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Doctor insights on: Mirtazapine

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Dr. Eric Weisman
379 doctors shared insights

Mirtazapine (Overview)

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.


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What is mirtazapine used for?

What is mirtazapine used for?

Mirtazepine: Mirtazepine, or remeron, (mirtazapine) is an antidepressant which can both improve sleep and appetite. If a depressed patient has trouble with both falling asleep and maintaining body weight, the side effects of sedation and increased appetite can be used to advantage. ...Read more

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Dr. Eric Weisman
379 doctors shared insights

Mirtazapine (Overview)

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.


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How long does mirtazapine take to start to work?

How long does mirtazapine take to start to work?

2 - 4 weeks: Like most other antidepressants, Mirtazapine (brand name remeron) usually starts to result in improvement after about 2 weeks of use, with increasing benefit over the next several weeks. In my own practice, i tend not to wait much past 4 weeks if there's been no benefit at all; other psychiatrists will say to wait up to 6 or 8 weeks. ...Read more

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Please describe the medication: mirtazapine?

Please describe the medication: mirtazapine?

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

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I am on sertraline and clonazepam for depression. I keep having suicidal thoughts.I want to know why the doctor did not prescribe mirtazapine?

I am on sertraline and clonazepam for depression. I keep having suicidal thoughts.I want to know why the doctor did not prescribe mirtazapine?

You need to contact: Your doctor. You really need to first of all make sure that you're safe. If you are not feeling safe then make sure that you go to the hospital or call an ambulance or get around friends and family who will watch out for your safety until you're feeling better. You should personally ask your doctor why he chose the antidepressant that he did. All antidepressants are pretty much equal. In their efficacy. My guess is that he didn't select Remeron because it tends to cause a lot of weight gain. Now however he should be able to augment the zoloft with Remeron if you prefer, wellbutrin, or abilify (aripiprazole).There are many other options as well. Please take care of yourself and best wishes. ...Read more

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My Doctor prescribed me Propranolol and Mirtazapine for Social Anxiety. Is this a common/safe/effective combination?

My Doctor prescribed me Propranolol and  Mirtazapine for Social Anxiety. Is this a common/safe/effective combination?

Social anxiety tx: I'm glad you talked to your doc about your social anxiety! that can be a tough thing to do. There are multiple effective treatments for social anxiety and other anxiety d/os. Propranolol (a beta blocker) and mirtazepine are both commonly used. SSRIs are commonly used as well, along with talk tx, like CBT. Always talk with your doc about the risks, benefits, and potential side effects of any new tx ...Read more

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Since I've been on remeron (mirtazapine) 45mg I've gained 65 pounds hoe can I loose it cause the remeron (mirtazapine) works for my depression ?

Since I've been on remeron (mirtazapine) 45mg I've gained 65 pounds hoe can I loose it cause the remeron (mirtazapine) works for my depression ?

Weight gain: Weight gain is an unfortunate side effect of mirtazapine (Remeron). The usual reason for the weight gain is the increased appetite that this medication causes. The weight can come off with diet and exercise. However, be sure never to start a diet and/or exercise program without consulting your physician first. ...Read more

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How long until remeron (mirtazapine) kicks in?

Remeron (mirtazapine): Sedation occurs early, but for depression it can take 4 weeks & up to 6 weeks. ...Read more

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Is it safe to take mirtazapine, propranolol and paracetamol at the same time? Many thanks

Ask your doctor: It should be safe, but sometimes there are subtle drug interactions that depend on factors such as your health, how quickly you metabolize medications and the reasons you take the medications. It's best to consult your physician. Hope this answer helps. ...Read more

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Can you take 50mg sertraline and 15mg mirtazapine safely together in a day ...

Can you take 50mg sertraline and 15mg mirtazapine safely together in a day ...

Usually: This can be a good and safe combination if prescribed and monitored by a psychiatrist. ...Read more

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Is increased anxiety and frustration a side effect of mirtazapine? I've been on 30mg for just over a week and have noticed these changes.

