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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What should be the next step if I develop panic attacks along with insomnia?

Query: Hello doctor, I am a 53-year-old female. My height is 160 cm, and my weight is 65 kg. I developed insomnia five years ago, and I could not sleep on my own. I believe I was suffering from health anxiety. So, my doctor suggested taking the tablet Mirtazapine to induce sleep which I took for some ...  Read Full »


Dr. Vishal Patidar

Answer: Hello, Welcome to icliniq.com. Thank you for writing, and I can understand your concern. I will advise you not to stress as your condition is probably due to stress or anxiety. But to cover our bases, I will recommend you to check your blood pressure, RBS (random blood sugar), E...  Read Full »

Which is better Mirtazapine or Maprotiline?

Query: Hi doctor, I would like to know the pros and cons of Mirtazapine versus Maprotiline. I am taking Mirtazapine for five weeks. A family member has been on Maprotiline for a few years and brought it to my attention. And now, I am experiencing panic attacks and anxiety. Which one is good? Kindly h...  Read Full »


Dr. Awadhesh P Singh Solanki

Answer: Hello, Welcome to icliniq.com. Thank you for this query. Mirtazapine and Maprotiline are antidepressants medicines but they have different groups of chemical compounds. Mirtazapine has more sedative action than Maprotiline; that is why you are feeling tired after taking that....  Read Full »

I have recurring insomnia now and then. Kindly suggest medicine.

Query: Hi doctor, I have been having recurring insomnia now and then. In a month at least five to eight days I have no proper sleep and it is hampering my day to day activities. I lack interest. I am under stress and my mind feels foggy. I am on Escitalopram 10 mg. Please suggest me some good medicine whic...  Read Full »


Dr. Seikhoo Bishnoi

Answer: Hi, Welcome to icliniq.com. I can understand your concern. A lot of individuals have recurring insomnia and sometimes they suffer from nonrefreshing sleep. In some individuals depression also aggravates insomnia and thus worsens the symptoms. For depression with insomnia drugs like tablet Mirtazapin...  Read Full »

How to taper the dosage of Venlafaxine and Mirtazapine?

Query: Hi doctor, I am taking the following antidepressants for 14 years with doses as below. Tablet Lametec 25 mg in morning 50 mg in the night, tablet Ventab 25 mg in the morning and 50 mg at night, and tablet Mirtazapine 15 mg at night. I am gaining weight due to Mirtazapine and erection issues due to...  Read Full »


Dr. Vishal Anilkumar Gandhi

Answer: Hi, Welcome to icliniq.com. Thank you for taking help from a psychiatrist. I can understand your situation. You may have a major depressive disorder. There is non-pharmacological management for your depression. It will help if you follow the below guidelines to deal with it. It will help you. 1...  Read Full »

Do antidepressants cause weight gain?

Query: Hi doctor, I am a 31-year-old male. I am taking the following antidepressants for 14 years - Lametec 25 mg in the morning and 50 mg at night, Ventab 25 mg in the morning and 50 mg at night, Mirnite, and Mirtazapine 15 mg at night. I am gaining weight due to Mirtazapine and erection issues due to V...  Read Full »


Dr. Subhan Ansari

Answer: Hi, Welcome to icliniq.com. I have read your statement, and I can feel that you are concerned. Tapering down the medicine over several weeks is the rule and always consult your prescriber if you experience any change in mental state or drugs. Firstly stop taking tablet Mirtazapine 15 mg at night a...  Read Full »

How to overcome insomnia?

Query: Hi doctor, I am suffering from insomnia for the past one year. I do get sleep, but around 1 or 2 AM, I used wake up and unable to sleep again. I am 30 years old. I am a married female and have a kid aged 3 years. I am a dentist and now, I am in stem cell research. I do not have any other health prob...  Read Full »


Dr. Seikhoo Bishnoi

Answer: Hi, Welcome to icliniq.com. You have late insomnia. If there is any associated anxiety or depression, then that should be evaluated properly. Kindly visit a psychiatrist in person. For insomnia, drugs like Amitriptyline or Mirtazapine or Trazodone can be used. These are antidepressant drugs, but ha...  Read Full »

Should I be concerned about a positive yeast infection?

Query: Hi doctor, A few months ago, I was seen at the ER. Several days later, I received a call from the ER department and they informed me that my blood tested positive for yeast and suggested a follow up with my MD. I did the follow up and my MD said it is normal and there is no treatment. I am having so...  Read Full »


Dr. Bharat Patodiya

Answer: Hi, Welcome to icliniq.com. I understand your anxiety. Since the blood culture was a few months back and you had a symptom free period, I do not think that the present symptoms are due to previous bloodstream infection. Bloodstream fungal culture could have been a contamination because fungemia pati...  Read Full »

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

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

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

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 »

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