I've been on Mirtazapine for 6/7 months now, starting at 15mg a day and I'm now on 45mg a day.
I'll be honest, I don't think they're doing bugger all, they don't help with sleep which is a major reason I was prescribed them in the first place and I don't feel any less suicidal - in fact by me being here I think I've become worse.
I speak to my GP every two weeks, due a call tomorrow, everytime we speak I mention being suicidal, hugely depressed, massively anxious, unable to get any sleep until I'm physically exhausted and even then I only get 3 hours max. He never does anything other than - upped my dose of Mirtazapine from 15 to 30 to 45, recommending Amitryptiline which I've had before and didn't work, and giving me Propanalol which just made me wheeze badly.
I've no idea how he'll react tomorrow, he can't up my Mirtazapine any further as I'm already on the max dose, and he strongly advises against stopping taking it even when I say I don't think it's doing anything positive.
I know Mirtazipine has a positive effect for some, but for me at least I think it's been purely negative, I feel more depressed and suicidal since taking it and I was already suicidal enough before. After 17 years of plotting my own demise and having reasons to stick around, I'm now at the stage I've had enough and I plan on ctb in June, I have a hotel booked, I just need to sort out my method - it's between SN or Nitrogen. Whichever is easiest for me to get supplies in time.