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I went from 15-30 and been taking 30 for nearly 2-3 weeks. The 30 made me feel like crap. Few hours in evening felt better. Slept okay for about 5 days on 30 then really struggled with sleep. 2-3 hours at the most. I was almost like it did the opposite affect!!!! And the anxiety on a morning and afternoon, horrible thoughts, depressed, anxious. I've been to docs this morning and I'm coming back down to 15mg, I'm not staying on 30mg any longer, doc was good he could not understand though why the 30 had been so bad. Even when I was tapering citalopram 40mg to start Mirt I never felt that bad. So starting back on 15mg tonight. Also go propanolol 80mg slow release and some diazepam when needed. I not saying Mirt is horrible because 15mg when I first started in April worked great for me, and when I had a big wobble about 3 weeks ago, I thought yeah 30mg would sort me out. No actually I made me have the worst 2 weeks of my life!!!! I have suffered anxiety on and off for 8 years and these 2 weeks have been awful. So back to 15mg for me and see how that goes can't be any worse than how I felt on 30mg.
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