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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does Mirtazapine And Fluoxetine Help Cure Anxiety?

Hello Doctor..I have been in therapy and under a doctors care for almost 20 years. I currently take flouroxitine 40mg, and mirtazapine 20mg per day. I am clinically depressed, and have anxiety in pressure situations. I never have felt as good as when I was a recreatioal marajuana user. What do you sugg
Mon, 12 Dec 2016
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General & Family Physician,  's  Response
Hi & Welcome.
Incomplete data like age, gender, purpose of taking these medications?

This combination is not advisable.

If taken along with Fluoxetine, Mirtazapine can increase the risk of a rare but serious condition called the "serotonin syndrome" which is characterized by confusion, hallucination, seizure, high BP, increased heart rate, fever, excessive sweating, blurred vision, severe muscle spasm, tremor, incoordination, stomach cramp, nausea, vomiting, and diarrhea.

In view of the above I would advise you to consult a psychiatrist to review the prescribed medications and to select an alternate effective but a safer medication for your problem.

Best regards.
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Does Mirtazapine And Fluoxetine Help Cure Anxiety?

Hi & Welcome. Incomplete data like age, gender, purpose of taking these medications? This combination is not advisable. If taken along with Fluoxetine, Mirtazapine can increase the risk of a rare but serious condition called the serotonin syndrome which is characterized by confusion, hallucination, seizure, high BP, increased heart rate, fever, excessive sweating, blurred vision, severe muscle spasm, tremor, incoordination, stomach cramp, nausea, vomiting, and diarrhea. In view of the above I would advise you to consult a psychiatrist to review the prescribed medications and to select an alternate effective but a safer medication for your problem. Best regards.