Mirtazapine 15-30

Hi,

I have recently upped my dose from 15-30. 8 days in and my anxiety is when waking up is quite bad and lasts most of the day. I have ruined Christmas for everyone close to me, my wife is at the end of her tether with me. Please please can someone tell me it does get better than this. I'm suppose to go on holiday in 3 week and cannot face this. I've been to doctors or spoken to them 3 times before Christmas. I cannot cope with this much longer, just can't settle. It does calm down on an evening but it's just like ground hog day. What am I going to do. Contant feeling of dred and I'm trying but people keep saying you have to think positive, but it's so hard when yr constantly fighting this rubbish. Is it me that's making it worse? Is it side affects? I am ready to just go mad. 15mg when I went on 7 months ago worked wonders, doctors don't seem interested im at my wits end...please help me someone...😢😢

Richard

You don't say why you upped the dose - was 15mg not working at all ? As I understand it the lower doses are better for anxiety whereas the higher dose is bettter for depression. After 8 Days the effects of the higher dose  should have helped by now - you need to go back to your doc and discuss whether this higher dose is right for you  and what can he do to help your extreme anxiety.   The stress of xmas and worry about your holiday is making your anxiety much worse. 

Last year they tried to put mine up too, it made me feel so much worse so i was put back down and am now trying to get off it.  It didnt work for me im afraid. Still on the quest to find something that will. You need to be firm with drs, they dont really understand your feeling so bad.  You should try and get in touch with them annd get referral maybe to cpn who can move things on for you.  I feel for tou, this is a horrid llness and the meds can make tou feel worse, though drs dont admit it

Why did you come off it 7 months ago ?

Merry Christmas, Richard,

In my opinion, you are having a pretty normal mirt experience. Get on it, it works. Stops working, increase dose. Major anxiety, side effects set in. Loss of sleep really messes you up.....the list goes on. Does it ever get better? Depends on your definition of better. I am about 10-11 weeks off mirt, am I any better off than you? I doubt it. I have symptoms that suck the life out of me on a daily basis. I wish I had the answers, I wish someone had the answers. Good Luck.

What are your symptoms now? Mine seem to be getting worse in week 12.

Hi Richard this is not your fault!

You seem to be blaming yourself for being unwell. This is tough! I am 5 weeks on 15mg Mirt and have good days and bad days. Anxiety is less and sleeping better. I don’t intend to increase the dose as I don’t think that using medication only is the answer. I am starting some therapy in January to talk about my past which I think is causing my depression. Be kind to yourself, do things for yourself that help.... warm bath..... I have found that using lavender oil helps me relax. 

No I have been taking it since April 15mg and upped about 9 days ago to 30mg. 15 worked great then the anxiety came back. 

Now on 8th day of taking 30mg and my axiety seems to be getting worse as soon as I wake up. I've been given propanolol 3 times a day. Off work, trying to get out best I can but just worry about it all. Suppose to go on holiday in 3 weeks but as yet can't face it. My wife bless her, I've ruined her Christmas as I put her on edge, I just can't cope. Don't want to go back to docs think they will just fob me off!!! At the end of my thether do I stick with 30 for another week or go back down to 15 to see if the morning anx goes. Or will I get withdrawal after a 9 days on 30. Just don't know what to do. So fed up with it all just think people would be better off without me. I've suffered like this on and off for 7 years on different occasasions. Trying to be positive but what can you do!!!

Hey Toria,

I have insomnia, anxiety, major depression, depersonalization, restless leg symdrome, itching, tremor, nausea, muscle aches, upset stomach, headache, no concentration, thought patterns disrupted, paranoia, feeling of no hope. Guess alot of that goes with depression, but certa in things seem very pronounced. I feel really bad. I go to the dr on 18th. Also have cold/hot spells, dizziness. Very, very restless. This is disrupting my 1 person support system. So not sure on how this will work out.

No I have been taking it since April 15mg and upped about 9 days ago to 30mg. 15 worked great then the anxiety came back. 

