Hi, in August of 2008 i was using mirtazapine that had been prescribed to me earlier in the year. I went to switch to fluoxatone (40). I was having trouble sleeping so took a small amount of mirtazapine on the same day as i took fluoxatine. Shortly after i became hot, agitated, my muscles started twitching, i had pains in my hands feet, head, neck, chest and back. I had a strange tingley sensation that moved around my head (both inside and out). Pins and needles moving over my body, blurry vision etc. This lasted for 3 weeks and then i was left with twitching muscles pains and tingley sensation that has been with me for 7 months. The pains are made alot worse by sex, alcohol, and certain foods (junk) as well as tea and coffee. Any advice for me please?