Started taking 20mg poraxetine

Question

Asked for Female, 28 Years

Took my first 20mg tablet today at 4pm after going to the doctors, I had been taking mirtazipine 30mg for a few days previously but I couldn't tolerate it. Didn't take any last night so I could start new Med today. I feel out of breath as though I'm not breathing full breaths, I feel clammy, nauseous and my head feels a little sowed down. Could this be a reaction of some kind?

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Dr. S R Krishna Thalagavara Addiction Psychiatrist 18 yrs exp Bangalore · Accepted Answer

Dr. S R Krishna Thalagavara

Addiction Psychiatrist 18 yrs exp Bangalore

Sorry to hear about your situation. Yes, it is a drug interaction, due to over loading of medication that increase the levels of specific neuro chemical called serotonin. The symptoms should settle down although they are uncomfortable. It would have been helpful if the dose of Mirtazapine was gradually reduced and Paroxetine was prescribed at lowest dose and increased gradually. Best wishes.

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