ADVERTISEMENT

Q. May I know the recommended dose of Mirtazapine for social phobia and anxiety?

Answered by
Dr. Suresh Kumar G D
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Oct 19, 2019 and last reviewed on: Oct 21, 2019

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 that, because it is a norephedrine activator (SNRI) instead of SSRI, it can cause anxiety to become worse. I want a second opinion, if I were to use Mirtazapine, what is the recommended dose for anxiety and social phobia?

ADVERTISEMENT
#

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 benefits to become apparent. Some people can experience agitation and anxiety during the first week or so, but usually, it settles down. Mirtazapine has a sedative effect as well, so it should be beneficial.

4. The usual starting dose for Mirtazapine will be 15 mg once daily at bedtime. If needed depending on your response and tolerability, the dose can be titrated up to 30 mg or 45 mg per day. Medication can only be started after your doctor has ruled out any contraindications and should be able to monitor your response.

5. Finally, in addition to medication, you can also try psychological therapy and CBT (cognitive behavioral therapy) for anxiety. They are highly effective and help to prevent relapse after the medication is discontinued when you have improved. Usually, antidepressant medication needs to be continued at least for six months after you feel better.

I hope this helps.


Was this answer helpful?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
Since my childhood I suffer from social phobia.Suggest some ayurvedic medicine.

Hello doctor, My son's age is 9 months, 12 kg, having fever since yesterday, we have given liquid medicine two times as of now (Paracetamol). After taking the medicine, fever came down and again back to 101 F, can you suggest any other medicine?...   Read full

Please suggest the best drug for GAD and social phobia. What are its side effects?

Hello doctor, My son's age is 9 months, 12 kg, having fever since yesterday, we have given liquid medicine two times as of now (Paracetamol). After taking the medicine, fever came down and again back to 101 F, can you suggest any other medicine?...   Read full

Is it safe to drop down Mirtazapine and Xanor at the same time?

Hello doctor, My son's age is 9 months, 12 kg, having fever since yesterday, we have given liquid medicine two times as of now (Paracetamol). After taking the medicine, fever came down and again back to 101 F, can you suggest any other medicine?...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


Monkeypox Virus - Symptoms, Diagnosis, Treatment, Complications, and Prevention
Monkeypox is a zoonotic viral disease. This virus got its name as it was first noticed in laboratory monkeys in the late...  Read more»
Tomato Fever - Causes, Symptoms, Diagnosis, Treatment, and Prevention
Tomato fever is an unidentified and fast-spreading type of viral infection seen in young children. Scroll down to know m...  Read more»
Histrionic Personality Disorder - Causes, Signs, Symptoms, Diagnosis and Treatment
Histrionic personality disorder causes variations in the thinking ability of a person. Read this article to know more.  Read more»

Ask your health query to a doctor online?

Ask a Psychiatrist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.