Posted by ChicagoKat on October 4, 2012, at 10:00:39
In reply to Miratzapine vs atypicals in neurotic disorders, posted by jono_in_adelaide on October 3, 2012, at 18:00:54
> Given some of the recent talk about the off label use of atypicals fior insomnia, anxiety, panic disorder and OCD, it occured to me that Mirtazapine might be a much better option for many of these patients.
>
> It posesses many of the same properties (Blocking the 5HT2 receptors to releive anxiety and depression, sedation though the H1 receptor, as well as its Alpha 2 effect on noradrenalin. And no metabolic syndrome or tarvide dyskensia (although this seems to be rare with low dose atypicals)
>
> Seems it would be sensible to try most of these patients on mirtazapine before moving to an atypical. As a nice side benifit, it is far cheaper for society/the health systemI completely agree Jono. As I have stated in previous posts, I think anispychotics, atypical or not have too many side effects to be used casually; that they should only be used by those who truly need them, ie people with schizophrenia, psychotic bipolar disease, depressives with psychotic features, and the like. I believe many atypicals cause akathisia in pts, even though they're not supposed to as often as non-atypicals, but that pts. who get akathisia often interpret it as worsening or the start of anxiety.
So I agree with you that Remeron is a much safer choise, and in most cases, probably more effective as well.
Have you decided to try it then?
Kat
poster:ChicagoKat
thread:1027486
URL: http://www.dr-bob.org/babble/20121001/msgs/1027552.html