Would you say you think it's a good idea to mix this with a stimulant to help the drowsiness? I have ADHD and Depression and want to talk to my doctor about possibly starting this medication. I could use the help with sleep/anxiety, weight gain (BMI of 17.5 due to not eating because of depression)
I get runny shit and anxiety from this and i take 3mg .. 15mg heavy fatigue...
3mg still makes brain zap and disorientation , but good for sleep, not day drowsy.. And easy to go off.
You sleep well but dreams are very vivid and intense...
My preferred drug is escitalopram/lexapro.
I've been on this drug for 5 months and HATED it. Worst ssri I've tried and I'm coming off it now. It made me feel dull and unmotivated to do anything, gained so much weight. Ruined my sleeping patterns. Unable to get out of bed even after 12 hours sleep. It made me feel such rage for no reason. I can't imagine anyone liking this drug.
actually it comes in 15mg pills which i have had, currently on the 30mg pills which are the same colour but different shape. max dose im told is 45mg not 60mg which you mentioned. i do get withdrawals from this such as sweating, itchy, stressed, edgy i took 1 30mg pill within the hour all of it stopped. and yes the increase appetite is real for sure, i cant stop eating HUGE amounts of food mainly junk food. when i was on 15mg this used to help me sleep but now on the 30mg, the drowsiness stopped and gained a massive appetite. when i was at the doctors waiting for emergency mirtazapine pills i was sitting there looking like a crack addict. on some nights i have taken as much as 80mg over 4 hours to try get the drowsiness which didn't work but had no side effects. yes advised to take at night time
The drowsy only comes in low dose 15mg is a good dose for that. Even 7.5makes me sleepy.
I take 3mg at night as a sleeping pill and it works for 12hrs..so im good for the day with low drowsy.
Even at 3mg when drug gets to 16hrs half life (which is what is common rather than their claimed 20-36hrs) i feel anxiety come on... This drug packs a punch for me. I can take lexapro 25mg and wont feel a thing. So its very individualised. But to sleep and insomnia you want a low dose, not a high one
So I’m 90mg daily ie 2x 45mg tabs. Really bad PTSD & sleeping issues. Certainly helps with sleep, helped my nightmares, but definitely makes you a hungry hungry hippo.
Also hardly function during the day, hard to say what’s the med’s fault and what’s the PTSD’s fault. But better than the nightmares I was having and not sleeping at all...
No toilet problems though, quite the opposite. I was told by my Psych. that 90mg was the new max.
Anyway, love the video. Seems bang on.
I hear drugs can have a paradoxical effect, like amphetamine making you tired or Benzos making you feel energetic. I've experienced this with MDMA, where I just get into bed, stay warm and just shake a lot... I've even fallen asleep during the peak of MDMA, no joke. Perhaps the drowsy effect of Remeron will make me more focused and alert because i won't be overstimulated and feel like I'm taking information in a manageable rate
My dr. Gave me, and I'm 71, 30 mg for insomnia. Big complaint was weight gain, so I went down to 15 mg, and I slept ok but woke up several times during night, and I never dreamed. So I've managed to slowly go off from 7.5 mg and I only took it at night in all this time. BUT! Since last December I have gained about 22 pounds and jumped 2 sizes. Now that is DEPRESSING AS HE k, and that is why I went completely off and on my 5th day with no mirtazapine. I ha bent lost any weight, am still hanging around fridge , but am praying that will ease away too. Not a food drug for me !!!
I've tried most TCA antidepressants, all SSRI's except for the newest ones, and most other unconventional drug treatments for dysthymia and none of them do anything but make me worse.
I learned somewhere along the way that tramadol was the only Rx drug that would help. From 2014 to 2016 or so, I had NO depression. No side effects, no trouble. No trouble until some assholes at the DEA made the place go away.
Anyone ever try to discontinue mirtazapine? It's not easy, even with a long taper from a patient perspective. If you have the type of insomnia I have, you feel as if you will never sleep again.
I find it annoying, offensive, and illogical that the powers that be set rules in places that make it impossible for people with treatment resistant depression/dysthymia to only be able to try a certain " approved " set of drugs. Not approved for depression but works like a char? To bad!