Now on 8th day of taking 30mg and my axiety seems to be getting worse as soon as I wake up. I've been given propanolol 3 times a day. Off work, trying to get out best I can but just worry about it all. Suppose to go on holiday in 3 weeks but as yet can't face it. My wife bless her, I've ruined her Christmas as I put her on edge, I just can't cope. Don't want to go back to docs think they will just fob me off!!! At the end of my thether do I stick with 30 for another week or go back down to 15 to see if the morning anx goes. Or will I get withdrawal after a 9 days on 30. Just don't know what to do. So fed up with it all just think people would be better off without me. I've suffered like this on and off for 7 years on different occasasions. Trying to be positive but what can you do!!!

Hi Richard

same thing happened to me when they upped my dose to 30mg I thought I was losing my mind.. I stuck it 12 days and doctor put me back onto 15mg

cant understand it as I was on 45mg last yr with out any problems though they never helped me yes they give me a full nights sleep and they give me anxiety which I never suffered from until I was put on mirtazapine..

would you not go back down to 15mg until you see your doctor as for me dropping back down did help me regarding less anxiety 

im now free of mirtazapine 3months still have the anixety pop up in waves but not half as much as when I was on mirt..

i know it helps loads of people but I surely wasn't one of them

good luck and hopefully your doc can help you some with advice

kaz

You could try 22.5 if you have any 15 left by halving one. As the mirt worked initially till you see doc. Now that the stress of trying to brave it out for the family's sake at Christmas has passed.

Hi,

When u dropped back did you find if you had any withdrawal from 30 after 12 days, will I feel any withdrawal by lowering  for 1 night will it cause me issues upping and lowering.? Did the 15 still feel sedating more so?

I just don't know what to do. So scared I'm getting to the end of my thether.

Hi Richard 

because the 30mg was causing me to feel so ill when I dropped bk to the 15mg I actually felt better and yes I did sleep, 15mg made me sleep better than 30mg

when have you to see your doc again ?

kaz

You are over thinking everything. Because you are desperate to feel well for your wife's sake because of the holiday fast approaching. You need to speak to your doc. Ring as soon as you can. Try getting a telephone appointment if you can't get a face to face. As people on here have said it's works for some on different strengths. And some it doesn't work very well. You might need some thing else as well like beta blockers. If you don't speak to the doc. They can't help you. Counselling could help you through this also. To get you through and show you how to manage your feelings. But the doc. Is your first port of call. Hope you have a better new year. And a good holiday.

Do you get better days at all? I feel like it's reaching a peak now I was anxious until bedtime last night the anxiety even increased at around 8pm which has never happened before, what were you put on mirtazapine for? X

They never said, but think I will go early next week as it is full. 

Richard

where you feeling ok on 15mg just the anixey issue? Was the reason you were put on them for anixety?

kaz

hi RIchard i have been on 15mg for years to help with sleep.15mg no enough to make me sleep right through so doctor gave me 30mg i have tried this dose on two separate occasion months apart on both location they sent me of my head. the following morning after taking 30mg i had severe anxiety on waking up feeling terrible most of the day, anxiety so bad i could not do anything  at all. felt like i was shaking inside and anxiety level so bad i could not go out at all ,unbelievable nightmares. 30 mg made me so ill. now i don't sleep that well on 15mg but rather have this that been driven crazy by mirtazapine at 30mg . i ignored the doctor and cut the tablet in half this would seem your best option .when i come down to anti anxiety and depression drugs the patient is the expert on their effect on themselves and not the doctor. you do what you think is the best a good doctor like mine know this and works with me my medication.  i know the best dosage  that work for me and my doctor has told me so. you have my best wishes hang in there, you will get through it . and anyone telling you to think positive are usually the one that have never been there. it a lot harder than thing positive.

Hi Toria

I was put on 15mg for sleep. I had a few better days, but mainly an array of symptoms that wax and wane. Last week i slept about 4 hours for 3 nites. This week i havent slept at all. Everyone is different, so keep that in mind. Today was one of the few days i have left the house. I went for a walk...major for me. Take care.