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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.
Mirtazapine tablets are indicated in adults for the treatment of episodes of major depression. 4.2 Posology and method of administration. The effective daily dose is usually between 15 and 45 mg; the starting dose is 15 or 30 mg. Mirtazapine begins to exert its effect in general after 1-2 weeks of treatment.Treatment with an adequate dose should result in a positive response within 2-4 weeks.hepatic impairment: Following a single 15 mg oral dose of mirtazapine, the clearance of mirtazapine was approximately 35 % decreased in mild to moderate hepatically impaired patients, compared to subjects with normal hepatic function.