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Mirtazapine for Insomnia User Reviews

Brand names: Remeron, Remeron SolTab

Mirtazapine has an average rating of 7.1 out of 10 from a total of 472 reviews for the off-label treatment of Insomnia. 60% of reviewers reported a positive experience, while 19% reported a negative experience.

Mirtazapine rating summary

7.1/10 average rating

472 ratings from 502 user reviews.

Compare all 85 medications used in the treatment of Insomnia.

10
32%
9
19%
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9%
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7%
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6%
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3%
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3%
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Reviews for Mirtazapine

  • First...
  • January 29, 2021

"This is my honest review after being on it for roughly 8 months now for my Anxiety/Insomnia. It's a life changer for the better. I was a big skeptic as probably you are who is reading it. For almost a month, I would just be reading different reviews on different antidepressants as I would just avoid taking it due to online reviews etc. As a person who was probably in the same boat as you, I finally decided to take it after my breakdown over lack of sleep due to anxiety. I got the best night's sleep I had in years and even helped with my anxiety heaps. I have continued to take it (while slowly increasing my dose) and I honestly never want to go back. It far outweighs the positive it has had on my personal life and to you who is reading it, it helped bring clarity over everything and been able to be the best version of myself. Please give it a shot if you are going through anxiety or insomnia as it was and still the best thing to do. Period."

10 / 10
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856 Report
  • Georgia
  • March 22, 2021

"I was suffering from chronic insomnia. No problem falling asleep around 9:30-10:00 pm, but by 2 am, I was wide awake & up for the day. I tried Trazodone 50mg once & it wiped me out. Then I tried a Valium 5mg tablet & it was not very helpful either. I tried Melatonin 3mg & that was useless for me as well. I talked to my doctor & she prescribed Mirtazapine 7.5 mg. That dose totally wiped me out, so I skipped a day & took 1/2 of the 7.5 mg tablet. Once again, it wiped me out & I tried a 1/4 tablet and that was just the right dose for me. I sleep well throughout the night, but it does take some coffee in the morning to get going. FYI, it's the only pill I take other than occasional Tylenol or Motrin. Hope this helps someone out there."

9 / 10
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572 Report
  • eoacav
  • Taken for 1 to 6 months
  • May 31, 2021

"My happy successful 29 year old son is dead because of Mirtazapine. He became suicidal after taking this medicine and committed suicide. How many others have died because of this medicine so that big pharma can continue to profit?"

1 / 10
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495 Report

Frequently asked questions

  • Marie
  • December 2, 2020

"I went through a really difficult time due to having severe insomnia. I was sleeping between 0 to 2 hours every night for 3 months. No matter how hard I tried, I just couldn't sleep. I've never felt exhaustion like it; I felt mentally and physically unwell. I was not myself at all, and I became incredibly anxious. I actually believe that having had this experience, insomnia itself can be due to a chemical imbalance, as it felt like my body was constantly in awake mode. I took a course of sleeping pills, but they didn't work. I was then prescribed 15mg of Mirtazapine, and they have helped me so much. I've been taking it for 7 months now. I began to feel calm and relaxed within a week of taking them. I was terrified of the side effects, but they were very short-lived. I had a couple of nightmares to begin with, but at least I slept; a true nightmare is not sleeping. It really helps me to sleep; I sleep well every night now, and I feel great. I am truly thankful I took this medicine."

9 / 10
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  • Finally...
  • Taken for 10 years or more
  • May 22, 2024

"I’ve had insomnia and GAD my whole life. I remember my first sleepover at 5 years old - I didn’t sleep a wink. I’ve tried lots of meds over the years and to some extent I’ve had success with high doses of melatonin, benzos, and doxylamine, however these drugs are not good for you if you use them daily so I always felt guilty. Finally I went to my GP for extreme fatigue and brain fog and she started me on Mirtazapine 15mg. She suggested I try just a few times a week as needed. It knocked me out cold for 10 hours straight and I was very groggy for 2 days after, and like my emotions were just numb. However, I was expecting side effects so I persisted. After a few weeks, the weirdness went away completely and I was advised by a different GP to just have it every night to let it build up in my system. I feel like a completely new person!! 36 years of nighttime hell and now I sleep 8+ hours every single night with no anxiety and wake up feeling fresh and great. Amazing!"

10 / 10
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Are you taking this medicine?

