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I am a 41 year old male in great physical shape. No health…

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I am a 41 year...
I am a 41 year old male in great physical shape. No health issues of note except I have always dealt with anxiety. Two years ago I started having sleep issues...trouble falling and staying asleep. I tried a few over the OTC meds but to no avail. I am currently on Paxil 20mg in AM....gabapentin 600MG at bedtime...and I had been on trazadone 125mg at bedtime. My PCP just switched me to Mirtazapine because the trazadone just wasn't keeping me asleep. The past few nights have been terrible. My question is....is this just too much medication to be on? Could this combination of meds actually causing sleep problems instead of helping? I had a take-home sleep study done a year ago that found nothing out of the ordinary. PCP thinks it is all anxiety. I just feel like I keep adding meds with no improvements. Thoughts?
Submitted: 8 months ago.Category: Medical
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Answered in 4 hours by:
9/6/2017
Doctor: Dr. Phil, MD, Medical Doctor replied 8 months ago
Dr. Phil, MD
Dr. Phil, MD, Medical Doctor
Category: Medical
Satisfied Customers: 59,064
Experience: Medical Doctor Trained at a Top Academic Institution
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Hi, this is Dr Phil, here to assist you. I am Board Certified with over 10 years of experience. I will respond with my answer shortly. Thank you.

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Doctor: Dr. Phil, MD, Medical Doctor replied 8 months ago

any other medical issues?

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Customer reply replied 8 months ago
None at all. Just some anxiety in my adult life. But then it manifested as sleep Problems 2 years ago
Doctor: Dr. Phil, MD, Medical Doctor replied 8 months ago

Absolutely

In fact mirtazapine and paxil are not safe together

did you know that?

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Customer reply replied 8 months ago
I am aware of that those two could cause serotonin syndrome but I use them in such small doses that my doctor says the risk is minor
Doctor: Dr. Phil, MD, Medical Doctor replied 8 months ago

It is but it could be causing your agitation

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Doctor: Dr. Phil, MD, Medical Doctor replied 8 months ago

let me know if you have other questions.

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