A while ago I was talking with my dr about starting mirtazapine but ended up changing my mind because I did not want to be so drowsy. I have a demanding job with morning hours. I finally got a psychiatrist and she suggested starting with lexapro, and staying on the 25mg of nortriptyline. Has anyone combined those meds? Also, will lexapro help with my appetite? That was one of the main benefits I was hoping to get from a medication. I'm worried it will make my nauseau worse.