Mirtazapine Brain fog

I have been taking Mirtazapine 15mg for 5 days now. Taking it for severe anxiety not for asleep. Since been taking it I have felt "foggy headed" rather like being a bit spaced out, concentration is poor not as sharp as i usually was before taking it. This lasts all day. I can understand can expect this when not on it for long but do these sensations ever go away when on it i.e.is it just just a characteristic of it so I will always feel this way?? I am a computer programmer and need tohave a sharp mind. I finding it so hard trying to work when feeeling like this. I have had other issues with this med regarding tinittus which I have mentioned in another thread. Its not giving me much confidece that this is the med to combat my anxiety.

Quote:

---

Originally Posted by StressedEric

Since been taking it I have felt "foggy headed" rather like being a bit spaced out, concentration is poor not as sharp as i usually was before taking it. This lasts all day. I can understand can expect this when not on it for long but do these sensations ever go away when on it i.e.is it just just a characteristic of it so I will always feel this way??

---

As I explained in the other thread, mirtazapine is more a potent sedative than AD, so sedation is a feature, not a bug. It is usually most sedating at lower doses becoming less so as the dose increases. It usually does ease over time, but YMMV.

Another consideration is that hippocampal atrophy, the underlying biological deficit which drives anxiety (also depression) can negatively affect concentration and alertness. The hippocampi process short-term memory to long-term and their atrophy because of high brain stress hormone levels impacts this. True ADs (also CBT/REBT/mindfulness therapies) counter hippocampal atrophy by stimulating the growth of new hippocampal brain cells.

Quote:

---

Its not giving me much confidece that this is the med to combat my anxiety.

---

Is it having any effect on your anxiety levels?