Mirtazapine increase

[Charl-]

Hi I've not posted for a very long time I am currently on 15 mg Mirtazapine, gas anyone increased to 22.5 and how did you feel.

I did it a few years ago and I think I felt fine I can't really remember

Wanting to calm my anxiety down / morning anxiety

[secrets22]

I have been on 22.5 mg and felt fine, but i'm now on 15mg...and earlier i was on 45mg which was far to high and iit made me feel like a zombie , the main gripe i have with it is the weight gain for I've put on at least 2 stone.

[Charl- in reply to secrets22]

Thank you. I know that appetite stimulant is hard. I'm fortunate enough to not gain weight on it my hunger has always subsided

[SwimmerBTC]

I’ve recently come off Mirtazapine. For a number of years, in agreement with my GP I have fluctuated between 30mg and 45mg. 30mg which I continually took, increased to 45mg when I was in a bad way then going back to 30mg when things improved. In October this year my GP and I wondered if I had become too accustomed to 30/45mg and thus irs efficacy was reduced. I changed to 15mg Mirtazapine in the morning and added in 75mg Venlafaxine at night. In November a psychiatrist took me completely off Mirtazapine but kept the venlafaxine. She is monitoring this with a view to introducing lithium if needed. I’m holding off on lithium as long as possible.

[Kinlay]

I have slowly moved up to 45 mg, and the increase helped me each time. But responses are very individualized, and you may respond differently now than you did years ago. I would definitely try it and see! The main concern is sleepiness (and weight gain for some), so be sure you are taking it at night. Good luck and best wishes.

[Charl- in reply to Kinlay]

Thank you, yes I always take it at night. Been on 15mg for 5 years with a few hiccups along the way. I took 22.5 last night so I'll keep everything crossed