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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chronic Depression And Anxiety While On Remeron?

My mother has been on Dilantin for 3 yrs for partial complex seizures that began following surgery for an AVM in the back of her head. Her seizures have been under control for most of the time since but she was admitted in late October for a seizure that followed a long period (36 hrs). of insomnia ( she has been an insomniac for at least 20 years) and dehydration (NaCl 27). They put her on remeron which helps her sleep but now her behavior has become increasingly bizarre, with angry outbursts, staggering, serious depression about things that happened in her childhood (she is 81). Then she becomes relatively normal, but so remorseful that she starts crying again. She has always been high strung but this extreme behavior is really scary. My whole family is involved and will do anything to help her. Any advice?
Mon, 30 Mar 2020
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General Surgeon 's  Response
Hello,

The Remeron is containing Mirtazepine used as Tetra cyclic anti-depressant medication with many of the side effects when used over a period of time in many cases as:
- Depression
- Insomnia
- Lethargy
- Increased appetite
- Weight gain
- Drowsiness
- Abnormal dreams
- Others

Kindly discuss the issue with her treating psychiatrist for further dose modification in this instance.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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What Causes Chronic Depression And Anxiety While On Remeron?

Hello, The Remeron is containing Mirtazepine used as Tetra cyclic anti-depressant medication with many of the side effects when used over a period of time in many cases as: - Depression - Insomnia - Lethargy - Increased appetite - Weight gain - Drowsiness - Abnormal dreams - Others Kindly discuss the issue with her treating psychiatrist for further dose modification in this instance. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon