Re: Re: sorry forgot to saythis reply wasforcatherineAngry, impatient, aggressive...

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Dear Sally,

You said:

<< - thankyou so much for this and your other message of

information and support.

My GP is very nice and supportive but she doesnt really have any

specialist knowledge about SSRI's (and there is no NHS psychiatrist

working in my area at the moment - the post is still waiting to be

filled!)

My Gp wants to swap me to something called mirtazepin (Zispin???.

She originally suggested cipramil but now says that if Im not suited

to the prozac then probably wont be suited to any of the other SSRI's

either.

I REALLY dont want to do this because Im very worried about the swap

from SSRI to something completetly different.>>

** There are a couple of flaws in her thinking. If you were able to

tolerate Seroxat, an SSRI, you could possibly tolerate another

non-stimulating SSRI (Prozac is known for it's stimulating properties).

Also, switching to mirtazapine would not be helpful; it would only further

complicate things precisely because it is NOT an SSRI. This would put you

into a hard withdrawal.

Cipramil is the least stimulating of the SSRIs (Seroxat is the most

sedating).

You said:

<<Anyway she does at least listen to my opinion - so will discuss more

with her when I see her.>>

** This is important.

You said:

<<In the meantime am planning to carry on with VERY slow withdrawal

from prozac while taking the valium.

(Because at least then if I do swap to say cipramil Ill be swapping

from a lower dose.)>>

** This sounds like a sensible plan.

You said:

<< I cant tell you how much your support means to me.

Thanks again>>

** You're most welcome. I'm glad to be of any support I can.

Regards,