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Mirtazapine for Insomnia User Reviews (Page 5)

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

  • Penny
  • June 8, 2020

"Well, at first I enjoyed taking Mirtazapine as I have recently developed sleep anxiety and had developed a negative association with bed and going to sleep etc. As it is soporific it helps with sleep at lower doses. It was incredibly sedating at first and whilst falling to sleep was something I wanted, this made me a bit concerned about the amount of sleep I was getting. After 4-5 weeks I had a slight increase in sleeplessness with my phased return into work in play. What I liked about this drug was initially it seemed to calm my brain activity down which reduced my anxious thoughts; as time went on though and I started to build up a tolerance, I began experiencing a feeling of arousal/adrenaline in my gut which was too distracting to aid sleep and anxiety for me. "

5 / 10
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  • Anonymous
  • Taken for 6 months to 1 year
  • March 16, 2013

"I started taking 15mg before bedtime about 9 months ago. It really helps me fall asleep within 45 minutes of dosage. For the first month or so, my dreams were very lucid and intense, but they have subsided with time. I do not feel drowsy the next morning, but refreshed. I was unaware of the increased appetite side effect until I read more about it lately. I do believe I have experienced that but has not been a real issue. I highly endorse this medicine but would only take before bedtime. It was prescribed to me as a sleep aid so not sure why it would be taken any other time of day."

9 / 10
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  • Megwa...
  • Taken for 6 months to 1 year
  • May 22, 2020

"I love this. I suffer from insomnia, anxiety and I also have manic depression. This has helped in so many ways.. I started on 15 mg and now am on 45mg.. Am still feeling the depression and looking on talking to someone about everything. I still have some sleepless nights but who doesn't.."

9 / 10
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Frequently asked questions

  • Tyler
  • Taken for 1 to 6 months
  • July 12, 2019

"I am prescribed Mirtazapine for anxiety & insomnia. Before this I abused alcohol for my anxiety & to go to sleep, I would drink 4 cans of strong beer every night for months with no nights off whatsoever. What I didn't realise after coming off booze was I was in alcohol withdrawal & it took almost 3 months for my sleep to improve & get a full night's sleep, this was despite taking Mirtazapine but now I'm finally out of alcohol withdrawal the Mirtazapine works pretty good for my sleep. I didn't realise how much alcohol screws with the brain & sleep when going cold turkey but I've been sober since April which is a great achievement for me & feel healthier every passing week."

8 / 10
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  • Laurab
  • Taken for 1 to 6 months
  • August 2, 2019

"I had anxiety and insomnia for years. I have tried every over the counter drug possible. They all work for awhile, but then don't. I had tried Xanax, that worked, but I would only take that once or twice a week...if that. Dr was concerned with addiction issues, and wanted me to try mirtazapine. 7.5mg. it works great. I am not depressed, and have never had an issue with that. The only side affect I've experienced is feeling groggy in the morning for about an hour, and sometimes it hits me again in the afternoon. No weight gain, no dream or suicidal thoughts. This drug works wonderfully. I may consider the every other day method to see if that helps relieve the grogginess."

9 / 10
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Are you taking this medicine?

  • Mina
  • Taken for 1 to 6 months
  • October 22, 2023

"Good for falling asleep, but half of the time I have 'patchy' sleep. I was told that I should lower the dosage to 3.75 mg, which I did. It still does happen randomly even though I lowered it a while ago. This drug causes me to have VERY vivid and uncomfortable dreams. Also harder to get up in the morning, feels almost impossible."

6 / 10
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  • Andie
  • Taken for 1 to 2 years
  • May 15, 2019

"Mirtazapine can cause dry eye as a side effect in some people ,although it is not stated in the list of side effects . I took the drug for 18 months for insomnia and was not aware that it was causing uncomfortable dry eye. I was on a low dose 15mg and only started getting dry itchy eyes when starting the drug. I did not think there was a connection. I stopped taking Mirtazapine for another reason by tapering down until I was completely off it. Dry eye then disappeared ! Now have started a tiny dose (about a quarter of 15mg ) to help with return insomnia and my eyes are affected again but not to the same degree .It SHOULD be listed as a possible side effect as I cannot be the only person affected ."

7 / 10
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  • Topher
  • Taken for 1 to 6 months
  • October 2, 2020

"I had used mirtazapine as a drug for anxiety and depression, but found it didn't help much for me. I take wellbutrin, Zoloft, ambien as needed and clonazepam as needed. I wanted to try reducing my ambien use (I just take 5mg so I don't get completely reliant on it) and thought I'd just try to switch it up sometimes and use my leftover Mirtazepine. I usually do 30 mg as needed, but last night I fell asleep on the couch and don't remember even being sleepy! That never happens to me. Woke up feeling fine. Only recall one nighttime awakening. Not a wonder drug, but it definitely helps as much as any other sleep med. I'll probably use 15mg the next time or even try 7.5 mg."

8 / 10
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  • March...
  • Taken for 6 months to 1 year
  • November 7, 2015

"This medication has helped me to sleep well pretty much every night. It does make weight loss harder, I guess. At first I felt dopey during the day and had dry eyes and mouth, but I no longer notice those side effects. All in all, it's helped me a lot."

10 / 10
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  • hamst...
  • Taken for 1 to 6 months
  • January 22, 2024

"I have been taking the 15 mg dose for around 1.5 months now to help with my sleep anxiety, and so far it has been excellent in helping reduce sleep-related anxiety. It does knock me out for around 10.5 hours, and I do feel groggy for the first hour or so, but it soon shakes off. I'm hoping to begin CBT to help me become tablet-free, but for now, they are perfect and I have had 0 side effects!"

10 / 10
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  • Anonymous
  • July 21, 2019

"I was put on mirtazapine 15mg back in March this year as l was having a bad spot of insomnia. I want to point out l wasn't depressed in any form before taking this drug. Once l started taking it l suffered with rage and anger and palpitations. I took 15mg for 3 months and was concerned so went to the GP to be told to increase my dose. So l did, Every day l got worse, my day was a constant panic attack. I was a paranoid mess, l knew it was the meds as l was fine before l started taking these. I told the doctors in the hospital after being on suicide watch for the 2nd time to be told it won't be the meds and then they wanted then to put me on anti psychotics and benzos. So l took matters into my own hands. I went down to 7.5mg for a week and my anxiety halved and l started feeling myself again, the dark thoughts stopped and now I'm on just 3.75mg every other day. Awful awful drug it took away a problem and created more serious problems."

1 / 10
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  • Dorothy
  • February 19, 2024

"I have been on mirtazapine for a few weeks. I am very concerned about the drowsiness the next day. Will it get better as they say it will or continue to be a problem? I have found it has given me good sleep, but the daytime drowsiness is very troubling."

6 / 10
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  • Birdie
  • Taken for 10 years or more
  • August 21, 2018

"When I first took Remeron, I was knocked out cold for about 18 hours, which was insane! I almost quit, but decided to give it a real chance, and I am very glad I did. After a couple of weeks, the initial negative impact diminished, and my sleep settled on about 8 to 9 hours per night. My sleep was restful, and the next day I was sometimes slightly groggy, but I was that way anyway due to the insomnia. Ten years later, I am still taking it, and I sleep about 7 to 8 hours on average. If I wake up, I fall right back to sleep. Since my worst depression is in the middle of the night, it keeps my mood stable. If I forget to take it, I almost inevitably wake up at 2 or 3 am. I am slim, and after some initial weight gain, I lost the weight and have not gained it back. (I am 51 years old, 5'7" and 123 lbs). Only the dissolvable tablets work for me. I take 30 mg tablets right before bed. I would recommend that you give it a good trial period (one month) before giving up."

10 / 10
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  • HERE
  • Taken for 1 to 6 months
  • October 6, 2020

"Mirtazapine worked great for two weeks then continuously less and less. At two months a only noticed a small amount of sleep aid and a worsening for motivation apathy anxiety and just all things attributed to depression among many other problems. Currently it looks like any benefits from it will be gone in a month!"

3 / 10
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  • hendr...
  • June 8, 2014

"I had chronic insomnia due to massive anxiety. I'm now on mirtazapine 30mg and olanzapine 5mg. It fixed my problem from the first day. I'm now sleeping well (the only negative is that every night I see dreams). I also wake up like a normal human. My anxiety is okay, but it's not all gone. Perhaps I need more time. So, I guess 9 stars is a good rating!"

9 / 10
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75 Report
  • Asleep
  • Taken for 1 to 6 months
  • June 16, 2019

"My doctor had prescribed me Temazepam for insomnia but it didn’t help at all. He then prescribed me 1/8th of 15mg tablet of Mirtazapine and it works SO WELL! I am so relieved. I got dissolving tablets so they crush up into a powder. I lick the very tip of my finger and take a tiny dab of the tablet powder. After 6 months I’m only on my fourth tablet of a box of 30 as you need to little. I am a bit yawn-y in the morning but not dopey or drowsy. This drug has really worked for me."

9 / 10
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  • Pharm...
  • Taken for 6 months to 1 year
  • October 29, 2021

"Mirtazapine is amazing for sleep. It’s the only antidepressant that actually increases REM sleep. The deeper restorative part of sleep. I was on low dose amitriptyline for sleep but with long term use there is a risk of dementia due to anticholernergic effects and also heart damage due to QT prolongation. Mirtazapine has none of these, and can be safety prescribed with ssri as it doesn’t increase serotonin but rather blocks certain serotonin receptors. Anyway, biggest risk is weight gain but I found I didn’t gain any, yeah you do get cravings at times but what I did was reach for an apple rather than a chocolate bar. The effect does reduce with time. If anything it forces you to eat more healthily. Take it a good 2 hours before you go to bed so you can get up in the morning. I take 3.75mg and sleep well every night"

10 / 10
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  • anxio...
  • Taken for 1 to 2 years
  • December 31, 2018

"I take this medication in a small dose every night (7.5mg) and I have the best sleep of my life on it. I have pretty severe anxiety/OCD-spectrum and this medication still allows me to fall asleep fast, stay asleep, yet wake up refreshed and non-drowsy the next day. The first few weeks on it, I felt kind of groggy in the morning, but after being on it a year+, I have found the perfect balance, and it still works so well. This is also a great appetite boost at night (as I couldn't eat much on the SSRIs I am on), so it let me get some needed calories in. Really like this medication, and cannot imagine living without it."

9 / 10
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  • Bruce
  • Taken for 1 to 6 months
  • August 7, 2019

"Mirtazapine is an effective drug for insomnia but I have a hard time waking up because of it. I wake up after 7 or 8 hours but if I shut my eyes for what feels like a split second I'm sleeping again for another couple of hours. I shouldn't moan really as I'd rather sleep than have the horrible insomnia that I had. Good sleep is essential for mental & physical well being."

8 / 10
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  • Vowny
  • Taken for 1 to 6 months
  • February 22, 2020

"Well first 4 weeks on this drug I was sleeping through the night after suffering with insomnia for a while. I thought great, brilliant even. Then all of a sudden it stopped working. My anxiety and depression went through the roof. Doctors wanted me to increase my dosage but all I wanted to do was come off it. I put on weight and was getting no benefits. Mirtazapine is known to be more sedating at lower doses so why increase me to 30mg or 45mg. I came off and moved to sertraline. Let's see how this goes. I know it won't help insomnia but it should help my anxiety over the issue. Mirtazapine made me feel great for a while then just seemed to give out on me."

4 / 10
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  • The...
  • Taken for 1 to 6 months
  • February 23, 2016

"So I cycle this med in and out with Ambien as a sleep aid, 1x 30mg at night. Makes your mouth numb anywhere it touches which is strange. I like it for sleep - feels much more natural than Ambien - I simply get tired about 30 minutes in but don't feel drugged. As a benefit, I've noticed that when I take it steady for about a week or more, I have much less anxiety and tend to focus better overall (ADHD like you wouldn't believe - treated w/ adderall). On the downside, there's been a few times (1 per month?) where I wake up feeling mildly drugged until 10 or so. No apparent increase in appetite. I am hallucinating that everything is made of fur though... wait, never mind. My cat is just a jerk and sheds on everything."

8 / 10
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  • Raj
  • Taken for 5 to 10 years
  • December 23, 2019

"I was suffering from insomnia for min 10 years.Dr prescribed many other drugs but nothing works. In 2014 Dr prescribed Mirtazapine 15 mg. It worked. It gives me sound sleep of 7 to 8 hrs .Now I am on 7.5 mg. And have been using this drug for more than 5 years with good results. Only side effect is some weight gain. But it is ok for me because I was underweight."

10 / 10
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  • JOEPAL
  • Taken for 1 to 2 years
  • June 10, 2015

"My shrink gave me this med almost 2 years ago and for me, it has helped a great deal with my insomnia. i take a 30mg at bedtime and 9 times at of 10, i am asleep within 90 minutes. I thank my shink everytime i see him"

9 / 10
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66 Report
  • Life
  • May 17, 2019

"Remeron (mirtazapine) truly saved my life, I was ready to give up after trying 32 meds prior over 4 yrs. The catch in my experience is the less you take the better, while I was told by doctors that the more you take the less tired it makes you- I disagree. 7.5 is the smallest instant size, but I personally cut it down to 5, I can tell a huge difference. Also, it has a long history of making people want to eat compulsively in which you gain weight - the med itself does not make you gain weight. Again, the less med you take the less the compulsive eating side effects. Mentally- I just feel like me, I’m calmer about things and feel more capable of doing things, and it’s hugely helped with movement disorder. The difference between this and Prozac or Zoloft is those 2 made me impatient and always had to be productive, so if for some reason I wasn’t able to be productive I many days thought I should be productive and end my life. So mirtazapine has been a blessing."

9 / 10
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  • blueb...
  • Taken for 1 to 6 months
  • August 12, 2023

"I've been prescribed Mirtazapine because I had been suffering from major depression and insomnia all my life. I had tried before a lot of sleeping pills, which did nothing or had horrible side effects or turned me into a zombie. Mirtazapine is the first one which is different: most nights I sleep naturally around 6-7 hours, which is a lot for me and it cannot compare to the hell I lived for 20 years when I was sleeping on average 2-3 hours per night. So in this way, this medicine is a miracle and I love it. But as good as it is for my insomnia, it hasn't helped with my depression at all and I've been taking it for 5 months now. I feel the same depressed, gloomy, without hope and without any sense of worth as I was before. It's just that before my depressed brain was cloudy and now my depressed brain is 'awake' during the day. But the drug worked wonders for my sleep and I had lost hope that I would find something like this, so that's why I'm giving it 9 stars."

9 / 10
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12 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.