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Mirtazapine for Anxiety User Reviews (Page 4)

Brand names: Remeron, Remeron SolTab

Mirtazapine has an average rating of 6.7 out of 10 from a total of 517 reviews for the off-label treatment of Anxiety. 55% of reviewers reported a positive experience, while 23% reported a negative experience.

Reviews for Mirtazapine

  • Friar...
  • May 10, 2017

"This medication has been a miracle for me. My anxiety has improved tenfold and it's not near as bad as it was. Most meds have side effects but the improvement in my life outweighs any of them. Although I don't feel any real side effects, I do know my appetite has increased which is good for me and I just try to eat healthy & keep away from junky food. Overall I feel so much better and sleep better too. I felt a little sleepy in the evenings when I first began taking it but this has gone away now and I don't notice anything. I'm feeling so much better."

10 / 10
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  • Mikeg
  • June 15, 2013

"Only been on 15 mg for a week now and just upped to 30mg. Warning: do not mix this with alcohol when you first start, you will not be able to walk. Take this at night. Fantastic sleep aid and WOW, such vivid, crazy, and wonderful dreams. For me, so far 10 times better than any SSRI antidepressant. I've probably been taking anxiety medicine for the last 6 years. This medicine should be first-line prescription when anxiety is presented. Also, taking 300 mg pregabalin at the moment, once a day, which I quite like. I'll rate again in a month or two, but for now it's a definite 10!"

10 / 10
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  • Emily
  • Taken for less than 1 month
  • January 19, 2019

"Had moderate anxiety with horrible hour-long panic attacks, no sleep nor eating. After I started taking the pills, I felt super relaxed, and the first week I slept 18 hours a day (which was needed). Felt the side effects of feeling dizzy and the entire room spinning the first week, but definitely worth it. Now I experience higher appetite (which is positive for me since I lost a lot of weight before treatment) and I have vivid dreams and nightmares once in a while. These pills made me positive and optimistic about life again and definitely changed my life for the better. Used to have intrusive thoughts, bad anxiety, and when I didn't have a panic attack, I was just worried about when the next one was going to hit! The pills stopped my over-worrying and (combined with therapy) made me less harsh on myself. All of this is based on the Danish health system, which is pretty highly ranked worldwide, so I consider the drug to be one of the better options."

10 / 10
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Frequently asked questions

  • Anxie...
  • Taken for 1 to 6 months
  • November 6, 2019

"Mirtazapine has changed my life. I went from having 5+ panic attacks from severe GAD that landed me in a stabilization unit where I was put on Mirtazapine 7.5 mg. The first few days all I wanted to do was sleep. But I noticed an increased appetite and elevation of my mood the very first day, and no panic attacks. I also have MDD. I am super sensitive to medication, so over a month I went up to 15 mg. The drowsiness wore off after about 3 weeks. I have had no other side effects. This is the only medication that has worked for me after trying 8 different ones. SSRIs, SNRIs, and atypicals caused too many side effects for me. So thankful to have this. Stick through the drowsiness. It is worth the brighter days."

9 / 10
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  • draxl...
  • Taken for 6 months to 1 year
  • May 14, 2014

"I started on Zoloft, which only made the anxiety worse. Got put on Remeron after a hospital stay, and it has changed my life. Started at 15mg and then shortly after increasing to 30mg. I did gain 30 lbs on it due to craving sweets constantly, so I tried switching to Effexor, only again having my anxiety going out of control. I went back on Remeron 30mg, and I am back to my old self. I sleep very well on this medication, which for me is so much nicer despite the weight gain."

9 / 10
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Are you taking this medicine?

  • MJano
  • March 29, 2021

"Anxiety for 30 years and terrified of medication. I was hospitalized in 2020 for anxiety. I did not care if I was alive or not. I had been taking a small dose of Lexapro, the doctor upped the dose, which caused me increased anxiety. At the hospital, I was given BuSpar and Lexapro. I was not getting better on day 6 of my stay, the doctor gave 15 mg of Remeron for sleep, and my appetite was back. I woke up in the morning 100% better, groggy but no anxiety, which was incredible. At home, I started reading comments about mirtazapine and looked at the necessity of taking a full dose as unnecessary. It has been an up/down few months. I tried Celexa, Effexor, Lexapro, and with me taking a very minimal amount of mirtazapine at night, which does help me sleep wonderfully, but my anxiety is awful. I am going to increase my small 1/8 dose of mirtazapine at night in hopes that I can recover that feeling of freedom I had when leaving the hospital. This is the only medication I have ever taken that has made me feel significantly less anxious. Give it a try."

