Hi I Am A 46 Yr Old Women Walk At

Posted on Tue, 6 Nov 2018

Question: Hi I am a 46 yr old women walk at least 20 min everyday in fairly good health my blood pressure is good my current blood work all normal recently had a loop and echo stress test done all seems normal I do take mertazapine 3.75 mg every other night my question is I am trying to come off this ans I have been on this does ans schedule for almost one month sat night I felt a bit neasiated I have been feeling light headed and nauseous on and off today no other symptoms I know this could be a side effect of slowly coming off this pill any suggestions what it could be I am also in my second day of my menstrate cycle

Answered by Dr. Mahboob Ur Rahman (5 hours later)

Brief Answer:
Please see details below

Detailed Answer:
Hi and Welcome to Ask A Doctor service. I have read your question and here is my advice.

Yes this may be withdrawal of the drug , but as you are already on too low dose of mertazipine , and doing this for 1 month we may need to think of other causes as well.

Such things to occur commonly and most of the times are not serious .If you have light headedness, I would advise you should check your blood pressure , pulse and sugar.If these are normal then it's quite re assuring that nothing is serious .

There may be many causes for it and if otherwise you feel fine we dont need to worry specially if your BP and pulse are normal. For instance this may be caused by yours drugs , or some bad food can cause similar symptoms. you are right this may withdrawal effects of mertazipine. Menses can also cause you feel nauseated and light headedness. causes are too many .

So I would advise that if your BP , pulse is fine , and you do not have any fever , you can just wait for things to settle.Take more fluids and deep breathing. you can also some antacid and anti emetic like gravinate if needed. I hope this would be fine. if it didnt settle , you can always see you doctor for more evaluation .

Hopes this help you understand your query. let me know if you have any further question. I will be glad to answer your questions.
kind Regards Dr Rahman
.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Mahboob Ur Rahman (8 hours later)

Hi blood pressure was fine took it on oct 10 in de office 120/70 pulse right now is fine 84 not sure what to make of it I will try it could be something I ate yesterday if it does not pass I will go see my gp

Answered by Dr. Mahboob Ur Rahman (15 minutes later)

Brief Answer:
That's very fine

Detailed Answer:
Hi.. Yes it's great that you are fine.
And I hope nothing is serious.
Wish you Best luck.
Please don't hesitate to ask if you have any thing else to ask.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Mahboob Ur Rahman (3 hours later)

So my blood pressure and pulse are fine correct as I cannot get in to see my go again till Friday

Answered by Dr. Mahboob Ur Rahman (1 hour later)

Brief Answer:
Yes,they are fine

Detailed Answer:
Hi.
Yes your blood pressure and pulse are very right. You don't need to worry about that. This is a good sign and Indicate that probably nothing is serious.

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Nagamani Ng