How long does it take the medication mirtazapine to work?

I finally got in to see my doctor and he's titering me back to Paxil, what's nice is it's a very short time before I go back to my Pacil, less than a week, can't wait to feel good again

I know I will always be on antidepressants, some people have to go on them because of a situation being trauma whatever, with me I just started having panic attacks, horrible anxiety etc , my mother was manic depressive and my father had depression and on my father's side he had 2 brothers with depression who had to hold into sanitoriums for it, of course this was decades ago and that's what happened, I have been told that it can definitely be in families and I truly believe that's why I have it

How long does it take the medication mirtazapine to work? When is a good time to come off the medication? It’s been a couple of months. No improvement. Why is the doctor trying it again? I am concerned about brain fog. Anyone else experience that with this drug?

I had been taking Wellbutrin for 10-15 years when I felt like I was sliding back toward the dark hole of suicidal depression from which I spent 8 years climbing out. My psychiatrist prescribed Mirtazapine 45mg as an add on, and it's been a good maintenance combination. I never noticed any negative side effects and haven't ever tried stopping it. I don't want to mess with what's working to treat my major depression.

Because of my history of suicidal ideation my doctors are attentive to my mental well-being, which I surely appreciate. Managing medications for multiple medical conditions requires an ongoing need to be especially aware of interactions between my meds. Sometimes I have to weigh the benefits with the risks, and watch out for any problems. I've certainly had an education! There are times when being obsessive about being informed pays off.

I'm wondering what side effects others have experienced. I don't take Mirtazapine for sleep - I use a BiPap because of sleep apnea.

Jim

Yes, I'm a senior heart patient. Started with 7.5 Mirtazapine, doctor suggested 15 mg. It didn't help. Side effects hurt.Went back to 7.5.Seems to help with anxiety and sleep . And did get better over time. Been on the 7.5 for about 3-4 months. Average on depression. No side effects on the 7.5 dosage.

Did you go back down to 7.5mg without any tapering from 15mg
John

You sound just like me. I’ve been trying to get back to some kind of normal for 4 years. I got sick with Lyme disease in 2020 and it set off something awful. Changed my life. Unleashed viruses such as EBV and HPV. My labs usually show I’m fighting an infection. I’ve lost over 40lbs after losing my appetite and nausea. I feel you about this being upsetting. My PCP insists this is because I’m depressed. I’ve since started seeing a counselor and take antidepressants but nothing is working. I’m even doing TMS treatments. Still no appetite and exhausted. I feel like I live a hell.
I’m sorry you are going through this. I wish something could help us. My PCP diagnosed Fibromyalgia and Chronic Fatigue. I just turned 61 and feel like my life is over. I don’t like taking these meds but don’t know what else to do. I just had a CT Scan with contrast that only showed a cyst on my liver so it appears this is not GI related.
I wish you the best as well. God Bless.

I have been ill for many, many years. My PC doctor believes I have two different kinds of autoimmune but can never get a specialist to concur. My symptoms have worsened over the years. Recently I started losing function of both my hands (worse in the right). I was scared and reached out to my PC doctor. He put me on a 1-week dose of prednisone which made me feel significantly better. Unfortunately, after the prednisone wore off the loss of function in my hands came back. I always feel better all over when on prednisone, but you cannot stay on it long term. My PC ran extensive blood work up and told me that my levels on the EBV were "very" high from a past infection. I was infected over 27 years ago, so I was very confused. He told me my body just needed time to heal. I would think after 27 years my body would be healed. I started doing a lot of research and Britian has made a lot of progress with EBV studies as has Hopkins in the US. Unfortunately, most doctors in the US still do not recognize or even attempt to manage EBV or acknowledge the links between autoimmune, certain cancers, chronic joint pain, etc. Even after everything I read and reading bundles of comments from people with levels as high as mine, I still don't understand what is going on. However, the studies done by Hopkins directly linked EBV to certain types of cancer, autoimmune diseases, severe chronic joint pain and thinning of the bones. It puts you at a lot higher risk. My doctor is currently doing some additional testing for myeloma cancer on me. He still has no idea what is wrong with my hands, and I sent him the article about the findings because I have chronic joint pain, and have a lot of symptoms of autoimmune disease, along with a lot of other symptoms that go hand-in-hand with autoimmune. My PC is not interested in looking at the studies from Hopkins on EBV. Sad. I pray we all get answers.