i HATE meds but without remeron i wouldn't sleep my thoughts would border on psychotic ,yes they can knock you out at first and can give you the munchies but i find they make me ,sort of in the world again-with all its confusions ,delights, they work for me but i still hate them!! and i've tried lots. they also tune the volume down on my anxiety. when i get feeling ok then i go off them usually to eventually going back on them!! talk about the revolving door!!good luck