Mass Hunger

[panic_down_under]

I cant stop and wont stop this med

I understand the desire to stick with a med that works when others haven't, but also consider the bigger picture. How good is a med that might be causing you real long term harm? You might not be diabetic, atm, but the intense carbohydrate craving is likely taking you down that path and with a family history of the disease you are at higher that usual risk anyway. Mirtazapine isn't really that good an antidepressant. It mostly relies on sedation and there are other meds which may give you a similar outcome without the hunger issue, for example trazodone (Desyrel, or preferably the extended-release Oleptro formulation).

You could also try eating a moderately high protein, moderate fat (mostly unsaturated) and low carb diet, but the mirtazapine induced carb cravings are not going to make it easy, especially at the beginning.