This is Dr. David. I am reviewing your question now and will be with you momentarily.
you should call up your doctor or see your GP doctor and let them know about these issues and side effects you are having.
some of them could be due to the mirtazapine dose increase, such as fatigue, and unwanted throughs
but the rash and swollen glands and itchy all over could be due to a viral or bacterial infection.
in rare cases, higher doses of mirtazapine can cause flu infection type symptoms a swell.
there are better and more modern types of antidepressants which don't have these types of side effects
let me know if you have questions.
yes, that is a good idea, the A&E
they can help assess you for infection or mirtazapine side effect
they can do blood tests to check for infection as well.
let me know if you have other questions.
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SSRI agents like sertraline or paroxetine or fluoxetine are newer antidepressants than mirtazapine
and don't tend to cause these side effects like you have.
have you tried these before?
yes, citaloopram is celexa and part of the SSRI group of antidepressants.
yes, it can take a few weeks for these medications to get into your system.
you may be able to do a slow taper down of the mirtazapine while you start up the SSRI agent at the same time to prevent a drop in your medication.
your depression symptoms sound serious
you may benefit from seeing a psychiatrist or therapist regularly as as well.