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[Dyan]

Hi all,
I have been prescribed Mirtazapine 15mg at night for anxiety.
I have been on it now for 3 nights and feel it is already doing something.
It relaxes me so I sleep well but in the morning it's hard to wake,I'm zonked 
I know it's early days but does this wear off with time and how long?
I don't wake with anxiety in the mornings just difficult to get up.
I come round later in the day though and have feelings of normality.

Dyan X

[CLKD]

Oh the Hung Over Effect    .......... you may find if you take the doseage earlier in the evening?  Or you may get used to the effects.  Sometimes I feel like that, but considering how I would feel otherwise  but I don't have to go to work any more.  Can 'come to' in my own time.

[Dyan]

Yeah thats it CLKD - the hangover effect.
I have work tomorrow starting at 9 so I think I'll take it earlier tonight.
I have to drive there and I'm worried about that.
I will just have to see how I am though.

[CLKD]

I can't remember - do you work every day?  Maybe next week, once the drug is 'in the system', you could take it either much earlier in the evening or miss out the nights that you have to be up for work the next day?  Sometimes it's a bit swings and roundabouts and we have to 'self medicate' in order to find out what suits our heads the best 

Particularly as you know that the drug works, so you know that when push comes to shove you can take it and get a 'good result'.

[Dyan]

CLKD- I work 2 days a week.
I took the tablet at 8.30 last night and I don't feel too bad now-8.15am.
The most important thing- waking up with no anxiety- -
Don't think I could do that - not just yet anyway

[CLKD]

The drug is working, PHEW!  don't run before you can walk though  - don't take on too many committments because you are beginning to feel better, get used to the 'good' feelings - sit and absorb them ........ 

[Dyan]

  CLKD. Wise words as usual.
I'm sitting here now with a cuppa and slice of cake DD made and
ABSOOOOoooorbing!

The medication is working on my anxiety but I've yet to come out of the bubble.
I was fine at work today,just floating,if you know what I mean.
Hard to describe.
Thanks for your support CLKD!

[CLKD]

   it will take a while for you to become used to the hung over effect    ......... <hands over plate for CAKE>  : what, all gone    .......... 

Some mornings I feel like I'm back to square one, doom and gloom on waking - I have to remind myself that this no longer lasts as it did in the 1990s and after breakfast I potter until I begin to feel human .........

[littleminnie]

Have you come out of your bubble yet Dyan?
Do you feel better for going to work?
X

[Elena]

Hi Dyan

do you have depression as well as anxiety?  Have  you tried any anti-depressants like Prozac?  My daughter has extreme anxiety and needs more help than she is getting at present.  GP wants her to up her Prozac to 40mg but what she really needs is to see somebody who can help her to talk through her many anxieties.  She's had counselling but nothing long term.  I am struggling to find help for her, just wondered whether Mirtazapine might help her in the short-term.

I take sleep aid at night sometimes, or temazepam, and that has a hang over effect.  As CLKD says the solution is to take it  earlier.  If you are feeling bright eyed and bushy tailed at 8.30am I would say that is a good result   Long may it continue.

[CLKD]

Try the added dose of Prozac.  If this works for 3-4 months, she may be able to drop the doseage and use an added amount as rquired.

There are various charities who help: MIND, several phobic groups etc..  Names escape me right now though 

[Elena]

No Panic, Samaritans (she regularly rings them).

She's had CBT but her problems are long term and she needs long term help.  We are just being fobbed off by the GP atm 

[Dyan]

Hi,
Littleminnie-  No not completely yet but i feel it is coming.I felt awful yesterday morning driving to work and nearly turned the car round to come home but I didn't.
I told myself "you're ok,you're ok" and got there.
By about lunchtime I felt much better and when I got home I felt more human.

Milliemoo- yes I do have depression too.
I take Prozac 80 mg each day for my OCD (accompanying anxiety & depression) and have done now for 8 years when I was first diagnosed.
The gp wanted me to try Mirtazapine to see if it helped with the anxiety I have at the moment,which is my worst meno symptom.
You might have read in my other posts that I went to the priory 8 years ago
Because I was so bad with OCD I couldn't function.
I was diagnosed with OCD after 30 odd years.
I was put on Mirtazapine then for anxiety but a very much higher dose.
I also had CBT when I came out of hospital.
My OCD is controlled but when the old meno anxiety comes it rears its ugly head.
Prozac was a life saver for me.
Sorry to hear of your daughter milliemoo.
I really hope she gets the help she needs.

Dyan XX

[smudgesmum]

Hi Milliemoo

Your Daughter sounds like me... CBT does work if done properly but often needs to be done alongside 'talking' therapy, which you don't get on the NHS.  I was lucky enough to get a private Therapist through my Brother for which I don't have to pay.

If you had asked me last September if I would ever feel better I would have said never but after doing CBT and talking I am feeling more like my old self but this has taken 8 Months.

There may be a Community Interest Company (CIC) in your area which will offer this service either for free or for a very reduced rate as they charge on a persons ability to pay.

I have to say I was only offered medication by my GP but I chose not to take them.

Good luck

Smudgesmum xxx

[CLKD]

CBT helps if someone's problems are 'caught' early enough.  For me it was useless as my phobia hit when I was a few hours old ...... so my reactions were deeply ingrained.

I did find talk therapy helped to put things into perspective - I was able to talk to a complete stranger who knew nothing about me.  So I could vent, vent, vent ........

I often look back and wonder how I DID survive those awful anxiety surges