Hello,

Thanks for your help.

1) MDD

2) Over 1 year. For the most part things are fine. Remission feelings are usually one a week or so, compared to nearly constant without it. The only thing, is that sometimes I get worked up or stressed very easily. Like I have had several cups of coffee at once.

3) I would like to try something different. I have tried SSRI and didn't respond well. I have tried Wellbutrin, and had some trouble sleeping and didn't feel as much like eating. It is also not in the same league as Mirtazapine. It is not as effective. I am thin as it is, but mirtazapine has gotten me to a more normal weight. The intense hunger/sugar cravings are annoying, but I can deal with them. I used to like not having a libido, however it is not helping and would like it to return.

Thanks

Thank you Dr. Kaushik.

I looked it up, and unfortnately, the U.S medical industry is run by corporate interests. The medication is not available in the U.S.

Any other ideas that could help? I have thought about Sildenafil, but in addition to function, I have no desire. So, taking a sildenafil I don't think would help, because the desire isn't present that would even lead to anything.

Thanks

Hello,

No, I’m still going to try to switch to TCA’s. I don’t know much about them, however when I looked them up I read a couple of them can cause decreased libido. Structurally they are the closed to mirtazapine, so I think it is the right choice. However, when I looked them up there are several to choose from. So, I was just wary of finding just the right one. I do have a bit of ocd…but mdd is the main one.

Unfortunately, I wish mirtazapine didn’t cause the other side effects. Just the last couple of days I lowered the dose to 15 mg, while there seems to be a slight increase in libido, the other symptoms come back full force. My thought process changes, ect. I exhibit more paranoia, depression, frustration ect.

I

t is like I never knew how bad my thought process was until it went away and started to come back. My past relationships suffer(last serious girl friend was 6 years ago) and it was because I was constantly feeling fizzily, a bit paranoid, mood swings, ect. With the stigma of depression, I tried Zoloft, Prozac, from an online pharmacy, but didn’t deal well w/ the side effects. Most practionars don’t understand or appreciate mental illness, so often times they misdiagnose. But I finally got serious about it about 18 months ago and got on the mirtazapine.

I can be a normal person, have the energy to talk to people, ect on mirtazapine. And like I said, the fact that it lowered my libido was nice for awhile, but not feeling like I want to progress w/ the opposite sex can be frustrating…and usually the person(s) don’t understand why. Honestly, if two people were going at it in front of me, I could read a book and really care less. So, I figure it is time to explore of options.

One other thing, I did read one blogger who said they have 4 tablespoons of honey after each meal and that help counters the sugar cravings. Until I switch to TCA’s, would this be healthy for me? Would it make me gain weight like other sweets do?

I will go back up to 30mg w/ mirtazapine until I can talk to my doctor. No libido is better than a constant thunderstorm over my head.

Thanks for your help.