Nightmares on mirtazapine

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Hi every one I'm back on here again lol.. I was put on mirt year and half ago after 15 yrs on trazadone for depression which worked for me, but for some reason it stopped working for me and was given mirt to try as sleep was bad only falling asleep at 3 in the morin and awake at four again.. my doc told me to take one at nite for 4 weeks then go higher after then, to which I did but the high dose did not work for me as caused me to not able to sleep again, so I decided to just go down to 15 mg and see how this worked, I was able to go to sleep on 15mg but the nightmares were alfull 3/4 bad dreams each night, but thought I'd stick it out in the hope these would finely go, one year and half later the bad dreams are still there, but now they are waking me up after every dream, so I'm awake 3/4 times a nite and waking up very depressed and down for this, I know they say the higher dose of mirt is better for depression, but can't cope with higher does, Iv decide to come of mirt, so I'm taking a quarter of the tablet every other nite, but I'm scared I won't be able to sleep again and spend my nites walking the floors in my house with anxiety, I don't want this again, but my depression is once again bad, which I think it's with the nitemates I'm havin and not much sleep, I'm due to see my doc next week, and see what they say, really hate having to go to my doctors as feel such a t**t or I'm being mardy because I'm seeing him just for depression, but to me when your low and can't see the light at end of the tunnel it's alful being in that state😩... as any one eles had these nitemare with mirt?? And will they stop once I come off mirt?? And how long b4 my brain gives me a rest from these bad nites?? I'm 53 years old, and love the life I have, but not the depression that goes with it, please can any one say coming of mirt will stop the bad dreams, and hopefully my doc will sort my depression out ??X

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15 Replies

  • Posted

    Hi dawn.  I'm soooo sorry you are suffering so much.  I'm not sure that anyone here can actually answer your question about coming off of Mirt and how long the bad dreams will persist (all our systems are different).  I had them when I first started Mirt but they stopped after about 3 months.  I've been on Mirt for over 20 years for depression.  It no longer works for that but at 15 mgs, it helps me fall asleep.  I also take 50 mgs of Doxepin and 1 mg. of xanax for sleep.  I'm getting (finally) 6-7 hours instead of two, albeit drugged but no bad dreams.  I'm weaning off of Mirt (now down from 30 to 15 mgs and will drop to 7.5 this coming week). The withdrawl side effects come and go but I want off because with the exception of helping me fall asleep it does nothing for depression.  My psychiatrist recommended Cymbalta for depression, sleep and pain.  So my goal is off Mirt and on Cymbalta.  This might be an option for you but you need to talk to your doc.  Ask about doxepin for sleep and Cymbalta for depression.  You are torturing yourself by not sleeping.  Deprivation of sleep is a form of torture.  You might also consider an over the counter antihistamine like benedryl for sleep.  I hope the doc offers treatment options to you.  Let us know and good luck.

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    • Posted

      Hi thanks for your reply, Iv nearly come of mirt now, just had headaches and feeling sick, but a small thing that I can put up with, untill I'm off them all together..

      B4 I was put on mirt, I went to the doc and told him I wasn't sleeping and my depression had come back, and all he said was which is the worse the depression or lack of sleep, that was hard to answer as both I feel are just as bad as each other, so I told him couldn't stand the lack of sleep and more, but the depression is just as bad so he put me on mirt, for the sleep..

      Like you said y not one tablet for depression and one for sleep, but he just didn't seem to want to give some thing for both, you mansioned some tablet for depression and some for sleep? I will write them down and take it with me and see what they say, as I'm seeing a different doc next week which hopefully mite be a bit more helpful, as I hate saying to them I'm depressed, as I remember one doctor saying to me, ' get over it' just go out more...

      Well me my self is when I'm depressed I don't feel like going out doing any thing, no mater how hard I try, I just want to go to bed and sleep, as that's when my mind is at ease ( other then when I was on mirt ) so I do find it hard to see doc..

      The nitemares are still there, but only a few times anite, and I don't wake up remembering them, so maybe once I'm off mirt for good they will go, prob because I'm not sleeping again lol ...

      Any way thanks for your view on mirt, fingers crossed doctors will try me with some thing eles next week, take care of your self x

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    • Posted

      I think I mentioned Cymbalta for depression sleep, anxiety and pain (also skin rashes, etc.)  Sounds like a wonder med. but who knows until we try it.  Once I'm off of Mirt and on Cymbalta I think I can drop the Doxepin as well.

      Now I take --  15 mgs of Mirt (down from 30 a montha go) dropping to 7.5 next week

      50 mgs Doxepin (very low dose)

      1 ms. xanax

      This combo works for me.  Good luck re: your next doc visit.

