Hello doctor, I am 44 years old and have generalized anxiety and insomnia. I never had anxiety in life but it all happened after I was diagnosed with high BP. Currently, I am taking Mirtazapine 7.5 mg since last four months. It makes me sleep but the quality of sleep is very bad. I did not take up the dose intentionally as I wanted to come out of it as early as possible.  What are the long-term side effects of Mirtazapine? Is 7.5 mg safe dose for insomnia? Could you prescribe any safe medicine for anxiety and anxiety-related psychosomatic symptoms? Also, can you prescribe safe medicine for insomnia without any adverse effects? There should not be drug dependence and quality of sleep should be good.  I am currently taking Metoprolol XL 50 mg twice a day, Amlodipine 5 mg twice a day and Atorvastatin 10 mg once a day.
Hello. Firstly let me clear the fact, Mirtazapine is a newer antidepressant which causes sedation as its side-effect. So it is primarily used for the treatment of depressive symptoms but it can benefit in sleep as well if the patient complains of reduced sleep. Initially take the above medication for first two weeks, then stop it and make it SOS. Besides also try and follow sleep hygiene measures as well. For more information consult a geriatrician online -->