Mirtazapine

  • Brand Name : Remeron
  • Drug Class : Antidepressants, Tetracyclic, Appetite Stimulants, Antidepressants, Alpha-2 Antagonists, Antidepressants, Other
  • Medical Author : John P. Cunha, DO, FACOEP
  • Medical Reviewer :
  • _eael_post_view_count : 9

What Is Mirtazapine and How Does It Work?

Mirtazapine is indicated for the treatment of a major depressive disorder.

Mirtazapine is available under the following different brand names: Remeron, and Remeron SolTab.

    What Are Dosages of Mirtazapine?

    Dosages of Mirtazapine:

    Adult and Pediatric Dosage Forms & Strengths

    Tablet

    • 7.5 mg
    • 15 mg
    • 30 mg
    • 45 mg

    Disintegrating tablet

    • 15 mg
    • 30 mg
    • 45 mg

    Dosage Considerations – Should be Given as Follows:

    Depression

    • Adult: 15 mg orally at bedtime; may increase no more frequently than every 1-2 weeks; not to exceed 45 mg at bedtime
    • Geriatric: 7.5 mg/day orally at bedtime; increase by 7.5-15 mg/day no more frequently than every 1-2 weeks; not to exceed 45 mg/day

    Alzheimer Dementia-related Depression, Geriatric

    • 7.5 mg/day orally at bedtime; increase by 7.5-15 mg/day no more frequently than every 1-2 weeks; not to exceed 60 mg/day

    Post-traumatic Stress Disorder (Off-label)

    • 15 mg orally at bedtime; may increase no more frequently than every 1-2 weeks; not to exceed 60 mg at bedtime

    Hot Flashes (Off-label)

    • 7.5-60 mg orally once/day

    Insomnia (Off-label)

    • 15-45 mg orally at bedtime

    Dosing Modifications

    • Renal impairment (CrCl less than 39 mL/min): Clearance is reduced; monitor closely
    • Hepatic impairment: Clearance is reduced; monitor closely

    Dosing Considerations

    • Pediatric: Safety and efficacy not established
    • Geriatric: The elderly have reduced clearance of mirtazapine and, as a result, may have increased plasma levels of the drug. Use with caution

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