Worried

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Saw GP on Monday who prescribed Mitrazapine 15mg for insomnia. Monday night slept like a baby, bit groggy following morning but having had good sleep was wonderful! However, took it again last night and no effect, just lay there and it is so frustrating, I really thought I had found something that could help me at last. Can anyone help or advise?

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5 Replies

  • Posted

    Hi Lisie,

    It's early days, they may take a while to settle into your system. Has GP prescribed this only for insomnia or do you have underlying depression/anxiety/stress which is affecting your sleep pattern? If it is only to help you sleep it may not be the right treatment for you. Has your GP explained the other effects of Mirtazapine? It stimulates the appetite and can lead to dramatic weight gain in many people. Higher doses won't aid sleep, in fact they can cause heightened anxiety, so if 15mg is considered not to be working for your insomnia, it may not be the one for you. I don't mean to sound alarming but I wasn't given this information, it was a new drug when I was started on it. 10+ yrs and 4 stone later I'm coming off it for my well being.

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  • Posted

    Like any medication it can take time to work to its full effectiveness but usually it will start working on your sleep pretty quickly. Just hang in there and give it a chance and see how you do after taking it for a while.
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  • Posted

    Hi Lisie, make sure you take it on an empty stomach ams at least am hour before planning to sleep. I take it for insomnia however can't get over the hangover feeling the next day. I was also prescribed Pregabalin at night so double drowsiness!!. Mirtazapine is good for sleep and I'd try it with hot drink, empty stomach, a little earlier and hopefully you'll get a good night's sleep again. If it doesn't work try 1 and half ie 22.5, I suppose it depends on what you've been prescribed before, your size ie I'm a larger person, been on most things and last night for the first time tried 30mg. However I'm too hungover today to do anything so it's not maintainable which is a good job I'm not working currently due to health problems. I hope the 15mg works but watch the weight ams increased appetite. Good luck.

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  • Posted

    Thank you so much for your replies.  I was given this medication for anxiety which was being caused by my not being able to sleep, I was getting more and more wound up at night.  I took 15mg last night just before going to bed so tonight will ensure I take it an hour before bed and on an empty stomach.    I am one of these people who worry about everything so was full of anxiety when it didn't work last night.  Thanks for your advice and support, it is greatly appreciated.

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    • Posted

      Lisie,

      I was given it to me for the same reason and they might up your dose eventually if they want to treat your anxiety with it. The lower doses are usually more sedating but the higher doses help with sleep also. Good luck and I wish the best for you going forward.

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