Doctor insights on:
Mirtazapine And Fluoxetine
33yr/male/GP. Mostly feel tired & disappointed. Countable episodes of real happiness since I was a teenager! Dysthymia? Tried Fluoxetine & Mirtazapine
Combination Therapy: Your symptoms indicate Depression; can be challenging to treat. Can be sucessfully treated w/ meds alone however combining meds w/ Cognitive Behavioral Therapy (CBT) results in a quicker & more sustainable response. Common causes for treatment failure include failure to take meds for adequate duration, &/or inadequate dose. See doctor now, build-up to adequate dose, commit to CBT. Best Wishes! ...Read more
Fluoxetine (brand prozac) is an antidepressant in the class known as serotonin selective reuptake inhibitors aka ssris. Fda approved in 1987 for the treatment of major depressive disorder. Subsequently approved for obsessive compulsive disorder, bulimia nervosa, panic disorder, and premenstrual dysphoric disorder. Significantly safer and much better ...Read more
I am taking 20mg fluoxetine and 15mg mirtazapine for depression. Is this an effective combination?
Although these two: Medications are used for treatment of depression there is a slightly increased risk of serotonin syndrome associated with this combination. Whether it is effective will have to be determined clinically. In other words you will see if it works for you. Otherwise the doses are well within the appropriate range. Discuss your concerns with your health care provider who has your whole medical history. ...Read more
Been on mirtazapine 7.5mg for two months. Doc says to stop and start Prozac (fluoxetine) 20mg. Is this ok?
Remeron (mirtazapine): Dose is low. You would be ok, as long as the doctor, who knows your case well, has recommended it. ...Read more
Hi, I've been on 60mg of fluoxetine for 8 years now it seems it no longer works my doctor put me on mirtazapine, cant feel any different after 4 weeks?
Mirtazapine: Presumably you've been taking Fluoxetine for depression, anxiety, PTSD etc. If Mirtazapine doesn't make you feel different/better after 4wks, ask your doc about increasing dose (assuming no side effects). Keep increasing dose every 4wks or so until hit max dose or develop side effects. Or consider another class depending upon diagnosis. Bottom line, keep in touch w/your prescribing doc. ...Read more
Starting Prozac (fluoxetine) today 20mg. Been on mirtazapie for 2 months @ 7.5 mg. Ok to just stop & take the prosac? Mirtazapine made me dizzy. Doc switched me
He: Should answer your concern. Call him!Get a more detailed answer ›
Meds for depression and anxiety: sertroline and citalipram ineffective, prozac (fluoxetine) gives night sweats and anxiety. Other options? Dr said Mirtazapine?
Depression/anxiety: Please try the new medicine your doctor prescribed but you should also see a Psychologist for help. ...Read more
I'm taking prozac (fluoxetine) for OCD and I felt ok but it caused insomnia+anorexia, is it ok to take mirtazapine to eat more and fall asleep fast?
Not unusual: Combining two antidepressants to address symptoms is not unusual, especially if they have different mechanisms of action that influence each other synergistically. However, the timing of medication can affect impact of potential side effects. Recommend discussing any concerns with taking more than one medication for your particular condition with your doctor. Hope this is helpful. All the best. ...Read more
I've depression + manic episodes postnatal depression generalised anxiety which meds best fluoxetine quetipine olanzapine or mirtazapine?
PostNatal Depression: Because patients' responses to these drugs, singly or in combination, are varied and dependent on each patient's specific condition, it is best to defer to your managing physician who will monitor your condition and response to treatment closely and titrate the doses of these drugs accordingly for optimum effect. Good luck! ...Read more
Depends: Prozac (fluoxetine) and mirtazpine are actually very similar medications in terms of mechanism of action. Medication combinations will affect each patient a bit differently. They are definitely safe to use together under the guidance of physician. If they are helping you feel better then I would say they are a great combo! :) ...Read more
I'm on Prozac 20mg and remeron (mirtazapine) 30mg but no effect on social anxiety and deprission What is your suggistion?
Is it safe to take Prozac 40mg, tamazepam 30mg, and remeron (mirtazapine) 15mg at the same time? I take the Prozac in the morning and the other 2 at night
Yes: You can take them all at the same time, but I agree with your current schedule of using the Prozac (fluoxetine) in the morning and using Mirtazapine and temazepam at bedtime. This is an entirely reasonable regimen. I wish you didn't require the temazepam to help you sleep, but I find that some people need it, even if Mirtazapine usually helps with sleep on its own. ...Read more
After my dads stroke, his dr put him on Prozac and Remeron (mirtazapine) to help him sleep! Can these 2 drugs together cause severe mood changes? What do I do?
Yes: I would not use either drug with a patient who has had a stroke, as the adverse effect profile might present in a far more intense fashion, especially suicide risks with Prosac. I personally feel uncomfortable with the approach, and recommend a visit to a geriatrician or psychiatrist to get this straightened out. ...Read more
I was prescribed Prozac 40 mg, Ritalin 10 mg, Concerta 108 mg, Remeron 30 mg and Risperdal 3 mg. Is this number of drugs safe?
