Skip to main content

Mirtazapine for Insomnia User Reviews (Page 4)

Brand names: Remeron, Remeron SolTab

Mirtazapine has an average rating of 7.1 out of 10 from a total of 474 reviews for the off-label treatment of Insomnia. 60% of reviewers reported a positive experience, while 19% reported a negative experience.

Reviews for Mirtazapine

  • em83
  • November 30, 2014

"I love this med, literal life saver! Having trouble sleeping for many years, only sleeping every 2 sometimes 3 nights. I was like the living dead, a real life zombie, couldn't think or function & could not deal with stress. Since the first night I took this, it's turned my life around. I feel alive again. I only take one after trying to sleep naturally. If I don't fall asleep within an hour or two, I take one 15 mg tablet. Usually half an hour later & it's lights out, don't remember a thing. I do notice if I try to go to the bathroom before I've fallen asleep, I do feel slightly groggy, a little drunk, but that's long gone by the morning & I function & deal with stress better than I ever have before. No weight gain yet, need to gain some anyway."

10 / 10
Was this helpful?YesNo
97 Report
  • AJMs
  • March 14, 2015

"Mirtazapine has been a lifesaver for me. I have had trouble falling asleep on and off over the last two and a half years, mainly because I've been unhappy at work. Just recently, I was on zolpidem for 2 months and then switched to mirtazapine when I realized my sleep problems weren't going to get better in the short term. A couple of years ago, things were so bad that sleeping tablets didn't even work, and mirtazapine was the only medication that got me to sleep. I function normally after about the first 8 days of adjusting to this tablet - day 1 I feel like a zombie, but by day 3, I start to feel less like that. Just stick with it for a few days, and you will adjust, is my advice. The dosage I take is 30mg or 45mg."

10 / 10
Was this helpful?YesNo
95 Report
  • Madfo...
  • Taken for less than 1 month
  • May 18, 2023

"I’ve been taking 15 mg of Mirtazipane for just over a week to treat insomnia following a chest infection. I am not depressed and usually sleep very well. However, this dose has made me feel so alert I cannot sleep at all yet am very tied. It did work for about 3-4 days then had the opposite effect. Has anyone experienced a similar reaction?"

1 / 10
Was this helpful?YesNo
20 Report

Frequently asked questions

  • Oscar
  • March 24, 2015

"I have been on mirtazapine for just over a month. Like others here, I had trouble sleeping - only a few hours a night. This became unbearable, and I couldn't function in my work or daily life. I was tearful and miserable. I went to my doctor, explained the situation. I didn't want antidepressants as I tried them before with dreadful side effects. Long story short, I relented and thought I'd try mirtazapine for a week. I'm now into my 5th week and sleeping well most nights. I have a few night sweats and some weird dreams, but I'm starting to feel human again."

9 / 10
Was this helpful?YesNo
93 Report
  • nolon...
  • Taken for 1 to 6 months
  • December 20, 2016

"I started mirtazapine a little over a month ago. I played with the dose at anywhere from 7.5 to 15 mg and settled on 3/4 of the 15 mg or about 11 mg as my sweet spot for getting anywhere from 7 to 8.5 hours of sleep a night. I have not gained weight on it and have had no side effects except for feeling a little groggy the first half hour after waking. I was able to successfully taper off Lunesta, which I had been taking for about six months after a bout with severe insomnia, with the mirtazapine, and I prefer the more natural mirtazapine sleep over the Lunesta. It also works every night without fail. Great drug for insomnia!"

10 / 10
Was this helpful?YesNo
78 Report

Are you taking this medicine?

  • Anonymous
  • August 16, 2012

"After breaking up with my long-term girlfriend I started having the worst bout of insomnia in my life. I had always been a bad sleeper, but over about 3 months I was averaging about 2-3 hrs of disturbed sleep a night. To cut a long story short, doctors gave me many different sleeping pills and then antidepressants. Though the antidepressants helped my mood I still wasn't sleeping, so eventually I was given Mirtazapine. After about 3 nights, I started sleeping like I used to when I was a kid (I'm 37 now). Felt completely natural without the slightest feeling of sedation. I'm pretty happy as well, though that could just be because, at last, I'm sleeping well. It's been 3 weeks now without a single bad night, miracle!"

10 / 10
Was this helpful?YesNo
109 Report
  • LAD
  • February 21, 2016

"Taking 7.5mg, started one month ago. I was very nervous about taking my first dose, but it's improved my quality of life dramatically. I sleep around 2 hours after dosing, so I take it at about 8 pm. I do experience some rather odd dreams, which I find interesting rather than unpleasant, zero weight gain thus far. To anyone suffering from insomnia, don't be scared of this drug; it feels like a very natural sleep/tiredness feeling at 7.5mg."

10 / 10
Was this helpful?YesNo
84 Report
  • Alex
  • Taken for 6 months to 1 year
  • February 18, 2019

"This was prescribed for my insomnia resulting from anxiety. Give it a couple of weeks to work. I had a couple of poor nights of sleep during the first two weeks, but I’m glad I was patient with it. This removed the burden of insomnia while I focused on treating the anxiety. I attribute my recovery to the combination of this drug, CBT, exercise, meditation, and good sleep hygiene practices. I was able to gradually to come off of this drug completely. I recommend coming off of this very slowly. Insomnia is tough, but hang in there you can beat it."

9 / 10
Was this helpful?YesNo
60 Report
  • Gary
  • Taken for 6 months to 1 year
  • June 7, 2019

"I have nothing but good things to say about Mirtazapine. Originally I was prescribed it for insomnia & it works well for that between a dosage of 7.5 & 15mg. But also it's been great for anxiety. After taking it at night it stays in your system into the next day so I do not freak out in public anymore - I can go to the stores without the racing heart & sweats, sometimes it was so bad I abandoned my shopping cart & had to walk out due to the intense anxiety. Weight gain has happened but I was underweight to begin with so it's no problem."

10 / 10
Was this helpful?YesNo
57 Report
  • Hipso...
  • Taken for less than 1 month
  • October 6, 2021

"It has been 18 years since I have slept with the deep sleep that this med offers for people with true insomnia. For the past week, I have slept for a minimum of 7 hours of deep sleep a night and feel amazing. I had no idea that this was possible for me. I cannot believe this is how “normal” people feel every day! Very happy to have tried this medication. Friendly advice is to try this med when you don’t have any obligations the first couple of days if you need an adjustment period before the work week. I’m not tired at all the next day now and I’m on day 7. After 18 years, I’m finally sleeping! Yes; 18 years!! There is hope out there. Don’t give up trying to find it!"

10 / 10
Was this helpful?YesNo
36 Report
  • Gia
  • Taken for less than 1 month
  • December 25, 2020

Remeron (mirtazapine) "Remeron helps with sleep in the short term, 7-10 days, but then will act as an antidepressant long term. It works best for sleep in low doses like 7.5 mg, I’m trying to wean myself off ativan, and Remeron acts as a very good sleep agent for the short term. Im still on SSRI celexa at 30 mg for depression. Here’s an article explaining this"

9 / 10
Was this helpful?YesNo
43 Report
  • Shazz...
  • Taken for 1 to 6 months
  • June 5, 2016

"I was prescribed Remeron at 7.5 mg for persistent insomnia. I have had episodic insomnia for years - usually of comparatively brief duration (3 mos) and occurring following a major life change (i.e. death of parents, job loss, etc.). A short course of Zopiclone did the trick in those cases, but this time things were different. Over the course of many months my sleep quality and duration changed significantly. Despite a good sleep hygiene practice, I was taking 2+ hours to get to sleep; awakening 2-3 times/night; and getting less than 4 hours sleep. Remeron began working for me from the first night and has improved in effectiveness over time. I take it 1 hour before bed; fall asleep in 30 mins or so; stay asleep all night; awaken naturally"

9 / 10
Was this helpful?YesNo
79 Report
  • thetaz
  • July 13, 2015

"I have never been able to sleep more than 6 hours, even when I was young. As I aged, I began having trouble sleeping more than 3 hours at a whack. My doctor prescribed Mirtazapine 15mg at bedtime. It has changed my life! I sleep a full 5 to 7 hours most every night. I actually feel normal. I have tried various antidepressants for the last 25 years; Effexor works best for me."

10 / 10
Was this helpful?YesNo
84 Report
  • yesss
  • September 9, 2016

"I've been in recovery from opioids for 14 months (which my doctor prescribed for chronic hip bursitis - worst thing ever). Anyways, I take 15mg of mirtazapine and sleep like a rock. I take it 1 hour before bed, and I don't wake up once in the night. I used to toss and turn from pain every hour and woke up exhausted. Now I sleep straight through and my anxiety is gone. I never considered myself a depressed person, but I can say my mood is even better. If you can't sleep, I would definitely recommend this!"

9 / 10
Was this helpful?YesNo
75 Report
  • 28YOM...
  • Taken for 1 to 2 years
  • January 8, 2015

"I have struggled mightily with insomnia due to anxiety. Been on 7.5 mg for just over a year, and have made significant progress in that time. Feel very tired normally within an hour or so of taking it and generally have slept well with far fewer exceptions. Not sure it really does anything for anxiety/depression. But I also am taking escitalopram during the day. Would certainly recommend mirtazapine for anyone struggling with insomnia."

9 / 10
Was this helpful?YesNo
86 Report
  • Avi
  • December 31, 2020

"DON'T take this drug mirtazapine! My doc gave gave me this drug to help me sleep better (I couldn't sleep more than 3 hours a day). After taking Mirtazapin (1 hour before going to bed), my body feels weak.... I sleep like a baby for 9-10 hours . After waking up, my body feels numb and high, it's like waking up from a coma, it's hard to drive my car and need 4 hours to be myself again. I sleep more than 8 hours and feels like I didn't slept at all. Please only try it on the weekend for the first time."

1 / 10
Was this helpful?YesNo
41 Report
  • Eduardo
  • Taken for 2 to 5 years
  • November 9, 2023

"A dose between 1.875 mg and 5.625 mg taken when needed helps me fall asleep between 20 to 90 minutes after taking the pill. The higher the dose, the faster I fall asleep. Doctors usually prescribe higher dosages than that, but higher than 5.625 mg triggers undesirable side effects such as being unable to wake up for 12+ hours, feeling brain fog, and experiencing a lot of hunger the next day. With a 1.875 mg to 3.75 mg dose, I am able to sleep well for as short as 6.5 hours without bad side effects, so I can take it even when I need to wake up early for work. Usually, I take it at most 4 times a week and really try to not take it more often than that. It seems to build tolerance and then require a higher dosage. It was very hard to get it prescribed, which is sad, as I struggled with very bad insomnia for 4 years, often not sleeping for 3 days in a row. Also, I am not depressed and don't take any other medication regularly."

10 / 10
Was this helpful?YesNo
12 Report
  • Brigh...
  • Taken for 10 years or more
  • December 18, 2016

"I have been using Mirtazapine for over 10 years. I started with a dose of 15mg which worked wonderfully for insomnia. However, during the first time of using it, I was suffering from anxiety. My doctor increased the dose to 30mg, which I was on for a few years, until the anxiety became worse. He then increased the dose to 45mg, which I found to be too strong as I noticed dizziness started to happen. So, I halved the dose to 45mg, and everything settled down. The dose was a little low, so I went back to 30mg and have been on this dose for the last 6 years. I do not experience side effects such as weight gain, dizziness, or photosensitivity. I have been on it for quite some time and do not plan on stopping as it works wonderfully."

