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Female | Joke

Can I Safely Reduce Mirtazapine Dose to Avoid Weight Gain?

Hi - I am taking for 10 months now mirtazipine 30 mg. Is it ok to half the dose - or do I need to build down more slowly? I gain a lot of weight … Thank you

1 Answer
Dr. Vikas Patel

Psychiatrist

Answered on 6th Sept '24

A common side effect of mirtazapine is weight gain. Talk with your doctor before you reduce your dose. They might recommend a strategy to decrease the dose gradually so that you won't have withdrawal symptoms. It is dangerous to quickly change your dose; therefore, it is necessary to do it carefully under the supervision of your doctor. 

2 people found this helpful

Questions & Answers on "Psychiatriy" (355)

Lack of Sleep I want some sleeping pills

Female | 19

The signs of sleep deprivation, such as feeling exhausted, being moody, and having difficulties concentrating, can be bothersome. The reasons can be stress, too much screen time before bed, or a noisy environment you cannot control. Rather than sleeping pills, develop a soothing bedtime routine, such as reading a book or taking a warm bath to calm your mind. It can help you get the sleep you need.

Answered on 5th Aug '24

Dr. Vikas Patel

Dr. Vikas Patel

Emotionless feeling less mental

Female | 22

Hi, it depends since how long this concern had been with you. It's important to understand the reason for this. We can definitely work on your emotions.

Answered on 29th Aug '24

Dr. Sapna Zarwal

Dr. Sapna Zarwal

Im a 15 year old one actually its not a disease or something bt im getting myself weak and scared and my heart beats are getting high its actually the exm results... Cbse class 10 results are on tmrw and im feeling myself loosing the strength

Female | 15

I can understand how waiting for exam score­s makes you feel ve­ry bad. Your body can get weak, and afraid, and your heart can be­at fast when you are anxious. It is just how your body acts when it fe­els stress. To fee­l good, try breathing deeply, talk to some­one about how you feel, and do things you like­. Remember, e­xam scores do not show who you are as a person. 

Answered on 2nd Nov '24

Dr. Vikas Patel

Dr. Vikas Patel

I am 15 years old, I drank an energy drink at 4pm with 200mg of caffeine. I have never had an energy drink before, I was normal until now at 9pm and I feel jittery anxious and on edge and my chest kind of hurts but I don’t know if it is just the anxiety or what. Please help me is this normal.

Female | 15

A high-energy beverage containing a lot of caffeine might be responsible for your current state. You know, caffeine can make some people feel nervous and jumpy or even give them a tight chest. The deal is that caffeine is a drug; it stimulates the body. To get well, you need to take water, calm down, and don't touch anything containing caffeine. 

Answered on 30th May '24

Dr. Vikas Patel

Dr. Vikas Patel

Is xanax safe for a 14 year old

Female | 14

No, Xanax is not safe for the age of 14. Xanax is a highly-addictive drug and doctors prescribe only for anxiety or panic disorders in an adult. 

Answered on 23rd May '24

Dr. Vikas Patel

Dr. Vikas Patel

I was wondering if I might have something such as DID, as I have been experiencing some symptoms. 1: I have auditory hallucinatons from time to time, like people talking, or whispering my name. 2: I cannot remeber most of my childhood at all. 3: I also talk to myself a lot, like I am a different person. 4: I have visual hallucinations sometimes, like shadows in the corner of my eye 5: Also have trouble focusing sometimes 6: very impulsive sometimes 7: I also daydream alot, and usually for 30 minutes + I and my sister was verbally abused from 2016 to 2022. It stopped in 2022 because I pointed it out. My ‘alters’ aren’t so complicated they are just different aspects of myself really. Most of the time to the extreme though. Like one is me but angry, sad, etc. Once I had a bit of a dissociative fugue, when I kind of just fazed out on the bus and I came to, on the bus but at a different point in the road, and I had no memory of what had happened.

Male | 18

Based on the symptoms, your problem may be Dissociative Identity Disorder (DID). Consulting with an experienced psychiatrist or clinical psychologist, especially in the field of DID, is crucial in diagnosing and planning personalized treatment. 

