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Dr Basu
Dr Basu, Experienced Specialist
Category: Medical
Satisfied Customers: 29180
Experience:  MD
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I am currently on 20mg of escitralopram and have been for 2

Customer Question

I am currently on 20mg of escitralopram and have been for 2 weeks. I am still getting insomnia waking early and not getting a full refreshing sleep. Could I add 7.5 mg of mirtazapine for sleep? Should I reduce escitralopram to 15mg to compensate for 7.5mg mirtazapine
Submitted: 4 years ago.
Category: Medical
Expert:  Dr Basu replied 4 years ago.

Mysticdoc :

The views expressed by me are for educational purposes only and do not establish a doctor patient relationship.

Mysticdoc :

Hi there,

I am Mysticdoc, experienced Internal Medicine Specialist.

I am here to help you with your concerns.

Mysticdoc :

yes, mirtazapine can be added to help with your sleep.

Mysticdoc :

Mirtazapine acts different than escitalopram.

Mysticdoc :

However, both can increase the serotonin level.

Mysticdoc :

Hence, escitalopram dose can be reduced to 15 mg.

Mysticdoc :

Please discuss these changes with your doctor as well.

Customer : I will speak to dr but won't see him unti next week
Mysticdoc :

Still you can contact him over phone.

Customer : I noticed my depression/ mood has not improved that much even though I have increased
Customer : From 15 to 20 of escit
Mysticdoc :

usually it takes 4 to 6 weeks to see the maximum effect

Customer : Shall I take 15 escitalopram and 7.5mg mirt together to nite for max benefit
Mysticdoc :

yes you can try that with your doctor's approval.

Customer : Ok many thanks
Mysticdoc :

very welcome

Mysticdoc :

Best wishes,

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