Hi Katy I didn't realise you was on Mirtazapine as well as Cipralex. I went on it for 8 months and it worked after a day for me but 3 weeks later I woke up more anxious than ever and started feeling sucidal on it. I mentioned this to my doctor and they just upped my dose to the full 45mg's but I just never got any better on it, I felt worse and worse and couldn't sleep at all anymore on it apart from when I inititally took the pill and I'd drop right off for an hour or 2 at most then be up half the night having to take diazepam or zopiclone because my panic was so bad. I eventually took myself off to the hospital and they let me come off the Mirtazapine, it was really hard as I was very poorly withdrawing but it soon passed and I have never looked back since going on Cipralex, though I'm not 100% there yet havig ony been on it a couple of months but I am practically better. Mirtazapine just didn't agree with me at all though but I know other people who swear by it (: