Started on mirtazapine 30mg early December which helped massively with sleeping but now been upped to 45mg and I'm having very little sleep now. The depression is much better but the anxiety is not good presently either but I have decided to stop beta blockers which may not be helping with the anxiety. Just wondered if anyone else has the same problem. And darent take Zopiclone as when first on Mirtazapine took one and speech was very slurrly and could hardly walk. And Nytol just doesnt work for me anymore. Any suggestions gratefully received.
Rachel, I was on 45mg for depression for about 4 years. I had been on lower doses for sleep, but with exacerbation of depression GP increased the Mirtazapine eventually to 45mg. My anxiety levels shot up. I thought it was just me and that I had to deal with unresolved depression. A counsellor told me that Mirtazapine can stop working so I thought I'd try to come off it. As soon as I started reducing the anxiety subsided. I'm now down to 7.5mg, I can't sleep at lower doses. I reduced in small increments and very slowly.
I hope this helps. All the best. Catherine x
Ps smaller doses tend to be more sedating.
5mg which i have to say just seems to help me sleep and that is a great help, but as for the anxiety, need some help there. Ssris. help some but i cant take them. Be interested on your progress message anytime.
Sorry lost half my message, im on 7.5 mirtaz after having to decrease it due to anxiety rocketing on increasing.
Supongo que la dosis de mirtazapina (mirt) se aumentó para contrarrestar la ansiedad o la depresión.
Desafortunadamente, hacer eso elimina su capacidad para ayudar con el insomnio.
Es común tratar los problemas por separado: tomar una dosis baja de mirtazapina (mirt) para el insomnio Y TAMBIÉN tomar otro antidepresivo (por ejemplo, un ISRS) para la depresión/ansiedad.
Mis mejores deseos.
Thanks everyone. Yes dose increased to help gad and depression. Looks like I need to ring gp. :-(
Sí Rachel, he leído sobre personas que se sienten igual con dosis más altas ... a veces, siempre que la Mirtazapina ayude con cualquier insomnio, resuelve la ansiedad Y la depresión; en mi opinión, si 30 mg te ayudó, volvería a bajar a esa dosis. Pero gradualmente, baja a unos 37.5 (30 + 7.5 mg) durante una semana o diez días, luego a 30 mg ...
No recomendaría tomar Zopiclona con Mirtazapina, la Mirtazapina ya tiene una gran cantidad de sedación y, por lo tanto, podría ser peligroso. Nytol funciona con antihistamínicos, igual que la Mirtazapina - sería interesante saber cuánto antihistamínico activo hay en la Mirtazapina, sé que Nytol tiene 25 o 50 mg del ingrediente activo.
Te deseo lo mejor
Thanks calmer unfortunately 30mg just didn't resolve my depression and anxiety which was why gp increased. Think I will have to speak to my gp again but thanks for advice about zopiclone as was gonna take one tonight as getting desperate but best not risk it.
Just as a matter of interest, have you tried lowering dose of mirtazapine to see if the anxiety and insomnia dissipates a little. It certainly did for me and i sleep better at 7.5mg but my anxiety is still there. Like you i did have Zopiclone short term, disposed of it as it can be habit forming. I would also be interested to hear if your anxiety lowers on. 45mg.
As a retired RMN 45mg is to treat depressive and anxiety symptoms. I take 15mg myself for sleep only and another antidepressant sertraline 150mg. If you are only treated by ur GP they are reluctant to give two antidepressants.
I'm a chronic insomniac and over my 55 years have tried everything including sedating antihistamines which as promethazine ie Phenergan and nytol etc.
I take 9mg of melatonin which I buy from website Biovea, plus mirtazapine 15 and 100mg Pregabalin at night. Pregabalin can be prescribed to help anxiety but GPs don't like prescribing it as it's expensive.
Hope you find something as not sleeping is terrible.
Ann I would say that my anxiety has increased on the 45mg and panics have started up regularly again, even come on without me thinking about anything now, but as I said in the original post I have stopped taking beta blockers, just because I think this is here to stay and I need to start living with it. The depression is noteably better on 45mg. I darent try reducing dose as I really dont want the depression back.
Lynn I did actually sleep last night, so that gives me the excuse to chicken out of seeing/phoning the GP, and like you say I can't see her giving me two anti depressants anyway. And I do feel better than I have for months so I'm not gonna rock the boat.
Thanks for your support everyone x
WOW Lynn, te compadezco mucho por el insomnio crónico con el que has estado luchando. ¿Eres del Reino Unido, conseguiste el Daily Mail hoy? El artículo y el consejo aparentemente excelente con el diario de sueño se ven muy prometedores, es del profesor Jason Ellis, Director del Centro de Investigación del Sueño de Northumbria. Puedes leerlo en línea, pero necesitarías el diario de sueño y parece que lo envían gratis, verifica.