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How to maneuver Mirtazapine?

Posted by Prefect on January 19, 2020, at 12:54:05

I've been on no meds for the last 2-3 months as I wasn't responding to any (anxiety, agitation, depression, etc) and currently reviewing options.

I began having severe insomnia over the last month, and after not sleeping for 4-5 days straight this past week I began having derealization, abnormal thoughts, etc, so severe that I went to psyche hospital emergency.

They put me on 15 mg Mirtazapine /night. Well it almost works too well. I love the sleep it gives me, but I can't get out of bed after 10 hours sleep. I could sleep for 20 hrs straight on this med. I took my third dose last night and it's 2 pm now, and I've had close to 15 cigarettes trying to increase alertness. I don't have caffeine due to anxiety it causes.

What strategies have you used to offset the severe next day grogginess? Do you augment it with something else? Should I just stick to the 15 mg dose until I adjust and hope next day grogginess may subside in the upcoming weeks? Should I up the dosage, but I don't want to because I'm taking this drug to help me sleep.

Any experiences, suggestions?


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