Sertraline and mirtazapine combination

Common Questions and Answers about Sertraline and mirtazapine combination

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Is there an existing drug interaction between <span style = 'background-color: #dae8f4'>sertraline</span> <span style = 'background-color: #dae8f4'>and</span> Buspirone <span style = 'background-color: #dae8f4'>and</span>/or <span style = 'background-color: #dae8f4'>mirtazapine</span> ? Or can a person's toleration of a drug change over time? I am also dependent on imovane/zopiclone to be able to sleep. Please help.
I checked the American Society of Health-System Pharmacists (ASHP), <span style = 'background-color: #dae8f4'>and</span> indeed there is a major <span style = 'background-color: #dae8f4'>mirtazapine</span> (Remeron) shortage. http://www.ashp.org/DrugShortages/Current/bulletin.aspx?id=1066 I also called Food and Drug Administration (FDA) to see what patients can do and when the medication may be available from the manufactures. The pharmacist, Henry, advised us to report the shortage by emailing FDA at: http://www.fda.gov/Drugs/DrugSafety/DrugShortages/ucm142398.
I recently started seeing a Psychiatrist <span style = 'background-color: #dae8f4'>and</span> I am just not sure it's worth my time or money. I got <span style = 'background-color: #dae8f4'>mirtazapine</span> first. I took that for 1 night and was "stoned" for 24 hours. I slept like a baby and did not experience the somatic issues (i.e. aches and pains, racing thoughts) that I normally feel from the anxiety at night but the next day I was in a stoned stupor and could not function as well as I needed to. Next I was given Klonipin.
Of these medications, paroxetine is the only one licensed specifically for the treatment of PTSD. However, <span style = 'background-color: #dae8f4'>mirtazapine</span>, amitriptyline <span style = 'background-color: #dae8f4'>and</span> phenelzine have also been found to be effective <span style = 'background-color: #dae8f4'>and</span> are often recommended as well.
For genotype 1 treatment naive patients, the treatment will be Sofosbuvir in <span style = 'background-color: #dae8f4'>combination</span> with RBV <span style = 'background-color: #dae8f4'>and</span> peg-IFN for patients with genotype 1, 4, 5 <span style = 'background-color: #dae8f4'>and</span> 6 HCV infection. So the next new treatment to come to market in early 2014 for genotype 1 patients will have peg-interferon. Secondly, ultrasound does not stage liver disease. ONLY a biopsy or a non evasive liver stiffness measurement (LSM) can do that. Clonazepam is a benzodiazepine.
Since you mentioned the issue of talk therapy, I thought I would mention this. I agree 100% that you need to use a <span style = 'background-color: #dae8f4'>combination</span> of the right medication <span style = 'background-color: #dae8f4'>and</span> talk therapy and my primary care doc agrees. The problem is that I can't seem to find a therapist! Out of two he suggested, one is not in my network and the other has not called me back even after I left her two messages! I have a 9 page printout of therapists in my insurance network...how do you fiind a good one?
This is the sad thing about meds, you feel better when you stop and then it starts.. Paranoia <span style = 'background-color: #dae8f4'>and</span> Anxiety are bipolar symptoms sadly, know them well along with their friend anger <span style = 'background-color: #dae8f4'>and</span> rage <span style = 'background-color: #dae8f4'>and</span> self loathing. There are some days where I almost wish to hear voices, at least then id have something to listen to other than my own thoughts.
paroxetine for depression manifested as rage; <span style = 'background-color: #dae8f4'>sertraline</span> if no energy <span style = 'background-color: #dae8f4'>and</span> affect; <span style = 'background-color: #dae8f4'>mirtazapine</span> if no appetite; citalopram is one of the most universally helpful, especially for the elderly; venlafaxine is sedating at low dose and eneregizing at high dose (also good for rage); bupropion for patients with sexual dysfunction on SSRIs (not for anxiety); avaid benzodiazepines For Anxiety or Irritability try: Exercise; avoid caffeine and overstimulating environments; nortiptyline; anxiolytics; psych
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