15mg Mirtazapine to treat the poor sleep, anxiety and low mood. . If this is what your GP recommends for these symptoms, stick with them. Also, I would hot foot it to Dr Newson - either by phone or e-mail, explaining how helpful you found her sessions along with what your GP has prescribed thus far. Has your GP referred you to her?
As dazned explains, the above is used successfully to combat anxiety - along with HRT if this is thought necessary. I have yet to find out any one who has been prescribed an HRT which works to combat anxiety and/or depression ...... might be NICE recommended
![Undecided :-\](https://www.menopausematters.co.uk/forum/Smileys/extended/undecided.gif)
but it can take a while for the body to respond. I have taken ADs since 1988 and apart from 1 type which made me angry; and although they weren't supposed to kick in for 14-20 days, within 3 I had begun to feel better .......
However, you didn't explain that you hadn't used the Mirtazapine as prescribed, what makes you think that you will feel knocked out
![Huh? ???](https://www.menopausematters.co.uk/forum/Smileys/extended/huh.gif)
..... if you have anxiety, regardless of the cause, then take the medication? .... without mine I wouldn't be sitting here
![Cry :'(](https://www.menopausematters.co.uk/forum/Smileys/extended/cry.gif)
. Once the anxiety is less you can make informed decisions about other products. It really is Trial and Error which you will see if you browse here: or you can use the patches from the GP but it might take 3-4 months B4 you notice any relief as it is suggested here that one should at least have that amount of time B4 dismissing them unless side effects are particularly severe.
Each one of us reacts differently to medication and this includes non-HRT etc.. For example I have no relief from
Paracetamol ![Roll Eyes ::)](https://www.menopausematters.co.uk/forum/Smileys/extended/rolleyes.gif)