I take Domperidone as well, 10 mg 4 times a day. I've never heard of Mirtazapine. I will keep that in mind should I start heart palpitations. Right now, the domperidone is working great for me. Have you thought about
taking smaller doses more often? I take mine with every meal or I would be miserable.
Also, it is often recommended to take small meals throughout the day, but I found this quite problematic. Domperidone works best on an empty stomach. If I eat breakfast at 6 am and another
snack at 9:30, I am not anywhere close to being hungry to eat lunch at noon. Whe I eat between meals the Domperidone does not really work as well for me because there is still food in my stomach. So I cut out all in between meal snacks (most days). I will sip from a protein drink during the day between meals if I feel like I just really need or want something.......anything. It usually won't mess up my next domperidone dosing. The protein drinks also help to keep my weight up. Between meals is when I am able to get my liquids in, but I know what you mean about
choosing between eating or drinking.
Gastroparesis is so individual. I just worked at finding what foods I could eat that didn't leave me feeling bloated and full, as well as causing the GERD symptoms. I have to say my diet is pretty restricted, no raw food, no beef, no whole wheat,etc, etc. You know what I mean.
I hope you feel better soon!
Diagnosed GERD 4/2011, gastritis & esophagitis 5/2011 (healed now) and gastroparesis 6/2011
Medications: PPI-free 4/14/2013, stepping down Zantac
Domperidone 10 mg 3 times a day