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An Internal Medicine specialist placed me on 60 mg's of Mirtazapine @ bedtime as a sleep aid as I have been experiecing muscle cramps and nerve pain that came on suddenly about fourteen months ago. The specialist's diagnosis; "Fibromyalgia." Since then I have had an MRI that showed I have spinal stenosis, disc bulging and bone spurs located primarily along my cervical and lumbar spine. Mirtazapine has helped me sleep quite well at night. Therefore, I have continued to keep taking this medication. After dosing before bedtime, my spasms and nerve pain calm down. During waking hours my spasms and nerve pain get much worse as the day progresses. A lot of rigidity as well that was not there before taking what appears to be a large daily dose of this medication. Could the elevated muscle spasms, nerve pain and rigidity during waking hours be a side effect of only taking the Mirtazapine at bedtime and none during the day? Kind of a hangover effect?
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