Insomnia side effect
Posted , 5 users are following.
Hello people. My husband has been on Mirtazapine 45mg at night for over three months for severe depression and anxiety. His sleep pattern has altered considerably. When he was on 7.5mg he slept a good 6-8 hours. Now he is on 45mg he sleeps 2-3 hours at the most and is awake from 2am onwards most mornings. He was assured the 45mg would knock him out, which clearly they don't. From your experience would splitting the dose to say 15mg at night and 30mg in the morning help?
0 likes, 11 replies
SLD35 KAL204
Posted
I have read that the lower doses help people sleep more, unfortunately that's not been the case for me.
Back to Dr for your husband I think.
All the best xx
KAL204 SLD35
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elainec33 KAL204
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KAL204 elainec33
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elainec33 KAL204
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oldboy KAL204
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KAL204 oldboy
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Calmer KAL204
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Hi Kal
Sorry to read of your husbands difficulty. Well its easy to say that 2-3 hours sleep isn't sustainable, he will still feel ill, sleep deprevation can trigger depression of course. So what came first, the depression or the sleep dep?
Oldboy has a good point there, clearly the 45 mg isn't working very well for your husband, so I would definately consider either tapering slowly back down to the 15mg, with the doctors knowledge, very slow though, and if this is enough to hold the depression then so be it. If not, seek another AD.
Always taper slowly off Mirt', never suddenly stop or rduce quickly. Best wishes.
KAL204 Calmer
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karin65289 KAL204
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Hi Kal,
I've had two PDrs. tell me that 7.5 mg of Mirtazapine is the best dose for sleep. As you know it's also prescribed for sleep, depression and anxiety. Maybe your husband can talk to a doctor and find out if the Mirtazapine can be split over the course of the day, taking the 7.5 dose before bedtime. That's what I would try - hopefully taking the Mirtaz. during the day doesn't wipe him out. It sounds like you may need to experiment with the time your husband take the medication - 2 times a day, three times
I suggest making a simple chart for time of day taken, dosage, hours and time of sleep, hours and time of and side effects. Dr.s seem to take people more seriously with concrete documentation. A chart also helps you two in reviewing things and establishing patterns. Is there anything else that could contribute to the insomnia. Loss of sleep is nasty I hope you can get this straightened out. Remember that there a numerous ADs and if the Mirtazapan isn't working your husband may need to switch it up. wishing you both well.
KAL204 karin65289
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