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Re: Many comment Mirtazapine for sleep.But AD/anxiety? » plenair

Posted by mtom on July 2, 2019, at 8:47:42

In reply to Re: Many comment Mirtazapine for sleep.But AD/anxiety?, posted by plenair on July 1, 2019, at 22:58:44

> Thanks, mtom. How is the Mirtazipine working for you?

Well it's been about 3 weeks and I'm still taking just 1/4 pill, but also still taking 5 mg Escitalopram.

Even at this low dose, I was slightly groggy next morning at first, but that's faded. Tinnitus no worse (caused by Esc & other AD's I've tried, but improved a bit when I lowered dose of Esc). But after 5 days the vivid dreams & nightmares I had on higher doses of Esc returned. Not every night (or maybe they're just not vivid enough to fully wake me every night). I "think" I'm perceiving a slight improvement in anxiety and energy/motivation. Will discuss titrating up or cross-tapering when I see Dr this week. A bit concerned that at higher doses the Norepinephrine effect will kick in and increase my anxiety (although Mirt frequently prescribed off-label for anxiety and I've read lots find it helps, but some people find it worsens). I'll still be taking a low dose, but I'm hypersensitive to AD side-effects.
Also concerned other common side effects might kick in which haven't yet o this low dose, e.g. somnolence & weight gain.
I'll probably start tirating dose up very slowly & see how it goes.


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