Sorry you have had this problem. I am also on other meds that I just started tampering off and will increase to 15 MG of Mirtazapine in about two weeks. My issue besides depression and loss of weight is slightly low blood pressure so I will be stopping Lexapro and Atenolol over time. Will then be on 15 MG of Mirtazapine and Cymbalta. I hope this works for me. I also hope you can get back on the Paxil and Trazadone as soon as possible my friend. Be well. God Bless.