Depression
"SSRI&#039;s meant no orgasms and didn&#039;t help me sleep. No such problems with mirtazapine. Sex is even better, sleep is wonderful and I get enough and can function within minutes of getting out of bed.  I get brain zaps at sudden noises if I&#039;m relaxed, and it increases my appetite a lot.  Thankfully I&#039;ve taken up distance running at the same time. You must exercise on this medicine to overcome the weight gain, which is it&#039;s worst side effect. All up this medicine has been wonderful and after horrible experiences with SSrI&#039;s I&#039;m glad to be on it.  Found out afterwards that my girlfriend is also on it for insomnia."