Answered on 23rd May '24

Dr. Vikas Patel

Dr. Vikas Patel

Doctor mujhe 2 mahine se nind na ane ki problem hogayi hai usk liye mai kya karu kya exercise se nind ki bimari khatam ho sakti hai aap mujhe salah de sakte hai

Female | 21

You me­ntioned trouble slee­ping for 2 months. That's a long time - insomnia can feel e­xhausting. Many factors like stress, anxiety, and poor habits contribute­. Simple exercise­s like deep bre­aths or light yoga before bed may improve­ sleep quality. Avoiding scree­ns close to bedtime and maintaining a routine­ sleep schedule­ are also beneficial. Howe­ver, if difficulties persist de­spite these e­fforts, seeking medical advice­ is recommended. 

Answered on 21st Aug '24

Dr. Vikas Patel

Dr. Vikas Patel

I'm 26 I have autism ocd Suspected ADHD and suspected fibromyalgia I'm taking 15mg of escitalopram It's making me fall asleep from 6 am to 8 am What should I do? I take it in the evening

Male | 26

Escitalopram might be making you feel too drowsy in the morning like it's the reason you are going to sleep. This case is more or less the same with some people. An example of one thing you might do is to consume it earlier in the evening, for instance, right before you eat. This way, you may later be tired but not in the morning. If the problem continues, bring it up with your doctor.

Answered on 22nd July '24

Dr. Vikas Patel

Dr. Vikas Patel

Can I take my xanax and drink orange juice?

Female | 71

To get the Xanax to work effectively, don't take it with orange juice. Xanax is in a class of medications called benzodiazepines. Mixing it with orange juice makes your body absorb Xanax less well because the juice's acidity interferes with this process.

Answered on 23rd May '24

Dr. Vikas Patel

Dr. Vikas Patel

Am fully stress and i can't sleep all night. I wand to cry i don't know the reason but i wand cry

Female | 18

That's normal - e­veryone expe­riences those fe­elings now and then. Stress builds up. It make­s sleeping difficult and brings tears e­asily. That's okay though. Try opening up to someone you trust about what's bothe­ring you. Deep breaths or listening to calm music might help too. Don't forget: taking care of your me­ntal health matters just as much as your physical health.

Answered on 23rd May '24

Dr. Vikas Patel

Dr. Vikas Patel

mai ek llb ki student hu meri umar 24 saal h mujhe kisi se baat karne ka bhi dil nahi karta h 1.6 year ho gya mere brekup ko par mai us baat ko leke hi chal rahi hu aage nahi badh paa rahi hu rote rehti hu choti choti baato par man chidchida sa rehta h or kuch bhi chij ki man me abhi ikchsha nahi rahi mujhe ab kuch bhi acha nahi lagta h menttly mai bahut hi paresan hu mai job karti hu par ab mujhe job karne ka bhi man nahi hota h bina man se office jaati hu

Female | 24

You might have been confined to some of the symptoms of the anxiety and depression. It is essential to consult a mental health professional who would assist you in dealing with the symptoms and would teach you skills that would help you to cope better with the condition.

Answered on 23rd May '24

Dr. Vikas Patel

Dr. Vikas Patel

So, i took a 30mg codeine tablet. Then 5 minutes later i forgot i had taken it. So took another. So iv taken 60mg in 1sitting. Will i be ok. Im 33 weigh about 10st4. Relatively mind strong. I was just curios

Male | 34

If you take 60mg of codeine all at once, it is more likely to cause some side effects. One of the side effects is that you may become very sleepy, feel dizzy, or have problems with breathing. Whenever a medicine reaction like the one described here happens, it is best to remain calm and save your life without increasing the doses further. In addition, it is recommended to stay hydrated, sit down, and be observant of the body's feelings for possible encounters. 

Answered on 16th July '24

Dr. Vikas Patel

Dr. Vikas Patel

I am 36 years old, doing night shift work tobearn money from last few years,pure veg,no egg ,no fish non drinker non smoker, unable to sleep properly and some time anxiety occurs.

Male | 36

This might be that the night shifts have disturbed your body's internal clock, which can lead to sleeplessness. The lack of sleep can also be a contributing factor to anxiety. Try to make a sleep schedule and stick to it, avoid caffeine and screens before bed, and relax your mind with deep breathing or gentle music before going to sleep.

Answered on 23rd Sept '24

Dr. Vikas Patel

Dr. Vikas Patel

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