I cut it back to 1/4 tablet and 2 months later I've got up to 1/2 tablet. Even after I dont use it daily anymore I'll keep a couple for times when I need to get a good night sleep.
The sleepiness comes on in an hour and I still feel sleepy until midday... It works for me because it QUIETS THE MIND CHATTER and has a sedating effect.
If symptoms of fever, sore throat, or irritation in the mouth occur, a health care provider should be notified.
Rarely, mirtazapine may lower blood counts, causing people to be at an increased risk of serious complications, including infections.
It works by enhancing the activity of neurotransmitters called noradrenaline and serotonin in the brain.
Neurotransmitters act as chemical messengers between nerve cells.
Especially with mirtazapine which is somewhat "fattening" as I found to my cost...When noradrenaline and serotonin are released from nerve cells in the brain they act to lighten mood.When they are bound to nerve cells in the brain, they no longer have an effect on mood.Mirtazapine is broken down by the liver and eliminated from the body mostly by the kidneys. The recommended initial dose of mirtazapine in 15 mg taken at bedtime. Elderly people or those with liver or kidney disease should use mirtazapine carefully, since they may be more sensitive to some of the drug's side effects.The dose may be increased in 15-mg increments every one or two weeks as needed until symptoms of depression or anxiety resolve. Mirtazapine may cause weight gain and may increase cholesterol levels and should be used carefully in overweight individuals and those with high cholesterol levels.