Starting / Switching From Citalopram To Mirtazapine


Apr 16, 2008

Told him that after 12 weeks, the Citalopram, even at 40mg per day is not working. :blue: He's told me to reduce my dosage of Citalopram for a week and then start taking Mirtazapine which he says should help with my sleeping also.

Wants to see me in a fortnight to check side effects and signed me off another month.

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A trip to Morrisons puts me in panic mode, I recently had to renew my passport at the Post Office and was sick on the way home as it caused me so much distress.

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Are there any positives to this medication - surely there must be!

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I was initially on(30mg) for 8 weeks for depression and anxiety. And I did start to feel better, although the blurry vision and the derealisation side effects started to make me anxious again. I think the light head was the anxiety not the tablets.

Went back to work and made an appointment with the Doctor to see if there was another antidepressant with no side effects as I didn't think the Mirt was working.

He told me how to gradually come off the Mirtazapine and then to start Those days coming off the Mirtazapine were fine and the 3 days I took nothing I felt great again! Well what an awful reaction I had to the Citalopram ! Heart thumping, sickness, mind racing, pins and needles, total insomnia for 3 days and the anxiety attacks were awful! I actually phoned NHS Direct.

When I spoke to the Doctor , he said that I had a reaction and the tablets obviously didn't agree. In a knowing smile, he said that I should perhaps go back on the Mirt and that I came off them too quickly.

I am now on no medication , but can feel the awful anxiety still there from the Citalopram episode and am wondering if I will slip back to square one again if I don't take anything. The Doctor has given me a prescription for 15mg 1 week and thereafter 30mg. Perhaps the side effects weren't that bad and as the nurse said " only got bothersome because I was feeling better".

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