Recently Answered Questions
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What is the recommended dose of Mirtazapine for treating anxiety and social phobia?
Query: Hello doctor, I am suffering from anxiety and social phobia. I consulted my psychiatrist to use either Citalopram or Mirtazapine. I doubt to take Citalopram because I know this causes sexual side effects more often than Mirtazapine does. However, regarding Mirtazapine, I read various things online ... Read Full »
Answer: Hello, Welcome to icliniq.com. 1. Both Citalopram and Mirtazapine are good choices for managing anxiety and social phobia. 2. If you are worried about sexual side effects, Mirtazapine will be a better choice. 3. Both Citalopram and Mirtazapine can take up to four weeks for the therapeutic benefi... Read Full »
I gained a lot of weight after taking Mirtazapine for depression. How to reduce it?
Query: Hi doctor, I am a 30-year-old male and I have been on Cipralex 20 mg for my depression for more than a year now. When I started Cipralex 10 mg I was fine. However, when my depression worsened I was given Mirtazapine 30 mg and my weight increased like hell. I gained 15 kg in three months, mostly aro... Read Full »
Answer: Hello, Welcome to icliniq.com. Stopping Topiramate is not the reason for weight gain in your case. Topiramate resulted in weight loss and the drug is also a good mood stabilizer drug. This helps in stabilizing the mood and supplements the antidepressants. So stopping Topiramate probably result in wo... Read Full »
Is it safe to drop Alprazolam and Mirtazapine together?
Query: Hello doctor, I was taking 30 mg Mirtazapine for 10 weeks before being told by the doctor to take 45 mg three weeks ago. I have now been told to drop it back to 30 mg a day. I also have been taking Xanor 0.25 mg for past six months. For the first two weeks, I took two tablets a day then was told to ... Read Full »
Answer: Hello, Welcome to icliniq.com. If he is asking to reduce the doses, then no need to get worried. Mirtazapine has different actions and is a different drug than Xanor (Alprazolam). No need to get worried about that. Even Mirtazapine is a unique drug which has great effects on sleep at 15 to 30 mg dos... Read Full »
Is it fine to get visual hallucinations after taking Mirtazapine?
Query: Hello doctor, I am on Mirtazapine for the past four months, treating episodical depression and panic attacks. Overall it was going good but yesterday I have experienced visual hallucinations for the first time. I will see my doctor in half a month only. Should I be worried? Read Full »
Answer: Hi,Welcome to icliniq.com.Thank you for taking help from a psychiatrist. Visual hallucinations are due to organic brain lesion (epilepsy) or any substance abuse (alcohol or recreational drug). If it is just once in while then it is not problematic but if it is an increase in the frequency and distur... Read Full »
What could cause the feeling of something stuck in the throat after eating bread?
Query: Hi doctor, I was eating wheat bread sandwich last night. After eating, I felt like something was stuck on my throat. I slept on it and the next day, I still feel that something is stuck like a knife feel. I am currently on Effexor 3 mg and Mirtazapine 7.5 mg. Read Full »
Answer: Hi, Welcome to icliniq.com. The bread could have caused injury to the posterior pharyngeal wall or larynx. Can you send me a picture of your throat? Read Full »
Do antidepressants cause weight gain?
Query: Hi doctor, I am a 31-year-old male. I am taking the following antidepressants for 14 years - Lametec 25 mg in the morning and 50 mg at night, Ventab 25 mg in the morning and 50 mg at night, Mirnite, and Mirtazapine 15 mg at night. I am gaining weight due to Mirtazapine and erection issues due to V... Read Full »
Answer: Hi, Welcome to icliniq.com. I have read your statement, and I can feel that you are concerned. Tapering down the medicine over several weeks is the rule and always consult your prescriber if you experience any change in mental state or drugs. Firstly stop taking tablet Mirtazapine 15 mg at night a... Read Full »
Will the usage of antidepressant medicines have any adverse effect on sex life?
Query: Hello doctor, My age is 19 years. I am on antidepressant tablets like Paroxetine prolonged-release, Clonazepam, Mirtazapine, and Dosulepin. I have a problem with erection and do not have a sex drive. Will these medicines have any adverse effects on my sex life? What should I do? Read Full »
Answer: Hello, Welcome to icliniq.com. You are on three different types of antidepressants - Paroxetine, Mirtazapine, and Dosulepin. Clonazepam is meant for short term use. Is your depression better after having these medicines? What is the duration of your medication? Do you experience any other side ef... Read Full »
How can I increase my sex drive while on antidepressants?
Query: Hi doctor, I have no sex drive whatsoever and cannot obtain an orgasm. Please help. Read Full »
Answer: Hi, Welcome to icliniq.com. I read your query with due interest and understand your concerns. Low sex drive is a common symptom of a variety of medical and psychiatric disorders. Before I speculate anything about it I need you to answer a few questions in detail. Mention the duration of the pro... Read Full »
I have a swallon lump on my nostril. How can I cure it?
Query: Hello doctor, I have a Swollen lump on the outside of the right nostril. I had a headache when it began, and this morning, the pain is reduced when I blow my nose. The lump is still there, and it is a bit sore to the touch. I am worried about thrombosis because I have a slight temperature. I am cur... Read Full »
Answer: Hello, Welcome to icliniq.com. As seen in the picture (attachments removed to protect the patient's identity), it seems to be inflammatory changes over the skin over the nose, either due to bacteria or some time due to rhinosinusitis. As per the picture, thrombosis is less likely. I suggest the foll... Read Full »
I have been prescribed Mirtazapine for my intestinal issues. How long should I take it?
Query: Hello doctor, I moved to a new country four years ago. I used to eat at hotels or restaurants. As a result, I had frequent food poisoning episodes. I got food poisoning more than 20 times in two years. Each time, it was treated with a course of antibiotics. For the last three years, I have completel... Read Full »
Dr. Saraswat Kumarshri Shriniwas
Answer: Hello, Welcome to icliniq.com. I understand your concern. Frequent gastrointestinal infections have triggered irritable bowel syndrome. Mirtazapine is used for IBS (irritable bowel syndrome) and shows promising results. It is quite safe. Initially, take it for three months. Then, you can stop a... Read Full »