Is increased anxiety and frustration a side effect of mirtazapine? I've been on 30mg for just over a week and have noticed these changes.

Possibly ...: Mirtazapine is an anti-depressant, and all medicines of this class can worsen anxiety. The anxiety may be the effect of the medication, or the consequence of a previous medication leaving your system before the Mirtazapine has reached a 'therapeutic level' in your body. With all adverse effects from medication recommend discussion with the prescribing Doctor, or your GP. ...Read more

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What are the side effects of mirtazapine and how long do they start to work after starting to take them, please?

Side effect omirtaza: All psych med has side effect , we take them because we need them. Since every thing under the son even the son it self may cause allergy, it may cause allergy, it may cause sedation that is why it can help with sleep and it may cause weight gain, and this depends on what u eat , how much u eat and how much u excersize. ...Read more

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Can you please explain how i can come off mirtazapine and how long does it stay in my system?

Can you please explain how i can come off mirtazapine and how long does it stay in my system?

Long time: One half of mirtazepine dose is eliminated in 20 to 40 hrs (26 in males, 37 in females). That means that mirtazepine stays in your body for several days. Depending on the dose you are taking, you should discontinue mirtazepine gradually to avoid withdrawal symptoms. ...Read more

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How long does the drowsiness from mirtazapine last. I have been on it for 3 weeks.?

Remeron (mirtazapine): Low dose is more sedating. Talk to your doctor. ...Read more

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Don't know if anxiety is my issue. Can't sleep. Tried ambien, (zolpidem) remeron, vistaril nothing puts me out. Heart races. Why? Love life, very happy. ?

Don't know if anxiety is my issue. Can't sleep. Tried ambien, (zolpidem) remeron, vistaril nothing puts me out. Heart races. Why? Love life, very happy. ?

Sleep assessment: You need to rule out medical causes of sleep disruption if these sleep medications are not helping. For example, you may have an underlying sleep apnea or even a silent form of asthma, both of which can disrupt your breathing during sleeo and awaken you. Or you may have an underlying psychological condition affecting your sleep. Make an appointment with a neurologist who specializes in sleep probs. ...Read more

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Does the grogginess of mirtazapine wear off the longer you take it? Many thanks.

Yes: And the same goes for any psychiatric meds sedation effect. Mirtazrepine gives you a desired weight gain and good sleep effect. Another plus is minimal sexual side effects with this one same as wellbuterin.. ...Read more

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Does Tylenol (acetaminophen) interact with klonopin and remeron?

Does Tylenol (acetaminophen) interact with klonopin and remeron?

Tylenol (acetaminophen) doesn't: Neither of your medications interact w/ Tylenol (acetaminophen) but the do have a possible interaction w/ each other. It's not major, but it can make you more dizzy, drowsy, and lower your ability to think as clearly. If you do notice this sort of thing, discuss it w/ your doctor - but you can take Tylenol (acetaminophen) as directed w/out fear. Best! ...Read more

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Drug interactions duromine with mirtazapine can the y be taken together, I would only use 1/4 of a 15mg tablet,with a duromine 30mg?

Unclear interaction: Phentermine decreases sedation while mirtazapine will increase it. Furthermore, it is unclear whether or not the combination of these 2 drugs results in an interaction. Some people believe there is since they have paradoxical effects on sedation. The recommendation is that if combining to do so with extreme caution. ...Read more

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Is mirtazapine and amisulpride agood combination?

It depends: Mirtazapine is antidepressant and amisulpride is an antipsychotic. The combination could be useful for treatment of depression with psychotic symptoms. ...Read more

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Is it safe to mix Hydrocodone and Mirtazapine?

Is it safe to mix Hydrocodone and Mirtazapine?

Caution: caution should be used as the combination may cause increased CNS depression which may be dangerous ...Read more

Dr. Joseph Weiner
363 doctors shared insights

Remeron (Definition)

Remeron is a serotonin antagonist and reuptake inhibitor which is a kind of ...Read more