Mirtazapine & Suicidal thoughts

Hi all

I'm really hoping you can help - this is regarding my mum rather than myself.

My mum (and myself) have been on Citilapram for a long time, mainly for seratonin imbalance.

My mum has had a lot of health problems over the years mainly with her back and nervous system. Because of this the doc has swapped her from this over to Mirtazapine.

Firstly, having done some research I understand most people have a cross over period when swapping anti depressants. Mum didn't (and in fact wasnt aware this was a 'thing'). Secondly, she started off on 15mg and has now been moved to 30mg following her reporting that she was feeling suicidal and completely lost after a few weeks of being on 15mg of it (she has never felt like this in her life before). The doc immediately upped her dosage to 30mg and she has been on this dosage for 1 week now (total of 7 weeks on the drug in total).

Since upping the dosage a week ago she feels worse. Having again done some research it should take 4-6 weeks for the drug to settle in the system. Its now been 7.

Has anyone else experienced this? is this normal? is this going to subside? I am very conscious that this may not be the right drug for her. Having never felt suicidal off citilapram - why up the dosage of a drug that is making her feel like this?!

Any experiences or advice greatly appreciated

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