My psychiatrist thinks, and I agree, that Efexor isn't helping me as it should be any more. My depression has gotten out of control again lately, I've been spending weeks on end just lying in bed with unbearable fatigue and my self-esteem is at zero right now. For some reason, anything that boosts my serotonin makes me unable to sleep through the night, so I currently take 50mg of Trazodone at night to help me sleep. My psychiatrist wants to swap the Trazodone for Mirtazipine, because that will help me sleep and hopefully that plus the Efexor will lift the depression.
I know Mirtazipine indirectly causes weight gain in a lot of people because it increases your appetite and makes you crave carbohydrates. I used to have an eating disorder so I'm worried that this might lead to a relapse. I was wondering if anyone has any ideas or suggestions about how to manage that side-effect. How do you deal with the cravings without binging?
s a r a h
* pm me * eating disorders info *
"Between two worlds life hovers like a star,
twixt night and morn, upon the horizon's verge."
- Lord Byron
I suppose sticking to a healthy diet and watching how much carbs you eat. I dont know, I gained weight on mirtazapine but that was because I couldnt be bothered to watch my diet!
Although I've managed to lose weight on olanzapine which is something.
Isn’t it funny how day by day nothing changes but when you look back, everything is different…
you once called your brain a hard drive, well say hello to the virus.
Well, watching your diet and exercising is a very important part of treating depression anyway, so I'm willing to put in the effort there. I'm just worried the sugar cravings will be severe and I'll end up not being able to stop myself binging.
s a r a h
* pm me * eating disorders info *
"Between two worlds life hovers like a star,
twixt night and morn, upon the horizon's verge."
- Lord Byron
I tend to find my carb cravings are greater than my sugar cravings on mirtazapine. And so far I haven't been putting on any weight. This doesn't work for everyone, but if I'm craving carbs, I tend to eat meat or fruit. For some reason it helps. And just generally eating little and often, I tend to try to split into 4 smaller meals instead of 3.
Wake me up before I change again
Remind me the story that I won't get insane
Tell me why it's always the same
Explain me the reason why I'm so much in pain.
hi hun im on mirtazpine it does help but keep to a healthy diet it will be ok im on the high dose it will help you and take it at night thats what i do too.
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I stopped taking it for that reason, although I hated the drowsiness effect too.
I don't know whether it was because it actually did increase my appetite, or simply because I was psyching myself out for the weight gain thing, but I did start eating a lot more! I only took it for a week, but I was constantly worrying about the weight gain and even though I've stopped it and didn't gain any weight (I only took it for a week) I feel fatter, not really sure how to explain it but my body is bothering me a lot more. Anyway, I wouldn't worry too much about the weight gain as long as you stick to a healthy diet and exercise.
It should help you get some good sleep though, I'm a night owl usually and easily stay up till 5, 6am but an hour after taking mirtazapine I was zonked! I slept for 16 hours on the first day!
Yeah I think the best thing I can do is just start taking it, and if I really start craving carbohydrates and I can't cope with it, I'll ask my psychiatrist if we can try something else. I'm thinking Cymbalta, since the Efexor worked really well at first.
s a r a h
* pm me * eating disorders info *
"Between two worlds life hovers like a star,
twixt night and morn, upon the horizon's verge."
- Lord Byron
People with eating disorders dont tend to gain on meds apparently because they are so terrified about gaining they are very diet/exercise conscious therefore cancel out any potential side effects of gain. Effexor (venlafaxine) has been a life safer for me, but ive now hit the highest dose theyl put me on...so im kind of in the same boat. But they are trying a mood stabiliser now too for bipolar and hopefully lessening the severityof depressive episodes. and manic ones i guess...
I wason mirtazipine but not for long because it made me so drowsy. no appetite issues, but then i was hardly on it long enough. x
