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Suggest Treatment For Constipation While On Mirtazapine

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Posted on Tue, 5 Sep 2017
Question: This my father's profile, he has been taking mirtazapine from 12 years I checked on internet and saw several side effects including thickening of veins and constipation.
He is feeling lot of gas and constipation is this due to this medication. And suggest some suggestions for the same
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Answered by Dr. Dr. Ashok Kumar Choudhary (1 hour later)
Brief Answer:
Regular exercise and increase in dietary fibre must help him

Detailed Answer:
Dear XXXXXXX
Thanks for using Healthcaremagic.

I read your query and understand your concerns.

First of all I must agree that mirtazapine have side effects in form off constipation and sedation. However these side effects appear in few months of treatment and not after 12 years of treatment. The other common cause for constipation is advanced age and I think this should be considered before making final opinion.

I must also inform you that thickening of veins is not a well established side effects of mirtazapine and contributed by multiple factors.

Having said this in my opinion a simple change in life style is the only thing required for constipation and gas problem. This includes regular physical exercise, stress management, plenty of fluids and increased use of dietary fibres. If your doctor is willing to continue mirtazapine due to potential benefits I feel these simple change are the all which you need to advice to your father.

I hope this answers you.
Feel free to write back to me if you have more questions.
Thanks and regards.

Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Ashok Kumar Choudhary

Psychiatrist

Practicing since :2000

Answered : 3347 Questions

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Suggest Treatment For Constipation While On Mirtazapine

Brief Answer: Regular exercise and increase in dietary fibre must help him Detailed Answer: Dear XXXXXXX Thanks for using Healthcaremagic. I read your query and understand your concerns. First of all I must agree that mirtazapine have side effects in form off constipation and sedation. However these side effects appear in few months of treatment and not after 12 years of treatment. The other common cause for constipation is advanced age and I think this should be considered before making final opinion. I must also inform you that thickening of veins is not a well established side effects of mirtazapine and contributed by multiple factors. Having said this in my opinion a simple change in life style is the only thing required for constipation and gas problem. This includes regular physical exercise, stress management, plenty of fluids and increased use of dietary fibres. If your doctor is willing to continue mirtazapine due to potential benefits I feel these simple change are the all which you need to advice to your father. I hope this answers you. Feel free to write back to me if you have more questions. Thanks and regards.