mirtazapine panic attack

Posted , 5 users are following.

Hi I started mirtazapine 15mg 7 days ago and didn't really experience many side effects. I felt a minor mood lift after the first tablet then today around lunch time I felt a strong lift in mood with negative thoughts almost totally disappearing.  This continued to increase until 8pm when I suddenly felt a panic attack ( fast heart rate, feeling of anxiety, fear of this feeling increasing) coming on I took 2.5mg valium straight away and seemed to calm down within 5 minutes. My pulse remained at about 115 for 30 mins after. Is this normal? serious? I feel relaxed again now but the feeling all afternoon was like a really strong sense of wellbeing coming over me. 

Should I reduce the dose to 7.5 or continue on at 15? or stop all together?

thanks in advance for the replies smile

0 likes, 20 replies

20 Replies

  • Posted

    Thanks so much for the reply!!! I will be trying that tonight.  Last night I took 15mg and fell asleep within an hour and a half but woke every 2 hours during the nightsad is this sort of insomnia usual when on the first week of mirt?
  • Posted

    My experience is that I sleep better with Mirtazipine than I have for quite a while (before I took it).

    I may wake up twice during the night.

  • Posted

    No more panic attacks and im sleeping well but im now feeling as depressed as before I started the mirt sad im thinking of upping the dose???

    • Posted

      Mirtazapine was a great help for my sleep but not the depression.  Tried to increase, got as far as 30mg and couldnt stand the side effects so,slowly dropped down. 

      Still looking for something which will help the anxiety too.

      good luck, if mirtazapine works its great,lot of people use it.

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