Depends...: On what you and your doctor decide together. There are theoretically some interactions among the drugs you've listed, but that doesn't necessarily mean that you will experience them. It's difficult to know all of the possible interactions when you have this many medications in combination. Some of the drugs' metabolism could be affected or you may have increased risk of side effects. ...Read more
What's the difference between mirtazapine and Prozac if they are both considered antidepressants? Will one have more benefits than the other?
Antidepressant Meds: Mirtazapine (Remeron) is a noradrenergic / serotonergic antidepressant medication. Prozac is a serotonergic antidepressant. Often antidepressant choice is related to side effect profile, specific symptoms of depression & effectiveness for the particular patient. I often chose Remeron if I am looking for a sedative response. ...Read more
Hi, ive been taking prozac 60mg for sever3 deppression but it has stopped working after 8yrs my doctor added mirtazapine with it but to no avail he now wants me to come off prozac and start zoloft and keep with the remeron, should I be hopeful about this?
Yes! Don't give up: There are many different medications and combinations of medication that are helpful for depression. Depression is treatable. Sometimes adding psychotherapy to the mix is helpful. OF course you should be hopeful. It is important that you keep a good relationship with the treating doctor and share your feeling with him or her even if you get discouraged. ...Read more
Hi, I have beem taking 60mg prozac for severe deppression, but has stopped working after 8 years, the doctor tried remeron on top of it but t hasn't made any change, now he is stopping prozac and starting me on zoloft and still keeping me on mirtazapine
CBT ever tried?: There are a plethora of medications available for the treatment of depression. But a question- Are you being treated by a psychiatrist for this or is it your family doctor managing all these changes and strategies? If the former then, fine, if the latter then, don't be shy to ask for another opinion. Next, Cognitive Behavioral Therapy has raised some brows lately. Could it be a good change 4 U? ...Read more
Doctor advised mirtazapine for depression thinks prozac less effective for me, however large weight gain will add to my depression.?
Talk with your doc: Treatment questions about specific medications are challenging without having see you and all of your medical information including symptoms. If you have questions talk to your doctor for specific advice. Tell her or him what concerns you the most. ...Read more
What is better for anxiety, depression, fatigue, and insomnia? Prozac, remeron, (mirtazapine) or celexa? Or maybe other?
Depends on person: All of the medications you mention can be highly effective. It can take awhile to find the one that has the best benefit with fewest side effects. At present, it's trial and error. We have no tests to match person to best antidepressant--although that is an area under active study. ...Read more
My mothers doctor has her on 4 depression meds. I think it is too much. Trazadone, prozac, mirtazapine and seroquel, (quetiapine) thoughts?
Depression treatment: Seroquel (quetiapine) is not an antidepressant. It is an atypical antipsychotic and a mood stabilizer. The rest 3 meds are antidepressants. Concomitant use of 2 or more antidepressants may put you at risk of serotonin syndrome, which can be an emergency. Also, there is some scientific data showing that combination of 2 antidepressant is no more effective than one. ...Read more
SSRI antidepresant: Its been around a while now, but pretty revolutionary when it first came out. It is a selective serotonin reuptake inhibitor most commonly used to treat depression. The ssris were a big step forward due to far less side effects than the tricyclic antidepressants that were the main treatment for depression prior to that. ...Read more
How much are: You prescribed to take? Increasing dose doesn't necessarily mean that you will get more benefit when reaching those doses. When dose is high - chances for serotinergic syndrome can increase. Please take only as prescribed by your provider. Take care. ...Read more
Milestone Medication: Fluoxetine (brand prozac) is an antidepressant in the class known as serotonin selective reuptake inhibitors aka ssris. Fda approved in 1987 for the treatment of major depressive disorder. Subsequently approved for obsessive compulsive disorder, bulimia nervosa, panic disorder, and premenstrual dysphoric disorder. Significantly safer and much better tolerated than previous antidepressants. ...Read more
Prozac (fluoxetine): Prozac (fluoxetine) is an ssri medication which can be used to treat depression, anxiety disorders, some premenstrual disorders, and bulimia nervosa (an eating disorder). It inhibits neurons' reuptake of serotonin, so that more remains available in neuronal synapses. Common side effects include nausea, diarrhea, dizziness, drowsiness, sweating, and yawning. There can also be changes in sexual functioning. ...Read more
Several reasons: While 20 mg daily is the usual adult dose, here are several reasons why someone could be on less: 1. Old (>65), young (. ...Read more
It is possible: Fluoxetine is an ssri anti-depressant, anti-anxiety medication that can cause weight changes as a possible side effect. In most of my patients, weight changes have been minor. However, some patients report larger weight changes, including more significant weight gain or weight loss. If you are gaining weight and concerned about it, talk to your doctor. ...Read more
Prozac (fluoxetine): Generally well tolerated, side effects may include constipation; decreased sexual desire or ability; diarrhea; dizziness; drowsiness; dry mouth; increased sweating; headache; light-headedness when you stand or sit up; loss of appetite; nausea; stuffy nose; tiredness; weakness; yawning. ...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