I have started mirtazapine last year in May and had very good results with my major anxiety and depression.Unfortunately I stopped in March this year due to tinnitus which I thought was induced by the drug.The tinnitus did not go away but the depression came back ☹️. My doc put me back on the pill but this time I don t feel the same reaction.Lots of side effects drowsiness, anxiety, depersonalizations, nausea, dizziness. I'm on the second week at a 22.5 dosage.