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Waking up dead! Mirtazapine messed with anyone else’s sleep patterns?

Gatha

Learning
My GP has me back on Mirtazapine again. They really arn't doing anything apart from scaring the crap out of me two or three times a night. I wake up and it feels like my heart has stopped and I'm not breathing. The time distortion is a bit odd but it seems like an age passes before i can breathe again. GP says it's just messing with my sleep patterns. Anyone else had this ?
 
I take mirtazapine 45mg at night. It doesn't make me feel better but it does help me sleep. Sometimes have weird dreams. Last week the put me on escitalopram in the morning which helps alot.
 
The lower the dose the higher the sedative qualities are with Mirtazapine. My female doc hates this drug as she says they are actually given to cats to entice them to eat more food! 😫 When I was on it I was always hungry and sleepy... even on 30mg. Most people I know take 15mg which is great for getting to sleep at night but it's notoriously bad for making bad insulin levels worse. If you are pre-diabetic, or have PCOS avoid this Med because it started to make my blood glucose soar.
 
The lower the dose the higher the sedative qualities are with Mirtazapine. My female doc hates this drug as she says they are actually given to cats to entice them to eat more food! 😫 When I was on it I was always hungry and sleepy... even on 30mg. Most people I know take 15mg which is great for getting to sleep at night but it's notoriously bad for making bad insulin levels worse. If you are pre-diabetic, or have PCOS avoid this Med because it started to make my blood glucose soar.
Hi! Sorry, I'm replying to an incredibly old thread I've just realised, but I'm digging around looking at people's experiences with Mirtazapine and I saw your comment about lower dosages having a higher sedative quality - this just completely blew my mind. Insomnia is one of my biggest issues (I'm sure I'm not alone here) so I'm always looking for something to aid sleep. I've literally JUST had a consult with my psychiatrist so won't be able to talk to her about my dosage, but do you think 30mg Mirtazapine is good for sleep? Is it worth reducing to 15 do you think? You mentioned a lot of people you knew were taking that dose. I'm currently taking 30mg but actually it would be great to reduce it as I'm always having to refill my script too early.
 
do you think 30mg Mirtazapine is good for sleep?
No.

Without mixing in other meds (which makes it a bit like roulette), mirtazapine can make it easier to get to sleep up to a dose of about 15mg (although for a lot of people, this effect wears off in a couple of weeks).

If you go higher than that, it can have the opposite effect, and actually cause arousal. Once you get to 30mg, you start to decrease the length of the REM stage of your sleep cycle. If you go as high as 45mg, for some people that’s going to prevent them getting to sleep at all, and can cause hyperactivity.

Psychotropic medications are complicated. Best to talk it through with your prescriber.
 
Hi! Sorry, I'm replying to an incredibly old thread I've just realised, but I'm digging around looking at people's experiences with Mirtazapine and I saw your comment about lower dosages having a higher sedative quality - this just completely blew my mind. Insomnia is one of my biggest issues (I'm sure I'm not alone here) so I'm always looking for something to aid sleep. I've literally JUST had a consult with my psychiatrist so won't be able to talk to her about my dosage, but do you think 30mg Mirtazapine is good for sleep? Is it worth reducing to 15 do you think? You mentioned a lot of people you knew were taking that dose.
No.

Without mixing in other meds (which makes it a bit like roulette), mirtazapine can make it easier to get to sleep up to a dose of about 15mg (although for a lot of people, this effect wears off in a couple of weeks).

If you go higher than that, it can have the opposite effect, and actually cause arousal. Once you get to 30mg, you start to decrease the length of the REM stage of your sleep cycle. If you go as high as 45mg, for some people that’s going to prevent them getting to sleep at all, and can cause hyperactivity.

Psychotropic medications are complicated. Best to talk it through with your prescriber.
So helpful! I will do that, thanks.
 
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