Tinnitus Reduced by Mirtazapine (Remeron)

My psychiatrist gave me a script last week for Mirtazapine. Not for depression because I'm not depressed, but for sleep. I decided not to take it though. I searched this forum and Facebook posts and it seems to have made so many people worse. I am already suicidal from severe tinnitus and I wouldn't survive a worsening.

After reading this though, maybe 7.5 mg might be a good starting point. I have been prescribed 15 mg.
So what Mirtazapine dosage did you end up starting with?

My doctor prescribed it to me today, at 15 mg. He told me to cut it in half if I get too drowsy.

Any side effects since Thursday?
 
So what Mirtazapine dosage did you end up starting with?

My doctor prescribed it to me today, at 15 mg. He told me to cut it in half if I get too drowsy.

Any side effects since Thursday?
If it helps, I took 30 mg.

No effect on tinnitus, either positive or negative. It is very good for sleep and appetite improvement - be prepared to put on weight!

I believe lower doses of Mirtazapine are usually more sedating than higher doses, conversely, so cutting it in half may not have the desired effect.
 
If it helps, I took 30 mg.

No effect on tinnitus, either positive or negative. It is very good for sleep and appetite improvement - be prepared to put on weight!

I believe lower doses of Mirtazapine are usually more sedating than higher doses, conversely, so cutting it in half may not have the desired effect.
Thank you! Yea, I hope it doesn't cause my appetite to go crazy. Fingers crossed.
 
My tinnitus kind of makes it hard to hear some stuff like traffic and people talking at a distance or even the TV in another room, i.e. I can't clearly hear the TV in another room over the tinnitus. I never have to look for it to hear it over anything. I miss hearing what a fan sounds like.
Yes, I have zero hearing loss yet I can't hear my ceiling fan anymore because the tinnitus is so loud. I never have to look for it either. It is front, centre, and intrusive. Multitonal noises all over my brain. It's living hell.
 
I hope it doesn't cause my appetite to go crazy. Fingers crossed.
Soo yea my appetite went nuts. But I'm sleeping much better. I can't remember the last time I slept 8 hours. I'm taking 15 mg of Mirtazapine.

Should I reduce the dosage? It makes me a little drowsy but I've read at lower dosage it makes one even sleepier. Hopefully the drowsiness is just an initial side effect?
 
Should I reduce the dosage?
If you in any way can function okay without it, then yes.

My first and biggest regret is pumping my ears with loud music that resulted in these awful conditions. My second biggest regret in life is taking Mirtazapine longer than a few months.
 
If you in any way can function okay without it, then yes.

My first and biggest regret is pumping my ears with loud music that resulted in these awful conditions. My second biggest regret in life is taking Mirtazapine longer than a few months.
Please do share your experience. What happened after a few months on Mirtazapine?
 
Talked to a guy on Facebook who's tinnitus is gone because of this drug, and was complaining about the weight gain.

I replied your tinnitus must be damn mild if you can live with it but not the weight gain. I'd happily go obese to be rid of this absolute clusterfuck.

@Sayeed the one thing we can guarantee is that with time we will inevitably do things which sets us up for getting something terrible because our actions and habits perpetually put us in a high risk category for that something. It's life. If it weren't loud music it'd have been something else that causes Alzheimer's for example.

And yes THC induced tinnitus is a thing... it just surprises me how few people use CBD to try to solve it. It seems like an open/shut case to me. One is an agonist, the other an antagonist. There's very little risk taking CBD long term if there's some kind of new metastable toxic state that smoking weed got you into.

My money's on Xenon. Literally. Kv drugs worked for people on here before, and everything they're doing is based on those mechanisms/drugs and are the closest to a real drug to market (Phase 2b).
 
If you in any way can function okay without it, then yes.

My first and biggest regret is pumping my ears with loud music that resulted in these awful conditions. My second biggest regret in life is taking Mirtazapine longer than a few months.
Why? if it helped tinnitus then... care to share?
 
Talked to a guy on Facebook who's tinnitus is gone because of this drug, and was complaining about the weight gain.

I replied your tinnitus must be damn mild if you can live with it but not the weight gain. I'd happily go obese to be rid of this absolute clusterfuck.

@Sayeed the one thing we can guarantee is that with time we will inevitably do things which sets us up for getting something terrible because our actions and habits perpetually put us in a high risk category for that something. It's life. If it weren't loud music it'd have been something else that causes Alzheimer's for example.

And yes THC induced tinnitus is a thing... it just surprises me how few people use CBD to try to solve it. It seems like an open/shut case to me. One is an agonist, the other an antagonist. There's very little risk taking CBD long term if there's some kind of new metastable toxic state that smoking weed got you into.

My money's on Xenon. Literally. Kv drugs worked for people on here before, and everything they're doing is based on those mechanisms/drugs and are the closest to a real drug to market (Phase 2b).
Thank you sir. You are right. Maybe it was the weed. Touchy subject for me because I loved it so much but I am a much better person off of it. I will stick with the Mirtazapine and give it a fair shot. I will look up Xenon Pharmaceutical. I don't know anything about it.
 
