mirtazapine dose reduction causing blips in hormonal cycle?

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#1 ~nestling~

fragile yet strong

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Posted 25 October 2009 - 10:58 AM

Hey guys!

Firstly -
Announcement time!
~nestling~ is recovering well, and with the blessing and supervisory support of her treatment team has started reducing her dose of mirtazapine. Currently it's 15mg-30mg on alternate days. It's a week in.

Things are mostly going pretty good, which is awesome as we all know what efexor withdrwal was like.

But I have one frustration. Menstruation. Not happening on time.
Is it normal to get your cycle all out of synch when you change anti-depressant dosage?

It's just, well, I've been having intermittent cramps [and PMS!] for a week, and no sign of bleeding.
Today is day 35.
In recent months my cycle has stabilised to average 32 days.
I'm frustrated and concerned.

[And no, there's no chance in anything that I could be pregnant!]

Anyone else's periods go different when you changed your dose?

Surviving Shadows
[Recurrent (Chronic Major) Depression - Complex Trauma]
In the Dark and the Deep there are truths that can always heal~Ken Wilber

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#2 tryp

Borderline Extraordinaire

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Posted 25 October 2009 - 12:18 PM

That's never happened to me. But it sure is good to see you again.

Dx: Borderline Personality Disorder, Complex Trauma, Recurrent Depression

Rx: Celexa (30 mg), Seroquel (300 mg)

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#3 The Emperor

Is there a hole for me to get sick in?

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Posted 25 October 2009 - 01:15 PM

I agree with Tryp that it's nice to see you around!!

Here's my two cents, and in NO way am I a doctor, so yeah, just my opinion.

A lot of times when I change something (diet, MEDS, stree, etc) any kind of life change, my body will react a little to it one way or another. Usually it's my period. Typically a med change, for me, will cause my cycle to be a little wonky the first month on or off a med, or PMS will be hell, or whatever.

That being said, I haven't had that problem with increasing or decreasing meds, so I don't know.

Ask your doctor if it really concerns you and you are always super regular. If you've never seen this before with a med change/adjustment, then that seems a little odd, but not scary or anything.

^{What the docs wrote down about my Crazy: GAD, Social Phobia, Panic Disorder, "Mood issues"

The pills they give me to fix this shit: Bupropion XL 150mg, Abilify 2.5mg, Clonazepam 1mg 3x per day

Pills that did NOT fix this shit: Sertraline, Buspirone, Mirtazipine, Paroxetine, Gabapentin, Effexor XR, Lorazepam, Fluoxetine, Cymbalta, Can't afford Seroquel, Zolpidem

sun moon stars rain

"My eyelashes are heavy

And my hands are unsteady

I reckon I'll just lay here on the floor

'Cause I have seen all my nightmares before" - Keller Williams}

And I take the beauty of my chaos over any one else's perfection, I've still woken up on the wrong side of the bed every day since 1987

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#4 ~nestling~

fragile yet strong

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Posted 27 October 2009 - 02:23 PM

Thanks you both.

My period at last started midday today. I'm so relieved!
I guess... I'm stabilising on all levels, and it takes a while to adapt to the lower dose.

Surviving Shadows
[Recurrent (Chronic Major) Depression - Complex Trauma]
In the Dark and the Deep there are truths that can always heal~Ken Wilber