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Comment by BuildTheRobots

Interesting you're the first person to mention this.

I had chronic insomnia for >25 years (my entire life) making it extremely difficult to hold down a job or generally interact with society. I've since been on Mirtazipine for about 15 years and the difference is unbelievable.

In the UK it's only dispensed in 15, 30 or 45mg. I was started on 15mg but that left me extremely groggy for most of the next day. My doctor convinced me to move up to 30mg and I'm able to mostly sleep and actually function the next day.

It's not all roses and there's a handful of side effects. Personally I had about 6 months of metallic taste in my mouth and it absolutely buggered my sex drive. A few friends jokingly call it "mirfatapine" as it can make them binge-eat and put on weight, but personally I find the good absolutely outweighs the bad and it's literally life changing.

I know if I forget to take it, because I suddenly realise it's 4am and I'm still wide awake and gibbering. If I'm working festivals then I can _choose_ not to take it and go back to my old routine working 52-hour shifts before falling asleep.

Whilst I'm not overly thrilled at taking psychoactive drugs nightly, it's been the only thing I've ever found (and I spent a lot of my childhood trying anything and everything the doctors recommended and self-medicating in various forms) that actually makes it possible to sleep nightly, and therefore function long term when I'm forced to wake up for work. If you're desperate and out of options it's absolutely worth trying, but do be aware it takes months to become effective.

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