"i have been taking remeron for a year for my severe insomnia. it works great for sleep for the first 2 days for me. i now take it with melatonin and i&#039;m able to sleep. downside is that i gained 37 pounds on this med in a year. 8 pounds got put on in the first 12 days. i barely eat now and my weight still increases. so i have begun tapering off of this medication and will be going back to vistaril. the remeron isn&#039;t worth the damage to my overall health. i am a naturally skinny person who can eat anything i want and not gain. this medication affects your metabolism. it is not just increased appetite. i was a size 0-3 when i started. i&#039;m now size 11. i would only recommend this as a temporary fix."