Scared to start Mirt
I've been on antidepressants for about 13 1/2 years now, after living with untreated depression and anxiety through most of my life. I was on Zoloft for about 4 years until it started pooping out on me. I was then on Effexor, Wellbutrin (a nightmare), Effexor again briefly until I started Lexapro. This was good for me for about 4 years, then I started feeling the lack of motivation, constant blahs, sleepiness, and anhedonia. I felt like I was sleepwalking through life without really feeling or fully experiencing anything. My anxiety was also kicking up. My psych added buspar, but thought I should keep the Lexapro. Buspar helped with anxiety, but I still felt flat due to the Lexapro. I finally pushed to get off of Lexapro in January and she recommended Viibryd. I did a slow taper off Lex, onto Viibryd (kept the Buspar). I didn't really notice a tremendous difference in mood while on the lower does of Viibryd, but had vivid, anxiety-producing dreams, bad sleep, and horrible night sweats. When I hit 20mg, my anxiety ramped up to unbearable levels. Literally everything triggered anxiety, anything I read, listened to, watched, people I talked to, etc. I would literally just sit and stare, trying to fight back the anxious thoughts. I felt hopeless and terrified of the future, and suicidal ideation started last weekend, so that was it. I called my psych and told her that this was not for me. She strongly feels that mirtazapine is the right drug for me, but I'm so gun-shy about trying a new drug after Viibryd being a nightmare. I called her the next day and asked to just go back to Lexapro until our appointment next week, and she agreed to call in a 10 day script for 10mg (was on 20mg when went off). I expressed my anxiety about the vivid dreams and weight gain, but she seemed to downplay these as "rare", but we'll discuss further on Thursday. So, I'm currently on 10mg of Lex, 15mg of Buspar a day. Feeling much better than I did early this week while still on Viibryd, but obviously still not great.
So, I guess my question is, has anyone gone from Lexapro to mirtazapine successfully? Other than the sleepiness and perhaps slight weight gain (<5lbs), I didn't suffer much in the way of side effects with Lex. I'm mostly looking for my anxiety and depression to be controlled without feeling drowsy or manic. I feel like with the double-whammy of depression and anxiety I have to choose between my depression being treated, but feeling hyper/manic with bad anxiety, or having my anxiety under control while feeling tired and emotionally flat.
Posted Mar 13, 2022, 4:51 AM UTC
I’m on mirtazapine and really like it , no side effects for me other than initially tired in the mornings. Increase appetite just after I take it, I sleep well , currently on 15mg will increase next week to 30mg brung a better dose for anxiety and depression. I’m so sensitive to meds and tried so many, I keep coming back to mirtazapine.
did you not feel drugged at all? how about your stomach feeling like it's in slow motion?
At first yes a little tired but now I feel good most of the time, anxiety is starting to settle a bit, I couldn’t leave the house . Now I’m leaving the house and doing a bit more for myself. I’m staying on 15mg . My stomach feels fine , I haven’t had my ppi stomach meds in months and I was on them for years. Don’t be afraid of mirtazapine, feel free to msg me anytime. I’m trying to help myself and not just rely on the meds to cure me. Exercise and self care are very important in recovery even if you don’t feel like it. Walk to the letter box and back each day, have a shower ( I know how hard this can be trust me) implement small things at a time and do them daily. Set yourself a routine , it all helps. Insight timer app is fantastic for sleep and anxiety meditations, I just listen and zone out.