Take more of this shit that does no good , gives only side effects, or just "tough it out"
I had a friend once who was on a higher dose of Effexor. Coming off of it was the worst thing in the world. Prozac, Paxil, Effexor may work well for some, but don't let a doctor tell you SSRI drugs are harmless with no potential to cause harm.
Patients should not need to be dying to have a right to try other drugs.
I take it at nite and when I wake up I’m a little tired but after that I’m good the best advise I can give someone is take things that give You healthy energy like Maca or Green Tea with Ginger or Ginseng anything that will give you energy
This drug has become part of the PTSD cocktail for Iraq and Afghanistan vets. Interestingly this drug is more sedating at lower doses. You can get it in a scored 15mg generic version. It’s a pretty decent drug and has helped me a lot. Nice info.
If this worked for you great ! But you can't say it doesn't work for everyone, I go gym 4-5 days a week eat healthy and I still had issues with mental health
Please don't equate your experience to mean that's fact
The weight gain is unreal for me. I gained 50 lbs in the first 6 months of taking it! I would literally eat until I got sick because I couldn't feel full. That's slowed down, but have gained an additional 25 lbs in the next 3 yrs. But, I can't lose weight on it even with cutting my calories in half! To be fair, the Paxil and Gabapentin I'm also on now is I'm sure to blame as well. I was at a healthy weight when I started and now I'm obese. I feel stuck bc Mirtazipine is one drug that has helped with social anxiety and agoraphobia. I'm also on 1200 mg my Dr. prescribes me for anxiety. She will not prescribe traditional anti-anxiety meds due to the possibility of addiction, but my old Dr. did and honestly Klonopin worked much better for anxiety, even on a fairly low dosage and addiction is the one problem I don't have. I became dependant, but no more than I am on the SSRIs and sleep meds. And dependence is a big issue with this drug. I have tried to wean down on the Mirtazipine bc of the weight issue, but after about 4 yrs on 30 mg, even trying to reduce my dosage by 25 percent causes me so much anguish and feel too fragile to go through it. I really feel trapped after having so many other SSRIs failing me, even my Dr doesn't know what else to put me on to help with my social phobia. And even if I can successfully reduce or come off it, weight loss is another issue and I don't know that I will be able to lose any of the weight that it helped me gain. Sorry for the novel, but I sincerely don't know what to do. If you have suggestions or just ideas from another point of view, they are welcome!
Yes dear I do have a suggestion, apparently, in someone who has a generalize anxiety response...the answer could well be that your brain is wiring and firing too quickly, which trips off the fight or flight...........too much adrenaline pours into the body and the result is...the anxiety. Please please do some quiet meditating or...get to a quiet and peaceful place at least once per day...the aim to is: QUIET THE MIND...and the body will follow. PEACE. Praying and asking for the help from source: God....I am praying for you as well. Therapy too..... talk therapy to get out any unconscious or conscious worries or concerns.............................pulling for you!
can you use this for treating akathisia which was caused from taking an anti-psychotic for 2 weeks which has been discontinued yet the akathisia symptoms still persist for how long know one knows. For now I am taking some Klonopin, but don't want to take this for too long. It helps me get about 3-4 hours of sleep, but i need to get full sleep. any help or tips please?Thanks!
ummm, most antidepressants have these side effects...Nothing surprising. Also, this medication was designed for people who are insomniacs and are great for people for eating disorders as it has an appetite stimulant. fatigue happens because you take it at night so you can sleep with ease. As it was designed for that. There are very few antidepressants that help with not gaining weight, hence why its common side effect in antidepressants. its kind of kind of common sense really.
Hey doctorsecrets, im in a difficult situation and I need your advice. I have been through several psychiatrists, my current one for about two years. I have had really bad ocd for the last 10 years. Since then I have been prescribed prozac, zoloft, effexor, anafranil, luvox, lexapro, klonopin, seroquel, abilify, zyprexa, fluoxal, ativan, lyrica, and inderall. Literally no medication has worked for me aside from ativan and I stopped taking it years ago. My doctor insists I stay on escitalopram and she put me on double the maximum dose and it literally does nothing. She put me on lyrica and at 200mg/d it made me more calm, but after it stopped working even when the dose was upped to 400mg/d. I have been in so much mental anguish for so many years, I dont know what to do anymore. I have even been in cbt, and erp few tmes and it helps, but the thoughts still wont go away, and compulsions. I suggested mirtazapine to my doctor and she said its better to stay on what I am now, and she said she doesnt know what she will do if what I am on now doesnt work.
