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Letter to the Editor

Panic Attacks During Escalation of Mirtazapine

Timothy R. Bergan, MD

Published: April 1, 2003

Article Abstract

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Sir: Mirtazapine is a unique antidepressant thatinvolves both serotonergic and noradrenergic enhancement through blockade of the α2-autoreceptorand α2-heteroreceptor.1It is also a 5-HT2blocker,which makes it a potential anxiolytic agent.2Overall,mirtazapine appears to be a useful agent in patientswith depression coexisting with anxiety symptoms.3

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