  • Annth
  • October 1, 2020

"Hey guys, I’ve been taking Remeron for around 3 years. Best thing I’ve ever done. From day one, I was peacefully falling asleep without anxiety! I love it. It helps me feel happy, calm, and ready for bed. In the beginning, I felt kinda fatigued the next day. I certainly slept a lot at first, but I needed it. I would sleep 10 hours! But with any drug, it takes time to adjust to it! It’s been amazing! I have not put on weight. At the start, I was on a dose of 15 milligrams. I was getting the munchies very bad, cut down to 7.5mg and the munchies stopped, but after a while and some stress in my life, I started not sleeping again. Been on 30mg now for around two years, and it’s my perfect dose. Yes, I get the munchies, but I workout most days and just try hard not to go overboard with food but enjoy feeling good and a few treats. I have energy to burn now, I get good sleep every night. It’s a dream come true. Thank you, it’s Chae."

10 / 10
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345 Report
  • Meano
  • Taken for 1 to 2 years
  • January 24, 2021

"I was able to fall asleep in 15 minutes but I couldn't sleep through the night. If I woke up at 2 am to use the bathroom, that was it, I was awake and ready to go, go, go. I usually worked 8 am - 8 pm but after sleepless nights, I was exhausted by noon. I tried Trazodone, Melatonin, Valium, & Benadryl, but nothing worked well for me. My doctor suggested mirtazapine so the first dose I took was 7.5 mg and it knocked me out. A couple of days later I cut the 15 mg pill in quarters and it was still too much for me. Now I cut a 7.5 mg tab in 1/4. So I'm basically taking a little under 2 mg. I take it at 8 pm, go to bed at 10 pm, and I sleep through the night without a groggy hangover. Works for me."

10 / 10
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268 Report
  • Just...
  • April 26, 2012

Remeron (mirtazapine) "I am writing to say DO NOT judge by the experience of others - try it yourself. In my case, after twenty years of stumbling daily through a heavy fog, unable to concentrate, loss of memory, no motivation. Remeron gave me 8 hours of sleep a night, week after week, until I became a new person simply because my body was getting rest. I made sure only healthy, healthy food was available in my house and did not have any weight gain at all. For some people this will provide a miraculous turnaround - try it like I did - two weeks will give you a good test, no need for six weeks like other drugs. Start on low dose, don't take it until bedtime, no matter what the doctor says. Good luck, hope it helps you too."

10 / 10
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617 Report
  • Stefb
  • Taken for less than 1 month
  • August 7, 2020

"Wow, this med Remeron is a lifesaver for me. The sleep is deep and restorative. My Dr had me take 7.5 mg and then after a week, upped it to 15 mg. Even 7.5 mg was a bit too much, so I'm cutting a 15 mg tablet into quarters. Finally, something that works for my insomnia. Make sure you take it early enough so you can get at least 8 hours. The first night I slept for 11.5 hours and could have slept longer. That's why I'm cutting the 7.5 mg in half to see how that works for me."

10 / 10
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242 Report
  • Bette...
  • Taken for 5 to 10 years
  • March 5, 2022

"I have been on 15mg at bedtime for 10 years. I take this with 10 MG of Lexapro. I tried countless medications to help with crippling GAD. I was not able to sleep, lost a lot of weight, cried all the time. It was a horrible year and half. I am 60 and have been this for 10 years. It is true all meds work different on everyone. Just don't give up hope finding a combination that works. You will find it! It also helps to find a support group if you can so you know you are not alone. Never think for a moment God had abandoned you. You will be able to help someone and bring hope to someone else. It is sooo hard but keep trying to find what works for you."

10 / 10
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134 Report
  • Carty
  • February 28, 2020

"I've had very severe insomnia for over 35 years. I have tried many, many prescription and over-the-counter pills, as well as CBT, a wide range of alternative treatments e.g., hypnotherapy and homeopathy. I was prescribed Mirtazapine 2 years ago (no idea why it wasn't prescribed before), and it's actually working. It's not perfect. I still have lots of nights of poor sleep, but often I feel normal and capable of facing the day, and that's amazing for me. I am not depressed, not overweight, and have an otherwise happy life. Mirtazapine, I love you."

9 / 10
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192 Report
  • Sproey
  • Taken for 2 to 5 years
  • June 9, 2020

"Yeah, I take mirtazapine for depression, it knocks me out every night (my dose is 45mg) but all night my brain is racing with weird dreams, I wake, it feels like I haven't slept at all. I can sleep for 12 hours + easily and feel like rubbish when I get out of bed. I don't know if its done anything for my depression/anxiety because I've been on them for a while. I take them with 30mg of diazepam a day. Yeah, I'm a total zombie. I always used to be slim, now, I'm really bloated, I think they make you crave sugar. I regret starting taking them, definitely. Stay away if you can."

