[Focus62]

I have not slept since Saturday night which was only for a few hours. I recently started Mirtazapine to solve my sleep issues and it worked for one night...then no longer. Mirtazapine does not have a side effect of insomnia though, so I don't really get it. I don't know what's going on but I need to sleep. It's finals week for me, I really need sleep. I saw my T on monday and told her what was going on, she said to check in with her today and if I had not slept yet then I need to go to the ER (cause I couldn't get an appointment with my pdoc till Thursday). We also called my pdoc and he told me to up the dose of my mirtazapine from 15mg to 30mg. Well, after upping the dose, I still did not sleep last night so I went to see my T and she told me to go to the ER (and even offered to go with me/walk me over ((it's right across the street)) , though I refused being my stubborn, independent, unable to accept help/comfort person).

The ER doc told me to up my Mirtazapine from 30mg to 45mg tonight. Everything I've read about Mirtazapine says that at higher doses the sedation affect DECREASES. Why are these docs suggesting I increase the dose to get some sleep if it reduces sedation?? It doesn't make any sense. I am worried that I won't sleep again tonight and I'm supposed to check in with my T again tomorrow and when I tell her I haven't slept again, I'm afraid she won't believe me cause it's crazy to go over 3 days without sleep.

I am so tired and I am experiencing auditory hallucinations already, I don't want to go any longer and completely lose touch with reality. I'm scared and I just want to sleep...

Hi just wondering if you've slept? I hope things are better! I was thinking about trying mirtazepine too but other types of antidepresants hsve also affected my sleep. Csn you get some short term benzos to help you slerp?

[Odee]

I use mirtazapine from time to time to sleep and I find that if I don't want to wake up with a groggy 'hang over' effect then taking a full 30mg will keep me perkier in the morning than a quarter of that pill.

It's possible for higher doses to make someone more sedated, depending on how they react or metabolize it I assume. At the time I was taking mirtazapine regularly I was also struggling to get over 3 hours of sleep a night.

I hope things are working out better for you and perhaps another sleepy pill may help. If mirtazapine is going to work for sleep then I think it would work the first night you hit a good dose for it -- it's a bulldozer of an antihistamine.

[Yoda]

I don't know why your pdoc wants you to take that dose, you need to talk to him and/or a pharmacist.

My pdoc prescribes mirtazapine for me and told me I could take 7.5 or 15 mg but said the lower dose seems to work better and that is what I take but I still have to have other meds for sleep.

[Focus62]

Thanks for the replies. I did finally sleep after 4 days with zero. We added prazosin back in with the anti-d, which gives me the side effect of headaches but I needed a short term fix and it worked well the last time I was on it by reducing my nightmares. I just don't want to stay on it cause the headaches are a pain.