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Suggest Treatment For Persistent Anxiety Even After Mitrazapine Usage

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Posted on Thu, 7 Aug 2014
Question: I have been taking Mirtazapine tablets 30mg for 15 days now after changing from Seraline 50mg. I am sleeping better but still having Anxiety problems any advice. Should I GIVE THEM LONGER TO WORK
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Answered by Dr. Dr. Ashok Kumar Choudhary (21 minutes later)
Brief Answer:
You need to wait more

Detailed Answer:
Hello,
Thanks for using healthcaremagic.

The persistence of anxiety symptoms may be due to two reasons in your case.

Firstly you may have withdrawal symptoms due to discontinuation of sertraline.

Secondly most of antidepressants including mirtazepine take around four or more weeks before having full effect.
So is advisable to hold for few more weeks before declaring that mirtazepine is a failure in your case. There is possibility of need to increase the dose of mirtazepine as the maximum dose is 45mg per day. But that should be ideally done after completion of four weeks.

Hope I answered your query. If you need to know more about it feel free to contact me. I will be happy to help you.

Thanks and Regards
Dr Ashok
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Dr. Ashok Kumar Choudhary

Psychiatrist

Practicing since :2000

Answered : 3355 Questions

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Suggest Treatment For Persistent Anxiety Even After Mitrazapine Usage

Brief Answer: You need to wait more Detailed Answer: Hello, Thanks for using healthcaremagic. The persistence of anxiety symptoms may be due to two reasons in your case. Firstly you may have withdrawal symptoms due to discontinuation of sertraline. Secondly most of antidepressants including mirtazepine take around four or more weeks before having full effect. So is advisable to hold for few more weeks before declaring that mirtazepine is a failure in your case. There is possibility of need to increase the dose of mirtazepine as the maximum dose is 45mg per day. But that should be ideally done after completion of four weeks. Hope I answered your query. If you need to know more about it feel free to contact me. I will be happy to help you. Thanks and Regards Dr Ashok