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Mirtazapine increasing from 15 mg to 30 mg

Posted , 3 users are following.

sasha33704
sasha33704

Hi to everyone!

I am new patient with anxiety + depression disorder. I started 7 weeks ago with mirtazapine 15 mg because of general anxiety disorder combined with depression (because of heavy disease of my father).

Initialy , in very first days I felt very sleepy and my apetite got a little bit better.

And, after 7 weeks of taking 15 mg of mirtazapine, I felt a little better, but it seemed to me that there was still room for improvement. The depressed mood has decreased a lot, but there is still a lot of anxiety.

So, in agreement with the family doctor, I increased the dose to 30 mg.

So far I have only taken 2 pills of 30 mg each evening (two evenings)

I can say that right now I feel little bit worse than two days ago (anxiety increased, lack of energy, will).

Should I give the increased dose another day to kick in or should I immediately go down to the initial dose?

0 likes, 4 replies

4 Replies

  • marrcin
    marrcin sasha33704

    Posted

    Hi. I'm not very long on mirtazapine so not an expert but I felt similar. When 15mg didn't do the job with helping me to maintain the sleep i tried 30mg but felt really bad and went back to 15mg and stayed on this dose. I sleep well now but still a bit irritatated...

    • sasha33704
      sasha33704 marrcin

      Posted

      well, I cold say that increased side effects after increasing of dosage are gone. i feel same as before dosage increase. maybe little better. I will give mirtazapine 30 mg another week or two...

  • jonjonlebonbon
    jonjonlebonbon sasha33704

    Posted

    hey sasha

    i was on 15mg mirtazapine after a heavy period of anxiety at the end of last year.

    things got better but then started to trail off a little so i was told by my dr i could double to 30mg

    i too was worried about side effects of this so after talking to my therapist i took my normal 15mg on a night but also broke another in half and took that too.

    i did this for 2 weeks and then moved onto taking 30mg. ive done this for a couple of nights now and things seem to be ok so far.

  • sasha33704
    sasha33704

    Posted

    Well, few weeks later, I am on 30 mg of mirtazapine. (in total 2 months and one week).

    And the reason I started with mirtazapine escalated (my father's illness, cancer).

    I am having trouble with dealing with it, I feel pretty anxious, sad, without energy.

    Maybe I expected too much from mirtazapine, i don't know. I have periodically good moments, with optimistic thoughts, and energy improvements, but that is to rare in my opinion.

    I am afraid now to start switching to another AD, because of worsening my actual condition.

    I am taking alprazolam 0.25mg once or twice per week (when my anxiety is the worse) but I don't want to use it more often because I don't want to get addicted to benzos.

    I simply don't know what to do now. To continue with mirtazapine or switch to another AD? To start using alprazolam (bezno, xanax) more often or not?

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