I've been on Mirtazapine long term, off it now though. At first it will make you really sleepy for a couple of weeks, once the dosage is raised that tiredness will reduce. You will at some point get cravings for sweet foods like cake and chocolate. Mine were so strong I actually stole biscuits and cake off friends while visiting them. The cravings were so strong it was impossible to ignore them, so stock up on low calorie cakes and biscuits to reduce the weight gain and do some cardio too. These cravings will pass though after a couple of months. I also ended up with a cough which lasted for about two months.
Otherwise the medication worked wonders for me, I hope it helps you too.
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