Mirtazapine 15mg five days in. I have been diagnosed with anxiety, stress, depression and PTSD.

Took a while for it to sink in as I was fully functioning and in work. Well not functioning. Was suffering insomnia. This caused me to crash.

I have accepted that I need something to help me but can i ask if things improve any further as time moves on while taking the medication at 15mg.

Definitely switched my anxiety and worry off. Sleep is getting better.

I know I’m not out the woods but going to return to work soon as long as each day is getting better.

Also if the dose goes up does mood improve further or should I stay on 15mg? I know the lower the dose the more sleepy but does a higher dose uplift your mood.

[EndUser13]

Welcome to the forums 🙂

I honestly can't say how mirtazapine may have effected my mood, if at all. It's made a world of difference in helping me sleep and having less nightmares.

I used to take a higher dose, like 30mg or so(?) and I found it very difficult to get going in the mornings, also if I didn't get to sleep quickly enough I'd experience restless leg syndromes, which SUCKS! Ultimately, no one will be able to tell you how a medication will effect you until you try it.

[bethelbee]

As with any medication you need to give it time to work to reach full effectiveness; it's only been a handful of days. If desired effect isn't reached with this dose, speak with your doctor. None of us can tell you to increase your dose. Each person responds differently to each medication.

[Hidden in reply to bethelbee]

Thanks for your reply. They are helping. I’m just wishing them to help further. It will be night 6 tonight. How much longer should I wait until I contact my GP. I am just being impatient because I want to return to work. Currently still fighting tiredness from them. Thanks

[primrose81]

I have been on the same dosage of Mirtazapine as you for about 4 or 5 years I think, possibly more. I would give it at least a month to have the desired effect. It definitely helps me to sleep which has always been the main issue with me as I tend to get hyperactive at night as can’t bear lying in bed trying to sleep! So clearing out wardrobes/cupboards in the wee early hours became a habit for me but used to limit myself to an hour of doing it. I don’t feel overly drowsy in the morning so you do get used to it and will soon feel only beneficial effects I hope.

[Hidden]

Thanks for your reply. It’s given me some hope. They definitely have switched off worry and anxiety and tiredness is subsiding but I am going to bed earlier than usual. Sometimes I’m zoned out for the whole day and could have slept. I’m still tired but taking them earlier and going to bed. I do value your response as it’s given me hope. I do like feeling a lot more chilled but need to get back to work. I was prescribed them for insomnia that lead to other complications. Thank you.

[012703060610]

Hi there - I just started Remeron at this dose as well about 6 weeks ago. My doctor says that for sleep, the less you take the better. So very interesting. In addition, this med will make you hungry. I have been on it before and it saved my life, but in 2 months, I put on 20 pounds. Two nights ago, I attempted to take about 2mgs only at bed time to see if the theory worked. I was out cold for the first time in a year. I was put on this to gain weight specifically. When taking that smaller dose for sleep, I am was groggy but didn't really care as I was rested. On the regular 15 mg dose, nothing is groggy in the AM. I take a Benzo at bedtime too which we recently added and that has helped a ton if needed. So I only take that if I a truly left awake. But the mirtazapine seems to be doing just fine. I don't know how habit forming this is, but it took me about a month to have way less depression. It's almost scary. I have the worries, but they aren't making me all crazy. Hoping all things sort out for you. Just wanted to share my experience.

[Hidden]

Wow! Thank you for sharing your experience.

Yes they have made me hungry and I’m putting good weight back on as my depression caused lack of appetite. Because lack sleep went on I ended up with extreme anxiety, stress, panic attacks and borderline depression.

It took me a while for it to sink in that I have depression. This was a stigma. Now I’ve embraced the tablets. I captured on your words about worries. I know what you mean. It’s like the anxiety of worry has been switched off like a tap, emotions.

Think my worry now is when do I go back to work. I’m only five tablets in from taking them. 6 tonight. I know they are starting to work but having been diagnosed with what I have I need to get it right. I do think they have saved my life. My health has been so poor due to how all this has affected me.

Doctor gave them to me to treat all what I have mentioned. Interesting the 2mg knocked you out. I will remember this. I will also read what it means higher the dose does it turn worry off further I understand the lower it makes you sleepy and treats some depression

I didn’t know what punishment sleep depravation done to a person. Now I am practicing a lot of self care.

Just wishing for the full affects and planning my return to work. Guess I answered my own question and that being when I feel ready but wanted to know how long it took others to re join the world.

Thanks for your reply.

[Jack_corn66]

Hi, I took this at a starting dose of15mg for around a month to help me sleep (and it certainly does that!) and to take the edge off a bit. Definitely fewer side effects that other ADs like sertraline which is hideous. My GP wanted me to increase the dose but I did the opposite and I found that 7.5mg actually made me sleep even better! And my mood wasn't too bad either, so I don't think it's the case that you need to take more. But after a few weeks of that I gave up (and tapered off), purely because of of the hunger pangs. I wasn't worried so much about putting on a bit of weight, but found myself having massive chocolate and cake cravings, and I didn't fancy damaging my body and teeth with so much excess sugar. If you can avoid that then I'd say stick with them at 15mg for the forseeable. Sometimes it only takes a small change to feel more positive and that feeling can be built upon by making sure you stay fit and do things you enjoy with friends. Good luck!

[Hope__23]

I am two weeks in and would love to hear how things, if they do improve , change as time moves on. I too am wondering if I need to increase my dosage. I also have insomnia, depression and anxiety and I’m currently two weeks on taking 15mg.

Be great to hear other stories.

Thanks.