Two years ago, I was faced with a stark choice. I was on Fluoxetine anti depressant medication. And like the upping of the last Mirtazapine dosage, there were very bad side effects, like mood crashes and suicidal ideations, albeit fleeting.
I had to do something. I had to go through my local mental health team, to advance a change to another medication. The choice that came back was either Mirtazapine or Lithium.
I had a vague knowledge of Lithium, namely it is used to treat extreme mental illnesses, like bipolar disorder for example, but it causes physical side effects such as kidney dysfunction. Regular sodium tests would be needed to regulate any Lithium I would take.
I weighed up the choice and decided on Mirtazapine. Apart from the last very bad downturn, by and large it’s kept me reasonably ok. That’s not to say Mirtazapine is perfect, it’s not. I know which dosage is right for me. 30mg. 15mg is too ineffective and 45mg, too much the other way with bad side effects. Straight down the middle will do for me.
This is a choice that a lot of people with mental illness face. To stay on medication, to reduce or increase it. Life is all about choices, good and bad. And I’m very glad I didn’t choose Lithium.
Allen Brooks xx