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    Feeling just so not safe.. had a rough few days, and I'm so confused over what's all happened..and where to go from here really ... it's just so much going on... and I can't handle it.. I have absolutely no control over my life anymore and that scares me... it really does :cry2:
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    (Original post by Mouse Potato)
    I'd heard this as well, so I'm suspicious. She's been amazing up till now but it's making me a bit concerned. She did say that if I still have problems on the lower dose I could maybe switch to trazodone, but I don't know if that's going to be any better...

    Now I've really scared myself by reading loads of webpages about weight gain. I hate this.
    I've taken trazodone and didn't notice any increase in hunger or, consequently, weight on it. It's sometimes given to help insomnia so it can be quite sedating.

    (Original post by superwolf)
    Thought you might be of some help: how long did it take for the mirtazapine hunger side-effect to wear off for you? Seem to remember it made you hungrier but you were still able to manage your weight on it.
    It took a very long time, maybe a year or possibly more?

    I did put some weight on with it, though nowhere near as much as some other drugs. It plateaued after a bit rather than continuing to increase, which was good.
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    gah... another night of not being able to sleep I'm such a failure, drowsy as anything from meds but still can't sleep.

    Had been feeling so much better today, and then in the evening and night I let myself get really down again. If I can't cope atm with no stress, how on earth am I going to cope when I go back to work

    (Original post by -FireFlies-)
    Feeling just so not safe.. had a rough few days, and I'm so confused over what's all happened..and where to go from here really ... it's just so much going on... and I can't handle it.. I have absolutely no control over my life anymore and that scares me... it really does :cry2:
    Hope your feeling a little better now :penguinhug:. It will all turn out okay in the end.


    Potentially ED Triggering....

    (Original post by Mouse Potato)
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    Does anyone have any good tips for losing weight whilst on medication?
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    I found the food cravings were worst after having already eaten a lot (although everyone is different). So I would suggest trying to know your limits and force yourself to stop eating when you've had a normal portion - easier said than done I know, but I believe you can do it

    I would avoid buying/eating big packs of food (e.g. biscuits/chocolate), as once you've had one biscuit/square, the cravings kick in and it's very hard to stop. Also not having quick/easy/unhealthy food around can help you stop thinking about it. If you feel you really do need to snack, try to have something healthy. Good Luck I know how horrible the cravings can be, but if you try to eat sensibly and avoid binge eating then you should be able to keep your weight down okay.
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    Nightmares. :afraid:
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    (Original post by superwolf)
    Hopefully asdfgah's post helped clear things up a bit, but I'd definitely still do your own research if you do consider switching drugs or changing dosage. At the end of the day it's your call and it's best to be as informed as you reasonably can be. My personal experience means that I'd be reluctant to switch from or mess with something that was working for me, but that's without factoring in how much of an effect the weight gain is having on you.
    That's the problem, I think it works pretty well. I think I'm going to keep taking it for a few weeks and do the Weight Watchers thing and see if there's any change. I can use that time to research and try to make an informed decision.

    (Original post by Deyesy)
    If it helps at all with the talk of Mirtazapine...I'm on it. I'm on the 30mg dose and haven't notice any weight gain whatsoever.
    How long have you been on it, if you don't mind me asking? I've been on 15mg for about 3 months and I've put on about 26 lbs which is absolutely ridiculous.

    (Original post by rmhumphries)
    From my (limited) science knowledge you are correct. Some medications work in a similar way (blocking different receptors at different levels), but not all of them do.
    Thanks for this! The whole thing makes a lot more sense now.

    (Original post by PonchoKid)
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    ended up eating a whole days worth of food in a few hours, couldnt help myself as soon as i at a packet of crisps that was it :sad: luckily i had no money or id have been in the shop buying chocolate and all sorts such a mess
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    I'm exactly the same! It's easy to stop myself eating anything at all, but the minute I eat one thing I can't stop. Hope you're feeling better soon!


    (Original post by Sabertooth)
    I've taken trazodone and didn't notice any increase in hunger or, consequently, weight on it. It's sometimes given to help insomnia so it can be quite sedating.

    It took a very long time, maybe a year or possibly more?

    I did put some weight on with it, though nowhere near as much as some other drugs. It plateaued after a bit rather than continuing to increase, which was good.
    I've been told that trazodone shouldn't make me put on weight. Did you find it effective as an AD?

    They wanted me to be on it for at least 2 years, maybe more, so it's nice to know that the effects wear off a bit eventually.

    I'm so worried that mine won't plateau and will just keep going up and up... I've put on loads already. I usually struggle to put on weight so this is really weird.

    (Original post by bleary)
    Potentially ED Triggering....


