I have been on 22.5 mg of mirtazapine (started at 15 and increased due to depression) for around 4-5 months. It doesn’t seem to help my depression or flushing and I have gained weight on it. I would like to come off, but even trying to go down 1/4 of a pill for a week or more, I start to get more red. My question is, do you think this is just some effect of coming off the med or does it mean it is helping a little with the redness? Has anyone had it get a little more red as you came off, but then go back to “normal”?