"had a problem with anxiety after a major surgical complication. doctor 1st tried a ssri (escitalopram). wow, huge increase in anxiety and a full on panic attack. no previous psych history before this. had to stop after 3 doses. once i settled down tried some mirtazapine at low dose (7.5 mg). now we&#039;re talking! almost immediate relief of anxiety and no side effects at all!

here&#039;s a tip. mirtazapine can be very sedating in some due to its anti-histamine effect. 1st try 50 mg of benadryl in the daytime on a day you can afford to crash if needed. if the benadryl zonks you avoid mirtazapine; if you aren&#039;t too sedated it is worth a try."