Mirtazapine

Mirtazapine is a tetracyclic antidepressant. It is used to treat anxiety, depression, and sleep disturbances. Some side effects are weight gain, sleepiness, and dizziness.

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I am an anxiety patient and using Mirtazapine. How long can I continue this?

Query: Hello doctor,I am an anxiety patient with 80 kg weight and 5.5 height. I am using the Mirtazapine tablet for a year. I have withdrawn it some times but faced some panic attacks. Please suggest to me how long I can continue this?  Read Full »


Dr. Suresh Kumar G D

Child Health Specialist, Paediatrician, Psychiatrist

Answer: Hello, Welcome to icliniq.com. 1. Mirtazapine is an effective antidepressant medicine used to treat depression and anxiety disorders. 2. What dose are you taking? It can usually be from 15 mg to 45 mg depending on response and tolerability. 3. You need to take it daily for at least six months to...  Read Full »

What are the long-term side effects of Mirtazapine taken for insomnia?

Query: Hello doctor, I am 44 years old and have generalized anxiety and insomnia. I never had anxiety in life but it all happened after I was diagnosed with high BP. Currently, I am taking Mirtazapine 7.5 mg since last four months. It makes me sleep but the quality of sleep is very bad. I did not take up ...  Read Full »


Dr. Bharat Udey

Geriatrician, Psychiatrist, Sexologist, Sleep Medicine Physician

Answer: Hello, Welcome to icliniq.com. Firstly let me clear the fact, Mirtazapine is a newer antidepressant which causes sedation as its side-effect. So it is primarily used for the treatment of depressive symptoms but it can benefit in sleep as well if the patient complains of reduced sleep. As such M...  Read Full »

I am gaining weight with Paroxetine and Mirtazapine. Can I use Zoloft?

Query: Hi doctor, I have OCD and bipolar depression. I am taking Paroxetine and Mirtazapine for OCD and sleep respectively. I am gaining too much weight. Can I switch to Zoloft?  Read Full »


Dr. Seikhoo Bishnoi

Psychiatrist, Sexologist, Psychotherapist

Answer: Hi, Welcome to icliniq.com. I can understand your concern. Both Mirtazapine and Paroxetine are known to cause weight gain. Sertraline (Zoloft) also causes some weight gain. So, in my opinion shifting to Sertraline will not be a good idea. Other SSRIs (selective serotonin reuptake inhibitor) like Flu...  Read Full »

Why do I keep thinking about my stomach disease all the time?

Query: Hi doctor, I have been suffering from stomach disease and I did not get it diagnosed for almost for 10 years. Sometime, my doctors say it as GERD and sometimes as irritable bowel syndrome. Now, they said that my stomach is not transferring food to my colon normally and that means my stomach muscle i...  Read Full »


Dr. Sathya Prakash

Psychiatrist

Answer: Dear, Welcome to icliniq.com. First and foremost, do not be disheartened as I see patients with similar problems every day and they get better. You definitely have a psychological problem similar to depression and anxiety. My opinion is that you will need long-term psychotropic medicines to get you ...  Read Full »

I gained a lot of weight after taking Mirtazapine for depression. How to reduce it?

Query: Hi doctor, I am a 30-year-old male and I have been on Cipralex 20 mg for my depression for more than a year now. When I started Cipralex 10 mg I was fine. However, when my depression worsened I was given Mirtazapine 30 mg and my weight increased like hell. I gained 15 kg in three months, mostly aro...  Read Full »


Dr. Seikhoo Bishnoi

Psychiatrist, Sexologist, Psychotherapist

Answer: Hello, Welcome to icliniq.com. Stopping Topiramate is not the reason for weight gain in your case. Topiramate resulted in weight loss and the drug is also a good mood stabilizer drug. This helps in stabilizing the mood and supplements the antidepressants. So stopping Topiramate probably result in ...  Read Full »

Is it safe to use Venlafaxine and Mirtazapine together?

