Mirtazapine sleepy as hell

[wishesandkisses]

I've been switched from Sertraline to Mertazapine. Not sure if I agree with it but the doctor said Sertraline isn't working and this is the next option. I was straggling to sleep as I have a lot of stress at the moment- I don't usually lose sleep so apparently this is the way to go.

I had my first dose of 15mg last night, slept for eight hours but I am EXHAUSTED. I'm at work and I am barely functioning. I could happily go to sleep under my desk right now..

Please say this wears off as I definitely cannot do this everyday. I can barely keep my eyes open!

Ime it hits you hard the first few days you take it, but you get used to it very quickly. I usually feel a lot better by day 3

I had to stop it . Sorry not what you
wamt to hear but I felt
hungover on it and had brain fog.
Ate like a pig too. It made me
so hungry I felt permanently famished.

see how you go. Horses for courses and all
that. You may find it works a treat once it settles down into your system

Good luck

@wishesandkisses how are you getting on with the mirtazapine? I've started it recently and am also very tired on it. I did 2 weeks at 15mg and now had a week at 30mg. I have had some brighter spots but hoping for more positive days as I'm still quite anxious and depressed.

Hi - just wanted to add that my initial sleepiness and brain fog wore off after a week. I'm now on 45mg since July and I'm sleeping better, less anxious and the initial appetite increase has subsided.
I was really concerned about the side effects to start off with. I'd been on paroxetine for 30 years and did a slow taper and swap. Hope that helps.

Can I ask when increasing your dose from 15 mg to 22.5 does it still help with sleep?

I increased from 15mg to 30mg and it still knocks me out. I take it about 9.30pm and I'm out for the count in about half an hour.

That’s great to hear SameKeyThough
Hope your mood begins to improve soon too.

How are you all doing now?
I finally increased my dose to 30 mg over a week ago now and feel it’s much more effective for depression and anxiety. I still have down days though.
My sleep is good and my appetite unchanged but I could definitely do with eating less as always has been the case with or without mirtazapine.

@SoyMarina I'm glad you feel your increased dose is helping. I'm currently switching from citalopram to sertraline (in addition to the mirtazipine). I don't think the mirtazapine is doing much except helping with sleep as the withdrawal/start up of the other antidepressants has been hell. The plan is that once I'm firmly established on the sertraline I will try and come off the mirtazapine (not looking forward to that).