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A 28-year-old female asked:

I am on sertraline and clonazepam for depression. i keep having suicidal thoughts.i want to know why the doctor did not prescribe mirtazapine?

2 doctor answers6 doctors weighed in
Dr. (Liz)Phuong Tran
Family Medicine 35 years experience
See doctor again: It is not normal that you are on two med but still have suicidal thoughts, you need to let your doctor know how you are feelings. You may need to be admit to get treated if you have suicidal thoughts.Your doctor knows what is best for you, be sure to discuss with him/her to get m ed change if need.
Dr. Rhonda Simons
Family Medicine 15 years experience
Ask your doc about being tested for the MTHFR 677 & 1298 genotypes. Many types of mental illness can be worsened by being positive for this gene (passed to you by parents), because your body cannot make as much serotonin as someone with a NORMAL folate metabolism. The work around is simple and has side effects less than placebo--L-methylfolate 15mg, 4mg methyl cobalamin, 50mg of P5P (active B6)
Jan 3, 2014
Dr. Donald Jacobson
A Verified Doctoranswered
A US doctor answeredLearn more
You need to contact: Your doctor. You really need to first of all make sure that you're safe. If you are not feeling safe then make sure that you go to the hospital or call an ambulance or get around friends and family who will watch out for your safety until you're feeling better. You should personally ask your doctor why he chose the antidepressant that he did. All antidepressants are pretty much equal. In their efficacy. My guess is that he didn't select Remeron because it tends to cause a lot of weight gain. Now however he should be able to augment the zoloft with Remeron if you prefer, wellbutrin, or abilify (aripiprazole).There are many other options as well. Please take care of yourself and best wishes.

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Last updated Jul 5, 2018

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