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 moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
What is torsade de points describe what you feel? I'm terrified of how mirtazapine is making me feel.
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 moreSee 1 more doctor answer
Diazepam: 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 moreSee 1 more doctor answer
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
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 moreSee 1 more doctor answer
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
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