Should I Be Worried About Cardiac Taking Merrazapine First 15 Mg Then 7.5 For About 3 To 4 Months?

Posted on Sat, 28 Jul 2018

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sat, 28 Jul 2018 Answered on

Wed, 14 Dec 2022 Last reviewed on

Question : I have been taking merrazapine first 15 mg then 7.5 for about 3 to 4 months I am slowly being taken off as it has made me put on weight about 10 pds or so I am worried this is doing any cardiac damage my blood pressure was checked 2 weeks ago it was great 120/70 blood work all normal levels I exercise buy doing lower body and 2 pds weight plus walking at least 30 min each day .. should I be worried about cardiac I do have some lightheadedness is this to be expected also a headache

Answered by Dr. Ilir Sharka (-4 hours later)

Brief Answer:
I would explain as follows:

Detailed Answer:
Hi,

I understand your concern and would explain that your symptoms could be related to mirtazapine withdrawal symptoms.
Although you are gradually reducing the dose, some anxiety is quite normal. Overweight and mirtazapine do not make any harm to your heart, as long as you have normal blood pressure values and a normal ECG.

So, just relax and don't worry about it!

The lightheadedness could be related to dehydration and hot weather. For this reason, I would recommend taking plenty of water during these days, in order to stay well hydrated.

Hope you will find this answer helpful!

Thanks.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Ilir Sharka (2 hours later)

Blood pressure is normal should I request cardiac test as I haven’t had them since feb/2018 and mine always come back with non spacific st wave abnormality also echo done earlier this year should I ask for more tests

Answered by Dr. Ilir Sharka (1 hour later)

Brief Answer:
I would explain as follows:

Detailed Answer:
Dear,

I don't think that there is any need to perform any additional cardiac tests, considering your recent tests. I am sure that they would result normal again. There is no need to wait money and time on unnecessary tests. So, just try not to think about it, because nothing serious seems to be going in.

I remain at your disposal for any further questions, whenever you need!

Wishing all the best,
Thnaks
Dr. Iliri

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar