I have been on it about 6 months now and at first it was brilliant but i fear it has started to stop working.
It's something I've been fighting for weeks, and the fatiuge is not letting up.Efficacy for insomnia Mirtazapine is well-known to produce sedation and so potentially may be helpful in the treatment of insomnia.Although not formally approved by FDA as a sleep aid, mirtazapine is commonly used to improve night-time sleep.She and my doc makes two, I still say they both are wrong :-) I had way bad insomnia for a year with bad depression so when I started taking remeron imagine my suprise when it was like being hit on the head at bed time I am sleeping like a baby, I started on 15mg and it has worked so well for my depression and insomnia that I am just carrying on on the low dosage. The explanation of less sedation at lower doses is as follows: At lower doses, it targets serotonin [which is sedating] receptors more than norepinephrine, which is engergizing].I have read that when people reduce dosage the better the sleep, all I know is that low dosage is helping my think straight and get the sleep I so desperately needed. At the higher doses, it targets more norepinephrine receptors, which cause more engery. At 30, it makes me nervous and spaced out, but not sleepy.
I hate to use the word miracle because its still early days.