
Good Afternoon Doctor - I Changed Quitipin 100 To Quitipin

I have following questions:
- is improvement in anxiety because of reduced mirtaz (from 37.5 to 30) or changing quitipin to quitipin sr ?
-you had told me to reduce mirtaz futher from today (thinking of making it 15+7.5+1/2 of 7.5 (doing it gradually as i am sensitive to even changes changes), should i reduce mirtaz and switch to quitipin 150 sr, both changes tonight or i was thinking of changing quitipin from (from 100sr+50plain) to 150 sr and wait for two days to see how i feel and then reduce mirtaz, if required?
also little worried that reducing mirtaz may increase my anxiety?
Also, is there any contact number of yours that i can have to consult you directly after fixing up the timing? pls advise

I have following questions:
- is improvement in anxiety because of reduced mirtaz (from 37.5 to 30) or changing quitipin to quitipin sr ?
-you had told me to reduce mirtaz futher from today (thinking of making it 15+7.5+1/2 of 7.5 (doing it gradually as i am sensitive to even changes changes), should i reduce mirtaz and switch to quitipin 150 sr, both changes tonight or i was thinking of changing quitipin from (from 100sr+50plain) to 150 sr and wait for two days to see how i feel and then reduce mirtaz, if required?
also little worried that reducing mirtaz may increase my anxiety?
Also, is there any contact number of yours that i can have to consult you directly after fixing up the timing? pls advise
You can make changes form today only.
Detailed Answer:
Hello again
If you are not getting 150 SR then you can take 100 and 50 SR tablets. These are easy to found.
You can reduce the Mirtazapine from today only and also make 150 SR of Quetiapine. No need to get worried. This would not cause any issues.
Reduction in Mirtazapine and also to some extent Quetiapine both are resulting in relatively better sleep quality and this is the probable reason you are feeling better.
Just stop anticipating. Don’t think that you will not get good sleep. Just take your medicines and remain relaxed. Everything will be alright.
Reducing Mirtazapine will not result in relapse of anxiety.
Due to HCM policies I can’t provide the number. Please excuse me for this.
Thanks

You can make changes form today only.
Detailed Answer:
Hello again
If you are not getting 150 SR then you can take 100 and 50 SR tablets. These are easy to found.
You can reduce the Mirtazapine from today only and also make 150 SR of Quetiapine. No need to get worried. This would not cause any issues.
Reduction in Mirtazapine and also to some extent Quetiapine both are resulting in relatively better sleep quality and this is the probable reason you are feeling better.
Just stop anticipating. Don’t think that you will not get good sleep. Just take your medicines and remain relaxed. Everything will be alright.
Reducing Mirtazapine will not result in relapse of anxiety.
Due to HCM policies I can’t provide the number. Please excuse me for this.
Thanks



You can contact me in emergency
Detailed Answer:
Hello again
Yes you can contact me in emergency.
Thanks

You can contact me in emergency
Detailed Answer:
Hello again
Yes you can contact me in emergency.
Thanks



Reduce the dose gradually
Detailed Answer:
Hello again
Yes you should reduce the dose of Mirtazapine but please wait for a couple of days and then reduce its doses again. This will result in smooth tapering.
Thanks

Reduce the dose gradually
Detailed Answer:
Hello again
Yes you should reduce the dose of Mirtazapine but please wait for a couple of days and then reduce its doses again. This will result in smooth tapering.
Thanks



Yes you should reduce.
Detailed Answer:
Hello again
It’s better if you reduce the dose. This will make sleep better and one dose of drug will decrease. You can give this a try.
Thanks

Yes you should reduce.
Detailed Answer:
Hello again
It’s better if you reduce the dose. This will make sleep better and one dose of drug will decrease. You can give this a try.
Thanks


My anticipatory anxiety is better. I had a meeting in the morning, did not anticipate much about it but was getting physical symptoms i.e. losing control on words as well as difficulty in pronouncing long words. I woke up in between but in the morning today was feeling refreshed. I must say, it was one of the better mornings I have had in the past. I am confused, as on one hand am better as far as anticipatory anxiety is corned but getting these physical symptoms on the other hand.
Wondering what is causing it!
Pls advise.

My anticipatory anxiety is better. I had a meeting in the morning, did not anticipate much about it but was getting physical symptoms i.e. losing control on words as well as difficulty in pronouncing long words. I woke up in between but in the morning today was feeling refreshed. I must say, it was one of the better mornings I have had in the past. I am confused, as on one hand am better as far as anticipatory anxiety is corned but getting these physical symptoms on the other hand.
Wondering what is causing it!
Pls advise.
Try to ignore these symptoms.
Detailed Answer:
Hello again
Please try to ignore these symptoms. You are just becoming aware of body changes. Slight body symptoms are normally seen and there is no need to get worried for that. Try to bring the dose to 15+7.5 as soon as you can. In coming days you will be relaxed and the physical symptoms will remit.
If needed you can use Betacap and/or Etizolam on sos basis.
Thanks

Try to ignore these symptoms.
Detailed Answer:
Hello again
Please try to ignore these symptoms. You are just becoming aware of body changes. Slight body symptoms are normally seen and there is no need to get worried for that. Try to bring the dose to 15+7.5 as soon as you can. In coming days you will be relaxed and the physical symptoms will remit.
If needed you can use Betacap and/or Etizolam on sos basis.
Thanks



Just reassure yourself and try to remain relaxed.
Detailed Answer:
Hello again
You are in good position, perform well in your job, do you really think anxiety has harmed you? Anticipation that you might develop anxiety is bothering you. You should realise and also reassure yourself that this is an illness and you have to overcome this.
Just ask yourself, even if your boss see that your hands are shaking even then what will happen? You might be having anxiety attack and this is normal. Even research says that anxious people perform well in their professional life.
So stop thinking about this. Yes reducing the Mirtaz doses will definitely make your functioning better. Just stop anticipating. Try to remain normal, even if people come to know about your anxiety even then that is ok. The physical symptoms will decrease progressively. No need to get worried.
Thanks.

Just reassure yourself and try to remain relaxed.
Detailed Answer:
Hello again
You are in good position, perform well in your job, do you really think anxiety has harmed you? Anticipation that you might develop anxiety is bothering you. You should realise and also reassure yourself that this is an illness and you have to overcome this.
Just ask yourself, even if your boss see that your hands are shaking even then what will happen? You might be having anxiety attack and this is normal. Even research says that anxious people perform well in their professional life.
So stop thinking about this. Yes reducing the Mirtaz doses will definitely make your functioning better. Just stop anticipating. Try to remain normal, even if people come to know about your anxiety even then that is ok. The physical symptoms will decrease progressively. No need to get worried.
Thanks.

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