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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Depression

hi i am on lexapro two and a half weeks and mirtazapine for the last 6 weeks,i am on contraception (microlite) as i was getting depressed around my period,i now have no appetite for the last couple of weeks ,my depression seems to be worsening,is it advisable to discontinue contraception to see if my appetite returns .can a mixture of antidepressants and contraception make my depression worse ?please help
Mon, 8 Dec 2014
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Psychiatrist,  's  Response
Hello thanks for asking from Health Care Magic

You are a known case of depression and are taking Escitalopram and Mirtazapine for last 6 weeks. You are also on Microlite (OCP) and you have depression around periods. Microlite consists of Levonorgestrel and Ethylestradiol. The drug can worsen symptoms of depression as it is a hormonal pill. If other options available then as per my opinion you should discontinue taking Mircolite. Other contraception methods like Barrier methods or Implantable contraceptives can be kept in options. Your symptoms should improve and if they persist consult your psychiatrist for dose adjustments of drugs.

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Suggest Treatment For Depression

Hello thanks for asking from Health Care Magic You are a known case of depression and are taking Escitalopram and Mirtazapine for last 6 weeks. You are also on Microlite (OCP) and you have depression around periods. Microlite consists of Levonorgestrel and Ethylestradiol. The drug can worsen symptoms of depression as it is a hormonal pill. If other options available then as per my opinion you should discontinue taking Mircolite. Other contraception methods like Barrier methods or Implantable contraceptives can be kept in options. Your symptoms should improve and if they persist consult your psychiatrist for dose adjustments of drugs. Thanks.