Suggest Medicines To Be Taken Along With Remeron For Anxiety

Posted on Sun, 8 Mar 2015

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

Sun, 8 Mar 2015 Answered on

Mon, 30 Mar 2015 Last reviewed on

Question : Looking to change Psych medications. Reducing remeron to 7.5 at night. What can this be combined with?
(I have Anxiety, Depression, Insomnia)
Tried Paxil, Cipralex couldn't take.
Question is: what can be combined with the 7.5 of Remeron ?

Answered by Dr. Seikhoo Bishnoi (2 hours later)

Brief Answer:
Sertraline or Effexor can be combined with Remeron

Detailed Answer:
Hello thanks for asking from HCM for your health related queries

I can understand your concern. You have anxiety, depression and insomnia and are on Mirtazapine (Remeron). You have taken Paroxetine and Cipralax but couldn't tolerate. Effexor or Venlafaxine can be taken with Mirtazapine but the drug can cause increase in anxiety during first week of therapy. This restlessness and anxiety reduces with time and you will start seeing improvement.

Apart from Effexor medicines like Sertraline (same group as Paxil or Cipralax) can be tried. The drug is relatively safer and is better tolerated than all other SSRIs. The drug will help in good sleep also.

Alternatively you can increase the doses of Pregabalin which would result in anti anxiety effect of that drug also.

So just to sum up Sertraline or Venlafaxine can be combined with Mirtazapine. Dose of Pregabalin can be increased. Both options will help in better control of anxiety. Discuss with your doctor and take proper prescriptions of these drugs.

Thanks, Please ask again for more doubts.

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