Take 20mg of celexa a day and 20mg valium for panic disorder. doctor added 15mg remeron (mirtazapine). can remeron (mirtazapine) with celexa cause serotonin syndrome?

Yes-watch carefully!: If you have any of these: confusion, hallucination, seizure, extreme changes in blood pressure, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, tremor, incoordination, stomach cramp, nausea, vomiting, or diarrhea - call provider ASAP and even consider ER. It can be life-threatening. Before starting, talk about it. Talk Tx can help!

Drug interactions: Although many people have used Remeron with Celexa without problems, that combination does have the potential to cause Serotonin Syndrome.