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    I found the food cravings were worst after having already eaten a lot (although everyone is different). So I would suggest trying to know your limits and force yourself to stop eating when you've had a normal portion - easier said than done I know, but I believe you can do it

    I would avoid buying/eating big packs of food (e.g. biscuits/chocolate), as once you've had one biscuit/square, the cravings kick in and it's very hard to stop. Also not having quick/easy/unhealthy food around can help you stop thinking about it. If you feel you really do need to snack, try to have something healthy. Good Luck I know how horrible the cravings can be, but if you try to eat sensibly and avoid binge eating then you should be able to keep your weight down okay.
    Thanks! This actually makes a lot of sense!!
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    now you mention it, I think I am always worse after I've already eaten a lot!! I skipped meals for about 24 hours yesterday and didn't feel hungry at all, but the day before as soon as I ate something I just couldn't stop.

    I'm hoping I'll lose a lot when I move back into my own place in October. Right now I live with my family who always have an abundance of food, especially snack food if my dad's been shopping. I'm Italian so food's a big deal in this household. I'm usually vegan which helps me to cut out a lot of snack food - if I want biscuits, I have to make them myself, and the effort of making them makes me determined to save them rather than eat them all at once.

    I think I'll use Weight Watchers because it helps me to stick to set meal times and set portion sizes. I find the points easier to calculate than calories and they're sort of less triggering.


    (Original post by superwolf)
    Nightmares. :afraid:
    Hope you feel better soon!! Is there anything you can do to take your mind off them? :hugs:
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    (Original post by superwolf)
    Wow, your psychiatrist goes into a hell of a lot more detail than any of mines ever did!
    He's a good guy, appreciates that I like scientific geekery, and I was terrified of the side effects of mirtazapine so it helped to have an explanation of exactly what was going on. (Also helps that my degree gives me a decent understanding of functional neurology, so he didn't need to go into too much detail.) I personally found it reassuring that it caused weight gain by increasing hunger rather than just be slowing metabolism, because it meant that at the end of the day I still had control over it.

    (Original post by Mouse Potato)
    Thanks, this makes it a bit easier to understand! I don't find the sedation an issue any more, I think I've more or less built up a tolerance to it now. It used to really wipe me out for the whole day but now I'm finding I can cope if I just sleep a bit in the afternoon. I guess maybe it's worth trying a reduced dose to see if it makes any difference, she seemed convinced that I'd lose weight doing that...?
    Yeah, it's probably worth trying, depending on what dose you're on at the moment. If you're on 45mg and reducing to 30mg I'd say it's worth trying. If you're on 30mg and would be reducing to 15mg I'm not so sure, since I'm not even sure 15mg is ever used as a therapeutic dose? Though it sounds like you're pretty small, so maybe need a lower dose than a bigger person (assuming you're pretty slight from the fact that a size 8 is big for you, cos I'm 5ft 6 and when I'm size 8 that makes me quite underweight!).

    (Original post by PonchoKid)
    iv just never been this bad before, but then again i dont think if been this depressed before
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    ended up eating a whole days worth of food in a few hours, couldnt help myself as soon as i at a packet of crisps that was it :sad: luckily i had no money or id have been in the shop buying chocolate and all sorts such a mess
    Yeah. :hugs:

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    Well if you're not eating the rest of the time, eating a whole day's worth of food in a few hours isn't really a bad thing - it means you got the day's food in. I know it feels pretty bleh when you eat so much so quickly, but try not to beat yourself up about it because it will probably only make you feel worse. :hugs:


    ---

    Got a full night's sleep for the first time in forever. Going to try hard to get a decent amount of work done today. Exams starting to loom quite scarily. :afraid:
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    (Original post by Kindred)
    THAT'S BRILLIANT!! :grin:
    Good luck with your other exams
    thank you so much :proud:
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    http://m.bbc.co.uk/news/uk-england-suffolk-22626811

    What a bunch of amateurs... Didn't even suggest taking a bath...


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    (Original post by bullettheory)
    http://m.bbc.co.uk/news/uk-england-suffolk-22626811

    What a bunch of amateurs... Didn't even suggest taking a bath...


    Posted from TSR Mobile
    Haven't several people here experienced similar stuff from them? :sad: :hugs: Really is a shambles.

