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[Michelle46]

Hi
I'm 55 post menopause and using 2 pumps of oestriogel and 100mg utrogestan each night. I've been suffering with anxiety for a good 12 years. I went on sertraline 10 years ago which helped a bit but came off them June last year per doctor's advice. 3 months off them symptoms crept back in so I tapered back on sertraline. It was absolute hell. 6 weeks of constant sickness and panic attacks. Gp said to come off and go on to mirtazapine so I cross tapered. This was 7 weeks ago. I'm on 15 mg. I went back to work 2 weeks ago after being off due to sertraline etc. Last Thursday I had a horrific experience in work. Lights were blurry,I was hot,my heart was fast all day then all of a sudden the floor disappeared and walls were moving sending me into a panic.
I'm trying to read books about not giving the anxiety the time of day etc but it's hard. I don't really want to up mirtazapine. I just don't really know what to do.

[JoannFran]

Hi Michelle46

Sorry you're experiencing this. Sounds like a vertigo attack?  Could it be that your estrogen needs upping?  I'm no expert on HRT but utrogestan used to make me dizzy when I was on it.  I'm also reading lots of books and watching lots of videos about allowing the anxiety to be there and not creating more fear attached to it.  It's very hard.  Have you read Claire Weekes hope and help for your nerves?  I've also been watching the channel Pain Free You on youtube which is giving me some hope that I can overcome this.

How are you getting on with the Mirtazapine?  Did you have any start up symptoms?

Hope you are ok x