Best dose for insomnia?

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I'm trying to deal with things better on my own without too much medication for the upcoming year but don't know how I'll fare with the insomnia so I was wondering what people thought was the best dose to help with insomnia or what there experiences were. I know everyone has different experiences but I would appreciate any input You could give.

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14 Replies

  • Posted

    As soon as I started on 7.5mg I was like a zombie so cut pill in to halves .Sleep soon got better but I am now cutting in to quarters and sleep is not so good but I do not need the extra weight causing high blood pressure.

    I suggest that you try cutting your dosage especially at night when you do not have an active day ahead the following day.

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    • Posted

      Bob,

      Thanks for the reply and I'm currently at 22.5 and want to work my way down to a dose that just helps with sleep. I was down to 15 but my doctor put me on Clonazepam 1.0 to try and switch to other Meds but that experiment failed miserably..

      Tired of all the side effects I have to deal with from different Meds and currently getting of the Clonazepam and I'm at .5 mg right now. After I get off the Clonazepam and I stabilize going to work my way down on the Mirtazapine and hopefully find a good dose just for help with insomnia.

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    • Posted

      As someone who knows absolutely nothing about medicine it does seem to me that some peoples problems start when the Doctor decides to mix medications. Various people have said that they take a cocktail of tablets and I just wonder if some work against each other
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    • Posted

      They absolutely mix them together and are simply just guessing at what will work without thinking how medications may react together but it's not totally there fault because it's pretty much a crap shoot trying to figure out what medicines work for each individual unfortunately.

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    • Posted

      HI ROB03933...i agree that mixing meds with mirt do not help most people ..when i was first prescribed mirt dr said after 10 days to take a low dose of diazapan to help with sleep i refused .saying that mirt given time . would work.......IT DID..read my posts..i am on other meds for hbp/copd..so did not want to take more.i did take 2 co-codamol twice a day for headache;s 2 lunchtime-2 at night 2 hours before mirt....i stayed on the mirt ..7.5mg-3.75mg-7.5mg for a couple of weeks and slepted 4 hrs ..reduced mirt to 3.75mg for 3 days then stopped..i still sleep 4 hrs and NO SIDE EFECTS..i was very ill 4 mnths ago..made myself do things i did not feel like doing..determined to get well..I DID..just hope it stays this way im sure it will..as u said we are not all the same but information like this might help others ..hope so..good luck....BLUESY 
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    • Posted

      Glad to hear you refused Bluesy and that your doing ok and are determined to stay that way. I can't begin to tell you how bad and flat I feel while taking this combo and really can't wait to get off the Clonazepam and I'm currently at .5 mg and holding my own but I've been keeping busy and trying to stay positive. See my doctor Thursday and I'll go from there but it's definitely going in the near future and then I'll work on the Mirtazapine.

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    • Posted

      HI ROB ..thank u 4 reply..glad to see u are more positive/determined..i am sure when u quit the clonazepam u will start to feel a lot better....be very careful when off it do not reduce the mirt straight away do it slowly...it helps a lot if u keep busy doing what u like best.takes your mind off other things  good luck..........keep in touch .....BLUESY
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    • Posted

      I will definitely give it some time after I get off the Clonazepam to start weening down on the Mirtazapine and I'm going to try to stick to doing as much as I can and staying positive as possible.

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  • Posted

    7.5mg to 15mg is best dose for me for insomnia. However I'm now on 22.5 as I've started to get tolerance but I just split tablets off half capsules. They say with mirtazapine it's the low doses that work best for insomnia which is my issue. I'm also prescribed Pregabalin for anxiety and sleep but trying to come down from 300mg, now on 100mg at night with melatonin 9mg which I buy. As you can see I'm chronic insomniac and wish I could stop the lot to be honest. Cutting down Pregabalin first step for me. Good luck.

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    • Posted

      Thanks Lynn and I'm with you on the chronic insomnia and I feel for you and know what it's like. I'd like to get off everything myself and it's a goal for me but definitely got to take it slow and hope all goes well for both of us. Best of luck to you in the new year and hoping the best for you!!

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  • Posted

    Rob,

    For sleep only, the lowest dose you can cut down to is best to start with (it. 3.75mg). I don't suggest you jump down to this dose immediately with the current dose you are on as you may suffer worse withdrawal symptoms of insomnia being in a rush to do so. Tapering slowly is key. Also, please consider tapering one med at a time. Work on the clonazepam first and wait a month or two for your body to stabilize from any withdrawal symptoms the clonazepam might create before starting your mirtazapine taper. Slow and steady wins the race.

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    • Posted

      I'm definitely just doing one at a time and I'm tapering off the Clonazepam as my doctor suggests. I tried going on one while tapering off Mirtazapine before and that went horribly so I won't do that again and I will give myself some time to stabilize off the Clonazepam before going to the Mirtazapine again. Medicines have numerous side effects for me so I guess I'm extra sensitive to them so I really want to look into alternatives to get where I need to be, thanks for the good advice!

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  • Posted

    Hi, Rob

    Its hit and miss with this stuff. as everyone is diffrent and all the diffrent medacations people take can effect or triger a diffrent responses, I stareted out at 7.5 for 8 months now, Its not as effective as it first was but it still helps for sleeping, Im trying to get off of it and it is 'quite a challenge' as most people will post on these Blogs, It,s funny I can take 15mg and not sleep at all,  then next night take 7.5 and sleep is good. but that is just me it may work diffrent for you. I would try 7.5 as that works for most people.

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    • Posted

      Thanks switchman and I get off of this damn Clonazepam, which I can't believe I let myself do I will definitely ween down to a dose that helps me sleep better. Thanks for the input and good look with your getting off of it. I'm the same way with the Sleep as it is definitely hit or miss with the Mirtazapine..

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