Doctor insights on:
Mirtazapine And Amitriptyline
Is there a difference between mirtazapine and amitriptyline in terms of effectiveness for pain and sleep?
No direct answer: These are 2 different drugs. Again, there is "no better than" or "as good as". Treatment of any disorder should be individualized. I would think that Remeron (mirtazapine) is more often prescribed for sleep disorders where as Amitriptyline is more often prescribed for pain when talking about these 2 conditions specifically. ...Read more
Mirtazepine (remeron) is a noradrenergic/specific serotonergic antidepressant [nassa]. It is used for major depressive d/o, various anxiety disorders, chronic pain, and others. In some, it can help ssri-induced sexual dysfunction & "poop out." it can be sedating and also increase appetite -- good for some ...Read more
Do I need to leave a gap between stopping mirtazapine and starting amitriptyline? Took 1/4 mirt 2 night ago awful effects, dr given 10mg amit
Would smoking a small amount of weed be safe (for nerve pain) be ok with other meds I'm taking. Amitriptyline, mirtazapine, venlafaxine?
Most likely.: While federal regulations prohibit me from recommending the use of schedule I medications such as cannabis I can tell you that there is overwhelmingly scant evidence that its consumption with the drugs that you listed would be risky. That said IF you were to consume it any option other than burning it to ingest it would be preferable: i.e. consider an edible, atomized or nebulized form. ...Read more
I've been prescribed mirtazapine for depression and amitriptyline for pain. Is it okay to be on both?
Just take one.: Both can cause mouth dryness/constipation & both are sedating anti-depressants. Would prefer mirtazapine although you did not really provide details of what type of depression you have. If you really need to continue amitriptyline, would suggest SSRI like sertraline instead of mirtazapine in AM to counteract the constipation side effect of amitriptyline. ...Read more
Dr gave me amitriptyline 50 mg 1 a day & gave me remeron (mirtazapine) 15mg 1day, im allergic to vistaril does remeron (mirtazapine) have that in it. And which 1 is better to use?
Different drugs: Benadryl, (diphenhydramine) Remeron &amitriptyline can all have the side effect of sedation & each is sometimes prescribed for use as as sleep aid rather than their primary clinical benefit for allergy related symptoms (Benadryl) & antidepressant (Remeron & Amitriptyline). But they are differ in how they are constructed chemically or in the way they work. You & your doctor can decide which medivine may be best. ...Read more
I took Remeron (mirtazapine) as sleep aid for 9 years, but it stop working, amitriptyline doesn't help, don't want APs, wondering if trimipramin or doxepin could help?
Pt's using: Doxipen with some benefit-old med see your pcp. ...Read more
Besides remeron, (mirtazapine) what other med is good for sedation and anxiety? Trazodone gives me terrible nightmares & elavil is evil to get used to.
Buspar (buspirone) is another: Buspar (buspirone) is a non-addictive anti-anxiety medication. Studies have also shown that approximately 70% of individuals taking anti-anxiety medications can learn to manage anxiety without medication with a course of focused cognitive-behavioral treatments by a psychologist. ...Read more
My Dr put me on 10mg elavil a tricylic antidepressants. I am Lexapro (escitalopram) 20mg and remeron 30.mg. I suffer from G A D.Are these o k together. Thanks?
The Mirtazapine (Remeron) is fine. Elavil (amitriptyline) oral and Lexapro or escitalopram oral both increase affecting serotonin levels in the blood. Too much serotonin is a potentially life-threatening situation. Severe signs and symptoms include high blood pressure and increased heart rate that lead to shock.
I was taking remeron for 2 weeks. I had terrible anger and irritability. Today the Dr gave me elavil. Should I have weaned off Lexapro (escitalopram) which I was on yr?
Does elavil or tofranil help with sleep along with depression thinking of changing my remeron (mirtazapine) because still depressed and massive weight gain?
Elavil? Remeron (mirtazapine)?: Elavil (amitriptyline) and tofranil (imipramine) are both sedating antidepressants. These can also contribute to weight gain, however. It is essential to speak with your prescribing doc so you can discuss your current sxs and side effects and determine the best plan for you going forward. ...Read more
I am taking elavil, nuvigil, remeron, and Xanax (alprazolam) for anxiety/depression/chronic daily fatigue. The first 3 have me in a fog. Will weaning off help me?
Yes: Weaning off medication may help. Nuvigil is not usually sedating or causing "fog", the three other medications could. Discuss adjusting medication with treating physician, it is not safe to abruptly stop all of these medications. ...Read more
Mirtazapine/elavil/lyrica - one causing weight gain in midsection? On librax (clinidium and chlordiazepoxide) for IBS symptoms. Eating well. Limited exercise - back surgery. 5'9 175.
Hi, I want to come off mirtazepine and go back on amitriptyline due to weight gain. I can't see my Drfor ages. Please can you advise?
NEED DOCTOR: This is a problem because you will need a doctor to help the shift. Cannot advise without knowing the doses etc. Best to go slowly whatever you do. ...Read more
What are the advantages of remeron (mirtazapine) and amitryptaline in insomnia managment? Which is better? What time do them take to have effect on insomnia?
Remeron, (mirtazapine) etc: Both Remeron (mirtazapine) ; amitriptylene can be used to aid sleep. Neither is "better, " but are available for use depending on need of the particular patient. It sounds like you have a significant insomnia problem and need a full evaluation of it rather than trying to cover it up with medications. Please work with your doctor to assess and appropriately treat your sleep problem. Take care. ...Read more
Roughly equal: This kind of question is hard to answer, as it depends on the dosage of each. Mirtazepine (brand name remeron) is probably better tolerated overall, although it's well-known to cause weight gain. Amitriptyline (brand name Elavil (amitriptyline) ; others) has more dry mouth, constipation, ; orthostasis (dizziness when standing), but can be quite effective if these aren't a problem for an individual patient. ...Read more
On mirtazapine 30mg amitriptaline 10mg still struggle wit anxiety churning stomach would buspirone help?
Discuss this in detail with your treating physician. There may be other antidepressants such as Lexapro (escitalopram) or clonazepam which would better help your anxiety.
In my practice, with my anxious patients, I have found excellent results with the SSRI antidepressants at solid therapeutic doses work very well. ...Read more
I am on sertraline 100 mg I have stopped taking the amitriptaline and mirtazapine could you recommend what I could take to help with sleep problems?
If I was to swap 30mg mirtazipine nightly for amytriptaline, what would be the equivalent dose? Currently also taking pristiq (desvenlafaxine) 150mg
These two medications are in different drug classes and are not similar. Therefore there is no "equivalent dose."
Before you adjust your medication please discuss this with your prescribing physician. Also, you need to be alert to possible adverse drug interactions when you add a new drug to your existing medication. ...Read more
I've asked a lot: Of MD's this question. Some start you off on the new med right after stopping the old one. Some wait as much as two weeks. You are mixing an herb with a Tricyclic, so I'd play it safe and wait awhile. As a psychiatrist who knows about herbs. Most don't. ...Read more
Worth a try: Complex regional pain syndrome is a challenging problem to treat, and your doctors will be trying a number of options to help you. Amitriptylene at low dose may have some positive effects in pain syndromes. If you're not already working with a pain medicine specialist on this problem, you might consider a consultation. ...Read more
Many uses: Amitriptyline, also called Elavil (amitriptyline) is in the class of tricyclic antidepressants. It is indicated for the treatment of depression. However it is often prescribed off label to treat other conditions including; post herpetic neuralgia, migaines, eating disorders and in some cases pain and insomnia. ...Read more
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