Query: Hi doctor, I am currently taking Venlafaxine and Mirtazapine together. There are discussions around adding Wellbutrin as well, I just wanted to get someone else thoughts on that combination of three drugs. Is it safe? Would it be effective? And is it a known combination of drugs which has been spec...  Read Full »


Dr. Suresh Kumar G D

Child Health Specialist, Paediatrician, Psychiatrist

Answer: Hello, Welcome to icliniq.com. Combination antidepressant therapy works better if first line monotherapy has not been effective. I note that you are diagnosed with depression, anxiety and PTSD which can sometimes be challenging but gets better with the right treatment regimen. Different combinati...  Read Full »

What is the recommended dose of Mirtazapine for treating anxiety and social phobia?

Query: Hello doctor, I am suffering from anxiety and social phobia. I consulted my psychiatrist to use either Citalopram or Mirtazapine. I doubt to take Citalopram because I know this causes sexual side effects more often than Mirtazapine does. However, regarding Mirtazapine, I read various things online ...  Read Full »


Dr. Suresh Kumar G D

Child Health Specialist, Paediatrician, Psychiatrist

Answer: Hello, Welcome to icliniq.com. 1. Both Citalopram and Mirtazapine are good choices for managing anxiety and social phobia. 2. If you are worried about sexual side effects, Mirtazapine will be a better choice. 3. Both Citalopram and Mirtazapine can take up to four weeks for the therapeutic benefi...  Read Full »

Will the usage of antidepressant medicines have any adverse effect on sex life?

Query: Hello doctor, My age is 19 years. I am on antidepressant tablets like Paroxetine prolonged-release, Clonazepam, Mirtazapine, and Dosulepin. I have a problem with erection and do not have a sex drive. Will these medicines have any adverse effects on my sex life? What should I do?  Read Full »


Dr. Suresh Kumar G D

Child Health Specialist, Paediatrician, Psychiatrist

Answer: Hello, Welcome to icliniq.com. You are on three different types of antidepressants - Paroxetine, Mirtazapine, and Dosulepin. Clonazepam is meant for short term use. Is your depression better after having these medicines? What is the duration of your medication? Do you experience any other side ef...  Read Full »

Can taking different doses of Seroquel cause headaches?

Query: Hello doctor, I have ADHD, for which I take Seroquel 200 mg and Remeron 15 mg at 11 PM, every night. Last week, my doctor added Clonidine, which has to be taken at 4 PM. I felt fine after taking Clonidine, but four hours later, I decided to take a smaller amount of Seroquel 50 to100 mg, with the int...  Read Full »


Dr. Ashok Kumar Choudhary

Andrologist, General Practitioner, Geriatrician, Psychiatrist, Psychologist Counsellor, Psychotherapist, Sexologist

Answer: Hi, Welcome to icliniq.com. I read your query and understand your concerns. First of all, I will like to inform you that the current pressure headache is just a coincidence rather than any relation to a drug.¬†There is no such thing which causes a headache due to Remeron (Mirtazapine) and Clonidine ...  Read Full »

Is it safe to drop down Mirtazapine and Xanor at the same time?

Query: Hello doctor, I was taking 30 mg Mirtazapine for 10 weeks before being told by the doctor to take 45 mg three weeks ago. I have now been told to drop it back to 30 mg a day. I also have been taking Xanor 0.25 mg for past six months. For the first two weeks, I took two tablets a day then was told to...  Read Full »


Dr. Seikhoo Bishnoi

Psychiatrist, Sexologist, Psychotherapist

Answer: Hello, Welcome to icliniq.com. If he is asking to reduce the doses, then no need to get worried. Mirtazapine has different actions and is a different drug than Xanor (Alprazolam). No need to get worried about that. Even Mirtazapine is a unique drug which has great effects on sleep at 15 to 30 mg d...  Read Full »

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