Need your help!!!!

Posted , 6 users are following.

hi folks, i was prescribed mirtazapine over a month ago for crippling insomnia. i was prescribed 15mg for the first 2 weeks and then told to increase the dose to 30mg. the first 2 weeks went well and i was hesitant to go up to 30mg as i never really wanted to be on tablets in the first place. Anyway over the last two weeks the 15mg hasnt been working very well- feeling alert at night and insomnia anxiety returning. So i am just wondering should i up my dose to 30mg as doctor suggested or reduce my dose to 7.5mg, as i have read from many people here that this is the best dose for insomnia? if anyone has experience or advice on this i would greatly appreciate it

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5 Replies

  • Posted

    first of all i dont think antidepressants should be prescribed for insomnia as the withdrawal is brutal, second your doctor knows nothing as higher doses are less sedative!

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  • Posted

    i would reduce to 7.5 mg. i have been up to 45 and am now on 1.5. it is more activating at higher doses and mire sedating at low doses. drs are clueless.

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  • Posted

    hello,

    you really shouldn't be on this pill for insomnia, especially at such a high dose when a therapuetic dose is half of what you had been prescribed, also, its an anti depressant, and it is a horrible one at that, withdrawing from it is absolutely awful, i'm saying that from personal experience. please go back to your GP, get a second opinion from another doctor in the practice. There are other medication that are not as evil and actually are meant for the job, such as 50mg Diphenhydramine or 7.5mg Zopiclone. they would be far more appropriate and not as evil to come off of.

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  • Posted

    Hi Paul

    I totally agree with Toria and Sarah's reply.

    Your DR wants to increase your dosage to help with your insomnia but is clueless that higher dosages are LESS sedating. Lower dosages are MORE sedating. I'd cut back to 7.5mgs if I were you but its really up to you. Like Toria said, antidepressants shouldn't be prescribed for sleep. My Pyschiatrist did the same thing with me and when I told him that the lower dosages were more sedating, he didn't beieve me and looked as puzzled as can be. 臘

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  • Posted

    Hi Paul, sorry to hear about your experience of insomnia; having suffered from it frequently myself I can understand how terrible you must be feeling (and I'm sure that's an understatement!)

    I can't really add anything to the previous replies other than to say I think they are absolutely right IF your doctor has actually prescribed anti-depressants for insomnia. I wanted to ask if he/she asked you about how you are in yourself to try and establish if there is a specific cause for you not sleeping, i.e.. anxiety and or depression. If you discussed this then was there any indication that you may be and if so were the Mirtazipine prescribed on the basis that they would help alleviate anxiety/depression which in turn could eventually help the insomnia?? Even if this was the case, I would have thought she might have suggested Zoplicone (a sleeping tablet) in addition as they work instantly. Anti-depressants can take up to three weeks to work.

    I apologise if I'm on the wrong track here - I'm not suggesting you are anxious or depressed !) just a bit puzzled you were prescribed Mirtazapine - and as mentioned in earlier replies they are (like other anti-deppresants vile to come off.

    please go back and talk to another doctor.

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