Mirtazapine vs Seroquel

[panic_down_under]

What would your first choice be then panic_down_under? Is 30 mgs really more sedating ? The sedating effect probably wears of in time like most I expect.

I assume you're not taking Cipralex for insomnia, so if this isn't effective for anxiety/depression I'd try another SSRI, or maybe a TCA first.

I would not take mirtazapine as the primary treatment for an anxiety disorder, or anything less than very severe depression and then only until it lifted at which point I'd switch to something else because mirtazapine is notorious for pooping-out.

If insomnia continues to be a problem then low doses of immediate-release trazodone (Desyrel) would be my first choice.

[Barnabas75]

I am giving the cipralex a few more weeks. Its been 4 tomorrow. Will wait at least until 6 weeks before making a change, I think that is a fair amount of time to evaluate it. Doing a sleep study Saturday night to see if I have sleep apnea. Maybe the results of that will mean a change in meds.