mirtazapine 15 or 30mg

[kittentwo]

Anyone been started on 30mg for insomnia doc has given me these for chronic insomnia but I keep reading 15mg is best for sleep don't want to screw up another night of potential sleeping I am desperate.

15mg is better for sleep as, weirdly, the side effects get less the higher the dose is.

I take 30mg plus 75mg pregabalin at night I sleep a lot better than I did but not brilliantly

Hi been taking 15mg slept well for 3 nights but last night back to square one kept trying to nod off but kept being woken either by hearing things or intrusive thoughts bit like this you are on play falling asleep then bam something stops you and your on rewind wide awake it's awful should I up dose to 30 half to 7.5 or stay the same any advice welcome maybe I should leave it longer

I'd give it a bit longer but I had terrible insomnia on 15mg. Insomnia can be an unusual side effect. I also had sleep paralysis and really horrible dreams for the first 3-4 weeks that disturbed my sleep but eventually went away. I've been on it for 5 months and I find I sometimes still struggle to get to sleep after taking it for a few hours, although I'm on the highest dose.

I'd give it at least 2 weeks but ideally 4. If no change, then go back to your GP. My sleep improved after I went up to 30mg. I know it's supposed to be more sedating at a lower dose but going up worked for me (I did have severe depression though that 15mg did nothing for which I think is probably why I still had insomnia).

Thank you Pandora 37 I will persivere a bit longer. I haven't got depression just insomnia which causes me great anxiety but I have had a lot on dh had operation before Xmas house move and slipped disc so maybe I am anxious /depressed too. Thank you for advice