Menopause Discussion > Personal Experiences

Horrible insomnia all of a sudden

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sheila99:
Insomnia is often oestrogen deficiency but progesterone can be the culprit too. I'd be tempted to try a couple of months of sequi (or just come off it, probably safe for 3-4 weeks) and see if you're any different. Might be worth a blood test too to see where your oestrogen levels are now.

CLKD:
 :welcomemm:

CS24:
Thanks Dramy3. I agree that maybe letting things settle is right. I am just so exhausted and it just feels miserable when you have 2 young kids and a job that you love and don’t want to lose.

Does it really take 6-12 weeks for everything to settle? I have gone back to the dose I was on before it all started to go bad.

Gingat:
How are you now?  Have things settled down a little? x

blu22:

--- Quote from: bombsh3ll on October 22, 2024, 09:09:17 AM ---
I've struggled with insomnia at every stage of life and for me I don't believe this is related to my ovarian hormones, so whilst I couldn't possibly know what is causing yours I just wanted to add that once you are optimised hormonally, if you still have insomnia there are other treatments that are effective - I take low dose mirtazapine off label for sleep.

--- End quote ---

Hi, I've been prescribed low dose mirtazapine by a doc. Brief history: I'm almost 47 (uterus intact), started low dose HRT last year (Femoston 1/10) but then after six months my sleep got disrupted again (6 hours of sleep and then I was fully awake, couldn't go back to sleep and couldn't nap) so they upped the dosage to 2 mg E (Femoston 2/10). Then (after about 4 months of using Femoston 2/10) for the past few weeks my sleep quality has been worse again. This time I could sleep long and nap, but the sleep quality was always bad (kinda like my brain kept on being on overdrive). The doc (different doc) thought it wasn't perimeno this time, so I've started low dose mirtazapine (1/4 of a 15 mg tablet) since Wed. I've been sleeping about 11-12 hours each night, but the sleep quality is still bad. Dunno if it's because I've been sleeping so badly for 3 weeks prior to this or what? I'm also sluggish and the brain fog is at times kinda bad, but I was thinking maybe it's because my body's still adjusting to the Mirtazapine as well? How long does it take for you to feel the full benefit of Mirtazapine? I googled Mirtazapine and it seems one shouldn't stop using it cold turkey. I wonder if you've been on Mirtazapine regularly or is it OK to take it at random times?

FYI, I have another doc's appointment 'coz the doc sent me off to the lab for some blood tests. We shall see how it goes.

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