Flynnal
Bluelighter
- Joined
- Aug 14, 2012
- Messages
- 751
I'm thinking seriously of starting a new A/D medication, and I've been looking into the new SSRIs, along with even newer treatment options. I won't touch SSRI/SNRIs due to their impotence/anorgasmia inducing side effects, so I've decided to try something different.
I am hesitant to start mirtazapine again despite the improvement in sexual function, because of both the weight gain and, mostly, because it makes me mean and nasty...I have two dogs now, and whilst I was on mirtazapine there was occasionally the temptation to lash out at them both verbally and physically (luckily it was only verbal, I'd never forgive myself if I hit any of my fur babies), hence why I quickly decided to finish the taper because I didn't like this particular effect. I didn't care nearly as much about the weight gain as I did about this strange anger problem. And of course, sexual function isn't nearly as good without the mirtazapine, but at this point I don't care, I'd much rather not have to deal with the anger, so I ditched it.
So I've looked into agomelatine, and ketamine, to see how these would work. I am aware that the TGA hasn't put agomelatine on the PBS, so I'm looking at $50/month to cover the single dose version. The double dose version is about $90/month which is getting expensive.
Then there is ketamine...but what forms does it come in? Is it covered under the PBS at all? Is there a nasal spray that can be given in Australia? I have no idea, but I'm fed up with not feeling good, and not having any hope for the future. It's as though the last couple of months I've really gone downhill. My sexual function has literally dropped off a cliff, there is just no feeling at all. I know it's depression due to stress (and perhaps a nerve/hormone problem).
If I go back on the mirtazapine I could go through those nasty "mean" spells again and I'm not having any of it. I hate that feeling, my heart starts pounding and I get super angry for seemingly no reason, and something that irritates me can result in objects flying across the room, usually balls or soft items, but occasionally a fragile object has been destroyed in a fit of rage. So going back on the mirt is...NOT...an option.
I am hesitant to start mirtazapine again despite the improvement in sexual function, because of both the weight gain and, mostly, because it makes me mean and nasty...I have two dogs now, and whilst I was on mirtazapine there was occasionally the temptation to lash out at them both verbally and physically (luckily it was only verbal, I'd never forgive myself if I hit any of my fur babies), hence why I quickly decided to finish the taper because I didn't like this particular effect. I didn't care nearly as much about the weight gain as I did about this strange anger problem. And of course, sexual function isn't nearly as good without the mirtazapine, but at this point I don't care, I'd much rather not have to deal with the anger, so I ditched it.
So I've looked into agomelatine, and ketamine, to see how these would work. I am aware that the TGA hasn't put agomelatine on the PBS, so I'm looking at $50/month to cover the single dose version. The double dose version is about $90/month which is getting expensive.
Then there is ketamine...but what forms does it come in? Is it covered under the PBS at all? Is there a nasal spray that can be given in Australia? I have no idea, but I'm fed up with not feeling good, and not having any hope for the future. It's as though the last couple of months I've really gone downhill. My sexual function has literally dropped off a cliff, there is just no feeling at all. I know it's depression due to stress (and perhaps a nerve/hormone problem).
If I go back on the mirtazapine I could go through those nasty "mean" spells again and I'm not having any of it. I hate that feeling, my heart starts pounding and I get super angry for seemingly no reason, and something that irritates me can result in objects flying across the room, usually balls or soft items, but occasionally a fragile object has been destroyed in a fit of rage. So going back on the mirt is...NOT...an option.
