A member asked:

I have anxiety and insomnia from very high estrogen level from hrt. dr. prescribed mirtazapine for anxiety and sleep. i've used zzquil for several yrs at a standard dose. can i stop the zzquil w/o withdrawal if mirtazapine helps with my insomnia?

Q: i have anxiety and insomnia from very high estrogen level from hrt. dr. prescribed mirtazapine for anxiety and sleep. i've used zzquil for several yrs at a standard dose. can i stop the zzquil w/o withdrawal if mirtazapine helps with my insomnia?

: If high estrogen level is the culprit, dose should be reduced not treating its side effects with another medication. I am not sure why you need HRT but a high estrogen level is not recommended at your age. Otherwise, I doubt if you will get serious withdrawal symptoms with stopping the OTC sleeping formula with or without mirtazapine.

A doctor has provided 1 answer

Dr. Hiep Le answered

Specializes in Nephrology and Dialysis

If high estrogen level is the culprit, dose should be reduced not treating its side effects with another medication. I am not sure why you need HRT but a high estrogen level is not recommended at your age. Otherwise, I doubt if you will get serious withdrawal symptoms with stopping the OTC sleeping formula with or without mirtazapine.

Answered 5/16/2023

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A member asked:

I have anxiety and insomnia from very high estrogen level from hrt. dr. prescribed mirtazapine for anxiety and sleep. i've used zzquil for several yrs at a standard dose. can i stop the zzquil w/o withdrawal if mirtazapine helps with my insomnia?

A doctor has provided 1 answer

Dr. Hiep Le answered

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