Hi,

I have been taking 60mg/day of Mirtazapine for the last 6 years, it has been very effective, I have tried without success many other medicines before.

I started taking Mirtazapine abroad, because I moved to the UK 2 years ago.

Until now doctors in the UK had no problems prescribing me the required dosage, I have letters from the psychiatrist (the original one, when I was not in the UK) with the diagnosis (depression) and the prescribed 60mg/day.

Until now: because the new GP is refusing to prescribe more than 45mg/day, because it is not in the manual.

Obviously I am very worried, I am not willing to go down to 45mg, it is too risky.

Please, what can I do?

If a psychiatrist (maybe a private practice) is willing to prescribe me the 60mg/day in the UK, would/could the GP accept that and prescribe me the 60? (I am thinking of contacting the old doctor, who has colleagues who share the same approach).

Thank you for your advice.