Generic Name

Mirtazapine

Brand Name

Remeron and Remeron Soltab

Class

Antidepressant

Proposed Mechanism(s) of Action

Alpha 2 antagonist (presynaptic autoreceptor antagonist), 5HT2a/c and 5HT3 antagonist, and antihistamine

Indication

Major depressive disorder

Off-Label Use

Panic disorder, generalized anxiety disorder, PTSD, and sedation

Side Effects

Somnolence, weight gain, xerostomia, increased appetite, and constipation

Serious

Seizures (rare), induction of mania (rare), and agranulocytosis (rare) activation of suicidal ideation (controversial)

Common

Dry mouth, constipation, increased appetite, weight gain, sedation, dizziness, abnormal dreams, and hypotension