Posted by papillon2 on February 19, 2012, at 0:06:46
In reply to Re: Remeron / Mirtazpine weight gain, posted by avenarius on February 14, 2012, at 16:55:12
Yes, bump up the Effexor. Myself and others have experienced a near immediate anti-depressant boost from each doseage increase. 375mg was my usual dose though I did go up to 450mg on some occasions. It is likely that you will know quickly if the increased dose is helping you.
Re: Mirtazepine. I found the unbearable feeling of constant starvation to be dose dependent, in that it was slightly less unbearable at 45mg than at 60mg. I did not take any more than 60mg. If part of your weight gain is due to eating more because of the starvation factor, than a lower dose might help.
I personally did EVERYTHING humanly possible not to gain weight on Mirtazepine and I still did, at about the same rate as you. The weight gain was steady and it DID NOT STOP. If I had the same diet and exercise regime ordinarily I would have lost an unhealthy amount of weight and been accused of eating disorder relapse. I am not joking.
If weight gain is a non-negotiable for you, stop taking Mirtazepine. It does not mean that you have failed the med trial, it means that the med has failed you.
Ring the bells that still can ring
forget your perfect offering
there is a crack in everything
that's how the light gets in
~ Leonard Cohen
poster:papillon2
thread:1010050
URL: http://www.dr-bob.org/babble/20120212/msgs/1010774.html