Re: Adding SSRI to Mirtazapine - initial worsening?
I'm sorry to say I tried fluoxetine while on Mirtazapine (15mg) and I lasted 2 weeks before the side effects proved too much for me.
I also tried citalopram while on Mirt, and I had no problem with that at all, never felt ill, just gave up because of sexual side-effects.
I'm now on an SNRI which is similar, alongside the Mirtazapine, and the start up effects again have been very unpleasant, worse than fluoxetine for me, but I'm getting through them, as I'm running out of medication options and I'm determined to see this through.
If you decide to go that route I'm sure any start up effects may be lessened by the fact you've been on it before.
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Daily Medication for GAD: Mirtazapine 15mg