2 / 10
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179 Report
  • Linda
  • Taken for 1 to 2 years
  • September 2, 2023

"Mirtazapine saved my life! I don't have any side effects. I tried a lot of meds for insomnia, but nothing helped. I didn't sleep for years and years and nobody believed me. I was thinking about taking my life. Thank you mirtazapine! I am not thinking about stopping taking it."

9 / 10
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49 Report
  • Vix
  • Taken for less than 1 month
  • February 18, 2020

"I WANT TO SHARE on 2 Feb 2020 said it all. I have also been on Escitalopram for depression for a few years now. But my biggest issue became insomnia, firstly after working night duty as a nurse, then I was diagnosed with a brain tumor last year. Had it out Jan 13, 2020 all good, but awake all night then fell asleep at 9 or 10 am, slept all day and so awake again all night. This week, my doctor gave me Mirtazapine 15 mg (but taking half tablet) then up to 1 as from next week. She told me that it seems to work better for sleep on lower doses of it, rather than taking higher doses. Took my first dose last night, after 20 min felt dozy, then fell asleep, woke once for about 15 min, then fell asleep again for the rest of the night. A little groggy today but then again I am still recovering from my brain surgery, so a bit foggy most days, overall feeling fine. Hope it continues, and good luck to everyone else."

8 / 10
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177 Report
  • Jones
  • Taken for less than 1 month
  • March 3, 2020

"This medication is very dangerous, stayed in my system for two days! Wasn't functional at all. Couldn’t stay awake and clumsy when I was awake! I was totally out of my head! Friends were very worried to say the least! I was running into walls, closed the garage door on my car! Dropping and breaking things! I gave up and just stayed in bed until it worn off the third day! Yes the 3rd day! If you are taking prescription allergy medication, omg!!!! Double trouble!!! This medication need to be taken off the market before someone gets hurt!"

1 / 10
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174 Report
  • The...
  • Taken for 5 to 10 years
  • August 7, 2019

"This drug has been a lifesaver for me. I tried Ambien, Sonata, Trazodone, etc., for 15 years but came across Mirtazapine prescribed by my PCP. He gave me the 30mg tablets and, not knowing any better, I took a whole tablet my first night at Walt Disney World. I missed the next day asleep! I've used Mirtazapine for 10 years now, using only 3.75mg at night, and it still works for me. I take the 15mg tablets and cut them into 1/4 to get my dosage. The greatest thing about Mirtazapine for me at this small dose is it will still allow me to go back to sleep even after I get up 3-4 times at night to urinate. In the past, once I was awake, it was 2-3 hours before I went back to sleep and was miserable the next day. As I said, this has seriously been a miracle sleep drug for me at the low dosage."

10 / 10
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191 Report
  • 25yoi...
  • March 3, 2020

"I've been taking mirtazapine for almost a year. I've had insomnia since high school, and it's gotten worse the older I've gotten (I'm 25). I tried 4 different sleeping pills before this one, and started with a 15mg dose of mirtazapine. It didn't seem to help at all, and I was still up all night and day. So I decided to take 2 at a time, and it actually worked great. I called my doctor and got switched to 30mg. I've seen a lot of reviews on here saying lower doses work best, but 30mg has worked best for me. I sleep through the night, and wake up feeling fine. No grogginess, or dizziness. Just remember everyone reacts differently. I've tried many different sleeping pills, and this one by far works the best, and it's super affordable. $12 for 3 month's supply? Done. (My doctor is one of those sticklers who won't prescribe anything that can be addictive like Ambien.)"

9 / 10
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173 Report
  • Leo
  • February 8, 2021

"I’ve had bad insomnia for about a week only getting 1-2 hours of sleep here and there. I first took mirtazapine was about 3 days ago. A quarter 30mg tablet. So approximately 7.5mg. About 30 minutes later I went to bed and slept through about 9 hours. Falling asleep was peaceful. I had a type of quietude in my mind. It really just felt peaceful I’ve been having deep sleep as well. But just that the idea of sleep is really appealing to me. They don’t make you feel tired. They just make you feel at peace with everything. I’ve had these tablets for about 3 months but I’m very wary of taking any sleeping tablets. These are not sleeping tablets. But they quite that part of your mind that stops you from falling asleep naturally."

