Re: Scared to start Mirtazapine
Hi
I've recently withdrawn from Mirtazapine but hopefully my experience can help.
Mirtazapine is a potent antihistamine as well as an antidepressant. It has a better side effect profile than SSRIs/SNRIs but have the tendency to cause sedating effects, especially at low doses and at the start of treatment.
As you increase the dose (to a maximum of 45mg) you will see less sedating effects and more stimulating ones. Low doses of Mirt can be used as a sleep aid. It seems to me that lower doses has more of an antihistamine effect while higher doses have an antidepressant effect.
The start up side effects are unpleasant, yes. But as someone who suffered from insomnia, the tired and spaced feeling was more tolerable than the Citalopram start up and withdrawal effects.
Stick with it for a while, i'd say you'll need to give it a few months to settle into your system first.
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Current meds:
Pregabalin 300mg