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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Cymbalta Advisable For Headaches And Anxiety While On Mirtazapine?

A doctor I am seeing suggested that I try Cymbalta for some issues that anot her doctor is treating me with Remeron for. I m in drug court and I am having lots of stress and anxiety at pretty high levels. I m not resting. Either I can t sleep or I don t want to get up when I finally do. I m having excessive headaches. My schedule is very demanding right now and really there is no room to do a thing about it... I m on mirtazapine 15mg, I matrix 100 MG, topirmate 25mg
Mon, 11 Dec 2017
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Psychiatrist,  's  Response
Hello user

I have read your statement and i understand your concern

It is important for you to understand that antidepressant drung like Cymbalta cause serious reactions when taken when Mirtazapine. Let me tell you again that reaction is rare but serious. Its called serotonin syndrome which can exacerbate your condition causing further confusion, hallucinations and irritability.

If u are taking Mirtazapine for anxiety or depression, Change it to SSRI. If i were your Doctor i would have prescribed you Escitalopram 10mg daily for 6 months with short anxiolytic course of Alprazolam 0.25mg daily at night for 8 days.

Your headache and lack of sleep is due to severe anxiety. If mirtazapine is not working, your physician may change the prescription. Plus you can use short course of anxiolytic.

For short term management of your issue, you are advised to take Tab Dormicum 7.5mg 10 mins before going to sleep. However it should be noted that Dormicum should not be continued for more than 7 days\

In Nutshell,

Go to your physician and tell him your story, he will change your medication to a new and more effective antidepressent

Thanks

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Is Cymbalta Advisable For Headaches And Anxiety While On Mirtazapine?

Hello user I have read your statement and i understand your concern It is important for you to understand that antidepressant drung like Cymbalta cause serious reactions when taken when Mirtazapine. Let me tell you again that reaction is rare but serious. Its called serotonin syndrome which can exacerbate your condition causing further confusion, hallucinations and irritability. If u are taking Mirtazapine for anxiety or depression, Change it to SSRI. If i were your Doctor i would have prescribed you Escitalopram 10mg daily for 6 months with short anxiolytic course of Alprazolam 0.25mg daily at night for 8 days. Your headache and lack of sleep is due to severe anxiety. If mirtazapine is not working, your physician may change the prescription. Plus you can use short course of anxiolytic. For short term management of your issue, you are advised to take Tab Dormicum 7.5mg 10 mins before going to sleep. However it should be noted that Dormicum should not be continued for more than 7 days\ In Nutshell, Go to your physician and tell him your story, he will change your medication to a new and more effective antidepressent Thanks