Safe to take Citalopram and Mirtazapine at night?

[EvilZombie]

Hey all, just left the docs as am still struggling after eight months on Cit, he has suggested I try Mirtazapine, and to take both for a while and then start to taper the Cit. Only thing I forgot to ask is , is it ok to take them both at the same time? Anyone know or do this?

[anxiousjo]

You can ask at the chemist when you pick them up should be able to help. Good luck!

[EvilZombie]

Too late! Can't believe I didn't think of that!

[oldtime]

Sure is, they work very well together. Although I take my Cit in the morning and Mirt at night. I find Cit wakes me up and Mirt makes me sleep, this is not the same for everyone, some people find Cit makes them sleepy!

[EvilZombie]

Cool. How did you find the first few days on mirt oldtime? I'm understandably a little anxious about waking up a complete vegetable. And all this "serotonin syndrome" I keep hearing about

[oldtime]

Serotonin syndrome will not occur unless you mix certain drugs, your doctor will not let this happen.

Mirtazapine will not make you like a vegetable, it may make you very sleepy especially for the first few hours after you take the tablet so take it just before bedtime. This does where off after a few weeks.

Mirtazapine tends to work faster than other AD's and side effects are usually mild.