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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How can I increase my sex drive while on antidepressants?

Query: Hi doctor, I have no sex drive whatsoever and cannot obtain an orgasm. Please help.  Read Full »


Dr. Ashok Kumar

Answer: Hi, Welcome to icliniq.com. I read your query with due interest and understand your concerns. Low sex drive is a common symptom of a variety of medical and psychiatric disorders. Before I speculate anything about it I need you to answer a few questions in detail. Mention the duration of the pro...  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 hav...  Read Full »

Is the increased hunger in my baby due to the side effect of Mirtazapine that I am taking?

Query: Hello doctor, I have been taking Mirtazapine 15 g a day for anxiety. I have a baby who is 17 days old. He's hungry most of the time and will take between 3 to 5 ounces at each feed which is between two to three hours. I know the Mirtazapine can increase hunger, and I have put on weight since sta...  Read Full »


Dr. Albana Greca

Answer: Hello, Welcome to icliniq.com. I understand your concern. The dose of Mirtazapine you are taking is very low. Mirtazapine is an antidepressant found in milk only when the dosage is higher than 120 mg per day. Even if secreted in milk, the amount found in milk is very low, giving undesirable side ...  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

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 »

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

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 Clonidi...  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

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 »

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

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 »

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 »

Is it fine to get visual hallucinations after taking Mirtazapine?

Query: Hello doctor, I am on Mirtazapine for the past four months, treating episodical depression and panic attacks. Overall it was going good but yesterday I have experienced visual hallucinations for the first time. I will see my doctor in half a month only. Should I be worried?  Read Full »


Dr. Vishal Anilkumar Gandhi

Answer: Hi, Welcome to icliniq.com. Thank you for taking help from a psychiatrist. Visual hallucinations are due to organic brain lesion (epilepsy) or any substance abuse (alcohol or recreational drug). If it is just once in while then it is not problematic but if it is an increase in the frequency and dist...  Read Full »

I have been prescribed Mirtazapine for my intestinal issues. How long should I take it?

Query: Hello doctor, I moved to a new country four years back. I used to eat at hotels or restaurants. As a result, I had frequent food poisoning episodes. I got food poisoning more than 20 times in two years. Each time it was treated with a course of antibiotics. For the last three years, I have complete...  Read Full »


Dr. Saraswat Kumarshri Shriniwas

Answer: Hello, Welcome to icliniq.com. It seems that frequent gastrointestinal infections have triggered irritable bowel syndrome. I would like to tell you the following: Mirtazapine is used for IBS (irritable bowel syndrome) and shows good results. It is quite safe too. Initially, take it for three mo...  Read Full »

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