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    (Original post by superwolf)
    Nightmares. :afraid:
    You still having your tea before bed?
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    (Original post by asdfgah)
    Yeah, it's probably worth trying, depending on what dose you're on at the moment. If you're on 45mg and reducing to 30mg I'd say it's worth trying. If you're on 30mg and would be reducing to 15mg I'm not so sure, since I'm not even sure 15mg is ever used as a therapeutic dose? Though it sounds like you're pretty small, so maybe need a lower dose than a bigger person (assuming you're pretty slight from the fact that a size 8 is big for you, cos I'm 5ft 6 and when I'm size 8 that makes me quite underweight!).
    I'd be going from 15 to 7.5mg. From everything I've read, I'm not sure there's even any point in taking 7.5mg, other than to wean myself off it gradually. I think the mirtazapine was prescribed more as a buffer than anything else. I was coming off a high dose of Abilify quite quickly at the time so they wanted to make sure I didn't just crash massively if any of my psychosis came back, and I needed the sedation. I'm still taking 40mg of Citalopram and the occasional Diazepam so it's not like I'd be taking nothing.

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    I'm actually 5' 8"! I have basically no hips whatsoever and until recently was practically flat chested so that probably sways things a bit. My BMI is just over 20.2 at the moment, so I'm not underweight, but I've never been this size ever and it's scaring me. I've gone from the lightest I've ever been in my adult life to the heaviest in about 2-3 months. I know I was quite underweight and that I needed to be a bit bigger, but my clothes have always felt really loose and now they're starting to get tight and it's freaking me out. It's my shape more than anything. I don't like suddenly having obvious hips and my chest feels huge. I was always quite boyish in shape so this is really weird for me, even if it's natural and normal and so on.


    ---------------

    My CPN is almost 30 minutes late, she's never late and now I'm stressing out and catastrophising.
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    i may just cry and give up

    might not be able to get a drs note because the NHS people have decided i dont need to be at the drs down here anymore and if i cant get one i cant get an extension for placement, which means i cant finish my hours. no idea what to do. my Dr down here is gonna see what he can do, but they cant promise anything. im just gonna cry for now.
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    (Original post by Mouse Potato)
    Hope you feel better soon!! Is there anything you can do to take your mind off them? :hugs:
    I just went back to sleep, and weirdly had a dream where all the terrible stuff in the first dream got reversed, so now I feel better.

    (Original post by asdfgah)
    He's a good guy, appreciates that I like scientific geekery, and I was terrified of the side effects of mirtazapine so it helped to have an explanation of exactly what was going on. (Also helps that my degree gives me a decent understanding of functional neurology, so he didn't need to go into too much detail.) I personally found it reassuring that it caused weight gain by increasing hunger rather than just be slowing metabolism, because it meant that at the end of the day I still had control over it.:
    That's great, sounds like your psychiatrist really makes an effort to make sure you're actually engaged in your treatment. What exactly is it you study again?

    (Original post by bullettheory)
    http://m.bbc.co.uk/news/uk-england-suffolk-22626811

    What a bunch of amateurs... Didn't even suggest taking a bath...


    Posted from TSR Mobile
    Pfft, and what about the healing powers of going for a walk?

    (Original post by rmhumphries)
    You still having your tea before bed?
    No, might have to go back to it. :yy:
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    (Original post by superwolf)
    No, might have to go back to it. :yy:
    Aye - you should, afaik it isn't expensive, and it helped last time :hugs:
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    (Original post by Delain)
    Just been to the doctors. Not seen the doctor because apparently he was off sick and they called me YESTERDAY to leave a message to tell me that. Which I have no idea what they're on about because I never got any message. So yeah stayed up all ****ing day for NOTHING and sat in a doctors waiting room for half an hour trying not to have an anxiety attack, sweating like a goddamn pig. Upshot is I have to go back and do the whole rigmarole again next Wednesday. It took me a hell of a lot to get up the courage to actually go and see someone about my ****ty depression and anxiety only to have it ****ed royally up. Just my luck. -.-
    Because I think my post was unintentionally overlooked yesterday.
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    (Original post by PonchoKid)
    i may just cry and give up

    might not be able to get a drs note because the NHS people have decided i dont need to be at the drs down here anymore and if i cant get one i cant get an extension for placement, which means i cant finish my hours. no idea what to do. my Dr down here is gonna see what he can do, but they cant promise anything. im just gonna cry for now.
    :hugs: They sound like they're being a really unfair! I hope you're doctor does manage to sort it for you. Have you got something relaxing or anything to take your mind off it?

    (Original post by Delain)
    Because I think my post was unintentionally overlooked yesterday.
    That sucks, I've had cmht to that to me a couple of times and it's infuriating when you've made a real effort to turn up. Might be worth checking to see that they've got your number right, in case that's why you didn't get the message
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    (Original post by Mouse Potato)
    I'd be going from 15 to 7.5mg. From everything I've read, I'm not sure there's even any point in taking 7.5mg, other than to wean myself off it gradually. I think the mirtazapine was prescribed more as a buffer than anything else. I was coming off a high dose of Abilify quite quickly at the time so they wanted to make sure I didn't just crash massively if any of my psychosis came back, and I needed the sedation. I'm still taking 40mg of Citalopram and the occasional Diazepam so it's not like I'd be taking nothing.

