Since last summer, I have been experiencing very poor sleep, and extreme fatigue. Episodes of nausea, sweating and shaking seem to follow any exertion.
MY rheumy suggests that chronic insomnia is preventing my body recovering and perpetuating this extreme fatigue etc. So I have been on 30mg amitriptyline since early January, with a possible escalation to 50mg in due course. I've also tried zopiclone. But so far, this has had no effect on either sleep or fatigue. In conversation with a psychiatrist last week, he suggested mirtazapine 15mg as a suitable alternative.
Does anyone have any thoughts or experience of this? Thanks