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Mirtazapine

Generic Name
Mirtazapine
Brand Names
Remeron
Drug Type
Small Molecule
Chemical Formula
C17H19N3
CAS Number
85650-52-8
Unique Ingredient Identifier
A051Q2099Q
Background

Mirtazapine is a tetracyclic piperazino-azepine antidepressant agent that was initially approved for the treatment of major depressive disorder (MDD) in the Netherlands in 1994. This drug was first manufactured by Organon Inc., and received FDA approval in 1997 for the treatment of major depressive disorder. The effects of this drug may be observed as early as 1 week after beginning therapy.

In addition to its beneficial effects in depression, mirtazapine has been reported to be efficacious in the off-label management of various other conditions. It may improve the symptoms of neurological disorders, reverse weight loss caused by medical conditions, improve sleep, and prevent nausea and vomiting after surgery.

Indication

This drug is indicated for the treatment of major depressive disorder and its associated symptoms.

Mirtazapine has been used off-label for a variety of conditions including panic disorder, generalized anxiety disorder, dysthymia, tension headaches, hot flushes, post-traumatic stress disorder (PTSD), sleep disorders, substance abuse disorders, and sexual disorders, among others.

Associated Conditions
Cancer Pain, Depression, Fibromyalgia, Generalized Anxiety Disorder, Hot Flashes, Insomnia, Major Depressive Disorder (MDD), Obsessive Compulsive Disorder (OCD), Panic Disorder, Persistent Depressive Disorder (Dysthymia), Post Operative Nausea and Vomiting (PONV), Poststroke depression, Sleep disorders and disturbances, Substance Abuse Disorders, Tension Headache

PET Neuroimaging of [11C]Mirtazapine

Phase 4
Completed
Conditions
Mental Disorders
Mood Disorders
Affective Disorders
Depressive Disorders
First Posted Date
2006-02-08
Last Posted Date
2007-04-19
Lead Sponsor
University of Aarhus
Target Recruit Count
24
Registration Number
NCT00288782
Locations
🇩🇰

Center for Psychiatric Research, Psychiatric Hospital of Aarhus University, Risskov, Denmark

Mirtazapine for Treating Cocaine Dependent Individuals Who Also Suffer From Depression

Phase 2
Completed
Conditions
Cocaine Dependence
Depression
Interventions
Drug: Placebo
First Posted Date
2005-11-07
Last Posted Date
2017-10-25
Lead Sponsor
New York State Psychiatric Institute
Target Recruit Count
86
Registration Number
NCT00249444
Locations
🇺🇸

Research Foundation for Mental Hygiene, Inc., New York, New York, United States

Treatment of Geriatric Bipolar Mood Disorders: A Pilot Study

Phase 4
Completed
Conditions
Bipolar Disorder
First Posted Date
2005-09-15
Last Posted Date
2005-09-15
Lead Sponsor
University of Pittsburgh
Target Recruit Count
60
Registration Number
NCT00177567
Locations
🇺🇸

University of Pittsubrgh Medical Center, Pittsburgh, Pennsylvania, United States

🇺🇸

University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States

Hippocampal Volume in Young Patients With Major Depression Before and After Combined Antidepressive Therapy

Phase 4
Completed
Conditions
Depressive Disorder, Major
Interventions
First Posted Date
2005-09-08
Last Posted Date
2020-12-14
Lead Sponsor
University of Erlangen-Nürnberg Medical School
Target Recruit Count
80
Registration Number
NCT00150839
Locations
🇩🇪

Department of Psychiatry and Psychotherapy, University Erlangen-Nuremberg, Erlangen, Bavaria, Germany

New Pharmacological Treatment for Obstructive Sleep Apnea

Phase 1
Completed
Conditions
Obstructive Sleep Apnea
First Posted Date
2005-04-18
Last Posted Date
2009-01-21
Lead Sponsor
US Department of Veterans Affairs
Registration Number
NCT00108498
Locations
🇺🇸

Malcom Randall VAMC, Gainesville, Florida, United States

Treatment of Adolescent Suicide Attempters (TASA)

Phase 2
Completed
Conditions
Suicide, Attempted
Depression
First Posted Date
2004-03-26
Last Posted Date
2020-06-22
Lead Sponsor
New York State Psychiatric Institute
Target Recruit Count
120
Registration Number
NCT00080158
Locations
🇺🇸

Johns Hopkins University, Baltimore, Maryland, United States

🇺🇸

Columbia University at the New York State Psychiatric Institute, New York, New York, United States

🇺🇸

New York University Child Study Center, New York, New York, United States

and more 3 locations

Sequenced Treatment Alternatives to Relieve Depression (STAR*D)

Phase 4
Completed
Conditions
Depression
First Posted Date
2001-07-23
Last Posted Date
2009-09-25
Lead Sponsor
National Institute of Mental Health (NIMH)
Target Recruit Count
4000
Registration Number
NCT00021528
Locations
🇺🇸

Harbor UCLA Family Health Care Center, Harbor City, California, United States

🇺🇸

UCLA General Outpatient Psychiatry Clinic, Los Angeles, California, United States

🇺🇸

UCLA Internal Medicine Clinic, Los Angeles, California, United States

and more 38 locations
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