Mirtazapine

[Crumpets4butter]

I've been on mirtazapine (15mg) for 3 months. For sleep and anxiety attacks at night. It worked amazingly for me until the last few days where it seemed to stop working. Sleep had been sporadic, 3 nights ago I finally dropped of at 3:30am for 4 hours, the night after 5 hours, then last night's unfortunately nothing at all, maybe about a 20 minutes doze 😥

Upset and frustrated, has anyone had experience of this? I've filled in an online form for the doctors but it will be Tuesday before they get back to me.

[Killerpinkflamingo]

I’ve been on Mirtazapine since October 2017, and the same thing happened to me about 2 months in. I told my GP and she increased it to 30mg. I was concerned that this wouldn’t work because I have read many reports about lower doses being more sedating than higher ones - but within a few days on 30mg, my sleep returned, and I have slept perfectly ever since. So don’t despair (I know I was so upset when 15mg stopped working for me), you may just need an increase in dose

[Northernsoullover]

Can I hijack and ask did upping the dose result in increased eating? I've just about got a handle on my food intake 3 months into 15mg. I'm ok with my dose at the moment but I don't want to risk the 'mirt munchies' if I can help it.

[Killerpinkflamingo]

For me the appetite thing calmed down after about 2 months, and it didn’t increase again when I increased to 30mg. I got myself worried and upset a few months ago that the appetite and weight gain was coming back, but I think that was more due to Lockdown and inactivity due to being stuck at home. I probably have a healthier appetite than I did pre Mirtazapine, but it’s certainly no where near as bad as it was in the first couple of months.

[Crumpets4butter]

Thank you for your comments, I do hope I'm the same as you @Killerpinkflamingo!

[wobblywinelover]

I was on Mirtazapine, worked for the anxiety but turned me into a non functioning sleepy zombie which was almost just as bad. I'd do the school run but then have to go back to bed for a few hours. Decided it wasn't worth it and weaned myself off it. It's a nasty drug to wean yourself off from if you decide to do it. Be careful and good luck OP

[Iamnotmad]

I hated how sleepy it made me. It was murder trying to get out of bed in the morning for work, I was so groggy. It also made me eat until I would feel bloated and sick.

[Crumpets4butter]

I do like them...agree that they make you sleep and drowsy in the morning unless you get 8 hours sleep (rare with my daughter!) but they have been good for me overall. I didn't know what to do last night, so I didn't take the mirt at all and I knew I was childfree and wouldn't be disturbed I took one of my old zopiclones and feel better today. I know it's a slippery slope relying on these things 😳 but I'm not sure I've ever gotten over sleep anxiety since I had post partum psychosis in early 2018.

How did you wean yourself off @wobblywinelover?
And what would you suggest doing tonight? Won't be able to speak to doctor until Tuesday. Unsure whether to take 15mg or 2×15mg?