On Avanza Mirtzipine For Nausea And Anxiety. Help?
Need to find out cause of poor response.
Detailed Answer:
Hello,
Thanks for your query.
I appreciate your efforts for medical consultation in so much distress.
Important aspects of your query are:
• 49 year old male
• Known case of anxiety and nausea.
• Currently on Mirtazapine for 33 days.
• Complaints of: poor response to treatment.
Mirtazapine is good drug for anxiety specially in presence co existent gastric symptoms like nausea in your case. This drug take 4 to 6 weeks to show improvement after achieving the optimum dose for patient.
Apart from that common causes of poor treatment response:
• Vitamin deficiency: Start multi vitamins (Specially vitamin B1, B12 and vitamin D)
• Side effect of substance use (stop use if present)
• Thyroid related problem: get thyroid hormonal assay done
• Concurrent stress in life
In your case following steps will be helpful:
-Wait for 10-15 days for response
-Increase mirtazapine doses to 45 mg per day, if there is no response with current doses after 2 week, under your psychiatrist supervision.
-You can also start some benzodiezepines medicines (like clonazepam) for short term which immediately relieve anxiety symptoms under your psychiatrist supervision.
I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups.
Wish you good health.
Regards,