10 / 10
Was this helpful?YesNo
71 Report
  • faste...
  • May 9, 2015

"This drug works fast. I'm 14 years old and have been having sleeping problems; tossing and turning and can't fall asleep, anxiety - can't even go in the car, eating and weight problems (loss of appetite), depression which is taking over my life making me suicidal, PTSD, and OCD. My doc first prescribed Zoloft, didn't do me any good, just made me feel so much sicker with its horrible side effects, and made me feel more suicidal and hopeless so I stopped. But my doc then prescribed me this Remeron. First night? Out like a light in 30 mins. Woke up the next morning feeling refreshed. Started eating breakfast, went from 82 lbs to 89 in a week (good news for me). If anyone as a teen has my symptoms, consider Remeron!"

10 / 10
Was this helpful?YesNo
82 Report
  • Geddy...
  • Taken for 6 months to 1 year
  • December 1, 2016

"I started taking this when I was coming off Valium. I was getting 3 hours of sleep and waking in cold sweats. I added mirtazapine, and I started getting a full 8 hours. Small doses of this work better for sleep than larger doses. Prescribed 7.5 mg, but found my 'sweet spot' at about 5mg after chiseling off a little bit of the pill. This is excellent for sleep. Some people can get great sleep on 3.75 mg. The higher doses are used more as an antidepressant. If you are suffering from insomnia, I would definitely give this a try."

10 / 10
Was this helpful?YesNo
71 Report
  • Leney
  • Taken for less than 1 month
  • February 6, 2020

"I have low mood, anxiety and insomnia. 15 mg of mirtazapine has really helped with my insomnia and anxiety. Mood is better but not brilliant. I have no intention of stopping this medication as really good overall improvement. It’s taken as suggested til 4 weeks to get overall benefits. Would 30 mg improve my mood further? But reduce sleep benefit? Thanks"

Was this helpful?YesNo
47 Report
  • Shawny
  • Taken for less than 1 month
  • August 27, 2020

"I was only on mirtazapine for a week. The second day all I could think about was food! All day! It did not help at all for my insomnia. I was thinking about what I was going to eat next while I was . I gained 5# in a week. I had to get off."

1 / 10
Was this helpful?YesNo
42 Report
  • Anonymous
  • Taken for less than 1 month
  • January 15, 2021

"I was prescribed APO-MIRTAZAPINE 15mg at night this week. I took one quarter of the tablet last night and my night was spent waking continuously after dreaming that cockroaches were all over my body. The dreams felt so real that they were terrifying. I was scared to go back to sleep. I'm reading a lot of positive comments, but I am scared to take this again. Did anyone else have this sort of reaction on commencement of the drug?"

1 / 10
Was this helpful?YesNo
38 Report
  • Night...
  • Taken for 1 to 6 months
  • October 13, 2014

"I experienced insomnia due to the stress of repeated night wakings from my baby coinciding with my husband leaving for a week at a time for work. I began with 7.5mg and it worked like a charm from the beginning. Some drowsiness in the morning but nothing a cup of coffee wouldn't cure. I gained 7 lbs but I am keeping track of calories now and that is almost off again. Could not say for certain if it was a result of this medicine because that happens if I am not paying attention anyway. Baby still wakes at night at times but I can go right back to sleep on this. I would recommend it to anyone with sleep issues."

10 / 10
Was this helpful?YesNo
81 Report
  • LushF...
  • Taken for 1 to 6 months
  • October 20, 2014

"I started taking mirtazapine steadily for a few months. I commute to work, AKA sleeping on the train. When i woke up, i was totally confused as to where i was, if i allready had been at work or if i was heading to work and whatnot. That was a constant for the time i was on it. Stopped taking it coldturkey, worked fine. But the thing you guys should be aware of, is that its like putting a blanket over your brain the first weeks. I got jumpy, skittish and in general grumpy/agressive. If i take one now, i can easily sleep for three days straight. So, i keep a stash when i need a break from the world and just sleep it all away. Also, be aware of extremely livid dreams."

7 / 10
Was this helpful?YesNo
79 Report

Reviews may be edited to correct grammar/spelling or to remove inappropriate language and content. Reviews that appear to be created by parties with a vested interest are not published. This information is not intended to endorse any particular medication. While these reviews may be helpful, they are not a substitute for the expertise, knowledge, and judgement of healthcare professionals.