used for reversal of serotonin syndrome - are you sure that is the medication your doctor wanted you to take?
@amrit1111
@amrit1111 10 месяцев назад
@@ConanLiuMD Hi Doctor, just a question can cyproheptadine be taken with trazodone as suggested by my doctor? She changed it from mirtazapine
@miesterpropper7805
@miesterpropper7805 8 месяцев назад
It does not over ride Cannabis withdrawal insomnia at any dosage. One of these mediocre AD's that passed the "hairy finger test" ( Lab monkeys will not self administer)
@Ohkeh640
@Ohkeh640 7 месяцев назад
Took me 2 hours to fall asleep on the 30mg last night I’ll take it 1 hour earlier and see
@wasimh2104
@wasimh2104 Год назад
Which dose works best for insomnia?
@broadyyo4988
@broadyyo4988 Год назад
30mg really helped me with insomnia but I have read that the lower the, dose the more effective it is against insomnia.
@tracef195
@tracef195 Год назад
Dr. Conan, if I split my 7.5mg will that make me more sleepy?
@ConanLiuMD
@ConanLiuMD Год назад
If you've been taking it for a long time then I don't think you would feel increased sedation by splitting the dose
@Paddy955
@Paddy955 2 месяца назад
Hi, I've been taking the maximum dose of Mirtzazepine for over a year and before that, 30mg for 6/7 years. I've just seen a psychiatrist for the first time who suggested coming off it due to the nightmares I was having. I asked her if it would be tapered which she confirmed, but I've just found out my dose is going to be reduced to 15mg for two weeks and then nothing. I've very worried that 2 weeks to taper off may not be safe. I have a benign brain tumor that causes tonic clonic generalised seizures that have been witnessed to as seriel seizures twice, and I'm worried that such a fast withdrawal may put me in danger of having a seizure. I live alone. Do you have any advice for me?
@evaggeliastavropoulou7829
@evaggeliastavropoulou7829 2 месяца назад
For heaven's sake! From 45mg (maximum dose) to 15mg in two weeks? And then nothing? That's stopping cold turkey and nothing good comes with it. You should go slow, terribly slow. I had the worst time of my life last summer because I stopped at 7.5mg (I reinstated after a month in hell). It took me almost a year but I got to 0.15mg with liquid tapering. I even got withdrawal from 0.9mg! To sum it up: Don't stop it so suddenly. Talk about it with your doctor, if they insist in you stopping cold turkey like that then find another doctor. Consider hyperbolic tapering, especially when you reach the lowest doses.
@dadovukic2896
@dadovukic2896 Год назад
I try all ad and all a shit not evan one had helped , i using now citrales and remeron and xanax when need , survaving every day , just try cold turkey and stay with xanax ,stay strong guys
@davidharrington50
@davidharrington50 Год назад
Yea, been on Xanax half my life bc I'm hooked just like everyone else is and wish I never heard of it
@baberainbow0025
@baberainbow0025 Год назад
What dosage if i might ask?
@davidharrington50
@davidharrington50 Год назад
@@baberainbow0025, I have been on 2mg for a year now, I used to be on 6mg. I can't go no lower than 2mg
@babybunnies
@babybunnies 8 месяцев назад
******** @Conan Liu, You cant just do the social supprt, etc. There is systemic problems in LTC when the staff are underqualified including the manager! No matter how much a family tries, they dont understand complex care including people with dementia, schizophrenia, autism, bipolar, etc. Many need medication and to deal with the stomach gut health too, but care homes dont care and wont do anything. There is still huge problems with good and proper nutrition too. In this gigantic planet there is still no resolution for swallowing and appetite issues?
@slvva
@slvva Год назад
My Dr increased the dose because of this and for first was difficult to fall asleep but I didn't wake up at night and had visible improvement with wake-up. Now I'm on 30mg and no other side effects. He also mentioned about this study and explained how tricky this drug is.
@aquarius113
@aquarius113 Год назад
hi hw long has u been on it
@slvva
@slvva Год назад
@@aquarius113 2 months now. So far so good 👍
@aquarius113
@aquarius113 Год назад
@@slvva u take it daily?
@slvva
@slvva Год назад
@@aquarius113 Yes. 30mg before sleep every day. Treatment suppose to be no less than 6 months.
@aquarius113
@aquarius113 Год назад
@@slvva so far any side effect u feel?
@arexec1
@arexec1 Год назад
Dr, at 7.5 mg or less, what impact does mirtazapine have on triglyceride levels? I am unable to find any in depth studies on this.
@ConanLiuMD
@ConanLiuMD Год назад
I am not aware of any effect on TG levels - let me know if you find anything!
@anatino
@anatino Год назад
It lowered my good cholesterol and it’s not good. Also my B12 and ferritin are low for past couple months since I’m on 7.5mg. I feel like zombie and I’m scared to cold turkey it.
@MrStooge.
@MrStooge. 6 месяцев назад
@@ConanLiuMDHigh cholesterol is a known side effect.
@suap309
@suap309 5 месяцев назад
Also glaucoma, so get your eyes tested.
@roreo1612
@roreo1612 9 месяцев назад
ive been on it for 6 days and I want OUT !!! i get tingles all over, nausea, and the panic attacks are still there. my dose is 30 mg. i refused this med before but another doctor insisted on it. WORST decision. now I wanna cut it off but don't know how. the tingles, itching, numbing and nausea, good god
@karenpeart5997
@karenpeart5997 3 месяца назад
Did you manage to get off this drug ? I've been on 6 weeks and I am struggling
@robsroams
@robsroams Год назад
15mg is pointless if you want to feel at all alive or with it the next day. Awful sedated feeling
@ryanbyrne2561
@ryanbyrne2561 Год назад
Ah, eg suppy? Lol
@ConanLiuMD
@ConanLiuMD Год назад
Lolol
@lyndayates7533
@lyndayates7533 Год назад
Took one pill 15 mgs and horrible side effects!
@20somethingsworld97
@20somethingsworld97 Год назад
What kind and how old are you
@lyndayates7533
@lyndayates7533 Год назад
@@20somethingsworld97 mirtazapine and in my 60s. First antidepressant except for 1 duloxitine. I am done with them. So sad and depressed I thought I was in hell.
@20somethingsworld97
@20somethingsworld97 Год назад
@@lyndayates7533 I’m sorry that happened. Made me feel groggy and slow and I made mistakes
@lyndayates7533
@lyndayates7533 Год назад
I pray you find yourself and peace again. We've all been to hell in this life I think. Pray and find your way out.
@20somethingsworld97
@20somethingsworld97 Год назад
@@lyndayates7533 thank you. I ended up failing my practicum in nursing school. Couldn’t quite figure out why I was so slow and stupid, made me so sad. It was equally humbling and humiliating. Idk what I’m doing with my life, felt like I invested so much time only to mess up this bad. I’ve always been a positive person but idk anymore
@lewismiller9281
@lewismiller9281 8 месяцев назад
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