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[Dyan]

I am having a blip at the moment and it seems to be getting worst each day.
I am taking 15mg Mirtazapine which has been great for the 5 months I've been on it until now.
I am going through the awful anxiety again.
I rang the doctors yesterday and was told that my GP has left and there are no female doctors there now and the emergency GP would ring me back.
I wanted to know if I could increase the Mirtazapine.
The GP DID ring back!
I was told that because I'm on fluoxetine ( for  OCD)as well he wasn't sure on increasing the Mirtazapine and he would have to check with a psychiatrist.
I told him he was welcome to consult my psychiatrist which he said he would by fax and get back to me.
Last time I saw my GP I was fine and had got back to normal on the 15mg Mirtazapine.
She told me as I was ok to stay on that.
She said she would leave it up to me as to how I go.
I hadn't heard back from the emergency doctor at 12 today so I phoned back and was told by the receptionist that they hadn't heard from my psychiatrist and she would get the doctor to call me back.
I'm sitting here waiting and thinking should I up the Mirtazapine myself?
I feel like I've been left out on a limb.
I just need some advice from a doctor.
 When I had my breakdown 9 years ago I was taking 45mg Mirtazapine plus fluoxetine then?
I just don't know what to do.i hate feeling like this.

Sorry for going on but I don't know where to turn.

[Tingly]

Your not going on, your in the grip of anxiety so its no wonder you feel the way you do.

I am sure someone who may be able to hlp will be along on the forum soon

Try and stay as calm as you can ..this is resolvable , its just a matter of timing.

Love
Tigly
X

[Dyan]

Thank you for replying Tingly.
It means a lot.
I'm sitting here getting anxious that nobody else has replied yet

[Ju Ju]

  Can't advise, but sending you love.

[lily]

Hi Dyan

You might have heard back from doctor by now, but if not I think you should up it at least a little bit to see if it helps.  Sorry you are feeling this way, try to give yourself plenty of tlc and do things that calm and help you or try to lose yourself in a book or film maybe?  xx

[Milliemoo7]

If you were on 45mg alongside the fluoxetine before then I can't see any harm in upping it a bit.  Typical that it's friday and nobody has got back to you.

  Do you have any numbers you can ring for help?  I have a few if you need them.  Have you ever rung No Panic?  There are some others as well, I'll see if I can look them out for you.  Sometimes just having somebody at the end of the line can help.  My daughter found the Samaritans absolutely excellent, she has anxiety, OCD and panic attacks.  Are you on your own at home? Will you see people over the weekend?

[Dyan]

Thank you all for your replies.
I heard from the doctor at 6pm last night and because I'm on a high dose of fluoxetine he said that I can't up the Mirtazapine despite me telling him about taking the 45mg years ago.
He said that upping could cause me to have a something or other which I can't remember.
When I asked what this was he said it could affect my brain in a bad way.
I'm only allowed to take extra with a psychiatrists guidance.
You can imagine I was really upset and howled my eyes out( which did me a lot of good come to that) and shouted at my OH " I have no one now!"
He put his arms around me and said,"you have me"- Bless!
I do have my own psychiatrist who I shall be ringing on Monday morning.


Saying all that I was in bed early last night as I had been having some late nights with OH being away,I tend to sit up as I don't like to go to bed alone,and I have been extremely tired.
I had a bit of anxiety in bed but managed to get to sleep and I woke feeling a bit better.
I'm not too bad now.
What I must realise,and I spoke to my OH about this this morning,is that my OCD has a lot to do with this so I must put what I learned in CBT to the test.

I'll have a chat with my psychiatrist on Monday.

Thanks all again for your support.

[Dyan]

Sorry milliemoo I meant to add that I have OH,DS& DD at home this weekend.
My DD has been really good and has been looking after me.
She's only 15-bless her,making me cups of tea and lots of hugs and telling me to sit down and relax.
She is a really caring human being.

[CLKD]

I missed this Dyan - sorry.

Interesting that you can't take an added doseage ......... how times change!

When I thought that the Surgery wouldn't give me any more <inserts drug name here 'cos I can't remember>  and I had 4 pills left, I was panic stricken.  'what if' ......... as soon as the GP left a prescription I began to feel better, not completely and I did require 3/4 of those emergency pills to deal with the next few days.

Hopefully your Psychiatrist will be supportive, how about sending him/her an e-mail so that he has something to work on before you speak on Monday?  He/she may of course have been holding a Clinic session or teaching ......... but waiting for that call can be as debilitating as the anxiety 

 

[Dyan]

No worries CLKD.
Thanks never thought about sending Email
My Psychiatrist is brilliant. He's the one I had when I was in the priory.
I haven't seen him for 3 years because I've been doing well.
Now I think is the time to contact him as I'm not sure how much of this anxiety is meno related or my OCD.
I certainly have obsessive thoughts when I don't feel right,then I get anxious about them,have more obsessive thoughts get anxious.
It's a vicious cycle
I'll let you know how I get on Monday but I do feel a lot better today and I haven't upped the Mirtazapine as GP said No
I had an early night last night and I think having that good howl did me good.

[CLKD]

A Very Good Cry clears the system - wish I could occasionally let go but those ADs certainly work 

Glad you feel a little more 'even'