Our expert says:
Hmm. I wonder what your pdoc thinks ! Of course you will have read the ProductPackage leaflet that should ALWAYS be included with the package o ALL tablets and meds.
The usual summary of side-effects would be summarized as : " The most common side effects with Valdoxan (seen in between 1 and 10 patients in 100) are headache, dizziness, somnolence (sleepiness), insomnia (difficulty sleeping), migraine, nausea (feeling sick), diarrhoea, constipation, upper abdominal pain (tummy ache), hyperhidrosis (excessive sweating), back pain, fatigue (tiredness), increases in liver enzymes and anxiety. Most side effects were mild or moderate in intensity and happened within the first two weeks of treatment. Some of these side effects may be linked to the patient’s depression rather than Valdoxan itself."
rankly, I haven't much used Mirtazepine, but it shouldn't provide major withdrawal effects. Lets see how your plan works.
Agomelatine, working mainly on the Melatonin system rather than other chemical systems, is expected to normalize sleep early on, and not by a primarily sedative effect. In America where it has been quite easily available, people often use over-the-counter Melatonin to help with sleep problems, including jet lag.
Distinguihsing between side-effects, withdrawal effects, and a return of original symptoms is always rather difficult, and best done by a clinician who has observed you over time and has noticed the nature of each, in you.
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