Medicine & USMLE

Mirtazapine

501 views
Psych Drugs (New)
  1. Mirtazapine
  2. Vortioxetine
  3. Bupropion
  4. Trazodone
  5. Vilazodone
  6. Buspirone
  7. Buprenorphine
  8. Serotonin Syndrome
  9. Neuroleptic Malignant Syndrome (NMS)
  10. Typical Antipsychotics
  11. Atypical Antipsychotics
  12. Nicotine Replacement Therapies
  13. SSRIs
  14. Varenicline
  15. Alcohol Use Disorder Treatments
  16. Naloxone
  17. Naltrexone
  18. CNS Stimulants

Summary

Mirtazapine is an atypical antidepressant drug.

It works as an selective alpha-2 antagonist, which increases the release of norepinephrine and serotonin. Mirtazapine also blocks 2 subtypes of serotonin receptors: 5HT-2 and 5HT-3. Additionally, mirtazapine is a H1 receptor antagonist.

Side effects of mirtazapine include weight gain, increased appetite, hyperlipidemia, sedation, and dry mouth.

Key Points

  • Mirtazapine
    • Mechanism
      • Blocks Alpha-2 Receptors
        • Increases release of norepinephrine (NE)
        • Increases release of serotonin (5-HT)  
      • Blocks 5HT2 and 5HT3 Serotonin Receptors
      • Blocks H1 Receptors
    • Clinical Use
      • Treats Depression
        • Atypical antidepressant
    • Side Effects
      • Increased appetite
        • Causes weight gain
        • Used in underweight patients or those with anorexia nervosa
      • Causes Sedation
        • Used in patients with insomnia
      • Increases Serum Cholesterol
      • Causes Dry Mouth