Doc. With all due respect. HOW DARE YOU with all the videos and information of good people trying to get off this crap or similar crap and becoming suicidal and totally lost trying to get off these pills. You waste video time with playing math multiples of 15mgs and with your stupid hat and gloves and bla bla bla. Like reading the back of a label. You should be going over how it reacts in brain and warnings etc. instead you’ve turned it into a blank or obvious information joke. Get on your motorcycle and get off the doctoring. Your the joke we warn each other about here. Asshole !
I started on 15mg and the first few days were ridiculous fatigue.
I keep fit and work out regularly and I could barely function.
I slept 13 hours the first night.
Interestingly though, increasing to 30mg restored my energy levels.
I've been on it for around 6 months now, but I've been giving thought to coming off of it, but not sure how my body is going to respond.
I was just subscribed this medication at 15mg. I have not yet taken it yet. I will choose to take it on a day that I know I do not have to be up early to see how it effects me. Honestly I do not think my psychiatrist knows what she is doing half the time. Then again I am kind of all over the place. As in I suffer from major depression which can last a day or several days. I also lack motivation and energy. I need motivation and energy, especially with 4 kids. I also suffer from anxiety and paranoia. I also struggle to fall asleep most nights. Sometimes even if I am tired I will lay there for 3 hours sometimes. I have problems with focusing on more then one person talking. I can focus on more then one thing sometimes, but not often. I zone out while driving and do not remember how I got to one point or another. Some days I am hightly agitated. Not one of my moods have a reason, they just are most of the time. At first she believed I was A.d.d. which I do think that I am. Then she thought I had major depression disorder which I think I do. then she thought I had P.t.s.d. Then she is trying to treat me for insomnia. It is highly agitating. Because honestly I need a pill that is going to give me motivation and energy on the days I am very unmotivated and severe lack of energy. On other days I need a pill that is going to mellow me out on days that I am highly agitated. My moods can change so quickly. Or sometimes may last 2 or 3 days. But I am not considered to be Bipolar. Its so frustrating.
I can't take Remeron again. I had a severe allergic reaction to the SolTab about three years ago after I took it the first time. I was rushed to the ER because my arms & legs went numb & I had difficulty breathing.
2 days into you can stop without penalty. There are confidential clinics where you can get treated without involving parents. If you ask your phone operator for a suicide hotline the staff at the hotline can put you in touch with the help you need.
I don't know your parents but I know that most parents would want to know the hell their kids are going through so they can help. You can't die from embarrassment.
DoctorSecrets ,, right but if I have been for 2 days now and I’ve got severe shakes and feeling very weak but I haven’t got enough courage to tell my parents that I’ve been taking meds that are not mine.
Thank you for this review. Any way you can do a "Common Side Effects" for aripiprazole/abilify? There are many reviews from patients and the pharmaceuticals but very little info from doctors. I have another question. I know Wellbutrin (which I'm on) and Mirtazapine (which made me extremely tired) don't cause sexual dysfunction, but are there any other meds that don't cause the dysfunction? SSRIs and SNRI work but kills the libido and causes quite a bit of sexual dysfunction. I have been prescribed Abilify (I'm diagnosed with having Dysthymia) but I have heard way to many bad things about it so I don't take it. Plus it messed up my sleep pattern causing insomnia and bad headaches. The drug seems a little extreme as an antidepressant just because I want my libido back. What I really want is agomelatine but it is not available here in Canada. To bad because two different doctors I saw said it's a great med but not available in the great white north. Thanks
I take Bupropion XL 300mg (I have since 2010), I tapered myself complete off Effexor, and am now prescribed abilify 2mg/day. I only took it for 2 day before I stopped. The first day made me tired and headachy. I fell asleep fast but woke up every hour. I went back to sleep fairly easy but all in all, a very disruptive sleep that took its toll on the second day of the med. I stopped after the two because my research is showing a lot of side effects (plus potentially dangerous) and didn't want any extra effects of coming off of it. This was last weekend. I'm just shocked 2 day of abilify did that reaction. Usually depression meds take me 3 gradual weeks to kick in. Those 2 months off Effexor create a few anxiety attacks, but man, it was great to laugh again. Normally I don't get overly happy or overly sad (just neutral), except in winter, then it's all bad.
