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Mirtazapine acts to increase norepinephrine and serotonin in the brain, though there is ostaa mirtazapine ilman perscription some question as to how this is actually accomplished. Telephone numbers for certified poison control centers are listed in the Physicians Desk Reference PDR. The findings support the Cochrane reviews, Cipriani said, with sertraline and escitalopram ranking as the best treatments.