Mirtazapine 7.5 mg or 15 mg which more sedative? Known case of dysthymia, with frequent insomnia, sexual dysfunction with sertraline, vortioxetine 5 mg+ mirtazapine 15 mg or ,vortioxetine 10 mg+ mirtazapine 7.5 mg which is better, prescribed by two psychiatrists, can't able to see first doctor again due to lock down..

Dr. Saranya DevanathanPsychiatrist51yrs exp

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Dear Famish, Mirtazapine is sedating. But in your case, it is NOT prescribed for sedation. Its antidepressant effect will be useful - not only in insomnia but also in other symptoms. The prescription starts with 7.5 mg and goes on building upto even 90 mg to get over depression. Generally the doctor will try with the lowest dose for 2-3 weeks and increase it depending on the benefit and side effects. Vortioxetine is comparatively a newer antidepressant and you have to try out the dose. Again start low and increase slow. What tablet at what dose works for you, is the best antidepressant for you. You have to try. 

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Dr. AmitaPsychologist23yrs exp

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You need is meditation and relaxation therapy's.  

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