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Author Topic: Mirtazapine - is it safe to use when HIV+?  (Read 1953 times)

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Offline Delby

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  • Posts: 140
Mirtazapine - is it safe to use when HIV+?
« on: May 30, 2008, 08:58:32 AM »
Dear All,

I have recently been prescribed Mirtazapine and Melatonin for my chronic insomnia. My ID doctor didnt prescribe them, but rather a sleep clinic.

I'm currently on Atripla and the doctor who prescribed them said they would be safe to use. However, upon opening them, I noticed it said that they can reduce the number of White Blood Cells.

I was wondering whether anyone has had experience with taking Mirtazapine and if they are safe to use for people with poor immune function like us HIVers.

I have been told to take 1 x 7.5Mg Mirtazapine and 1 x 3mg Melatonin.

Any feedback would be really appreciated as I very concerned about what i read and obviously dont want to damage my number of T cells.

Also, if you'd like to tell me whether they have helped your insomnia then feel free to let me know as i'm hoping they will help me sleep better, but so far nothing has worked.

Thanks All!


Offline rondrond

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  • Posts: 1,729
  • 22 years HIV+ yet a yard could be the death of me
Re: Mirtazapine - is it safe to use when HIV+?
« Reply #1 on: May 30, 2008, 09:23:08 AM »
Hey Delby, Anytime I get nervous about how drugs are going to interact I call and ask my doctor. I have  never been to a sleep clinic so cannot be more help on those drug interactions, but , yeah, your ID doctor would be able to guide you.
Sorry that you are not sleeping well. I'm assuming that you aren't getting enough sleep?
 I am not having trouble getting to sleep, my problem is when I fall asleep. (I fall asleep all over the place)

Hope you find something that helps. Ask your doctor, ok?
"I'm not done yet"....Glen Campbell

"I may not be exactly where I want to be, but I sure as Hell am not where I was"
Wynnona Judd

No Meds for 7 Years

04jul07/DVT-right leg/Bi Lateral PE's     
16oct08/DVT-left leg
Aug09 Diagnosed: COPD

Tcells 700

Offline Miss Philicia

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  • celebrity poster, faker & poser
Re: Mirtazapine - is it safe to use when HIV+?
« Reply #2 on: May 30, 2008, 10:29:51 AM »
Yes, Mirtazapine (aka Remeron) should be fine.  I took it for five years and during that time I was on at least two different HAART regimens, and it was prescribed by a psychiatrist who coordinated with my HIV specialist.

The only thing I think of you should be aware of is that this med can make you pork up, so watch what you eat while on it.  And of course, take it an hour or so before bedtime as it's fairly sedating.

At any rate, you should always inform your HIV doctor of medications that other specialists prescribe to you, but in my 8 years of various psychotropic meds never once has there been an issue.
"Iíve slept with enough men to know that Iím not gay"

Offline Tempeboy

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  • Like St Francis of Assisi I am wedded to Poverty
Re: Mirtazapine - is it safe to use when HIV+?
« Reply #3 on: June 01, 2008, 11:52:27 PM »
Hey Delby,

Has your HIV doc ruled out Efavirenz as a cause of insomnia.  Substituting this drug alone could lead to improved sleep.

take care
Roughly roundabout somewhere in the eighteenth or nineteenth century, Sodomite begat Homosexual out of moral, medical and legal models, bequeathing him Identity, who inbred with Nuclear Family and Industrialism to spawn Homophobia.

Dean Kiley


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