Sure I'll post a vid in a few weeks - summer busy as a bee. I've used abilify successfully as an add-on with SSRIs. Not being an SSRI tends to leave libido intact. Perhaps the start dose was the issue. Did you try it low to start?
Bell shaped dose - response curve which I found about when I hit 45 ml... Started feeling stimulated on top of that awful fatigued state you get on higher dosages. But at lower doses it was great for sleep which also alleviated my anxiety a bit.
I've been taking 45mg for 8 months, it was prescribed not just for depression but for my insomnia and it helps me get some sleep. Drowsiness is the major effect not side affect of this drug which is why you take it night, most doctors will only prescribe it if there is also a sleep issue in a patient.
I like that increased apatite, when I take remeron I'm able to eat, when I wasn't on it I'd always gag or feel sick trying to swallow food (I could drink whatever mtn dew, water, milk) just couldn't swallow food unless it was cut up very tiny smaller than a US dime. but when I take it I can eat perfectly fine.
MGF100 I’m currently thinking about getting on remeron for this reason, I’m a severely underweight male struggling to gain an appetite. Did it increase the frequency at which you ate throughout the day? How did this affect your energy levels?
Yeah I've been on mirtazapine for a while and I do get tired. It'll get me to sleep but I find it very hard to wake up the next day, I ignore the alarm and I just keep sleeping and before I know it I've slept the day away.
I have problems understanding someone who is explaining something to me, even simple things. But I do not feel tired. It is like it’s stealing a part of my cognitive functions. Anybody has experienced the same problem ?
I'm officially upset. being under the age of 18, my doctor prescribed this to me saying it'll help me sleep. I specifically told her I was worried about gaining weight given my past struggles with eating disorders, and she guaranteed I wouldn't gain weight. Not only that but I'm vegan and I read that there are lactose derived ingredients. Luckily I'm smart enough to conduct research before taking meds.
dboy6400 I see...I was a super happy and productive girl three months ago, and panic attacks came back full force this second time around in years, so now I’m disabled at home not being able to do much but to stay in bed most of the day cuz I’m too dizzy due to medications and weird symptoms I get from tapering, but at least I can sleep well with Mirt which I wasn’t able to sleep well when only on Ativan. If I feel ok, I’ll go for a 10-20minutes walks with my bf (cuz I’m still dizzy and scared of going by myself just in case something happens), so that’s the only exercise I can do now, and it’s crazy cuz three months ago I was lifting heavyweights, and doing cardio, and now my brain and meds has disabled me. I can’t still believe that I’m in the situation I am. Is like a horror movie I didn’t want part of. But I have to stay positive and accept what it is, and take one day at a time till this storm passes. Praying for myself and all of us that are going through this crazy storm! 🙏💫❤️
Ana I almost match you! A couple of months before getting the mirt I started either a half or whole tab of 0.5mg Clonazepam (benzodiazepine) to help sleep and it kinda worked but not well. I got the mirt a week ago (7.5mg) for mild D and A and take half a 0.5mg Clonzo along with it and have been sleeping fairly well all week but with vivid dreams. Just like you I am a little groggy/foggy all day but feel pretty good in the evening so starting tonight will take that stuff earlier, maybe around 8pm. And soon will try removing the Clonzo. Good luck to us! I'm 71 and have always been the happiest guy on Earth until a little after retiring 2 years ago. Hmm, might be a clue there.
dboy6400 I’ve been taking 3.75mg for a week now cuz the 7.5 was way too sedating, but I’m trying to build it up to 7.5mg. It has help me a bit with anxiety and depression, and hopefully with the benzo taper that I just started. The only sucky part is the dizziness and grogginess throughout the day. It subsided a bit by the end of the day, but by then is almost time to go bed again, so I try to do most of the things I can’t do during the day at the the end of the day cuz I’m not as dizzy. I hope this AD work cuz is the only one I can tolerate.
I have been prescribed this for panic attacks/disorder, so I’m not sure about this after reading all the side effects, specially the extreme weight gain and hypotension and heard it is extremely hard to taper off. Any suggestions? I was described this cuz I couldn’t tolerate Lexapro and Celexa.