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    • Posted

      Cheers will ask doc about these tablets, like you said untill u try we never know if will work, iv been on 7.5 mirt of and on this week, and been ok just headache and a little sick, but can cope with that, my sleep is not so good now, taking 2/3 hours to get off to sleep, then a bit restless, dreams are there, but no way near as bad as when I was on 15mg of mirt, so a mix of feeling at the min, fingers crossed, this doc will be a bit nicer then last two doctors Iv seen and under stand what I'm going through... take care hope all goes well with your meds x

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    • Posted

      Hi

      Iv managed to come off mirt altogether now, was quite easy for me, only side effect was a little sick and headach, but I can cope with that, the nitemares have gone, still have the odd dream but only prob once at nite, and don't really remember them like i did with mirt..

      depression is bad for me at the mo..

      I went bk to the docs today I shown him the tablets that you said mite be worth trying, but he just said no to them??

      I sat there crying as always making a fool of my self as I told him how I was feeling and what mirt had done to me, he as put me on Prozac ??? Never tried it b4 , I'm scared incase they don't work or cause probs like mirt did, Iv got to go back in two weeks to see doc again, he's told me to try and stick it out for at least the two weeks and see how I feel , if things gets worse in the mean time I have to go bk straight away, so dreading it at the mo, but fingers crossed.

      Hope your feeling some what better in your self, thanks for your time and advice on here, take care x

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  • Posted

    I have these nightmares each night for two years on mirtazapine.  They tried to get dose up a few rimes, but it makes me worse so i am back down trying to get to 7.5 which is still not helping me. I take diazepam in middle of night to ttry to stop them and get some sleep,but i dont think that's helping either.  All i know is i have become a shell of the oerson i was and i cannot go on this way.  I dont know what to try next as i am extremely sensitive to ssris and have tried a tricyclic, then duloxetine which was awful.  Just feel lost and that they dont care anymore as they cannot put me right.  I am a bit older than you and feel i should be able to overcome this but irs really holding me back too. Dropping down mirtazapine is known to be difficult and im scared the suicidal thoughts will become stronger.

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    • Posted

      Hi thanks for your reply.. so sorry your feeling that way, but I know how you feel with mirt.. for me like I said 15mg was all I could cope with, as 30mg mayed me worse, so I stuck to 15mg got year and half, at first I could sleep through the nite and not really remember the nitemares, but for the last 5mths the nitemares wake me up, and I feel so low with them...

      I'm now taking 7.5mg every other nite, and will stop in a few days, the only withdrawal I'm having is slight headache and feel a little sick, so I can cope with that, I think because I was on a low dose maybe the withdrawal is not so bad... I won't go back on mirt, as can't stand the nitemares any more, I'm hoping the doc next week will try me on some thing different ... if the nitemares are your worse then please don't suffer with them as just them aloan can destroy you, and don't be afraid to come of them as each person is different to how they cope, so until u try u won't know, I was scared as loads of people had said withdrawal on mirt is alful, but for me they are fine, so like I said each of us are different to how we react ...

      You take care of yourself and hope you work out what u want to do x

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    • Posted

      Thanks Dawn, i needed somehelp here.  You are doing so well.  I am also taking diazepam and hope to lower its dose too, its not too high.  Need to dontapers separately i think.   I wonder if drs leave you on these meds hoping you'll just take them and have no effects.  Its us who experience the problems. I am not coping with 15mg and think ill reduce to 7.5 and see how i go. Like you im scared of the titration but it must be done.

      if your dr puts you on something else please keep in touch, i would like to keep in touch.

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    • Posted

      Hi Ann

      Yes I will definitely let you know what the docs say next week, but yes I do agree with you, that the docs just give you them in hope you don't come back again, but yes it's us who is suffering like this, and it's a evil way to feel, I feel like I'm in a tunnel, aloan and dark I can see a glims of light at the end, but can't reach it, just stuck, that's y I go to bed very early to sleep as that's my only way to get a rest from this depression.. but the nitemares from mirt as made my depression worse, so which every way I have to come of them before it destroys me...

      Do try 7,5mg as for me I haven't seen any change, so going down is good, I'm sure if it's just headache and sickness u could cope with that, you've still got your mirt with you so if you feel you are getting withdrawal symtoms that you can't cope with you can always take again, but if your like me and want to come of mirt because of the bad dreams, please do have a go at coming of them, and I really do hope you do feel better of mirt for your sake..

