Hello,
Since mirtazapine is a prescription medication, it is not appropriate or safe to issue a prescription without a proper clinical review, even if you have been taking it for a long time. Online pharmacies often require a valid and recent prescription for this reason.
If you have been using mirtazapine for insomnia for several years, it would be advisable to have a brief consultation with a psychiatrist to review the current need, dosage, and overall sleep concerns before continuing the medication.
A consultation does not necessarily mean changing your medication — it is mainly to ensure that the treatment remains appropriate and safe.
Next Steps
• Schedule a consultation (online or in-person) with a psychiatrist for prescription renewal.
• Keep any previous prescriptions or medical records ready, if available.
• Discuss your current sleep pattern and medication response during the visit.
Health Tips
Long-term sleep difficulty is often manageable with a combination of medication review and sleep-related behavioural strategies.
• Avoid continuing psychiatric medication for long periods without periodic clinical review.