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Hello, I've been on mirtazapine for around 2 years for high anxiety and sleeping problems. I've been on 15mg for most of this time and it's done amazing for sleep and not too much for anxiety although I thought it was working on anxiety until I do something out of my comfort zone which can be as little as driving to an unfamiliar place or using public transport which makes me feel terribly sick like I can't swallow and get waves of intense anxiety feeling really sick upset tummy and really tight chest. The chest tightness I seem to get nearly every night even on days I have next to no anxiety? Anyhow around 5 months ago I started taking 22.5mg per night and to be honest it feels no different to taking the 15mg. Over the last few weeks I've started to feel a little more anxious sort of hungover feeling I get a very tight chest and very often when I'm driving I get panicky and feel very sick and feel like I'm going to chock when I swallow which gives me like a adrenaline panicky rush along with a delicate stomach and hot chest. I've been challenging myself recently and have been going out of my comfort zone and been experiencing the anxiety again which I think I slowly coming back again . So a few day's ago I decided to take 2 tablets 30mg every night but the last few day's my anxiety has got worse. I'm even feeling anxious sat at home and out whilst working which I don't usually experience. So my question is should I keep taking 30mg as I have been for the last few day's, or go back to 22.5mg and just hope I was just experiencing a few bad days. And is it possible that changing from 22.5mg to 30mg over the last few days has made my anxiety worse? I'm just worried because the longer I'm feeling this anxiety again the longer it takes me to feel better and fight it off again. Sorry for the long story and thank you for your response.
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