I have quit antidepressant called mirtazapine 7.5 mg 3 months ago. But now again symptoms has begun and I restarted taking it and again start to feel fresh. But I am mainly concern with weight gain after restarting it. Previously I have gained lot of weight on taking it. And able to loose few after quitting it. Whether on restarting mirtaz I will again gain lot of weight? My maximum dosage of mirtaz was 30 mg .on restarting I have taken 7.5 mg. How much weight does it increase normally on restarting mirtazapine 7.5 mg.

Dr. Saul PereiraPsychologist46yrs exp

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You cannot calculate weight gain on the basis of dosage or when you restarted. Neither should you stop or restart medication without the doctor's consent and consultation. It is, in fact, dangerous. The weight gain is a side effect but at least the depression gets taken care of. Anyway, do talk to the doctor about your concerns but do not self-regulate the medication at any cost. Additionally, you can follow some of these instructions, which includes exercise mandatorily: You must go and meet with a counselor immediately and with your doctor and you must cooperate with both to your utmost. Please visit these professionals along with your parents. In the meantime please do the following sincerely because you could resolve the problem better with good cooperation: Have a good night’s sleep, have a good breakfast of more proteins, meditate often, remain free of stress, eat a lot of fiber, nuts, avocado, exercise regularly, eat dark chocolate, do Yoga meditation exercises, etc. I suggest you do the opposite of what this depression makes you feel like doing (actually, not doing): you will need to fight this condition. You must become active; stay upright during the daylight time; meet people; never sleep during the day, wake up by 6 am every day, play some active games, especially contact games, do physical exercises, talk to people and join some social clubs, attend Yoga classes etc. Watch sitcoms on TV or comedies and cheer yourself up. Go for excursions in groups, for outings, camps, conferences, and religious conventions. Get a pet dog and spend time training it, exercising it and relating to it. Expose yourself to some sunlight every day, at least, 30 minutes but not in the scorching heat. Whatever happens, please incorporate these three important adaptations in your life: always be responsible, be respectful, and be functional. If you did these three, lots of things will go well in life. Please pray and have faith in God to alleviate your sufferings. Don’t wait for others to help. Use your own motivation, which might be at its lowest, but persevere and win this battle. Above all to be really happy, you need to live in love and for love. Learn all about emotions and how to handle them and that will get you out of the depression rather easily and quickly. A counselor is there only to facilitate you, all the hard word must come from you, and your cooperation with that person is very critical for your success. Be positive every day and learn to be contented with what you have. Do some left brain exercises: it is the happy brain. Here are a few suggestions: shut your left nostril and breathe, move your eyes from right to left and vice versa for at least half a minute at a time, and do callisthenic exercises with some form of counting, regularly. Whatever happens please cooperate with the therapy and do not discontinue until the condition is completely resolved. 

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