9 / 10
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  • feeli...
  • Taken for less than 1 month
  • June 30, 2012

Remeron (mirtazapine) "This has been a lifesaver for me for anxiety and insomnia. I was on Zoloft 75mg for the last 5 months, and it was of little benefit. I've only been on 7.5 mg of Remeron for 7 days, but the results have been great (still also on 75mg of Zoloft). Remeron gives me a good 8-9 hours of sleep every day, a strong appetite (I lost 25 pounds in 5 months when I began to have these problems). My energy level is returning to normal. 90% of my anxiety is gone. It is nothing short of a miracle. Yes, I feel a bit groggy & dopey for an hour or two after I wake up, but that is a small price to pay for me getting my life back."

9 / 10
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  • Burne...
  • Taken for 1 to 2 years
  • August 25, 2018

"Worst hell I ever experienced. Worked okay at first for sleep, then the side effects got worse. Started making me feel more agitated, depressed, trashed my immune system, respiratory issues, horrid body pain in muscles and joints, made me more allergic to foods, bad eyesight, horrific nightmares, suicidal thoughts, skin sensitivities, akathisia, fogged head. Worst withdrawals: shaking, diarrhea, vertigo, sweating, passing out feelings, vomiting, severe panic attacks, akathisia, terror, derealization, sensitivities to lights, sounds, smells, worse depression, agitation, anxiety off the charts, hard to eat because you want to vomit and food just sits in your stomach if you can eat, hard to walk some days at all. Itching and rashes, painful headaches, burning skin, neuropathy. Lost half my hair and skin like sandpaper. I was a beautiful woman before this drug. I have no idea if I will ever be the same. BEWARE, this drug can change on a dime and destroy you!"

1 / 10
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74 Report
  • Bumbl...
  • Taken for 1 to 2 years
  • August 23, 2019

"I have had a very good experience with mirtazapine, it worked very effectively for me. It stopped my panic attacks within a couple of days and restored my sleep. I was only on a low dose of 15 mg. I believe a higher dose is more activating, which I didn't need. I only had side effects of feeling very drowsy for the first week or two. But after that, I felt great, more relaxed, and motivated. I came off slowly over a month or so and had no withdrawal effects. If ever I needed to, I would not hesitate to go back on it again. I am very sensitive to meds, and this was the only one that I could take and that worked for me."

9 / 10
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64 Report
  • Bob
  • July 20, 2021

"At age 65, I experienced my first panic attack this year, it just came out of the blue and was obviously a buildup of life’s general work and living issues. I was prescribed mirtazapine. The first tablet I took was 15 mg, I slept through the night. The next day, as I stood in the bathroom having a shave, I couldn’t understand how the taps on the sink worked and how to switch the water off, or where the water was coming from, everything was totally confusing. I had to go and lay down and was clammy, gray, drowsy, and sweating. I never touched the tablets again for 2 months. I then decided to try the prescription again and broke the 15 mg into 4 and took a quarter of a tablet. I had an okay sleep, but the next day I was totally zombified and struggled through the whole day with my eyes half shut and had to sleep in the afternoon. Still very tired and irritable after 19 hours."

5 / 10
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45 Report
  • Liran
  • Taken for less than 1 month
  • October 16, 2022

"I received this "medicine" as an anti-depressant pill. I have never had such a negative experience. It feels like death. It caused side effect of paralysis. Basic inability to move. It's poison. I believe that -FDA approve "medicines" which are no less than poison. I don't have enough words to describe how much I warn people against using this stuff. I opened an account here just to warn people from this poison. Please don't go near it. It should be outlawed and all doctors who give this pill should be punished and behind bars. This is not a joke. I have never experienced such an inability to function at the most basic level."

1 / 10
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  • Bano
  • Taken for 1 to 6 months
  • August 9, 2019

"Mirtazapine is an amazing drug. I used to wake up every morning shaking, fists clenched, very fearful and anxious. This completely subsided after 2 weeks of taking 7.5 mg of mirtazapine at night. I am also taking 100 mg of Desvenlafaxine in the morning, but I am considering dropping it and just taking mirtazapine. My appetite has increased a lot, which is partly due to the easing of the anxiety. I have picked up 2 kg but am training 4 times per week to compensate. It doesn’t help with sleep to the extent that trazodone does, but by tackling the underlying anxiety, I am now able to sleep with only 7.5 mg of mirtazapine. Initially, I was taking both trazodone and mirtazapine at night to sleep. I am also seeing a therapist that specializes in Dialectical Behavior Therapy (DBT), which deals with distress tolerance. The combination of therapy, exercise, and mirtazapine is undeniable. I have been on every conceivable antidepressant, and none have been as effective as mirtazapine for my anxiety (and resulting depression)."

10 / 10
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  • littl...
  • Taken for 1 to 6 months
  • July 21, 2019

"Ah, mirtazapine. What a wonderful little pharmaceutical. I tried other medications and had pretty awful side effects, but this one worked for me in a few days. I started on 7.5 mg (just to work myself up to it as I was pretty anti-medication) and gradually increased to 15 mg. Within a week, my anxiety (panic disorder and agoraphobia) was completely manageable, and I got the confidence to start doing exposure therapy as I wasn't in a constant 12/10 crisis. Main issues: weight gain (nothing crazy yet) and tiredness/confusion. But, I've increased to 30 mg, and this has helped with the tiredness/confusion and seems to be pretty effective. Would recommend and highlight if your symptoms improve in the first few days, this drug will likely benefit you."

9 / 10
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  • Yorks...
  • Taken for less than 1 month
  • February 20, 2020

"Would not recommend. First night taking 15 mg, within a very short time, felt really dizzy, wobbly, unsteady, and staggered as I walked. Had to go straight to bed, felt really awful, and then had terrible restless and throbbing legs that lasted hours and hours. Felt overwhelming tiredness, and the next day slept all day, and legs felt heavy and achy."

1 / 10
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57 Report
  • Jake...
  • Taken for 1 to 2 years
  • April 6, 2023

"Worked absolute wonders for me. I was on 15mg. I asked for it because I was getting early waking insomnia - waking up at 4am sometimes and no chance of getting back to sleep. From day 1 I was getting at least 8 hours sleep. Only side effects was day time drowsiness but that wore off after about a week. It really balanced my mood as well, felt really stable and calm. The sleep benefits never wore off even after a year on it. No withdrawals at all when I came off it, not a single one. Wonderful drug."

10 / 10
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23 Report
  • Aussie...
  • Taken for less than 1 month
  • December 1, 2016

"I started taking Mirtazapine almost a month ago, and it's been a wonder drug for me. Needed something for crippling anxiety, panic attacks, depression, chronic insomnia, sleep paralysis, night terrors, and self-medication with alcohol just to sleep and quell anxiety. Prescribed 15 mg at bedtime. Took 1/4 (3.75 mg) a night for 4 nights, then 1/2 (7.5 mg) for two nights, and then on to 15 mg. Now I sleep (but can wake up if needed), zero anxiety, no increase in appetite. I've even lost a bit of weight due to no longer drinking alcohol - a small miracle in itself, and my libido has returned. I had a terrible reaction to Prozac years ago - anorexia, self-harm, mania, no libido, alcohol cravings, intrusive thoughts. So glad my doctor gave me Mirt."

10 / 10
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  • coxys...
  • Taken for less than 1 month
  • January 24, 2015

"Works far better than any SSRI, but I do still have symptoms of anxiety. I also take Diazepam when I feel an episode of severe anxiety coming on. Haven't been on it for that long though. Physiological symptoms like heart racing, etc., have already decreased, so looking good."

8 / 10
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89 Report
  • Sue
  • Taken for less than 1 month
  • August 28, 2024

"I did start taking this as prescribed by my GP. Unfortunately, I put on weight straight away, I also kept getting hungry, which didn’t help much as I’d just lost a few pounds, and all of a sudden, I’d put it all back on in a matter of days. So I’ve stopped taking them as this got me down quite a bit. So they obviously aren’t suitable for me, but good luck to everyone who does take them and works."

7 / 10
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  • Hudson
  • Taken for less than 1 month
  • July 7, 2021

"My mother is 95 yrs old her Doctor recently prescribed 30 mg of Mirtazapine why I have no idea? After taking two pills she totally lost all sense of reality around her and became a dementia patient. Before this happened she took care of herself she read a new book every few days she watched her favorite tv shows she loved where she lived. Two pills and all of that is gone, she doesn't know where she lives, she no longer reads and she now sleeps 21 hours a day. She doesn't communicate on the phone or remember how to use things or where her washer and dryer are at. Everything is new to her. I live next door she told me she had never been there before. It is very sad that this drug took my Mother from me and my family. We were always amazed at how sharp she still was at 95. Do not take this drug."

