zerohours000 1 Report post Posted September 1, 2018 I recently stopped taking Mirtazipine and noticed my left hand, which had stopped twitching etc the day after I’d taken it, is now feeling like it did before. I read that Mirtazipine is a dopamine agonist. Is it possible it was masking PD symptoms? Does this qualify as some empirical testing? My neuro said he doesn’t think this is PD, and there’s no need to see a movement specialist. However, no one has told me what this could be. So I’m left to speculate. My symptoms don’t come and go but are 24/7. So GAD or depression seem so unlikely. Especially since I’ve had it before and didn’t manifest like this whatsoever. Im now beginning to have painful stings in my toes and fingers on both hands and feet. My walking is getting labored. I can only sleep 3 hours at a time. Should I seek out another opinion? Thank you, Zer0 Share this post Link to post Share on other sites
Dr. Okun 429 Report post Posted September 5, 2018 Personally I always think when you have tremor and neurological symptoms a neurology consult is a great idea. Mirtazapine is an antidepressant but can help sleep and tremor in some patients (perhaps the anticholinergic effect). If there is confusion between psychiatric symptoms and PD see a neurologist and in some cases a DAT scan can help. Share this post Link to post Share on other sites
zerohours000 1 Report post Posted September 5, 2018 (edited) 2 hours ago, Dr. Okun said: Personally I always think when you have tremor and neurological symptoms a neurology consult is a great idea. Mirtazapine is an antidepressant but can help sleep and tremor in some patients (perhaps the anticholinergic effect). If there is confusion between psychiatric symptoms and PD see a neurologist and in some cases a DAT scan can help. Hi. Thanks for replying. What exactly is a neurological consult? I asked the neurologist on multiple occasions how worried I should be about PD and he said none whatsoever. But I just don’t understand. No one has even told me plausibile explanations for what it could be. I have internal vibrations, twitching, tightness in hands, poor sleep, disequilibrium walking. I just can’t seem to get any answers on this. Thanks Zer0 Edited September 5, 2018 by zerohours000 Share this post Link to post Share on other sites
Dr. Okun 429 Report post Posted September 12, 2018 I am sorry this must be frustrating. A DAT scan may set your mind at ease. Share this post Link to post Share on other sites
zerohours000 1 Report post Posted September 12, 2018 I feel like they wouldn’t provide that based on my symptoms. Do I just request this? Thanks again Zer0 Share this post Link to post Share on other sites
Dr. Okun 429 Report post Posted September 18, 2018 You should definitely have a chat with your care team and see what they think. Share this post Link to post Share on other sites
zerohours000 1 Report post Posted September 18, 2018 Thanks for replying. I’ve set up a follow up appointment and have an appointment with my PCP soon. My neuro doesn’t think it’s PD. But have you ever heard of FND, functional neurological disorder? I hate guessing but not one doctor has suggested anything to me. Best Zer0 Share this post Link to post Share on other sites
Dr. Okun 429 Report post Posted October 4, 2018 Yes I have heard of it and it is usually a positive diagnosis meaning you can recover (if it is functional). Share this post Link to post Share on other sites
