Mirtazapine Overdose?

Question

My best friends daughter (26 y.o.) has suffered from depression since she was a teenager. She recently confided in me about plans to take her own life. She takes 30 mg of mirtazapine daily and has access to about 45 30 mg of the mirtazapine. I'm afraid she's planning on take them all at once. I've discussed this with her mom and she says that the dr. wouldnt have prescribed any quantity she could hurt herself with. I disagree, but dont know what action to take. What amount is safe for her to have access to? She seems fine now, but I've watched her go from fine to suicidal numerous times.

Answer 1

Hi Cathy A.,

I can truly sense how over whelmed you feel and you have every right to be extremely concerned. Speaking from my own personal experience with sever depression and going from one extreme to the other, your friends daughter can take any multiple combination of medications be it prescription or over the counter to commit suicide if she chooses too. Right now your best friend is in denial about her daughters capability of following through with her intentions as well as the doctor not prescribing enough to do any harm. I'm totally with you on that one! I disagree as well. The ONLY reason or time the doctor would control the amount of medication given is if he or she felt or had knowledge that a patient was thinking of harming them self's.

Is your friends daughter in counselling of any kind?. In calling the Suicide Prevention Crisis line, they have really great access to multiple resources that may be available in your area. Get involved and help your friends daughter in getting help, go with her if you can for the support, but do something before it's too late. The only other thing that I can suggest doing is, if at all possible, is to try and find out the name of the doctor and office location from the daughter. In doing this you can look up the doctors name etc. in the phone directory and personally pass on your concerns directly to the doctor about your friends daughter. Good Luck! I hope this offers you some help.



Sincerely,

Alice H.

Answer 2

I'm not medically trained but do work in a dispensary. The recommended daily amount is between 15mg and 45mg. Like with most tablets there is a risk of overdose. The signs of possible overdose are slowed reactions, prolonged dizziness, confusion, racing heart and increase/decrease in blood pressure. The only action you can take is what you've already done, you've talked to her mum and made her aware of her daughters feelings. Its now up to them to keep her safe!

Answer 3

Your friend's daughter can hurt herself with an overdose of mirtazapine, but from what I've read it seems to be a med that's pretty hard to have a fatal overdose with. Signs of an overdose include confusion, drowsiness, poor memory, and a fast heartbeat. They say to seek immediate medical attention.

But it's also hard to tell because people have gotten smart and have stopped posting the dosages needed to overdose on the internet. So I can't tell you which dosage is fatal.

If your friend's daughter has a history of attempting suicide (actually attempting, not just saying she wants to die) then confiding in you her desire to die should be reported at least to her mother, and I would suggest the therapist/doctor, too. Perhaps you can convince your friend to contact the doc to let him know about the suicidal ideation?

I'm glad that you're on top of things with this. She's lucky to have you in her life.

P.S.
Just so you have some info for future reference here's some stuff about suicide:

Whenever someone tells you that they're suicidal if they have a concrete plan, a date, and the plan is actually lethal, then the person is at a high risk of making an attempt. If the details are hazy, the person is thinking about suicide but is unlikely to go through with an attempt.

So if someone told me that they were going to kill themselves on Saturday by shooting themselves in the head that would be a high risk situation.

If someone told me that they were planning on killing themselves, they weren't sure when they'd do it, but when they did it they would jump from the second story window, that would be a low risk plan. Jumping from the second story window would hurt, but it wouldn't kill them.

Answer 4

Mirtazapine 30mg

Answer 5

call 911 if you want her to be safe or just take her to her doctor

and keep on praying to god and i will too.

Answer 6

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Only a professionally qualified doctor can clarify your doubts. Please consult him.