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Hi, welcome to JA.
You may need to take a mood stabilizer along with this Mirtazapine. Please consult your doctor. If mirtazapine does not suit you he may review it to change to Cipralex with a short course of Xanax. For Acute panic has to go to A&E
These are my suggestion your doctor is the best judge ultimately you have to follow him. No worries about the rating. I prefer your health, be safe and healthy.