+DoctorSecrets okay so I don't have panic attacks often but when I do I pass out sometimes it only last a minute or so but I've had it happen while driving luckily I only tore up my own vehicle but I have no insurance and only go to the
E.R when something is broken or bleeding profusely I don't have a family physician and haven't seen one in 20 years I tried to tell the doctor at the hospital about what was happening and they just pretty much blew me off like I was trying to get drugs I'm to the point I'm afraid to drive anywhere farther than 20 minutes because i never know when it's going to happen its just sudden and everything goes white and I fall out the last time it happened I got stopped but fell out and tensed up before I got my truck in park I smashed both pedals and tore the he'll out of some people's yard before I came to I was literally screaming inside my head at myself your fucking driving oh fuck your driving I came to yelling and sweating and couldn't catch my breath I thought maybe it was blood sugar going silly but I'm not diabetic and I borrowed one of my friends testers and checked after the last time it was normal a little over 200 I don't drink my blood pressure is normal what do I need to do to convince them this is a real issue people don't believe me when I tell them I can't drive different places because i can't trust myself its hell I had it happen on a jobsite while I was up on a catwalk luckily I had a safety harness on but I came to hanging from it and got kicked off the site work don't offer insurance and I make to much for subsidized health care they want 315.00 a month for just me and I can't swing that right now being a ground guy cut my pay back quite a bit and not knowing when it's going to happen sucks I don't even know what is triggering them
Nothing ventured nothing gained. If remeron doesn't work out you stop it and try another. The weight gain I think averages 10 lbs which you should be able to head off by careful diet and exercise (which is good emotionally anyway).
DoctorSecrets thank you much for replying. I took Lexapro 20mg for almost three years a year ago for panic attacks, and it worked great. Then in June of last year I stopped taking Lexapro and I did great till two months ago when panic attacks came back full force again. So my doc put me on Lexapro 10mg first and I couldn’t handle it, the. Started me on 2.5mg, then 5mg, and tried to go up to 10mg and I couldn’t tolerate it, and the same happened with Celexa, so he recently prescribed me Remron (while I’ve been on Ativan now for almost two months and it’s making things worst and has created a dependence already), so at this point I’m very desperate cuz I’m not sure if I should give Remeron a try, or just wait to see a naturopath doctor on Monday to see what she has to say. My case of panic disorder is severe, so I’m truly desperate and confused on what to do cuz I’ve done so much research and the founding have just made it even more difficult for me to decide. All I know is that I want off of Ativan cuz is not helping as it used to in the beginning and now I’m dealing with bad withdrawals and more panic attacks if I don’t take it daily as prescribed. What are your suggestions? Thank you much in advance, Doctor! 🙏❤️
Patients should also know that tapering off of Remeron / Mirtrazapine might possibly be just as difficult as tapering off of benzodiazepines - so the taper may have to be done very slowly and carefully indeed.
+mark hill Gabapentin beats benzodiazepine withdrawal. I never knew this! They use gaba to withdrawal opiates and benzodiazepine... Then you are stuck on Gabapentin. You can water titrate benzodiazepine and Gabapentin but brutal.
Antidepressants are medications that can help relieve symptoms of depression, social anxiety disorder, anxiety disorders, seasonal affective disorder, and dysthymia, or mild chronic depression, as well as other conditions.
They aim to correct chemical imbalances of neurotransmitters in the brain that are believed to be responsible for changes in mood and behavior.
Depression Medications (Antidepressants)
These are the most commonly prescribed type of antidepressant.
Serotonin and noradrenaline reuptake inhibitors (SNRIs) are used to treat major depression, mood disorders, and possibly but less commonly attention deficit hyperactivity disorder (ADHD), obsessive-compulsive disorder (OCD), anxiety disorders, menopausal symptoms, fibromyalgia, and chronic neuropathic pain.
SNRIs raise levels of serotonin and norepinephrine, two neurotransmitters in the brain that play a key role in stabilizing mood.
Selective serotonin reuptake inhibitors (SSRIs) are the most commonly prescribed antidepressants. They are effective in treating depression, and they have fewer side effects than the other antidepressants.
SSRIs block the reuptake, or absorption, of serotonin in the brain. This makes it easier for the brain cells to receive and send messages, resulting in better and more stable moods.
They are called "selective" because they mainly seem to affect serotonin, and not the other neurotransmitters.