      Do take care, and I know how you are feeling that's one thing I can say, it would be good if we had a switch at the back of how heads so we can't turn our minds of when things are bad, please keep in touch and if your low or struggling I'm here to listen to you at any time, don't do it alone when these people out there the same as you and me are

      Good luk x

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    • Posted

      Hi, im still at 7.5 and gp suggestion of 3.75 next isworrying me.  I have read on here that is too large a taper.

      on 7.5 i am having bad nightmares and waking a lot . Take diazepam to calm down and get some sleep.

      do you think dropping down to 3.75 will cause any problems?

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    • Posted

      Hi Ann

      You sound that u may be worse of then me, yes at 7.5 the nitemares where still bad, what I did is take 7.5 one night and then miss one night for one week, then I missed 2 nites of mirt, other then headach and feeling sick I'm ok, I have now come of mirt conpleatly and I'm fine... the depression is bad, but I think Iv been depressed even on mirt, as I was only on 15mg as I couldn't cope with 30, so the depression as been slowly creeping up on me over the months, and now I'm very low again... I think people worry to much about coming of mirt, that they work them self up so bad that they make it worse for them self... I new I'd got to come of mirt as it was doing me no good at all, so i did it and I'm fine, it is scary coming off a drug as your scared of how you will feel, but I'm glad that Iv got of mirt, try to think possative if you can and try what you think that you need, if you go down to 3.5 then do that but try every other nite so miss one nite and then take another, you may feel strong enough to stop altogether... you be ok I'm sure, try not to worry to much if you can, what works for one won't always work for another.. I'm at docs tomorrow so hoping he will understand how I'm feeling and give me some thing that helps .... I was on trazadone for 12 years and that was very good for sleep and depression, but my body just got to use to it and stopped work, wished I was still on them as it worked good for me, no nitemares and no depression ... well all I can do is wait and see what doc says... keep your chin up and work to come of mirt, u need to do this then the nitemares will stop then... good luk and keep in touch to how u r going and if u manage to come of mirt x

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    • Posted

      Hi Ann

      How are things going with you and your meds mirt? I hope you are getting there and slowly coming of the alfull stuff.. been about a week now since stopped mirt, the nites are a lot better, still dreaming now and again but just the once at nite, and I don't really remember them, so all good there..

      My depression is bad though, don't want to leave the house, crying, not wanting to see people, even taking the dog out makes me angry because I don't want to do it, all I want to do is go to bed and sleep, so at least then my mind is at rest from depression, and now no more mirt I can sleep with out the nitemares, so I do hope you are managing to get of mirt..

      Been to the docs, sat there saying to myself ur not going to cry and make a fool of your self, well b4 I sat down I was in a flood of tears saying that I could cope any longer feeling so low, felt like I wanted to slap my self and say stop this stupid crying but couldn't , do after trying to get the words out through the tears, I managed to tell him what mirt was doing to me, so he's put me on Prozac ?? 20mg and I need to go back in two weeks to see how things are goin, I'm scared at the mo incase they either don't work or they do some thing like mirt did the nitemares, so the doc as told me to try and hang in there for at least two weeks, if I can and see if they help, so here goes the next few weeks finger crossed this works...

      Let me know how your going and how far down you are on the mirt, take care x

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    • Posted

      Hi, thats great you have been and got a solution from gp. Hope the prozac does,the job. I have years ago. But it wasnt for me, mirtaz was betten but not now.  I am cutting 10% off the mirtaz down to about 6mg and so depressed. And still the nightmares.  Tried duloxetine but knocked me out. Sertraline brought acute anxiety. Hen risperidone, it was awful, no wonder as its really for bipolar which im not.  Psych tells me i am unipolar, iedepression with anxiety.  Still plodding on.  Hope to hear you are getting. Somewhere with prozac. Keep well.
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    • Posted

      How are you feeling now you have a new anti dep, has it given you a bit of confidence in moving forward?  Hope it works for you and all comes good.
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    • Posted

      Hi Ann

      This is second day on new meds, they say could take up to 2 weeks to see if they work, so we will see.. 

      feeling a little sick again, but they say will do at the start, maybe as iv not eaten vey much today that's y.. the pain killers I'm on can make you feel yuk if you've not eaten, but just don't seem hungry ...

      The nitemares will stay with you Hun,  untill you come of mirt altogether, even when I was on 3.5 the nitemares were still there, so once you've managed to come of mirt the nitemare will go away for you, keep your chin up best you can, and keep trying to come of mirt... hope you manage to do this and the nitemares go away for you... let me know how you keep going and if you manage to get of mirt..

      All I can hope is the new drug will help me with the depression if not will have to just keep trying to I find one I can get on with .

      Good luk and keep trying take care x

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