Appetite Suppressant

[nailit]

Can you get any type of appetite suppressant on prescription?
I've posted before on here that Im currently on Mirtazapine and one of the side effects is increased appetite and cravings for certain food stuffs...in my case sugar. Ive also given up smoking (11 days now) and find myself eating more than ever. Ive put on nearly 2 stone in the last couple of years and dont want to put on any more, I want to loose it.
I'm sure ive heard something about appetite suppressants but dont know if they are available on prescription.
Thanks.

[BlackadderV]

Theoretically you can but very few GPs will prescribe it as they are amphetamine - based and can lead to addiction.

[nailit]

Thanks Blackadder, I certainly dont want any more addictions :-(

[Dizmo]

Nailit: Is the Mirtazapine working well for you other than the increased appetite?

[AlwaysConfused]

this is not medically proven at all....but i find a dab of hot chilli sauce on the tongue works for me when i fancy picking at food/having a ciggie/beer. I capitalised hot as

[lcg]

no.....no good doctor would prescribe an appetite suppressant, particularly for someone with mental health problems. the solution is willpower and a good diet. i sympathise - i am on quetiapine, venlafaxine and sodium valproate, all of which make me hungry 24 hours a day. it does my head in, but there really is nothing out there that will reduce your cravings/feelings of hunger. do NOT get slimming pills or others off the internet. often they are meds that could interfere with your prescribed stuff and have hideous side effects themselves. after all....you do not want to end up nuttier than you are to start with!

[BlackadderV]

"...you do not want to end up nuttier than you are to start with!"

I could have phrased that more delicately. However, the active ingredient in slimming pills is amphetamine, aka speed, hence the reluctance to supply.

[lcg]

i'm allowed to say that.......i have mental health problems (which i made clear to nailit and all and sundry in my post).....and if i want to say nutty.....i will.

[AlwaysConfused]

argh, i must have entered too quickly.... I say HOT as I eat spicy/hot food most days, it needs to be hotter than you are used to on a daily basis, not necessarily scorching

[Dizmo]

If you want to go down AlwaysConfused's route then I'd be more than happy to send you some Bhut Jolokia powder (Ghost Pepper). It's not particularly expensive but the amount you have to buy and the amount you will probably be able to eat (even over a few years) is a bit 'over facing'.

[nailit]

Thanks for replies guys.
Dizmo, the mirtazapine has litterally been a life saver. Before I was on mirtazapine i was on citalopram and proparanol which did nothing for me, I was seriously suicidal. Ive felt like a different person since been on it.

[AlwaysConfused]

I have ghost peppers - I use those rather sparingly!

[Dizmo]

nailit: I had the same problem as I'm assuming most do when on anti depressants. Most of them seem to have the awful side effect of either increased or decreased appetite. Do you suffer from sickness at all? I'm being very careful as to how I ask you what medication you are taking - I don't want you to feel you have to disclose anything you don't feel comfortable with.

[nailit]

//you do not want to end up nuttier than you are to start with//
haha dont think I COULD be nuttier if I tried.

[nailit]

No problem Dizmo, my problems have been well documented on here. Got no sickness with mirtazapine, just a raging appetite and loss of sex drive...good job im not in a relationship.

[wolf63]

I don't have solution but I wish you well nailit.

My brain is currently powered by Lithium and something I can't remember and it isn't working very well at all.

Keep in touch

[Dizmo]

Nailit: The reason why I ask is because if you speak to your doctor they might be willing to put you on Domperidone. I have, in the past,
taken Domperidone for a few weeks after being put on Fluoxite because Mirtazipine wasn't working for me. I might of been on it longer, I really can't remember. It helped me with the 'weight gain' problem as well as it speeds up digestion and metabolism. I wasn't actually given it as an anti-emetic but actually as a way to help with my stomach and how quickly it 'processed' food. I was open to the doctor, as I always am, that I was concerned about the fact I'm was eating more and more - sometimes 7 times a day, at times getting up at 2am and eating bowl after bowl of cereal.

I'd advise you to go to your GP and talk to them about your concerns. If you can't see your GP then speak to your mental healthcare worker. They were happy enough to put me on it so I don't see why they won't do the same for you. After all if it's making you feel low, which in itself needs sorting as soon as possible.

[Dizmo]

*Fluoxetine not Fluoxite

[Peter Pedant]

I was gonna suggest fenfluramine

http://en.wikipedia.org/wiki/Fenfluramine

shows hhow much I know about it all.

[Dizmo]

Nailit: Sorry that paragraph was a little 'all over the place'. I hope you can read it alright - just!

Depression as you know is a 'female canine' and the added stress of worry about your weight really isn't going to help. It's so easy to say what you can and can't do but actually getting to a positive outcome feels like a huge battle.

I hope you manage to get things sorted. I often think about you and wish you the best. One very annoying but typically true saying that people always used to say to me "Things can only get better" - I'm still not sure if I agree with that statement :) There's a lot of people here thinking about you and wishing you well so try and keep tha chin up mate :)

[nailit]

Thank you wolf.
Dizmo, I can relate to the getting up at 2am thing to eat. My particular craving is sugar and choclate, ive never really had a sweet tooth until I started mirtazapine. the cravings are unbearable at times to the point where ive walked half a mile in the rain in the early hours to the 24 hr tesco just to get a bar of choclate.
I mentioned it to a shrink last year but he just brushed it off.
As I said ive recently given up smoking and dont want to gain any more weight.