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Hi team, I have had terrible heart palpitations since starting mirtazapine, mainly towards the end of the day and when I am in bed. It's so frightening I don't know what to do, it's like my heart stops and makes me take a massive breath. I have recently increased to 30mg any ideas.i team, I have had terrible heart palpitations since starting mirtazapine, mainly towards the end of the day and when I am in bed. It's so frightening I don't know what to do, it's like my heart stops and makes me take a massive breath. I have recently increased to 30mg any ideas.
This risk may increase if you use certain drugs (such as diuretics/water pills) or if you have conditions such as severe sweating, diarrhea, or vomiting. Talk to your doctor about using mirtazapine safely.This drug may make you dizzy or drowsy.efore using mirtazapine, tell your doctor or pharmacist of all the drugs you take and if you have any of the following conditions: certain heart problems (heart failure, slow heartbeat, QT prolongation in the EKG), family history of certain heart problems (QT prolongation in the EKG, sudden cardiac death).