Please do share your experience. What happened after a few months on Mirtazapine?
I'm not off Mirtazapine. I am stuck on it. I tried to taper a couple times but I can't do it. Even when doing it slowly, it's awful. It's worse than when I tapered off benzos, and benzos are rumoured to have the hardest taper off all drugs.
 
Why? if it helped tinnitus then... care to share?
It hasn't helped my tinnitus. Only my anxiety/depression and made me fall asleep faster. Now the depression and anxiety is back times 3 of what it was before, and my sleep is not so good anymore.
 
I have had tinnitus for 14 years. I've been taking 1 mg of Klonopin and 7.5 mg of Mirtazapine at night for sleep. I started getting depressed about a month ago so my doctor told me to take 15 mg of Mirtazapine and work my way up to 30 mg. I took my 1st dose of 15 mg last night. 4 hours later I was still awoke and took 2 mg of Klonopin and finally fell asleep.

I don't get it; I thought 15 mg of Mirtazapine was still a sedating dose. Any help please?
 
I have had tinnitus for 14 years. I've been taking 1 mg of Klonopin and 7.5 mg of Mirtazapine at night for sleep. I started getting depressed about a month ago so my doctor told me to take 15 mg of Mirtazapine and work my way up to 30 mg. I took my 1st dose of 15 mg last night. 4 hours later I was still awoke and took 2 mg of Klonopin and finally fell asleep.

I don't get it; I thought 15 mg of Mirtazapine was still a sedating dose. Any help please?
There is some argument that the smaller the dose, the more sedating the effect with Mirtazapine, but its not clear.
 
I thought 15 mg of Mirtazapine was still a sedating dose. Any help please?
For a majority of people low doses are more sedating, being 3.75 - 7.5 mg the dose that works best for most. In my case, I sleep soundly with 30 mg, but it took some time until I managed to get the 8 hours a night sleep.


If higher doses don't work well for you I'd stick to the low dose and try another AD for depression (Mirtazapine can be combined with SSRIs).

What I definitely wouldn't do if I were you is keep taking the Klonopin. Benzos are evil.
 
I have had tinnitus for 14 years. I've been taking 1 mg of Klonopin and 7.5 mg of Mirtazapine at night for sleep. I started getting depressed about a month ago so my doctor told me to take 15 mg of Mirtazapine and work my way up to 30 mg. I took my 1st dose of 15 mg last night. 4 hours later I was still awoke and took 2 mg of Klonopin and finally fell asleep.

I don't get it; I thought 15 mg of Mirtazapine was still a sedating dose. Any help please?
At low dose it is mostly a powerful antihistamine, so it makes you drowsy.

As you increase dosage, serotonergic effects start showing up and it can be stimulating and start having AD effects.
 
Yes, unfortunately.
What dose?

I only took Mirtazapine in January (3 or 4 pills) and a few days ago 7.5 mg.

I don't know if it was a coincidence, but it lowered my tinnitus.

The problem with Mirtazapine is that I have a strange sensation when taking it (some kind of restless body syndrome), muscular spasms and a HUGE appetite.

Have you experienced these side effects?
 
What dose?

I only took Mirtazapine in January (3 or 4 pills) and a few days ago 7.5 mg.

I don't know if it was a coincidence, but it lowered my tinnitus.

The problem with Mirtazapine is that I have a strange sensation when taking it (some kind of restless body syndrome), muscular spasms and a HUGE appetite.

Have you experienced these side effects?
22.5 mg.

No, I don't have those side effects, I did have huge appetite increase, but only in the first few months of use. I have headaches, muscle tension, shortness of breath (feels like my lungs only work 50% of what they used to) with occasional chest pain, dizziness, brain fog, blurry vision, and just feel doped up, to the point where I feel like a complete zombie all day, and I think it worsened both my hyperacusis, my tinnitus, and caused my eye floaters. AWFUL drug, or at least it has been for me in the long run, and now I'm stuck on it...
 
22.5 mg.

No, I don't have those side effects, I did have huge appetite increase, but only in the first few months of use. I have headaches, muscle tension, shortness of breath (feels like my lungs only work 50% of what they used to) with occasional chest pain, dizziness, brain fog, blurry vision, and just feel doped up, to the point where I feel like a complete zombie all day, and I think it worsened both my hyperacusis, my tinnitus, and caused my eye floaters. AWFUL drug, or at least it has been for me in the long run, and now I'm stuck on it...
Sorry to hear that... Did it help you in the beginning?
 
Sorry to hear that... Did it help you in the beginning?
I kinda hate to admit it, but yes it did. I just really wish deeply that I tapered off it after 6-12 months of use. I think it would have been easier to come off it, or at least manageable as I was in a better place both mentally and physically then.

Are you thinking of taking it again? I would never advice it... how could I? But if you feel you have no other choice, try to get off it when you feel better. Don't stay on it for too long. Some tolerate it well, but it's a Russian roulette. If you tolerate it very badly, chances are you'll get stuck on it, unable to taper off. Just be real careful.
 

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