speedy_gonzales Posted August 8, 2013 Report Share Posted August 8, 2013 Hey I'm currently in the hospital because of my depression (and HPPD/DP/DR) and i saw a new doctor today. She added Mirtazapine to my current meds cocktail (Elontril,Keppra,Zyprexa), i'm gonna take the first dose tonight, has anyone had good/bad experiences with it? To be honest i'm scared to try something new that could possibly worsen my symptoms. I know there are already two threads about it but i couldn't find a clear answer Thank You! Link to comment Share on other sites More sharing options...
chrismo Posted August 8, 2013 Report Share Posted August 8, 2013 I took it, my symptoms worsened. Whether the two are connected I do not know but personally I don't think it's an appropriate medication to take with HPPD. You'd be much better off with Bupropion. Link to comment Share on other sites More sharing options...
speedy_gonzales Posted August 8, 2013 Author Report Share Posted August 8, 2013 Did your symptoms only worsen temporarily? Anyway thank you for the quick answer. I think i'm gonna give it a try cause my depression is kinda treatment resistant but i'm gonna monitor my visual symptoms and eventually get off it as soon as i see any negative changes. Link to comment Share on other sites More sharing options...
chrismo Posted August 8, 2013 Report Share Posted August 8, 2013 Sounds sensible. Unfortunately the worsening of symptoms in my case was permanent but, as I have said before, I don't think this is typical. Link to comment Share on other sites More sharing options...
mgrade Posted August 9, 2013 Report Share Posted August 9, 2013 Elontril is bupropion (ADD and/or Depression drug). Keppra is for epilepsy. Zyprexa is an almost 'across the board' DA and 5HT antagonist (strong antipsychotic). Remeron/Mirtazapine is a drug from an earlier class of ADs (tetracyclic/NaSSA)............ [ssris being the 'newer' class]. Sooo..... i assume: 1. Keppra for anxiety-ish stuff 2. Remeron for depression 3. Zyprexa for craziness 4. bupropion for depression and motivation and concentration ~ I say: Seroquil (instead of Zyprexa) taken at night. By daytime it metabolizes into an Elontril-like drug and will boost Elontril's effect some. May want to go on an SSRI instead of Remeron. Keppra could be sub'd with Klonopin or Ativan or even Valium. Link to comment Share on other sites More sharing options...
speedy_gonzales Posted August 12, 2013 Author Report Share Posted August 12, 2013 Hmm i was on Cipralex (Escitalopram) before and it did nothing then i switched to Elontril which is IMO much better in my case. The docs gave me Mirtazapine to counter-act the Bupropion side effects (i couldn't sleep well) and as an add on for the depression. Link to comment Share on other sites More sharing options...
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