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.

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

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.

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.

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

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

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.

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?