A member asked:

What is more sedative out of amitryptiline and mirtazapine? and which one causes more grogginess the next day? many thanks.

10 doctors weighed in across 4 answers

Depends on dose: Remeron (mirtazapine) max dose is 45 mg Elavil may b 300 mg (depending on liver function & blood level of the drug. The lowest dose of Remeron (mirtazapine) (15mg) tends to b more sedating than the higher doses because it doesn't start raising norepinephrine until 30 mg and this has a stimulating. Effect that counters some of the sedation. Both Remeron (mirtazapine) & Elavil should b taken a couple hrs before bedtime to reduce hangover.

Answered 11/7/2014

5.4k views

Thank

Both: Both are antidepressants with sedative properties that may last for extended periods of time - this effect is tolerated differently by each patient. If you are using this medication only as a sleep aide other medications may be less sedating (like ambien).

Answered 5/3/2016

5.4k views

Thank
Dr. Alan Ali answered

Specializes in Psychiatry

Elavil/remeron: This depends on the dose and your tolerance. Remeron (mirtazapine) has longer half life though.

Answered 6/30/2014

5.4k views

Thank
Dr. Jeffrey Satinover answered

Specializes in Psychiatry

Individualized: Elavil is more predictably sedating, Remeron (mirtazapine) can be and is for some people, not for others. Remeron (mirtazapine) is a more complex medication in that respect. So it's best to try things out and experiment a bit, under expert supervision, of course!

Answered 11/28/2017

5.3k views

Thank

Related Questions

Sponsored Content
HealthTap Medical Group does not endorse products or services. Sponsored content revenues support our mission to make health information free and accessible to all.Learn more