I also take mirtazapine for appetite (I need to regain some weight). I’ve been told it’s supposed to help with day time anxiety, too. I still get the anxiety and take 0.125mg clonazepam about 2/day, usually morning and afternoon 5-7 hours apart. Sometimes I have to take a bit more. I hold off as long as I can and then bite the bullet when I’m really feeling poorly(hot flashes, dizzy, shaking). It helps somewhat. I do wish I didn’t need it every day, but that need hasn’t changed in four months. Will the mirtazapine ever turn this anxiety around? Am I expecting too much from the mirtazapine, or does it just take more time?
Hi there, Red!
It takes at least 4~6 weeks for most people to feel the full effects of mirtazapine so you may need to give it a little more time. You're also on the middle of the road maintenance dose which could be increased if needed after the 4~6 week trial.
I know you want to get off your clonazepam but you're being wise and using it sensibly. Ideally, if you need that little extra you should take it at the onset of the anxiety symptoms. It'll be more effective at minimizing the symptoms early on rather than stopping them once you're already in an anxiety attack.
You must be getting so frustrated but you've taken the steps in getting the help you need. Try to be patient and look for those brighter moments... concern over what's perceived as lack of progress can overshadow them.
Take care, my friend, and hang in there just a bit longer.
I agree with Wildcat but personally speaking it takes up to 6-12 weeks for Remeron to become fully effective for treating anxiety disorders. Remeron works faster on depression rather than anxiety symptoms; It may take a bit longer to alleviate anxiety. But, as Wildcat said, try to be patient.
I have been on 45mg. Mirtazapine for two years. It has not had a significant effect on my anxiety, except for the few hours after I take it. It has a sedative effect and helps for a few hours. What it does do is HELP ME SLEEP! I think that is the best thing about this drug. I also take Klonopin on occasion. I try to be very careful with it... taking a week or two off every now and then.
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