[ret03]

Has anyone had any luck with losing weight while taking Remeron (mirtazipine)? I have gained 30 lbs and am not a healthy weight and feel uncomfortable and self conscious. I am starting to be more active but it is so hard to control my diet because I am hungry literally ALL THE TIME. I've been on Remeron almost a year now and it's absolutely necessary for me to get any sleep, so switching isn't really an option (only took 20 years to get someone to figure out my insomnia!) I have tried all sorts of things to help me lose a few lbs, but I'm starting to think it is literally impossible.

[ASmike]

When I was taking mirtazapine, all I could think of was eat and sleep. I managed to keep my weightgain down by eating (way more) healthy. Small meals except dinner, and a lot of fruit - always within reach, so it was easier to grab an apple than going to the fridge. I probably wouldn't have gained weight if I had exercised at the same time.

[Travelinglady]

Goodness, no! I gained lots of weight in a hurry with Remeron. It's bad for that. Maybe, ask your doctor, but I'd think that would be a "losing" battle.

[BeyondtheRainbow]

What dose are you on? The higher the dose the less the weight gain/sedation. I gained at 30 mg but at 45 and later 60 mg had no problems and it was still very effective for my depression.

[Travelinglady]

I stopped taking it years ago, thank goodness. I'm sorry, but I don't remember how much I was on.

[still_crazy]

higher doses tend to cause less weight gain. sometimes, remeron is used with an additional antidepressant. effexor seems to be popular ("California Rocket Fuel"), and wellbutrin seems to be a fairly common add-on, too. Adding an additional drug might help w/ mood, anxiety, etc. and also help the weight situation.