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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should Paxil Dosage Be Reduced While On Mirtazapine?

I am currently on 60 mg of paxil and have just been switched from doxipen for sleeping to mirtazapine 15 mg because the increase of doxipen has given me tremmors so bad that I can not write and wearing my body out phy. & mentally. my question, should I cut back to 40 mg of paxil since this is anti dep as well? sincerely, Carol
Tue, 4 Sep 2018
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General & Family Physician,  's  Response
Hi,

Does the doctor who prescribed Mirtazapine know you were on Paxil?

It's ok to use them both, Paxil works by increasing serotonin levels, which Mirtazapine may increase a little too, but it is not the main effect of Mirtazapine, so it should be fine, you would just need to be monitored a little more closely. If you start getting new symptoms of anxiety, restlessness, sweating, fever or feeling hot, vomiting or diarrhea, stop both and let your doctor know right away.

Hope I have answered your query. Let me know if I can assist you further.
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Should Paxil Dosage Be Reduced While On Mirtazapine?

Hi, Does the doctor who prescribed Mirtazapine know you were on Paxil? It s ok to use them both, Paxil works by increasing serotonin levels, which Mirtazapine may increase a little too, but it is not the main effect of Mirtazapine, so it should be fine, you would just need to be monitored a little more closely. If you start getting new symptoms of anxiety, restlessness, sweating, fever or feeling hot, vomiting or diarrhea, stop both and let your doctor know right away. Hope I have answered your query. Let me know if I can assist you further.