Remeron is an antidepressant medication which is also often used to treat insomnia and anxiety as well. Its generic name is mirtazapine. It has also been effective in treating PTSD. There are also currently studies which are exploring the usage of Remeron in the treatment of sleep apnea. No conclusive evidence in this regard has been found yet. It achieves its effects upon depression through raising the levels of noradrenalin and serotonin within the brain. Its actions upon noradrenalin and serotonin cause it to be categorized in the class of drugs known as noradrenergic and specific serotonergic antidepressants (NaSSAs). Due to its molecular structure it is also sometimes classified as a tetracyclic antidepressant (TeCA). Due to its wide variety of applications mirtazapine comes in a variety of dosages.
Remeron (mirtazapine) 15mg
The lowest dosage that Remeron is produced at is 15mg. This is the dosage that patients will be started upon for the treatment of most disorders. For depression it is recommended to take Remeron once daily. The dosage is usually administered at nighttime due to Remeron's sedative effects which are reported by a large amount of users. Many actually find the taking of Remeron before sleep to be beneficial to their quality and length of sleep. A common side effect of depression is often insomnia. Remeron is able to effectively treat both insomnia and depression effectively in many who suffer from these symptoms.
Another side effect of depression can be waking early repeatedly. In a wide number of those prescribed Remeron this side effect has been lessened when Remeron is taken before sleep. Some may experience fatigue upon waking when they take Remeron before bed. This side effect is rare however. Mirtazapine has been known to in rare cases cause sleep disturbances in those who take it. These can include vivid and frightening dreams or sleep paralysis. For those who experience these side effects they may want to try taking Remeron at an earlier time during the day or switching to an other medication.
Remeron (mirtazapine) 30mg
There have been no in depth studies about the efficacy of Remeron increasing as the dosage increases but anecdotal evidence suggests that in many cases raising the dosage increases its efficacy in controlling depression. If 15mg doses of mirtazapine do not seem to be working doctors will often move up the dosage in 15mg increments until a proper dosage is reached. The maximum recommended dosage is 45mg per day. Some studies have administered doses of up to 120mg without any reported side effects but this is not recommended as their has not yet been extensive research into the long term side effects of dosages this high.
The chance of side effects developing increases as the dosages increase. The most common side effects are constipation and dry mouth. The chance of having frightening dreams and sleep paralysis also increases as the dosages increase. Surprisingly, some patients have reported the sedative effects of mirtazapine to decrease as the dosages increase. This can be due to tolerance developing quicker to the sedation when larger doses are administered.