Mirtazapine experiences? 15 mg for panic and health anxiety disorder

Hi

Like you I take Mirtazapine for anxiety after an unsuccessful attempt at six months on Sertraline. For me, I did notice a lifting of some of my anxiety symptoms on Sertraline, but it had a sexual side effect that I wasn't happy about (apparently you need the same chemical bridge connections in your brain for anxiety as you do for reaching orgasm so for me it was a question of whether I wanted to trade that in for the beneficial effects. So I went on to Mirtazaine about twelve months ago - first month at 15 mg then up to 30mg. I have to say I didn't feel particularly tired, especially if I took the dose just before going to bed. I was told that if you do suffer from fatigue that tends to go once you are on a higher dosage. I would say I found Mirtazapine very subtle in it's effects, wasn't even sure it was doing that much for me until I started lowering the dose and some of the familiar anxiety effects I'd almost forgotten about crept back. Nothing negative to report although Mirtazapine seems to have lowered my lidibo very gradually over the year, and I'm on a course of Tostran to rebalance that. 

Hi Justinclarice,

                         I have had some weird dreams and some increased fatigue but it is just as likely that this is caused by other factors. They seemed to have settled down after about 5 days.

The main side affects are sedation/tiredness and appitite stimulant. 30mg is supposed to be less sedating than 15mg. Watch what you eat and your weight should be ok. I never got over the tiredness and it caused memory problems for me as well. It was a bit of a jump from an ssri to mirtazapine though. There are a lot of non-ssri drugs available that in my opinion have fewer side affects. What side affects did you find the problem on the ssri's? I stopped ssri's because of sides as well tbh and their really are lost of options.