10 / 10
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129 Report
  • Iwant...
  • February 2, 2020

"I had an anxiety and started taking Escitalopram 2 months ago. I knew it would take about 4 weeks for it to work. I also knew that my anxiety could first get worse before getting better. But I started experiencing severe insomnia. I used Lorazepam for a week, Ambien for 2 weeks. But those medications would help me sleep only for a couple of hours. My doctor prescribed Mirtazapine 7.5mg, but I decided to trya lower dose 3.75mg. That was the first night in about a month that I slept through the night. I took Mirtazapine for 3 weeks. I enjoyed my sleep and I loved my dreams. I did not have an increased appetite, but my appetite did improve with my overall condition. I did not put on any weight as I was watching it after reading multiple reviews here. I stopped taking Mirtazapine a few days ago without any problems at all. And I still sleep very well at nights because the Escitalopram started working and I am not having anxiety any more. Mirtazapine is a miracle drug for insomnia. Saved me."

10 / 10
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149 Report
  • Atrut...
  • June 27, 2023

"I am a senior and expected to be calmed by this drug. It did the opposite. The 7.5mg dose made me more alert, gave me severe dry mouth, made it harder to urinate, and never gave me a really relaxing and calm moment. Even after 12 after taking the drug, I was unsteady on my feet. The problem with these sleeping medications is that they have such varied effects on people. The doctors have no idea if these medications are going to help or going to hurt the patient. Too often it is trial and error. It's like going to a witch doctor. Maybe the sleep medicine will work or maybe not. Of course, the doctors want to help, but the reality is that they actually don't any more than the collective intelligence of the posters on this thread."

1 / 10
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42 Report
  • Sheikh...
  • January 25, 2015

"Was only sleeping 2-3 hours a night, some nights none at all. This on top of house, kids, and a stressful job, I was a walking mess. Started taking mirtazapine on my doctor's advice, and it has changed my life completely. No stress, and I sleep like a baby."

9 / 10
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241 Report
  • Marmy
  • Taken for 10 years or more
  • November 20, 2023

"I'm in my 80s and have taken 15mg of Mirtazapine just before bed for 20 years. Following cancer and years of insomnia and anxiety... it changed my life! It began working within a few days of starting it. Highly recommend (and bless the doc who suggested it!)"

10 / 10
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27 Report
  • Billy...
  • November 5, 2014

"What it's supposed to do, it does very well. I was put on it for sleep and weight loss due to anxiety and depression after a stressful event in my life. I have struggled with insomnia for most of my adult life. What can I say? It was a literal life saver for me at the time. Gave me sleep and appetite back immediately and I turned around. I still take 7.5mg at night for sleep, appetite, and mood, and it works very well. For the first time in my life, I am at a healthy weight. That being said, it does not induce the crazy sweets cravings anymore. I just take it and go to bed. I sleep enough but do sometimes wake up feeling a bit groggy, but that usually goes away during the course of the day. All in all, a great medication that helped me immensely."

10 / 10
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244 Report
  • SCANDI
  • Taken for 2 to 5 years
  • May 22, 2020

"Been on Mirtazapine 30mg for 5 years. It works really great for my insomnia. I have not experienced any side effect as weight gain. It helps me stay focused in the day too. I will say tho, that I feel addicted to this medicine. Tried to stop taking it for 1 day (cold turkey) and I was doing really bad. So withdrawal after a long use have to be planned, while lowering the dose from 30mg, to 15mg to 7.5mg."

6 / 10
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  • John...
  • April 22, 2014

"Most people should consider exercise and a better diet to help with sleep and also depression. Exercise can help. Also, get away from the TV and computer before sleep. Mirtazapine is probably the best sleep aid I have ever used. The more expensive sleep drugs are less effective, especially if you are worried and mind is racing. You can wake up groggy, but it sure beats not getting any sleep. I try to not rely on it that much, but it can be a godsend. It is also very inexpensive. I usually take the 15 mg tabs and cut them into quarters. The only reason I am posting this is hopefully it will help someone with insomnia. It is highly effective."

10 / 10
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246 Report

Reviews may be edited to correct grammar/spelling or to remove inappropriate language and content. Reviews that appear to be created by parties with a vested interest are not published. This information is not intended to endorse any particular medication. While these reviews may be helpful, they are not a substitute for the expertise, knowledge, and judgement of healthcare professionals.