I have been on mirtazapine for 5 weeks mainly for insomnia but also have anxiety had no improvement with sleep so on zopiclone which does give me some sleep anyone else found it not helping with sleep ?as all reviews are saying it works well am I being impatient and not given it enough time ?
When can I expect mirtazapine to help with sleep?
Question posted by Dawnii on 9 Jan 2021
Last updated on 13 February 2021 by Todd G
Answers
Todd G
14 Feb 2021
Mirtazapine is more sedative at lower doses than higher doses. I was prescribed it for severe insomnia a few weeks ago and have been taking a low dose that is currently being experimented with between 2mg and 7.5mg a day. The problem I have is mirtazapine has been associated with a rise in anxiety in me, which I'm trying to manage. I also use around 10mg of suvorexant a night which also seems to help sleep.
WildcatVet
9 Jan 2021
Hi, Dawnii!
I'm just guessing but you don't mention the dose you're taking and I wonder if it might need to be increased because most people feel it's effect almost immediately. You might want to discuss this with your doctor and get her/his advice.
As for the anxiety issue it needs time to build up in your system to an effective level. This can sometimes take as long as 4-6 weeks.
If you haven't spoken with your doctor you should probably call the office... maybe on Monday.
Best regards and I hope you're getting some Zzzz's soon.
Dawnii
9 Jan 2021
Hi I started on 15 mg for 2 weeks then up to 30mg for last 3 weeks the insomnia is impacting so much on my life I was under the impression mirtazapine would help but I haven’t had any benefits as yet if I get a good nights sleep with a sleeping tablet I do feel less anxious the next day
Thank you
Tiba
9 Jan 2021
Hi. I can only help you from my own experience. Mirtazapine helped me with sleep immediately. But insomnia wasn't my main issue, it was depression. 15 mg knocked me out like a brick but also made me zombie for weeks. Same happened when going to 30 mg. After almost a year I feel no sideffects anymore but it doesn't knock me out either. The best sleeping med I've tried is quatiepine but it makes me completely numb.
WildcatVet
9 Jan 2021
The maximum dose is 45mg/day... see what your doc says about an increase. Otherwise, the option would be switching to another medication.
I take Seroquel also and it works super great for me. I take it about an hour before bedtime and I sleep right through the night. The drawbacks are the rare potential for metabolic disorders like diabetes, possible weight gain, and a nervous system disorder. They're rare but it would be something to discuss before making a decision. Also, I don't know how effective it would be alone for your anxiety.
Related topics
anxiety, sleep disorders, mirtazapine, sleep, sleep disorder, zopiclone
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