Anyone Taking Mirtazapine for Sleep?

My background is treatment resistant depression and generalized anxiety disorder, with a past history of panic disorder.
I have been taking 15 mg of mirtazipine at bedtime for approx 2 months. I don’t notice any side effects, and I do sleep through the night. I should mention I also take 1 mg clonazepam at bedtime.
Before I started this regimen I didn’t ever sleep all night, and awoke with severe anxiety. I haven’t tried getting off it, so I have no input for that.
I hope you have success with it.

Thank you!

Has your appetite increased? I understand weight gain can be an issue.

Increased body fat exacerbates depression and I don’t need that.

Thank you again.

I started taking Mirtazapine 15 mg approx. 8 months ago due to severe insomnia for 2 months. This is the only medication that worked for me, along with 1/2 a pill of zoplicon ( 7.5 mg). I take both just before bed and get at least 8 hours of sleep. I do wake up 1-2 per night but go right back to sleep. The zoplicon alone stopped working for me, but the two are giving me a good nights rest. No side effects other than increased appetite. Keep healthy snack foods around ( fruit, nuts, cheese) and so far my weight has not changed.

Thank you!

My psychiatrist added Mirtazapine to my Wellbutrin when it started to help less with depression. I tried Abilify first and found it had no effect, but Mirtazapine got me back to a more stable place. I don't recall any side effects, but I know I'm complicated. I also took Clonazepam for 15 years until 3 months ago, and it helped my quality of sleep, along with a CPAP machine. If you snore or wake up suddenly, a sleep study might be helpful in deciding what treatment would be best for you. Obesity is a common factor, but I've always been thin - my wife uses the word skinny - so weight isn't necessarily a determining factor. However, uncontrolled sleep apnea can result in a number of serious health issues, so it's not a bad idea to rule it out.

What dose are you on and have you experienced weight gain?

I take 45mg of Mirtazapine, and I don't think I experienced weight gain associated with it. I'll look back at my records and see if it did.

Jim

I think I had slowly gained weight during the years around that time, so in 2017 I cut back on sweet snacks and on second helpings at meal time, and got down from 208 to my comfortable weight of 155. I work to maintain around 160 lbs, which is about right for my 6'2" height. So, it's possible that I gained weight over the first few years of starting it, but it was quite gradual.

Jim

Thanks. I just did not know if lower doses caused less hunger. I was always beyond starving on 30 mg
Ty!

I've just started taking 15mg at night for sleep about a week ago. So far I have not experienced any improvement in my sleep patterns. I am, however hungry all the time.

I've recently lost thirty five pounds and need to lose another twenty five to reach a healthy weight. I can not afford to gain weight as I believe the excess weight is a significant contributor to my depression.

I am so tired of side effects from medication and the providers who dismiss them.

I do not believe I can achieve good mental health if my physical health is a mess. The body and the mind are one integrated system.

Yeah, I'm frustrated.