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I am Mysticdoc, experienced Internal Medicine Specialist.
I am here to help you with your concerns.
yes, mirtazapine can be added to help with your sleep.
Mirtazapine acts different than escitalopram.
However, both can increase the serotonin level.
Hence, escitalopram dose can be reduced to 15 mg.
Please discuss these changes with your doctor as well.
Still you can contact him over phone.
usually it takes 4 to 6 weeks to see the maximum effect
yes you can try that with your doctor's approval.
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