I took 7.5 mg (half tab 15 mg) mirtazapine. But, since 3 months, I have increased the dose to around 22 mg. Can I gradually decrease the dosage to minimal around 5 mg? I am using it only for sleep.

Dr. Sushil Kumar SompurPsychiatrist19yrs exp

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Good morning! it seems like your depression or anxiety has become worse and you are starting to self medicate with these medicines that have been prescribed to you for depression and anxiety. If sleep is also an issue then we can deal with that as well. I hope you make and appointment with us for treatment and further help. Take care and have a lovely day!  

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Hi lybrate-user. Tab mirtazipine is an antidepressant molecule and is prescribed only by a registered practitioner .at lower dosages, it has a more of sedative action due to binding with histamine receptors. The rationale of gradually hiking or tapering the dose depends on the the status of improvement or deterioration of symptoms and hence to be done strategically by a trained professional after the thorough assessment of the patient. As sudden reduction may lead to relapse of symptoms or other side effects. I would suggest you to seek a consultation from a trained mental health professional and let him/her decide what could be the best for you.  

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