A member asked:

I have been on mirtazapine for 6 months (15mg) my insomnia is back after tapering. it's day 7 on 0mg. how long until it stabilise ?

6 doctors weighed in across 2 answers
Dr. answered

Depends: Sedation is a common side effect of mirtazapine. It may have helped you with insomnia while you were taking it, but the effect won't last once you stop it. If you continue to have trouble sleeping, see your doctor. There are a number of helpful options for insomnia, including good sleep hygiene, CBT or short-term medications.

Answered 11/15/2016

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Dr. K. Olson answered

Specializes in Psychiatry

Different strokes: There are no hard and fast formulas for this: genetics, time on the medication, other medications you are on, why you were on the med, how gradual the taper, nature of underlying sleep disorder, and whether you develop serotonin discontinuation like symptoms. If the side effects not too prohibitive, one could return to it. An alternate sleep med, sleep hygiene, mediate, exercise, herbal/oils?

Answered 11/23/2016

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