Doctor insights on:
Is Mirtazapine A Narcotic
Mirtazepine (remeron) is a noradrenergic/specific serotonergic antidepressant [nassa]. It is used for major depressive d/o, various anxiety disorders, chronic pain, and others. In some, it can help ssri-induced sexual dysfunction & "poop out." it can be sedating and also increase appetite -- good for some ...Read more
Is remeron (mirtazapine) good for me to take for insomnia along with mild depression and anxiety? I don't have many options that are non narcotic.
Not necessarily: Remeron (mirtazapine) would not exacerbate hepatitis c. However Remeron (mirtazapine) is extensively metabolized by the liver, and caution must be used in prescribing Remeron (mirtazapine) to an individual with significant hepatic impairment. Make sure the prescribing physician is aware of your liver status. ...Read more
Mirtazepine: Mirtazepine (remeron) is a noradrenergic/specific serotonergic antidepressant [nassa]. It is used for major depressive d/o, various anxiety disorders, chronic pain, and others. In some, it can help ssri-induced sexual dysfunction & "poop out." it can be sedating and also increase appetite -- good for some people, not for others. ...Read more
Mirtazapine: Has muscarinic receptor blocking activity in addition to blocking histamine. It has Alpha 2 adrenergic and D2 and D3 activity. (complicated action) I find it to be a terrific medication but its best given at night and in small doses to start (15 mg) Some people report a dry mouth in the morning and difficulty with reading The anticholinergic tendencies (muscarinic) seem to be mild. ...Read more
What is torsade de points describe what you feel? I'm terrified of how mirtazapine is making me feel.
Speak to your doctor: All medication can cause side effects. Though most are annoying rather than dangerous, if medication is causing you to feel ill please contact your doctor or go to the emergency room. ...Read more
Most likely not.: It is for most often prescribed for major depression. Tremors are a possible serious side effect that should be reported immediately to a doctor. It would be unusual to be the treatment of choice to reduce/relieve tremors. Seek medical attention for this. ...Read more
This is a long-acting anxiety medication whose sedative effects increase proportionately with dose increase. Metabolites may persist in the blood stream or tissues for more than 36 hours, so it has limited usefulness.
Mirtazapine is an antidepressant, that may exhibit sedating effects, which may or may not be beneficial, depending on the patient.
Diazepam should not be used for depression. ...Read more
No reported X's: There are no reports of problems from combining these drugs used as directed. But do also mention it to your doctor. Both your doctor and pharmacist should have anything you take in their file so that they can notice possible issues. Good for you that you ask! Your a smart patient - they're among the best sorts. ...Read more
Rational medication: Management seeks optimal dose response to one medication and, if unsuccessful, then switch to another medication. Combining medications requires careful consideration/monitoring. Both Effexor (venlafaxine) and (Remeron) mirtazapine increase serotonin levels and the combination requires close monitoring. Psychotherapy, mindfulness, and healthy lifestyle help in Generalized Anxiety Disorder. Cheers ...Read more
A lot: Citalopram is an ssri meaning that it causes increased amounts of serotonin in the brain. Mirtazapine is in its own unique class. Notably, Mirtazapine helps with sleep and does not have sexual side effects where neither are true with citalopram. Ask your psychiatrist for a full explanation. ...Read more
Professional eval: An acute "od" would have to be deliberate, and it would require emergency room care. Otherwise, "overdose" is a relative thing. Whomever is prescribing the remeron (mirtazapine) needs to discuss your experience with the medication, including benefits and possible problems. Meds of this type always need close clinical monitoring, especially in the early stages &when doses, or circumstances, change. ...Read more
Roughly equal: This kind of question is hard to answer, as it depends on the dosage of each. Mirtazepine (brand name remeron) is probably better tolerated overall, although it's well-known to cause weight gain. Amitriptyline (brand name Elavil (amitriptyline) ; others) has more dry mouth, constipation, ; orthostasis (dizziness when standing), but can be quite effective if these aren't a problem for an individual patient. ...Read more
Yes: Yes, but just the fact that a person is asking such a question would indicate that that there should be an complete clinical evaluation and some kind of intervention. ...Read more
Maybe: You can. But since htey are both CNS depressants you need to use caution with them. ...Read more
Neither and both: The best med is the one that works for you. Sometimes you do best with a combo of both. I find that Lexapro (escitalopram) helps obsessing and panic better but can have gi side effects and insomnia. Remeron is very sedating and helps calm the stomach, and promotes sleep but can cause weight gain. It might replace some diazepam. I often combine the two. ...Read more
Yes: There are no major interactions reported between these substances. ...Read more
A natural or synthetic alkaloid compound that has morphine-like qualities. Other examples are codeine, heroin, Meperidine (demerol). They are classified based on their intrinsic activity & where they interact in the central nervous system. They are involved in pain transmission ...Read more
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