    Spoiler:
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    I'm actually 5' 8"! I have basically no hips whatsoever and until recently was practically flat chested so that probably sways things a bit. My BMI is just over 20.2 at the moment, so I'm not underweight, but I've never been this size ever and it's scaring me. I've gone from the lightest I've ever been in my adult life to the heaviest in about 2-3 months. I know I was quite underweight and that I needed to be a bit bigger, but my clothes have always felt really loose and now they're starting to get tight and it's freaking me out. It's my shape more than anything. I don't like suddenly having obvious hips and my chest feels huge. I was always quite boyish in shape so this is really weird for me, even if it's natural and normal and so on.


    ---------------

    My CPN is almost 30 minutes late, she's never late and now I'm stressing out and catastrophising.
    Wow, that's a really low dose. I'm not sure... Everything I've read would have that down as sedating but not AD-effective. My psychiatrist said 30mg was the lowest that they generally prescribe as a therapeutic dose (I'm currently on that alongside 225mg venlafaxine. Anecdotally, I've found that I'm not that much hungrier, but I'm much more prone to binge. I think I've gained 3-5lbs in the 2 months that I've been on it). But I'm not a psychiatrist and your psychiatrist is, so probably worth listening to them I guess.

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    Holy crap size 4-6 at 5ft 8!? I think the weight gain is probably a good thing.

    I know it's really tough to gain weight fast, though. When I was 14 and 5' 5", I was really ill and lost a lot of weight, and ended up at 6 stone. With treatment, the weight went back on within about 2 months, and I got back up to about 8.5 stone. Going from a BMI of 14 to 20ish in a couple of months basically made me go through puberty all over again - my periods started back up, breasts went up from AA to A, and actually started to look feminine. I found it incredibly hard, even though I knew I was recovering from being seriously ill and the weight gain was just taking me back to a normal weight, because it just makes your body change so much and it can feel really alienating.

    However, my weight stabilised and since then I've been firmly normal weight-wise. I still have wobbles (mostly PTSD related hating femininity) but actually, getting up to a BMI of 20 makes you healthier than you were before. From everything I've read on mirtazapine the weight gain tends to happen in the first 2 months or so and then it stabilises, so you are probably worth sticking with it for a bit just to see. If the weight gain stops here you may well get a lot more comfortable with your body, and you're definitely nowhere near unhealthy.


    (Original post by superwolf)
    That's great, sounds like your psychiatrist really makes an effort to make sure you're actually engaged in your treatment. What exactly is it you study again?
    Yeah it's really good. He also let me know that the mirtazapine-venlafaxine combo is known as California Rocket Fuel, which got me more on board with it cos it sounded fun. My brother sees the same psychiatrist and he's even got him on board with the treatment he needs (hard to do!).

    I was studying an arts subject (only reason not specifying because it makes me scarily identifiable) but this year I decided to take a psychology paper, which makes up half of my year's results. It approaches psychology from quite a biological/functional neuroanatomy perspective rather than treating it as a social science (both options are available at Cam and I'm doing the natural science rather than social science option). Anyway, I've really enjoyed it this year so if all goes well with exams I'm switching to do my final year in psychology with cognitive neuroscience options.
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    (Original post by thatsthebadger93)
    :hugs: They sound like they're being a really unfair! I hope you're doctor does manage to sort it for you. Have you got something relaxing or anything to take your mind off it?
    the receptionist was really quite helpful bless her, but i was still really gahhh at the fact she was telling me i wasnt registered, iv been told i HAVE to claim extenuating circumstances, yet theres a possibility i might not even get a drs note
    hopefully he can put something together, i have to phone back tomorrow in the hope that hes done it. i have my personal tutor phoning me back later because i really dont know what ill do if i dont get it.
    my relaxing day consists of writing an essay for tomorrow hahaha
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    (Original post by thatsthebadger93)
    :hugs: They sound like they're being a really unfair! I hope you're doctor does manage to sort it for you. Have you got something relaxing or anything to take your mind off it?



    That sucks, I've had cmht to that to me a couple of times and it's infuriating when you've made a real effort to turn up. Might be worth checking to see that they've got your number right, in case that's why you didn't get the message
    They confirmed they had my landline number which was the correct one. Apparently they left it on there but when I checked there wasn't one.
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    ooh, queasy still but might just be hunger so cooking some chicken nuggets and waffles.
 
 
 
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