Mirtazapine 15mg & sertraline 50mg side effects

Posted , 4 users are following.

Hi all first post here.

Finally had enough with feeling down and have constantly had sucidial thoughts in my head almost everyday,so I went to see the Dr's who put me on sertraline 50mg and I made an appointment with a wellness councillor.

The wellness councillor said I have aniexty and depression and could do with talking to somebody and that the doc should up my meds to 100mg to open up more?.

That was 7 weeks ago I don't feel like the sertraline has done anything I'm still having lots of negative thoughts,lying awake at night crying etc,so much so I rang the wellness people up again to find out when my appointment would be only to be told it could be 6-8 months!

I've since been bk doctors who's switched me to Mirtazapine 15mg and lowered the sertraline to 50mg.

The Mirtazapine first time I took it from completely knocked me out! I've struggled the last few days to the point I feel like a zombie and detached even more,also strange dreams and very sensitive to sounds especially when out dog suddenly barks.

Does the drowsiness wear off? It makes me want to do nothing! Also the doc recommended a site called mood gym but it's £40 has anyone used it?

Sorry about the long post

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4 Replies

  • Posted

    Hi Anthony, I’m taking 30mg of citalopram and the doctor put me on mirtazipine 15mg yesterday to take with it as my anxiety is still hard to live with. I feel like a zombie today but I have been on the mirtazipine before and even though I did sleep well the feeling of tiredness and feeling detached during the day did pass as it settled into my system. How are you feeling today?
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    • Posted

      Hi i've been on the meds for over a week now and the tiredness does pass although im having vivid dreams at night.

      I'm not sure how i'm feeling i still feel detached from everybody

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  • Posted

    Hi Anthony, it is normal for there to be a settling in period with any psychiatric medication; if the adverse reactions last longer than 4-6 weeks it is probably not an appropriate medication; if you are seeing no improvement in your psychiatric condition after 4-6 weeks you probably also need a change in medication. Psychiatric medication can also have the opposite effect and increase your original symptoms. The increased drowsiness should abate and the Mirtazapine should have taken effect after 4-6 weeks. All psychiatric drugs have downsides: you should take only the minimum effective dose. If the drowsiness persists but otherwise you notice an improvement in your psychiatric condition, I would reduce the dose gradually to the minimum that works for you. If that doesn't work have your GP/Psychiatrist change it out for something else: swapping one lot of symptoms for another isn't supposed to be how this works! Always do this in consultation with your doctor if you can but in the end it is your health and well being and you have to go with what makes you the most comfortable.

    There are dozens of medications, it can take some time to find the one that is most appropriate for you. Don't despair, you'll be sorted but it can take time and patience to get the best results for the individual.

    Good luck,


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  • Posted

    Thanks the drowsiness is getting better apart from im noticing aching muscles now every morning

    Can anyone recommend free cbt therapy i can try on the internet?

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