Hello all,

I've been struggling with anxiety and specifically physical symptoms like fast heart rate, insomnia, fatigue and what I assume are panic attacks. 

I've been given Mirtazapine (Remeron) which after the initial week or so made me sleep well and reduced my anxiety significantly.  Now 3 months on its stopped working.  I am on a beta blocker which helps with the heart rate etc but the mental side is proving difficult.

My options appear to be come off the Mirtazapine and try without anything, try an SSRI, try an SNRI or try Pregablin.  I'm looking for you experiences, how have you got on with these approaches?  My big concern is a return to insomnia on SS/NRI'S 

Thank you.