1 / 10
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  • Birdq...
  • Taken for 5 to 10 years
  • January 20, 2017

"I have been on Mirtazapine 30 mgs for several years for anxiety and to help me sleep. Recently, as I suddenly had severe palpitations, a new doctor prescribed me Sertraline 50 mgs. This was terrible, it made me even more anxious, and I felt really unwell. I am now back on Mirtazapine and beginning to feel well once again. Never again will I switch to another drug. I now have this drug on my repeat prescription list and highly recommend it."

10 / 10
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72 Report
  • Mat
  • Taken for less than 1 month
  • May 2, 2020

"I took 15 mg of mirtazapine after dinner at 7:50 PM... fell asleep by 9 PM and tried getting up at 5 AM as I had an early start. I couldn’t even sit upright, I was so drowsy with it, so I collapsed on the sofa and checked my watch, which showed a heart rate in the early 30s! It’s like a sedative. It’s now 24 hours later, and I have more or less slept all day and still feel zoned out, but recovering. Maybe my body needed the rest, but I won’t be taking the rest of the 10-day course the doc gave me."

1 / 10
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  • strat...
  • Taken for less than 1 month
  • November 23, 2014

"I've been on Remeron for 3 weeks now, and I feel somewhat better. I could not take other antidepressants because they made me a ton more anxious and out of it, like I wanted to crawl out of my skin. I've had a really tough time the last year and a half, and I'm hoping that this works for me. The only problem I'm having is I just can't seem to wake up in the morning, and I'm still feeling very lethargic all day. I'm very sensitive to all medications, so I have to move up very slowly. I just moved up to 18.75 mg, and I'm still really tired, and I have a hard time functioning during the day. My doctor said he is going to slowly move me up to 30mg. I guess I am just wondering if anyone else out there has gone through the same thing I am going through."

8 / 10
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  • Little...
  • January 27, 2017

"It started out with an abortion - with respect to whatever your opinion may be on that matter, I had my carefully thought-out reasons. My boyfriend and I were very literally starving due to lack of money and food. The baby was taking in any nutrients I was getting - I wasn't going to survive the pregnancy. It was an extremely difficult decision and I struggled with it heavily. After the abortion, I continued to lose weight - I am 5 ft and weighed 80 lbs. The nausea continued for another 6 months and I was having regular panic attacks due to the anxiety caused by the abortion. I have been on mirtazapine for a month now, and the nausea and overall anxiety are nearly eliminated, and I am back to a healthy weight. This drug saved my quality of life."

9 / 10
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71 Report
  • Alison
  • Taken for 1 to 2 years
  • July 26, 2023

"I’d be lost without mirtazapine. I used to take quetiapine quite happily until it started having an adverse reaction with me and I couldn’t take it anymore. I was feeling suicidal, panicky. I’d often just sit and hit my head with my wrist as I was so frustrated, lots of rocking too. I tried so many things and nothing seemed to work. My psychiatrist was beginning to give up on me! Then we found mirtazapine. It worked very quickly with a calm feeling in the first few days and also really helped my sleep as I had insomnia. I was really hungry for the first month and put on about a stone by eating an extra main meal every day. After the month the food cravings went away and I haven’t put on any more weight. I’ve been taking 15mg at night for about 18 months now. I feel very blessed to have found mirtazapine, even my partner says he thinks I am back to my better self :-)"

10 / 10
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17 Report
  • Aano
  • June 22, 2019

"Firstly, I was put on Prozac by my GP, made my anxiety so much worse. I didn’t know it at the time because I had never been on an antidepressant before. I’m already very skinny, my normal weight is 113 lb, and I’m 5’5”, I lost those 13 pounds within a week. My therapist was scared for my health, so she told my parents that I needed to get off Prozac. Then I saw a psychiatrist for the first time, he immediately took me off it and put me on a low dose of Remeron. Before, I couldn't go to school, hang out with my friends, go to a store, eat, go into cars, or even go to a family event. It got rid of my derealization, and now I’m on 22.5 mg of Remeron and exactly how I used to be before all the anxiety issues. I gained all the weight back, and then some. I absolutely love eating, before, my anxiety took that away. This drug may not work for you, Prozac works for others, but I am not one of those people. If your symptoms aren’t getting a tiny bit better on any drug after a week or two weeks, change it. Please keep trying."

10 / 10
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53 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.

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