Hi All,
I've been on a fairly long journey with this awful thing we call anxiety since October last year. Had some bad experiences with SSRIs and was on nothing for a bit (apart from maintenence diazepam 2mg twice a day as I became tolerant and need to wean off when I'm ready). Of course the diazepam no longer works which is pretty scary.
Anyway 6 weeks ago I reluctantly started Mirtazapine as things were so bad. I noticed quite a bit of improvement to start with (sleeping better etc), then had a bad few days, then bounced back a bit for a couple of weeks (sleepng better again), but now am on day 4 of really bad anxiety again and no sleep. Waking up with pounding heart and all over body anxiety. Haven't had an actual panic attack as such (which is what I started out with) but a fairly constant level of anxiety I'd rate at about a 5, though this morning its a 6 or 7 :(
I guess my question is, is this normal? If it was helping is it normal to go up and down a bit before things settle? I really thought I'd be so much better at the 6 week mark and find myself very frustrated and feeling quite hopeless as there aren't really any other options.
I'm also on a beta blocker (bisoprolol as can't take propanolol due to asthma). I've read people benefit from pregbalin but we don't seem to have that here in NZ.
Encouragement please!